Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

PILLOW ABDUCTION

Facility

$80.93

Hospital Charge Code	270655566
Hospital Revenue Code	271
Min. Negotiated Rate	$12.14
Max. Negotiated Rate	$12.14
Rate for Payer: Qualcare PPO/HMO/WC	$12.14

PILLOW ABDUCTION

Facility

$80.93

Hospital Charge Code	270655566
Hospital Revenue Code	271
Min. Negotiated Rate	$2.30
Max. Negotiated Rate	$40.47
Rate for Payer: Aetna Commercial	$30.75
Rate for Payer: Aetna Medicare Advantage	$24.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.64
Rate for Payer: Cigna Commercial	$40.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.04
Rate for Payer: Oxford Commercial	$16.19
Rate for Payer: Qualcare PPO/HMO/WC	$12.14
Rate for Payer: UnitedHealthcare Commercial	$16.19
Rate for Payer: UnitedHealthcare Community & State	$2.56
Rate for Payer: Wellpoint Medicaid Managed Care	$2.30

PILLOW ABDUCTION MED

Facility

$209.95

Hospital Charge Code	270600341
Hospital Revenue Code	270
Min. Negotiated Rate	$5.96
Max. Negotiated Rate	$104.97
Rate for Payer: Aetna Commercial	$79.78
Rate for Payer: Aetna Medicare Advantage	$62.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.54
Rate for Payer: Cigna Commercial	$104.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.59
Rate for Payer: Oxford Commercial	$41.99
Rate for Payer: Qualcare PPO/HMO/WC	$31.49
Rate for Payer: UnitedHealthcare Commercial	$41.99
Rate for Payer: UnitedHealthcare Community & State	$6.63
Rate for Payer: Wellpoint Medicaid Managed Care	$5.96

PILLOW ABDUCTION MED

Facility

$209.95

Hospital Charge Code	270600341
Hospital Revenue Code	270
Min. Negotiated Rate	$31.49
Max. Negotiated Rate	$31.49
Rate for Payer: Qualcare PPO/HMO/WC	$31.49

PILLOW ABDUCTION MEDIUM

Facility

$80.93

Hospital Charge Code	270650304
Hospital Revenue Code	272
Min. Negotiated Rate	$2.30
Max. Negotiated Rate	$40.47
Rate for Payer: Aetna Commercial	$30.75
Rate for Payer: Aetna Medicare Advantage	$24.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.64
Rate for Payer: Cigna Commercial	$40.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.04
Rate for Payer: Oxford Commercial	$16.19
Rate for Payer: Qualcare PPO/HMO/WC	$12.14
Rate for Payer: UnitedHealthcare Commercial	$16.19
Rate for Payer: UnitedHealthcare Community & State	$2.56
Rate for Payer: Wellpoint Medicaid Managed Care	$2.30

PILLOW ABDUCTION MEDIUM

Facility

$80.93

Hospital Charge Code	270650304
Hospital Revenue Code	272
Min. Negotiated Rate	$12.14
Max. Negotiated Rate	$12.14
Rate for Payer: Qualcare PPO/HMO/WC	$12.14

PILLOW ABDUCTION SM

Facility

$147.64

Hospital Charge Code	270600340
Hospital Revenue Code	270
Min. Negotiated Rate	$4.19
Max. Negotiated Rate	$73.82
Rate for Payer: Aetna Commercial	$56.10
Rate for Payer: Aetna Medicare Advantage	$44.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.65
Rate for Payer: Cigna Commercial	$73.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.39
Rate for Payer: Oxford Commercial	$29.53
Rate for Payer: Qualcare PPO/HMO/WC	$22.15
Rate for Payer: UnitedHealthcare Commercial	$29.53
Rate for Payer: UnitedHealthcare Community & State	$4.67
Rate for Payer: Wellpoint Medicaid Managed Care	$4.19

PILLOW ABDUCTION SM

Facility

$147.64

Hospital Charge Code	270600340
Hospital Revenue Code	270
Min. Negotiated Rate	$22.15
Max. Negotiated Rate	$22.15
Rate for Payer: Qualcare PPO/HMO/WC	$22.15

PILLOW ABDUCTION SMALL

Facility

$92.29

Hospital Charge Code	270651036
Hospital Revenue Code	272
Min. Negotiated Rate	$2.62
Max. Negotiated Rate	$46.15
Rate for Payer: Aetna Commercial	$35.07
Rate for Payer: Aetna Medicare Advantage	$27.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.53
Rate for Payer: Cigna Commercial	$46.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.00
Rate for Payer: Oxford Commercial	$18.46
Rate for Payer: Qualcare PPO/HMO/WC	$13.84
Rate for Payer: UnitedHealthcare Commercial	$18.46
Rate for Payer: UnitedHealthcare Community & State	$2.92
Rate for Payer: Wellpoint Medicaid Managed Care	$2.62

PILLOW ABDUCTION SMALL

Facility

$92.29

Hospital Charge Code	270651036
Hospital Revenue Code	272
Min. Negotiated Rate	$13.84
Max. Negotiated Rate	$13.84
Rate for Payer: Qualcare PPO/HMO/WC	$13.84

PILLOW FOOT

Facility

$72.45

Hospital Charge Code	270302940
Hospital Revenue Code	271
Min. Negotiated Rate	$2.06
Max. Negotiated Rate	$36.23
Rate for Payer: Aetna Commercial	$27.53
Rate for Payer: Aetna Medicare Advantage	$21.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.47
Rate for Payer: Cigna Commercial	$36.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.84
Rate for Payer: Oxford Commercial	$14.49
Rate for Payer: Qualcare PPO/HMO/WC	$10.87
Rate for Payer: UnitedHealthcare Commercial	$14.49
Rate for Payer: UnitedHealthcare Community & State	$2.29
Rate for Payer: Wellpoint Medicaid Managed Care	$2.06

PILLOW FOOT

Facility

$72.45

Hospital Charge Code	270302940
Hospital Revenue Code	271
Min. Negotiated Rate	$10.87
Max. Negotiated Rate	$10.87
Rate for Payer: Qualcare PPO/HMO/WC	$10.87

PILLOW SHOULDER ABDUCTN LG

Facility

$158.70

Hospital Charge Code	270652248
Hospital Revenue Code	272
Min. Negotiated Rate	$4.51
Max. Negotiated Rate	$79.35
Rate for Payer: Aetna Commercial	$60.31
Rate for Payer: Aetna Medicare Advantage	$47.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.47
Rate for Payer: Cigna Commercial	$79.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.26
Rate for Payer: Oxford Commercial	$31.74
Rate for Payer: Qualcare PPO/HMO/WC	$23.80
Rate for Payer: UnitedHealthcare Commercial	$31.74
Rate for Payer: UnitedHealthcare Community & State	$5.01
Rate for Payer: Wellpoint Medicaid Managed Care	$4.51

PILLOW SHOULDER ABDUCTN LG

Facility

$158.70

Hospital Charge Code	270652248
Hospital Revenue Code	272
Min. Negotiated Rate	$23.80
Max. Negotiated Rate	$23.80
Rate for Payer: Qualcare PPO/HMO/WC	$23.80

PILOCARPINE OPHT 1% 15ML

Facility

$660.35

Service Code	NDC 61314020315
Hospital Charge Code	6004352
Hospital Revenue Code	251
Min. Negotiated Rate	$18.75
Max. Negotiated Rate	$330.18
Rate for Payer: Aetna Commercial	$250.93
Rate for Payer: Aetna Medicare Advantage	$198.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.39
Rate for Payer: Cigna Commercial	$330.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$171.69
Rate for Payer: Oxford Commercial	$132.07
Rate for Payer: Qualcare PPO/HMO/WC	$99.05
Rate for Payer: UnitedHealthcare Commercial	$132.07
Rate for Payer: UnitedHealthcare Community & State	$20.87
Rate for Payer: Wellpoint Medicaid Managed Care	$18.75

PILOCARPINE OPHT 1% 15ML

Facility

$660.35

Service Code	NDC 61314020315
Hospital Charge Code	6004352
Hospital Revenue Code	251
Min. Negotiated Rate	$99.05
Max. Negotiated Rate	$99.05
Rate for Payer: Qualcare PPO/HMO/WC	$99.05

PILOCARPINE OPHT 2% 15ML

Facility

$675.43

Service Code	NDC 998020415
Hospital Charge Code	6004360
Hospital Revenue Code	251
Min. Negotiated Rate	$101.31
Max. Negotiated Rate	$101.31
Rate for Payer: Qualcare PPO/HMO/WC	$101.31

PILOCARPINE OPHT 2% 15ML

Facility

$675.43

Service Code	NDC 998020415
Hospital Charge Code	6004360
Hospital Revenue Code	251
Min. Negotiated Rate	$19.18
Max. Negotiated Rate	$337.71
Rate for Payer: Aetna Commercial	$256.66
Rate for Payer: Aetna Medicare Advantage	$202.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$172.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$172.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$172.23
Rate for Payer: Cigna Commercial	$337.71
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$175.61
Rate for Payer: Oxford Commercial	$135.09
Rate for Payer: Qualcare PPO/HMO/WC	$101.31
Rate for Payer: UnitedHealthcare Commercial	$135.09
Rate for Payer: UnitedHealthcare Community & State	$21.34
Rate for Payer: Wellpoint Medicaid Managed Care	$19.18

PILOT DRILL SHORT 2.0MM QUICK

Facility

$768.75

Hospital Charge Code	270669683
Hospital Revenue Code	272
Min. Negotiated Rate	$115.31
Max. Negotiated Rate	$115.31
Rate for Payer: Qualcare PPO/HMO/WC	$115.31

PILOT DRILL SHORT 2.0MM QUICK

Facility

$768.75

Hospital Charge Code	270669683
Hospital Revenue Code	272
Min. Negotiated Rate	$21.83
Max. Negotiated Rate	$384.38
Rate for Payer: Aetna Commercial	$292.12
Rate for Payer: Aetna Medicare Advantage	$230.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$196.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$196.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$196.03
Rate for Payer: Cigna Commercial	$384.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$199.88
Rate for Payer: Oxford Commercial	$153.75
Rate for Payer: Qualcare PPO/HMO/WC	$115.31
Rate for Payer: UnitedHealthcare Commercial	$153.75
Rate for Payer: UnitedHealthcare Community & State	$24.29
Rate for Payer: Wellpoint Medicaid Managed Care	$21.83

PIN 12 THR 1.65 MM X 45 MM

Facility

$661.00

Service Code	HCPCS C1713
Hospital Charge Code	270688789
Hospital Revenue Code	278
Min. Negotiated Rate	$18.77
Max. Negotiated Rate	$330.50
Rate for Payer: Aetna Commercial	$251.18
Rate for Payer: Aetna Medicare Advantage	$198.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.56
Rate for Payer: Cigna Commercial	$330.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.96
Rate for Payer: Qualcare PPO/HMO/WC	$99.15
Rate for Payer: UnitedHealthcare Community & State	$20.89
Rate for Payer: Wellpoint Medicaid Managed Care	$18.77

PIN 12 THR 1.65 MM X 45 MM

Facility

$661.00

Service Code	HCPCS C1713
Hospital Charge Code	270688789
Hospital Revenue Code	278
Min. Negotiated Rate	$99.15
Max. Negotiated Rate	$159.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.96
Rate for Payer: Qualcare PPO/HMO/WC	$99.15

PIN 14MM CASPAR DISTRACTOR

Facility

$4,695.00

Service Code	HCPCS C1713
Hospital Charge Code	270657251
Hospital Revenue Code	278
Min. Negotiated Rate	$133.34
Max. Negotiated Rate	$2,347.50
Rate for Payer: Aetna Commercial	$1,784.10
Rate for Payer: Aetna Medicare Advantage	$1,408.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,197.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,197.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$939.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,197.22
Rate for Payer: Cigna Commercial	$2,347.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,136.19
Rate for Payer: Qualcare PPO/HMO/WC	$704.25
Rate for Payer: UnitedHealthcare Community & State	$148.36
Rate for Payer: Wellpoint Medicaid Managed Care	$133.34

PIN 14MM CASPAR DISTRACTOR

Facility

$4,695.00

Service Code	HCPCS C1713
Hospital Charge Code	270657251
Hospital Revenue Code	278
Min. Negotiated Rate	$704.25
Max. Negotiated Rate	$1,136.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$939.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,136.19
Rate for Payer: Qualcare PPO/HMO/WC	$704.25

PIN 2.4MM

Facility

$1,485.00

Hospital Charge Code	270684912
Hospital Revenue Code	272
Min. Negotiated Rate	$42.17
Max. Negotiated Rate	$742.50
Rate for Payer: Aetna Commercial	$564.30
Rate for Payer: Aetna Medicare Advantage	$445.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$378.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$378.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$378.68
Rate for Payer: Cigna Commercial	$742.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$386.10
Rate for Payer: Oxford Commercial	$297.00
Rate for Payer: Qualcare PPO/HMO/WC	$222.75
Rate for Payer: UnitedHealthcare Commercial	$297.00
Rate for Payer: UnitedHealthcare Community & State	$46.93
Rate for Payer: Wellpoint Medicaid Managed Care	$42.17

Know your out-of-pocket cost for care.

All Charges