Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SLING X-LARGE

Facility

$10.28

Hospital Charge Code	270302930
Hospital Revenue Code	270
Min. Negotiated Rate	$0.29
Max. Negotiated Rate	$5.14
Rate for Payer: Aetna Commercial	$3.91
Rate for Payer: Aetna Medicare Advantage	$3.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.62
Rate for Payer: Cigna Commercial	$5.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.67
Rate for Payer: Oxford Commercial	$2.06
Rate for Payer: Qualcare PPO/HMO/WC	$1.54
Rate for Payer: UnitedHealthcare Commercial	$2.06
Rate for Payer: UnitedHealthcare Community & State	$0.32
Rate for Payer: Wellpoint Medicaid Managed Care	$0.29

SLIN OBTR TRANSOBT M0068505000

Facility

$6,025.00

Service Code	HCPCS C1771
Hospital Charge Code	270639751
Hospital Revenue Code	278
Min. Negotiated Rate	$171.11
Max. Negotiated Rate	$3,012.50
Rate for Payer: Aetna Commercial	$2,289.50
Rate for Payer: Aetna Medicare Advantage	$1,807.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,536.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,536.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,205.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,536.38
Rate for Payer: Cigna Commercial	$3,012.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,458.05
Rate for Payer: Qualcare PPO/HMO/WC	$903.75
Rate for Payer: UnitedHealthcare Community & State	$190.39
Rate for Payer: Wellpoint Medicaid Managed Care	$171.11

SLIN OBTR TRANSOBT M0068505000

Facility

$6,025.00

Service Code	HCPCS C1771
Hospital Charge Code	270639751
Hospital Revenue Code	278
Min. Negotiated Rate	$903.75
Max. Negotiated Rate	$1,458.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,205.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,458.05
Rate for Payer: Qualcare PPO/HMO/WC	$903.75

SLIPPER LG 10-12 BEIGE

Facility

$5.65

Hospital Charge Code	270301993
Hospital Revenue Code	270
Min. Negotiated Rate	$0.85
Max. Negotiated Rate	$0.85
Rate for Payer: Qualcare PPO/HMO/WC	$0.85

SLIPPER LG 10-12 BEIGE

Facility

$5.65

Hospital Charge Code	270301993
Hospital Revenue Code	270
Min. Negotiated Rate	$0.16
Max. Negotiated Rate	$2.83
Rate for Payer: Aetna Commercial	$2.15
Rate for Payer: Aetna Medicare Advantage	$1.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.44
Rate for Payer: Cigna Commercial	$2.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.47
Rate for Payer: Oxford Commercial	$1.13
Rate for Payer: Qualcare PPO/HMO/WC	$0.85
Rate for Payer: UnitedHealthcare Commercial	$1.13
Rate for Payer: UnitedHealthcare Community & State	$0.18
Rate for Payer: Wellpoint Medicaid Managed Care	$0.16

SLIT KNIFE 2.4 MM BEVEL UP

Facility

$248.08

Hospital Charge Code	270685046
Hospital Revenue Code	272
Min. Negotiated Rate	$7.05
Max. Negotiated Rate	$124.04
Rate for Payer: Aetna Commercial	$94.27
Rate for Payer: Aetna Medicare Advantage	$74.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.26
Rate for Payer: Cigna Commercial	$124.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.50
Rate for Payer: Oxford Commercial	$49.62
Rate for Payer: Qualcare PPO/HMO/WC	$37.21
Rate for Payer: UnitedHealthcare Commercial	$49.62
Rate for Payer: UnitedHealthcare Community & State	$7.84
Rate for Payer: Wellpoint Medicaid Managed Care	$7.05

SLIT KNIFE 2.4 MM BEVEL UP

Facility

$248.08

Hospital Charge Code	270685046
Hospital Revenue Code	272
Min. Negotiated Rate	$37.21
Max. Negotiated Rate	$37.21
Rate for Payer: Qualcare PPO/HMO/WC	$37.21

SLIT KNIFE 2.75MM ANGLED

Facility

$29.00

Hospital Charge Code	270338750
Hospital Revenue Code	272
Min. Negotiated Rate	$0.82
Max. Negotiated Rate	$14.50
Rate for Payer: Aetna Commercial	$11.02
Rate for Payer: Aetna Medicare Advantage	$8.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.39
Rate for Payer: Cigna Commercial	$14.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.54
Rate for Payer: Oxford Commercial	$5.80
Rate for Payer: Qualcare PPO/HMO/WC	$4.35
Rate for Payer: UnitedHealthcare Commercial	$5.80
Rate for Payer: UnitedHealthcare Community & State	$0.92
Rate for Payer: Wellpoint Medicaid Managed Care	$0.82

SLIT KNIFE 2.75MM ANGLED

Facility

$29.00

Hospital Charge Code	270338750
Hospital Revenue Code	272
Min. Negotiated Rate	$4.35
Max. Negotiated Rate	$4.35
Rate for Payer: Qualcare PPO/HMO/WC	$4.35

SLP COMP Current Status CH

Facility

$0.01

Service Code	HCPCS G9160GNCH
Hospital Charge Code	74204059CH
Hospital Revenue Code	440
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

SLP COMP Current Status CH

Facility

$0.01

Service Code	HCPCS G9160GNCH
Hospital Charge Code	74204059CH
Hospital Revenue Code	440
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$0.00
Rate for Payer: Aetna Medicare Advantage	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.00
Rate for Payer: Cigna Commercial	$0.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Oxford Commercial	$933.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$0.00
Rate for Payer: Wellpoint Medicaid Managed Care	$0.00

SLP COMP Current Status CI

Facility

$0.01

Service Code	HCPCS G9159GNCI
Hospital Charge Code	74204059CI
Hospital Revenue Code	440
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

SLP COMP Current Status CI

Facility

$0.01

Service Code	HCPCS G9159GNCI
Hospital Charge Code	74204059CI
Hospital Revenue Code	440
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$0.00
Rate for Payer: Aetna Medicare Advantage	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.00
Rate for Payer: Cigna Commercial	$0.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Oxford Commercial	$933.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$0.00
Rate for Payer: Wellpoint Medicaid Managed Care	$0.00

SLP COMP Current Status CJ

Facility

$0.01

Service Code	HCPCS G9159GNCJ
Hospital Charge Code	74204059CJ
Hospital Revenue Code	440
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$0.00
Rate for Payer: Aetna Medicare Advantage	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.00
Rate for Payer: Cigna Commercial	$0.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Oxford Commercial	$933.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$0.00
Rate for Payer: Wellpoint Medicaid Managed Care	$0.00

SLP COMP Current Status CJ

Facility

$0.01

Service Code	HCPCS G9159GNCJ
Hospital Charge Code	74204059CJ
Hospital Revenue Code	440
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

SLP COMP Current Status CK

Facility

$0.01

Service Code	HCPCS G9159GNCK
Hospital Charge Code	74204059CK
Hospital Revenue Code	440
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

SLP COMP Current Status CK

Facility

$0.01

Service Code	HCPCS G9159GNCK
Hospital Charge Code	74204059CK
Hospital Revenue Code	440
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$0.00
Rate for Payer: Aetna Medicare Advantage	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.00
Rate for Payer: Cigna Commercial	$0.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Oxford Commercial	$933.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$0.00
Rate for Payer: Wellpoint Medicaid Managed Care	$0.00

SLP COMP Current Status CL

Facility

$0.01

Service Code	HCPCS G9159GNCL
Hospital Charge Code	74204059CL
Hospital Revenue Code	440
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$0.00
Rate for Payer: Aetna Medicare Advantage	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.00
Rate for Payer: Cigna Commercial	$0.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Oxford Commercial	$933.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$0.00
Rate for Payer: Wellpoint Medicaid Managed Care	$0.00

SLP COMP Current Status CL

Facility

$0.01

Service Code	HCPCS G9159GNCL
Hospital Charge Code	74204059CL
Hospital Revenue Code	440
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

SLP COMP Current Status CM

Facility

$0.01

Service Code	HCPCS G9159GNCM
Hospital Charge Code	74204059CM
Hospital Revenue Code	440
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$0.00
Rate for Payer: Aetna Medicare Advantage	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.00
Rate for Payer: Cigna Commercial	$0.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Oxford Commercial	$933.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$0.00
Rate for Payer: Wellpoint Medicaid Managed Care	$0.00

SLP COMP Current Status CM

Facility

$0.01

Service Code	HCPCS G9159GNCM
Hospital Charge Code	74204059CM
Hospital Revenue Code	440
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

SLP COMP Current Status CN

Facility

$0.01

Service Code	HCPCS G9159GNCN
Hospital Charge Code	74204059CN
Hospital Revenue Code	440
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

SLP COMP Current Status CN

Facility

$0.01

Service Code	HCPCS G9159GNCN
Hospital Charge Code	74204059CN
Hospital Revenue Code	440
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$0.00
Rate for Payer: Aetna Medicare Advantage	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.00
Rate for Payer: Cigna Commercial	$0.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Oxford Commercial	$933.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$0.00
Rate for Payer: Wellpoint Medicaid Managed Care	$0.00

SLP COMP D/C STATUS CH

Facility

$0.01

Service Code	HCPCS G9161GNCH
Hospital Charge Code	74204063CH
Hospital Revenue Code	440
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

SLP COMP D/C STATUS CH

Facility

$0.01

Service Code	HCPCS G9161GNCH
Hospital Charge Code	74204063CH
Hospital Revenue Code	440
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$0.00
Rate for Payer: Aetna Medicare Advantage	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.00
Rate for Payer: Cigna Commercial	$0.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Oxford Commercial	$933.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$0.00
Rate for Payer: Wellpoint Medicaid Managed Care	$0.00

Know your out-of-pocket cost for care.

All Charges