Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

STOCK ANTI-EM KNEE LG L

Facility

$18.71

Hospital Charge Code	270302986
Hospital Revenue Code	270
Min. Negotiated Rate	$2.81
Max. Negotiated Rate	$2.81
Rate for Payer: Qualcare PPO/HMO/WC	$2.81

STOCK ANTI-EM KNEE MD L

Facility

$22.45

Hospital Charge Code	270302980
Hospital Revenue Code	270
Min. Negotiated Rate	$0.64
Max. Negotiated Rate	$11.22
Rate for Payer: Aetna Commercial	$8.53
Rate for Payer: Aetna Medicare Advantage	$6.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.72
Rate for Payer: Cigna Commercial	$11.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.84
Rate for Payer: Oxford Commercial	$4.49
Rate for Payer: Qualcare PPO/HMO/WC	$3.37
Rate for Payer: UnitedHealthcare Commercial	$4.49
Rate for Payer: UnitedHealthcare Community & State	$0.71
Rate for Payer: Wellpoint Medicaid Managed Care	$0.64

STOCK ANTI-EM KNEE MD L

Facility

$22.45

Hospital Charge Code	270302980
Hospital Revenue Code	270
Min. Negotiated Rate	$3.37
Max. Negotiated Rate	$3.37
Rate for Payer: Qualcare PPO/HMO/WC	$3.37

STOCK ANTI-EM KNEE MED

Facility

$22.45

Hospital Charge Code	270302975
Hospital Revenue Code	270
Min. Negotiated Rate	$0.64
Max. Negotiated Rate	$11.22
Rate for Payer: Aetna Commercial	$8.53
Rate for Payer: Aetna Medicare Advantage	$6.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.72
Rate for Payer: Cigna Commercial	$11.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.84
Rate for Payer: Oxford Commercial	$4.49
Rate for Payer: Qualcare PPO/HMO/WC	$3.37
Rate for Payer: UnitedHealthcare Commercial	$4.49
Rate for Payer: UnitedHealthcare Community & State	$0.71
Rate for Payer: Wellpoint Medicaid Managed Care	$0.64

STOCK ANTI-EM KNEE MED

Facility

$22.45

Hospital Charge Code	270302975
Hospital Revenue Code	270
Min. Negotiated Rate	$3.37
Max. Negotiated Rate	$3.37
Rate for Payer: Qualcare PPO/HMO/WC	$3.37

STOCK ANTI-EM KNEE SM L

Facility

$22.45

Hospital Charge Code	270302974
Hospital Revenue Code	270
Min. Negotiated Rate	$0.64
Max. Negotiated Rate	$11.22
Rate for Payer: Aetna Commercial	$8.53
Rate for Payer: Aetna Medicare Advantage	$6.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.72
Rate for Payer: Cigna Commercial	$11.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.84
Rate for Payer: Oxford Commercial	$4.49
Rate for Payer: Qualcare PPO/HMO/WC	$3.37
Rate for Payer: UnitedHealthcare Commercial	$4.49
Rate for Payer: UnitedHealthcare Community & State	$0.71
Rate for Payer: Wellpoint Medicaid Managed Care	$0.64

STOCK ANTI-EM KNEE SM L

Facility

$22.45

Hospital Charge Code	270302974
Hospital Revenue Code	270
Min. Negotiated Rate	$3.37
Max. Negotiated Rate	$3.37
Rate for Payer: Qualcare PPO/HMO/WC	$3.37

STOCK ANTI-EM KNEE XL R

Facility

$18.53

Hospital Charge Code	270302987
Hospital Revenue Code	270
Min. Negotiated Rate	$0.53
Max. Negotiated Rate	$9.27
Rate for Payer: Aetna Commercial	$7.04
Rate for Payer: Aetna Medicare Advantage	$5.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.73
Rate for Payer: Cigna Commercial	$9.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.82
Rate for Payer: Oxford Commercial	$3.71
Rate for Payer: Qualcare PPO/HMO/WC	$2.78
Rate for Payer: UnitedHealthcare Commercial	$3.71
Rate for Payer: UnitedHealthcare Community & State	$0.59
Rate for Payer: Wellpoint Medicaid Managed Care	$0.53

STOCK ANTI-EM KNEE XL R

Facility

$18.53

Hospital Charge Code	270302987
Hospital Revenue Code	270
Min. Negotiated Rate	$2.78
Max. Negotiated Rate	$2.78
Rate for Payer: Qualcare PPO/HMO/WC	$2.78

STOCK ANTI-EM THIGH

Facility

$34.46

Hospital Charge Code	270303010
Hospital Revenue Code	270
Min. Negotiated Rate	$5.17
Max. Negotiated Rate	$5.17
Rate for Payer: Qualcare PPO/HMO/WC	$5.17

STOCK ANTI-EM THIGH

Facility

$34.46

Hospital Charge Code	270303010
Hospital Revenue Code	270
Min. Negotiated Rate	$0.98
Max. Negotiated Rate	$17.23
Rate for Payer: Aetna Commercial	$13.09
Rate for Payer: Aetna Medicare Advantage	$10.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.79
Rate for Payer: Cigna Commercial	$17.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.96
Rate for Payer: Oxford Commercial	$6.89
Rate for Payer: Qualcare PPO/HMO/WC	$5.17
Rate for Payer: UnitedHealthcare Commercial	$6.89
Rate for Payer: UnitedHealthcare Community & State	$1.09
Rate for Payer: Wellpoint Medicaid Managed Care	$0.98

STOCK ANTI-EM THIGH L R

Facility

$35.14

Hospital Charge Code	270303021
Hospital Revenue Code	270
Min. Negotiated Rate	$5.27
Max. Negotiated Rate	$5.27
Rate for Payer: Qualcare PPO/HMO/WC	$5.27

STOCK ANTI-EM THIGH L R

Facility

$35.14

Hospital Charge Code	270303021
Hospital Revenue Code	270
Min. Negotiated Rate	$1.00
Max. Negotiated Rate	$17.57
Rate for Payer: Aetna Commercial	$13.35
Rate for Payer: Aetna Medicare Advantage	$10.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.96
Rate for Payer: Cigna Commercial	$17.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.14
Rate for Payer: Oxford Commercial	$7.03
Rate for Payer: Qualcare PPO/HMO/WC	$5.27
Rate for Payer: UnitedHealthcare Commercial	$7.03
Rate for Payer: UnitedHealthcare Community & State	$1.11
Rate for Payer: Wellpoint Medicaid Managed Care	$1.00

STOCK ANTI-EM THIGH M L

Facility

$34.46

Hospital Charge Code	270303015
Hospital Revenue Code	270
Min. Negotiated Rate	$0.98
Max. Negotiated Rate	$17.23
Rate for Payer: Aetna Commercial	$13.09
Rate for Payer: Aetna Medicare Advantage	$10.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.79
Rate for Payer: Cigna Commercial	$17.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.96
Rate for Payer: Oxford Commercial	$6.89
Rate for Payer: Qualcare PPO/HMO/WC	$5.17
Rate for Payer: UnitedHealthcare Commercial	$6.89
Rate for Payer: UnitedHealthcare Community & State	$1.09
Rate for Payer: Wellpoint Medicaid Managed Care	$0.98

STOCK ANTI-EM THIGH M L

Facility

$34.46

Hospital Charge Code	270303015
Hospital Revenue Code	270
Min. Negotiated Rate	$5.17
Max. Negotiated Rate	$5.17
Rate for Payer: Qualcare PPO/HMO/WC	$5.17

STOCK ANTI-EM THIGH S R

Facility

$35.14

Hospital Charge Code	270302995
Hospital Revenue Code	270
Min. Negotiated Rate	$5.27
Max. Negotiated Rate	$5.27
Rate for Payer: Qualcare PPO/HMO/WC	$5.27

STOCK ANTI-EM THIGH S R

Facility

$35.14

Hospital Charge Code	270302995
Hospital Revenue Code	270
Min. Negotiated Rate	$1.00
Max. Negotiated Rate	$17.57
Rate for Payer: Aetna Commercial	$13.35
Rate for Payer: Aetna Medicare Advantage	$10.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.96
Rate for Payer: Cigna Commercial	$17.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.14
Rate for Payer: Oxford Commercial	$7.03
Rate for Payer: Qualcare PPO/HMO/WC	$5.27
Rate for Payer: UnitedHealthcare Commercial	$7.03
Rate for Payer: UnitedHealthcare Community & State	$1.11
Rate for Payer: Wellpoint Medicaid Managed Care	$1.00

STOCK ANTI-EM THIGH XL

Facility

$60.88

Hospital Charge Code	270303030
Hospital Revenue Code	270
Min. Negotiated Rate	$9.13
Max. Negotiated Rate	$9.13
Rate for Payer: Qualcare PPO/HMO/WC	$9.13

STOCK ANTI-EM THIGH XL

Facility

$60.88

Hospital Charge Code	270303030
Hospital Revenue Code	270
Min. Negotiated Rate	$1.73
Max. Negotiated Rate	$30.44
Rate for Payer: Aetna Commercial	$23.13
Rate for Payer: Aetna Medicare Advantage	$18.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.52
Rate for Payer: Cigna Commercial	$30.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.83
Rate for Payer: Oxford Commercial	$12.18
Rate for Payer: Qualcare PPO/HMO/WC	$9.13
Rate for Payer: UnitedHealthcare Commercial	$12.18
Rate for Payer: UnitedHealthcare Community & State	$1.92
Rate for Payer: Wellpoint Medicaid Managed Care	$1.73

STOCKINETTE 2 WIDE

Facility

$42.35

Hospital Charge Code	270302950
Hospital Revenue Code	270
Min. Negotiated Rate	$6.35
Max. Negotiated Rate	$6.35
Rate for Payer: Qualcare PPO/HMO/WC	$6.35

STOCKINETTE 2 WIDE

Facility

$42.35

Hospital Charge Code	270302950
Hospital Revenue Code	270
Min. Negotiated Rate	$1.20
Max. Negotiated Rate	$21.18
Rate for Payer: Aetna Commercial	$16.09
Rate for Payer: Aetna Medicare Advantage	$12.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.80
Rate for Payer: Cigna Commercial	$21.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.01
Rate for Payer: Oxford Commercial	$8.47
Rate for Payer: Qualcare PPO/HMO/WC	$6.35
Rate for Payer: UnitedHealthcare Commercial	$8.47
Rate for Payer: UnitedHealthcare Community & State	$1.34
Rate for Payer: Wellpoint Medicaid Managed Care	$1.20

STOCKINETTE 3 WIDE

Facility

$55.25

Hospital Charge Code	270302955
Hospital Revenue Code	270
Min. Negotiated Rate	$1.57
Max. Negotiated Rate	$27.62
Rate for Payer: Aetna Commercial	$21.00
Rate for Payer: Aetna Medicare Advantage	$16.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.09
Rate for Payer: Cigna Commercial	$27.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.37
Rate for Payer: Oxford Commercial	$11.05
Rate for Payer: Qualcare PPO/HMO/WC	$8.29
Rate for Payer: UnitedHealthcare Commercial	$11.05
Rate for Payer: UnitedHealthcare Community & State	$1.75
Rate for Payer: Wellpoint Medicaid Managed Care	$1.57

STOCKINETTE 3 WIDE

Facility

$55.25

Hospital Charge Code	270302955
Hospital Revenue Code	270
Min. Negotiated Rate	$8.29
Max. Negotiated Rate	$8.29
Rate for Payer: Qualcare PPO/HMO/WC	$8.29

STOCKINETTE 4 WIDE

Facility

$64.90

Hospital Charge Code	270302960
Hospital Revenue Code	270
Min. Negotiated Rate	$1.84
Max. Negotiated Rate	$32.45
Rate for Payer: Aetna Commercial	$24.66
Rate for Payer: Aetna Medicare Advantage	$19.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.55
Rate for Payer: Cigna Commercial	$32.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.87
Rate for Payer: Oxford Commercial	$12.98
Rate for Payer: Qualcare PPO/HMO/WC	$9.73
Rate for Payer: UnitedHealthcare Commercial	$12.98
Rate for Payer: UnitedHealthcare Community & State	$2.05
Rate for Payer: Wellpoint Medicaid Managed Care	$1.84

STOCKINETTE 4 WIDE

Facility

$64.90

Hospital Charge Code	270302960W
Hospital Revenue Code	270
Min. Negotiated Rate	$9.73
Max. Negotiated Rate	$9.73
Rate for Payer: Qualcare PPO/HMO/WC	$9.73

Know your out-of-pocket cost for care.

All Charges