Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

KIT ACL DISPOSABLE

Facility

$662.65

Hospital Charge Code	270680781
Hospital Revenue Code	272
Min. Negotiated Rate	$99.40
Max. Negotiated Rate	$99.40
Rate for Payer: Qualcare PPO/HMO/WC	$99.40

KIT ACL/PCL FIXATION KIT

Facility

$3,000.00

Hospital Charge Code	270686861
Hospital Revenue Code	272
Min. Negotiated Rate	$85.20
Max. Negotiated Rate	$1,500.00
Rate for Payer: Aetna Commercial	$1,140.00
Rate for Payer: Aetna Medicare Advantage	$900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$765.00
Rate for Payer: Cigna Commercial	$1,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$780.00
Rate for Payer: Oxford Commercial	$600.00
Rate for Payer: Qualcare PPO/HMO/WC	$450.00
Rate for Payer: UnitedHealthcare Commercial	$600.00
Rate for Payer: UnitedHealthcare Community & State	$94.80
Rate for Payer: Wellpoint Medicaid Managed Care	$85.20

KIT ACL/PCL FIXATION KIT

Facility

$3,000.00

Hospital Charge Code	270686861
Hospital Revenue Code	272
Min. Negotiated Rate	$450.00
Max. Negotiated Rate	$450.00
Rate for Payer: Qualcare PPO/HMO/WC	$450.00

KIT ACP SERIES

Facility

$875.00

Hospital Charge Code	270663948
Hospital Revenue Code	270
Min. Negotiated Rate	$24.85
Max. Negotiated Rate	$437.50
Rate for Payer: Aetna Commercial	$332.50
Rate for Payer: Aetna Medicare Advantage	$262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.12
Rate for Payer: Cigna Commercial	$437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$227.50
Rate for Payer: Oxford Commercial	$175.00
Rate for Payer: Qualcare PPO/HMO/WC	$131.25
Rate for Payer: UnitedHealthcare Commercial	$175.00
Rate for Payer: UnitedHealthcare Community & State	$27.65
Rate for Payer: Wellpoint Medicaid Managed Care	$24.85

KIT ACP SERIES

Facility

$875.00

Hospital Charge Code	270663948
Hospital Revenue Code	270
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$131.25
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

KIT ACP SERIES II

Facility

$1,250.00

Hospital Charge Code	270676127
Hospital Revenue Code	272
Min. Negotiated Rate	$35.50
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$475.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$325.00
Rate for Payer: Oxford Commercial	$250.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Commercial	$250.00
Rate for Payer: UnitedHealthcare Community & State	$39.50
Rate for Payer: Wellpoint Medicaid Managed Care	$35.50

KIT ACP SERIES II

Facility

$1,250.00

Hospital Charge Code	270676127
Hospital Revenue Code	272
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

KIT ADD'L FRACTURE LNG

Facility

$8,750.00

Hospital Charge Code	270670665
Hospital Revenue Code	272
Min. Negotiated Rate	$1,312.50
Max. Negotiated Rate	$1,312.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,312.50

KIT ADD'L FRACTURE LNG

Facility

$8,750.00

Hospital Charge Code	270670665
Hospital Revenue Code	272
Min. Negotiated Rate	$248.50
Max. Negotiated Rate	$4,375.00
Rate for Payer: Aetna Commercial	$3,325.00
Rate for Payer: Aetna Medicare Advantage	$2,625.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,231.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,231.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,231.25
Rate for Payer: Cigna Commercial	$4,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,275.00
Rate for Payer: Oxford Commercial	$1,750.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,312.50
Rate for Payer: UnitedHealthcare Commercial	$1,750.00
Rate for Payer: UnitedHealthcare Community & State	$276.50
Rate for Payer: Wellpoint Medicaid Managed Care	$248.50

KIT AIR/WATER, SUCTION, BIOPSY

Facility

$31.25

Hospital Charge Code	270659906
Hospital Revenue Code	272
Min. Negotiated Rate	$0.89
Max. Negotiated Rate	$15.62
Rate for Payer: Aetna Commercial	$11.88
Rate for Payer: Aetna Medicare Advantage	$9.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.97
Rate for Payer: Cigna Commercial	$15.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.12
Rate for Payer: Oxford Commercial	$6.25
Rate for Payer: Qualcare PPO/HMO/WC	$4.69
Rate for Payer: UnitedHealthcare Commercial	$6.25
Rate for Payer: UnitedHealthcare Community & State	$0.99
Rate for Payer: Wellpoint Medicaid Managed Care	$0.89

KIT AIR/WATER, SUCTION, BIOPSY

Facility

$31.25

Hospital Charge Code	270659906
Hospital Revenue Code	272
Min. Negotiated Rate	$4.69
Max. Negotiated Rate	$4.69
Rate for Payer: Qualcare PPO/HMO/WC	$4.69

KIT AMZ DISPOSABLE

Facility

$2,495.00

Hospital Charge Code	270669795
Hospital Revenue Code	272
Min. Negotiated Rate	$374.25
Max. Negotiated Rate	$374.25
Rate for Payer: Qualcare PPO/HMO/WC	$374.25

KIT AMZ DISPOSABLE

Facility

$2,495.00

Hospital Charge Code	270669795
Hospital Revenue Code	272
Min. Negotiated Rate	$70.86
Max. Negotiated Rate	$1,247.50
Rate for Payer: Aetna Commercial	$948.10
Rate for Payer: Aetna Medicare Advantage	$748.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$636.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$636.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$636.23
Rate for Payer: Cigna Commercial	$1,247.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$648.70
Rate for Payer: Oxford Commercial	$499.00
Rate for Payer: Qualcare PPO/HMO/WC	$374.25
Rate for Payer: UnitedHealthcare Commercial	$499.00
Rate for Payer: UnitedHealthcare Community & State	$78.84
Rate for Payer: Wellpoint Medicaid Managed Care	$70.86

KIT ANGEL BLOOD ACCESS

Facility

$375.00

Hospital Charge Code	270676776
Hospital Revenue Code	272
Min. Negotiated Rate	$10.65
Max. Negotiated Rate	$187.50
Rate for Payer: Aetna Commercial	$142.50
Rate for Payer: Aetna Medicare Advantage	$112.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.62
Rate for Payer: Cigna Commercial	$187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.50
Rate for Payer: Oxford Commercial	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$56.25
Rate for Payer: UnitedHealthcare Commercial	$75.00
Rate for Payer: UnitedHealthcare Community & State	$11.85
Rate for Payer: Wellpoint Medicaid Managed Care	$10.65

KIT ANGEL BLOOD ACCESS

Facility

$375.00

Hospital Charge Code	270676776
Hospital Revenue Code	272
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$56.25
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

KIT ANGEL BMC

Facility

$4,900.00

Hospital Charge Code	270676777
Hospital Revenue Code	272
Min. Negotiated Rate	$735.00
Max. Negotiated Rate	$735.00
Rate for Payer: Qualcare PPO/HMO/WC	$735.00

KIT ANGEL BMC

Facility

$4,900.00

Hospital Charge Code	270676777
Hospital Revenue Code	272
Min. Negotiated Rate	$139.16
Max. Negotiated Rate	$2,450.00
Rate for Payer: Aetna Commercial	$1,862.00
Rate for Payer: Aetna Medicare Advantage	$1,470.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,249.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,249.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,249.50
Rate for Payer: Cigna Commercial	$2,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,274.00
Rate for Payer: Oxford Commercial	$980.00
Rate for Payer: Qualcare PPO/HMO/WC	$735.00
Rate for Payer: UnitedHealthcare Commercial	$980.00
Rate for Payer: UnitedHealthcare Community & State	$154.84
Rate for Payer: Wellpoint Medicaid Managed Care	$139.16

KIT ANTISEPTIC CHG SKIN/NASAL

Facility

$108.90

Hospital Charge Code	270676889
Hospital Revenue Code	272
Min. Negotiated Rate	$16.34
Max. Negotiated Rate	$16.34
Rate for Payer: Qualcare PPO/HMO/WC	$16.34

KIT ANTISEPTIC CHG SKIN/NASAL

Facility

$108.90

Hospital Charge Code	270676889
Hospital Revenue Code	272
Min. Negotiated Rate	$3.09
Max. Negotiated Rate	$54.45
Rate for Payer: Aetna Commercial	$41.38
Rate for Payer: Aetna Medicare Advantage	$32.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.77
Rate for Payer: Cigna Commercial	$54.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.31
Rate for Payer: Oxford Commercial	$21.78
Rate for Payer: Qualcare PPO/HMO/WC	$16.34
Rate for Payer: UnitedHealthcare Commercial	$21.78
Rate for Payer: UnitedHealthcare Community & State	$3.44
Rate for Payer: Wellpoint Medicaid Managed Care	$3.09

KIT ARTERIAL 70036160

Facility

$109.68

Hospital Charge Code	270632529
Hospital Revenue Code	272
Min. Negotiated Rate	$3.11
Max. Negotiated Rate	$54.84
Rate for Payer: Aetna Commercial	$41.68
Rate for Payer: Aetna Medicare Advantage	$32.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.97
Rate for Payer: Cigna Commercial	$54.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.52
Rate for Payer: Oxford Commercial	$21.94
Rate for Payer: Qualcare PPO/HMO/WC	$16.45
Rate for Payer: UnitedHealthcare Commercial	$21.94
Rate for Payer: UnitedHealthcare Community & State	$3.47
Rate for Payer: Wellpoint Medicaid Managed Care	$3.11

KIT ARTERIAL 70036160

Facility

$109.68

Hospital Charge Code	270632529
Hospital Revenue Code	272
Min. Negotiated Rate	$16.45
Max. Negotiated Rate	$16.45
Rate for Payer: Qualcare PPO/HMO/WC	$16.45

KIT ARTHROBROSTROM

Facility

$10,360.00

Hospital Charge Code	270667769
Hospital Revenue Code	272
Min. Negotiated Rate	$294.22
Max. Negotiated Rate	$5,180.00
Rate for Payer: Aetna Commercial	$3,936.80
Rate for Payer: Aetna Medicare Advantage	$3,108.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,641.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,641.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,641.80
Rate for Payer: Cigna Commercial	$5,180.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,693.60
Rate for Payer: Oxford Commercial	$2,072.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,554.00
Rate for Payer: UnitedHealthcare Commercial	$2,072.00
Rate for Payer: UnitedHealthcare Community & State	$327.38
Rate for Payer: Wellpoint Medicaid Managed Care	$294.22

KIT ARTHROBROSTROM

Facility

$10,360.00

Hospital Charge Code	270667769
Hospital Revenue Code	272
Min. Negotiated Rate	$1,554.00
Max. Negotiated Rate	$1,554.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,554.00

KIT ASPIRATING 3 HOLE 6 NDLE

Facility

$1,425.00

Hospital Charge Code	270667357
Hospital Revenue Code	272
Min. Negotiated Rate	$213.75
Max. Negotiated Rate	$213.75
Rate for Payer: Qualcare PPO/HMO/WC	$213.75

KIT ASPIRATING 3 HOLE 6 NDLE

Facility

$1,425.00

Hospital Charge Code	270667357
Hospital Revenue Code	272
Min. Negotiated Rate	$40.47
Max. Negotiated Rate	$712.50
Rate for Payer: Aetna Commercial	$541.50
Rate for Payer: Aetna Medicare Advantage	$427.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$363.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$363.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$363.38
Rate for Payer: Cigna Commercial	$712.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$370.50
Rate for Payer: Oxford Commercial	$285.00
Rate for Payer: Qualcare PPO/HMO/WC	$213.75
Rate for Payer: UnitedHealthcare Commercial	$285.00
Rate for Payer: UnitedHealthcare Community & State	$45.03
Rate for Payer: Wellpoint Medicaid Managed Care	$40.47

Know your out-of-pocket cost for care.

All Charges