Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

STRAIGHT C/D STRUT

Facility

$3,340.00

Hospital Charge Code	270339504
Hospital Revenue Code	278
Min. Negotiated Rate	$501.00
Max. Negotiated Rate	$808.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$668.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$808.28
Rate for Payer: Qualcare PPO/HMO/WC	$501.00

STRAIGHT NDL SPLIT CANNULA

Facility

$487.00

Hospital Charge Code	270339439
Hospital Revenue Code	272
Min. Negotiated Rate	$73.05
Max. Negotiated Rate	$73.05
Rate for Payer: Qualcare PPO/HMO/WC	$73.05

STRAIGHT NDL SPLIT CANNULA

Facility

$487.00

Hospital Charge Code	270339439
Hospital Revenue Code	272
Min. Negotiated Rate	$13.83
Max. Negotiated Rate	$243.50
Rate for Payer: Aetna Commercial	$185.06
Rate for Payer: Aetna Medicare Advantage	$146.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.19
Rate for Payer: Cigna Commercial	$243.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.62
Rate for Payer: Oxford Commercial	$97.40
Rate for Payer: Qualcare PPO/HMO/WC	$73.05
Rate for Payer: UnitedHealthcare Commercial	$97.40
Rate for Payer: UnitedHealthcare Community & State	$15.39
Rate for Payer: Wellpoint Medicaid Managed Care	$13.83

STRAIGHT PLATE

Facility

$2,145.00

Hospital Charge Code	270657980
Hospital Revenue Code	278
Min. Negotiated Rate	$60.92
Max. Negotiated Rate	$1,072.50
Rate for Payer: Aetna Commercial	$815.10
Rate for Payer: Aetna Medicare Advantage	$643.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$546.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$546.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$429.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$546.98
Rate for Payer: Cigna Commercial	$1,072.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$519.09
Rate for Payer: Qualcare PPO/HMO/WC	$321.75
Rate for Payer: UnitedHealthcare Community & State	$67.78
Rate for Payer: Wellpoint Medicaid Managed Care	$60.92

STRAIGHT PLATE

Facility

$2,145.00

Hospital Charge Code	270657980
Hospital Revenue Code	278
Min. Negotiated Rate	$321.75
Max. Negotiated Rate	$519.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$429.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$519.09
Rate for Payer: Qualcare PPO/HMO/WC	$321.75

Straight Shank Drill Bit 1.5mm

Facility

$275.00

Hospital Charge Code	270685137
Hospital Revenue Code	272
Min. Negotiated Rate	$7.81
Max. Negotiated Rate	$137.50
Rate for Payer: Aetna Commercial	$104.50
Rate for Payer: Aetna Medicare Advantage	$82.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.12
Rate for Payer: Cigna Commercial	$137.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.50
Rate for Payer: Oxford Commercial	$55.00
Rate for Payer: Qualcare PPO/HMO/WC	$41.25
Rate for Payer: UnitedHealthcare Commercial	$55.00
Rate for Payer: UnitedHealthcare Community & State	$8.69
Rate for Payer: Wellpoint Medicaid Managed Care	$7.81

Straight Shank Drill Bit 1.5mm

Facility

$275.00

Hospital Charge Code	270685137
Hospital Revenue Code	272
Min. Negotiated Rate	$41.25
Max. Negotiated Rate	$41.25
Rate for Payer: Qualcare PPO/HMO/WC	$41.25

Straight Shank Drill Bit 2.0 m

Facility

$275.00

Hospital Charge Code	270685138
Hospital Revenue Code	272
Min. Negotiated Rate	$41.25
Max. Negotiated Rate	$41.25
Rate for Payer: Qualcare PPO/HMO/WC	$41.25

Straight Shank Drill Bit 2.0 m

Facility

$275.00

Hospital Charge Code	270685138
Hospital Revenue Code	272
Min. Negotiated Rate	$7.81
Max. Negotiated Rate	$137.50
Rate for Payer: Aetna Commercial	$104.50
Rate for Payer: Aetna Medicare Advantage	$82.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.12
Rate for Payer: Cigna Commercial	$137.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.50
Rate for Payer: Oxford Commercial	$55.00
Rate for Payer: Qualcare PPO/HMO/WC	$41.25
Rate for Payer: UnitedHealthcare Commercial	$55.00
Rate for Payer: UnitedHealthcare Community & State	$8.69
Rate for Payer: Wellpoint Medicaid Managed Care	$7.81

Straight Shank Drill Bit 2.5 m

Facility

$275.00

Hospital Charge Code	270685139
Hospital Revenue Code	272
Min. Negotiated Rate	$41.25
Max. Negotiated Rate	$41.25
Rate for Payer: Qualcare PPO/HMO/WC	$41.25

Straight Shank Drill Bit 2.5 m

Facility

$275.00

Hospital Charge Code	270685139
Hospital Revenue Code	272
Min. Negotiated Rate	$7.81
Max. Negotiated Rate	$137.50
Rate for Payer: Aetna Commercial	$104.50
Rate for Payer: Aetna Medicare Advantage	$82.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.12
Rate for Payer: Cigna Commercial	$137.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.50
Rate for Payer: Oxford Commercial	$55.00
Rate for Payer: Qualcare PPO/HMO/WC	$41.25
Rate for Payer: UnitedHealthcare Commercial	$55.00
Rate for Payer: UnitedHealthcare Community & State	$8.69
Rate for Payer: Wellpoint Medicaid Managed Care	$7.81

STRAINER CALCULI

Facility

$7.16

Hospital Charge Code	270649808
Hospital Revenue Code	270
Min. Negotiated Rate	$1.07
Max. Negotiated Rate	$1.07
Rate for Payer: Qualcare PPO/HMO/WC	$1.07

STRAINER CALCULI

Facility

$7.16

Hospital Charge Code	270649808
Hospital Revenue Code	270
Min. Negotiated Rate	$0.20
Max. Negotiated Rate	$3.58
Rate for Payer: Aetna Commercial	$2.72
Rate for Payer: Aetna Medicare Advantage	$2.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.83
Rate for Payer: Cigna Commercial	$3.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.86
Rate for Payer: Oxford Commercial	$1.43
Rate for Payer: Qualcare PPO/HMO/WC	$1.07
Rate for Payer: UnitedHealthcare Commercial	$1.43
Rate for Payer: UnitedHealthcare Community & State	$0.23
Rate for Payer: Wellpoint Medicaid Managed Care	$0.20

STRAINER URINE CALCULI

Facility

$5.47

Hospital Charge Code	270302075
Hospital Revenue Code	270
Min. Negotiated Rate	$0.16
Max. Negotiated Rate	$2.73
Rate for Payer: Aetna Commercial	$2.08
Rate for Payer: Aetna Medicare Advantage	$1.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.39
Rate for Payer: Cigna Commercial	$2.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.42
Rate for Payer: Oxford Commercial	$1.09
Rate for Payer: Qualcare PPO/HMO/WC	$0.82
Rate for Payer: UnitedHealthcare Commercial	$1.09
Rate for Payer: UnitedHealthcare Community & State	$0.17
Rate for Payer: Wellpoint Medicaid Managed Care	$0.16

STRAINER URINE CALCULI

Facility

$5.47

Hospital Charge Code	270302075
Hospital Revenue Code	270
Min. Negotiated Rate	$0.82
Max. Negotiated Rate	$0.82
Rate for Payer: Qualcare PPO/HMO/WC	$0.82

STRAP CATHETER

Facility

$20.23

Hospital Charge Code	270303059
Hospital Revenue Code	270
Min. Negotiated Rate	$3.03
Max. Negotiated Rate	$3.03
Rate for Payer: Qualcare PPO/HMO/WC	$3.03

STRAP CATHETER

Facility

$20.23

Hospital Charge Code	270303059
Hospital Revenue Code	270
Min. Negotiated Rate	$0.57
Max. Negotiated Rate	$10.12
Rate for Payer: Aetna Commercial	$7.69
Rate for Payer: Aetna Medicare Advantage	$6.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.16
Rate for Payer: Cigna Commercial	$10.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.26
Rate for Payer: Oxford Commercial	$4.05
Rate for Payer: Qualcare PPO/HMO/WC	$3.03
Rate for Payer: UnitedHealthcare Commercial	$4.05
Rate for Payer: UnitedHealthcare Community & State	$0.64
Rate for Payer: Wellpoint Medicaid Managed Care	$0.57

STRAP CLAVICLE LGE

Facility

$39.10

Hospital Charge Code	270303065
Hospital Revenue Code	270
Min. Negotiated Rate	$5.87
Max. Negotiated Rate	$5.87
Rate for Payer: Qualcare PPO/HMO/WC	$5.87

STRAP CLAVICLE LGE

Facility

$39.10

Hospital Charge Code	270303065
Hospital Revenue Code	270
Min. Negotiated Rate	$1.11
Max. Negotiated Rate	$19.55
Rate for Payer: Aetna Commercial	$14.86
Rate for Payer: Aetna Medicare Advantage	$11.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.97
Rate for Payer: Cigna Commercial	$19.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.17
Rate for Payer: Oxford Commercial	$7.82
Rate for Payer: Qualcare PPO/HMO/WC	$5.87
Rate for Payer: UnitedHealthcare Commercial	$7.82
Rate for Payer: UnitedHealthcare Community & State	$1.24
Rate for Payer: Wellpoint Medicaid Managed Care	$1.11

STRAP CLAVICLE MED

Facility

$26.85

Hospital Charge Code	270303060
Hospital Revenue Code	270
Min. Negotiated Rate	$4.03
Max. Negotiated Rate	$4.03
Rate for Payer: Qualcare PPO/HMO/WC	$4.03

STRAP CLAVICLE MED

Facility

$26.85

Hospital Charge Code	270303060
Hospital Revenue Code	270
Min. Negotiated Rate	$0.76
Max. Negotiated Rate	$13.43
Rate for Payer: Aetna Commercial	$10.20
Rate for Payer: Aetna Medicare Advantage	$8.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.85
Rate for Payer: Cigna Commercial	$13.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.98
Rate for Payer: Oxford Commercial	$5.37
Rate for Payer: Qualcare PPO/HMO/WC	$4.03
Rate for Payer: UnitedHealthcare Commercial	$5.37
Rate for Payer: UnitedHealthcare Community & State	$0.85
Rate for Payer: Wellpoint Medicaid Managed Care	$0.76

STRAP FOR MASK

Facility

$940.00

Hospital Charge Code	270663191
Hospital Revenue Code	270
Min. Negotiated Rate	$141.00
Max. Negotiated Rate	$141.00
Rate for Payer: Qualcare PPO/HMO/WC	$141.00

STRAP FOR MASK

Facility

$940.00

Hospital Charge Code	270663191
Hospital Revenue Code	270
Min. Negotiated Rate	$26.70
Max. Negotiated Rate	$470.00
Rate for Payer: Aetna Commercial	$357.20
Rate for Payer: Aetna Medicare Advantage	$282.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$239.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$239.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$239.70
Rate for Payer: Cigna Commercial	$470.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$244.40
Rate for Payer: Oxford Commercial	$188.00
Rate for Payer: Qualcare PPO/HMO/WC	$141.00
Rate for Payer: UnitedHealthcare Commercial	$188.00
Rate for Payer: UnitedHealthcare Community & State	$29.70
Rate for Payer: Wellpoint Medicaid Managed Care	$26.70

STRAP GREATTOE RT

Facility

$468.75

Service Code	HCPCS 29550T5
Hospital Charge Code	5792215
Hospital Revenue Code	450
Min. Negotiated Rate	$70.31
Max. Negotiated Rate	$70.31
Rate for Payer: Qualcare PPO/HMO/WC	$70.31

STRAP GREATTOE RT

Facility

$468.75

Service Code	HCPCS 29550T5
Hospital Charge Code	5792215
Hospital Revenue Code	450
Min. Negotiated Rate	$13.31
Max. Negotiated Rate	$234.38
Rate for Payer: Aetna Commercial	$178.12
Rate for Payer: Aetna Medicare Advantage	$140.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$119.53
Rate for Payer: Cigna Commercial	$234.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.88
Rate for Payer: Qualcare PPO/HMO/WC	$70.31
Rate for Payer: UnitedHealthcare Community & State	$140.00
Rate for Payer: Wellpoint Medicaid Managed Care	$13.31

Know your out-of-pocket cost for care.

All Charges