Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

MENISCAL CINCH CURVED TIP STER

Facility

$1,975.00

Hospital Charge Code	270675821
Hospital Revenue Code	272
Min. Negotiated Rate	$296.25
Max. Negotiated Rate	$296.25
Rate for Payer: Qualcare PPO/HMO/WC	$296.25

MENISCAL CINCH CURVED TIP STER

Facility

$1,975.00

Hospital Charge Code	270675821
Hospital Revenue Code	272
Min. Negotiated Rate	$56.09
Max. Negotiated Rate	$987.50
Rate for Payer: Aetna Commercial	$750.50
Rate for Payer: Aetna Medicare Advantage	$592.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$503.62
Rate for Payer: Cigna Commercial	$987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$513.50
Rate for Payer: Oxford Commercial	$395.00
Rate for Payer: Qualcare PPO/HMO/WC	$296.25
Rate for Payer: UnitedHealthcare Commercial	$395.00
Rate for Payer: UnitedHealthcare Community & State	$62.41
Rate for Payer: Wellpoint Medicaid Managed Care	$56.09

MENISCAL MENDER DISP SET

Facility

$735.00

Hospital Charge Code	270673924
Hospital Revenue Code	272
Min. Negotiated Rate	$20.87
Max. Negotiated Rate	$367.50
Rate for Payer: Aetna Commercial	$279.30
Rate for Payer: Aetna Medicare Advantage	$220.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$187.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$187.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$187.43
Rate for Payer: Cigna Commercial	$367.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.10
Rate for Payer: Oxford Commercial	$147.00
Rate for Payer: Qualcare PPO/HMO/WC	$110.25
Rate for Payer: UnitedHealthcare Commercial	$147.00
Rate for Payer: UnitedHealthcare Community & State	$23.23
Rate for Payer: Wellpoint Medicaid Managed Care	$20.87

MENISCAL MENDER DISP SET

Facility

$735.00

Hospital Charge Code	270673924
Hospital Revenue Code	272
Min. Negotiated Rate	$110.25
Max. Negotiated Rate	$110.25
Rate for Payer: Qualcare PPO/HMO/WC	$110.25

MENISCAL RASP 30 DEGREE BOTTOM

Facility

$1,500.00

Hospital Charge Code	270665316
Hospital Revenue Code	270
Min. Negotiated Rate	$42.60
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$570.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$390.00
Rate for Payer: Oxford Commercial	$300.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00
Rate for Payer: UnitedHealthcare Commercial	$300.00
Rate for Payer: UnitedHealthcare Community & State	$47.40
Rate for Payer: Wellpoint Medicaid Managed Care	$42.60

MENISCAL RASP 30 DEGREE BOTTOM

Facility

$1,500.00

Hospital Charge Code	270665317
Hospital Revenue Code	270
Min. Negotiated Rate	$42.60
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$570.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$390.00
Rate for Payer: Oxford Commercial	$300.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00
Rate for Payer: UnitedHealthcare Commercial	$300.00
Rate for Payer: UnitedHealthcare Community & State	$47.40
Rate for Payer: Wellpoint Medicaid Managed Care	$42.60

MENISCAL RASP 30 DEGREE BOTTOM

Facility

$1,500.00

Hospital Charge Code	270665317
Hospital Revenue Code	270
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$225.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

MENISCAL RASP 30 DEGREE BOTTOM

Facility

$1,500.00

Hospital Charge Code	270665316
Hospital Revenue Code	270
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$225.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

MENISCAL RASP 30 DEGREE TOP SE

Facility

$1,500.00

Hospital Charge Code	270665315
Hospital Revenue Code	270
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$225.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

MENISCAL RASP 30 DEGREE TOP SE

Facility

$1,500.00

Hospital Charge Code	270665315
Hospital Revenue Code	270
Min. Negotiated Rate	$42.60
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$570.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$390.00
Rate for Payer: Oxford Commercial	$300.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00
Rate for Payer: UnitedHealthcare Commercial	$300.00
Rate for Payer: UnitedHealthcare Community & State	$47.40
Rate for Payer: Wellpoint Medicaid Managed Care	$42.60

MENISCAL REAP 90 DEGREE BOTTOM

Facility

$1,500.00

Hospital Charge Code	270665318
Hospital Revenue Code	270
Min. Negotiated Rate	$42.60
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$570.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$390.00
Rate for Payer: Oxford Commercial	$300.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00
Rate for Payer: UnitedHealthcare Commercial	$300.00
Rate for Payer: UnitedHealthcare Community & State	$47.40
Rate for Payer: Wellpoint Medicaid Managed Care	$42.60

MENISCAL REAP 90 DEGREE BOTTOM

Facility

$1,500.00

Hospital Charge Code	270665318
Hospital Revenue Code	270
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$225.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

MENISCAL REPAIR DEVICE CURVE

Facility

$6,096.15

Hospital Charge Code	270659978
Hospital Revenue Code	272
Min. Negotiated Rate	$914.42
Max. Negotiated Rate	$914.42
Rate for Payer: Qualcare PPO/HMO/WC	$914.42

MENISCAL REPAIR DEVICE CURVE

Facility

$6,096.15

Hospital Charge Code	270659978
Hospital Revenue Code	272
Min. Negotiated Rate	$173.13
Max. Negotiated Rate	$3,048.07
Rate for Payer: Aetna Commercial	$2,316.54
Rate for Payer: Aetna Medicare Advantage	$1,828.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,554.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,554.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,554.52
Rate for Payer: Cigna Commercial	$3,048.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,585.00
Rate for Payer: Oxford Commercial	$1,219.23
Rate for Payer: Qualcare PPO/HMO/WC	$914.42
Rate for Payer: UnitedHealthcare Commercial	$1,219.23
Rate for Payer: UnitedHealthcare Community & State	$192.64
Rate for Payer: Wellpoint Medicaid Managed Care	$173.13

MENISCAL REPAIR KIT

Facility

$1,975.00

Hospital Charge Code	270691760
Hospital Revenue Code	272
Min. Negotiated Rate	$56.09
Max. Negotiated Rate	$987.50
Rate for Payer: Aetna Commercial	$750.50
Rate for Payer: Aetna Medicare Advantage	$592.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$503.62
Rate for Payer: Cigna Commercial	$987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$513.50
Rate for Payer: Oxford Commercial	$395.00
Rate for Payer: Qualcare PPO/HMO/WC	$296.25
Rate for Payer: UnitedHealthcare Commercial	$395.00
Rate for Payer: UnitedHealthcare Community & State	$62.41
Rate for Payer: Wellpoint Medicaid Managed Care	$56.09

MENISCAL REPAIR KIT

Facility

$1,975.00

Hospital Charge Code	270691760
Hospital Revenue Code	272
Min. Negotiated Rate	$296.25
Max. Negotiated Rate	$296.25
Rate for Payer: Qualcare PPO/HMO/WC	$296.25

MENISCAL ROOT KIT

Facility

$4,975.00

Hospital Charge Code	270682555
Hospital Revenue Code	272
Min. Negotiated Rate	$141.29
Max. Negotiated Rate	$2,487.50
Rate for Payer: Aetna Commercial	$1,890.50
Rate for Payer: Aetna Medicare Advantage	$1,492.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,268.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,268.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,268.62
Rate for Payer: Cigna Commercial	$2,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,293.50
Rate for Payer: Oxford Commercial	$995.00
Rate for Payer: Qualcare PPO/HMO/WC	$746.25
Rate for Payer: UnitedHealthcare Commercial	$995.00
Rate for Payer: UnitedHealthcare Community & State	$157.21
Rate for Payer: Wellpoint Medicaid Managed Care	$141.29

MENISCAL ROOT KIT

Facility

$4,975.00

Hospital Charge Code	270682555
Hospital Revenue Code	272
Min. Negotiated Rate	$746.25
Max. Negotiated Rate	$746.25
Rate for Payer: Qualcare PPO/HMO/WC	$746.25

MENISCAL ROOT REP PK W ULTRABR

Facility

$4,925.00

Service Code	HCPCS C1713
Hospital Charge Code	270688719
Hospital Revenue Code	278
Min. Negotiated Rate	$738.75
Max. Negotiated Rate	$1,191.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$985.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,191.85
Rate for Payer: Qualcare PPO/HMO/WC	$738.75

MENISCAL ROOT REP PK W ULTRABR

Facility

$4,925.00

Service Code	HCPCS C1713
Hospital Charge Code	270688719
Hospital Revenue Code	278
Min. Negotiated Rate	$139.87
Max. Negotiated Rate	$2,462.50
Rate for Payer: Aetna Commercial	$1,871.50
Rate for Payer: Aetna Medicare Advantage	$1,477.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,255.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,255.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$985.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,255.88
Rate for Payer: Cigna Commercial	$2,462.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,191.85
Rate for Payer: Qualcare PPO/HMO/WC	$738.75
Rate for Payer: UnitedHealthcare Community & State	$155.63
Rate for Payer: Wellpoint Medicaid Managed Care	$139.87

MENISCAL ULTRA SYSTEM FIXATION

Facility

$1,595.00

Hospital Charge Code	270658618
Hospital Revenue Code	272
Min. Negotiated Rate	$45.30
Max. Negotiated Rate	$797.50
Rate for Payer: Aetna Commercial	$606.10
Rate for Payer: Aetna Medicare Advantage	$478.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$406.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$406.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$406.73
Rate for Payer: Cigna Commercial	$797.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$414.70
Rate for Payer: Oxford Commercial	$319.00
Rate for Payer: Qualcare PPO/HMO/WC	$239.25
Rate for Payer: UnitedHealthcare Commercial	$319.00
Rate for Payer: UnitedHealthcare Community & State	$50.40
Rate for Payer: Wellpoint Medicaid Managed Care	$45.30

MENISCAL ULTRA SYSTEM FIXATION

Facility

$1,595.00

Hospital Charge Code	270658618
Hospital Revenue Code	272
Min. Negotiated Rate	$239.25
Max. Negotiated Rate	$239.25
Rate for Payer: Qualcare PPO/HMO/WC	$239.25

MENISCUS LAT FF 3.3CM X 3.2CM

Facility

$23,750.00

Service Code	HCPCS C1776
Hospital Charge Code	270676521
Hospital Revenue Code	278
Min. Negotiated Rate	$674.50
Max. Negotiated Rate	$11,875.00
Rate for Payer: Aetna Commercial	$9,025.00
Rate for Payer: Aetna Medicare Advantage	$7,125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,056.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,056.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,056.25
Rate for Payer: Cigna Commercial	$11,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,747.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,562.50
Rate for Payer: UnitedHealthcare Community & State	$750.50
Rate for Payer: Wellpoint Medicaid Managed Care	$674.50

MENISCUS LAT FF 3.3CM X 3.2CM

Facility

$23,750.00

Service Code	HCPCS C1776
Hospital Charge Code	270676521
Hospital Revenue Code	278
Min. Negotiated Rate	$3,562.50
Max. Negotiated Rate	$5,747.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,747.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,562.50

MENISCUS RT MEDIAL FMNRM

Facility

$23,538.75

Service Code	HCPCS C1762
Hospital Charge Code	270697840
Hospital Revenue Code	278
Min. Negotiated Rate	$3,530.81
Max. Negotiated Rate	$5,696.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,707.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,696.38
Rate for Payer: Qualcare PPO/HMO/WC	$3,530.81

Know your out-of-pocket cost for care.

All Charges