Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

ROTH NET RETRIEVER UNIV

Facility

$525.00

Hospital Charge Code	270658151
Hospital Revenue Code	272
Min. Negotiated Rate	$14.91
Max. Negotiated Rate	$262.50
Rate for Payer: Aetna Commercial	$199.50
Rate for Payer: Aetna Medicare Advantage	$157.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.88
Rate for Payer: Cigna Commercial	$262.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$136.50
Rate for Payer: Oxford Commercial	$105.00
Rate for Payer: Qualcare PPO/HMO/WC	$78.75
Rate for Payer: UnitedHealthcare Commercial	$105.00
Rate for Payer: UnitedHealthcare Community & State	$16.59
Rate for Payer: Wellpoint Medicaid Managed Care	$14.91

ROTH NET RETRIEVER UNIV

Facility

$525.00

Hospital Charge Code	270658151
Hospital Revenue Code	272
Min. Negotiated Rate	$78.75
Max. Negotiated Rate	$78.75
Rate for Payer: Qualcare PPO/HMO/WC	$78.75

ROTICULATOR 30-V3

Facility

$1,243.00

Hospital Charge Code	270334751
Hospital Revenue Code	272
Min. Negotiated Rate	$186.45
Max. Negotiated Rate	$186.45
Rate for Payer: Qualcare PPO/HMO/WC	$186.45

ROTICULATOR 30-V3

Facility

$1,243.00

Hospital Charge Code	270334751
Hospital Revenue Code	272
Min. Negotiated Rate	$35.30
Max. Negotiated Rate	$621.50
Rate for Payer: Aetna Commercial	$472.34
Rate for Payer: Aetna Medicare Advantage	$372.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$316.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$316.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$316.96
Rate for Payer: Cigna Commercial	$621.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$323.18
Rate for Payer: Oxford Commercial	$248.60
Rate for Payer: Qualcare PPO/HMO/WC	$186.45
Rate for Payer: UnitedHealthcare Commercial	$248.60
Rate for Payer: UnitedHealthcare Community & State	$39.28
Rate for Payer: Wellpoint Medicaid Managed Care	$35.30

ROTICULATOR 55-3.5 STAPLER

Facility

$948.00

Hospital Charge Code	270334752
Hospital Revenue Code	272
Min. Negotiated Rate	$142.20
Max. Negotiated Rate	$142.20
Rate for Payer: Qualcare PPO/HMO/WC	$142.20

ROTICULATOR 55-3.5 STAPLER

Facility

$948.00

Hospital Charge Code	270334752
Hospital Revenue Code	272
Min. Negotiated Rate	$26.92
Max. Negotiated Rate	$474.00
Rate for Payer: Aetna Commercial	$360.24
Rate for Payer: Aetna Medicare Advantage	$284.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$241.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$241.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$241.74
Rate for Payer: Cigna Commercial	$474.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$246.48
Rate for Payer: Oxford Commercial	$189.60
Rate for Payer: Qualcare PPO/HMO/WC	$142.20
Rate for Payer: UnitedHealthcare Commercial	$189.60
Rate for Payer: UnitedHealthcare Community & State	$29.96
Rate for Payer: Wellpoint Medicaid Managed Care	$26.92

ROTICULATOR 55-4.8 STAPLER

Facility

$1,129.00

Hospital Charge Code	270334750
Hospital Revenue Code	272
Min. Negotiated Rate	$169.35
Max. Negotiated Rate	$169.35
Rate for Payer: Qualcare PPO/HMO/WC	$169.35

ROTICULATOR 55-4.8 STAPLER

Facility

$1,129.00

Hospital Charge Code	270334750
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

ROTICULATOR ENDO GIA 60-2.5

Facility

$973.03

Hospital Charge Code	270660574
Hospital Revenue Code	272
Min. Negotiated Rate	$145.95
Max. Negotiated Rate	$145.95
Rate for Payer: Qualcare PPO/HMO/WC	$145.95

ROTICULATOR ENDO GIA 60-2.5

Facility

$973.03

Hospital Charge Code	270660574
Hospital Revenue Code	272
Min. Negotiated Rate	$27.63
Max. Negotiated Rate	$486.51
Rate for Payer: Aetna Commercial	$369.75
Rate for Payer: Aetna Medicare Advantage	$291.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.12
Rate for Payer: Cigna Commercial	$486.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$252.99
Rate for Payer: Oxford Commercial	$194.61
Rate for Payer: Qualcare PPO/HMO/WC	$145.95
Rate for Payer: UnitedHealthcare Commercial	$194.61
Rate for Payer: UnitedHealthcare Community & State	$30.75
Rate for Payer: Wellpoint Medicaid Managed Care	$27.63

ROTICULATOR GIA 60mm 4.5 SULU

Facility

$1,021.63

Hospital Charge Code	270655597
Hospital Revenue Code	271
Min. Negotiated Rate	$29.01
Max. Negotiated Rate	$510.81
Rate for Payer: Aetna Commercial	$388.22
Rate for Payer: Aetna Medicare Advantage	$306.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$260.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$260.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$260.52
Rate for Payer: Cigna Commercial	$510.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$265.62
Rate for Payer: Oxford Commercial	$204.33
Rate for Payer: Qualcare PPO/HMO/WC	$153.24
Rate for Payer: UnitedHealthcare Commercial	$204.33
Rate for Payer: UnitedHealthcare Community & State	$32.28
Rate for Payer: Wellpoint Medicaid Managed Care	$29.01

ROTICULATOR GIA 60mm 4.5 SULU

Facility

$1,021.63

Hospital Charge Code	270655597
Hospital Revenue Code	271
Min. Negotiated Rate	$153.24
Max. Negotiated Rate	$153.24
Rate for Payer: Qualcare PPO/HMO/WC	$153.24

ROTOVIRUS AG

Facility

$75.65

Service Code	HCPCS 87425
Hospital Charge Code	39900450
Hospital Revenue Code	306
Min. Negotiated Rate	$11.35
Max. Negotiated Rate	$11.35
Rate for Payer: Qualcare PPO/HMO/WC	$11.35

ROTOVIRUS AG

Facility

$75.65

Service Code	HCPCS 87425
Hospital Charge Code	39900450
Hospital Revenue Code	306
Min. Negotiated Rate	$2.15
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$32.59
Rate for Payer: Aetna Medicare Advantage	$38.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.46
Rate for Payer: Cigna Commercial	$37.83
Rate for Payer: Cigna Medicare Advantage	$11.98
Rate for Payer: Clover Medicare Advantage	$11.38
Rate for Payer: EmblemHealth Commercial	$35.94
Rate for Payer: Humana Medicare Advantage	$12.34
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$11.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.67
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$11.35
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$9.58
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.98
Rate for Payer: Wellcare Medicare Advantage	$11.98
Rate for Payer: Wellpoint Medicaid Managed Care	$2.15

ROUND CERAMIC BOXES

Facility

$64.95

Hospital Charge Code	270663157
Hospital Revenue Code	270
Min. Negotiated Rate	$1.84
Max. Negotiated Rate	$32.48
Rate for Payer: Aetna Commercial	$24.68
Rate for Payer: Aetna Medicare Advantage	$19.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.56
Rate for Payer: Cigna Commercial	$32.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.89
Rate for Payer: Oxford Commercial	$12.99
Rate for Payer: Qualcare PPO/HMO/WC	$9.74
Rate for Payer: UnitedHealthcare Commercial	$12.99
Rate for Payer: UnitedHealthcare Community & State	$2.05
Rate for Payer: Wellpoint Medicaid Managed Care	$1.84

ROUND CERAMIC BOXES

Facility

$64.95

Hospital Charge Code	270663157
Hospital Revenue Code	270
Min. Negotiated Rate	$9.74
Max. Negotiated Rate	$9.74
Rate for Payer: Qualcare PPO/HMO/WC	$9.74

ROUTER STRAIGHT MED 1.2x6MM

Facility

$471.50

Hospital Charge Code	270673356
Hospital Revenue Code	272
Min. Negotiated Rate	$70.72
Max. Negotiated Rate	$70.72
Rate for Payer: Qualcare PPO/HMO/WC	$70.72

ROUTER STRAIGHT MED 1.2x6MM

Facility

$471.50

Hospital Charge Code	270673356
Hospital Revenue Code	272
Min. Negotiated Rate	$13.39
Max. Negotiated Rate	$235.75
Rate for Payer: Aetna Commercial	$179.17
Rate for Payer: Aetna Medicare Advantage	$141.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$120.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$120.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$120.23
Rate for Payer: Cigna Commercial	$235.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$122.59
Rate for Payer: Oxford Commercial	$94.30
Rate for Payer: Qualcare PPO/HMO/WC	$70.72
Rate for Payer: UnitedHealthcare Commercial	$94.30
Rate for Payer: UnitedHealthcare Community & State	$14.90
Rate for Payer: Wellpoint Medicaid Managed Care	$13.39

ROUTER TAPER

Facility

$640.00

Hospital Charge Code	270673070
Hospital Revenue Code	272
Min. Negotiated Rate	$18.18
Max. Negotiated Rate	$320.00
Rate for Payer: Aetna Commercial	$243.20
Rate for Payer: Aetna Medicare Advantage	$192.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$163.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$163.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$163.20
Rate for Payer: Cigna Commercial	$320.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$166.40
Rate for Payer: Oxford Commercial	$128.00
Rate for Payer: Qualcare PPO/HMO/WC	$96.00
Rate for Payer: UnitedHealthcare Commercial	$128.00
Rate for Payer: UnitedHealthcare Community & State	$20.22
Rate for Payer: Wellpoint Medicaid Managed Care	$18.18

ROUTER TAPER

Facility

$640.00

Hospital Charge Code	270673070
Hospital Revenue Code	272
Min. Negotiated Rate	$96.00
Max. Negotiated Rate	$96.00
Rate for Payer: Qualcare PPO/HMO/WC	$96.00

ROUTER TAPER 1.5 MM

Facility

$560.00

Hospital Charge Code	270687582
Hospital Revenue Code	272
Min. Negotiated Rate	$15.90
Max. Negotiated Rate	$280.00
Rate for Payer: Aetna Commercial	$212.80
Rate for Payer: Aetna Medicare Advantage	$168.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$142.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$142.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$142.80
Rate for Payer: Cigna Commercial	$280.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.60
Rate for Payer: Oxford Commercial	$112.00
Rate for Payer: Qualcare PPO/HMO/WC	$84.00
Rate for Payer: UnitedHealthcare Commercial	$112.00
Rate for Payer: UnitedHealthcare Community & State	$17.70
Rate for Payer: Wellpoint Medicaid Managed Care	$15.90

ROUTER TAPER 1.5 MM

Facility

$560.00

Hospital Charge Code	270687582
Hospital Revenue Code	272
Min. Negotiated Rate	$84.00
Max. Negotiated Rate	$84.00
Rate for Payer: Qualcare PPO/HMO/WC	$84.00

ROUTER TAPERED 2.3 MM

Facility

$577.55

Hospital Charge Code	270687583
Hospital Revenue Code	272
Min. Negotiated Rate	$86.63
Max. Negotiated Rate	$86.63
Rate for Payer: Qualcare PPO/HMO/WC	$86.63

ROUTER TAPERED 2.3 MM

Facility

$577.55

Hospital Charge Code	270687583
Hospital Revenue Code	272
Min. Negotiated Rate	$16.40
Max. Negotiated Rate	$288.77
Rate for Payer: Aetna Commercial	$219.47
Rate for Payer: Aetna Medicare Advantage	$173.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$147.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$147.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$147.28
Rate for Payer: Cigna Commercial	$288.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.16
Rate for Payer: Oxford Commercial	$115.51
Rate for Payer: Qualcare PPO/HMO/WC	$86.63
Rate for Payer: UnitedHealthcare Commercial	$115.51
Rate for Payer: UnitedHealthcare Community & State	$18.25
Rate for Payer: Wellpoint Medicaid Managed Care	$16.40

ROUTINE VENIPUNCTURE

Facility

$390.00

Service Code	HCPCS 36415
Hospital Charge Code	412336415
Hospital Revenue Code	300
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

Know your out-of-pocket cost for care.

All Charges