Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

MIXER KYPHON

Facility

$352.00

Hospital Charge Code	270636044
Hospital Revenue Code	272
Min. Negotiated Rate	$10.00
Max. Negotiated Rate	$176.00
Rate for Payer: Aetna Commercial	$133.76
Rate for Payer: Aetna Medicare Advantage	$105.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.76
Rate for Payer: Cigna Commercial	$176.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.52
Rate for Payer: Oxford Commercial	$70.40
Rate for Payer: Qualcare PPO/HMO/WC	$52.80
Rate for Payer: UnitedHealthcare Commercial	$70.40
Rate for Payer: UnitedHealthcare Community & State	$11.12
Rate for Payer: Wellpoint Medicaid Managed Care	$10.00

MIXER KYPHON

Facility

$352.00

Hospital Charge Code	270636044N
Hospital Revenue Code	272
Min. Negotiated Rate	$52.80
Max. Negotiated Rate	$52.80
Rate for Payer: Qualcare PPO/HMO/WC	$52.80

MIXER KYPHON

Facility

$352.00

Hospital Charge Code	270636044S
Hospital Revenue Code	272
Min. Negotiated Rate	$52.80
Max. Negotiated Rate	$52.80
Rate for Payer: Qualcare PPO/HMO/WC	$52.80

MIXER KYPHON

Facility

$352.00

Hospital Charge Code	270636044O
Hospital Revenue Code	272
Min. Negotiated Rate	$10.00
Max. Negotiated Rate	$176.00
Rate for Payer: Aetna Commercial	$133.76
Rate for Payer: Aetna Medicare Advantage	$105.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.76
Rate for Payer: Cigna Commercial	$176.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.52
Rate for Payer: Oxford Commercial	$70.40
Rate for Payer: Qualcare PPO/HMO/WC	$52.80
Rate for Payer: UnitedHealthcare Commercial	$70.40
Rate for Payer: UnitedHealthcare Community & State	$11.12
Rate for Payer: Wellpoint Medicaid Managed Care	$10.00

MIXER KYPHON

Facility

$352.00

Hospital Charge Code	270636044
Hospital Revenue Code	272
Min. Negotiated Rate	$52.80
Max. Negotiated Rate	$52.80
Rate for Payer: Qualcare PPO/HMO/WC	$52.80

MIXER KYPHON

Facility

$352.00

Hospital Charge Code	270636044S
Hospital Revenue Code	272
Min. Negotiated Rate	$10.00
Max. Negotiated Rate	$176.00
Rate for Payer: Aetna Commercial	$133.76
Rate for Payer: Aetna Medicare Advantage	$105.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.76
Rate for Payer: Cigna Commercial	$176.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.52
Rate for Payer: Oxford Commercial	$70.40
Rate for Payer: Qualcare PPO/HMO/WC	$52.80
Rate for Payer: UnitedHealthcare Commercial	$70.40
Rate for Payer: UnitedHealthcare Community & State	$11.12
Rate for Payer: Wellpoint Medicaid Managed Care	$10.00

MIXER KYPHON

Facility

$352.00

Hospital Charge Code	270636044O
Hospital Revenue Code	272
Min. Negotiated Rate	$52.80
Max. Negotiated Rate	$52.80
Rate for Payer: Qualcare PPO/HMO/WC	$52.80

MIXING AND DELIVERY SYSTEM

Facility

$1,155.00

Hospital Charge Code	270687084
Hospital Revenue Code	272
Min. Negotiated Rate	$32.80
Max. Negotiated Rate	$577.50
Rate for Payer: Aetna Commercial	$438.90
Rate for Payer: Aetna Medicare Advantage	$346.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$294.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$294.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$294.52
Rate for Payer: Cigna Commercial	$577.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$300.30
Rate for Payer: Oxford Commercial	$231.00
Rate for Payer: Qualcare PPO/HMO/WC	$173.25
Rate for Payer: UnitedHealthcare Commercial	$231.00
Rate for Payer: UnitedHealthcare Community & State	$36.50
Rate for Payer: Wellpoint Medicaid Managed Care	$32.80

MIXING AND DELIVERY SYSTEM

Facility

$1,155.00

Hospital Charge Code	270687084
Hospital Revenue Code	272
Min. Negotiated Rate	$173.25
Max. Negotiated Rate	$173.25
Rate for Payer: Qualcare PPO/HMO/WC	$173.25

MIXING AND DELIVERY SYSTEM 3CC

Facility

$945.00

Hospital Charge Code	270659667
Hospital Revenue Code	272
Min. Negotiated Rate	$26.84
Max. Negotiated Rate	$472.50
Rate for Payer: Aetna Commercial	$359.10
Rate for Payer: Aetna Medicare Advantage	$283.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$240.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$240.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$240.97
Rate for Payer: Cigna Commercial	$472.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$245.70
Rate for Payer: Oxford Commercial	$189.00
Rate for Payer: Qualcare PPO/HMO/WC	$141.75
Rate for Payer: UnitedHealthcare Commercial	$189.00
Rate for Payer: UnitedHealthcare Community & State	$29.86
Rate for Payer: Wellpoint Medicaid Managed Care	$26.84

MIXING AND DELIVERY SYSTEM 3CC

Facility

$945.00

Hospital Charge Code	270659667
Hospital Revenue Code	272
Min. Negotiated Rate	$141.75
Max. Negotiated Rate	$141.75
Rate for Payer: Qualcare PPO/HMO/WC	$141.75

MIXING BOWL OPTITUIS

Facility

$695.00

Hospital Charge Code	270680360
Hospital Revenue Code	272
Min. Negotiated Rate	$19.74
Max. Negotiated Rate	$347.50
Rate for Payer: Aetna Commercial	$264.10
Rate for Payer: Aetna Medicare Advantage	$208.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$177.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$177.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$177.22
Rate for Payer: Cigna Commercial	$347.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$180.70
Rate for Payer: Oxford Commercial	$139.00
Rate for Payer: Qualcare PPO/HMO/WC	$104.25
Rate for Payer: UnitedHealthcare Commercial	$139.00
Rate for Payer: UnitedHealthcare Community & State	$21.96
Rate for Payer: Wellpoint Medicaid Managed Care	$19.74

MIXING BOWL OPTITUIS

Facility

$695.00

Hospital Charge Code	270680360
Hospital Revenue Code	272
Min. Negotiated Rate	$104.25
Max. Negotiated Rate	$104.25
Rate for Payer: Qualcare PPO/HMO/WC	$104.25

MIXING BOWL W/PADDLE DISPOSBLE

Facility

$75.00

Hospital Charge Code	270332060
Hospital Revenue Code	272
Min. Negotiated Rate	$2.13
Max. Negotiated Rate	$37.50
Rate for Payer: Aetna Commercial	$28.50
Rate for Payer: Aetna Medicare Advantage	$22.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.12
Rate for Payer: Cigna Commercial	$37.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.50
Rate for Payer: Oxford Commercial	$15.00
Rate for Payer: Qualcare PPO/HMO/WC	$11.25
Rate for Payer: UnitedHealthcare Commercial	$15.00
Rate for Payer: UnitedHealthcare Community & State	$2.37
Rate for Payer: Wellpoint Medicaid Managed Care	$2.13

MIXING BOWL W/PADDLE DISPOSBLE

Facility

$75.00

Hospital Charge Code	270332060
Hospital Revenue Code	272
Min. Negotiated Rate	$11.25
Max. Negotiated Rate	$11.25
Rate for Payer: Qualcare PPO/HMO/WC	$11.25

MIXING SYSTEM BIOCART LARGE

Facility

$1,225.00

Hospital Charge Code	270681419
Hospital Revenue Code	272
Min. Negotiated Rate	$183.75
Max. Negotiated Rate	$183.75
Rate for Payer: Qualcare PPO/HMO/WC	$183.75

MIXING SYSTEM BIOCART LARGE

Facility

$1,225.00

Hospital Charge Code	270681419
Hospital Revenue Code	272
Min. Negotiated Rate	$34.79
Max. Negotiated Rate	$612.50
Rate for Payer: Aetna Commercial	$465.50
Rate for Payer: Aetna Medicare Advantage	$367.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$312.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$312.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$312.38
Rate for Payer: Cigna Commercial	$612.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$318.50
Rate for Payer: Oxford Commercial	$245.00
Rate for Payer: Qualcare PPO/HMO/WC	$183.75
Rate for Payer: UnitedHealthcare Commercial	$245.00
Rate for Payer: UnitedHealthcare Community & State	$38.71
Rate for Payer: Wellpoint Medicaid Managed Care	$34.79

M/L TAPER 9 STD

Facility

$15,359.40

Hospital Charge Code	270665070
Hospital Revenue Code	270
Min. Negotiated Rate	$2,303.91
Max. Negotiated Rate	$2,303.91
Rate for Payer: Qualcare PPO/HMO/WC	$2,303.91

M/L TAPER 9 STD

Facility

$15,359.40

Hospital Charge Code	270665070
Hospital Revenue Code	270
Min. Negotiated Rate	$436.21
Max. Negotiated Rate	$7,679.70
Rate for Payer: Aetna Commercial	$5,836.57
Rate for Payer: Aetna Medicare Advantage	$4,607.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,916.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,916.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,916.65
Rate for Payer: Cigna Commercial	$7,679.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,993.44
Rate for Payer: Oxford Commercial	$3,071.88
Rate for Payer: Qualcare PPO/HMO/WC	$2,303.91
Rate for Payer: UnitedHealthcare Commercial	$3,071.88
Rate for Payer: UnitedHealthcare Community & State	$485.36
Rate for Payer: Wellpoint Medicaid Managed Care	$436.21

M/L TAPR12.5STD RDCD NECK LGTH

Facility

$15,359.40

Hospital Charge Code	270663138
Hospital Revenue Code	278
Min. Negotiated Rate	$436.21
Max. Negotiated Rate	$7,679.70
Rate for Payer: Aetna Commercial	$5,836.57
Rate for Payer: Aetna Medicare Advantage	$4,607.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,916.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,916.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,071.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,916.65
Rate for Payer: Cigna Commercial	$7,679.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,716.97
Rate for Payer: Qualcare PPO/HMO/WC	$2,303.91
Rate for Payer: UnitedHealthcare Community & State	$485.36
Rate for Payer: Wellpoint Medicaid Managed Care	$436.21

M/L TAPR12.5STD RDCD NECK LGTH

Facility

$15,359.40

Hospital Charge Code	270663138
Hospital Revenue Code	278
Min. Negotiated Rate	$2,303.91
Max. Negotiated Rate	$3,716.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,071.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,716.97
Rate for Payer: Qualcare PPO/HMO/WC	$2,303.91

MMR/VZV PROFILE,EIA I

Facility

$390.00

Service Code	HCPCS 86735
Hospital Charge Code	39990121A
Hospital Revenue Code	302
Min. Negotiated Rate	$10.44
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$35.50
Rate for Payer: Aetna Medicare Advantage	$42.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.34
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$13.05
Rate for Payer: Clover Medicare Advantage	$12.40
Rate for Payer: EmblemHealth Commercial	$39.15
Rate for Payer: Humana Medicare Advantage	$13.44
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.40
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$10.44
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.05
Rate for Payer: Wellcare Medicare Advantage	$13.05
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

MMR/VZV PROFILE,EIA I

Facility

$390.00

Service Code	HCPCS 86735
Hospital Charge Code	39990121A
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

MMR/VZV PROFILE,EIA II

Facility

$390.00

Service Code	HCPCS 86762
Hospital Charge Code	39990121B
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

MMR/VZV PROFILE,EIA II

Facility

$390.00

Service Code	HCPCS 86762
Hospital Charge Code	39990121B
Hospital Revenue Code	302
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$39.14
Rate for Payer: Aetna Medicare Advantage	$46.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.20
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$14.39
Rate for Payer: Clover Medicare Advantage	$13.67
Rate for Payer: EmblemHealth Commercial	$43.17
Rate for Payer: Humana Medicare Advantage	$14.82
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$14.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.40
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$11.51
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.39
Rate for Payer: Wellcare Medicare Advantage	$14.39
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

Know your out-of-pocket cost for care.

All Charges