Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

KNOT PUSHER/SUTURE CUTTER

Facility

$625.00

Hospital Charge Code	270675822
Hospital Revenue Code	270
Min. Negotiated Rate	$17.75
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$237.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.50
Rate for Payer: Oxford Commercial	$125.00
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Commercial	$125.00
Rate for Payer: UnitedHealthcare Community & State	$19.75
Rate for Payer: Wellpoint Medicaid Managed Care	$17.75

KNOT PUSTER CUTTER STRAIGHT

Facility

$710.70

Hospital Charge Code	270646585
Hospital Revenue Code	272
Min. Negotiated Rate	$106.61
Max. Negotiated Rate	$106.61
Rate for Payer: Qualcare PPO/HMO/WC	$106.61

KNOT PUSTER CUTTER STRAIGHT

Facility

$710.70

Hospital Charge Code	270646585
Hospital Revenue Code	272
Min. Negotiated Rate	$20.18
Max. Negotiated Rate	$355.35
Rate for Payer: Aetna Commercial	$270.07
Rate for Payer: Aetna Medicare Advantage	$213.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$181.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$181.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$181.23
Rate for Payer: Cigna Commercial	$355.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$184.78
Rate for Payer: Oxford Commercial	$142.14
Rate for Payer: Qualcare PPO/HMO/WC	$106.61
Rate for Payer: UnitedHealthcare Commercial	$142.14
Rate for Payer: UnitedHealthcare Community & State	$22.46
Rate for Payer: Wellpoint Medicaid Managed Care	$20.18

KNOWLES PIN

Facility

$372.00

Hospital Charge Code	270335010
Hospital Revenue Code	278
Min. Negotiated Rate	$55.80
Max. Negotiated Rate	$90.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.02
Rate for Payer: Qualcare PPO/HMO/WC	$55.80

KNOWLES PIN

Facility

$372.00

Hospital Charge Code	270335010
Hospital Revenue Code	278
Min. Negotiated Rate	$10.56
Max. Negotiated Rate	$186.00
Rate for Payer: Aetna Commercial	$141.36
Rate for Payer: Aetna Medicare Advantage	$111.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.86
Rate for Payer: Cigna Commercial	$186.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.02
Rate for Payer: Qualcare PPO/HMO/WC	$55.80
Rate for Payer: UnitedHealthcare Community & State	$11.76
Rate for Payer: Wellpoint Medicaid Managed Care	$10.56

KOBYGARD DISP.BLADE

Facility

$232.00

Hospital Charge Code	270339451
Hospital Revenue Code	272
Min. Negotiated Rate	$6.59
Max. Negotiated Rate	$116.00
Rate for Payer: Aetna Commercial	$88.16
Rate for Payer: Aetna Medicare Advantage	$69.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.16
Rate for Payer: Cigna Commercial	$116.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.32
Rate for Payer: Oxford Commercial	$46.40
Rate for Payer: Qualcare PPO/HMO/WC	$34.80
Rate for Payer: UnitedHealthcare Commercial	$46.40
Rate for Payer: UnitedHealthcare Community & State	$7.33
Rate for Payer: Wellpoint Medicaid Managed Care	$6.59

KOBYGARD DISP.BLADE

Facility

$232.00

Hospital Charge Code	270339451
Hospital Revenue Code	272
Min. Negotiated Rate	$34.80
Max. Negotiated Rate	$34.80
Rate for Payer: Qualcare PPO/HMO/WC	$34.80

KOGENATE FS (FACTOR 8) 100 IU/

Facility

$8.91

Service Code	HCPCS J7192
Hospital Charge Code	606394263
Hospital Revenue Code	636
Min. Negotiated Rate	$1.34
Max. Negotiated Rate	$2.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.16
Rate for Payer: Qualcare PPO/HMO/WC	$1.34

KOGENATE FS (FACTOR 8) 100 IU/

Facility

$8.91

Service Code	HCPCS J7192
Hospital Charge Code	606394263
Hospital Revenue Code	636
Min. Negotiated Rate	$0.25
Max. Negotiated Rate	$5.70
Rate for Payer: Aetna Commercial	$4.27
Rate for Payer: Aetna Medicare Advantage	$5.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.70
Rate for Payer: Cigna Medicare Advantage	$1.57
Rate for Payer: Clover Medicare Advantage	$1.49
Rate for Payer: EmblemHealth Commercial	$4.71
Rate for Payer: Humana Medicare Advantage	$1.62
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.16
Rate for Payer: Qualcare PPO/HMO/WC	$1.34
Rate for Payer: UnitedHealthcare Community & State	$0.28
Rate for Payer: UnitedHealthcare Medicare Advantage	$1.57
Rate for Payer: Wellcare Medicare Advantage	$1.57
Rate for Payer: Wellpoint Medicaid Managed Care	$0.25

KPHOPAK EXPRESS TRAY FIRST FRA

Facility

$15,203.70

Service Code	HCPCS C1889
Hospital Charge Code	270703704
Hospital Revenue Code	278
Min. Negotiated Rate	$2,280.55
Max. Negotiated Rate	$3,679.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,040.74
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,679.30
Rate for Payer: Qualcare PPO/HMO/WC	$2,280.55

KPHOPAK EXPRESS TRAY FIRST FRA

Facility

$15,203.70

Service Code	HCPCS C1889
Hospital Charge Code	270703704
Hospital Revenue Code	278
Min. Negotiated Rate	$431.79
Max. Negotiated Rate	$7,601.85
Rate for Payer: Aetna Commercial	$5,777.41
Rate for Payer: Aetna Medicare Advantage	$4,561.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,876.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,876.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,040.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,876.94
Rate for Payer: Cigna Commercial	$7,601.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,679.30
Rate for Payer: Qualcare PPO/HMO/WC	$2,280.55
Rate for Payer: UnitedHealthcare Community & State	$480.44
Rate for Payer: Wellpoint Medicaid Managed Care	$431.79

KREULOCK COMPRESSION SCREW

Facility

$1,519.25

Service Code	HCPCS C1713
Hospital Charge Code	270704868
Hospital Revenue Code	278
Min. Negotiated Rate	$43.15
Max. Negotiated Rate	$759.62
Rate for Payer: Aetna Commercial	$577.32
Rate for Payer: Aetna Medicare Advantage	$455.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$387.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$387.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$387.41
Rate for Payer: Cigna Commercial	$759.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.66
Rate for Payer: Qualcare PPO/HMO/WC	$227.89
Rate for Payer: UnitedHealthcare Community & State	$48.01
Rate for Payer: Wellpoint Medicaid Managed Care	$43.15

KREULOCK COMPRESSION SCREW

Facility

$1,519.25

Service Code	HCPCS C1713
Hospital Charge Code	270704868
Hospital Revenue Code	278
Min. Negotiated Rate	$227.89
Max. Negotiated Rate	$367.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.66
Rate for Payer: Qualcare PPO/HMO/WC	$227.89

KREULOCK COMPRESSION SCREW

Facility

$1,519.25

Service Code	HCPCS C1713
Hospital Charge Code	270704869
Hospital Revenue Code	278
Min. Negotiated Rate	$227.89
Max. Negotiated Rate	$367.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.66
Rate for Payer: Qualcare PPO/HMO/WC	$227.89

KREULOCK COMPRESSION SCREW

Facility

$1,519.25

Service Code	HCPCS C1713
Hospital Charge Code	270704869
Hospital Revenue Code	278
Min. Negotiated Rate	$43.15
Max. Negotiated Rate	$759.62
Rate for Payer: Aetna Commercial	$577.32
Rate for Payer: Aetna Medicare Advantage	$455.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$387.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$387.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$387.41
Rate for Payer: Cigna Commercial	$759.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.66
Rate for Payer: Qualcare PPO/HMO/WC	$227.89
Rate for Payer: UnitedHealthcare Community & State	$48.01
Rate for Payer: Wellpoint Medicaid Managed Care	$43.15

KREULOCK COMPRESSION SCREW

Facility

$1,519.25

Service Code	HCPCS C1713
Hospital Charge Code	270704867
Hospital Revenue Code	278
Min. Negotiated Rate	$227.89
Max. Negotiated Rate	$367.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.66
Rate for Payer: Qualcare PPO/HMO/WC	$227.89

KREULOCK COMPRESSION SCREW

Facility

$1,519.25

Service Code	HCPCS C1713
Hospital Charge Code	270704867
Hospital Revenue Code	278
Min. Negotiated Rate	$43.15
Max. Negotiated Rate	$759.62
Rate for Payer: Aetna Commercial	$577.32
Rate for Payer: Aetna Medicare Advantage	$455.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$387.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$387.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$387.41
Rate for Payer: Cigna Commercial	$759.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.66
Rate for Payer: Qualcare PPO/HMO/WC	$227.89
Rate for Payer: UnitedHealthcare Community & State	$48.01
Rate for Payer: Wellpoint Medicaid Managed Care	$43.15

KREU LOCK SCREW 2.7X16MM

Facility

$1,520.30

Service Code	HCPCS C1713
Hospital Charge Code	270699398
Hospital Revenue Code	278
Min. Negotiated Rate	$228.04
Max. Negotiated Rate	$367.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$304.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.91
Rate for Payer: Qualcare PPO/HMO/WC	$228.04

KREU LOCK SCREW 2.7X16MM

Facility

$1,520.30

Service Code	HCPCS C1713
Hospital Charge Code	270699398
Hospital Revenue Code	278
Min. Negotiated Rate	$43.18
Max. Negotiated Rate	$760.15
Rate for Payer: Aetna Commercial	$577.71
Rate for Payer: Aetna Medicare Advantage	$456.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$387.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$387.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$304.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$387.68
Rate for Payer: Cigna Commercial	$760.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.91
Rate for Payer: Qualcare PPO/HMO/WC	$228.04
Rate for Payer: UnitedHealthcare Community & State	$48.04
Rate for Payer: Wellpoint Medicaid Managed Care	$43.18

KREU LOCK SCREW 2.7X18MM

Facility

$1,520.30

Service Code	HCPCS C1713
Hospital Charge Code	270704674
Hospital Revenue Code	278
Min. Negotiated Rate	$43.18
Max. Negotiated Rate	$760.15
Rate for Payer: Aetna Commercial	$577.71
Rate for Payer: Aetna Medicare Advantage	$456.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$387.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$387.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$304.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$387.68
Rate for Payer: Cigna Commercial	$760.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.91
Rate for Payer: Qualcare PPO/HMO/WC	$228.04
Rate for Payer: UnitedHealthcare Community & State	$48.04
Rate for Payer: Wellpoint Medicaid Managed Care	$43.18

KREU LOCK SCREW 2.7X18MM

Facility

$1,520.30

Service Code	HCPCS C1713
Hospital Charge Code	270704674
Hospital Revenue Code	278
Min. Negotiated Rate	$228.04
Max. Negotiated Rate	$367.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$304.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.91
Rate for Payer: Qualcare PPO/HMO/WC	$228.04

KREULOCK SCREW 3X20MM

Facility

$1,519.25

Service Code	HCPCS C1713
Hospital Charge Code	270705868
Hospital Revenue Code	278
Min. Negotiated Rate	$227.89
Max. Negotiated Rate	$367.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.66
Rate for Payer: Qualcare PPO/HMO/WC	$227.89

KREULOCK SCREW 3X20MM

Facility

$1,519.25

Service Code	HCPCS C1713
Hospital Charge Code	270705868
Hospital Revenue Code	278
Min. Negotiated Rate	$43.15
Max. Negotiated Rate	$759.62
Rate for Payer: Aetna Commercial	$577.32
Rate for Payer: Aetna Medicare Advantage	$455.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$387.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$387.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$387.41
Rate for Payer: Cigna Commercial	$759.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.66
Rate for Payer: Qualcare PPO/HMO/WC	$227.89
Rate for Payer: UnitedHealthcare Community & State	$48.01
Rate for Payer: Wellpoint Medicaid Managed Care	$43.15

KRYSTEXXA SF 8 MG/ML VIAL

Facility

$36,026.00

Hospital Charge Code	606390586
Hospital Revenue Code	259
Min. Negotiated Rate	$1,023.14
Max. Negotiated Rate	$18,013.00
Rate for Payer: Aetna Commercial	$13,689.88
Rate for Payer: Aetna Medicare Advantage	$10,807.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,186.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,186.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,186.63
Rate for Payer: Cigna Commercial	$18,013.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,366.76
Rate for Payer: Oxford Commercial	$7,205.20
Rate for Payer: Qualcare PPO/HMO/WC	$5,403.90
Rate for Payer: UnitedHealthcare Commercial	$7,205.20
Rate for Payer: UnitedHealthcare Community & State	$1,138.42
Rate for Payer: Wellpoint Medicaid Managed Care	$1,023.14

KRYSTEXXA SF 8 MG/ML VIAL

Facility

$36,026.00

Hospital Charge Code	606390586
Hospital Revenue Code	259
Min. Negotiated Rate	$5,403.90
Max. Negotiated Rate	$5,403.90
Rate for Payer: Qualcare PPO/HMO/WC	$5,403.90

Know your out-of-pocket cost for care.

All Charges