Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SHEAR ENDOSCOPIC HOOK 5MM 36CM

Facility

$298.96

Hospital Charge Code	270600111
Hospital Revenue Code	272
Min. Negotiated Rate	$8.49
Max. Negotiated Rate	$149.48
Rate for Payer: Aetna Commercial	$113.60
Rate for Payer: Aetna Medicare Advantage	$89.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.23
Rate for Payer: Cigna Commercial	$149.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.73
Rate for Payer: Oxford Commercial	$59.79
Rate for Payer: Qualcare PPO/HMO/WC	$44.84
Rate for Payer: UnitedHealthcare Commercial	$59.79
Rate for Payer: UnitedHealthcare Community & State	$9.45
Rate for Payer: Wellpoint Medicaid Managed Care	$8.49

SHEAR HARMONIC ACE 7 45CM

Facility

$3,135.64

Hospital Charge Code	270669362
Hospital Revenue Code	272
Min. Negotiated Rate	$470.35
Max. Negotiated Rate	$470.35
Rate for Payer: Qualcare PPO/HMO/WC	$470.35

SHEAR HARMONIC ACE 7 45CM

Facility

$3,135.64

Hospital Charge Code	270669362
Hospital Revenue Code	272
Min. Negotiated Rate	$89.05
Max. Negotiated Rate	$1,567.82
Rate for Payer: Aetna Commercial	$1,191.54
Rate for Payer: Aetna Medicare Advantage	$940.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$799.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$799.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$799.59
Rate for Payer: Cigna Commercial	$1,567.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$815.27
Rate for Payer: Oxford Commercial	$627.13
Rate for Payer: Qualcare PPO/HMO/WC	$470.35
Rate for Payer: UnitedHealthcare Commercial	$627.13
Rate for Payer: UnitedHealthcare Community & State	$99.09
Rate for Payer: Wellpoint Medicaid Managed Care	$89.05

SHEAR HARMONIC COAGULATING CRV

Facility

$2,115.00

Hospital Charge Code	270659479
Hospital Revenue Code	272
Min. Negotiated Rate	$317.25
Max. Negotiated Rate	$317.25
Rate for Payer: Qualcare PPO/HMO/WC	$317.25

SHEAR HARMONIC COAGULATING CRV

Facility

$2,115.00

Hospital Charge Code	270659479
Hospital Revenue Code	272
Min. Negotiated Rate	$60.07
Max. Negotiated Rate	$1,057.50
Rate for Payer: Aetna Commercial	$803.70
Rate for Payer: Aetna Medicare Advantage	$634.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$539.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$539.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$539.33
Rate for Payer: Cigna Commercial	$1,057.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$549.90
Rate for Payer: Oxford Commercial	$423.00
Rate for Payer: Qualcare PPO/HMO/WC	$317.25
Rate for Payer: UnitedHealthcare Commercial	$423.00
Rate for Payer: UnitedHealthcare Community & State	$66.83
Rate for Payer: Wellpoint Medicaid Managed Care	$60.07

SHEAR HS FOCUS 9CM

Facility

$2,895.12

Hospital Charge Code	270673935
Hospital Revenue Code	272
Min. Negotiated Rate	$82.22
Max. Negotiated Rate	$1,447.56
Rate for Payer: Aetna Commercial	$1,100.15
Rate for Payer: Aetna Medicare Advantage	$868.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$738.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$738.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$738.26
Rate for Payer: Cigna Commercial	$1,447.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$752.73
Rate for Payer: Oxford Commercial	$579.02
Rate for Payer: Qualcare PPO/HMO/WC	$434.27
Rate for Payer: UnitedHealthcare Commercial	$579.02
Rate for Payer: UnitedHealthcare Community & State	$91.49
Rate for Payer: Wellpoint Medicaid Managed Care	$82.22

SHEAR HS FOCUS 9CM

Facility

$2,895.12

Hospital Charge Code	270673935
Hospital Revenue Code	272
Min. Negotiated Rate	$434.27
Max. Negotiated Rate	$434.27
Rate for Payer: Qualcare PPO/HMO/WC	$434.27

SHEAR LAPROSCOPIC 5mm HARM ACE

Facility

$2,781.29

Hospital Charge Code	270635619
Hospital Revenue Code	272
Min. Negotiated Rate	$78.99
Max. Negotiated Rate	$1,390.64
Rate for Payer: Aetna Commercial	$1,056.89
Rate for Payer: Aetna Medicare Advantage	$834.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$709.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$709.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$709.23
Rate for Payer: Cigna Commercial	$1,390.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$723.14
Rate for Payer: Oxford Commercial	$556.26
Rate for Payer: Qualcare PPO/HMO/WC	$417.19
Rate for Payer: UnitedHealthcare Commercial	$556.26
Rate for Payer: UnitedHealthcare Community & State	$87.89
Rate for Payer: Wellpoint Medicaid Managed Care	$78.99

SHEAR LAPROSCOPIC 5mm HARM ACE

Facility

$2,781.29

Hospital Charge Code	270635619
Hospital Revenue Code	272
Min. Negotiated Rate	$417.19
Max. Negotiated Rate	$417.19
Rate for Payer: Qualcare PPO/HMO/WC	$417.19

SHEARS,COAG.KNIFE DOWN BLADE

Facility

$924.00

Hospital Charge Code	270335397
Hospital Revenue Code	272
Min. Negotiated Rate	$26.24
Max. Negotiated Rate	$462.00
Rate for Payer: Aetna Commercial	$351.12
Rate for Payer: Aetna Medicare Advantage	$277.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$235.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$235.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$235.62
Rate for Payer: Cigna Commercial	$462.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$240.24
Rate for Payer: Oxford Commercial	$184.80
Rate for Payer: Qualcare PPO/HMO/WC	$138.60
Rate for Payer: UnitedHealthcare Commercial	$184.80
Rate for Payer: UnitedHealthcare Community & State	$29.20
Rate for Payer: Wellpoint Medicaid Managed Care	$26.24

SHEARS,COAG.KNIFE DOWN BLADE

Facility

$924.00

Hospital Charge Code	270335397
Hospital Revenue Code	272
Min. Negotiated Rate	$138.60
Max. Negotiated Rate	$138.60
Rate for Payer: Qualcare PPO/HMO/WC	$138.60

SHEARS,COAG.SCISSOR GRIP

Facility

$1,386.00

Hospital Charge Code	270335398
Hospital Revenue Code	272
Min. Negotiated Rate	$39.36
Max. Negotiated Rate	$693.00
Rate for Payer: Aetna Commercial	$526.68
Rate for Payer: Aetna Medicare Advantage	$415.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$353.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$353.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$353.43
Rate for Payer: Cigna Commercial	$693.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$360.36
Rate for Payer: Oxford Commercial	$277.20
Rate for Payer: Qualcare PPO/HMO/WC	$207.90
Rate for Payer: UnitedHealthcare Commercial	$277.20
Rate for Payer: UnitedHealthcare Community & State	$43.80
Rate for Payer: Wellpoint Medicaid Managed Care	$39.36

SHEARS,COAG.SCISSOR GRIP

Facility

$1,386.00

Hospital Charge Code	270335398
Hospital Revenue Code	272
Min. Negotiated Rate	$207.90
Max. Negotiated Rate	$207.90
Rate for Payer: Qualcare PPO/HMO/WC	$207.90

SHEARS,COAGULATING PISTALGRIP

Facility

$924.00

Hospital Charge Code	270335399
Hospital Revenue Code	272
Min. Negotiated Rate	$138.60
Max. Negotiated Rate	$138.60
Rate for Payer: Qualcare PPO/HMO/WC	$138.60

SHEARS,COAGULATING PISTALGRIP

Facility

$924.00

Hospital Charge Code	270335399
Hospital Revenue Code	272
Min. Negotiated Rate	$26.24
Max. Negotiated Rate	$462.00
Rate for Payer: Aetna Commercial	$351.12
Rate for Payer: Aetna Medicare Advantage	$277.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$235.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$235.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$235.62
Rate for Payer: Cigna Commercial	$462.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$240.24
Rate for Payer: Oxford Commercial	$184.80
Rate for Payer: Qualcare PPO/HMO/WC	$138.60
Rate for Payer: UnitedHealthcare Commercial	$184.80
Rate for Payer: UnitedHealthcare Community & State	$29.20
Rate for Payer: Wellpoint Medicaid Managed Care	$26.24

SHEARS HARMONIC 1100 20CM

Facility

$5,910.40

Hospital Charge Code	270693525
Hospital Revenue Code	272
Min. Negotiated Rate	$886.56
Max. Negotiated Rate	$886.56
Rate for Payer: Qualcare PPO/HMO/WC	$886.56

SHEARS HARMONIC 1100 20CM

Facility

$5,910.40

Hospital Charge Code	270693525
Hospital Revenue Code	272
Min. Negotiated Rate	$167.86
Max. Negotiated Rate	$2,955.20
Rate for Payer: Aetna Commercial	$2,245.95
Rate for Payer: Aetna Medicare Advantage	$1,773.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,507.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,507.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,507.15
Rate for Payer: Cigna Commercial	$2,955.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,536.70
Rate for Payer: Oxford Commercial	$1,182.08
Rate for Payer: Qualcare PPO/HMO/WC	$886.56
Rate for Payer: UnitedHealthcare Commercial	$1,182.08
Rate for Payer: UnitedHealthcare Community & State	$186.77
Rate for Payer: Wellpoint Medicaid Managed Care	$167.86

SHEARS HARMONIC 1100 36CM

Facility

$6,730.15

Hospital Charge Code	270693526
Hospital Revenue Code	272
Min. Negotiated Rate	$191.14
Max. Negotiated Rate	$3,365.07
Rate for Payer: Aetna Commercial	$2,557.46
Rate for Payer: Aetna Medicare Advantage	$2,019.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,716.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,716.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,716.19
Rate for Payer: Cigna Commercial	$3,365.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,749.84
Rate for Payer: Oxford Commercial	$1,346.03
Rate for Payer: Qualcare PPO/HMO/WC	$1,009.52
Rate for Payer: UnitedHealthcare Commercial	$1,346.03
Rate for Payer: UnitedHealthcare Community & State	$212.67
Rate for Payer: Wellpoint Medicaid Managed Care	$191.14

SHEARS HARMONIC 1100 36CM

Facility

$6,730.15

Hospital Charge Code	270693526
Hospital Revenue Code	272
Min. Negotiated Rate	$1,009.52
Max. Negotiated Rate	$1,009.52
Rate for Payer: Qualcare PPO/HMO/WC	$1,009.52

SHEATH 10FR 30cm

Facility

$380.00

Hospital Charge Code	270634843
Hospital Revenue Code	272
Min. Negotiated Rate	$10.79
Max. Negotiated Rate	$190.00
Rate for Payer: Aetna Commercial	$144.40
Rate for Payer: Aetna Medicare Advantage	$114.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$96.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$96.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$96.90
Rate for Payer: Cigna Commercial	$190.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.80
Rate for Payer: Oxford Commercial	$76.00
Rate for Payer: Qualcare PPO/HMO/WC	$57.00
Rate for Payer: UnitedHealthcare Commercial	$76.00
Rate for Payer: UnitedHealthcare Community & State	$12.01
Rate for Payer: Wellpoint Medicaid Managed Care	$10.79

SHEATH 10FR 30cm

Facility

$380.00

Hospital Charge Code	270634843
Hospital Revenue Code	272
Min. Negotiated Rate	$57.00
Max. Negotiated Rate	$57.00
Rate for Payer: Qualcare PPO/HMO/WC	$57.00

SHEATH 14 FR

Facility

$2,235.00

Service Code	HCPCS C1894
Hospital Charge Code	270681916
Hospital Revenue Code	278
Min. Negotiated Rate	$63.47
Max. Negotiated Rate	$1,117.50
Rate for Payer: Aetna Commercial	$849.30
Rate for Payer: Aetna Medicare Advantage	$670.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$569.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$569.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$447.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$569.92
Rate for Payer: Cigna Commercial	$1,117.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$540.87
Rate for Payer: Qualcare PPO/HMO/WC	$335.25
Rate for Payer: UnitedHealthcare Community & State	$70.63
Rate for Payer: Wellpoint Medicaid Managed Care	$63.47

SHEATH 14 FR

Facility

$2,235.00

Service Code	HCPCS C1894
Hospital Charge Code	270681916
Hospital Revenue Code	278
Min. Negotiated Rate	$335.25
Max. Negotiated Rate	$540.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$447.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$540.87
Rate for Payer: Qualcare PPO/HMO/WC	$335.25

SHEATH 33mm ENDOSCOPIC STAPLER

Facility

$1,422.65

Hospital Charge Code	270630330
Hospital Revenue Code	272
Min. Negotiated Rate	$40.40
Max. Negotiated Rate	$711.33
Rate for Payer: Aetna Commercial	$540.61
Rate for Payer: Aetna Medicare Advantage	$426.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$362.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$362.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$362.78
Rate for Payer: Cigna Commercial	$711.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$369.89
Rate for Payer: Oxford Commercial	$284.53
Rate for Payer: Qualcare PPO/HMO/WC	$213.40
Rate for Payer: UnitedHealthcare Commercial	$284.53
Rate for Payer: UnitedHealthcare Community & State	$44.96
Rate for Payer: Wellpoint Medicaid Managed Care	$40.40

SHEATH 33mm ENDOSCOPIC STAPLER

Facility

$1,422.65

Hospital Charge Code	270630330
Hospital Revenue Code	272
Min. Negotiated Rate	$213.40
Max. Negotiated Rate	$213.40
Rate for Payer: Qualcare PPO/HMO/WC	$213.40

Know your out-of-pocket cost for care.

All Charges