Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

KTI ANCHOR INJEX BI WING

Facility

$1,450.00

Hospital Charge Code	270696984
Hospital Revenue Code	272
Min. Negotiated Rate	$41.18
Max. Negotiated Rate	$725.00
Rate for Payer: Aetna Commercial	$551.00
Rate for Payer: Aetna Medicare Advantage	$435.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$369.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$369.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$369.75
Rate for Payer: Cigna Commercial	$725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$377.00
Rate for Payer: Oxford Commercial	$290.00
Rate for Payer: Qualcare PPO/HMO/WC	$217.50
Rate for Payer: UnitedHealthcare Commercial	$290.00
Rate for Payer: UnitedHealthcare Community & State	$45.82
Rate for Payer: Wellpoint Medicaid Managed Care	$41.18

KTI ANCHOR INJEX BI WING

Facility

$1,450.00

Hospital Charge Code	270696984
Hospital Revenue Code	272
Min. Negotiated Rate	$217.50
Max. Negotiated Rate	$217.50
Rate for Payer: Qualcare PPO/HMO/WC	$217.50

KUGEL MESH CIRCLE

Facility

$1,747.00

Hospital Charge Code	270335674
Hospital Revenue Code	278
Min. Negotiated Rate	$262.05
Max. Negotiated Rate	$422.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$349.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$422.77
Rate for Payer: Qualcare PPO/HMO/WC	$262.05

KUGEL MESH CIRCLE

Facility

$1,747.00

Hospital Charge Code	270335674
Hospital Revenue Code	278
Min. Negotiated Rate	$49.61
Max. Negotiated Rate	$873.50
Rate for Payer: Aetna Commercial	$663.86
Rate for Payer: Aetna Medicare Advantage	$524.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$445.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$445.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$349.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$445.49
Rate for Payer: Cigna Commercial	$873.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$422.77
Rate for Payer: Qualcare PPO/HMO/WC	$262.05
Rate for Payer: UnitedHealthcare Community & State	$55.21
Rate for Payer: Wellpoint Medicaid Managed Care	$49.61

KUGEL MESH LARGE CIRCLE

Facility

$1,962.00

Hospital Charge Code	270338788
Hospital Revenue Code	278
Min. Negotiated Rate	$294.30
Max. Negotiated Rate	$474.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$392.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$474.80
Rate for Payer: Qualcare PPO/HMO/WC	$294.30

KUGEL MESH LARGE CIRCLE

Facility

$1,962.00

Hospital Charge Code	270338788
Hospital Revenue Code	278
Min. Negotiated Rate	$55.72
Max. Negotiated Rate	$981.00
Rate for Payer: Aetna Commercial	$745.56
Rate for Payer: Aetna Medicare Advantage	$588.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$500.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$500.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$392.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$500.31
Rate for Payer: Cigna Commercial	$981.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$474.80
Rate for Payer: Qualcare PPO/HMO/WC	$294.30
Rate for Payer: UnitedHealthcare Community & State	$62.00
Rate for Payer: Wellpoint Medicaid Managed Care	$55.72

KUGEL MESH LARGE OVAL

Facility

$3,234.00

Hospital Charge Code	270338790
Hospital Revenue Code	278
Min. Negotiated Rate	$485.10
Max. Negotiated Rate	$782.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$646.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$782.63
Rate for Payer: Qualcare PPO/HMO/WC	$485.10

KUGEL MESH LARGE OVAL

Facility

$3,234.00

Hospital Charge Code	270338790
Hospital Revenue Code	278
Min. Negotiated Rate	$91.85
Max. Negotiated Rate	$1,617.00
Rate for Payer: Aetna Commercial	$1,228.92
Rate for Payer: Aetna Medicare Advantage	$970.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$824.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$824.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$646.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$824.67
Rate for Payer: Cigna Commercial	$1,617.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$782.63
Rate for Payer: Qualcare PPO/HMO/WC	$485.10
Rate for Payer: UnitedHealthcare Community & State	$102.19
Rate for Payer: Wellpoint Medicaid Managed Care	$91.85

KUGEL MESH MEDIUM OVAL

Facility

$2,550.00

Hospital Charge Code	270338789
Hospital Revenue Code	278
Min. Negotiated Rate	$72.42
Max. Negotiated Rate	$1,275.00
Rate for Payer: Aetna Commercial	$969.00
Rate for Payer: Aetna Medicare Advantage	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$650.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$650.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$650.25
Rate for Payer: Cigna Commercial	$1,275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$617.10
Rate for Payer: Qualcare PPO/HMO/WC	$382.50
Rate for Payer: UnitedHealthcare Community & State	$80.58
Rate for Payer: Wellpoint Medicaid Managed Care	$72.42

KUGEL MESH MEDIUM OVAL

Facility

$2,550.00

Hospital Charge Code	270338789
Hospital Revenue Code	278
Min. Negotiated Rate	$382.50
Max. Negotiated Rate	$617.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$510.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$617.10
Rate for Payer: Qualcare PPO/HMO/WC	$382.50

KUGEL MESH OVAL

Facility

$3,535.00

Hospital Charge Code	270335673
Hospital Revenue Code	278
Min. Negotiated Rate	$100.39
Max. Negotiated Rate	$1,767.50
Rate for Payer: Aetna Commercial	$1,343.30
Rate for Payer: Aetna Medicare Advantage	$1,060.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$901.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$901.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$707.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$901.42
Rate for Payer: Cigna Commercial	$1,767.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$855.47
Rate for Payer: Qualcare PPO/HMO/WC	$530.25
Rate for Payer: UnitedHealthcare Community & State	$111.71
Rate for Payer: Wellpoint Medicaid Managed Care	$100.39

KUGEL MESH OVAL

Facility

$3,535.00

Hospital Charge Code	270335673
Hospital Revenue Code	278
Min. Negotiated Rate	$530.25
Max. Negotiated Rate	$855.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$707.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$855.47
Rate for Payer: Qualcare PPO/HMO/WC	$530.25

KUGEL MESH SMALL CIRCLE

Facility

$1,413.00

Hospital Charge Code	270338787
Hospital Revenue Code	278
Min. Negotiated Rate	$40.13
Max. Negotiated Rate	$706.50
Rate for Payer: Aetna Commercial	$536.94
Rate for Payer: Aetna Medicare Advantage	$423.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$360.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$360.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$282.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$360.31
Rate for Payer: Cigna Commercial	$706.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$341.95
Rate for Payer: Qualcare PPO/HMO/WC	$211.95
Rate for Payer: UnitedHealthcare Community & State	$44.65
Rate for Payer: Wellpoint Medicaid Managed Care	$40.13

KUGEL MESH SMALL CIRCLE

Facility

$1,413.00

Hospital Charge Code	270338787
Hospital Revenue Code	278
Min. Negotiated Rate	$211.95
Max. Negotiated Rate	$341.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$282.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$341.95
Rate for Payer: Qualcare PPO/HMO/WC	$211.95

KUGEL MESH SMALL OVAL

Facility

$2,550.00

Hospital Charge Code	270338786
Hospital Revenue Code	278
Min. Negotiated Rate	$382.50
Max. Negotiated Rate	$617.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$510.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$617.10
Rate for Payer: Qualcare PPO/HMO/WC	$382.50

KUGEL MESH SMALL OVAL

Facility

$2,550.00

Hospital Charge Code	270338786
Hospital Revenue Code	278
Min. Negotiated Rate	$72.42
Max. Negotiated Rate	$1,275.00
Rate for Payer: Aetna Commercial	$969.00
Rate for Payer: Aetna Medicare Advantage	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$650.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$650.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$650.25
Rate for Payer: Cigna Commercial	$1,275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$617.10
Rate for Payer: Qualcare PPO/HMO/WC	$382.50
Rate for Payer: UnitedHealthcare Community & State	$80.58
Rate for Payer: Wellpoint Medicaid Managed Care	$72.42

KUGEL MESH X-LR CIRCLE

Facility

$3,243.00

Hospital Charge Code	270338785
Hospital Revenue Code	278
Min. Negotiated Rate	$92.10
Max. Negotiated Rate	$1,621.50
Rate for Payer: Aetna Commercial	$1,232.34
Rate for Payer: Aetna Medicare Advantage	$972.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$826.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$826.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$648.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$826.97
Rate for Payer: Cigna Commercial	$1,621.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$784.81
Rate for Payer: Qualcare PPO/HMO/WC	$486.45
Rate for Payer: UnitedHealthcare Community & State	$102.48
Rate for Payer: Wellpoint Medicaid Managed Care	$92.10

KUGEL MESH X-LR CIRCLE

Facility

$3,243.00

Hospital Charge Code	270338785
Hospital Revenue Code	278
Min. Negotiated Rate	$486.45
Max. Negotiated Rate	$784.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$648.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$784.81
Rate for Payer: Qualcare PPO/HMO/WC	$486.45

K,URINE RANDOM

Facility

$119.00

Service Code	HCPCS 84133
Hospital Charge Code	38479035
Hospital Revenue Code	301
Min. Negotiated Rate	$17.85
Max. Negotiated Rate	$17.85
Rate for Payer: Qualcare PPO/HMO/WC	$17.85

K,URINE RANDOM

Facility

$119.00

Service Code	HCPCS 84133
Hospital Charge Code	38479035
Hospital Revenue Code	301
Min. Negotiated Rate	$3.38
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$12.87
Rate for Payer: Aetna Medicare Advantage	$15.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.16
Rate for Payer: Cigna Commercial	$59.50
Rate for Payer: Cigna Medicare Advantage	$4.73
Rate for Payer: Clover Medicare Advantage	$4.49
Rate for Payer: EmblemHealth Commercial	$14.19
Rate for Payer: Humana Medicare Advantage	$4.87
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.94
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.85
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$3.78
Rate for Payer: UnitedHealthcare Medicare Advantage	$4.73
Rate for Payer: Wellcare Medicare Advantage	$4.73
Rate for Payer: Wellpoint Medicaid Managed Care	$3.38

K WIRE

Facility

$1,043.85

Hospital Charge Code	270704847
Hospital Revenue Code	279
Min. Negotiated Rate	$156.58
Max. Negotiated Rate	$156.58
Rate for Payer: Qualcare PPO/HMO/WC	$156.58

K WIRE

Facility

$1,043.85

Hospital Charge Code	270704847
Hospital Revenue Code	279
Min. Negotiated Rate	$29.65
Max. Negotiated Rate	$521.92
Rate for Payer: Aetna Commercial	$396.66
Rate for Payer: Aetna Medicare Advantage	$313.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$266.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$266.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$266.18
Rate for Payer: Cigna Commercial	$521.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$271.40
Rate for Payer: Oxford Commercial	$208.77
Rate for Payer: Qualcare PPO/HMO/WC	$156.58
Rate for Payer: UnitedHealthcare Commercial	$208.77
Rate for Payer: UnitedHealthcare Community & State	$32.99
Rate for Payer: Wellpoint Medicaid Managed Care	$29.65

K WIRE

Facility

$81.95

Service Code	HCPCS C1713
Hospital Charge Code	270687143
Hospital Revenue Code	278
Min. Negotiated Rate	$12.29
Max. Negotiated Rate	$19.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.83
Rate for Payer: Qualcare PPO/HMO/WC	$12.29

K WIRE

Facility

$110.00

Hospital Charge Code	270661627
Hospital Revenue Code	272
Min. Negotiated Rate	$3.12
Max. Negotiated Rate	$55.00
Rate for Payer: Aetna Commercial	$41.80
Rate for Payer: Aetna Medicare Advantage	$33.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.05
Rate for Payer: Cigna Commercial	$55.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.60
Rate for Payer: Oxford Commercial	$22.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.50
Rate for Payer: UnitedHealthcare Commercial	$22.00
Rate for Payer: UnitedHealthcare Community & State	$3.48
Rate for Payer: Wellpoint Medicaid Managed Care	$3.12

K WIRE

Facility

$110.00

Hospital Charge Code	270661627
Hospital Revenue Code	272
Min. Negotiated Rate	$16.50
Max. Negotiated Rate	$16.50
Rate for Payer: Qualcare PPO/HMO/WC	$16.50

Know your out-of-pocket cost for care.

All Charges