Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

QUICKANCHOR W/0 ORTHOCORD,BIT

Facility

$2,335.00

Hospital Charge Code	270669931
Hospital Revenue Code	278
Min. Negotiated Rate	$66.31
Max. Negotiated Rate	$1,167.50
Rate for Payer: Aetna Commercial	$887.30
Rate for Payer: Aetna Medicare Advantage	$700.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$595.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$595.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$467.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$595.42
Rate for Payer: Cigna Commercial	$1,167.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$565.07
Rate for Payer: Qualcare PPO/HMO/WC	$350.25
Rate for Payer: UnitedHealthcare Community & State	$73.79
Rate for Payer: Wellpoint Medicaid Managed Care	$66.31

QUICKANCHOR W/0 ORTHOCORD,BIT

Facility

$2,335.00

Hospital Charge Code	270669931
Hospital Revenue Code	278
Min. Negotiated Rate	$350.25
Max. Negotiated Rate	$565.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$467.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$565.07
Rate for Payer: Qualcare PPO/HMO/WC	$350.25

QUICK FILL TUBE(SYRINGE)

Facility

$11.00

Hospital Charge Code	270331483
Hospital Revenue Code	272
Min. Negotiated Rate	$0.31
Max. Negotiated Rate	$5.50
Rate for Payer: Aetna Commercial	$4.18
Rate for Payer: Aetna Medicare Advantage	$3.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.81
Rate for Payer: Cigna Commercial	$5.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.86
Rate for Payer: Oxford Commercial	$2.20
Rate for Payer: Qualcare PPO/HMO/WC	$1.65
Rate for Payer: UnitedHealthcare Commercial	$2.20
Rate for Payer: UnitedHealthcare Community & State	$0.35
Rate for Payer: Wellpoint Medicaid Managed Care	$0.31

QUICK FILL TUBE(SYRINGE)

Facility

$11.00

Hospital Charge Code	270331483
Hospital Revenue Code	272
Min. Negotiated Rate	$1.65
Max. Negotiated Rate	$1.65
Rate for Payer: Qualcare PPO/HMO/WC	$1.65

QUICKFIX 10MM SCREW

Facility

$550.00

Hospital Charge Code	270339443
Hospital Revenue Code	278
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$133.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

QUICKFIX 10MM SCREW

Facility

$550.00

Hospital Charge Code	270339443
Hospital Revenue Code	278
Min. Negotiated Rate	$15.62
Max. Negotiated Rate	$275.00
Rate for Payer: Aetna Commercial	$209.00
Rate for Payer: Aetna Medicare Advantage	$165.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: Qualcare PPO/HMO/WC	$82.50
Rate for Payer: UnitedHealthcare Community & State	$17.38
Rate for Payer: Wellpoint Medicaid Managed Care	$15.62

QUICK RELEASE KIT

Facility

$2,000.00

Hospital Charge Code	270678322
Hospital Revenue Code	272
Min. Negotiated Rate	$300.00
Max. Negotiated Rate	$300.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00

QUICK RELEASE KIT

Facility

$2,000.00

Hospital Charge Code	270678322
Hospital Revenue Code	272
Min. Negotiated Rate	$56.80
Max. Negotiated Rate	$1,000.00
Rate for Payer: Aetna Commercial	$760.00
Rate for Payer: Aetna Medicare Advantage	$600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$510.00
Rate for Payer: Cigna Commercial	$1,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$520.00
Rate for Payer: Oxford Commercial	$400.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00
Rate for Payer: UnitedHealthcare Commercial	$400.00
Rate for Payer: UnitedHealthcare Community & State	$63.20
Rate for Payer: Wellpoint Medicaid Managed Care	$56.80

QUICKSET 16CC

Facility

$14,962.50

Hospital Charge Code	270667209
Hospital Revenue Code	272
Min. Negotiated Rate	$424.94
Max. Negotiated Rate	$7,481.25
Rate for Payer: Aetna Commercial	$5,685.75
Rate for Payer: Aetna Medicare Advantage	$4,488.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,815.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,815.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,815.44
Rate for Payer: Cigna Commercial	$7,481.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,890.25
Rate for Payer: Oxford Commercial	$2,992.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,244.38
Rate for Payer: UnitedHealthcare Commercial	$2,992.50
Rate for Payer: UnitedHealthcare Community & State	$472.81
Rate for Payer: Wellpoint Medicaid Managed Care	$424.94

QUICKSET 16CC

Facility

$14,962.50

Hospital Charge Code	270667209
Hospital Revenue Code	272
Min. Negotiated Rate	$2,244.38
Max. Negotiated Rate	$2,244.38
Rate for Payer: Qualcare PPO/HMO/WC	$2,244.38

QUICK SET CEMENT 5CC

Facility

$7,700.00

Service Code	HCPCS C1713
Hospital Charge Code	270681315
Hospital Revenue Code	278
Min. Negotiated Rate	$1,155.00
Max. Negotiated Rate	$1,863.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,540.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,863.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,155.00

QUICK SET CEMENT 5CC

Facility

$7,700.00

Service Code	HCPCS C1713
Hospital Charge Code	270681315
Hospital Revenue Code	278
Min. Negotiated Rate	$218.68
Max. Negotiated Rate	$3,850.00
Rate for Payer: Aetna Commercial	$2,926.00
Rate for Payer: Aetna Medicare Advantage	$2,310.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,963.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,963.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,540.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,963.50
Rate for Payer: Cigna Commercial	$3,850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,863.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,155.00
Rate for Payer: UnitedHealthcare Community & State	$243.32
Rate for Payer: Wellpoint Medicaid Managed Care	$218.68

QUICKSET KIT

Facility

$9,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270681322
Hospital Revenue Code	278
Min. Negotiated Rate	$283.29
Max. Negotiated Rate	$4,987.50
Rate for Payer: Aetna Commercial	$3,790.50
Rate for Payer: Aetna Medicare Advantage	$2,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,543.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,543.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,995.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,543.62
Rate for Payer: Cigna Commercial	$4,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,413.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,496.25
Rate for Payer: UnitedHealthcare Community & State	$315.21
Rate for Payer: Wellpoint Medicaid Managed Care	$283.29

QUICKSET KIT

Facility

$7,700.00

Service Code	HCPCS C1713
Hospital Charge Code	270681350
Hospital Revenue Code	278
Min. Negotiated Rate	$1,155.00
Max. Negotiated Rate	$1,863.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,540.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,863.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,155.00

QUICKSET KIT

Facility

$7,700.00

Service Code	HCPCS C1713
Hospital Charge Code	270681350
Hospital Revenue Code	278
Min. Negotiated Rate	$218.68
Max. Negotiated Rate	$3,850.00
Rate for Payer: Aetna Commercial	$2,926.00
Rate for Payer: Aetna Medicare Advantage	$2,310.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,963.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,963.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,540.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,963.50
Rate for Payer: Cigna Commercial	$3,850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,863.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,155.00
Rate for Payer: UnitedHealthcare Community & State	$243.32
Rate for Payer: Wellpoint Medicaid Managed Care	$218.68

QUICKSET KIT

Facility

$9,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270681322
Hospital Revenue Code	278
Min. Negotiated Rate	$1,496.25
Max. Negotiated Rate	$2,413.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,995.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,413.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,496.25

QUICKSET KIT

Facility

$9,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270675562
Hospital Revenue Code	278
Min. Negotiated Rate	$1,496.25
Max. Negotiated Rate	$2,413.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,995.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,413.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,496.25

QUICKSET KIT

Facility

$9,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270675562
Hospital Revenue Code	278
Min. Negotiated Rate	$283.29
Max. Negotiated Rate	$4,987.50
Rate for Payer: Aetna Commercial	$3,790.50
Rate for Payer: Aetna Medicare Advantage	$2,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,543.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,543.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,995.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,543.62
Rate for Payer: Cigna Commercial	$4,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,413.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,496.25
Rate for Payer: UnitedHealthcare Community & State	$315.21
Rate for Payer: Wellpoint Medicaid Managed Care	$283.29

QUICKTRACH

Facility

$712.45

Hospital Charge Code	270680585
Hospital Revenue Code	272
Min. Negotiated Rate	$20.23
Max. Negotiated Rate	$356.23
Rate for Payer: Aetna Commercial	$270.73
Rate for Payer: Aetna Medicare Advantage	$213.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$181.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$181.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$181.67
Rate for Payer: Cigna Commercial	$356.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$185.24
Rate for Payer: Oxford Commercial	$142.49
Rate for Payer: Qualcare PPO/HMO/WC	$106.87
Rate for Payer: UnitedHealthcare Commercial	$142.49
Rate for Payer: UnitedHealthcare Community & State	$22.51
Rate for Payer: Wellpoint Medicaid Managed Care	$20.23

QUICKTRACH

Facility

$712.45

Hospital Charge Code	270680585
Hospital Revenue Code	272
Min. Negotiated Rate	$106.87
Max. Negotiated Rate	$106.87
Rate for Payer: Qualcare PPO/HMO/WC	$106.87

QUICKTRACH KIT 2.0MM

Facility

$930.05

Hospital Charge Code	270692860
Hospital Revenue Code	272
Min. Negotiated Rate	$26.41
Max. Negotiated Rate	$465.02
Rate for Payer: Aetna Commercial	$353.42
Rate for Payer: Aetna Medicare Advantage	$279.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$237.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$237.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$237.16
Rate for Payer: Cigna Commercial	$465.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$241.81
Rate for Payer: Oxford Commercial	$186.01
Rate for Payer: Qualcare PPO/HMO/WC	$139.51
Rate for Payer: UnitedHealthcare Commercial	$186.01
Rate for Payer: UnitedHealthcare Community & State	$29.39
Rate for Payer: Wellpoint Medicaid Managed Care	$26.41

QUICKTRACH KIT 2.0MM

Facility

$930.05

Hospital Charge Code	270692860
Hospital Revenue Code	272
Min. Negotiated Rate	$139.51
Max. Negotiated Rate	$139.51
Rate for Payer: Qualcare PPO/HMO/WC	$139.51

QUICK-VAC MIXING BOWL SINGLE

Facility

$11,630.00

Hospital Charge Code	270657073
Hospital Revenue Code	270
Min. Negotiated Rate	$1,744.50
Max. Negotiated Rate	$1,744.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,744.50

QUICK-VAC MIXING BOWL SINGLE

Facility

$11,630.00

Hospital Charge Code	270657073
Hospital Revenue Code	270
Min. Negotiated Rate	$330.29
Max. Negotiated Rate	$5,815.00
Rate for Payer: Aetna Commercial	$4,419.40
Rate for Payer: Aetna Medicare Advantage	$3,489.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,965.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,965.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,965.65
Rate for Payer: Cigna Commercial	$5,815.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,023.80
Rate for Payer: Oxford Commercial	$2,326.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,744.50
Rate for Payer: UnitedHealthcare Commercial	$2,326.00
Rate for Payer: UnitedHealthcare Community & State	$367.51
Rate for Payer: Wellpoint Medicaid Managed Care	$330.29

QUICKWHIP SUTURE

Facility

$405.00

Hospital Charge Code	270678190
Hospital Revenue Code	272
Min. Negotiated Rate	$11.50
Max. Negotiated Rate	$202.50
Rate for Payer: Aetna Commercial	$153.90
Rate for Payer: Aetna Medicare Advantage	$121.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$103.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$103.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$103.28
Rate for Payer: Cigna Commercial	$202.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.30
Rate for Payer: Oxford Commercial	$81.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.75
Rate for Payer: UnitedHealthcare Commercial	$81.00
Rate for Payer: UnitedHealthcare Community & State	$12.80
Rate for Payer: Wellpoint Medicaid Managed Care	$11.50

Know your out-of-pocket cost for care.

All Charges