Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

PACK PBDS KIT PODIATRY

Facility

$308.40

Hospital Charge Code	270651616
Hospital Revenue Code	272
Min. Negotiated Rate	$46.26
Max. Negotiated Rate	$46.26
Rate for Payer: Qualcare PPO/HMO/WC	$46.26

PACK PBDS KIT PODIATRY

Facility

$308.40

Hospital Charge Code	270651616
Hospital Revenue Code	272
Min. Negotiated Rate	$8.76
Max. Negotiated Rate	$154.20
Rate for Payer: Aetna Commercial	$117.19
Rate for Payer: Aetna Medicare Advantage	$92.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78.64
Rate for Payer: Cigna Commercial	$154.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.18
Rate for Payer: Oxford Commercial	$61.68
Rate for Payer: Qualcare PPO/HMO/WC	$46.26
Rate for Payer: UnitedHealthcare Commercial	$61.68
Rate for Payer: UnitedHealthcare Community & State	$9.75
Rate for Payer: Wellpoint Medicaid Managed Care	$8.76

PACK PBDS KIT TOTAL HIP

Facility

$996.25

Hospital Charge Code	270651619
Hospital Revenue Code	272
Min. Negotiated Rate	$149.44
Max. Negotiated Rate	$149.44
Rate for Payer: Qualcare PPO/HMO/WC	$149.44

PACK PBDS KIT TOTAL HIP

Facility

$996.25

Hospital Charge Code	270651619
Hospital Revenue Code	272
Min. Negotiated Rate	$28.29
Max. Negotiated Rate	$498.12
Rate for Payer: Aetna Commercial	$378.57
Rate for Payer: Aetna Medicare Advantage	$298.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$254.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$254.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$254.04
Rate for Payer: Cigna Commercial	$498.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.02
Rate for Payer: Oxford Commercial	$199.25
Rate for Payer: Qualcare PPO/HMO/WC	$149.44
Rate for Payer: UnitedHealthcare Commercial	$199.25
Rate for Payer: UnitedHealthcare Community & State	$31.48
Rate for Payer: Wellpoint Medicaid Managed Care	$28.29

PACK PERIPHERAL VASCULAR

Facility

$448.90

Hospital Charge Code	270653778
Hospital Revenue Code	272
Min. Negotiated Rate	$12.75
Max. Negotiated Rate	$224.45
Rate for Payer: Aetna Commercial	$170.58
Rate for Payer: Aetna Medicare Advantage	$134.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.47
Rate for Payer: Cigna Commercial	$224.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.71
Rate for Payer: Oxford Commercial	$89.78
Rate for Payer: Qualcare PPO/HMO/WC	$67.33
Rate for Payer: UnitedHealthcare Commercial	$89.78
Rate for Payer: UnitedHealthcare Community & State	$14.19
Rate for Payer: Wellpoint Medicaid Managed Care	$12.75

PACK PERIPHERAL VASCULAR

Facility

$448.90

Hospital Charge Code	270653778
Hospital Revenue Code	272
Min. Negotiated Rate	$67.33
Max. Negotiated Rate	$67.33
Rate for Payer: Qualcare PPO/HMO/WC	$67.33

PACK PODIATRY CUSTOMIZED

Facility

$260.30

Hospital Charge Code	270653809
Hospital Revenue Code	272
Min. Negotiated Rate	$7.39
Max. Negotiated Rate	$130.15
Rate for Payer: Aetna Commercial	$98.91
Rate for Payer: Aetna Medicare Advantage	$78.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.38
Rate for Payer: Cigna Commercial	$130.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.68
Rate for Payer: Oxford Commercial	$52.06
Rate for Payer: Qualcare PPO/HMO/WC	$39.05
Rate for Payer: UnitedHealthcare Commercial	$52.06
Rate for Payer: UnitedHealthcare Community & State	$8.23
Rate for Payer: Wellpoint Medicaid Managed Care	$7.39

PACK PODIATRY CUSTOMIZED

Facility

$260.30

Hospital Charge Code	270653809
Hospital Revenue Code	272
Min. Negotiated Rate	$39.05
Max. Negotiated Rate	$39.05
Rate for Payer: Qualcare PPO/HMO/WC	$39.05

PACK PTCA CODE HEART

Facility

$659.15

Hospital Charge Code	270658335
Hospital Revenue Code	272
Min. Negotiated Rate	$98.87
Max. Negotiated Rate	$98.87
Rate for Payer: Qualcare PPO/HMO/WC	$98.87

PACK PTCA CODE HEART

Facility

$659.15

Hospital Charge Code	270658335
Hospital Revenue Code	272
Min. Negotiated Rate	$18.72
Max. Negotiated Rate	$329.57
Rate for Payer: Aetna Commercial	$250.48
Rate for Payer: Aetna Medicare Advantage	$197.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.08
Rate for Payer: Cigna Commercial	$329.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$171.38
Rate for Payer: Oxford Commercial	$131.83
Rate for Payer: Qualcare PPO/HMO/WC	$98.87
Rate for Payer: UnitedHealthcare Commercial	$131.83
Rate for Payer: UnitedHealthcare Community & State	$20.83
Rate for Payer: Wellpoint Medicaid Managed Care	$18.72

PACK SET UP

Facility

$24.03

Hospital Charge Code	270651631
Hospital Revenue Code	270
Min. Negotiated Rate	$0.68
Max. Negotiated Rate	$12.02
Rate for Payer: Aetna Commercial	$9.13
Rate for Payer: Aetna Medicare Advantage	$7.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.13
Rate for Payer: Cigna Commercial	$12.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.25
Rate for Payer: Oxford Commercial	$4.81
Rate for Payer: Qualcare PPO/HMO/WC	$3.60
Rate for Payer: UnitedHealthcare Commercial	$4.81
Rate for Payer: UnitedHealthcare Community & State	$0.76
Rate for Payer: Wellpoint Medicaid Managed Care	$0.68

PACK SET UP

Facility

$24.03

Hospital Charge Code	270651631
Hospital Revenue Code	270
Min. Negotiated Rate	$3.60
Max. Negotiated Rate	$3.60
Rate for Payer: Qualcare PPO/HMO/WC	$3.60

PACK SHOULDER EXTREMITY

Facility

$608.63

Hospital Charge Code	270653810
Hospital Revenue Code	272
Min. Negotiated Rate	$17.29
Max. Negotiated Rate	$304.31
Rate for Payer: Aetna Commercial	$231.28
Rate for Payer: Aetna Medicare Advantage	$182.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$155.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$155.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$155.20
Rate for Payer: Cigna Commercial	$304.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$158.24
Rate for Payer: Oxford Commercial	$121.73
Rate for Payer: Qualcare PPO/HMO/WC	$91.29
Rate for Payer: UnitedHealthcare Commercial	$121.73
Rate for Payer: UnitedHealthcare Community & State	$19.23
Rate for Payer: Wellpoint Medicaid Managed Care	$17.29

PACK SHOULDER EXTREMITY

Facility

$608.63

Hospital Charge Code	270653810
Hospital Revenue Code	272
Min. Negotiated Rate	$91.29
Max. Negotiated Rate	$91.29
Rate for Payer: Qualcare PPO/HMO/WC	$91.29

PACK SHOULDER PIN MEDACTA

Facility

$500.00

Hospital Charge Code	270693365
Hospital Revenue Code	270
Min. Negotiated Rate	$14.20
Max. Negotiated Rate	$250.00
Rate for Payer: Aetna Commercial	$190.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.00
Rate for Payer: Oxford Commercial	$100.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00
Rate for Payer: UnitedHealthcare Commercial	$100.00
Rate for Payer: UnitedHealthcare Community & State	$15.80
Rate for Payer: Wellpoint Medicaid Managed Care	$14.20

PACK SHOULDER PIN MEDACTA

Facility

$500.00

Hospital Charge Code	270693365
Hospital Revenue Code	270
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

PACK T AND A

Facility

$106.40

Hospital Charge Code	270653799
Hospital Revenue Code	272
Min. Negotiated Rate	$3.02
Max. Negotiated Rate	$53.20
Rate for Payer: Aetna Commercial	$40.43
Rate for Payer: Aetna Medicare Advantage	$31.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.13
Rate for Payer: Cigna Commercial	$53.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.66
Rate for Payer: Oxford Commercial	$21.28
Rate for Payer: Qualcare PPO/HMO/WC	$15.96
Rate for Payer: UnitedHealthcare Commercial	$21.28
Rate for Payer: UnitedHealthcare Community & State	$3.36
Rate for Payer: Wellpoint Medicaid Managed Care	$3.02

PACK T AND A

Facility

$106.40

Hospital Charge Code	270653799
Hospital Revenue Code	272
Min. Negotiated Rate	$15.96
Max. Negotiated Rate	$15.96
Rate for Payer: Qualcare PPO/HMO/WC	$15.96

PACK TENODESIS SURGICAL DISP

Facility

$2,350.00

Hospital Charge Code	270700353
Hospital Revenue Code	272
Min. Negotiated Rate	$66.74
Max. Negotiated Rate	$1,175.00
Rate for Payer: Aetna Commercial	$893.00
Rate for Payer: Aetna Medicare Advantage	$705.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$599.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$599.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$599.25
Rate for Payer: Cigna Commercial	$1,175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$611.00
Rate for Payer: Oxford Commercial	$470.00
Rate for Payer: Qualcare PPO/HMO/WC	$352.50
Rate for Payer: UnitedHealthcare Commercial	$470.00
Rate for Payer: UnitedHealthcare Community & State	$74.26
Rate for Payer: Wellpoint Medicaid Managed Care	$66.74

PACK TENODESIS SURGICAL DISP

Facility

$2,350.00

Hospital Charge Code	270700353
Hospital Revenue Code	272
Min. Negotiated Rate	$352.50
Max. Negotiated Rate	$352.50
Rate for Payer: Qualcare PPO/HMO/WC	$352.50

PACK TX BONE SINGLE TXB

Facility

$6,475.00

Hospital Charge Code	270693668
Hospital Revenue Code	270
Min. Negotiated Rate	$183.89
Max. Negotiated Rate	$3,237.50
Rate for Payer: Aetna Commercial	$2,460.50
Rate for Payer: Aetna Medicare Advantage	$1,942.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,651.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,651.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,651.12
Rate for Payer: Cigna Commercial	$3,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,683.50
Rate for Payer: Oxford Commercial	$1,295.00
Rate for Payer: Qualcare PPO/HMO/WC	$971.25
Rate for Payer: UnitedHealthcare Commercial	$1,295.00
Rate for Payer: UnitedHealthcare Community & State	$204.61
Rate for Payer: Wellpoint Medicaid Managed Care	$183.89

PACK TX BONE SINGLE TXB

Facility

$6,475.00

Hospital Charge Code	270693668
Hospital Revenue Code	270
Min. Negotiated Rate	$971.25
Max. Negotiated Rate	$971.25
Rate for Payer: Qualcare PPO/HMO/WC	$971.25

PACK UPPER EXTREMITY III

Facility

$306.80

Hospital Charge Code	270653811
Hospital Revenue Code	272
Min. Negotiated Rate	$46.02
Max. Negotiated Rate	$46.02
Rate for Payer: Qualcare PPO/HMO/WC	$46.02

PACK UPPER EXTREMITY III

Facility

$306.80

Hospital Charge Code	270653811
Hospital Revenue Code	272
Min. Negotiated Rate	$8.71
Max. Negotiated Rate	$153.40
Rate for Payer: Aetna Commercial	$116.58
Rate for Payer: Aetna Medicare Advantage	$92.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78.23
Rate for Payer: Cigna Commercial	$153.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.77
Rate for Payer: Oxford Commercial	$61.36
Rate for Payer: Qualcare PPO/HMO/WC	$46.02
Rate for Payer: UnitedHealthcare Commercial	$61.36
Rate for Payer: UnitedHealthcare Community & State	$9.69
Rate for Payer: Wellpoint Medicaid Managed Care	$8.71

PACK VAGINAL SLINGS/

Facility

$256.15

Hospital Charge Code	270653805
Hospital Revenue Code	270
Min. Negotiated Rate	$7.27
Max. Negotiated Rate	$128.07
Rate for Payer: Aetna Commercial	$97.34
Rate for Payer: Aetna Medicare Advantage	$76.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.32
Rate for Payer: Cigna Commercial	$128.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.60
Rate for Payer: Oxford Commercial	$51.23
Rate for Payer: Qualcare PPO/HMO/WC	$38.42
Rate for Payer: UnitedHealthcare Commercial	$51.23
Rate for Payer: UnitedHealthcare Community & State	$8.09
Rate for Payer: Wellpoint Medicaid Managed Care	$7.27

Know your out-of-pocket cost for care.

All Charges