Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SAW BLADE 70MM NRW STRYKER 6

Facility

$750.00

Hospital Charge Code	270669436
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

SAW BLADE 7x4x0.6MM RECIP SAW

Facility

$381.50

Hospital Charge Code	270674659
Hospital Revenue Code	272
Min. Negotiated Rate	$57.23
Max. Negotiated Rate	$57.23
Rate for Payer: Qualcare PPO/HMO/WC	$57.23

SAW BLADE 7x4x0.6MM RECIP SAW

Facility

$381.50

Hospital Charge Code	270674659
Hospital Revenue Code	272
Min. Negotiated Rate	$10.83
Max. Negotiated Rate	$190.75
Rate for Payer: Aetna Commercial	$144.97
Rate for Payer: Aetna Medicare Advantage	$114.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.28
Rate for Payer: Cigna Commercial	$190.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.19
Rate for Payer: Oxford Commercial	$76.30
Rate for Payer: Qualcare PPO/HMO/WC	$57.23
Rate for Payer: UnitedHealthcare Commercial	$76.30
Rate for Payer: UnitedHealthcare Community & State	$12.06
Rate for Payer: Wellpoint Medicaid Managed Care	$10.83

SAW BLADE 80MMx19MM 0.89MM CUT

Facility

$385.00

Hospital Charge Code	270674713
Hospital Revenue Code	272
Min. Negotiated Rate	$10.93
Max. Negotiated Rate	$192.50
Rate for Payer: Aetna Commercial	$146.30
Rate for Payer: Aetna Medicare Advantage	$115.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$98.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$98.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$98.17
Rate for Payer: Cigna Commercial	$192.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$100.10
Rate for Payer: Oxford Commercial	$77.00
Rate for Payer: Qualcare PPO/HMO/WC	$57.75
Rate for Payer: UnitedHealthcare Commercial	$77.00
Rate for Payer: UnitedHealthcare Community & State	$12.17
Rate for Payer: Wellpoint Medicaid Managed Care	$10.93

SAW BLADE 80MMx19MM 0.89MM CUT

Facility

$385.00

Hospital Charge Code	270674713
Hospital Revenue Code	272
Min. Negotiated Rate	$57.75
Max. Negotiated Rate	$57.75
Rate for Payer: Qualcare PPO/HMO/WC	$57.75

SAW BLADE 85MMx25MM 1.47MM CUT

Facility

$385.00

Hospital Charge Code	270674734
Hospital Revenue Code	272
Min. Negotiated Rate	$10.93
Max. Negotiated Rate	$192.50
Rate for Payer: Aetna Commercial	$146.30
Rate for Payer: Aetna Medicare Advantage	$115.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$98.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$98.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$98.17
Rate for Payer: Cigna Commercial	$192.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$100.10
Rate for Payer: Oxford Commercial	$77.00
Rate for Payer: Qualcare PPO/HMO/WC	$57.75
Rate for Payer: UnitedHealthcare Commercial	$77.00
Rate for Payer: UnitedHealthcare Community & State	$12.17
Rate for Payer: Wellpoint Medicaid Managed Care	$10.93

SAW BLADE 85MMx25MM 1.47MM CUT

Facility

$385.00

Hospital Charge Code	270674734
Hospital Revenue Code	272
Min. Negotiated Rate	$57.75
Max. Negotiated Rate	$57.75
Rate for Payer: Qualcare PPO/HMO/WC	$57.75

SAW BLADE 8MM W 13MM L/0.25MM

Facility

$336.00

Hospital Charge Code	270674775
Hospital Revenue Code	272
Min. Negotiated Rate	$50.40
Max. Negotiated Rate	$50.40
Rate for Payer: Qualcare PPO/HMO/WC	$50.40

SAW BLADE 8MM W 13MM L/0.25MM

Facility

$336.00

Hospital Charge Code	270674775
Hospital Revenue Code	272
Min. Negotiated Rate	$9.54
Max. Negotiated Rate	$168.00
Rate for Payer: Aetna Commercial	$127.68
Rate for Payer: Aetna Medicare Advantage	$100.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$85.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$85.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$85.68
Rate for Payer: Cigna Commercial	$168.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.36
Rate for Payer: Oxford Commercial	$67.20
Rate for Payer: Qualcare PPO/HMO/WC	$50.40
Rate for Payer: UnitedHealthcare Commercial	$67.20
Rate for Payer: UnitedHealthcare Community & State	$10.62
Rate for Payer: Wellpoint Medicaid Managed Care	$9.54

SAW BLADE 8MM W 18MM L/0.25MM

Facility

$336.00

Hospital Charge Code	270674776
Hospital Revenue Code	272
Min. Negotiated Rate	$50.40
Max. Negotiated Rate	$50.40
Rate for Payer: Qualcare PPO/HMO/WC	$50.40

SAW BLADE 8MM W 18MM L/0.25MM

Facility

$336.00

Hospital Charge Code	270674776
Hospital Revenue Code	272
Min. Negotiated Rate	$9.54
Max. Negotiated Rate	$168.00
Rate for Payer: Aetna Commercial	$127.68
Rate for Payer: Aetna Medicare Advantage	$100.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$85.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$85.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$85.68
Rate for Payer: Cigna Commercial	$168.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.36
Rate for Payer: Oxford Commercial	$67.20
Rate for Payer: Qualcare PPO/HMO/WC	$50.40
Rate for Payer: UnitedHealthcare Commercial	$67.20
Rate for Payer: UnitedHealthcare Community & State	$10.62
Rate for Payer: Wellpoint Medicaid Managed Care	$9.54

SAW BLADE 8x20x0.4MM CUT

Facility

$318.50

Hospital Charge Code	270674816
Hospital Revenue Code	272
Min. Negotiated Rate	$9.05
Max. Negotiated Rate	$159.25
Rate for Payer: Aetna Commercial	$121.03
Rate for Payer: Aetna Medicare Advantage	$95.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.22
Rate for Payer: Cigna Commercial	$159.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.81
Rate for Payer: Oxford Commercial	$63.70
Rate for Payer: Qualcare PPO/HMO/WC	$47.77
Rate for Payer: UnitedHealthcare Commercial	$63.70
Rate for Payer: UnitedHealthcare Community & State	$10.06
Rate for Payer: Wellpoint Medicaid Managed Care	$9.05

SAW BLADE 8x20x0.4MM CUT

Facility

$318.50

Hospital Charge Code	270674816
Hospital Revenue Code	272
Min. Negotiated Rate	$47.77
Max. Negotiated Rate	$47.77
Rate for Payer: Qualcare PPO/HMO/WC	$47.77

SAW BLADE 8x20x0.4MM CUT STR

Facility

$346.50

Hospital Charge Code	270674817
Hospital Revenue Code	272
Min. Negotiated Rate	$9.84
Max. Negotiated Rate	$173.25
Rate for Payer: Aetna Commercial	$131.67
Rate for Payer: Aetna Medicare Advantage	$103.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$88.36
Rate for Payer: Cigna Commercial	$173.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.09
Rate for Payer: Oxford Commercial	$69.30
Rate for Payer: Qualcare PPO/HMO/WC	$51.98
Rate for Payer: UnitedHealthcare Commercial	$69.30
Rate for Payer: UnitedHealthcare Community & State	$10.95
Rate for Payer: Wellpoint Medicaid Managed Care	$9.84

SAW BLADE 8x20x0.4MM CUT STR

Facility

$346.50

Hospital Charge Code	270674817
Hospital Revenue Code	272
Min. Negotiated Rate	$51.98
Max. Negotiated Rate	$51.98
Rate for Payer: Qualcare PPO/HMO/WC	$51.98

SAW BLADE 90MM WIDE

Facility

$750.00

Hospital Charge Code	270669433
Hospital Revenue Code	272
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.00
Rate for Payer: Oxford Commercial	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Commercial	$150.00
Rate for Payer: UnitedHealthcare Community & State	$23.70
Rate for Payer: Wellpoint Medicaid Managed Care	$21.30

SAW BLADE 90MM WIDE

Facility

$750.00

Hospital Charge Code	270669433
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

SAW BLADE 90MM WIDE STRYKER 6

Facility

$750.00

Hospital Charge Code	270669435
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

SAW BLADE 90MM WIDE STRYKER 6

Facility

$750.00

Hospital Charge Code	270669435
Hospital Revenue Code	272
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.00
Rate for Payer: Oxford Commercial	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Commercial	$150.00
Rate for Payer: UnitedHealthcare Community & State	$23.70
Rate for Payer: Wellpoint Medicaid Managed Care	$21.30

SAW BLADE 90MMx12.5MM 1MM CUT

Facility

$385.00

Hospital Charge Code	270674735
Hospital Revenue Code	272
Min. Negotiated Rate	$10.93
Max. Negotiated Rate	$192.50
Rate for Payer: Aetna Commercial	$146.30
Rate for Payer: Aetna Medicare Advantage	$115.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$98.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$98.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$98.17
Rate for Payer: Cigna Commercial	$192.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$100.10
Rate for Payer: Oxford Commercial	$77.00
Rate for Payer: Qualcare PPO/HMO/WC	$57.75
Rate for Payer: UnitedHealthcare Commercial	$77.00
Rate for Payer: UnitedHealthcare Community & State	$12.17
Rate for Payer: Wellpoint Medicaid Managed Care	$10.93

SAW BLADE 90MMx12.5MM 1MM CUT

Facility

$385.00

Hospital Charge Code	270674735
Hospital Revenue Code	272
Min. Negotiated Rate	$57.75
Max. Negotiated Rate	$57.75
Rate for Payer: Qualcare PPO/HMO/WC	$57.75

SAW BLADE 90x12.5-19MM 0.89MM

Facility

$385.00

Hospital Charge Code	270674728
Hospital Revenue Code	272
Min. Negotiated Rate	$57.75
Max. Negotiated Rate	$57.75
Rate for Payer: Qualcare PPO/HMO/WC	$57.75

SAW BLADE 90x12.5-19MM 0.89MM

Facility

$385.00

Hospital Charge Code	270674728
Hospital Revenue Code	272
Min. Negotiated Rate	$10.93
Max. Negotiated Rate	$192.50
Rate for Payer: Aetna Commercial	$146.30
Rate for Payer: Aetna Medicare Advantage	$115.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$98.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$98.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$98.17
Rate for Payer: Cigna Commercial	$192.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$100.10
Rate for Payer: Oxford Commercial	$77.00
Rate for Payer: Qualcare PPO/HMO/WC	$57.75
Rate for Payer: UnitedHealthcare Commercial	$77.00
Rate for Payer: UnitedHealthcare Community & State	$12.17
Rate for Payer: Wellpoint Medicaid Managed Care	$10.93

SAW BLADE 90x12.5-19MM 1.00MM

Facility

$385.00

Hospital Charge Code	270674733
Hospital Revenue Code	272
Min. Negotiated Rate	$10.93
Max. Negotiated Rate	$192.50
Rate for Payer: Aetna Commercial	$146.30
Rate for Payer: Aetna Medicare Advantage	$115.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$98.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$98.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$98.17
Rate for Payer: Cigna Commercial	$192.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$100.10
Rate for Payer: Oxford Commercial	$77.00
Rate for Payer: Qualcare PPO/HMO/WC	$57.75
Rate for Payer: UnitedHealthcare Commercial	$77.00
Rate for Payer: UnitedHealthcare Community & State	$12.17
Rate for Payer: Wellpoint Medicaid Managed Care	$10.93

SAW BLADE 90x12.5-19MM 1.00MM

Facility

$385.00

Hospital Charge Code	270674733
Hospital Revenue Code	272
Min. Negotiated Rate	$57.75
Max. Negotiated Rate	$57.75
Rate for Payer: Qualcare PPO/HMO/WC	$57.75

Know your out-of-pocket cost for care.

All Charges