Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SHARPSHOOTER SUTURE TAPE

Facility

$888.40

Hospital Charge Code	270705134
Hospital Revenue Code	279
Min. Negotiated Rate	$25.23
Max. Negotiated Rate	$444.20
Rate for Payer: Aetna Commercial	$337.59
Rate for Payer: Aetna Medicare Advantage	$266.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$226.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$226.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$226.54
Rate for Payer: Cigna Commercial	$444.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$230.98
Rate for Payer: Oxford Commercial	$177.68
Rate for Payer: Qualcare PPO/HMO/WC	$133.26
Rate for Payer: UnitedHealthcare Commercial	$177.68
Rate for Payer: UnitedHealthcare Community & State	$28.07
Rate for Payer: Wellpoint Medicaid Managed Care	$25.23

SHAVE BIOPSY DERMAL LESION

Facility

$69.00

Service Code	HCPCS 11300
Hospital Charge Code	87502511
Hospital Revenue Code	510
Min. Negotiated Rate	$1.96
Max. Negotiated Rate	$1,751.90
Rate for Payer: Aetna Commercial	$1,313.62
Rate for Payer: Aetna Medicare Advantage	$1,564.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,751.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,751.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$482.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,751.90
Rate for Payer: Cigna Commercial	$968.07
Rate for Payer: Cigna Medicare Advantage	$482.95
Rate for Payer: Clover Medicare Advantage	$458.80
Rate for Payer: EmblemHealth Commercial	$1,448.85
Rate for Payer: Humana Medicare Advantage	$497.44
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$482.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.94
Rate for Payer: Qualcare PPO/HMO/WC	$10.35
Rate for Payer: UnitedHealthcare Community & State	$2.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$482.95
Rate for Payer: Wellcare Medicare Advantage	$482.95
Rate for Payer: Wellpoint Medicaid Managed Care	$1.96

SHAVE BIOPSY DERMAL LESION

Facility

$69.00

Service Code	HCPCS 11300
Hospital Charge Code	87502511
Hospital Revenue Code	510
Min. Negotiated Rate	$10.35
Max. Negotiated Rate	$10.35
Rate for Payer: Qualcare PPO/HMO/WC	$10.35

SHAVE BIOPSY SKIN LESION

Facility

$69.00

Service Code	HCPCS 11300
Hospital Charge Code	87502640
Hospital Revenue Code	510
Min. Negotiated Rate	$1.96
Max. Negotiated Rate	$1,751.90
Rate for Payer: Aetna Commercial	$1,313.62
Rate for Payer: Aetna Medicare Advantage	$1,564.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,751.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,751.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$482.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,751.90
Rate for Payer: Cigna Commercial	$968.07
Rate for Payer: Cigna Medicare Advantage	$482.95
Rate for Payer: Clover Medicare Advantage	$458.80
Rate for Payer: EmblemHealth Commercial	$1,448.85
Rate for Payer: Humana Medicare Advantage	$497.44
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$482.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.94
Rate for Payer: Qualcare PPO/HMO/WC	$10.35
Rate for Payer: UnitedHealthcare Community & State	$2.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$482.95
Rate for Payer: Wellcare Medicare Advantage	$482.95
Rate for Payer: Wellpoint Medicaid Managed Care	$1.96

SHAVE BIOPSY SKIN LESION

Facility

$69.00

Service Code	HCPCS 11300
Hospital Charge Code	87502640
Hospital Revenue Code	510
Min. Negotiated Rate	$10.35
Max. Negotiated Rate	$10.35
Rate for Payer: Qualcare PPO/HMO/WC	$10.35

SHAVER 3.0

Facility

$330.00

Hospital Charge Code	270687620
Hospital Revenue Code	272
Min. Negotiated Rate	$9.37
Max. Negotiated Rate	$165.00
Rate for Payer: Aetna Commercial	$125.40
Rate for Payer: Aetna Medicare Advantage	$99.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.15
Rate for Payer: Cigna Commercial	$165.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.80
Rate for Payer: Oxford Commercial	$66.00
Rate for Payer: Qualcare PPO/HMO/WC	$49.50
Rate for Payer: UnitedHealthcare Commercial	$66.00
Rate for Payer: UnitedHealthcare Community & State	$10.43
Rate for Payer: Wellpoint Medicaid Managed Care	$9.37

SHAVER 3.0

Facility

$330.00

Hospital Charge Code	270687620
Hospital Revenue Code	272
Min. Negotiated Rate	$49.50
Max. Negotiated Rate	$49.50
Rate for Payer: Qualcare PPO/HMO/WC	$49.50

SHAVER AGGRESSIVE 3.0

Facility

$330.00

Hospital Charge Code	270687617
Hospital Revenue Code	272
Min. Negotiated Rate	$49.50
Max. Negotiated Rate	$49.50
Rate for Payer: Qualcare PPO/HMO/WC	$49.50

SHAVER AGGRESSIVE 3.0

Facility

$330.00

Hospital Charge Code	270687617
Hospital Revenue Code	272
Min. Negotiated Rate	$9.37
Max. Negotiated Rate	$165.00
Rate for Payer: Aetna Commercial	$125.40
Rate for Payer: Aetna Medicare Advantage	$99.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.15
Rate for Payer: Cigna Commercial	$165.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.80
Rate for Payer: Oxford Commercial	$66.00
Rate for Payer: Qualcare PPO/HMO/WC	$49.50
Rate for Payer: UnitedHealthcare Commercial	$66.00
Rate for Payer: UnitedHealthcare Community & State	$10.43
Rate for Payer: Wellpoint Medicaid Managed Care	$9.37

SHAVER AGGRESSIVE PLUS 4.0MM

Facility

$288.65

Hospital Charge Code	270654868
Hospital Revenue Code	272
Min. Negotiated Rate	$8.20
Max. Negotiated Rate	$144.32
Rate for Payer: Aetna Commercial	$109.69
Rate for Payer: Aetna Medicare Advantage	$86.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$73.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$73.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$73.61
Rate for Payer: Cigna Commercial	$144.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.05
Rate for Payer: Oxford Commercial	$57.73
Rate for Payer: Qualcare PPO/HMO/WC	$43.30
Rate for Payer: UnitedHealthcare Commercial	$57.73
Rate for Payer: UnitedHealthcare Community & State	$9.12
Rate for Payer: Wellpoint Medicaid Managed Care	$8.20

SHAVER AGGRESSIVE PLUS 4.0MM

Facility

$288.65

Hospital Charge Code	270654868
Hospital Revenue Code	272
Min. Negotiated Rate	$43.30
Max. Negotiated Rate	$43.30
Rate for Payer: Qualcare PPO/HMO/WC	$43.30

SHAVER AGGRESSIVE PLUS 5.5MM

Facility

$200.00

Hospital Charge Code	270671571
Hospital Revenue Code	272
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

SHAVER AGGRESSIVE PLUS 5.5MM

Facility

$200.00

Hospital Charge Code	270671571
Hospital Revenue Code	272
Min. Negotiated Rate	$5.68
Max. Negotiated Rate	$100.00
Rate for Payer: Aetna Commercial	$76.00
Rate for Payer: Aetna Medicare Advantage	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.00
Rate for Payer: Cigna Commercial	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.00
Rate for Payer: Oxford Commercial	$40.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00
Rate for Payer: UnitedHealthcare Commercial	$40.00
Rate for Payer: UnitedHealthcare Community & State	$6.32
Rate for Payer: Wellpoint Medicaid Managed Care	$5.68

SHAVER AGGRESSIVE PLUS F 4MM

Facility

$277.16

Hospital Charge Code	270652470
Hospital Revenue Code	272
Min. Negotiated Rate	$7.87
Max. Negotiated Rate	$138.58
Rate for Payer: Aetna Commercial	$105.32
Rate for Payer: Aetna Medicare Advantage	$83.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.68
Rate for Payer: Cigna Commercial	$138.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.06
Rate for Payer: Oxford Commercial	$55.43
Rate for Payer: Qualcare PPO/HMO/WC	$41.57
Rate for Payer: UnitedHealthcare Commercial	$55.43
Rate for Payer: UnitedHealthcare Community & State	$8.76
Rate for Payer: Wellpoint Medicaid Managed Care	$7.87

SHAVER AGGRESSIVE PLUS F 4MM

Facility

$277.16

Hospital Charge Code	270652470
Hospital Revenue Code	272
Min. Negotiated Rate	$41.57
Max. Negotiated Rate	$41.57
Rate for Payer: Qualcare PPO/HMO/WC	$41.57

SHAVER ANGLE AGGRESSIVE 4.5MM

Facility

$158.33

Hospital Charge Code	270675576
Hospital Revenue Code	272
Min. Negotiated Rate	$23.75
Max. Negotiated Rate	$23.75
Rate for Payer: Qualcare PPO/HMO/WC	$23.75

SHAVER ANGLE AGGRESSIVE 4.5MM

Facility

$158.33

Hospital Charge Code	270675576
Hospital Revenue Code	272
Min. Negotiated Rate	$4.50
Max. Negotiated Rate	$79.17
Rate for Payer: Aetna Commercial	$60.17
Rate for Payer: Aetna Medicare Advantage	$47.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.37
Rate for Payer: Cigna Commercial	$79.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.17
Rate for Payer: Oxford Commercial	$31.67
Rate for Payer: Qualcare PPO/HMO/WC	$23.75
Rate for Payer: UnitedHealthcare Commercial	$31.67
Rate for Payer: UnitedHealthcare Community & State	$5.00
Rate for Payer: Wellpoint Medicaid Managed Care	$4.50

SHAVER ANGLE AGGRESSIVE 5.0MM

Facility

$200.00

Hospital Charge Code	270675577
Hospital Revenue Code	272
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

SHAVER ANGLE AGGRESSIVE 5.0MM

Facility

$200.00

Hospital Charge Code	270675577
Hospital Revenue Code	272
Min. Negotiated Rate	$5.68
Max. Negotiated Rate	$100.00
Rate for Payer: Aetna Commercial	$76.00
Rate for Payer: Aetna Medicare Advantage	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.00
Rate for Payer: Cigna Commercial	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.00
Rate for Payer: Oxford Commercial	$40.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00
Rate for Payer: UnitedHealthcare Commercial	$40.00
Rate for Payer: UnitedHealthcare Community & State	$6.32
Rate for Payer: Wellpoint Medicaid Managed Care	$5.68

SHAVER BONE 360

Facility

$2,025.00

Hospital Charge Code	270678093
Hospital Revenue Code	272
Min. Negotiated Rate	$303.75
Max. Negotiated Rate	$303.75
Rate for Payer: Qualcare PPO/HMO/WC	$303.75

SHAVER BONE 360

Facility

$2,025.00

Hospital Charge Code	270678093
Hospital Revenue Code	272
Min. Negotiated Rate	$57.51
Max. Negotiated Rate	$1,012.50
Rate for Payer: Aetna Commercial	$769.50
Rate for Payer: Aetna Medicare Advantage	$607.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$516.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$516.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$516.38
Rate for Payer: Cigna Commercial	$1,012.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$526.50
Rate for Payer: Oxford Commercial	$405.00
Rate for Payer: Qualcare PPO/HMO/WC	$303.75
Rate for Payer: UnitedHealthcare Commercial	$405.00
Rate for Payer: UnitedHealthcare Community & State	$63.99
Rate for Payer: Wellpoint Medicaid Managed Care	$57.51

SHAVER DENSE TISSUE MINI

Facility

$4,811.25

Service Code	HCPCS C1782
Hospital Charge Code	270700296
Hospital Revenue Code	272
Min. Negotiated Rate	$721.69
Max. Negotiated Rate	$721.69
Rate for Payer: Qualcare PPO/HMO/WC	$721.69

SHAVER DENSE TISSUE MINI

Facility

$4,811.25

Service Code	HCPCS C1782
Hospital Charge Code	270700296
Hospital Revenue Code	272
Min. Negotiated Rate	$136.64
Max. Negotiated Rate	$2,405.62
Rate for Payer: Aetna Commercial	$1,828.28
Rate for Payer: Aetna Medicare Advantage	$1,443.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,226.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,226.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,226.87
Rate for Payer: Cigna Commercial	$2,405.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,250.92
Rate for Payer: Oxford Commercial	$962.25
Rate for Payer: Qualcare PPO/HMO/WC	$721.69
Rate for Payer: UnitedHealthcare Commercial	$962.25
Rate for Payer: UnitedHealthcare Community & State	$152.04
Rate for Payer: Wellpoint Medicaid Managed Care	$136.64

SHAVER DIAMOND 04.4

Facility

$2,531.25

Hospital Charge Code	270663203
Hospital Revenue Code	272
Min. Negotiated Rate	$379.69
Max. Negotiated Rate	$379.69
Rate for Payer: Qualcare PPO/HMO/WC	$379.69

SHAVER DIAMOND 04.4

Facility

$2,531.25

Hospital Charge Code	270663203
Hospital Revenue Code	272
Min. Negotiated Rate	$71.89
Max. Negotiated Rate	$1,265.62
Rate for Payer: Aetna Commercial	$961.88
Rate for Payer: Aetna Medicare Advantage	$759.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$645.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$645.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$645.47
Rate for Payer: Cigna Commercial	$1,265.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$658.12
Rate for Payer: Oxford Commercial	$506.25
Rate for Payer: Qualcare PPO/HMO/WC	$379.69
Rate for Payer: UnitedHealthcare Commercial	$506.25
Rate for Payer: UnitedHealthcare Community & State	$79.99
Rate for Payer: Wellpoint Medicaid Managed Care	$71.89

Know your out-of-pocket cost for care.

All Charges