Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

ANCHOR ICONIX SELF 2.3MMx1.2MM

Facility

$4,043.85

Service Code	HCPCS C1713
Hospital Charge Code	270689569
Hospital Revenue Code	278
Min. Negotiated Rate	$606.58
Max. Negotiated Rate	$978.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$808.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$978.61
Rate for Payer: Qualcare PPO/HMO/WC	$606.58

ANCHORING DEVICE SPRING 5-11MM

Facility

$30.60

Hospital Charge Code	270651488
Hospital Revenue Code	272
Min. Negotiated Rate	$4.59
Max. Negotiated Rate	$4.59
Rate for Payer: Qualcare PPO/HMO/WC	$4.59

ANCHORING DEVICE SPRING 5-11MM

Facility

$30.60

Hospital Charge Code	270651488
Hospital Revenue Code	272
Min. Negotiated Rate	$0.87
Max. Negotiated Rate	$15.30
Rate for Payer: Aetna Commercial	$11.63
Rate for Payer: Aetna Medicare Advantage	$9.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.80
Rate for Payer: Cigna Commercial	$15.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.96
Rate for Payer: Oxford Commercial	$6.12
Rate for Payer: Qualcare PPO/HMO/WC	$4.59
Rate for Payer: UnitedHealthcare Commercial	$6.12
Rate for Payer: UnitedHealthcare Community & State	$0.97
Rate for Payer: Wellpoint Medicaid Managed Care	$0.87

ANCHORING DEVICE SPRING 5-12MM

Facility

$30.60

Hospital Charge Code	270605299
Hospital Revenue Code	272
Min. Negotiated Rate	$4.59
Max. Negotiated Rate	$4.59
Rate for Payer: Qualcare PPO/HMO/WC	$4.59

ANCHORING DEVICE SPRING 5-12MM

Facility

$30.60

Hospital Charge Code	270605299
Hospital Revenue Code	272
Min. Negotiated Rate	$0.87
Max. Negotiated Rate	$15.30
Rate for Payer: Aetna Commercial	$11.63
Rate for Payer: Aetna Medicare Advantage	$9.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.80
Rate for Payer: Cigna Commercial	$15.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.96
Rate for Payer: Oxford Commercial	$6.12
Rate for Payer: Qualcare PPO/HMO/WC	$4.59
Rate for Payer: UnitedHealthcare Commercial	$6.12
Rate for Payer: UnitedHealthcare Community & State	$0.97
Rate for Payer: Wellpoint Medicaid Managed Care	$0.87

ANCHOR JUGGERKNOT SNGL LOADED

Facility

$1,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270649656
Hospital Revenue Code	278
Min. Negotiated Rate	$281.25
Max. Negotiated Rate	$453.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$453.75
Rate for Payer: Qualcare PPO/HMO/WC	$281.25

ANCHOR JUGGERKNOT SNGL LOADED

Facility

$1,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270649656
Hospital Revenue Code	278
Min. Negotiated Rate	$53.25
Max. Negotiated Rate	$937.50
Rate for Payer: Aetna Commercial	$712.50
Rate for Payer: Aetna Medicare Advantage	$562.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$478.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$478.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$478.12
Rate for Payer: Cigna Commercial	$937.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$453.75
Rate for Payer: Qualcare PPO/HMO/WC	$281.25
Rate for Payer: UnitedHealthcare Community & State	$59.25
Rate for Payer: Wellpoint Medicaid Managed Care	$53.25

ANCHOR JUGGERKNOT W/NEEDLE 2.9

Facility

$2,400.00

Service Code	HCPCS C1713
Hospital Charge Code	270675058
Hospital Revenue Code	278
Min. Negotiated Rate	$68.16
Max. Negotiated Rate	$1,200.00
Rate for Payer: Aetna Commercial	$912.00
Rate for Payer: Aetna Medicare Advantage	$720.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$612.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$612.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$480.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$612.00
Rate for Payer: Cigna Commercial	$1,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$580.80
Rate for Payer: Qualcare PPO/HMO/WC	$360.00
Rate for Payer: UnitedHealthcare Community & State	$75.84
Rate for Payer: Wellpoint Medicaid Managed Care	$68.16

ANCHOR JUGGERKNOT W/NEEDLE 2.9

Facility

$2,400.00

Service Code	HCPCS C1713
Hospital Charge Code	270675058
Hospital Revenue Code	278
Min. Negotiated Rate	$360.00
Max. Negotiated Rate	$580.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$480.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$580.80
Rate for Payer: Qualcare PPO/HMO/WC	$360.00

ANCHOR JUGGERKNOW 2.9 MM

Facility

$2,900.00

Service Code	HCPCS C1713
Hospital Charge Code	270688283
Hospital Revenue Code	278
Min. Negotiated Rate	$435.00
Max. Negotiated Rate	$701.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$580.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$701.80
Rate for Payer: Qualcare PPO/HMO/WC	$435.00

ANCHOR JUGGERKNOW 2.9 MM

Facility

$2,900.00

Service Code	HCPCS C1713
Hospital Charge Code	270688283
Hospital Revenue Code	278
Min. Negotiated Rate	$82.36
Max. Negotiated Rate	$1,450.00
Rate for Payer: Aetna Commercial	$1,102.00
Rate for Payer: Aetna Medicare Advantage	$870.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$739.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$739.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$580.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$739.50
Rate for Payer: Cigna Commercial	$1,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$701.80
Rate for Payer: Qualcare PPO/HMO/WC	$435.00
Rate for Payer: UnitedHealthcare Community & State	$91.64
Rate for Payer: Wellpoint Medicaid Managed Care	$82.36

ANCHOR KNOTLES 2.6 BLK/BLU

Facility

$2,873.00

Service Code	HCPCS C1713
Hospital Charge Code	270698122
Hospital Revenue Code	278
Min. Negotiated Rate	$430.95
Max. Negotiated Rate	$695.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$574.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$695.27
Rate for Payer: Qualcare PPO/HMO/WC	$430.95

ANCHOR KNOTLES 2.6 BLK/BLU

Facility

$2,873.00

Service Code	HCPCS C1713
Hospital Charge Code	270698122
Hospital Revenue Code	278
Min. Negotiated Rate	$81.59
Max. Negotiated Rate	$1,436.50
Rate for Payer: Aetna Commercial	$1,091.74
Rate for Payer: Aetna Medicare Advantage	$861.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$732.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$732.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$574.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$732.62
Rate for Payer: Cigna Commercial	$1,436.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$695.27
Rate for Payer: Qualcare PPO/HMO/WC	$430.95
Rate for Payer: UnitedHealthcare Community & State	$90.79
Rate for Payer: Wellpoint Medicaid Managed Care	$81.59

ANCHOR KNOTLES 2.6 FIBERTAK RC

Facility

$2,873.00

Service Code	HCPCS C1713
Hospital Charge Code	270698120
Hospital Revenue Code	278
Min. Negotiated Rate	$430.95
Max. Negotiated Rate	$695.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$574.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$695.27
Rate for Payer: Qualcare PPO/HMO/WC	$430.95

ANCHOR KNOTLES 2.6 FIBERTAK RC

Facility

$2,873.00

Service Code	HCPCS C1713
Hospital Charge Code	270698120
Hospital Revenue Code	278
Min. Negotiated Rate	$81.59
Max. Negotiated Rate	$1,436.50
Rate for Payer: Aetna Commercial	$1,091.74
Rate for Payer: Aetna Medicare Advantage	$861.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$732.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$732.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$574.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$732.62
Rate for Payer: Cigna Commercial	$1,436.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$695.27
Rate for Payer: Qualcare PPO/HMO/WC	$430.95
Rate for Payer: UnitedHealthcare Community & State	$90.79
Rate for Payer: Wellpoint Medicaid Managed Care	$81.59

ANCHORKNOTLESS2.6FBTK1.7MM

Facility

$2,873.00

Service Code	HCPCS C1713
Hospital Charge Code	270698121
Hospital Revenue Code	278
Min. Negotiated Rate	$430.95
Max. Negotiated Rate	$695.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$574.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$695.27
Rate for Payer: Qualcare PPO/HMO/WC	$430.95

ANCHORKNOTLESS2.6FBTK1.7MM

Facility

$2,873.00

Service Code	HCPCS C1713
Hospital Charge Code	270698121
Hospital Revenue Code	278
Min. Negotiated Rate	$81.59
Max. Negotiated Rate	$1,436.50
Rate for Payer: Aetna Commercial	$1,091.74
Rate for Payer: Aetna Medicare Advantage	$861.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$732.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$732.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$574.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$732.62
Rate for Payer: Cigna Commercial	$1,436.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$695.27
Rate for Payer: Qualcare PPO/HMO/WC	$430.95
Rate for Payer: UnitedHealthcare Community & State	$90.79
Rate for Payer: Wellpoint Medicaid Managed Care	$81.59

ANCHOR KNOTLESS CINCHLOCK

Facility

$3,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270677464
Hospital Revenue Code	278
Min. Negotiated Rate	$88.75
Max. Negotiated Rate	$1,562.50
Rate for Payer: Aetna Commercial	$1,187.50
Rate for Payer: Aetna Medicare Advantage	$937.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$796.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$796.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$625.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$796.88
Rate for Payer: Cigna Commercial	$1,562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$756.25
Rate for Payer: Qualcare PPO/HMO/WC	$468.75
Rate for Payer: UnitedHealthcare Community & State	$98.75
Rate for Payer: Wellpoint Medicaid Managed Care	$88.75

ANCHOR KNOTLESS CINCHLOCK

Facility

$2,430.00

Hospital Charge Code	270670492
Hospital Revenue Code	272
Min. Negotiated Rate	$69.01
Max. Negotiated Rate	$1,215.00
Rate for Payer: Aetna Commercial	$923.40
Rate for Payer: Aetna Medicare Advantage	$729.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$619.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$619.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$619.65
Rate for Payer: Cigna Commercial	$1,215.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$631.80
Rate for Payer: Oxford Commercial	$486.00
Rate for Payer: Qualcare PPO/HMO/WC	$364.50
Rate for Payer: UnitedHealthcare Commercial	$486.00
Rate for Payer: UnitedHealthcare Community & State	$76.79
Rate for Payer: Wellpoint Medicaid Managed Care	$69.01

ANCHOR KNOTLESS CINCHLOCK

Facility

$3,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270677464
Hospital Revenue Code	278
Min. Negotiated Rate	$468.75
Max. Negotiated Rate	$756.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$756.25
Rate for Payer: Qualcare PPO/HMO/WC	$468.75

ANCHOR KNOTLESS CINCHLOCK

Facility

$2,430.00

Hospital Charge Code	270670492
Hospital Revenue Code	272
Min. Negotiated Rate	$364.50
Max. Negotiated Rate	$364.50
Rate for Payer: Qualcare PPO/HMO/WC	$364.50

ANCHOR KNOTLESS PEEK 4.5X 15MM

Facility

$2,180.00

Service Code	HCPCS C1713
Hospital Charge Code	270701594
Hospital Revenue Code	278
Min. Negotiated Rate	$327.00
Max. Negotiated Rate	$527.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$436.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$527.56
Rate for Payer: Qualcare PPO/HMO/WC	$327.00

ANCHOR KNOTLESS PEEK 4.5X 15MM

Facility

$2,180.00

Service Code	HCPCS C1713
Hospital Charge Code	270701594
Hospital Revenue Code	278
Min. Negotiated Rate	$61.91
Max. Negotiated Rate	$1,090.00
Rate for Payer: Aetna Commercial	$828.40
Rate for Payer: Aetna Medicare Advantage	$654.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$555.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$555.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$436.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$555.90
Rate for Payer: Cigna Commercial	$1,090.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$527.56
Rate for Payer: Qualcare PPO/HMO/WC	$327.00
Rate for Payer: UnitedHealthcare Community & State	$68.89
Rate for Payer: Wellpoint Medicaid Managed Care	$61.91

ANCHOR KNOTLESS SYSTEM 25 MM

Facility

$1,263.15

Hospital Charge Code	270688623
Hospital Revenue Code	272
Min. Negotiated Rate	$189.47
Max. Negotiated Rate	$189.47
Rate for Payer: Qualcare PPO/HMO/WC	$189.47

ANCHOR KNOTLESS SYSTEM 25 MM

Facility

$1,263.15

Hospital Charge Code	270688623
Hospital Revenue Code	272
Min. Negotiated Rate	$35.87
Max. Negotiated Rate	$631.58
Rate for Payer: Aetna Commercial	$480.00
Rate for Payer: Aetna Medicare Advantage	$378.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$322.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$322.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$322.10
Rate for Payer: Cigna Commercial	$631.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$328.42
Rate for Payer: Oxford Commercial	$252.63
Rate for Payer: Qualcare PPO/HMO/WC	$189.47
Rate for Payer: UnitedHealthcare Commercial	$252.63
Rate for Payer: UnitedHealthcare Community & State	$39.92
Rate for Payer: Wellpoint Medicaid Managed Care	$35.87

Know your out-of-pocket cost for care.

All Charges