Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

REAMER SHAFT 8x450 0227-3000S

Facility

$650.00

Hospital Charge Code	270638647
Hospital Revenue Code	272
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$97.50
Rate for Payer: Qualcare PPO/HMO/WC	$97.50

REAMER SHAFT, MOD.TRINKLE

Facility

$2,250.00

Hospital Charge Code	270656546
Hospital Revenue Code	272
Min. Negotiated Rate	$337.50
Max. Negotiated Rate	$337.50
Rate for Payer: Qualcare PPO/HMO/WC	$337.50

REAMER SHAFT, MOD.TRINKLE

Facility

$2,250.00

Hospital Charge Code	270656546
Hospital Revenue Code	272
Min. Negotiated Rate	$63.90
Max. Negotiated Rate	$1,125.00
Rate for Payer: Aetna Commercial	$855.00
Rate for Payer: Aetna Medicare Advantage	$675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$573.75
Rate for Payer: Cigna Commercial	$1,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$585.00
Rate for Payer: Oxford Commercial	$450.00
Rate for Payer: Qualcare PPO/HMO/WC	$337.50
Rate for Payer: UnitedHealthcare Commercial	$450.00
Rate for Payer: UnitedHealthcare Community & State	$71.10
Rate for Payer: Wellpoint Medicaid Managed Care	$63.90

REAMER SHAFT MOD TRINKLE 510MM

Facility

$2,652.10

Hospital Charge Code	270661838
Hospital Revenue Code	272
Min. Negotiated Rate	$397.81
Max. Negotiated Rate	$397.81
Rate for Payer: Qualcare PPO/HMO/WC	$397.81

REAMER SHAFT MOD TRINKLE 510MM

Facility

$2,652.10

Hospital Charge Code	270661838
Hospital Revenue Code	272
Min. Negotiated Rate	$75.32
Max. Negotiated Rate	$1,326.05
Rate for Payer: Aetna Commercial	$1,007.80
Rate for Payer: Aetna Medicare Advantage	$795.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$676.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$676.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$676.29
Rate for Payer: Cigna Commercial	$1,326.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$689.55
Rate for Payer: Oxford Commercial	$530.42
Rate for Payer: Qualcare PPO/HMO/WC	$397.81
Rate for Payer: UnitedHealthcare Commercial	$530.42
Rate for Payer: UnitedHealthcare Community & State	$83.81
Rate for Payer: Wellpoint Medicaid Managed Care	$75.32

REAMERS LOW PROFILE

Facility

$975.00

Hospital Charge Code	270675789
Hospital Revenue Code	272
Min. Negotiated Rate	$27.69
Max. Negotiated Rate	$487.50
Rate for Payer: Aetna Commercial	$370.50
Rate for Payer: Aetna Medicare Advantage	$292.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.62
Rate for Payer: Cigna Commercial	$487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$253.50
Rate for Payer: Oxford Commercial	$195.00
Rate for Payer: Qualcare PPO/HMO/WC	$146.25
Rate for Payer: UnitedHealthcare Commercial	$195.00
Rate for Payer: UnitedHealthcare Community & State	$30.81
Rate for Payer: Wellpoint Medicaid Managed Care	$27.69

REAMERS LOW PROFILE

Facility

$975.00

Hospital Charge Code	270675789
Hospital Revenue Code	272
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$146.25
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

REAMER STEPPED 9MM

Facility

$2,160.00

Hospital Charge Code	270694905
Hospital Revenue Code	272
Min. Negotiated Rate	$324.00
Max. Negotiated Rate	$324.00
Rate for Payer: Qualcare PPO/HMO/WC	$324.00

REAMER STEPPED 9MM

Facility

$2,160.00

Hospital Charge Code	270694905
Hospital Revenue Code	272
Min. Negotiated Rate	$61.34
Max. Negotiated Rate	$1,080.00
Rate for Payer: Aetna Commercial	$820.80
Rate for Payer: Aetna Medicare Advantage	$648.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$550.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$550.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$550.80
Rate for Payer: Cigna Commercial	$1,080.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$561.60
Rate for Payer: Oxford Commercial	$432.00
Rate for Payer: Qualcare PPO/HMO/WC	$324.00
Rate for Payer: UnitedHealthcare Commercial	$432.00
Rate for Payer: UnitedHealthcare Community & State	$68.26
Rate for Payer: Wellpoint Medicaid Managed Care	$61.34

REAMER TALAR SZ 4-6

Facility

$1,590.00

Service Code	HCPCS C1776
Hospital Charge Code	270678157
Hospital Revenue Code	278
Min. Negotiated Rate	$45.16
Max. Negotiated Rate	$795.00
Rate for Payer: Aetna Commercial	$604.20
Rate for Payer: Aetna Medicare Advantage	$477.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$405.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$405.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$318.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$405.45
Rate for Payer: Cigna Commercial	$795.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$384.78
Rate for Payer: Qualcare PPO/HMO/WC	$238.50
Rate for Payer: UnitedHealthcare Community & State	$50.24
Rate for Payer: Wellpoint Medicaid Managed Care	$45.16

REAMER TALAR SZ 4-6

Facility

$1,590.00

Service Code	HCPCS C1776
Hospital Charge Code	270678157
Hospital Revenue Code	278
Min. Negotiated Rate	$238.50
Max. Negotiated Rate	$384.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$318.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$384.78
Rate for Payer: Qualcare PPO/HMO/WC	$238.50

REAMER TRIPLE COMPLETE DHS

Facility

$6,787.10

Hospital Charge Code	270693464
Hospital Revenue Code	272
Min. Negotiated Rate	$192.75
Max. Negotiated Rate	$3,393.55
Rate for Payer: Aetna Commercial	$2,579.10
Rate for Payer: Aetna Medicare Advantage	$2,036.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,730.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,730.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,730.71
Rate for Payer: Cigna Commercial	$3,393.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,764.65
Rate for Payer: Oxford Commercial	$1,357.42
Rate for Payer: Qualcare PPO/HMO/WC	$1,018.07
Rate for Payer: UnitedHealthcare Commercial	$1,357.42
Rate for Payer: UnitedHealthcare Community & State	$214.47
Rate for Payer: Wellpoint Medicaid Managed Care	$192.75

REAMER TRIPLE COMPLETE DHS

Facility

$6,787.10

Hospital Charge Code	270693464
Hospital Revenue Code	272
Min. Negotiated Rate	$1,018.07
Max. Negotiated Rate	$1,018.07
Rate for Payer: Qualcare PPO/HMO/WC	$1,018.07

REAMER TUBE SPARE 4.5MM

Facility

$1,044.00

Hospital Charge Code	270653622
Hospital Revenue Code	272
Min. Negotiated Rate	$29.65
Max. Negotiated Rate	$522.00
Rate for Payer: Aetna Commercial	$396.72
Rate for Payer: Aetna Medicare Advantage	$313.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$266.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$266.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$266.22
Rate for Payer: Cigna Commercial	$522.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$271.44
Rate for Payer: Oxford Commercial	$208.80
Rate for Payer: Qualcare PPO/HMO/WC	$156.60
Rate for Payer: UnitedHealthcare Commercial	$208.80
Rate for Payer: UnitedHealthcare Community & State	$32.99
Rate for Payer: Wellpoint Medicaid Managed Care	$29.65

REAMER TUBE SPARE 4.5MM

Facility

$1,044.00

Hospital Charge Code	270653622
Hospital Revenue Code	272
Min. Negotiated Rate	$156.60
Max. Negotiated Rate	$156.60
Rate for Payer: Qualcare PPO/HMO/WC	$156.60

REAR TIP EXTENDER .5CM

Facility

$21.40

Service Code	HCPCS C1813
Hospital Charge Code	270663882
Hospital Revenue Code	278
Min. Negotiated Rate	$0.61
Max. Negotiated Rate	$10.70
Rate for Payer: Aetna Commercial	$8.13
Rate for Payer: Aetna Medicare Advantage	$6.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.46
Rate for Payer: Cigna Commercial	$10.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.18
Rate for Payer: Qualcare PPO/HMO/WC	$3.21
Rate for Payer: UnitedHealthcare Community & State	$0.68
Rate for Payer: Wellpoint Medicaid Managed Care	$0.61

REAR TIP EXTENDER .5CM

Facility

$21.40

Service Code	HCPCS C1813
Hospital Charge Code	270663882
Hospital Revenue Code	278
Min. Negotiated Rate	$3.21
Max. Negotiated Rate	$5.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.18
Rate for Payer: Qualcare PPO/HMO/WC	$3.21

REBUILD OUTER EAR CANAL

Facility

$34,883.20

Service Code	HCPCS 69310
Hospital Charge Code	1600000306
Hospital Revenue Code	360
Min. Negotiated Rate	$1,102.31
Max. Negotiated Rate	$25,511.88
Rate for Payer: Aetna Commercial	$19,129.52
Rate for Payer: Aetna Medicare Advantage	$22,786.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25,511.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25,511.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7,032.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25,511.88
Rate for Payer: Cigna Commercial	$14,097.46
Rate for Payer: Cigna Medicare Advantage	$7,032.91
Rate for Payer: Clover Medicare Advantage	$6,681.26
Rate for Payer: EmblemHealth Commercial	$21,098.73
Rate for Payer: Humana Medicare Advantage	$7,243.90
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$7,032.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,069.63
Rate for Payer: Oxford Commercial	$11,677.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,232.48
Rate for Payer: UnitedHealthcare Commercial	$12,906.00
Rate for Payer: UnitedHealthcare Community & State	$1,102.31
Rate for Payer: UnitedHealthcare Medicare Advantage	$7,032.91
Rate for Payer: Wellcare Medicare Advantage	$7,032.91
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,864.72
Rate for Payer: Wellpoint Medicaid Managed Care	$7,710.51

REBUILD OUTER EAR CANAL

Facility

$34,883.20

Service Code	HCPCS 69310
Hospital Charge Code	1600000306
Hospital Revenue Code	360
Min. Negotiated Rate	$5,232.48
Max. Negotiated Rate	$5,232.48
Rate for Payer: Qualcare PPO/HMO/WC	$5,232.48

REC - C-SECTION

Facility

$1,494.00

Hospital Charge Code	73190153
Hospital Revenue Code	710
Min. Negotiated Rate	$42.43
Max. Negotiated Rate	$747.00
Rate for Payer: Aetna Commercial	$567.72
Rate for Payer: Aetna Medicare Advantage	$448.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$380.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$380.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$380.97
Rate for Payer: Cigna Commercial	$747.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$388.44
Rate for Payer: Oxford Commercial	$298.80
Rate for Payer: Qualcare PPO/HMO/WC	$224.10
Rate for Payer: UnitedHealthcare Commercial	$298.80
Rate for Payer: UnitedHealthcare Community & State	$47.21
Rate for Payer: Wellpoint Medicaid Managed Care	$42.43

REC - C-SECTION

Facility

$1,494.00

Hospital Charge Code	73190153
Hospital Revenue Code	710
Min. Negotiated Rate	$224.10
Max. Negotiated Rate	$224.10
Rate for Payer: Qualcare PPO/HMO/WC	$224.10

REC - C-SEC W/ PROC

Facility

$1,328.00

Hospital Charge Code	73190154
Hospital Revenue Code	710
Min. Negotiated Rate	$37.72
Max. Negotiated Rate	$664.00
Rate for Payer: Aetna Commercial	$504.64
Rate for Payer: Aetna Medicare Advantage	$398.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$338.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$338.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$338.64
Rate for Payer: Cigna Commercial	$664.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$345.28
Rate for Payer: Oxford Commercial	$265.60
Rate for Payer: Qualcare PPO/HMO/WC	$199.20
Rate for Payer: UnitedHealthcare Commercial	$265.60
Rate for Payer: UnitedHealthcare Community & State	$41.96
Rate for Payer: Wellpoint Medicaid Managed Care	$37.72

REC - C-SEC W/ PROC

Facility

$1,328.00

Hospital Charge Code	73190154
Hospital Revenue Code	710
Min. Negotiated Rate	$199.20
Max. Negotiated Rate	$199.20
Rate for Payer: Qualcare PPO/HMO/WC	$199.20

RECHANNELING OF ARTERY

Facility

$12,015.00

Service Code	HCPCS 35302
Hospital Charge Code	1600000420
Hospital Revenue Code	360
Min. Negotiated Rate	$1,802.25
Max. Negotiated Rate	$1,802.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,802.25

RECHANNELING OF ARTERY

Facility

$12,015.00

Service Code	HCPCS 35302
Hospital Charge Code	1600000420
Hospital Revenue Code	360
Min. Negotiated Rate	$341.23
Max. Negotiated Rate	$10,269.00
Rate for Payer: Aetna Commercial	$4,565.70
Rate for Payer: Aetna Medicare Advantage	$3,604.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,063.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,063.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,063.82
Rate for Payer: Cigna Commercial	$6,007.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,123.90
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,802.25
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$379.67
Rate for Payer: Wellpoint Medicaid Managed Care	$341.23

Know your out-of-pocket cost for care.

All Charges