Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

ANCHOR MICRO 1.9X 2.4 MM

Facility

$2,085.00

Service Code	HCPCS C1713
Hospital Charge Code	270666931
Hospital Revenue Code	278
Min. Negotiated Rate	$59.21
Max. Negotiated Rate	$1,042.50
Rate for Payer: Aetna Commercial	$792.30
Rate for Payer: Aetna Medicare Advantage	$625.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$531.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$531.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$417.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$531.67
Rate for Payer: Cigna Commercial	$1,042.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$504.57
Rate for Payer: Qualcare PPO/HMO/WC	$312.75
Rate for Payer: UnitedHealthcare Community & State	$65.89
Rate for Payer: Wellpoint Medicaid Managed Care	$59.21

ANCHOR MICRO 1.9X 2.4 MM

Facility

$2,085.00

Service Code	HCPCS C1713
Hospital Charge Code	270666931
Hospital Revenue Code	278
Min. Negotiated Rate	$312.75
Max. Negotiated Rate	$504.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$417.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$504.57
Rate for Payer: Qualcare PPO/HMO/WC	$312.75

ANCHOR MICRO QA 3.0 OC

Facility

$2,960.00

Service Code	HCPCS C1713
Hospital Charge Code	270692405
Hospital Revenue Code	278
Min. Negotiated Rate	$84.06
Max. Negotiated Rate	$1,480.00
Rate for Payer: Aetna Commercial	$1,124.80
Rate for Payer: Aetna Medicare Advantage	$888.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$754.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$754.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$592.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$754.80
Rate for Payer: Cigna Commercial	$1,480.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$716.32
Rate for Payer: Qualcare PPO/HMO/WC	$444.00
Rate for Payer: UnitedHealthcare Community & State	$93.54
Rate for Payer: Wellpoint Medicaid Managed Care	$84.06

ANCHOR MICRO QA 3.0 OC

Facility

$2,960.00

Service Code	HCPCS C1713
Hospital Charge Code	270692405
Hospital Revenue Code	278
Min. Negotiated Rate	$444.00
Max. Negotiated Rate	$716.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$592.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$716.32
Rate for Payer: Qualcare PPO/HMO/WC	$444.00

ANCHOR MICRO QA 4.0 P3

Facility

$2,960.00

Service Code	HCPCS C1713
Hospital Charge Code	270692406
Hospital Revenue Code	278
Min. Negotiated Rate	$444.00
Max. Negotiated Rate	$716.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$592.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$716.32
Rate for Payer: Qualcare PPO/HMO/WC	$444.00

ANCHOR MICRO QA 4.0 P3

Facility

$2,960.00

Service Code	HCPCS C1713
Hospital Charge Code	270692406
Hospital Revenue Code	278
Min. Negotiated Rate	$84.06
Max. Negotiated Rate	$1,480.00
Rate for Payer: Aetna Commercial	$1,124.80
Rate for Payer: Aetna Medicare Advantage	$888.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$754.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$754.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$592.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$754.80
Rate for Payer: Cigna Commercial	$1,480.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$716.32
Rate for Payer: Qualcare PPO/HMO/WC	$444.00
Rate for Payer: UnitedHealthcare Community & State	$93.54
Rate for Payer: Wellpoint Medicaid Managed Care	$84.06

ANCHOR MINI 2-0

Facility

$2,335.00

Service Code	HCPCS C1713
Hospital Charge Code	270688005
Hospital Revenue Code	278
Min. Negotiated Rate	$350.25
Max. Negotiated Rate	$565.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$467.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$565.07
Rate for Payer: Qualcare PPO/HMO/WC	$350.25

ANCHOR MINI 2-0

Facility

$2,335.00

Service Code	HCPCS C1713
Hospital Charge Code	270688005
Hospital Revenue Code	278
Min. Negotiated Rate	$66.31
Max. Negotiated Rate	$1,167.50
Rate for Payer: Aetna Commercial	$887.30
Rate for Payer: Aetna Medicare Advantage	$700.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$595.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$595.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$467.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$595.42
Rate for Payer: Cigna Commercial	$1,167.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$565.07
Rate for Payer: Qualcare PPO/HMO/WC	$350.25
Rate for Payer: UnitedHealthcare Community & State	$73.79
Rate for Payer: Wellpoint Medicaid Managed Care	$66.31

ANCHOR MIS COALITION 12MM

Facility

$3,020.00

Service Code	HCPCS C1889
Hospital Charge Code	270692224
Hospital Revenue Code	278
Min. Negotiated Rate	$453.00
Max. Negotiated Rate	$730.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$604.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$730.84
Rate for Payer: Qualcare PPO/HMO/WC	$453.00

ANCHOR MIS COALITION 12MM

Facility

$3,020.00

Service Code	HCPCS C1889
Hospital Charge Code	270692224
Hospital Revenue Code	278
Min. Negotiated Rate	$85.77
Max. Negotiated Rate	$1,510.00
Rate for Payer: Aetna Commercial	$1,147.60
Rate for Payer: Aetna Medicare Advantage	$906.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$770.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$770.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$604.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$770.10
Rate for Payer: Cigna Commercial	$1,510.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$730.84
Rate for Payer: Qualcare PPO/HMO/WC	$453.00
Rate for Payer: UnitedHealthcare Community & State	$95.43
Rate for Payer: Wellpoint Medicaid Managed Care	$85.77

ANCHOR MULTIFIX ULTRA 6.5MM

Facility

$5,820.00

Service Code	HCPCS C1713
Hospital Charge Code	270690967
Hospital Revenue Code	278
Min. Negotiated Rate	$873.00
Max. Negotiated Rate	$1,408.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,164.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,408.44
Rate for Payer: Qualcare PPO/HMO/WC	$873.00

ANCHOR MULTIFIX ULTRA 6.5MM

Facility

$5,820.00

Service Code	HCPCS C1713
Hospital Charge Code	270690967
Hospital Revenue Code	278
Min. Negotiated Rate	$165.29
Max. Negotiated Rate	$2,910.00
Rate for Payer: Aetna Commercial	$2,211.60
Rate for Payer: Aetna Medicare Advantage	$1,746.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,484.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,484.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,164.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,484.10
Rate for Payer: Cigna Commercial	$2,910.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,408.44
Rate for Payer: Qualcare PPO/HMO/WC	$873.00
Rate for Payer: UnitedHealthcare Community & State	$183.91
Rate for Payer: Wellpoint Medicaid Managed Care	$165.29

ANCHOR OMEGA PEEK KNTLS 4.75MM

Facility

$4,148.35

Service Code	HCPCS C1713
Hospital Charge Code	270700784
Hospital Revenue Code	278
Min. Negotiated Rate	$622.25
Max. Negotiated Rate	$1,003.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$829.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,003.90
Rate for Payer: Qualcare PPO/HMO/WC	$622.25

ANCHOR OMEGA PEEK KNTLS 4.75MM

Facility

$4,148.35

Service Code	HCPCS C1713
Hospital Charge Code	270700784
Hospital Revenue Code	278
Min. Negotiated Rate	$117.81
Max. Negotiated Rate	$2,074.18
Rate for Payer: Aetna Commercial	$1,576.37
Rate for Payer: Aetna Medicare Advantage	$1,244.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,057.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,057.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$829.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,057.83
Rate for Payer: Cigna Commercial	$2,074.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,003.90
Rate for Payer: Qualcare PPO/HMO/WC	$622.25
Rate for Payer: UnitedHealthcare Community & State	$131.09
Rate for Payer: Wellpoint Medicaid Managed Care	$117.81

ANCHOR PEEK HIP

Facility

$2,025.00

Service Code	HCPCS C1713
Hospital Charge Code	270690221
Hospital Revenue Code	278
Min. Negotiated Rate	$303.75
Max. Negotiated Rate	$490.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$405.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$490.05
Rate for Payer: Qualcare PPO/HMO/WC	$303.75

ANCHOR PEEK HIP

Facility

$2,025.00

Service Code	HCPCS C1713
Hospital Charge Code	270690221
Hospital Revenue Code	278
Min. Negotiated Rate	$57.51
Max. Negotiated Rate	$1,012.50
Rate for Payer: Aetna Commercial	$769.50
Rate for Payer: Aetna Medicare Advantage	$607.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$516.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$516.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$405.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$516.38
Rate for Payer: Cigna Commercial	$1,012.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$490.05
Rate for Payer: Qualcare PPO/HMO/WC	$303.75
Rate for Payer: UnitedHealthcare Community & State	$63.99
Rate for Payer: Wellpoint Medicaid Managed Care	$57.51

ANCHOR PEG GLENIOD 48MM

Facility

$6,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270685581
Hospital Revenue Code	278
Min. Negotiated Rate	$170.40
Max. Negotiated Rate	$3,000.00
Rate for Payer: Aetna Commercial	$2,280.00
Rate for Payer: Aetna Medicare Advantage	$1,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,530.00
Rate for Payer: Cigna Commercial	$3,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00
Rate for Payer: UnitedHealthcare Community & State	$189.60
Rate for Payer: Wellpoint Medicaid Managed Care	$170.40

ANCHOR PEG GLENIOD 48MM

Facility

$6,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270685581
Hospital Revenue Code	278
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$1,452.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

ANCHORPKKNOTLESSSWIVELOCK5.5MM

Facility

$2,175.00

Service Code	HCPCS C1713
Hospital Charge Code	270695292
Hospital Revenue Code	278
Min. Negotiated Rate	$61.77
Max. Negotiated Rate	$1,087.50
Rate for Payer: Aetna Commercial	$826.50
Rate for Payer: Aetna Medicare Advantage	$652.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$554.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$554.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$435.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$554.62
Rate for Payer: Cigna Commercial	$1,087.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$526.35
Rate for Payer: Qualcare PPO/HMO/WC	$326.25
Rate for Payer: UnitedHealthcare Community & State	$68.73
Rate for Payer: Wellpoint Medicaid Managed Care	$61.77

ANCHORPKKNOTLESSSWIVELOCK5.5MM

Facility

$2,175.00

Service Code	HCPCS C1713
Hospital Charge Code	270695292
Hospital Revenue Code	278
Min. Negotiated Rate	$326.25
Max. Negotiated Rate	$526.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$435.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$526.35
Rate for Payer: Qualcare PPO/HMO/WC	$326.25

ANCHOR REELX STT 4.5MM

Facility

$1,923.75

Hospital Charge Code	270676526
Hospital Revenue Code	272
Min. Negotiated Rate	$54.63
Max. Negotiated Rate	$961.88
Rate for Payer: Aetna Commercial	$731.02
Rate for Payer: Aetna Medicare Advantage	$577.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$490.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$490.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$490.56
Rate for Payer: Cigna Commercial	$961.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$500.18
Rate for Payer: Oxford Commercial	$384.75
Rate for Payer: Qualcare PPO/HMO/WC	$288.56
Rate for Payer: UnitedHealthcare Commercial	$384.75
Rate for Payer: UnitedHealthcare Community & State	$60.79
Rate for Payer: Wellpoint Medicaid Managed Care	$54.63

ANCHOR REELX STT 4.5MM

Facility

$1,923.75

Hospital Charge Code	270676526
Hospital Revenue Code	272
Min. Negotiated Rate	$288.56
Max. Negotiated Rate	$288.56
Rate for Payer: Qualcare PPO/HMO/WC	$288.56

ANCHOR SONIC KIT 2.5 x10mm #0

Facility

$2,025.00

Service Code	HCPCS C1713
Hospital Charge Code	270681420
Hospital Revenue Code	278
Min. Negotiated Rate	$303.75
Max. Negotiated Rate	$490.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$405.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$490.05
Rate for Payer: Qualcare PPO/HMO/WC	$303.75

ANCHOR SONIC KIT 2.5 x10mm #0

Facility

$2,025.00

Service Code	HCPCS C1713
Hospital Charge Code	270681420
Hospital Revenue Code	278
Min. Negotiated Rate	$57.51
Max. Negotiated Rate	$1,012.50
Rate for Payer: Aetna Commercial	$769.50
Rate for Payer: Aetna Medicare Advantage	$607.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$516.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$516.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$405.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$516.38
Rate for Payer: Cigna Commercial	$1,012.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$490.05
Rate for Payer: Qualcare PPO/HMO/WC	$303.75
Rate for Payer: UnitedHealthcare Community & State	$63.99
Rate for Payer: Wellpoint Medicaid Managed Care	$57.51

ANCHOR SPILK WORTHO 5 0 222986

Facility

$1,715.00

Hospital Charge Code	270638181
Hospital Revenue Code	270
Min. Negotiated Rate	$48.71
Max. Negotiated Rate	$857.50
Rate for Payer: Aetna Commercial	$651.70
Rate for Payer: Aetna Medicare Advantage	$514.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$437.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$437.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$437.32
Rate for Payer: Cigna Commercial	$857.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$445.90
Rate for Payer: Oxford Commercial	$343.00
Rate for Payer: Qualcare PPO/HMO/WC	$257.25
Rate for Payer: UnitedHealthcare Commercial	$343.00
Rate for Payer: UnitedHealthcare Community & State	$54.19
Rate for Payer: Wellpoint Medicaid Managed Care	$48.71

Know your out-of-pocket cost for care.

All Charges