Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SAW BLADE 95MMx25MM 1.27MM CUT

Facility

$385.00

Hospital Charge Code	270674718
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 95MMx25MM 1.27MM CUT

Facility

$385.00

Hospital Charge Code	270674718
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 95MMx25MM 1.37MM CUT

Facility

$385.00

Hospital Charge Code	270674719
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 95MMx25MM 1.37MM CUT

Facility

$385.00

Hospital Charge Code	270674719
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 95MMx25MM 1.47MM CUT

Facility

$385.00

Hospital Charge Code	270674720
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 95MMx25MM 1.47MM CUT

Facility

$385.00

Hospital Charge Code	270674720
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 MICROAIRE NARROW

Facility

$720.00

Hospital Charge Code	270670901
Hospital Revenue Code	272
Min. Negotiated Rate	$108.00
Max. Negotiated Rate	$108.00
Rate for Payer: Qualcare PPO/HMO/WC	$108.00

SAW BLADE MICROAIRE NARROW

Facility

$720.00

Hospital Charge Code	270670901
Hospital Revenue Code	272
Min. Negotiated Rate	$20.45
Max. Negotiated Rate	$360.00
Rate for Payer: Aetna Commercial	$273.60
Rate for Payer: Aetna Medicare Advantage	$216.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$183.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$183.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$183.60
Rate for Payer: Cigna Commercial	$360.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.20
Rate for Payer: Oxford Commercial	$144.00
Rate for Payer: Qualcare PPO/HMO/WC	$108.00
Rate for Payer: UnitedHealthcare Commercial	$144.00
Rate for Payer: UnitedHealthcare Community & State	$22.75
Rate for Payer: Wellpoint Medicaid Managed Care	$20.45

SAW BLADE OXFORD CEMENTED

Facility

$2,625.00

Hospital Charge Code	270684006
Hospital Revenue Code	272
Min. Negotiated Rate	$393.75
Max. Negotiated Rate	$393.75
Rate for Payer: Qualcare PPO/HMO/WC	$393.75

SAW BLADE OXFORD CEMENTED

Facility

$2,625.00

Hospital Charge Code	270684006
Hospital Revenue Code	272
Min. Negotiated Rate	$74.55
Max. Negotiated Rate	$1,312.50
Rate for Payer: Aetna Commercial	$997.50
Rate for Payer: Aetna Medicare Advantage	$787.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$669.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$669.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$669.38
Rate for Payer: Cigna Commercial	$1,312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$682.50
Rate for Payer: Oxford Commercial	$525.00
Rate for Payer: Qualcare PPO/HMO/WC	$393.75
Rate for Payer: UnitedHealthcare Commercial	$525.00
Rate for Payer: UnitedHealthcare Community & State	$82.95
Rate for Payer: Wellpoint Medicaid Managed Care	$74.55

SAW BLADES

Facility

$676.00

Hospital Charge Code	270332551
Hospital Revenue Code	272
Min. Negotiated Rate	$19.20
Max. Negotiated Rate	$338.00
Rate for Payer: Aetna Commercial	$256.88
Rate for Payer: Aetna Medicare Advantage	$202.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$172.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$172.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$172.38
Rate for Payer: Cigna Commercial	$338.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$175.76
Rate for Payer: Oxford Commercial	$135.20
Rate for Payer: Qualcare PPO/HMO/WC	$101.40
Rate for Payer: UnitedHealthcare Commercial	$135.20
Rate for Payer: UnitedHealthcare Community & State	$21.36
Rate for Payer: Wellpoint Medicaid Managed Care	$19.20

SAW BLADES

Facility

$676.00

Hospital Charge Code	270332551
Hospital Revenue Code	272
Min. Negotiated Rate	$101.40
Max. Negotiated Rate	$101.40
Rate for Payer: Qualcare PPO/HMO/WC	$101.40

SAWBLADE STR UNIV NARROW .315

Facility

$915.00

Hospital Charge Code	270676925
Hospital Revenue Code	272
Min. Negotiated Rate	$25.99
Max. Negotiated Rate	$457.50
Rate for Payer: Aetna Commercial	$347.70
Rate for Payer: Aetna Medicare Advantage	$274.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$233.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$233.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$233.32
Rate for Payer: Cigna Commercial	$457.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.90
Rate for Payer: Oxford Commercial	$183.00
Rate for Payer: Qualcare PPO/HMO/WC	$137.25
Rate for Payer: UnitedHealthcare Commercial	$183.00
Rate for Payer: UnitedHealthcare Community & State	$28.91
Rate for Payer: Wellpoint Medicaid Managed Care	$25.99

SAWBLADE STR UNIV NARROW .315

Facility

$915.00

Hospital Charge Code	270676925
Hospital Revenue Code	272
Min. Negotiated Rate	$137.25
Max. Negotiated Rate	$137.25
Rate for Payer: Qualcare PPO/HMO/WC	$137.25

SAWBLADE STR UNIV WIDE .315

Facility

$915.00

Hospital Charge Code	270677042
Hospital Revenue Code	270
Min. Negotiated Rate	$137.25
Max. Negotiated Rate	$137.25
Rate for Payer: Qualcare PPO/HMO/WC	$137.25

SAWBLADE STR UNIV WIDE .315

Facility

$915.00

Hospital Charge Code	270677042
Hospital Revenue Code	270
Min. Negotiated Rate	$25.99
Max. Negotiated Rate	$457.50
Rate for Payer: Aetna Commercial	$347.70
Rate for Payer: Aetna Medicare Advantage	$274.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$233.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$233.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$233.32
Rate for Payer: Cigna Commercial	$457.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.90
Rate for Payer: Oxford Commercial	$183.00
Rate for Payer: Qualcare PPO/HMO/WC	$137.25
Rate for Payer: UnitedHealthcare Commercial	$183.00
Rate for Payer: UnitedHealthcare Community & State	$28.91
Rate for Payer: Wellpoint Medicaid Managed Care	$25.99

SAW CARTILAG DBLE SIDE CONN

Facility

$640.00

Hospital Charge Code	270698543
Hospital Revenue Code	272
Min. Negotiated Rate	$96.00
Max. Negotiated Rate	$96.00
Rate for Payer: Qualcare PPO/HMO/WC	$96.00

SAW CARTILAG DBLE SIDE CONN

Facility

$640.00

Hospital Charge Code	270698543
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

SAW GIGLI DISP 12

Facility

$87.31

Hospital Charge Code	270601045
Hospital Revenue Code	272
Min. Negotiated Rate	$13.10
Max. Negotiated Rate	$13.10
Rate for Payer: Qualcare PPO/HMO/WC	$13.10

SAW GIGLI DISP 12

Facility

$87.31

Hospital Charge Code	270601045
Hospital Revenue Code	272
Min. Negotiated Rate	$2.48
Max. Negotiated Rate	$43.66
Rate for Payer: Aetna Commercial	$33.18
Rate for Payer: Aetna Medicare Advantage	$26.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.26
Rate for Payer: Cigna Commercial	$43.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.70
Rate for Payer: Oxford Commercial	$17.46
Rate for Payer: Qualcare PPO/HMO/WC	$13.10
Rate for Payer: UnitedHealthcare Commercial	$17.46
Rate for Payer: UnitedHealthcare Community & State	$2.76
Rate for Payer: Wellpoint Medicaid Managed Care	$2.48

SAW GIGLI DISP 20

Facility

$98.39

Hospital Charge Code	270601046
Hospital Revenue Code	272
Min. Negotiated Rate	$14.76
Max. Negotiated Rate	$14.76
Rate for Payer: Qualcare PPO/HMO/WC	$14.76

SAW GIGLI DISP 20

Facility

$98.39

Hospital Charge Code	270601046
Hospital Revenue Code	272
Min. Negotiated Rate	$2.79
Max. Negotiated Rate	$49.20
Rate for Payer: Aetna Commercial	$37.39
Rate for Payer: Aetna Medicare Advantage	$29.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.09
Rate for Payer: Cigna Commercial	$49.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.58
Rate for Payer: Oxford Commercial	$19.68
Rate for Payer: Qualcare PPO/HMO/WC	$14.76
Rate for Payer: UnitedHealthcare Commercial	$19.68
Rate for Payer: UnitedHealthcare Community & State	$3.11
Rate for Payer: Wellpoint Medicaid Managed Care	$2.79

SBCL PHLEBOTOMY SERVICE

Facility

$25.00

Hospital Charge Code	38474114
Hospital Revenue Code	301
Min. Negotiated Rate	$0.71
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$9.50
Rate for Payer: Aetna Medicare Advantage	$7.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.38
Rate for Payer: Cigna Commercial	$12.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.50
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.75
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$0.79
Rate for Payer: Wellpoint Medicaid Managed Care	$0.71

SBCL PHLEBOTOMY SERVICE

Facility

$25.00

Hospital Charge Code	38474114
Hospital Revenue Code	301
Min. Negotiated Rate	$3.75
Max. Negotiated Rate	$3.75
Rate for Payer: Qualcare PPO/HMO/WC	$3.75

S/B LESION

Facility

$1,083.25

Service Code	HCPCS 11057
Hospital Charge Code	87502565
Hospital Revenue Code	761
Min. Negotiated Rate	$30.76
Max. Negotiated Rate	$864.65
Rate for Payer: Aetna Commercial	$648.34
Rate for Payer: Aetna Medicare Advantage	$772.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$864.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$864.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$238.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$43.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$864.65
Rate for Payer: Cigna Commercial	$477.79
Rate for Payer: Cigna Medicare Advantage	$238.36
Rate for Payer: Clover Medicare Advantage	$226.44
Rate for Payer: EmblemHealth Commercial	$715.08
Rate for Payer: Humana Medicare Advantage	$245.51
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$238.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$281.64
Rate for Payer: Oxford Commercial	$216.65
Rate for Payer: Qualcare PPO/HMO/WC	$162.49
Rate for Payer: UnitedHealthcare Commercial	$216.65
Rate for Payer: UnitedHealthcare Community & State	$34.23
Rate for Payer: UnitedHealthcare Medicare Advantage	$238.36
Rate for Payer: Wellcare Medicare Advantage	$238.36
Rate for Payer: Wellpoint Medicaid Managed Care	$30.76

Know your out-of-pocket cost for care.

All Charges