Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

STRUT QUICK ADJUST-X SHORT

Facility

$6,657.00

Hospital Charge Code	270683946
Hospital Revenue Code	272
Min. Negotiated Rate	$189.06
Max. Negotiated Rate	$3,328.50
Rate for Payer: Aetna Commercial	$2,529.66
Rate for Payer: Aetna Medicare Advantage	$1,997.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,697.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,697.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,697.54
Rate for Payer: Cigna Commercial	$3,328.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,730.82
Rate for Payer: Oxford Commercial	$1,331.40
Rate for Payer: Qualcare PPO/HMO/WC	$998.55
Rate for Payer: UnitedHealthcare Commercial	$1,331.40
Rate for Payer: UnitedHealthcare Community & State	$210.36
Rate for Payer: Wellpoint Medicaid Managed Care	$189.06

STRUT QUICK ADJUST-X SHORT

Facility

$6,657.00

Hospital Charge Code	270683947
Hospital Revenue Code	272
Min. Negotiated Rate	$998.55
Max. Negotiated Rate	$998.55
Rate for Payer: Qualcare PPO/HMO/WC	$998.55

STRUTS MEDIUM

Facility

$6,565.00

Hospital Charge Code	270684450
Hospital Revenue Code	272
Min. Negotiated Rate	$984.75
Max. Negotiated Rate	$984.75
Rate for Payer: Qualcare PPO/HMO/WC	$984.75

STRUTS MEDIUM

Facility

$6,565.00

Hospital Charge Code	270684450
Hospital Revenue Code	272
Min. Negotiated Rate	$186.45
Max. Negotiated Rate	$3,282.50
Rate for Payer: Aetna Commercial	$2,494.70
Rate for Payer: Aetna Medicare Advantage	$1,969.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,674.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,674.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,674.08
Rate for Payer: Cigna Commercial	$3,282.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,706.90
Rate for Payer: Oxford Commercial	$1,313.00
Rate for Payer: Qualcare PPO/HMO/WC	$984.75
Rate for Payer: UnitedHealthcare Commercial	$1,313.00
Rate for Payer: UnitedHealthcare Community & State	$207.45
Rate for Payer: Wellpoint Medicaid Managed Care	$186.45

STRUT X SHORT STANDARD MAX

Facility

$6,471.00

Hospital Charge Code	270681228
Hospital Revenue Code	272
Min. Negotiated Rate	$970.65
Max. Negotiated Rate	$970.65
Rate for Payer: Qualcare PPO/HMO/WC	$970.65

STRUT X SHORT STANDARD MAX

Facility

$6,471.00

Hospital Charge Code	270681228
Hospital Revenue Code	272
Min. Negotiated Rate	$183.78
Max. Negotiated Rate	$3,235.50
Rate for Payer: Aetna Commercial	$2,458.98
Rate for Payer: Aetna Medicare Advantage	$1,941.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,650.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,650.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,650.11
Rate for Payer: Cigna Commercial	$3,235.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,682.46
Rate for Payer: Oxford Commercial	$1,294.20
Rate for Payer: Qualcare PPO/HMO/WC	$970.65
Rate for Payer: UnitedHealthcare Commercial	$1,294.20
Rate for Payer: UnitedHealthcare Community & State	$204.48
Rate for Payer: Wellpoint Medicaid Managed Care	$183.78

STR WEIL BLAKESLEY THUCUT

Facility

$3,432.65

Hospital Charge Code	270689939
Hospital Revenue Code	272
Min. Negotiated Rate	$514.90
Max. Negotiated Rate	$514.90
Rate for Payer: Qualcare PPO/HMO/WC	$514.90

STR WEIL BLAKESLEY THUCUT

Facility

$3,432.65

Hospital Charge Code	270689939
Hospital Revenue Code	272
Min. Negotiated Rate	$97.49
Max. Negotiated Rate	$1,716.33
Rate for Payer: Aetna Commercial	$1,304.41
Rate for Payer: Aetna Medicare Advantage	$1,029.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$875.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$875.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$875.33
Rate for Payer: Cigna Commercial	$1,716.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$892.49
Rate for Payer: Oxford Commercial	$686.53
Rate for Payer: Qualcare PPO/HMO/WC	$514.90
Rate for Payer: UnitedHealthcare Commercial	$686.53
Rate for Payer: UnitedHealthcare Community & State	$108.47
Rate for Payer: Wellpoint Medicaid Managed Care	$97.49

STRYKER DRI-LOK CANNULA

Facility

$52.00

Hospital Charge Code	270339099
Hospital Revenue Code	272
Min. Negotiated Rate	$1.48
Max. Negotiated Rate	$26.00
Rate for Payer: Aetna Commercial	$19.76
Rate for Payer: Aetna Medicare Advantage	$15.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.26
Rate for Payer: Cigna Commercial	$26.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.52
Rate for Payer: Oxford Commercial	$10.40
Rate for Payer: Qualcare PPO/HMO/WC	$7.80
Rate for Payer: UnitedHealthcare Commercial	$10.40
Rate for Payer: UnitedHealthcare Community & State	$1.64
Rate for Payer: Wellpoint Medicaid Managed Care	$1.48

STRYKER DRI-LOK CANNULA

Facility

$52.00

Hospital Charge Code	270339099
Hospital Revenue Code	272
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$7.80
Rate for Payer: Qualcare PPO/HMO/WC	$7.80

STRYKER-FLOSTEADY ARTHR PUMP

Facility

$102.90

Hospital Charge Code	270339100
Hospital Revenue Code	272
Min. Negotiated Rate	$15.44
Max. Negotiated Rate	$15.44
Rate for Payer: Qualcare PPO/HMO/WC	$15.44

STRYKER-FLOSTEADY ARTHR PUMP

Facility

$102.90

Hospital Charge Code	270339100
Hospital Revenue Code	272
Min. Negotiated Rate	$2.92
Max. Negotiated Rate	$51.45
Rate for Payer: Aetna Commercial	$39.10
Rate for Payer: Aetna Medicare Advantage	$30.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.24
Rate for Payer: Cigna Commercial	$51.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.75
Rate for Payer: Oxford Commercial	$20.58
Rate for Payer: Qualcare PPO/HMO/WC	$15.44
Rate for Payer: UnitedHealthcare Commercial	$20.58
Rate for Payer: UnitedHealthcare Community & State	$3.25
Rate for Payer: Wellpoint Medicaid Managed Care	$2.92

STRYKER GUIDE PIN

Facility

$1,604.60

Hospital Charge Code	270704632
Hospital Revenue Code	279
Min. Negotiated Rate	$45.57
Max. Negotiated Rate	$802.30
Rate for Payer: Aetna Commercial	$609.75
Rate for Payer: Aetna Medicare Advantage	$481.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$409.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$409.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$409.17
Rate for Payer: Cigna Commercial	$802.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$417.20
Rate for Payer: Oxford Commercial	$320.92
Rate for Payer: Qualcare PPO/HMO/WC	$240.69
Rate for Payer: UnitedHealthcare Commercial	$320.92
Rate for Payer: UnitedHealthcare Community & State	$50.71
Rate for Payer: Wellpoint Medicaid Managed Care	$45.57

STRYKER GUIDE PIN

Facility

$1,604.60

Hospital Charge Code	270704632
Hospital Revenue Code	279
Min. Negotiated Rate	$240.69
Max. Negotiated Rate	$240.69
Rate for Payer: Qualcare PPO/HMO/WC	$240.69

STRYKER HOFFMAN STERILE FIELD

Facility

$17,440.60

Service Code	HCPCS C1889
Hospital Charge Code	270700760
Hospital Revenue Code	278
Min. Negotiated Rate	$495.31
Max. Negotiated Rate	$8,720.30
Rate for Payer: Aetna Commercial	$6,627.43
Rate for Payer: Aetna Medicare Advantage	$5,232.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,447.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,447.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,488.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,447.35
Rate for Payer: Cigna Commercial	$8,720.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,220.63
Rate for Payer: Qualcare PPO/HMO/WC	$2,616.09
Rate for Payer: UnitedHealthcare Community & State	$551.12
Rate for Payer: Wellpoint Medicaid Managed Care	$495.31

STRYKER HOFFMAN STERILE FIELD

Facility

$49,620.00

Service Code	HCPCS C1889
Hospital Charge Code	270700761
Hospital Revenue Code	278
Min. Negotiated Rate	$1,409.21
Max. Negotiated Rate	$24,810.00
Rate for Payer: Aetna Commercial	$18,855.60
Rate for Payer: Aetna Medicare Advantage	$14,886.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,653.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,653.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9,924.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12,653.10
Rate for Payer: Cigna Commercial	$24,810.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12,008.04
Rate for Payer: Qualcare PPO/HMO/WC	$7,443.00
Rate for Payer: UnitedHealthcare Community & State	$1,567.99
Rate for Payer: Wellpoint Medicaid Managed Care	$1,409.21

STRYKER HOFFMAN STERILE FIELD

Facility

$49,620.00

Service Code	HCPCS C1889
Hospital Charge Code	270700761
Hospital Revenue Code	278
Min. Negotiated Rate	$7,443.00
Max. Negotiated Rate	$12,008.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9,924.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12,008.04
Rate for Payer: Qualcare PPO/HMO/WC	$7,443.00

STRYKER HOFFMAN STERILE FIELD

Facility

$17,440.60

Service Code	HCPCS C1889
Hospital Charge Code	270700760
Hospital Revenue Code	278
Min. Negotiated Rate	$2,616.09
Max. Negotiated Rate	$4,220.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,488.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,220.63
Rate for Payer: Qualcare PPO/HMO/WC	$2,616.09

STRYKER KNEE TRIATHLON CAP

Facility

$21,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270692136
Hospital Revenue Code	278
Min. Negotiated Rate	$3,150.00
Max. Negotiated Rate	$5,082.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,082.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,150.00

STRYKER KNEE TRIATHLON CAP

Facility

$21,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270692136
Hospital Revenue Code	278
Min. Negotiated Rate	$596.40
Max. Negotiated Rate	$10,500.00
Rate for Payer: Aetna Commercial	$7,980.00
Rate for Payer: Aetna Medicare Advantage	$6,300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,355.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,355.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,355.00
Rate for Payer: Cigna Commercial	$10,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,082.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,150.00
Rate for Payer: UnitedHealthcare Community & State	$663.60
Rate for Payer: Wellpoint Medicaid Managed Care	$596.40

STRYKER-WATER SNAKE

Facility

$28.00

Hospital Charge Code	270339442
Hospital Revenue Code	272
Min. Negotiated Rate	$4.20
Max. Negotiated Rate	$4.20
Rate for Payer: Qualcare PPO/HMO/WC	$4.20

STRYKER-WATER SNAKE

Facility

$28.00

Hospital Charge Code	270339442
Hospital Revenue Code	272
Min. Negotiated Rate	$0.80
Max. Negotiated Rate	$14.00
Rate for Payer: Aetna Commercial	$10.64
Rate for Payer: Aetna Medicare Advantage	$8.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.14
Rate for Payer: Cigna Commercial	$14.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.28
Rate for Payer: Oxford Commercial	$5.60
Rate for Payer: Qualcare PPO/HMO/WC	$4.20
Rate for Payer: UnitedHealthcare Commercial	$5.60
Rate for Payer: UnitedHealthcare Community & State	$0.88
Rate for Payer: Wellpoint Medicaid Managed Care	$0.80

ST SPEECH/HEARING THERAPY

Facility

$125.00

Service Code	HCPCS 92508GN
Hospital Charge Code	74204013
Hospital Revenue Code	443
Min. Negotiated Rate	$18.75
Max. Negotiated Rate	$18.75
Rate for Payer: Qualcare PPO/HMO/WC	$18.75

ST SPEECH/HEARING THERAPY

Facility

$125.00

Service Code	HCPCS 92508GN
Hospital Charge Code	74204013
Hospital Revenue Code	443
Min. Negotiated Rate	$3.55
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$47.50
Rate for Payer: Aetna Medicare Advantage	$37.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.88
Rate for Payer: Cigna Commercial	$62.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.50
Rate for Payer: Oxford Commercial	$933.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.75
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$3.95
Rate for Payer: Wellpoint Medicaid Managed Care	$3.55

ST SPEECH LANG EVALUATION

Facility

$959.00

Hospital Charge Code	74204007
Hospital Revenue Code	444
Min. Negotiated Rate	$30.30
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$364.42
Rate for Payer: Aetna Medicare Advantage	$287.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$244.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$244.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$244.54
Rate for Payer: Cigna Commercial	$479.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$249.34
Rate for Payer: Oxford Commercial	$933.00
Rate for Payer: Qualcare PPO/HMO/WC	$143.85
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$30.30
Rate for Payer: Wellpoint Medicaid Managed Care	$65.00

Know your out-of-pocket cost for care.

All Charges