Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

RETRACTOR BLADE BLUNT 40MM

Facility

$358.60

Hospital Charge Code	270653462
Hospital Revenue Code	272
Min. Negotiated Rate	$53.79
Max. Negotiated Rate	$53.79
Rate for Payer: Qualcare PPO/HMO/WC	$53.79

RETRACTOR BLADE BLUNT 40MM

Facility

$358.60

Hospital Charge Code	270653462
Hospital Revenue Code	272
Min. Negotiated Rate	$10.18
Max. Negotiated Rate	$179.30
Rate for Payer: Aetna Commercial	$136.27
Rate for Payer: Aetna Medicare Advantage	$107.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.44
Rate for Payer: Cigna Commercial	$179.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$93.24
Rate for Payer: Oxford Commercial	$71.72
Rate for Payer: Qualcare PPO/HMO/WC	$53.79
Rate for Payer: UnitedHealthcare Commercial	$71.72
Rate for Payer: UnitedHealthcare Community & State	$11.33
Rate for Payer: Wellpoint Medicaid Managed Care	$10.18

RETRACTOR BLADE BLUNT 45MM

Facility

$358.60

Hospital Charge Code	270653463
Hospital Revenue Code	272
Min. Negotiated Rate	$10.18
Max. Negotiated Rate	$179.30
Rate for Payer: Aetna Commercial	$136.27
Rate for Payer: Aetna Medicare Advantage	$107.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.44
Rate for Payer: Cigna Commercial	$179.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$93.24
Rate for Payer: Oxford Commercial	$71.72
Rate for Payer: Qualcare PPO/HMO/WC	$53.79
Rate for Payer: UnitedHealthcare Commercial	$71.72
Rate for Payer: UnitedHealthcare Community & State	$11.33
Rate for Payer: Wellpoint Medicaid Managed Care	$10.18

RETRACTOR BLADE BLUNT 45MM

Facility

$358.60

Hospital Charge Code	270653463
Hospital Revenue Code	272
Min. Negotiated Rate	$53.79
Max. Negotiated Rate	$53.79
Rate for Payer: Qualcare PPO/HMO/WC	$53.79

RETRACTOR BLADE BLUNT 50MM

Facility

$358.60

Hospital Charge Code	270653464
Hospital Revenue Code	272
Min. Negotiated Rate	$53.79
Max. Negotiated Rate	$53.79
Rate for Payer: Qualcare PPO/HMO/WC	$53.79

RETRACTOR BLADE BLUNT 50MM

Facility

$358.60

Hospital Charge Code	270653464
Hospital Revenue Code	272
Min. Negotiated Rate	$10.18
Max. Negotiated Rate	$179.30
Rate for Payer: Aetna Commercial	$136.27
Rate for Payer: Aetna Medicare Advantage	$107.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.44
Rate for Payer: Cigna Commercial	$179.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$93.24
Rate for Payer: Oxford Commercial	$71.72
Rate for Payer: Qualcare PPO/HMO/WC	$53.79
Rate for Payer: UnitedHealthcare Commercial	$71.72
Rate for Payer: UnitedHealthcare Community & State	$11.33
Rate for Payer: Wellpoint Medicaid Managed Care	$10.18

RETRACTOR BLADE BLUNT 55MM

Facility

$358.60

Hospital Charge Code	270653465
Hospital Revenue Code	272
Min. Negotiated Rate	$53.79
Max. Negotiated Rate	$53.79
Rate for Payer: Qualcare PPO/HMO/WC	$53.79

RETRACTOR BLADE BLUNT 55MM

Facility

$358.60

Hospital Charge Code	270653465
Hospital Revenue Code	272
Min. Negotiated Rate	$10.18
Max. Negotiated Rate	$179.30
Rate for Payer: Aetna Commercial	$136.27
Rate for Payer: Aetna Medicare Advantage	$107.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.44
Rate for Payer: Cigna Commercial	$179.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$93.24
Rate for Payer: Oxford Commercial	$71.72
Rate for Payer: Qualcare PPO/HMO/WC	$53.79
Rate for Payer: UnitedHealthcare Commercial	$71.72
Rate for Payer: UnitedHealthcare Community & State	$11.33
Rate for Payer: Wellpoint Medicaid Managed Care	$10.18

RETRACTOR BLADE SHARP 35MM

Facility

$362.50

Hospital Charge Code	270653455
Hospital Revenue Code	272
Min. Negotiated Rate	$10.29
Max. Negotiated Rate	$181.25
Rate for Payer: Aetna Commercial	$137.75
Rate for Payer: Aetna Medicare Advantage	$108.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92.44
Rate for Payer: Cigna Commercial	$181.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.25
Rate for Payer: Oxford Commercial	$72.50
Rate for Payer: Qualcare PPO/HMO/WC	$54.38
Rate for Payer: UnitedHealthcare Commercial	$72.50
Rate for Payer: UnitedHealthcare Community & State	$11.46
Rate for Payer: Wellpoint Medicaid Managed Care	$10.29

RETRACTOR BLADE SHARP 35MM

Facility

$362.50

Hospital Charge Code	270653455
Hospital Revenue Code	272
Min. Negotiated Rate	$54.38
Max. Negotiated Rate	$54.38
Rate for Payer: Qualcare PPO/HMO/WC	$54.38

RETRACTOR BLADE SHARP 40MM

Facility

$362.50

Hospital Charge Code	270653456
Hospital Revenue Code	272
Min. Negotiated Rate	$54.38
Max. Negotiated Rate	$54.38
Rate for Payer: Qualcare PPO/HMO/WC	$54.38

RETRACTOR BLADE SHARP 40MM

Facility

$362.50

Hospital Charge Code	270653456
Hospital Revenue Code	272
Min. Negotiated Rate	$10.29
Max. Negotiated Rate	$181.25
Rate for Payer: Aetna Commercial	$137.75
Rate for Payer: Aetna Medicare Advantage	$108.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92.44
Rate for Payer: Cigna Commercial	$181.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.25
Rate for Payer: Oxford Commercial	$72.50
Rate for Payer: Qualcare PPO/HMO/WC	$54.38
Rate for Payer: UnitedHealthcare Commercial	$72.50
Rate for Payer: UnitedHealthcare Community & State	$11.46
Rate for Payer: Wellpoint Medicaid Managed Care	$10.29

RETRACTOR BLADE SHARP 45MM

Facility

$362.50

Hospital Charge Code	270653457
Hospital Revenue Code	272
Min. Negotiated Rate	$54.38
Max. Negotiated Rate	$54.38
Rate for Payer: Qualcare PPO/HMO/WC	$54.38

RETRACTOR BLADE SHARP 45MM

Facility

$362.50

Hospital Charge Code	270653457
Hospital Revenue Code	272
Min. Negotiated Rate	$10.29
Max. Negotiated Rate	$181.25
Rate for Payer: Aetna Commercial	$137.75
Rate for Payer: Aetna Medicare Advantage	$108.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92.44
Rate for Payer: Cigna Commercial	$181.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.25
Rate for Payer: Oxford Commercial	$72.50
Rate for Payer: Qualcare PPO/HMO/WC	$54.38
Rate for Payer: UnitedHealthcare Commercial	$72.50
Rate for Payer: UnitedHealthcare Community & State	$11.46
Rate for Payer: Wellpoint Medicaid Managed Care	$10.29

RETRACTOR BLUNT 12 MM

Facility

$47.43

Hospital Charge Code	270691054
Hospital Revenue Code	272
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$23.71
Rate for Payer: Aetna Commercial	$18.02
Rate for Payer: Aetna Medicare Advantage	$14.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.09
Rate for Payer: Cigna Commercial	$23.71
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.33
Rate for Payer: Oxford Commercial	$9.49
Rate for Payer: Qualcare PPO/HMO/WC	$7.11
Rate for Payer: UnitedHealthcare Commercial	$9.49
Rate for Payer: UnitedHealthcare Community & State	$1.50
Rate for Payer: Wellpoint Medicaid Managed Care	$1.35

RETRACTOR BLUNT 12 MM

Facility

$47.43

Hospital Charge Code	270691054
Hospital Revenue Code	272
Min. Negotiated Rate	$7.11
Max. Negotiated Rate	$7.11
Rate for Payer: Qualcare PPO/HMO/WC	$7.11

RETRACTOR CAPSULE

Facility

$3,600.00

Hospital Charge Code	270698355
Hospital Revenue Code	272
Min. Negotiated Rate	$540.00
Max. Negotiated Rate	$540.00
Rate for Payer: Qualcare PPO/HMO/WC	$540.00

RETRACTOR CAPSULE

Facility

$3,600.00

Hospital Charge Code	270698355
Hospital Revenue Code	272
Min. Negotiated Rate	$102.24
Max. Negotiated Rate	$1,800.00
Rate for Payer: Aetna Commercial	$1,368.00
Rate for Payer: Aetna Medicare Advantage	$1,080.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$918.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$918.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$918.00
Rate for Payer: Cigna Commercial	$1,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$936.00
Rate for Payer: Oxford Commercial	$720.00
Rate for Payer: Qualcare PPO/HMO/WC	$540.00
Rate for Payer: UnitedHealthcare Commercial	$720.00
Rate for Payer: UnitedHealthcare Community & State	$113.76
Rate for Payer: Wellpoint Medicaid Managed Care	$102.24

RETRACTOR ENDO 10MM STD LGTH

Facility

$364.34

Hospital Charge Code	270667606
Hospital Revenue Code	272
Min. Negotiated Rate	$54.65
Max. Negotiated Rate	$54.65
Rate for Payer: Qualcare PPO/HMO/WC	$54.65

RETRACTOR ENDO 10MM STD LGTH

Facility

$364.34

Hospital Charge Code	270667606
Hospital Revenue Code	272
Min. Negotiated Rate	$10.35
Max. Negotiated Rate	$182.17
Rate for Payer: Aetna Commercial	$138.45
Rate for Payer: Aetna Medicare Advantage	$109.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92.91
Rate for Payer: Cigna Commercial	$182.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.73
Rate for Payer: Oxford Commercial	$72.87
Rate for Payer: Qualcare PPO/HMO/WC	$54.65
Rate for Payer: UnitedHealthcare Commercial	$72.87
Rate for Payer: UnitedHealthcare Community & State	$11.51
Rate for Payer: Wellpoint Medicaid Managed Care	$10.35

RETRACTOR ENDO PADDLE 12MM

Facility

$2,006.25

Hospital Charge Code	270641076
Hospital Revenue Code	272
Min. Negotiated Rate	$56.98
Max. Negotiated Rate	$1,003.12
Rate for Payer: Aetna Commercial	$762.38
Rate for Payer: Aetna Medicare Advantage	$601.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$511.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$511.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$511.59
Rate for Payer: Cigna Commercial	$1,003.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$521.62
Rate for Payer: Oxford Commercial	$401.25
Rate for Payer: Qualcare PPO/HMO/WC	$300.94
Rate for Payer: UnitedHealthcare Commercial	$401.25
Rate for Payer: UnitedHealthcare Community & State	$63.40
Rate for Payer: Wellpoint Medicaid Managed Care	$56.98

RETRACTOR ENDO PADDLE 12MM

Facility

$2,006.25

Hospital Charge Code	270641076
Hospital Revenue Code	272
Min. Negotiated Rate	$300.94
Max. Negotiated Rate	$300.94
Rate for Payer: Qualcare PPO/HMO/WC	$300.94

RETRACTOR HOHMANN 15MMx160MM

Facility

$1,117.15

Hospital Charge Code	270608594
Hospital Revenue Code	272
Min. Negotiated Rate	$31.73
Max. Negotiated Rate	$558.58
Rate for Payer: Aetna Commercial	$424.52
Rate for Payer: Aetna Medicare Advantage	$335.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$284.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$284.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$284.87
Rate for Payer: Cigna Commercial	$558.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.46
Rate for Payer: Oxford Commercial	$223.43
Rate for Payer: Qualcare PPO/HMO/WC	$167.57
Rate for Payer: UnitedHealthcare Commercial	$223.43
Rate for Payer: UnitedHealthcare Community & State	$35.30
Rate for Payer: Wellpoint Medicaid Managed Care	$31.73

RETRACTOR HOHMANN 15MMx160MM

Facility

$1,117.15

Hospital Charge Code	270608594
Hospital Revenue Code	272
Min. Negotiated Rate	$167.57
Max. Negotiated Rate	$167.57
Rate for Payer: Qualcare PPO/HMO/WC	$167.57

RETRACTOR HOHMANN 6mmX160mm

Facility

$903.90

Hospital Charge Code	270638980
Hospital Revenue Code	272
Min. Negotiated Rate	$25.67
Max. Negotiated Rate	$451.95
Rate for Payer: Aetna Commercial	$343.48
Rate for Payer: Aetna Medicare Advantage	$271.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$230.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$230.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$230.49
Rate for Payer: Cigna Commercial	$451.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.01
Rate for Payer: Oxford Commercial	$180.78
Rate for Payer: Qualcare PPO/HMO/WC	$135.59
Rate for Payer: UnitedHealthcare Commercial	$180.78
Rate for Payer: UnitedHealthcare Community & State	$28.56
Rate for Payer: Wellpoint Medicaid Managed Care	$25.67

Know your out-of-pocket cost for care.

All Charges