Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

HAPTOGLOBIN

Facility

$390.00

Service Code	HCPCS 83010
Hospital Charge Code	39900460
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

HAPTOGLOBIN

Facility

$390.00

Service Code	HCPCS 83010
Hospital Charge Code	39900460
Hospital Revenue Code	301
Min. Negotiated Rate	$10.06
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$34.22
Rate for Payer: Aetna Medicare Advantage	$40.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.63
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$12.58
Rate for Payer: Clover Medicare Advantage	$11.95
Rate for Payer: EmblemHealth Commercial	$37.74
Rate for Payer: Humana Medicare Advantage	$12.96
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.40
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$10.06
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.58
Rate for Payer: Wellcare Medicare Advantage	$12.58
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

HAPTOGLOBIN

Facility

$145.00

Service Code	HCPCS 83010
Hospital Charge Code	38478029
Hospital Revenue Code	301
Min. Negotiated Rate	$21.75
Max. Negotiated Rate	$21.75
Rate for Payer: Qualcare PPO/HMO/WC	$21.75

HAPTOGLOBIN

Facility

$145.00

Service Code	HCPCS 83010
Hospital Charge Code	38478029
Hospital Revenue Code	301
Min. Negotiated Rate	$4.12
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$34.22
Rate for Payer: Aetna Medicare Advantage	$40.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.63
Rate for Payer: Cigna Commercial	$72.50
Rate for Payer: Cigna Medicare Advantage	$12.58
Rate for Payer: Clover Medicare Advantage	$11.95
Rate for Payer: EmblemHealth Commercial	$37.74
Rate for Payer: Humana Medicare Advantage	$12.96
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.70
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.75
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$10.06
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.58
Rate for Payer: Wellcare Medicare Advantage	$12.58
Rate for Payer: Wellpoint Medicaid Managed Care	$4.12

HARDWARE REMOVAL KIT

Facility

$2,500.00

Hospital Charge Code	270676086
Hospital Revenue Code	272
Min. Negotiated Rate	$375.00
Max. Negotiated Rate	$375.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00

HARDWARE REMOVAL KIT

Facility

$2,500.00

Hospital Charge Code	270676086
Hospital Revenue Code	272
Min. Negotiated Rate	$71.00
Max. Negotiated Rate	$1,250.00
Rate for Payer: Aetna Commercial	$950.00
Rate for Payer: Aetna Medicare Advantage	$750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$637.50
Rate for Payer: Cigna Commercial	$1,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$650.00
Rate for Payer: Oxford Commercial	$500.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00
Rate for Payer: UnitedHealthcare Commercial	$500.00
Rate for Payer: UnitedHealthcare Community & State	$79.00
Rate for Payer: Wellpoint Medicaid Managed Care	$71.00

HARMONIC ACE 5MM/36CM HANDPCE

Facility

$971.00

Hospital Charge Code	270338800
Hospital Revenue Code	272
Min. Negotiated Rate	$27.58
Max. Negotiated Rate	$485.50
Rate for Payer: Aetna Commercial	$368.98
Rate for Payer: Aetna Medicare Advantage	$291.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$247.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$247.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$247.60
Rate for Payer: Cigna Commercial	$485.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$252.46
Rate for Payer: Oxford Commercial	$194.20
Rate for Payer: Qualcare PPO/HMO/WC	$145.65
Rate for Payer: UnitedHealthcare Commercial	$194.20
Rate for Payer: UnitedHealthcare Community & State	$30.68
Rate for Payer: Wellpoint Medicaid Managed Care	$27.58

HARMONIC ACE 5MM/36CM HANDPCE

Facility

$971.00

Hospital Charge Code	270338800
Hospital Revenue Code	272
Min. Negotiated Rate	$145.65
Max. Negotiated Rate	$145.65
Rate for Payer: Qualcare PPO/HMO/WC	$145.65

HARMONIC ACE PLUS

Facility

$1,615.00

Hospital Charge Code	270672323
Hospital Revenue Code	272
Min. Negotiated Rate	$45.87
Max. Negotiated Rate	$807.50
Rate for Payer: Aetna Commercial	$613.70
Rate for Payer: Aetna Medicare Advantage	$484.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$411.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$411.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$411.82
Rate for Payer: Cigna Commercial	$807.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$419.90
Rate for Payer: Oxford Commercial	$323.00
Rate for Payer: Qualcare PPO/HMO/WC	$242.25
Rate for Payer: UnitedHealthcare Commercial	$323.00
Rate for Payer: UnitedHealthcare Community & State	$51.03
Rate for Payer: Wellpoint Medicaid Managed Care	$45.87

HARMONIC ACE PLUS

Facility

$1,615.00

Hospital Charge Code	270672323
Hospital Revenue Code	272
Min. Negotiated Rate	$242.25
Max. Negotiated Rate	$242.25
Rate for Payer: Qualcare PPO/HMO/WC	$242.25

HARMONIC HD 1001 shears

Facility

$3,184.30

Hospital Charge Code	270685509
Hospital Revenue Code	272
Min. Negotiated Rate	$90.43
Max. Negotiated Rate	$1,592.15
Rate for Payer: Aetna Commercial	$1,210.03
Rate for Payer: Aetna Medicare Advantage	$955.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$812.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$812.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$812.00
Rate for Payer: Cigna Commercial	$1,592.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$827.92
Rate for Payer: Oxford Commercial	$636.86
Rate for Payer: Qualcare PPO/HMO/WC	$477.64
Rate for Payer: UnitedHealthcare Commercial	$636.86
Rate for Payer: UnitedHealthcare Community & State	$100.62
Rate for Payer: Wellpoint Medicaid Managed Care	$90.43

HARMONIC HD 1001 shears

Facility

$3,184.30

Hospital Charge Code	270685509
Hospital Revenue Code	272
Min. Negotiated Rate	$477.64
Max. Negotiated Rate	$477.64
Rate for Payer: Qualcare PPO/HMO/WC	$477.64

HARMONIC SCALPEL ACE 36CM

Facility

$19,532.80

Hospital Charge Code	270657206
Hospital Revenue Code	272
Min. Negotiated Rate	$554.73
Max. Negotiated Rate	$9,766.40
Rate for Payer: Aetna Commercial	$7,422.46
Rate for Payer: Aetna Medicare Advantage	$5,859.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,980.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,980.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,980.86
Rate for Payer: Cigna Commercial	$9,766.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,078.53
Rate for Payer: Oxford Commercial	$3,906.56
Rate for Payer: Qualcare PPO/HMO/WC	$2,929.92
Rate for Payer: UnitedHealthcare Commercial	$3,906.56
Rate for Payer: UnitedHealthcare Community & State	$617.24
Rate for Payer: Wellpoint Medicaid Managed Care	$554.73

HARMONIC SCALPEL ACE 36CM

Facility

$19,532.80

Hospital Charge Code	270657206
Hospital Revenue Code	272
Min. Negotiated Rate	$2,929.92
Max. Negotiated Rate	$2,929.92
Rate for Payer: Qualcare PPO/HMO/WC	$2,929.92

HARMONIC WAVE HANDPCE 5MM/23

Facility

$775.00

Hospital Charge Code	270338001
Hospital Revenue Code	272
Min. Negotiated Rate	$116.25
Max. Negotiated Rate	$116.25
Rate for Payer: Qualcare PPO/HMO/WC	$116.25

HARMONIC WAVE HANDPCE 5MM/23

Facility

$775.00

Hospital Charge Code	270338001
Hospital Revenue Code	272
Min. Negotiated Rate	$22.01
Max. Negotiated Rate	$387.50
Rate for Payer: Aetna Commercial	$294.50
Rate for Payer: Aetna Medicare Advantage	$232.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.62
Rate for Payer: Cigna Commercial	$387.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$201.50
Rate for Payer: Oxford Commercial	$155.00
Rate for Payer: Qualcare PPO/HMO/WC	$116.25
Rate for Payer: UnitedHealthcare Commercial	$155.00
Rate for Payer: UnitedHealthcare Community & State	$24.49
Rate for Payer: Wellpoint Medicaid Managed Care	$22.01

HARMONY VLED DUAL LIGHT PACKAG

Facility

$110,870.75

Hospital Charge Code	270663228
Hospital Revenue Code	270
Min. Negotiated Rate	$3,148.73
Max. Negotiated Rate	$55,435.38
Rate for Payer: Aetna Commercial	$42,130.89
Rate for Payer: Aetna Medicare Advantage	$33,261.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28,272.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28,272.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28,272.04
Rate for Payer: Cigna Commercial	$55,435.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28,826.40
Rate for Payer: Oxford Commercial	$22,174.15
Rate for Payer: Qualcare PPO/HMO/WC	$16,630.61
Rate for Payer: UnitedHealthcare Commercial	$22,174.15
Rate for Payer: UnitedHealthcare Community & State	$3,503.52
Rate for Payer: Wellpoint Medicaid Managed Care	$3,148.73

HARMONY VLED DUAL LIGHT PACKAG

Facility

$110,870.75

Hospital Charge Code	270663228
Hospital Revenue Code	270
Min. Negotiated Rate	$16,630.61
Max. Negotiated Rate	$16,630.61
Rate for Payer: Qualcare PPO/HMO/WC	$16,630.61

HARVESTER INVASIVE

Facility

$2,975.00

Hospital Charge Code	270687902
Hospital Revenue Code	272
Min. Negotiated Rate	$446.25
Max. Negotiated Rate	$446.25
Rate for Payer: Qualcare PPO/HMO/WC	$446.25

HARVESTER INVASIVE

Facility

$2,975.00

Hospital Charge Code	270687902
Hospital Revenue Code	272
Min. Negotiated Rate	$84.49
Max. Negotiated Rate	$1,487.50
Rate for Payer: Aetna Commercial	$1,130.50
Rate for Payer: Aetna Medicare Advantage	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$758.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$758.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$758.62
Rate for Payer: Cigna Commercial	$1,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$773.50
Rate for Payer: Oxford Commercial	$595.00
Rate for Payer: Qualcare PPO/HMO/WC	$446.25
Rate for Payer: UnitedHealthcare Commercial	$595.00
Rate for Payer: UnitedHealthcare Community & State	$94.01
Rate for Payer: Wellpoint Medicaid Managed Care	$84.49

HARVESTER LIPIVAGE

Facility

$850.00

Service Code	HCPCS A4649
Hospital Charge Code	270699917
Hospital Revenue Code	272
Min. Negotiated Rate	$127.50
Max. Negotiated Rate	$127.50
Rate for Payer: Qualcare PPO/HMO/WC	$127.50

HARVESTER LIPIVAGE

Facility

$850.00

Service Code	HCPCS A4649
Hospital Charge Code	270699917
Hospital Revenue Code	272
Min. Negotiated Rate	$24.14
Max. Negotiated Rate	$425.00
Rate for Payer: Aetna Commercial	$323.00
Rate for Payer: Aetna Medicare Advantage	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$216.75
Rate for Payer: Cigna Commercial	$425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$221.00
Rate for Payer: Oxford Commercial	$170.00
Rate for Payer: Qualcare PPO/HMO/WC	$127.50
Rate for Payer: UnitedHealthcare Commercial	$170.00
Rate for Payer: UnitedHealthcare Community & State	$26.86
Rate for Payer: Wellpoint Medicaid Managed Care	$24.14

HASKAL TIP SET G36126

Facility

$3,150.00

Hospital Charge Code	270635529S
Hospital Revenue Code	272
Min. Negotiated Rate	$472.50
Max. Negotiated Rate	$472.50
Rate for Payer: Qualcare PPO/HMO/WC	$472.50

HASKAL TIP SET G36126

Facility

$2,976.00

Hospital Charge Code	270635529N
Hospital Revenue Code	272
Min. Negotiated Rate	$446.40
Max. Negotiated Rate	$446.40
Rate for Payer: Qualcare PPO/HMO/WC	$446.40

HASKAL TIP SET G36126

Facility

$2,976.00

Hospital Charge Code	270635529N
Hospital Revenue Code	272
Min. Negotiated Rate	$84.52
Max. Negotiated Rate	$1,488.00
Rate for Payer: Aetna Commercial	$1,130.88
Rate for Payer: Aetna Medicare Advantage	$892.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$758.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$758.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$758.88
Rate for Payer: Cigna Commercial	$1,488.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$773.76
Rate for Payer: Oxford Commercial	$595.20
Rate for Payer: Qualcare PPO/HMO/WC	$446.40
Rate for Payer: UnitedHealthcare Commercial	$595.20
Rate for Payer: UnitedHealthcare Community & State	$94.04
Rate for Payer: Wellpoint Medicaid Managed Care	$84.52

Know your out-of-pocket cost for care.

All Charges