Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

KIT DISP FOR FIBERTAK RC

Facility

$975.00

Hospital Charge Code	270683557
Hospital Revenue Code	272
Min. Negotiated Rate	$27.69
Max. Negotiated Rate	$487.50
Rate for Payer: Aetna Commercial	$370.50
Rate for Payer: Aetna Medicare Advantage	$292.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.62
Rate for Payer: Cigna Commercial	$487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$253.50
Rate for Payer: Oxford Commercial	$195.00
Rate for Payer: Qualcare PPO/HMO/WC	$146.25
Rate for Payer: UnitedHealthcare Commercial	$195.00
Rate for Payer: UnitedHealthcare Community & State	$30.81
Rate for Payer: Wellpoint Medicaid Managed Care	$27.69

KIT DISP FOR FIBERTAKSUTURE AN

Facility

$1,395.00

Hospital Charge Code	270683558
Hospital Revenue Code	272
Min. Negotiated Rate	$39.62
Max. Negotiated Rate	$697.50
Rate for Payer: Aetna Commercial	$530.10
Rate for Payer: Aetna Medicare Advantage	$418.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$355.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$355.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$355.73
Rate for Payer: Cigna Commercial	$697.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$362.70
Rate for Payer: Oxford Commercial	$279.00
Rate for Payer: Qualcare PPO/HMO/WC	$209.25
Rate for Payer: UnitedHealthcare Commercial	$279.00
Rate for Payer: UnitedHealthcare Community & State	$44.08
Rate for Payer: Wellpoint Medicaid Managed Care	$39.62

KIT DISP FOR FIBERTAKSUTURE AN

Facility

$1,395.00

Hospital Charge Code	270683558
Hospital Revenue Code	272
Min. Negotiated Rate	$209.25
Max. Negotiated Rate	$209.25
Rate for Payer: Qualcare PPO/HMO/WC	$209.25

KIT DISP FOR TENO

Facility

$1,475.00

Hospital Charge Code	270690219
Hospital Revenue Code	272
Min. Negotiated Rate	$221.25
Max. Negotiated Rate	$221.25
Rate for Payer: Qualcare PPO/HMO/WC	$221.25

KIT DISP FOR TENO

Facility

$1,475.00

Hospital Charge Code	270690219
Hospital Revenue Code	272
Min. Negotiated Rate	$41.89
Max. Negotiated Rate	$737.50
Rate for Payer: Aetna Commercial	$560.50
Rate for Payer: Aetna Medicare Advantage	$442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$376.12
Rate for Payer: Cigna Commercial	$737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$383.50
Rate for Payer: Oxford Commercial	$295.00
Rate for Payer: Qualcare PPO/HMO/WC	$221.25
Rate for Payer: UnitedHealthcare Commercial	$295.00
Rate for Payer: UnitedHealthcare Community & State	$46.61
Rate for Payer: Wellpoint Medicaid Managed Care	$41.89

KIT DISP KNOTLESS HIP CURVE

Facility

$2,950.00

Hospital Charge Code	270687984
Hospital Revenue Code	272
Min. Negotiated Rate	$442.50
Max. Negotiated Rate	$442.50
Rate for Payer: Qualcare PPO/HMO/WC	$442.50

KIT DISP KNOTLESS HIP CURVE

Facility

$2,950.00

Hospital Charge Code	270687984
Hospital Revenue Code	272
Min. Negotiated Rate	$83.78
Max. Negotiated Rate	$1,475.00
Rate for Payer: Aetna Commercial	$1,121.00
Rate for Payer: Aetna Medicare Advantage	$885.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$752.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$752.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$752.25
Rate for Payer: Cigna Commercial	$1,475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$767.00
Rate for Payer: Oxford Commercial	$590.00
Rate for Payer: Qualcare PPO/HMO/WC	$442.50
Rate for Payer: UnitedHealthcare Commercial	$590.00
Rate for Payer: UnitedHealthcare Community & State	$93.22
Rate for Payer: Wellpoint Medicaid Managed Care	$83.78

KIT DISPOSABLES BIOUNI

Facility

$1,500.00

Hospital Charge Code	270684978
Hospital Revenue Code	272
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$225.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

KIT DISPOSABLES BIOUNI

Facility

$1,500.00

Hospital Charge Code	270684978
Hospital Revenue Code	272
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 DISPOSABLE SEQUENT

Facility

$415.00

Hospital Charge Code	270672776
Hospital Revenue Code	272
Min. Negotiated Rate	$11.79
Max. Negotiated Rate	$207.50
Rate for Payer: Aetna Commercial	$157.70
Rate for Payer: Aetna Medicare Advantage	$124.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$105.83
Rate for Payer: Cigna Commercial	$207.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$107.90
Rate for Payer: Oxford Commercial	$83.00
Rate for Payer: Qualcare PPO/HMO/WC	$62.25
Rate for Payer: UnitedHealthcare Commercial	$83.00
Rate for Payer: UnitedHealthcare Community & State	$13.11
Rate for Payer: Wellpoint Medicaid Managed Care	$11.79

KIT DISPOSABLE SEQUENT

Facility

$415.00

Hospital Charge Code	270672776
Hospital Revenue Code	272
Min. Negotiated Rate	$62.25
Max. Negotiated Rate	$62.25
Rate for Payer: Qualcare PPO/HMO/WC	$62.25

KIT DISP. UCL SUTURE PASSING

Facility

$3,475.00

Hospital Charge Code	270680852
Hospital Revenue Code	272
Min. Negotiated Rate	$98.69
Max. Negotiated Rate	$1,737.50
Rate for Payer: Aetna Commercial	$1,320.50
Rate for Payer: Aetna Medicare Advantage	$1,042.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$886.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$886.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$886.12
Rate for Payer: Cigna Commercial	$1,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$903.50
Rate for Payer: Oxford Commercial	$695.00
Rate for Payer: Qualcare PPO/HMO/WC	$521.25
Rate for Payer: UnitedHealthcare Commercial	$695.00
Rate for Payer: UnitedHealthcare Community & State	$109.81
Rate for Payer: Wellpoint Medicaid Managed Care	$98.69

KIT DISP. UCL SUTURE PASSING

Facility

$3,475.00

Hospital Charge Code	270680852
Hospital Revenue Code	272
Min. Negotiated Rate	$521.25
Max. Negotiated Rate	$521.25
Rate for Payer: Qualcare PPO/HMO/WC	$521.25

KIT DISTRACTOR HIP MEDIUM

Facility

$5,370.30

Hospital Charge Code	270691821
Hospital Revenue Code	272
Min. Negotiated Rate	$805.54
Max. Negotiated Rate	$805.54
Rate for Payer: Qualcare PPO/HMO/WC	$805.54

KIT DISTRACTOR HIP MEDIUM

Facility

$5,370.30

Hospital Charge Code	270691821
Hospital Revenue Code	272
Min. Negotiated Rate	$152.52
Max. Negotiated Rate	$2,685.15
Rate for Payer: Aetna Commercial	$2,040.71
Rate for Payer: Aetna Medicare Advantage	$1,611.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,369.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,369.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,369.43
Rate for Payer: Cigna Commercial	$2,685.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,396.28
Rate for Payer: Oxford Commercial	$1,074.06
Rate for Payer: Qualcare PPO/HMO/WC	$805.54
Rate for Payer: UnitedHealthcare Commercial	$1,074.06
Rate for Payer: UnitedHealthcare Community & State	$169.70
Rate for Payer: Wellpoint Medicaid Managed Care	$152.52

KIT DRAINAGE PLEURAL COMPLETE

Facility

$10,000.00

Hospital Charge Code	270661649
Hospital Revenue Code	272
Min. Negotiated Rate	$1,500.00
Max. Negotiated Rate	$1,500.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,500.00

KIT DRAINAGE PLEURAL COMPLETE

Facility

$7,000.00

Hospital Charge Code	270661649O
Hospital Revenue Code	272
Min. Negotiated Rate	$1,050.00
Max. Negotiated Rate	$1,050.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,050.00

KIT DRAINAGE PLEURAL COMPLETE

Facility

$10,000.00

Hospital Charge Code	270661649V
Hospital Revenue Code	272
Min. Negotiated Rate	$1,500.00
Max. Negotiated Rate	$1,500.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,500.00

KIT DRAINAGE PLEURAL COMPLETE

Facility

$7,000.00

Hospital Charge Code	270661649O
Hospital Revenue Code	272
Min. Negotiated Rate	$198.80
Max. Negotiated Rate	$3,500.00
Rate for Payer: Aetna Commercial	$2,660.00
Rate for Payer: Aetna Medicare Advantage	$2,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,785.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,785.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,785.00
Rate for Payer: Cigna Commercial	$3,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,820.00
Rate for Payer: Oxford Commercial	$1,400.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,050.00
Rate for Payer: UnitedHealthcare Commercial	$1,400.00
Rate for Payer: UnitedHealthcare Community & State	$221.20
Rate for Payer: Wellpoint Medicaid Managed Care	$198.80

KIT DRAINAGE PLEURAL COMPLETE

Facility

$10,000.00

Hospital Charge Code	270661649V
Hospital Revenue Code	272
Min. Negotiated Rate	$284.00
Max. Negotiated Rate	$5,000.00
Rate for Payer: Aetna Commercial	$3,800.00
Rate for Payer: Aetna Medicare Advantage	$3,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,550.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,550.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,550.00
Rate for Payer: Cigna Commercial	$5,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,600.00
Rate for Payer: Oxford Commercial	$2,000.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,500.00
Rate for Payer: UnitedHealthcare Commercial	$2,000.00
Rate for Payer: UnitedHealthcare Community & State	$316.00
Rate for Payer: Wellpoint Medicaid Managed Care	$284.00

KIT DRAINAGE PLEURAL COMPLETE

Facility

$10,000.00

Hospital Charge Code	270661649
Hospital Revenue Code	272
Min. Negotiated Rate	$284.00
Max. Negotiated Rate	$5,000.00
Rate for Payer: Aetna Commercial	$3,800.00
Rate for Payer: Aetna Medicare Advantage	$3,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,550.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,550.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,550.00
Rate for Payer: Cigna Commercial	$5,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,600.00
Rate for Payer: Oxford Commercial	$2,000.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,500.00
Rate for Payer: UnitedHealthcare Commercial	$2,000.00
Rate for Payer: UnitedHealthcare Community & State	$316.00
Rate for Payer: Wellpoint Medicaid Managed Care	$284.00

KIT DRILL BIT F/CONTIN. COMPR.

Facility

$2,200.00

Hospital Charge Code	270669835
Hospital Revenue Code	272
Min. Negotiated Rate	$62.48
Max. Negotiated Rate	$1,100.00
Rate for Payer: Aetna Commercial	$836.00
Rate for Payer: Aetna Medicare Advantage	$660.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$561.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$561.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$561.00
Rate for Payer: Cigna Commercial	$1,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$572.00
Rate for Payer: Oxford Commercial	$440.00
Rate for Payer: Qualcare PPO/HMO/WC	$330.00
Rate for Payer: UnitedHealthcare Commercial	$440.00
Rate for Payer: UnitedHealthcare Community & State	$69.52
Rate for Payer: Wellpoint Medicaid Managed Care	$62.48

KIT DRILL BIT F/CONTIN. COMPR.

Facility

$2,200.00

Hospital Charge Code	270669835
Hospital Revenue Code	272
Min. Negotiated Rate	$330.00
Max. Negotiated Rate	$330.00
Rate for Payer: Qualcare PPO/HMO/WC	$330.00

KIT DRILL STER.

Facility

$2,002.00

Hospital Charge Code	270679101
Hospital Revenue Code	272
Min. Negotiated Rate	$300.30
Max. Negotiated Rate	$300.30
Rate for Payer: Qualcare PPO/HMO/WC	$300.30

KIT DRILL STER.

Facility

$2,002.00

Hospital Charge Code	270679101
Hospital Revenue Code	272
Min. Negotiated Rate	$56.86
Max. Negotiated Rate	$1,001.00
Rate for Payer: Aetna Commercial	$760.76
Rate for Payer: Aetna Medicare Advantage	$600.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$510.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$510.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$510.51
Rate for Payer: Cigna Commercial	$1,001.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$520.52
Rate for Payer: Oxford Commercial	$400.40
Rate for Payer: Qualcare PPO/HMO/WC	$300.30
Rate for Payer: UnitedHealthcare Commercial	$400.40
Rate for Payer: UnitedHealthcare Community & State	$63.26
Rate for Payer: Wellpoint Medicaid Managed Care	$56.86

Know your out-of-pocket cost for care.

All Charges