Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

RIGID NEEDLE 19.5 GA

Facility

$79.00

Hospital Charge Code	270335292
Hospital Revenue Code	272
Min. Negotiated Rate	$2.24
Max. Negotiated Rate	$39.50
Rate for Payer: Aetna Commercial	$30.02
Rate for Payer: Aetna Medicare Advantage	$23.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.14
Rate for Payer: Cigna Commercial	$39.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.54
Rate for Payer: Oxford Commercial	$15.80
Rate for Payer: Qualcare PPO/HMO/WC	$11.85
Rate for Payer: UnitedHealthcare Commercial	$15.80
Rate for Payer: UnitedHealthcare Community & State	$2.50
Rate for Payer: Wellpoint Medicaid Managed Care	$2.24

RIGID NEEDLE 19.5 GA

Facility

$79.00

Hospital Charge Code	270335292
Hospital Revenue Code	272
Min. Negotiated Rate	$11.85
Max. Negotiated Rate	$11.85
Rate for Payer: Qualcare PPO/HMO/WC	$11.85

RIGIFLEX TTS #18 ESOPHAGEAL

Facility

$1,129.00

Hospital Charge Code	270331870
Hospital Revenue Code	272
Min. Negotiated Rate	$32.06
Max. Negotiated Rate	$564.50
Rate for Payer: Aetna Commercial	$429.02
Rate for Payer: Aetna Medicare Advantage	$338.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$287.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$287.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$287.89
Rate for Payer: Cigna Commercial	$564.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$293.54
Rate for Payer: Oxford Commercial	$225.80
Rate for Payer: Qualcare PPO/HMO/WC	$169.35
Rate for Payer: UnitedHealthcare Commercial	$225.80
Rate for Payer: UnitedHealthcare Community & State	$35.68
Rate for Payer: Wellpoint Medicaid Managed Care	$32.06

RIGIFLEX TTS #18 ESOPHAGEAL

Facility

$1,129.00

Hospital Charge Code	270331870
Hospital Revenue Code	272
Min. Negotiated Rate	$169.35
Max. Negotiated Rate	$169.35
Rate for Payer: Qualcare PPO/HMO/WC	$169.35

RING 3/4 165mm ID

Facility

$2,159.90

Hospital Charge Code	270632997
Hospital Revenue Code	278
Min. Negotiated Rate	$323.99
Max. Negotiated Rate	$522.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$431.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$522.70
Rate for Payer: Qualcare PPO/HMO/WC	$323.99

RING 3/4 165mm ID

Facility

$2,159.90

Hospital Charge Code	270632997
Hospital Revenue Code	278
Min. Negotiated Rate	$61.34
Max. Negotiated Rate	$1,079.95
Rate for Payer: Aetna Commercial	$820.76
Rate for Payer: Aetna Medicare Advantage	$647.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$550.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$550.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$431.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$550.77
Rate for Payer: Cigna Commercial	$1,079.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$522.70
Rate for Payer: Qualcare PPO/HMO/WC	$323.99
Rate for Payer: UnitedHealthcare Community & State	$68.25
Rate for Payer: Wellpoint Medicaid Managed Care	$61.34

RING BASIN GUIDEWIRE BOWL

Facility

$32.55

Hospital Charge Code	270694935S
Hospital Revenue Code	272
Min. Negotiated Rate	$0.92
Max. Negotiated Rate	$16.27
Rate for Payer: Aetna Commercial	$12.37
Rate for Payer: Aetna Medicare Advantage	$9.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.30
Rate for Payer: Cigna Commercial	$16.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.46
Rate for Payer: Oxford Commercial	$6.51
Rate for Payer: Qualcare PPO/HMO/WC	$4.88
Rate for Payer: UnitedHealthcare Commercial	$6.51
Rate for Payer: UnitedHealthcare Community & State	$1.03
Rate for Payer: Wellpoint Medicaid Managed Care	$0.92

RING BASIN GUIDEWIRE BOWL

Facility

$32.55

Hospital Charge Code	270694935S
Hospital Revenue Code	272
Min. Negotiated Rate	$4.88
Max. Negotiated Rate	$4.88
Rate for Payer: Qualcare PPO/HMO/WC	$4.88

RING CAPSULAR TENSION 12MM

Facility

$1,000.00

Hospital Charge Code	270660024
Hospital Revenue Code	270
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

RING CAPSULAR TENSION 12MM

Facility

$1,000.00

Hospital Charge Code	270660024
Hospital Revenue Code	270
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

RING CONNECTION BOLT LRF

Facility

$198.25

Service Code	HCPCS A4649
Hospital Charge Code	270699596
Hospital Revenue Code	272
Min. Negotiated Rate	$29.74
Max. Negotiated Rate	$29.74
Rate for Payer: Qualcare PPO/HMO/WC	$29.74

RING CONNECTION BOLT LRF

Facility

$198.25

Service Code	HCPCS A4649
Hospital Charge Code	270699596
Hospital Revenue Code	272
Min. Negotiated Rate	$5.63
Max. Negotiated Rate	$99.12
Rate for Payer: Aetna Commercial	$75.33
Rate for Payer: Aetna Medicare Advantage	$59.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.55
Rate for Payer: Cigna Commercial	$99.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.55
Rate for Payer: Oxford Commercial	$39.65
Rate for Payer: Qualcare PPO/HMO/WC	$29.74
Rate for Payer: UnitedHealthcare Commercial	$39.65
Rate for Payer: UnitedHealthcare Community & State	$6.26
Rate for Payer: Wellpoint Medicaid Managed Care	$5.63

RING CONSTRAINNG GROUP 3

Facility

$4,398.75

Hospital Charge Code	270670932
Hospital Revenue Code	278
Min. Negotiated Rate	$659.81
Max. Negotiated Rate	$1,064.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$879.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,064.50
Rate for Payer: Qualcare PPO/HMO/WC	$659.81

RING CONSTRAINNG GROUP 3

Facility

$4,398.75

Hospital Charge Code	270670932
Hospital Revenue Code	278
Min. Negotiated Rate	$124.92
Max. Negotiated Rate	$2,199.38
Rate for Payer: Aetna Commercial	$1,671.53
Rate for Payer: Aetna Medicare Advantage	$1,319.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,121.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,121.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$879.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,121.68
Rate for Payer: Cigna Commercial	$2,199.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,064.50
Rate for Payer: Qualcare PPO/HMO/WC	$659.81
Rate for Payer: UnitedHealthcare Community & State	$139.00
Rate for Payer: Wellpoint Medicaid Managed Care	$124.92

RINGERS LACTATE 1000ML

Facility

$9.65

Hospital Charge Code	270040175
Hospital Revenue Code	258
Min. Negotiated Rate	$0.27
Max. Negotiated Rate	$4.83
Rate for Payer: Aetna Commercial	$3.67
Rate for Payer: Aetna Medicare Advantage	$2.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.46
Rate for Payer: Cigna Commercial	$4.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.51
Rate for Payer: Oxford Commercial	$1.93
Rate for Payer: Qualcare PPO/HMO/WC	$1.45
Rate for Payer: UnitedHealthcare Commercial	$1.93
Rate for Payer: UnitedHealthcare Community & State	$0.30
Rate for Payer: Wellpoint Medicaid Managed Care	$0.27

RINGERS LACTATE 1000ML

Facility

$9.65

Hospital Charge Code	270040175
Hospital Revenue Code	258
Min. Negotiated Rate	$1.45
Max. Negotiated Rate	$1.45
Rate for Payer: Qualcare PPO/HMO/WC	$1.45

RINGERS LACTATED INJ 500ml

Facility

$22.50

Hospital Charge Code	270649495
Hospital Revenue Code	272
Min. Negotiated Rate	$0.64
Max. Negotiated Rate	$11.25
Rate for Payer: Aetna Commercial	$8.55
Rate for Payer: Aetna Medicare Advantage	$6.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.74
Rate for Payer: Cigna Commercial	$11.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.85
Rate for Payer: Oxford Commercial	$4.50
Rate for Payer: Qualcare PPO/HMO/WC	$3.38
Rate for Payer: UnitedHealthcare Commercial	$4.50
Rate for Payer: UnitedHealthcare Community & State	$0.71
Rate for Payer: Wellpoint Medicaid Managed Care	$0.64

RINGERS LACTATED INJ 500ml

Facility

$22.50

Hospital Charge Code	270649495
Hospital Revenue Code	272
Min. Negotiated Rate	$3.38
Max. Negotiated Rate	$3.38
Rate for Payer: Qualcare PPO/HMO/WC	$3.38

RINGERS LACTATE INJ 1000ml

Facility

$5.09

Hospital Charge Code	270649590
Hospital Revenue Code	258
Min. Negotiated Rate	$0.76
Max. Negotiated Rate	$0.76
Rate for Payer: Qualcare PPO/HMO/WC	$0.76

RINGERS LACTATE INJ 1000ml

Facility

$5.09

Hospital Charge Code	270649590
Hospital Revenue Code	258
Min. Negotiated Rate	$0.14
Max. Negotiated Rate	$2.54
Rate for Payer: Aetna Commercial	$1.93
Rate for Payer: Aetna Medicare Advantage	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.30
Rate for Payer: Cigna Commercial	$2.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.32
Rate for Payer: Oxford Commercial	$1.02
Rate for Payer: Qualcare PPO/HMO/WC	$0.76
Rate for Payer: UnitedHealthcare Commercial	$1.02
Rate for Payer: UnitedHealthcare Community & State	$0.16
Rate for Payer: Wellpoint Medicaid Managed Care	$0.14

RING FALLOPE TUBAL OCCLUSN DEV

Facility

$435.00

Hospital Charge Code	270653340
Hospital Revenue Code	278
Min. Negotiated Rate	$12.35
Max. Negotiated Rate	$217.50
Rate for Payer: Aetna Commercial	$165.30
Rate for Payer: Aetna Medicare Advantage	$130.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$110.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$110.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$87.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$110.92
Rate for Payer: Cigna Commercial	$217.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.27
Rate for Payer: Qualcare PPO/HMO/WC	$65.25
Rate for Payer: UnitedHealthcare Community & State	$13.75
Rate for Payer: Wellpoint Medicaid Managed Care	$12.35

RING FALLOPE TUBAL OCCLUSN DEV

Facility

$435.00

Hospital Charge Code	270653340
Hospital Revenue Code	278
Min. Negotiated Rate	$65.25
Max. Negotiated Rate	$105.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$87.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.27
Rate for Payer: Qualcare PPO/HMO/WC	$65.25

RING FOOT CARB FIBER 160MM LNG

Facility

$3,534.95

Hospital Charge Code	270678081
Hospital Revenue Code	272
Min. Negotiated Rate	$100.39
Max. Negotiated Rate	$1,767.47
Rate for Payer: Aetna Commercial	$1,343.28
Rate for Payer: Aetna Medicare Advantage	$1,060.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$901.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$901.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$901.41
Rate for Payer: Cigna Commercial	$1,767.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$919.09
Rate for Payer: Oxford Commercial	$706.99
Rate for Payer: Qualcare PPO/HMO/WC	$530.24
Rate for Payer: UnitedHealthcare Commercial	$706.99
Rate for Payer: UnitedHealthcare Community & State	$111.70
Rate for Payer: Wellpoint Medicaid Managed Care	$100.39

RING FOOT CARB FIBER 160MM LNG

Facility

$3,534.95

Hospital Charge Code	270678081
Hospital Revenue Code	272
Min. Negotiated Rate	$530.24
Max. Negotiated Rate	$530.24
Rate for Payer: Qualcare PPO/HMO/WC	$530.24

RING FOOT SHORT SALVATION

Facility

$4,185.00

Hospital Charge Code	270684449
Hospital Revenue Code	272
Min. Negotiated Rate	$118.85
Max. Negotiated Rate	$2,092.50
Rate for Payer: Aetna Commercial	$1,590.30
Rate for Payer: Aetna Medicare Advantage	$1,255.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,067.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,067.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,067.17
Rate for Payer: Cigna Commercial	$2,092.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,088.10
Rate for Payer: Oxford Commercial	$837.00
Rate for Payer: Qualcare PPO/HMO/WC	$627.75
Rate for Payer: UnitedHealthcare Commercial	$837.00
Rate for Payer: UnitedHealthcare Community & State	$132.25
Rate for Payer: Wellpoint Medicaid Managed Care	$118.85

Know your out-of-pocket cost for care.

All Charges