Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

KIT MAXCESS TLIF 2 RETRACTION

Facility

$13,750.00

Hospital Charge Code	270697096
Hospital Revenue Code	272
Min. Negotiated Rate	$2,062.50
Max. Negotiated Rate	$2,062.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,062.50

KIT MAXCESS TLIF 2 RETRACTION

Facility

$13,750.00

Hospital Charge Code	270697096
Hospital Revenue Code	272
Min. Negotiated Rate	$390.50
Max. Negotiated Rate	$6,875.00
Rate for Payer: Aetna Commercial	$5,225.00
Rate for Payer: Aetna Medicare Advantage	$4,125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,506.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,506.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,506.25
Rate for Payer: Cigna Commercial	$6,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,575.00
Rate for Payer: Oxford Commercial	$2,750.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,062.50
Rate for Payer: UnitedHealthcare Commercial	$2,750.00
Rate for Payer: UnitedHealthcare Community & State	$434.50
Rate for Payer: Wellpoint Medicaid Managed Care	$390.50

KIT MAXFRAME FOOT PLATE SUPP

Facility

$4,505.05

Hospital Charge Code	270693741
Hospital Revenue Code	272
Min. Negotiated Rate	$675.76
Max. Negotiated Rate	$675.76
Rate for Payer: Qualcare PPO/HMO/WC	$675.76

KIT MAXFRAME FOOT PLATE SUPP

Facility

$4,505.05

Hospital Charge Code	270693741
Hospital Revenue Code	272
Min. Negotiated Rate	$127.94
Max. Negotiated Rate	$2,252.53
Rate for Payer: Aetna Commercial	$1,711.92
Rate for Payer: Aetna Medicare Advantage	$1,351.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,148.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,148.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,148.79
Rate for Payer: Cigna Commercial	$2,252.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,171.31
Rate for Payer: Oxford Commercial	$901.01
Rate for Payer: Qualcare PPO/HMO/WC	$675.76
Rate for Payer: UnitedHealthcare Commercial	$901.01
Rate for Payer: UnitedHealthcare Community & State	$142.36
Rate for Payer: Wellpoint Medicaid Managed Care	$127.94

KIT MCN SNARE GOOSENECK GN1500

Facility

$1,494.50

Hospital Charge Code	270623252
Hospital Revenue Code	272
Min. Negotiated Rate	$224.18
Max. Negotiated Rate	$224.18
Rate for Payer: Qualcare PPO/HMO/WC	$224.18

KIT MCN SNARE GOOSENECK GN1500

Facility

$1,494.50

Hospital Charge Code	270623252
Hospital Revenue Code	272
Min. Negotiated Rate	$42.44
Max. Negotiated Rate	$747.25
Rate for Payer: Aetna Commercial	$567.91
Rate for Payer: Aetna Medicare Advantage	$448.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$381.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$381.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$381.10
Rate for Payer: Cigna Commercial	$747.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$388.57
Rate for Payer: Oxford Commercial	$298.90
Rate for Payer: Qualcare PPO/HMO/WC	$224.18
Rate for Payer: UnitedHealthcare Commercial	$298.90
Rate for Payer: UnitedHealthcare Community & State	$47.23
Rate for Payer: Wellpoint Medicaid Managed Care	$42.44

KIT MCV PULL GASTROST 20F 6820

Facility

$383.25

Hospital Charge Code	270603142
Hospital Revenue Code	272
Min. Negotiated Rate	$57.49
Max. Negotiated Rate	$57.49
Rate for Payer: Qualcare PPO/HMO/WC	$57.49

KIT MCV PULL GASTROST 20F 6820

Facility

$383.25

Hospital Charge Code	270603142
Hospital Revenue Code	272
Min. Negotiated Rate	$10.88
Max. Negotiated Rate	$191.62
Rate for Payer: Aetna Commercial	$145.63
Rate for Payer: Aetna Medicare Advantage	$114.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.73
Rate for Payer: Cigna Commercial	$191.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.64
Rate for Payer: Oxford Commercial	$76.65
Rate for Payer: Qualcare PPO/HMO/WC	$57.49
Rate for Payer: UnitedHealthcare Commercial	$76.65
Rate for Payer: UnitedHealthcare Community & State	$12.11
Rate for Payer: Wellpoint Medicaid Managed Care	$10.88

KIT MICKEY GASTRO TUBE 20F 2

Facility

$533.15

Hospital Charge Code	270609428
Hospital Revenue Code	272
Min. Negotiated Rate	$15.14
Max. Negotiated Rate	$266.57
Rate for Payer: Aetna Commercial	$202.60
Rate for Payer: Aetna Medicare Advantage	$159.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$135.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$135.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$135.95
Rate for Payer: Cigna Commercial	$266.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$138.62
Rate for Payer: Oxford Commercial	$106.63
Rate for Payer: Qualcare PPO/HMO/WC	$79.97
Rate for Payer: UnitedHealthcare Commercial	$106.63
Rate for Payer: UnitedHealthcare Community & State	$16.85
Rate for Payer: Wellpoint Medicaid Managed Care	$15.14

KIT MICKEY GASTRO TUBE 20F 2

Facility

$533.15

Hospital Charge Code	270609428
Hospital Revenue Code	272
Min. Negotiated Rate	$79.97
Max. Negotiated Rate	$79.97
Rate for Payer: Qualcare PPO/HMO/WC	$79.97

KIT MICKEY GASTRO TUBE 20F 3

Facility

$455.80

Hospital Charge Code	270617889
Hospital Revenue Code	272
Min. Negotiated Rate	$12.94
Max. Negotiated Rate	$227.90
Rate for Payer: Aetna Commercial	$173.20
Rate for Payer: Aetna Medicare Advantage	$136.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$116.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$116.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$116.23
Rate for Payer: Cigna Commercial	$227.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.51
Rate for Payer: Oxford Commercial	$91.16
Rate for Payer: Qualcare PPO/HMO/WC	$68.37
Rate for Payer: UnitedHealthcare Commercial	$91.16
Rate for Payer: UnitedHealthcare Community & State	$14.40
Rate for Payer: Wellpoint Medicaid Managed Care	$12.94

KIT MICKEY GASTRO TUBE 20F 3

Facility

$455.80

Hospital Charge Code	270617889
Hospital Revenue Code	272
Min. Negotiated Rate	$68.37
Max. Negotiated Rate	$68.37
Rate for Payer: Qualcare PPO/HMO/WC	$68.37

KIT MINI TIGHTROPE

Facility

$3,150.00

Service Code	HCPCS C1713
Hospital Charge Code	270667601
Hospital Revenue Code	278
Min. Negotiated Rate	$472.50
Max. Negotiated Rate	$762.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$630.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$762.30
Rate for Payer: Qualcare PPO/HMO/WC	$472.50

KIT MINI TIGHTROPE

Facility

$3,150.00

Service Code	HCPCS C1713
Hospital Charge Code	270667601
Hospital Revenue Code	278
Min. Negotiated Rate	$89.46
Max. Negotiated Rate	$1,575.00
Rate for Payer: Aetna Commercial	$1,197.00
Rate for Payer: Aetna Medicare Advantage	$945.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$803.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$803.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$630.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$803.25
Rate for Payer: Cigna Commercial	$1,575.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$762.30
Rate for Payer: Qualcare PPO/HMO/WC	$472.50
Rate for Payer: UnitedHealthcare Community & State	$99.54
Rate for Payer: Wellpoint Medicaid Managed Care	$89.46

KIT MIXING SYRINGE 14 CC CAP

Facility

$2,875.00

Hospital Charge Code	270683167
Hospital Revenue Code	272
Min. Negotiated Rate	$81.65
Max. Negotiated Rate	$1,437.50
Rate for Payer: Aetna Commercial	$1,092.50
Rate for Payer: Aetna Medicare Advantage	$862.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$733.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$733.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$733.12
Rate for Payer: Cigna Commercial	$1,437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$747.50
Rate for Payer: Oxford Commercial	$575.00
Rate for Payer: Qualcare PPO/HMO/WC	$431.25
Rate for Payer: UnitedHealthcare Commercial	$575.00
Rate for Payer: UnitedHealthcare Community & State	$90.85
Rate for Payer: Wellpoint Medicaid Managed Care	$81.65

KIT MIXING SYRINGE 14 CC CAP

Facility

$2,875.00

Hospital Charge Code	270683167
Hospital Revenue Code	272
Min. Negotiated Rate	$431.25
Max. Negotiated Rate	$431.25
Rate for Payer: Qualcare PPO/HMO/WC	$431.25

KIT MONITORING W/TRANSDUCER

Facility

$57.85

Hospital Charge Code	270657529
Hospital Revenue Code	270
Min. Negotiated Rate	$8.68
Max. Negotiated Rate	$8.68
Rate for Payer: Qualcare PPO/HMO/WC	$8.68

KIT MONITORING W/TRANSDUCER

Facility

$57.85

Hospital Charge Code	270657529S
Hospital Revenue Code	270
Min. Negotiated Rate	$1.64
Max. Negotiated Rate	$28.93
Rate for Payer: Aetna Commercial	$21.98
Rate for Payer: Aetna Medicare Advantage	$17.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.75
Rate for Payer: Cigna Commercial	$28.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.04
Rate for Payer: Oxford Commercial	$11.57
Rate for Payer: Qualcare PPO/HMO/WC	$8.68
Rate for Payer: UnitedHealthcare Commercial	$11.57
Rate for Payer: UnitedHealthcare Community & State	$1.83
Rate for Payer: Wellpoint Medicaid Managed Care	$1.64

KIT MONITORING W/TRANSDUCER

Facility

$34.80

Hospital Charge Code	270657529N
Hospital Revenue Code	270
Min. Negotiated Rate	$5.22
Max. Negotiated Rate	$5.22
Rate for Payer: Qualcare PPO/HMO/WC	$5.22

KIT MONITORING W/TRANSDUCER

Facility

$57.85

Hospital Charge Code	270657529
Hospital Revenue Code	270
Min. Negotiated Rate	$1.64
Max. Negotiated Rate	$28.93
Rate for Payer: Aetna Commercial	$21.98
Rate for Payer: Aetna Medicare Advantage	$17.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.75
Rate for Payer: Cigna Commercial	$28.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.04
Rate for Payer: Oxford Commercial	$11.57
Rate for Payer: Qualcare PPO/HMO/WC	$8.68
Rate for Payer: UnitedHealthcare Commercial	$11.57
Rate for Payer: UnitedHealthcare Community & State	$1.83
Rate for Payer: Wellpoint Medicaid Managed Care	$1.64

KIT MONITORING W/TRANSDUCER

Facility

$57.85

Hospital Charge Code	270657529S
Hospital Revenue Code	270
Min. Negotiated Rate	$8.68
Max. Negotiated Rate	$8.68
Rate for Payer: Qualcare PPO/HMO/WC	$8.68

KIT MONITORING W/TRANSDUCER

Facility

$34.80

Hospital Charge Code	270657529N
Hospital Revenue Code	270
Min. Negotiated Rate	$0.99
Max. Negotiated Rate	$17.40
Rate for Payer: Aetna Commercial	$13.22
Rate for Payer: Aetna Medicare Advantage	$10.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.87
Rate for Payer: Cigna Commercial	$17.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.05
Rate for Payer: Oxford Commercial	$6.96
Rate for Payer: Qualcare PPO/HMO/WC	$5.22
Rate for Payer: UnitedHealthcare Commercial	$6.96
Rate for Payer: UnitedHealthcare Community & State	$1.10
Rate for Payer: Wellpoint Medicaid Managed Care	$0.99

KIT MSP METATARSAL SHORTENING

Facility

$5,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270688567
Hospital Revenue Code	278
Min. Negotiated Rate	$870.00
Max. Negotiated Rate	$1,403.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,160.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,403.60
Rate for Payer: Qualcare PPO/HMO/WC	$870.00

KIT MSP METATARSAL SHORTENING

Facility

$5,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270688567
Hospital Revenue Code	278
Min. Negotiated Rate	$164.72
Max. Negotiated Rate	$2,900.00
Rate for Payer: Aetna Commercial	$2,204.00
Rate for Payer: Aetna Medicare Advantage	$1,740.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,479.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,479.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,160.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,479.00
Rate for Payer: Cigna Commercial	$2,900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,403.60
Rate for Payer: Qualcare PPO/HMO/WC	$870.00
Rate for Payer: UnitedHealthcare Community & State	$183.28
Rate for Payer: Wellpoint Medicaid Managed Care	$164.72

KIT NAIL IM VALOR LT 10X250MM

Facility

$16,205.00

Service Code	HCPCS C1713
Hospital Charge Code	270700406
Hospital Revenue Code	278
Min. Negotiated Rate	$460.22
Max. Negotiated Rate	$8,102.50
Rate for Payer: Aetna Commercial	$6,157.90
Rate for Payer: Aetna Medicare Advantage	$4,861.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,132.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,132.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,241.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,132.27
Rate for Payer: Cigna Commercial	$8,102.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,921.61
Rate for Payer: Qualcare PPO/HMO/WC	$2,430.75
Rate for Payer: UnitedHealthcare Community & State	$512.08
Rate for Payer: Wellpoint Medicaid Managed Care	$460.22

Know your out-of-pocket cost for care.

All Charges