Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

REAMER CANN PROXIMAL 20MM

Facility

$1,431.00

Hospital Charge Code	270677393
Hospital Revenue Code	272
Min. Negotiated Rate	$214.65
Max. Negotiated Rate	$214.65
Rate for Payer: Qualcare PPO/HMO/WC	$214.65

REAMER CONCAVE 10MM

Facility

$750.00

Hospital Charge Code	270679467
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

REAMER CONCAVE 10MM

Facility

$750.00

Hospital Charge Code	270679467
Hospital Revenue Code	272
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.00
Rate for Payer: Oxford Commercial	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Commercial	$150.00
Rate for Payer: UnitedHealthcare Community & State	$23.70
Rate for Payer: Wellpoint Medicaid Managed Care	$21.30

REAMER CONVEX 10MM

Facility

$750.00

Hospital Charge Code	270679468
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

REAMER CONVEX 10MM

Facility

$750.00

Hospital Charge Code	270679468
Hospital Revenue Code	272
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.00
Rate for Payer: Oxford Commercial	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Commercial	$150.00
Rate for Payer: UnitedHealthcare Community & State	$23.70
Rate for Payer: Wellpoint Medicaid Managed Care	$21.30

REAMER CORING 7MM

Facility

$1,025.00

Hospital Charge Code	270691578
Hospital Revenue Code	272
Min. Negotiated Rate	$153.75
Max. Negotiated Rate	$153.75
Rate for Payer: Qualcare PPO/HMO/WC	$153.75

REAMER CORING 7MM

Facility

$1,025.00

Hospital Charge Code	270691578
Hospital Revenue Code	272
Min. Negotiated Rate	$29.11
Max. Negotiated Rate	$512.50
Rate for Payer: Aetna Commercial	$389.50
Rate for Payer: Aetna Medicare Advantage	$307.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$261.38
Rate for Payer: Cigna Commercial	$512.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$266.50
Rate for Payer: Oxford Commercial	$205.00
Rate for Payer: Qualcare PPO/HMO/WC	$153.75
Rate for Payer: UnitedHealthcare Commercial	$205.00
Rate for Payer: UnitedHealthcare Community & State	$32.39
Rate for Payer: Wellpoint Medicaid Managed Care	$29.11

REAMER CORING CANN 11MM STR

Facility

$1,025.00

Hospital Charge Code	270672232
Hospital Revenue Code	272
Min. Negotiated Rate	$29.11
Max. Negotiated Rate	$512.50
Rate for Payer: Aetna Commercial	$389.50
Rate for Payer: Aetna Medicare Advantage	$307.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$261.38
Rate for Payer: Cigna Commercial	$512.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$266.50
Rate for Payer: Oxford Commercial	$205.00
Rate for Payer: Qualcare PPO/HMO/WC	$153.75
Rate for Payer: UnitedHealthcare Commercial	$205.00
Rate for Payer: UnitedHealthcare Community & State	$32.39
Rate for Payer: Wellpoint Medicaid Managed Care	$29.11

REAMER CORING CANN 11MM STR

Facility

$1,025.00

Hospital Charge Code	270672232
Hospital Revenue Code	272
Min. Negotiated Rate	$153.75
Max. Negotiated Rate	$153.75
Rate for Payer: Qualcare PPO/HMO/WC	$153.75

REAMER CROSS PLATE ANCHORAGE

Facility

$1,000.00

Hospital Charge Code	270676883
Hospital Revenue Code	272
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

REAMER CROSS PLATE ANCHORAGE

Facility

$1,000.00

Hospital Charge Code	270676883
Hospital Revenue Code	272
Min. Negotiated Rate	$28.40
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$380.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$260.00
Rate for Payer: Oxford Commercial	$200.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00
Rate for Payer: UnitedHealthcare Commercial	$200.00
Rate for Payer: UnitedHealthcare Community & State	$31.60
Rate for Payer: Wellpoint Medicaid Managed Care	$28.40

REAMER CUP SUBTAL FUSION 17MM

Facility

$1,750.00

Service Code	HCPCS A4649
Hospital Charge Code	270698262
Hospital Revenue Code	272
Min. Negotiated Rate	$49.70
Max. Negotiated Rate	$875.00
Rate for Payer: Aetna Commercial	$665.00
Rate for Payer: Aetna Medicare Advantage	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.25
Rate for Payer: Cigna Commercial	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$455.00
Rate for Payer: Oxford Commercial	$350.00
Rate for Payer: Qualcare PPO/HMO/WC	$262.50
Rate for Payer: UnitedHealthcare Commercial	$350.00
Rate for Payer: UnitedHealthcare Community & State	$55.30
Rate for Payer: Wellpoint Medicaid Managed Care	$49.70

REAMER CUP SUBTAL FUSION 17MM

Facility

$1,750.00

Service Code	HCPCS A4649
Hospital Charge Code	270698262
Hospital Revenue Code	272
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$262.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

REAMER DISTAL

Facility

$2,009.80

Hospital Charge Code	270689911
Hospital Revenue Code	272
Min. Negotiated Rate	$301.47
Max. Negotiated Rate	$301.47
Rate for Payer: Qualcare PPO/HMO/WC	$301.47

REAMER DISTAL

Facility

$2,009.80

Hospital Charge Code	270689911
Hospital Revenue Code	272
Min. Negotiated Rate	$57.08
Max. Negotiated Rate	$1,004.90
Rate for Payer: Aetna Commercial	$763.72
Rate for Payer: Aetna Medicare Advantage	$602.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$512.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$512.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$512.50
Rate for Payer: Cigna Commercial	$1,004.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$522.55
Rate for Payer: Oxford Commercial	$401.96
Rate for Payer: Qualcare PPO/HMO/WC	$301.47
Rate for Payer: UnitedHealthcare Commercial	$401.96
Rate for Payer: UnitedHealthcare Community & State	$63.51
Rate for Payer: Wellpoint Medicaid Managed Care	$57.08

REAMER FLEXIBLE 10.5

Facility

$1,750.00

Hospital Charge Code	270681324
Hospital Revenue Code	272
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$262.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

REAMER FLEXIBLE 10.5

Facility

$1,750.00

Hospital Charge Code	270681324
Hospital Revenue Code	272
Min. Negotiated Rate	$49.70
Max. Negotiated Rate	$875.00
Rate for Payer: Aetna Commercial	$665.00
Rate for Payer: Aetna Medicare Advantage	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.25
Rate for Payer: Cigna Commercial	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$455.00
Rate for Payer: Oxford Commercial	$350.00
Rate for Payer: Qualcare PPO/HMO/WC	$262.50
Rate for Payer: UnitedHealthcare Commercial	$350.00
Rate for Payer: UnitedHealthcare Community & State	$55.30
Rate for Payer: Wellpoint Medicaid Managed Care	$49.70

REAMER FLEXIBLE 85 MM

Facility

$13,320.00

Service Code	HCPCS C1713
Hospital Charge Code	270700709
Hospital Revenue Code	278
Min. Negotiated Rate	$378.29
Max. Negotiated Rate	$6,660.00
Rate for Payer: Aetna Commercial	$5,061.60
Rate for Payer: Aetna Medicare Advantage	$3,996.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,396.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,396.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,664.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,396.60
Rate for Payer: Cigna Commercial	$6,660.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,223.44
Rate for Payer: Qualcare PPO/HMO/WC	$1,998.00
Rate for Payer: UnitedHealthcare Community & State	$420.91
Rate for Payer: Wellpoint Medicaid Managed Care	$378.29

REAMER FLEXIBLE 85 MM

Facility

$13,320.00

Service Code	HCPCS C1713
Hospital Charge Code	270700709
Hospital Revenue Code	278
Min. Negotiated Rate	$1,998.00
Max. Negotiated Rate	$3,223.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,664.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,223.44
Rate for Payer: Qualcare PPO/HMO/WC	$1,998.00

REAMER FLEXIBLE 9.5

Facility

$1,750.00

Hospital Charge Code	270681325
Hospital Revenue Code	272
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$262.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

REAMER FLEXIBLE 9.5

Facility

$1,750.00

Hospital Charge Code	270681325
Hospital Revenue Code	272
Min. Negotiated Rate	$49.70
Max. Negotiated Rate	$875.00
Rate for Payer: Aetna Commercial	$665.00
Rate for Payer: Aetna Medicare Advantage	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.25
Rate for Payer: Cigna Commercial	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$455.00
Rate for Payer: Oxford Commercial	$350.00
Rate for Payer: Qualcare PPO/HMO/WC	$262.50
Rate for Payer: UnitedHealthcare Commercial	$350.00
Rate for Payer: UnitedHealthcare Community & State	$55.30
Rate for Payer: Wellpoint Medicaid Managed Care	$49.70

REAMER FLEXIBLE DD -MONOBLOC 6

Facility

$5,508.20

Hospital Charge Code	270694987
Hospital Revenue Code	279
Min. Negotiated Rate	$156.43
Max. Negotiated Rate	$2,754.10
Rate for Payer: Aetna Commercial	$2,093.12
Rate for Payer: Aetna Medicare Advantage	$1,652.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,404.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,404.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,404.59
Rate for Payer: Cigna Commercial	$2,754.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,432.13
Rate for Payer: Oxford Commercial	$1,101.64
Rate for Payer: Qualcare PPO/HMO/WC	$826.23
Rate for Payer: UnitedHealthcare Commercial	$1,101.64
Rate for Payer: UnitedHealthcare Community & State	$174.06
Rate for Payer: Wellpoint Medicaid Managed Care	$156.43

REAMER FLEXIBLE DD -MONOBLOC 6

Facility

$5,508.20

Hospital Charge Code	270694987
Hospital Revenue Code	279
Min. Negotiated Rate	$826.23
Max. Negotiated Rate	$826.23
Rate for Payer: Qualcare PPO/HMO/WC	$826.23

REAMER FLEX W/GUIDE PIN 10mm

Facility

$1,750.00

Hospital Charge Code	270681249
Hospital Revenue Code	272
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$262.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

REAMER FLEX W/GUIDE PIN 10mm

Facility

$1,750.00

Hospital Charge Code	270681249
Hospital Revenue Code	272
Min. Negotiated Rate	$49.70
Max. Negotiated Rate	$875.00
Rate for Payer: Aetna Commercial	$665.00
Rate for Payer: Aetna Medicare Advantage	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.25
Rate for Payer: Cigna Commercial	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$455.00
Rate for Payer: Oxford Commercial	$350.00
Rate for Payer: Qualcare PPO/HMO/WC	$262.50
Rate for Payer: UnitedHealthcare Commercial	$350.00
Rate for Payer: UnitedHealthcare Community & State	$55.30
Rate for Payer: Wellpoint Medicaid Managed Care	$49.70

Know your out-of-pocket cost for care.

All Charges