Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

RELOAD LINEAR CUTTER 45MM BLUE

Facility

$638.58

Hospital Charge Code	270625729
Hospital Revenue Code	272
Min. Negotiated Rate	$95.79
Max. Negotiated Rate	$95.79
Rate for Payer: Qualcare PPO/HMO/WC	$95.79

RELOAD LINEAR CUTTER 45MM BLUE

Facility

$638.58

Hospital Charge Code	270625729
Hospital Revenue Code	272
Min. Negotiated Rate	$18.14
Max. Negotiated Rate	$319.29
Rate for Payer: Aetna Commercial	$242.66
Rate for Payer: Aetna Medicare Advantage	$191.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$162.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$162.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$162.84
Rate for Payer: Cigna Commercial	$319.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$166.03
Rate for Payer: Oxford Commercial	$127.72
Rate for Payer: Qualcare PPO/HMO/WC	$95.79
Rate for Payer: UnitedHealthcare Commercial	$127.72
Rate for Payer: UnitedHealthcare Community & State	$20.18
Rate for Payer: Wellpoint Medicaid Managed Care	$18.14

RELOAD LINEAR CUTTER 55MM GRN

Facility

$241.86

Hospital Charge Code	270658383
Hospital Revenue Code	272
Min. Negotiated Rate	$6.87
Max. Negotiated Rate	$120.93
Rate for Payer: Aetna Commercial	$91.91
Rate for Payer: Aetna Medicare Advantage	$72.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.67
Rate for Payer: Cigna Commercial	$120.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.88
Rate for Payer: Oxford Commercial	$48.37
Rate for Payer: Qualcare PPO/HMO/WC	$36.28
Rate for Payer: UnitedHealthcare Commercial	$48.37
Rate for Payer: UnitedHealthcare Community & State	$7.64
Rate for Payer: Wellpoint Medicaid Managed Care	$6.87

RELOAD LINEAR CUTTER 55MM GRN

Facility

$241.86

Hospital Charge Code	270658383
Hospital Revenue Code	272
Min. Negotiated Rate	$36.28
Max. Negotiated Rate	$36.28
Rate for Payer: Qualcare PPO/HMO/WC	$36.28

RELOAD LINEAR CUTTER 75MM

Facility

$94.00

Hospital Charge Code	270338708
Hospital Revenue Code	272
Min. Negotiated Rate	$14.10
Max. Negotiated Rate	$14.10
Rate for Payer: Qualcare PPO/HMO/WC	$14.10

RELOAD LINEAR CUTTER 75MM

Facility

$94.00

Hospital Charge Code	270338708
Hospital Revenue Code	272
Min. Negotiated Rate	$2.67
Max. Negotiated Rate	$47.00
Rate for Payer: Aetna Commercial	$35.72
Rate for Payer: Aetna Medicare Advantage	$28.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.97
Rate for Payer: Cigna Commercial	$47.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.44
Rate for Payer: Oxford Commercial	$18.80
Rate for Payer: Qualcare PPO/HMO/WC	$14.10
Rate for Payer: UnitedHealthcare Commercial	$18.80
Rate for Payer: UnitedHealthcare Community & State	$2.97
Rate for Payer: Wellpoint Medicaid Managed Care	$2.67

RELOAD LINEAR CUTTER STAP 55MM

Facility

$94.00

Hospital Charge Code	270338691
Hospital Revenue Code	272
Min. Negotiated Rate	$14.10
Max. Negotiated Rate	$14.10
Rate for Payer: Qualcare PPO/HMO/WC	$14.10

RELOAD LINEAR CUTTER STAP 55MM

Facility

$94.00

Hospital Charge Code	270338691
Hospital Revenue Code	272
Min. Negotiated Rate	$2.67
Max. Negotiated Rate	$47.00
Rate for Payer: Aetna Commercial	$35.72
Rate for Payer: Aetna Medicare Advantage	$28.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.97
Rate for Payer: Cigna Commercial	$47.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.44
Rate for Payer: Oxford Commercial	$18.80
Rate for Payer: Qualcare PPO/HMO/WC	$14.10
Rate for Payer: UnitedHealthcare Commercial	$18.80
Rate for Payer: UnitedHealthcare Community & State	$2.97
Rate for Payer: Wellpoint Medicaid Managed Care	$2.67

RELOAD LINEAR STAPLER 90MM

Facility

$120.00

Hospital Charge Code	270338706
Hospital Revenue Code	272
Min. Negotiated Rate	$18.00
Max. Negotiated Rate	$18.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.00

RELOAD LINEAR STAPLER 90MM

Facility

$120.00

Hospital Charge Code	270338706
Hospital Revenue Code	272
Min. Negotiated Rate	$3.41
Max. Negotiated Rate	$60.00
Rate for Payer: Aetna Commercial	$45.60
Rate for Payer: Aetna Medicare Advantage	$36.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.60
Rate for Payer: Cigna Commercial	$60.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.20
Rate for Payer: Oxford Commercial	$24.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.00
Rate for Payer: UnitedHealthcare Commercial	$24.00
Rate for Payer: UnitedHealthcare Community & State	$3.79
Rate for Payer: Wellpoint Medicaid Managed Care	$3.41

RELOAD PROXIMATE 30MM 3.5MM

Facility

$209.34

Hospital Charge Code	270658360
Hospital Revenue Code	272
Min. Negotiated Rate	$31.40
Max. Negotiated Rate	$31.40
Rate for Payer: Qualcare PPO/HMO/WC	$31.40

RELOAD PROXIMATE 30MM 3.5MM

Facility

$209.34

Hospital Charge Code	270658360
Hospital Revenue Code	272
Min. Negotiated Rate	$5.95
Max. Negotiated Rate	$104.67
Rate for Payer: Aetna Commercial	$79.55
Rate for Payer: Aetna Medicare Advantage	$62.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.38
Rate for Payer: Cigna Commercial	$104.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.43
Rate for Payer: Oxford Commercial	$41.87
Rate for Payer: Qualcare PPO/HMO/WC	$31.40
Rate for Payer: UnitedHealthcare Commercial	$41.87
Rate for Payer: UnitedHealthcare Community & State	$6.62
Rate for Payer: Wellpoint Medicaid Managed Care	$5.95

RELOAD PROXIMATE 30MM 4.8MM

Facility

$204.95

Hospital Charge Code	270658359
Hospital Revenue Code	272
Min. Negotiated Rate	$30.74
Max. Negotiated Rate	$30.74
Rate for Payer: Qualcare PPO/HMO/WC	$30.74

RELOAD PROXIMATE 30MM 4.8MM

Facility

$204.95

Hospital Charge Code	270658359
Hospital Revenue Code	272
Min. Negotiated Rate	$5.82
Max. Negotiated Rate	$102.47
Rate for Payer: Aetna Commercial	$77.88
Rate for Payer: Aetna Medicare Advantage	$61.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.26
Rate for Payer: Cigna Commercial	$102.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.29
Rate for Payer: Oxford Commercial	$40.99
Rate for Payer: Qualcare PPO/HMO/WC	$30.74
Rate for Payer: UnitedHealthcare Commercial	$40.99
Rate for Payer: UnitedHealthcare Community & State	$6.48
Rate for Payer: Wellpoint Medicaid Managed Care	$5.82

RELOAD PROXIMATE 90mm

Facility

$371.68

Hospital Charge Code	270658540
Hospital Revenue Code	272
Min. Negotiated Rate	$10.56
Max. Negotiated Rate	$185.84
Rate for Payer: Aetna Commercial	$141.24
Rate for Payer: Aetna Medicare Advantage	$111.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.78
Rate for Payer: Cigna Commercial	$185.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.64
Rate for Payer: Oxford Commercial	$74.34
Rate for Payer: Qualcare PPO/HMO/WC	$55.75
Rate for Payer: UnitedHealthcare Commercial	$74.34
Rate for Payer: UnitedHealthcare Community & State	$11.75
Rate for Payer: Wellpoint Medicaid Managed Care	$10.56

RELOAD PROXIMATE 90mm

Facility

$371.68

Hospital Charge Code	270658540
Hospital Revenue Code	272
Min. Negotiated Rate	$55.75
Max. Negotiated Rate	$55.75
Rate for Payer: Qualcare PPO/HMO/WC	$55.75

RELOAD PROXIMATE CUTTER 55mm

Facility

$749.05

Hospital Charge Code	270658384
Hospital Revenue Code	272
Min. Negotiated Rate	$21.27
Max. Negotiated Rate	$374.52
Rate for Payer: Aetna Commercial	$284.64
Rate for Payer: Aetna Medicare Advantage	$224.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.01
Rate for Payer: Cigna Commercial	$374.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.75
Rate for Payer: Oxford Commercial	$149.81
Rate for Payer: Qualcare PPO/HMO/WC	$112.36
Rate for Payer: UnitedHealthcare Commercial	$149.81
Rate for Payer: UnitedHealthcare Community & State	$23.67
Rate for Payer: Wellpoint Medicaid Managed Care	$21.27

RELOAD PROXIMATE CUTTER 55mm

Facility

$749.05

Hospital Charge Code	270658384
Hospital Revenue Code	272
Min. Negotiated Rate	$112.36
Max. Negotiated Rate	$112.36
Rate for Payer: Qualcare PPO/HMO/WC	$112.36

RELOAD PROXIMATE VASC 30MM

Facility

$210.70

Hospital Charge Code	270658358
Hospital Revenue Code	272
Min. Negotiated Rate	$5.98
Max. Negotiated Rate	$105.35
Rate for Payer: Aetna Commercial	$80.07
Rate for Payer: Aetna Medicare Advantage	$63.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.73
Rate for Payer: Cigna Commercial	$105.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.78
Rate for Payer: Oxford Commercial	$42.14
Rate for Payer: Qualcare PPO/HMO/WC	$31.61
Rate for Payer: UnitedHealthcare Commercial	$42.14
Rate for Payer: UnitedHealthcare Community & State	$6.66
Rate for Payer: Wellpoint Medicaid Managed Care	$5.98

RELOAD PROXIMATE VASC 30MM

Facility

$210.70

Hospital Charge Code	270658358
Hospital Revenue Code	272
Min. Negotiated Rate	$31.61
Max. Negotiated Rate	$31.61
Rate for Payer: Qualcare PPO/HMO/WC	$31.61

RELOAD RELIATACK ARTICULATING

Facility

$670.27

Hospital Charge Code	270673106
Hospital Revenue Code	272
Min. Negotiated Rate	$19.04
Max. Negotiated Rate	$335.13
Rate for Payer: Aetna Commercial	$254.70
Rate for Payer: Aetna Medicare Advantage	$201.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$170.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$170.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$170.92
Rate for Payer: Cigna Commercial	$335.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.27
Rate for Payer: Oxford Commercial	$134.05
Rate for Payer: Qualcare PPO/HMO/WC	$100.54
Rate for Payer: UnitedHealthcare Commercial	$134.05
Rate for Payer: UnitedHealthcare Community & State	$21.18
Rate for Payer: Wellpoint Medicaid Managed Care	$19.04

RELOAD RELIATACK ARTICULATING

Facility

$670.27

Hospital Charge Code	270673106
Hospital Revenue Code	272
Min. Negotiated Rate	$100.54
Max. Negotiated Rate	$100.54
Rate for Payer: Qualcare PPO/HMO/WC	$100.54

RELOAD RELIATACK ARTICULATING

Facility

$2,478.52

Hospital Charge Code	270680297
Hospital Revenue Code	272
Min. Negotiated Rate	$70.39
Max. Negotiated Rate	$1,239.26
Rate for Payer: Aetna Commercial	$941.84
Rate for Payer: Aetna Medicare Advantage	$743.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$632.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$632.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$632.02
Rate for Payer: Cigna Commercial	$1,239.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$644.42
Rate for Payer: Oxford Commercial	$495.70
Rate for Payer: Qualcare PPO/HMO/WC	$371.78
Rate for Payer: UnitedHealthcare Commercial	$495.70
Rate for Payer: UnitedHealthcare Community & State	$78.32
Rate for Payer: Wellpoint Medicaid Managed Care	$70.39

RELOAD RELIATACK ARTICULATING

Facility

$2,478.52

Hospital Charge Code	270680297
Hospital Revenue Code	272
Min. Negotiated Rate	$371.78
Max. Negotiated Rate	$371.78
Rate for Payer: Qualcare PPO/HMO/WC	$371.78

RELOAD SMALL SIGNIA 30MM GRAY

Facility

$3,641.40

Hospital Charge Code	270692849
Hospital Revenue Code	272
Min. Negotiated Rate	$103.42
Max. Negotiated Rate	$1,820.70
Rate for Payer: Aetna Commercial	$1,383.73
Rate for Payer: Aetna Medicare Advantage	$1,092.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$928.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$928.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$928.56
Rate for Payer: Cigna Commercial	$1,820.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$946.76
Rate for Payer: Oxford Commercial	$728.28
Rate for Payer: Qualcare PPO/HMO/WC	$546.21
Rate for Payer: UnitedHealthcare Commercial	$728.28
Rate for Payer: UnitedHealthcare Community & State	$115.07
Rate for Payer: Wellpoint Medicaid Managed Care	$103.42

Know your out-of-pocket cost for care.

All Charges