Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

KNEE TOTAL REPLACEMENT

Facility

$26,992.00

Hospital Charge Code	270339082
Hospital Revenue Code	278
Min. Negotiated Rate	$766.57
Max. Negotiated Rate	$13,496.00
Rate for Payer: Aetna Commercial	$10,256.96
Rate for Payer: Aetna Medicare Advantage	$8,097.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,882.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,882.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,398.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,882.96
Rate for Payer: Cigna Commercial	$13,496.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,532.06
Rate for Payer: Qualcare PPO/HMO/WC	$4,048.80
Rate for Payer: UnitedHealthcare Community & State	$852.95
Rate for Payer: Wellpoint Medicaid Managed Care	$766.57

KNEE TOTAL REPLACEMENT

Facility

$26,992.00

Hospital Charge Code	270339082
Hospital Revenue Code	278
Min. Negotiated Rate	$4,048.80
Max. Negotiated Rate	$6,532.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,398.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,532.06
Rate for Payer: Qualcare PPO/HMO/WC	$4,048.80

KNEE USER KIT FOR GPS STATION

Facility

$1,750.00

Hospital Charge Code	270673239
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

KNEE USER KIT FOR GPS STATION

Facility

$1,750.00

Hospital Charge Code	270673239
Hospital Revenue Code	272
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$262.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

KNIFE ACL GRAFT 10mm

Facility

$603.50

Hospital Charge Code	270657638
Hospital Revenue Code	272
Min. Negotiated Rate	$90.53
Max. Negotiated Rate	$90.53
Rate for Payer: Qualcare PPO/HMO/WC	$90.53

KNIFE ACL GRAFT 10mm

Facility

$603.50

Hospital Charge Code	270657638
Hospital Revenue Code	272
Min. Negotiated Rate	$17.14
Max. Negotiated Rate	$301.75
Rate for Payer: Aetna Commercial	$229.33
Rate for Payer: Aetna Medicare Advantage	$181.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.89
Rate for Payer: Cigna Commercial	$301.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$156.91
Rate for Payer: Oxford Commercial	$120.70
Rate for Payer: Qualcare PPO/HMO/WC	$90.53
Rate for Payer: UnitedHealthcare Commercial	$120.70
Rate for Payer: UnitedHealthcare Community & State	$19.07
Rate for Payer: Wellpoint Medicaid Managed Care	$17.14

KNIFE ACL GRAFT 10MM

Facility

$775.00

Hospital Charge Code	270664041
Hospital Revenue Code	270
Min. Negotiated Rate	$22.01
Max. Negotiated Rate	$387.50
Rate for Payer: Aetna Commercial	$294.50
Rate for Payer: Aetna Medicare Advantage	$232.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.62
Rate for Payer: Cigna Commercial	$387.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$201.50
Rate for Payer: Oxford Commercial	$155.00
Rate for Payer: Qualcare PPO/HMO/WC	$116.25
Rate for Payer: UnitedHealthcare Commercial	$155.00
Rate for Payer: UnitedHealthcare Community & State	$24.49
Rate for Payer: Wellpoint Medicaid Managed Care	$22.01

KNIFE ACL GRAFT 10MM

Facility

$775.00

Hospital Charge Code	270664041
Hospital Revenue Code	270
Min. Negotiated Rate	$116.25
Max. Negotiated Rate	$116.25
Rate for Payer: Qualcare PPO/HMO/WC	$116.25

KNIFE ACL GRAFT 9mm

Facility

$603.50

Hospital Charge Code	270657630
Hospital Revenue Code	272
Min. Negotiated Rate	$90.53
Max. Negotiated Rate	$90.53
Rate for Payer: Qualcare PPO/HMO/WC	$90.53

KNIFE ACL GRAFT 9mm

Facility

$603.50

Hospital Charge Code	270657630
Hospital Revenue Code	272
Min. Negotiated Rate	$17.14
Max. Negotiated Rate	$301.75
Rate for Payer: Aetna Commercial	$229.33
Rate for Payer: Aetna Medicare Advantage	$181.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.89
Rate for Payer: Cigna Commercial	$301.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$156.91
Rate for Payer: Oxford Commercial	$120.70
Rate for Payer: Qualcare PPO/HMO/WC	$90.53
Rate for Payer: UnitedHealthcare Commercial	$120.70
Rate for Payer: UnitedHealthcare Community & State	$19.07
Rate for Payer: Wellpoint Medicaid Managed Care	$17.14

KNIFE ACL GRAFT 9MM

Facility

$873.00

Hospital Charge Code	270645584
Hospital Revenue Code	272
Min. Negotiated Rate	$24.79
Max. Negotiated Rate	$436.50
Rate for Payer: Aetna Commercial	$331.74
Rate for Payer: Aetna Medicare Advantage	$261.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$222.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$222.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$222.62
Rate for Payer: Cigna Commercial	$436.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$226.98
Rate for Payer: Oxford Commercial	$174.60
Rate for Payer: Qualcare PPO/HMO/WC	$130.95
Rate for Payer: UnitedHealthcare Commercial	$174.60
Rate for Payer: UnitedHealthcare Community & State	$27.59
Rate for Payer: Wellpoint Medicaid Managed Care	$24.79

KNIFE ACL GRAFT 9MM

Facility

$873.00

Hospital Charge Code	270645584
Hospital Revenue Code	272
Min. Negotiated Rate	$130.95
Max. Negotiated Rate	$130.95
Rate for Payer: Qualcare PPO/HMO/WC	$130.95

KNIFE AMP LISTON 13 IN

Facility

$776.65

Hospital Charge Code	270689511
Hospital Revenue Code	272
Min. Negotiated Rate	$116.50
Max. Negotiated Rate	$116.50
Rate for Payer: Qualcare PPO/HMO/WC	$116.50

KNIFE AMP LISTON 13 IN

Facility

$776.65

Hospital Charge Code	270689511
Hospital Revenue Code	272
Min. Negotiated Rate	$22.06
Max. Negotiated Rate	$388.32
Rate for Payer: Aetna Commercial	$295.13
Rate for Payer: Aetna Medicare Advantage	$233.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$198.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$198.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$198.05
Rate for Payer: Cigna Commercial	$388.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$201.93
Rate for Payer: Oxford Commercial	$155.33
Rate for Payer: Qualcare PPO/HMO/WC	$116.50
Rate for Payer: UnitedHealthcare Commercial	$155.33
Rate for Payer: UnitedHealthcare Community & State	$24.54
Rate for Payer: Wellpoint Medicaid Managed Care	$22.06

KNIFE ARTHROSCOPY SMALL JOINT

Facility

$504.00

Hospital Charge Code	270335280
Hospital Revenue Code	272
Min. Negotiated Rate	$75.60
Max. Negotiated Rate	$75.60
Rate for Payer: Qualcare PPO/HMO/WC	$75.60

KNIFE ARTHROSCOPY SMALL JOINT

Facility

$504.00

Hospital Charge Code	270335280
Hospital Revenue Code	272
Min. Negotiated Rate	$14.31
Max. Negotiated Rate	$252.00
Rate for Payer: Aetna Commercial	$191.52
Rate for Payer: Aetna Medicare Advantage	$151.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$128.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$128.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$128.52
Rate for Payer: Cigna Commercial	$252.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.04
Rate for Payer: Oxford Commercial	$100.80
Rate for Payer: Qualcare PPO/HMO/WC	$75.60
Rate for Payer: UnitedHealthcare Commercial	$100.80
Rate for Payer: UnitedHealthcare Community & State	$15.93
Rate for Payer: Wellpoint Medicaid Managed Care	$14.31

KNIFE CARPAL TUNNEL 1 PIECE

Facility

$1,018.50

Hospital Charge Code	270669884
Hospital Revenue Code	272
Min. Negotiated Rate	$28.93
Max. Negotiated Rate	$509.25
Rate for Payer: Aetna Commercial	$387.03
Rate for Payer: Aetna Medicare Advantage	$305.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$259.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$259.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$259.72
Rate for Payer: Cigna Commercial	$509.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$264.81
Rate for Payer: Oxford Commercial	$203.70
Rate for Payer: Qualcare PPO/HMO/WC	$152.78
Rate for Payer: UnitedHealthcare Commercial	$203.70
Rate for Payer: UnitedHealthcare Community & State	$32.18
Rate for Payer: Wellpoint Medicaid Managed Care	$28.93

KNIFE CARPAL TUNNEL 1 PIECE

Facility

$1,018.50

Hospital Charge Code	270669884
Hospital Revenue Code	272
Min. Negotiated Rate	$152.78
Max. Negotiated Rate	$152.78
Rate for Payer: Qualcare PPO/HMO/WC	$152.78

KNIFE COLD ADULT

Facility

$546.67

Hospital Charge Code	270658543
Hospital Revenue Code	270
Min. Negotiated Rate	$15.53
Max. Negotiated Rate	$273.33
Rate for Payer: Aetna Commercial	$207.73
Rate for Payer: Aetna Medicare Advantage	$164.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$139.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$139.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$139.40
Rate for Payer: Cigna Commercial	$273.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$142.13
Rate for Payer: Oxford Commercial	$109.33
Rate for Payer: Qualcare PPO/HMO/WC	$82.00
Rate for Payer: UnitedHealthcare Commercial	$109.33
Rate for Payer: UnitedHealthcare Community & State	$17.27
Rate for Payer: Wellpoint Medicaid Managed Care	$15.53

KNIFE COLD ADULT

Facility

$546.67

Hospital Charge Code	270658543
Hospital Revenue Code	270
Min. Negotiated Rate	$82.00
Max. Negotiated Rate	$82.00
Rate for Payer: Qualcare PPO/HMO/WC	$82.00

KNIFE HANDLES BEAVER

Facility

$24.70

Hospital Charge Code	270665158
Hospital Revenue Code	270
Min. Negotiated Rate	$0.70
Max. Negotiated Rate	$12.35
Rate for Payer: Aetna Commercial	$9.39
Rate for Payer: Aetna Medicare Advantage	$7.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.30
Rate for Payer: Cigna Commercial	$12.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.42
Rate for Payer: Oxford Commercial	$4.94
Rate for Payer: Qualcare PPO/HMO/WC	$3.71
Rate for Payer: UnitedHealthcare Commercial	$4.94
Rate for Payer: UnitedHealthcare Community & State	$0.78
Rate for Payer: Wellpoint Medicaid Managed Care	$0.70

KNIFE HANDLES BEAVER

Facility

$24.70

Hospital Charge Code	270665158
Hospital Revenue Code	270
Min. Negotiated Rate	$3.71
Max. Negotiated Rate	$3.71
Rate for Payer: Qualcare PPO/HMO/WC	$3.71

KNIFE J-PLASMA

Facility

$939.00

Hospital Charge Code	270658234
Hospital Revenue Code	270
Min. Negotiated Rate	$26.67
Max. Negotiated Rate	$469.50
Rate for Payer: Aetna Commercial	$356.82
Rate for Payer: Aetna Medicare Advantage	$281.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$239.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$239.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$239.44
Rate for Payer: Cigna Commercial	$469.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$244.14
Rate for Payer: Oxford Commercial	$187.80
Rate for Payer: Qualcare PPO/HMO/WC	$140.85
Rate for Payer: UnitedHealthcare Commercial	$187.80
Rate for Payer: UnitedHealthcare Community & State	$29.67
Rate for Payer: Wellpoint Medicaid Managed Care	$26.67

KNIFE J-PLASMA

Facility

$939.00

Hospital Charge Code	270658234
Hospital Revenue Code	270
Min. Negotiated Rate	$140.85
Max. Negotiated Rate	$140.85
Rate for Payer: Qualcare PPO/HMO/WC	$140.85

KNIFE LIF

Facility

$1,500.00

Hospital Charge Code	270702572
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$363.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

Know your out-of-pocket cost for care.

All Charges