Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

STANDOFF 20MM

Facility

$232.35

Hospital Charge Code	270691901
Hospital Revenue Code	272
Min. Negotiated Rate	$34.85
Max. Negotiated Rate	$34.85
Rate for Payer: Qualcare PPO/HMO/WC	$34.85

STANDOFF 20MM

Facility

$232.35

Hospital Charge Code	270691901
Hospital Revenue Code	272
Min. Negotiated Rate	$6.60
Max. Negotiated Rate	$116.17
Rate for Payer: Aetna Commercial	$88.29
Rate for Payer: Aetna Medicare Advantage	$69.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.25
Rate for Payer: Cigna Commercial	$116.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.41
Rate for Payer: Oxford Commercial	$46.47
Rate for Payer: Qualcare PPO/HMO/WC	$34.85
Rate for Payer: UnitedHealthcare Commercial	$46.47
Rate for Payer: UnitedHealthcare Community & State	$7.34
Rate for Payer: Wellpoint Medicaid Managed Care	$6.60

STANDOFF 50MM

Facility

$377.60

Hospital Charge Code	270691902
Hospital Revenue Code	272
Min. Negotiated Rate	$10.72
Max. Negotiated Rate	$188.80
Rate for Payer: Aetna Commercial	$143.49
Rate for Payer: Aetna Medicare Advantage	$113.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$96.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$96.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$96.29
Rate for Payer: Cigna Commercial	$188.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.18
Rate for Payer: Oxford Commercial	$75.52
Rate for Payer: Qualcare PPO/HMO/WC	$56.64
Rate for Payer: UnitedHealthcare Commercial	$75.52
Rate for Payer: UnitedHealthcare Community & State	$11.93
Rate for Payer: Wellpoint Medicaid Managed Care	$10.72

STANDOFF 50MM

Facility

$377.60

Hospital Charge Code	270691902
Hospital Revenue Code	272
Min. Negotiated Rate	$56.64
Max. Negotiated Rate	$56.64
Rate for Payer: Qualcare PPO/HMO/WC	$56.64

STA PEG ANGLED

Facility

$2,764.00

Hospital Charge Code	270335022
Hospital Revenue Code	278
Min. Negotiated Rate	$78.50
Max. Negotiated Rate	$1,382.00
Rate for Payer: Aetna Commercial	$1,050.32
Rate for Payer: Aetna Medicare Advantage	$829.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$704.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$704.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$552.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$704.82
Rate for Payer: Cigna Commercial	$1,382.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$668.89
Rate for Payer: Qualcare PPO/HMO/WC	$414.60
Rate for Payer: UnitedHealthcare Community & State	$87.34
Rate for Payer: Wellpoint Medicaid Managed Care	$78.50

STA PEG ANGLED

Facility

$2,764.00

Hospital Charge Code	270335022
Hospital Revenue Code	278
Min. Negotiated Rate	$414.60
Max. Negotiated Rate	$668.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$552.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$668.89
Rate for Payer: Qualcare PPO/HMO/WC	$414.60

STAPL CURVED CUTTER REG CS40B

Facility

$2,249.25

Hospital Charge Code	270637401
Hospital Revenue Code	272
Min. Negotiated Rate	$63.88
Max. Negotiated Rate	$1,124.62
Rate for Payer: Aetna Commercial	$854.72
Rate for Payer: Aetna Medicare Advantage	$674.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$573.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$573.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$573.56
Rate for Payer: Cigna Commercial	$1,124.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$584.80
Rate for Payer: Oxford Commercial	$449.85
Rate for Payer: Qualcare PPO/HMO/WC	$337.39
Rate for Payer: UnitedHealthcare Commercial	$449.85
Rate for Payer: UnitedHealthcare Community & State	$71.08
Rate for Payer: Wellpoint Medicaid Managed Care	$63.88

STAPL CURVED CUTTER REG CS40B

Facility

$2,249.25

Hospital Charge Code	270637401
Hospital Revenue Code	272
Min. Negotiated Rate	$337.39
Max. Negotiated Rate	$337.39
Rate for Payer: Qualcare PPO/HMO/WC	$337.39

STAPLE 10MM

Facility

$4,500.00

Hospital Charge Code	270680749
Hospital Revenue Code	272
Min. Negotiated Rate	$675.00
Max. Negotiated Rate	$675.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00

STAPLE 10MM

Facility

$4,500.00

Hospital Charge Code	270680749
Hospital Revenue Code	272
Min. Negotiated Rate	$127.80
Max. Negotiated Rate	$2,250.00
Rate for Payer: Aetna Commercial	$1,710.00
Rate for Payer: Aetna Medicare Advantage	$1,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,147.50
Rate for Payer: Cigna Commercial	$2,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,170.00
Rate for Payer: Oxford Commercial	$900.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00
Rate for Payer: UnitedHealthcare Commercial	$900.00
Rate for Payer: UnitedHealthcare Community & State	$142.20
Rate for Payer: Wellpoint Medicaid Managed Care	$127.80

STAPLE ARCUS 10X8MM

Facility

$4,840.00

Service Code	HCPCS C1713
Hospital Charge Code	270694777
Hospital Revenue Code	278
Min. Negotiated Rate	$726.00
Max. Negotiated Rate	$1,171.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$968.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,171.28
Rate for Payer: Qualcare PPO/HMO/WC	$726.00

STAPLE ARCUS 10X8MM

Facility

$4,840.00

Service Code	HCPCS C1713
Hospital Charge Code	270694777
Hospital Revenue Code	278
Min. Negotiated Rate	$137.46
Max. Negotiated Rate	$2,420.00
Rate for Payer: Aetna Commercial	$1,839.20
Rate for Payer: Aetna Medicare Advantage	$1,452.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,234.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,234.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$968.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,234.20
Rate for Payer: Cigna Commercial	$2,420.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,171.28
Rate for Payer: Qualcare PPO/HMO/WC	$726.00
Rate for Payer: UnitedHealthcare Community & State	$152.94
Rate for Payer: Wellpoint Medicaid Managed Care	$137.46

STAPLE BONE 15/15/15 mm

Facility

$6,250.00

Hospital Charge Code	270681062
Hospital Revenue Code	272
Min. Negotiated Rate	$177.50
Max. Negotiated Rate	$3,125.00
Rate for Payer: Aetna Commercial	$2,375.00
Rate for Payer: Aetna Medicare Advantage	$1,875.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,593.75
Rate for Payer: Cigna Commercial	$3,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,625.00
Rate for Payer: Oxford Commercial	$1,250.00
Rate for Payer: Qualcare PPO/HMO/WC	$937.50
Rate for Payer: UnitedHealthcare Commercial	$1,250.00
Rate for Payer: UnitedHealthcare Community & State	$197.50
Rate for Payer: Wellpoint Medicaid Managed Care	$177.50

STAPLE BONE 15/15/15 mm

Facility

$6,250.00

Hospital Charge Code	270681062
Hospital Revenue Code	272
Min. Negotiated Rate	$937.50
Max. Negotiated Rate	$937.50
Rate for Payer: Qualcare PPO/HMO/WC	$937.50

STAPLE BONE 15MMx12MMx12MM

Facility

$6,250.00

Hospital Charge Code	270681059
Hospital Revenue Code	272
Min. Negotiated Rate	$937.50
Max. Negotiated Rate	$937.50
Rate for Payer: Qualcare PPO/HMO/WC	$937.50

STAPLE BONE 15MMx12MMx12MM

Facility

$6,250.00

Hospital Charge Code	270681059
Hospital Revenue Code	272
Min. Negotiated Rate	$177.50
Max. Negotiated Rate	$3,125.00
Rate for Payer: Aetna Commercial	$2,375.00
Rate for Payer: Aetna Medicare Advantage	$1,875.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,593.75
Rate for Payer: Cigna Commercial	$3,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,625.00
Rate for Payer: Oxford Commercial	$1,250.00
Rate for Payer: Qualcare PPO/HMO/WC	$937.50
Rate for Payer: UnitedHealthcare Commercial	$1,250.00
Rate for Payer: UnitedHealthcare Community & State	$197.50
Rate for Payer: Wellpoint Medicaid Managed Care	$177.50

STAPLE BONE 18/16/16 mm

Facility

$6,250.00

Hospital Charge Code	270681063
Hospital Revenue Code	272
Min. Negotiated Rate	$937.50
Max. Negotiated Rate	$937.50
Rate for Payer: Qualcare PPO/HMO/WC	$937.50

STAPLE BONE 18/16/16 mm

Facility

$6,250.00

Hospital Charge Code	270681063
Hospital Revenue Code	272
Min. Negotiated Rate	$177.50
Max. Negotiated Rate	$3,125.00
Rate for Payer: Aetna Commercial	$2,375.00
Rate for Payer: Aetna Medicare Advantage	$1,875.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,593.75
Rate for Payer: Cigna Commercial	$3,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,625.00
Rate for Payer: Oxford Commercial	$1,250.00
Rate for Payer: Qualcare PPO/HMO/WC	$937.50
Rate for Payer: UnitedHealthcare Commercial	$1,250.00
Rate for Payer: UnitedHealthcare Community & State	$197.50
Rate for Payer: Wellpoint Medicaid Managed Care	$177.50

STAPLE BONE 20/20/20 mm

Facility

$6,250.00

Hospital Charge Code	270681064
Hospital Revenue Code	272
Min. Negotiated Rate	$937.50
Max. Negotiated Rate	$937.50
Rate for Payer: Qualcare PPO/HMO/WC	$937.50

STAPLE BONE 20/20/20 mm

Facility

$6,250.00

Hospital Charge Code	270681064
Hospital Revenue Code	272
Min. Negotiated Rate	$177.50
Max. Negotiated Rate	$3,125.00
Rate for Payer: Aetna Commercial	$2,375.00
Rate for Payer: Aetna Medicare Advantage	$1,875.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,593.75
Rate for Payer: Cigna Commercial	$3,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,625.00
Rate for Payer: Oxford Commercial	$1,250.00
Rate for Payer: Qualcare PPO/HMO/WC	$937.50
Rate for Payer: UnitedHealthcare Commercial	$1,250.00
Rate for Payer: UnitedHealthcare Community & State	$197.50
Rate for Payer: Wellpoint Medicaid Managed Care	$177.50

STAPLE DOUBLE N

Facility

$1,760.85

Hospital Charge Code	270670927
Hospital Revenue Code	272
Min. Negotiated Rate	$264.13
Max. Negotiated Rate	$264.13
Rate for Payer: Qualcare PPO/HMO/WC	$264.13

STAPLE DOUBLE N

Facility

$1,760.85

Hospital Charge Code	270670927
Hospital Revenue Code	272
Min. Negotiated Rate	$50.01
Max. Negotiated Rate	$880.42
Rate for Payer: Aetna Commercial	$669.12
Rate for Payer: Aetna Medicare Advantage	$528.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$449.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$449.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$449.02
Rate for Payer: Cigna Commercial	$880.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$457.82
Rate for Payer: Oxford Commercial	$352.17
Rate for Payer: Qualcare PPO/HMO/WC	$264.13
Rate for Payer: UnitedHealthcare Commercial	$352.17
Rate for Payer: UnitedHealthcare Community & State	$55.64
Rate for Payer: Wellpoint Medicaid Managed Care	$50.01

STAPLE DYNANITE 11X10 W/INSTR

Facility

$7,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270699540
Hospital Revenue Code	278
Min. Negotiated Rate	$1,121.25
Max. Negotiated Rate	$1,808.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,808.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,121.25

STAPLE DYNANITE 11X10 W/INSTR

Facility

$7,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270699540
Hospital Revenue Code	278
Min. Negotiated Rate	$212.29
Max. Negotiated Rate	$3,737.50
Rate for Payer: Aetna Commercial	$2,840.50
Rate for Payer: Aetna Medicare Advantage	$2,242.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,906.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,906.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,495.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,906.12
Rate for Payer: Cigna Commercial	$3,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,808.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,121.25
Rate for Payer: UnitedHealthcare Community & State	$236.21
Rate for Payer: Wellpoint Medicaid Managed Care	$212.29

STAPLE DYNANITE 9X10 W/INSTRU

Facility

$7,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270699541
Hospital Revenue Code	278
Min. Negotiated Rate	$212.29
Max. Negotiated Rate	$3,737.50
Rate for Payer: Aetna Commercial	$2,840.50
Rate for Payer: Aetna Medicare Advantage	$2,242.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,906.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,906.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,495.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,906.12
Rate for Payer: Cigna Commercial	$3,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,808.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,121.25
Rate for Payer: UnitedHealthcare Community & State	$236.21
Rate for Payer: Wellpoint Medicaid Managed Care	$212.29

Know your out-of-pocket cost for care.

All Charges