Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

LOAD UNIT GIA 80-3.8 SINGLE

Facility

$345.78

Hospital Charge Code	270656101
Hospital Revenue Code	272
Min. Negotiated Rate	$9.82
Max. Negotiated Rate	$172.89
Rate for Payer: Aetna Commercial	$131.40
Rate for Payer: Aetna Medicare Advantage	$103.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$88.17
Rate for Payer: Cigna Commercial	$172.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.90
Rate for Payer: Oxford Commercial	$69.16
Rate for Payer: Qualcare PPO/HMO/WC	$51.87
Rate for Payer: UnitedHealthcare Commercial	$69.16
Rate for Payer: UnitedHealthcare Community & State	$10.93
Rate for Payer: Wellpoint Medicaid Managed Care	$9.82

LOAD UNIT GIA 80-3.8 SINGLE

Facility

$345.78

Hospital Charge Code	270656101
Hospital Revenue Code	272
Min. Negotiated Rate	$51.87
Max. Negotiated Rate	$51.87
Rate for Payer: Qualcare PPO/HMO/WC	$51.87

LOAD UNIT GIA 80-4.8 SINGLE

Facility

$345.78

Hospital Charge Code	270630399
Hospital Revenue Code	272
Min. Negotiated Rate	$51.87
Max. Negotiated Rate	$51.87
Rate for Payer: Qualcare PPO/HMO/WC	$51.87

LOAD UNIT GIA 80-4.8 SINGLE

Facility

$345.78

Hospital Charge Code	270630399
Hospital Revenue Code	272
Min. Negotiated Rate	$9.82
Max. Negotiated Rate	$172.89
Rate for Payer: Aetna Commercial	$131.40
Rate for Payer: Aetna Medicare Advantage	$103.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$88.17
Rate for Payer: Cigna Commercial	$172.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.90
Rate for Payer: Oxford Commercial	$69.16
Rate for Payer: Qualcare PPO/HMO/WC	$51.87
Rate for Payer: UnitedHealthcare Commercial	$69.16
Rate for Payer: UnitedHealthcare Community & State	$10.93
Rate for Payer: Wellpoint Medicaid Managed Care	$9.82

LOAD UNIT MULTIFIRE 35W

Facility

$469.10

Hospital Charge Code	270600054
Hospital Revenue Code	272
Min. Negotiated Rate	$13.32
Max. Negotiated Rate	$234.55
Rate for Payer: Aetna Commercial	$178.26
Rate for Payer: Aetna Medicare Advantage	$140.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$119.62
Rate for Payer: Cigna Commercial	$234.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.97
Rate for Payer: Oxford Commercial	$93.82
Rate for Payer: Qualcare PPO/HMO/WC	$70.36
Rate for Payer: UnitedHealthcare Commercial	$93.82
Rate for Payer: UnitedHealthcare Community & State	$14.82
Rate for Payer: Wellpoint Medicaid Managed Care	$13.32

LOAD UNIT MULTIFIRE 35W

Facility

$469.10

Hospital Charge Code	270600054
Hospital Revenue Code	272
Min. Negotiated Rate	$70.36
Max. Negotiated Rate	$70.36
Rate for Payer: Qualcare PPO/HMO/WC	$70.36

LOAD UNIT POLYSORB 2/0 48 VIO

Facility

$278.98

Hospital Charge Code	270604733
Hospital Revenue Code	272
Min. Negotiated Rate	$41.85
Max. Negotiated Rate	$41.85
Rate for Payer: Qualcare PPO/HMO/WC	$41.85

LOAD UNIT POLYSORB 2/0 48 VIO

Facility

$278.98

Hospital Charge Code	270604733
Hospital Revenue Code	272
Min. Negotiated Rate	$7.92
Max. Negotiated Rate	$139.49
Rate for Payer: Aetna Commercial	$106.01
Rate for Payer: Aetna Medicare Advantage	$83.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$71.14
Rate for Payer: Cigna Commercial	$139.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.53
Rate for Payer: Oxford Commercial	$55.80
Rate for Payer: Qualcare PPO/HMO/WC	$41.85
Rate for Payer: UnitedHealthcare Commercial	$55.80
Rate for Payer: UnitedHealthcare Community & State	$8.82
Rate for Payer: Wellpoint Medicaid Managed Care	$7.92

LOAD UNIT POLYSORB 2/0 7 PLA

Facility

$102.25

Hospital Charge Code	270662760
Hospital Revenue Code	272
Min. Negotiated Rate	$2.90
Max. Negotiated Rate	$51.12
Rate for Payer: Aetna Commercial	$38.85
Rate for Payer: Aetna Medicare Advantage	$30.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.07
Rate for Payer: Cigna Commercial	$51.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.59
Rate for Payer: Oxford Commercial	$20.45
Rate for Payer: Qualcare PPO/HMO/WC	$15.34
Rate for Payer: UnitedHealthcare Commercial	$20.45
Rate for Payer: UnitedHealthcare Community & State	$3.23
Rate for Payer: Wellpoint Medicaid Managed Care	$2.90

LOAD UNIT POLYSORB 2/0 7 PLA

Facility

$102.25

Hospital Charge Code	270662760
Hospital Revenue Code	272
Min. Negotiated Rate	$15.34
Max. Negotiated Rate	$15.34
Rate for Payer: Qualcare PPO/HMO/WC	$15.34

LOAD UNIT PROXIMATE 60mm 3.5mm

Facility

$232.16

Hospital Charge Code	270655355
Hospital Revenue Code	270
Min. Negotiated Rate	$6.59
Max. Negotiated Rate	$116.08
Rate for Payer: Aetna Commercial	$88.22
Rate for Payer: Aetna Medicare Advantage	$69.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.20
Rate for Payer: Cigna Commercial	$116.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.36
Rate for Payer: Oxford Commercial	$46.43
Rate for Payer: Qualcare PPO/HMO/WC	$34.82
Rate for Payer: UnitedHealthcare Commercial	$46.43
Rate for Payer: UnitedHealthcare Community & State	$7.34
Rate for Payer: Wellpoint Medicaid Managed Care	$6.59

LOAD UNIT PROXIMATE 60mm 3.5mm

Facility

$232.16

Hospital Charge Code	270655355
Hospital Revenue Code	270
Min. Negotiated Rate	$34.82
Max. Negotiated Rate	$34.82
Rate for Payer: Qualcare PPO/HMO/WC	$34.82

LOAD UNIT SINGLE USE TA3035L

Facility

$181.25

Hospital Charge Code	270630402
Hospital Revenue Code	270
Min. Negotiated Rate	$5.15
Max. Negotiated Rate	$90.62
Rate for Payer: Aetna Commercial	$68.88
Rate for Payer: Aetna Medicare Advantage	$54.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.22
Rate for Payer: Cigna Commercial	$90.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.12
Rate for Payer: Oxford Commercial	$36.25
Rate for Payer: Qualcare PPO/HMO/WC	$27.19
Rate for Payer: UnitedHealthcare Commercial	$36.25
Rate for Payer: UnitedHealthcare Community & State	$5.73
Rate for Payer: Wellpoint Medicaid Managed Care	$5.15

LOAD UNIT SINGLE USE TA3035L

Facility

$181.25

Hospital Charge Code	270630402
Hospital Revenue Code	270
Min. Negotiated Rate	$27.19
Max. Negotiated Rate	$27.19
Rate for Payer: Qualcare PPO/HMO/WC	$27.19

LOAD UNIT SINGLE USE TA 30-4.8

Facility

$181.25

Hospital Charge Code	270630404
Hospital Revenue Code	272
Min. Negotiated Rate	$27.19
Max. Negotiated Rate	$27.19
Rate for Payer: Qualcare PPO/HMO/WC	$27.19

LOAD UNIT SINGLE USE TA 30-4.8

Facility

$181.25

Hospital Charge Code	270630404
Hospital Revenue Code	272
Min. Negotiated Rate	$5.15
Max. Negotiated Rate	$90.62
Rate for Payer: Aetna Commercial	$68.88
Rate for Payer: Aetna Medicare Advantage	$54.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.22
Rate for Payer: Cigna Commercial	$90.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.12
Rate for Payer: Oxford Commercial	$36.25
Rate for Payer: Qualcare PPO/HMO/WC	$27.19
Rate for Payer: UnitedHealthcare Commercial	$36.25
Rate for Payer: UnitedHealthcare Community & State	$5.73
Rate for Payer: Wellpoint Medicaid Managed Care	$5.15

LOAD UNIT SINGLE USE TA 60-4.8

Facility

$203.85

Hospital Charge Code	270630410
Hospital Revenue Code	272
Min. Negotiated Rate	$5.79
Max. Negotiated Rate	$101.92
Rate for Payer: Aetna Commercial	$77.46
Rate for Payer: Aetna Medicare Advantage	$61.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.98
Rate for Payer: Cigna Commercial	$101.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.00
Rate for Payer: Oxford Commercial	$40.77
Rate for Payer: Qualcare PPO/HMO/WC	$30.58
Rate for Payer: UnitedHealthcare Commercial	$40.77
Rate for Payer: UnitedHealthcare Community & State	$6.44
Rate for Payer: Wellpoint Medicaid Managed Care	$5.79

LOAD UNIT SINGLE USE TA 60-4.8

Facility

$203.85

Hospital Charge Code	270630410
Hospital Revenue Code	272
Min. Negotiated Rate	$30.58
Max. Negotiated Rate	$30.58
Rate for Payer: Qualcare PPO/HMO/WC	$30.58

LOAD UNIT SINGLE USE TA90-35L

Facility

$798.73

Hospital Charge Code	270630412
Hospital Revenue Code	272
Min. Negotiated Rate	$22.68
Max. Negotiated Rate	$399.37
Rate for Payer: Aetna Commercial	$303.52
Rate for Payer: Aetna Medicare Advantage	$239.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$203.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$203.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$203.68
Rate for Payer: Cigna Commercial	$399.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.67
Rate for Payer: Oxford Commercial	$159.75
Rate for Payer: Qualcare PPO/HMO/WC	$119.81
Rate for Payer: UnitedHealthcare Commercial	$159.75
Rate for Payer: UnitedHealthcare Community & State	$25.24
Rate for Payer: Wellpoint Medicaid Managed Care	$22.68

LOAD UNIT SINGLE USE TA90-35L

Facility

$798.73

Hospital Charge Code	270630412
Hospital Revenue Code	272
Min. Negotiated Rate	$119.81
Max. Negotiated Rate	$119.81
Rate for Payer: Qualcare PPO/HMO/WC	$119.81

LOAD UNIT SKIN STAPLER SM35W

Facility

$113.45

Hospital Charge Code	270658602
Hospital Revenue Code	270
Min. Negotiated Rate	$17.02
Max. Negotiated Rate	$17.02
Rate for Payer: Qualcare PPO/HMO/WC	$17.02

LOAD UNIT SKIN STAPLER SM35W

Facility

$113.45

Hospital Charge Code	270658602
Hospital Revenue Code	270
Min. Negotiated Rate	$3.22
Max. Negotiated Rate	$56.73
Rate for Payer: Aetna Commercial	$43.11
Rate for Payer: Aetna Medicare Advantage	$34.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.93
Rate for Payer: Cigna Commercial	$56.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.50
Rate for Payer: Oxford Commercial	$22.69
Rate for Payer: Qualcare PPO/HMO/WC	$17.02
Rate for Payer: UnitedHealthcare Commercial	$22.69
Rate for Payer: UnitedHealthcare Community & State	$3.59
Rate for Payer: Wellpoint Medicaid Managed Care	$3.22

LOAD UNIT SOFSIL 2/0 48 BLK

Facility

$102.25

Hospital Charge Code	270641756
Hospital Revenue Code	272
Min. Negotiated Rate	$15.34
Max. Negotiated Rate	$15.34
Rate for Payer: Qualcare PPO/HMO/WC	$15.34

LOAD UNIT SOFSIL 2/0 48 BLK

Facility

$102.25

Hospital Charge Code	270641756
Hospital Revenue Code	272
Min. Negotiated Rate	$2.90
Max. Negotiated Rate	$51.12
Rate for Payer: Aetna Commercial	$38.85
Rate for Payer: Aetna Medicare Advantage	$30.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.07
Rate for Payer: Cigna Commercial	$51.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.59
Rate for Payer: Oxford Commercial	$20.45
Rate for Payer: Qualcare PPO/HMO/WC	$15.34
Rate for Payer: UnitedHealthcare Commercial	$20.45
Rate for Payer: UnitedHealthcare Community & State	$3.23
Rate for Payer: Wellpoint Medicaid Managed Care	$2.90

LOAD UNIT SURGIDAC 0 7 GREEN

Facility

$102.25

Hospital Charge Code	270669363
Hospital Revenue Code	272
Min. Negotiated Rate	$2.90
Max. Negotiated Rate	$51.12
Rate for Payer: Aetna Commercial	$38.85
Rate for Payer: Aetna Medicare Advantage	$30.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.07
Rate for Payer: Cigna Commercial	$51.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.59
Rate for Payer: Oxford Commercial	$20.45
Rate for Payer: Qualcare PPO/HMO/WC	$15.34
Rate for Payer: UnitedHealthcare Commercial	$20.45
Rate for Payer: UnitedHealthcare Community & State	$3.23
Rate for Payer: Wellpoint Medicaid Managed Care	$2.90

Know your out-of-pocket cost for care.

All Charges