Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

KIRSCHNER WIRE 0.62

Facility

$58.98

Hospital Charge Code	270656390
Hospital Revenue Code	270
Min. Negotiated Rate	$8.85
Max. Negotiated Rate	$8.85
Rate for Payer: Qualcare PPO/HMO/WC	$8.85

KIRSCHNER WIRE 0.62

Facility

$58.98

Hospital Charge Code	270656390
Hospital Revenue Code	270
Min. Negotiated Rate	$1.68
Max. Negotiated Rate	$29.49
Rate for Payer: Aetna Commercial	$22.41
Rate for Payer: Aetna Medicare Advantage	$17.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.04
Rate for Payer: Cigna Commercial	$29.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.33
Rate for Payer: Oxford Commercial	$11.80
Rate for Payer: Qualcare PPO/HMO/WC	$8.85
Rate for Payer: UnitedHealthcare Commercial	$11.80
Rate for Payer: UnitedHealthcare Community & State	$1.86
Rate for Payer: Wellpoint Medicaid Managed Care	$1.68

KIRSCHNER WIRE 150MM

Facility

$460.60

Service Code	HCPCS C1713
Hospital Charge Code	270604432
Hospital Revenue Code	278
Min. Negotiated Rate	$69.09
Max. Negotiated Rate	$111.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$92.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.47
Rate for Payer: Qualcare PPO/HMO/WC	$69.09

KIRSCHNER WIRE 150MM

Facility

$460.60

Service Code	HCPCS C1713
Hospital Charge Code	270604432
Hospital Revenue Code	278
Min. Negotiated Rate	$13.08
Max. Negotiated Rate	$230.30
Rate for Payer: Aetna Commercial	$175.03
Rate for Payer: Aetna Medicare Advantage	$138.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$117.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$117.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$92.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$117.45
Rate for Payer: Cigna Commercial	$230.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.47
Rate for Payer: Qualcare PPO/HMO/WC	$69.09
Rate for Payer: UnitedHealthcare Community & State	$14.55
Rate for Payer: Wellpoint Medicaid Managed Care	$13.08

KIRSCH WIRE W/TROCAR TIP 2.5MM

Facility

$165.00

Service Code	HCPCS C1713
Hospital Charge Code	270688155
Hospital Revenue Code	278
Min. Negotiated Rate	$24.75
Max. Negotiated Rate	$39.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$33.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.93
Rate for Payer: Qualcare PPO/HMO/WC	$24.75

KIRSCH WIRE W/TROCAR TIP 2.5MM

Facility

$165.00

Service Code	HCPCS C1713
Hospital Charge Code	270688155
Hospital Revenue Code	278
Min. Negotiated Rate	$4.69
Max. Negotiated Rate	$82.50
Rate for Payer: Aetna Commercial	$62.70
Rate for Payer: Aetna Medicare Advantage	$49.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$33.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.08
Rate for Payer: Cigna Commercial	$82.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.93
Rate for Payer: Qualcare PPO/HMO/WC	$24.75
Rate for Payer: UnitedHealthcare Community & State	$5.21
Rate for Payer: Wellpoint Medicaid Managed Care	$4.69

KIRSHNER WIRES

Facility

$145.00

Hospital Charge Code	270335000
Hospital Revenue Code	278
Min. Negotiated Rate	$4.12
Max. Negotiated Rate	$72.50
Rate for Payer: Aetna Commercial	$55.10
Rate for Payer: Aetna Medicare Advantage	$43.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.98
Rate for Payer: Cigna Commercial	$72.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.09
Rate for Payer: Qualcare PPO/HMO/WC	$21.75
Rate for Payer: UnitedHealthcare Community & State	$4.58
Rate for Payer: Wellpoint Medicaid Managed Care	$4.12

KIRSHNER WIRES

Facility

$145.00

Hospital Charge Code	270335000
Hospital Revenue Code	278
Min. Negotiated Rate	$21.75
Max. Negotiated Rate	$35.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.09
Rate for Payer: Qualcare PPO/HMO/WC	$21.75

KIT 11 CC CONFIDENCE

Facility

$23,635.00

Hospital Charge Code	270688639
Hospital Revenue Code	272
Min. Negotiated Rate	$3,545.25
Max. Negotiated Rate	$3,545.25
Rate for Payer: Qualcare PPO/HMO/WC	$3,545.25

KIT 11 CC CONFIDENCE

Facility

$23,635.00

Hospital Charge Code	270688639
Hospital Revenue Code	272
Min. Negotiated Rate	$671.23
Max. Negotiated Rate	$11,817.50
Rate for Payer: Aetna Commercial	$8,981.30
Rate for Payer: Aetna Medicare Advantage	$7,090.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,026.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,026.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,026.93
Rate for Payer: Cigna Commercial	$11,817.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,145.10
Rate for Payer: Oxford Commercial	$4,727.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,545.25
Rate for Payer: UnitedHealthcare Commercial	$4,727.00
Rate for Payer: UnitedHealthcare Community & State	$746.87
Rate for Payer: Wellpoint Medicaid Managed Care	$671.23

KIT,2MM GUIDE PIN ,SINGLE

Facility

$585.00

Hospital Charge Code	270687345
Hospital Revenue Code	272
Min. Negotiated Rate	$16.61
Max. Negotiated Rate	$292.50
Rate for Payer: Aetna Commercial	$222.30
Rate for Payer: Aetna Medicare Advantage	$175.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$149.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$149.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$149.18
Rate for Payer: Cigna Commercial	$292.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$152.10
Rate for Payer: Oxford Commercial	$117.00
Rate for Payer: Qualcare PPO/HMO/WC	$87.75
Rate for Payer: UnitedHealthcare Commercial	$117.00
Rate for Payer: UnitedHealthcare Community & State	$18.49
Rate for Payer: Wellpoint Medicaid Managed Care	$16.61

KIT,2MM GUIDE PIN ,SINGLE

Facility

$585.00

Hospital Charge Code	270687345
Hospital Revenue Code	272
Min. Negotiated Rate	$87.75
Max. Negotiated Rate	$87.75
Rate for Payer: Qualcare PPO/HMO/WC	$87.75

KIT 5F COAXIAL MINI .018X.40CM

Facility

$25.00

Hospital Charge Code	270659910
Hospital Revenue Code	272
Min. Negotiated Rate	$0.71
Max. Negotiated Rate	$12.50
Rate for Payer: Aetna Commercial	$9.50
Rate for Payer: Aetna Medicare Advantage	$7.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.38
Rate for Payer: Cigna Commercial	$12.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.50
Rate for Payer: Oxford Commercial	$5.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.75
Rate for Payer: UnitedHealthcare Commercial	$5.00
Rate for Payer: UnitedHealthcare Community & State	$0.79
Rate for Payer: Wellpoint Medicaid Managed Care	$0.71

KIT 5F COAXIAL MINI .018X.40CM

Facility

$25.00

Hospital Charge Code	270659910
Hospital Revenue Code	272
Min. Negotiated Rate	$3.75
Max. Negotiated Rate	$3.75
Rate for Payer: Qualcare PPO/HMO/WC	$3.75

KIT 5FR MCRPNCTRE 0.018x40CM

Facility

$1,750.00

Hospital Charge Code	270650009C
Hospital Revenue Code	272
Min. Negotiated Rate	$49.70
Max. Negotiated Rate	$875.00
Rate for Payer: Aetna Commercial	$665.00
Rate for Payer: Aetna Medicare Advantage	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.25
Rate for Payer: Cigna Commercial	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$455.00
Rate for Payer: Oxford Commercial	$350.00
Rate for Payer: Qualcare PPO/HMO/WC	$262.50
Rate for Payer: UnitedHealthcare Commercial	$350.00
Rate for Payer: UnitedHealthcare Community & State	$55.30
Rate for Payer: Wellpoint Medicaid Managed Care	$49.70

KIT 5FR MCRPNCTRE 0.018x40CM

Facility

$1,750.00

Hospital Charge Code	270650009C
Hospital Revenue Code	272
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$262.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

KIT ACCESS HIP

Facility

$1,000.00

Hospital Charge Code	270687980
Hospital Revenue Code	272
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

KIT ACCESS HIP

Facility

$1,000.00

Hospital Charge Code	270687980
Hospital Revenue Code	272
Min. Negotiated Rate	$28.40
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$380.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$260.00
Rate for Payer: Oxford Commercial	$200.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00
Rate for Payer: UnitedHealthcare Commercial	$200.00
Rate for Payer: UnitedHealthcare Community & State	$31.60
Rate for Payer: Wellpoint Medicaid Managed Care	$28.40

KIT ACCESSORY

Facility

$750.00

Hospital Charge Code	270648829
Hospital Revenue Code	271
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

KIT ACCESSORY

Facility

$750.00

Hospital Charge Code	270648829
Hospital Revenue Code	271
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.00
Rate for Payer: Oxford Commercial	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Commercial	$150.00
Rate for Payer: UnitedHealthcare Community & State	$23.70
Rate for Payer: Wellpoint Medicaid Managed Care	$21.30

KIT ACCESSORY 355531

Facility

$1,500.00

Hospital Charge Code	270647431
Hospital Revenue Code	270
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$225.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

KIT ACCESSORY 355531

Facility

$1,500.00

Hospital Charge Code	270647431
Hospital Revenue Code	270
Min. Negotiated Rate	$42.60
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$570.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$390.00
Rate for Payer: Oxford Commercial	$300.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00
Rate for Payer: UnitedHealthcare Commercial	$300.00
Rate for Payer: UnitedHealthcare Community & State	$47.40
Rate for Payer: Wellpoint Medicaid Managed Care	$42.60

KIT ACHILLIES SPEEDBRIDGE

Facility

$9,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270683376
Hospital Revenue Code	278
Min. Negotiated Rate	$283.29
Max. Negotiated Rate	$4,987.50
Rate for Payer: Aetna Commercial	$3,790.50
Rate for Payer: Aetna Medicare Advantage	$2,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,543.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,543.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,995.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,543.62
Rate for Payer: Cigna Commercial	$4,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,413.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,496.25
Rate for Payer: UnitedHealthcare Community & State	$315.21
Rate for Payer: Wellpoint Medicaid Managed Care	$283.29

KIT ACHILLIES SPEEDBRIDGE

Facility

$9,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270683376
Hospital Revenue Code	278
Min. Negotiated Rate	$1,496.25
Max. Negotiated Rate	$2,413.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,995.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,413.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,496.25

KIT ACL DISPOSABLE

Facility

$662.65

Hospital Charge Code	270680781
Hospital Revenue Code	272
Min. Negotiated Rate	$18.82
Max. Negotiated Rate	$331.32
Rate for Payer: Aetna Commercial	$251.81
Rate for Payer: Aetna Medicare Advantage	$198.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.98
Rate for Payer: Cigna Commercial	$331.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$172.29
Rate for Payer: Oxford Commercial	$132.53
Rate for Payer: Qualcare PPO/HMO/WC	$99.40
Rate for Payer: UnitedHealthcare Commercial	$132.53
Rate for Payer: UnitedHealthcare Community & State	$20.94
Rate for Payer: Wellpoint Medicaid Managed Care	$18.82

Know your out-of-pocket cost for care.

All Charges