Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

BASKET ZEROTIP AIRWAY RET 16MM

Facility

$1,305.15

Hospital Charge Code	270676471
Hospital Revenue Code	272
Min. Negotiated Rate	$195.77
Max. Negotiated Rate	$195.77
Rate for Payer: Qualcare PPO/HMO/WC	$195.77

BASKET ZEROTIP AIRWAY RET 16MM

Facility

$1,305.15

Hospital Charge Code	270676471
Hospital Revenue Code	272
Min. Negotiated Rate	$37.07
Max. Negotiated Rate	$652.58
Rate for Payer: Aetna Commercial	$495.96
Rate for Payer: Aetna Medicare Advantage	$391.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$332.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$332.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$332.81
Rate for Payer: Cigna Commercial	$652.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$339.34
Rate for Payer: Oxford Commercial	$261.03
Rate for Payer: Qualcare PPO/HMO/WC	$195.77
Rate for Payer: UnitedHealthcare Commercial	$261.03
Rate for Payer: UnitedHealthcare Community & State	$41.24
Rate for Payer: Wellpoint Medicaid Managed Care	$37.07

BASKET ZERO TIP NIT 1.9 x120CM

Facility

$1,743.00

Hospital Charge Code	270684767
Hospital Revenue Code	272
Min. Negotiated Rate	$261.45
Max. Negotiated Rate	$261.45
Rate for Payer: Qualcare PPO/HMO/WC	$261.45

BASKET ZERO TIP NIT 1.9 x120CM

Facility

$1,743.00

Hospital Charge Code	270684767
Hospital Revenue Code	272
Min. Negotiated Rate	$49.50
Max. Negotiated Rate	$871.50
Rate for Payer: Aetna Commercial	$662.34
Rate for Payer: Aetna Medicare Advantage	$522.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$444.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$444.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$444.46
Rate for Payer: Cigna Commercial	$871.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$453.18
Rate for Payer: Oxford Commercial	$348.60
Rate for Payer: Qualcare PPO/HMO/WC	$261.45
Rate for Payer: UnitedHealthcare Commercial	$348.60
Rate for Payer: UnitedHealthcare Community & State	$55.08
Rate for Payer: Wellpoint Medicaid Managed Care	$49.50

BATTERY PACK POWER DEVICE SYST

Facility

$2,941.15

Hospital Charge Code	270656381
Hospital Revenue Code	272
Min. Negotiated Rate	$441.17
Max. Negotiated Rate	$441.17
Rate for Payer: Qualcare PPO/HMO/WC	$441.17

BATTERY PACK POWER DEVICE SYST

Facility

$2,941.15

Hospital Charge Code	270656381
Hospital Revenue Code	272
Min. Negotiated Rate	$83.53
Max. Negotiated Rate	$1,470.58
Rate for Payer: Aetna Commercial	$1,117.64
Rate for Payer: Aetna Medicare Advantage	$882.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$749.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$749.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$749.99
Rate for Payer: Cigna Commercial	$1,470.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$764.70
Rate for Payer: Oxford Commercial	$588.23
Rate for Payer: Qualcare PPO/HMO/WC	$441.17
Rate for Payer: UnitedHealthcare Commercial	$588.23
Rate for Payer: UnitedHealthcare Community & State	$92.94
Rate for Payer: Wellpoint Medicaid Managed Care	$83.53

BATTERY PRO 2 DRILL

Facility

$2,525.00

Hospital Charge Code	270690137
Hospital Revenue Code	272
Min. Negotiated Rate	$378.75
Max. Negotiated Rate	$378.75
Rate for Payer: Qualcare PPO/HMO/WC	$378.75

BATTERY PRO 2 DRILL

Facility

$2,525.00

Hospital Charge Code	270690137
Hospital Revenue Code	272
Min. Negotiated Rate	$71.71
Max. Negotiated Rate	$1,262.50
Rate for Payer: Aetna Commercial	$959.50
Rate for Payer: Aetna Medicare Advantage	$757.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$643.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$643.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$643.88
Rate for Payer: Cigna Commercial	$1,262.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$656.50
Rate for Payer: Oxford Commercial	$505.00
Rate for Payer: Qualcare PPO/HMO/WC	$378.75
Rate for Payer: UnitedHealthcare Commercial	$505.00
Rate for Payer: UnitedHealthcare Community & State	$79.79
Rate for Payer: Wellpoint Medicaid Managed Care	$71.71

BATTERY SORIN REPLY DR

Facility

$19,142.50

Service Code	HCPCS C1785
Hospital Charge Code	270672799
Hospital Revenue Code	275
Min. Negotiated Rate	$543.65
Max. Negotiated Rate	$9,571.25
Rate for Payer: Aetna Commercial	$7,274.15
Rate for Payer: Aetna Medicare Advantage	$5,742.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,881.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,881.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,828.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,881.34
Rate for Payer: Cigna Commercial	$9,571.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,632.48
Rate for Payer: Qualcare PPO/HMO/WC	$2,871.38
Rate for Payer: UnitedHealthcare Community & State	$604.90
Rate for Payer: Wellpoint Medicaid Managed Care	$543.65

BATTERY SORIN REPLY DR

Facility

$19,142.50

Service Code	HCPCS C1785
Hospital Charge Code	270672799
Hospital Revenue Code	275
Min. Negotiated Rate	$2,871.38
Max. Negotiated Rate	$4,632.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,828.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,632.48
Rate for Payer: Qualcare PPO/HMO/WC	$2,871.38

BB TAK

Facility

$250.00

Hospital Charge Code	270652914
Hospital Revenue Code	272
Min. Negotiated Rate	$7.10
Max. Negotiated Rate	$125.00
Rate for Payer: Aetna Commercial	$95.00
Rate for Payer: Aetna Medicare Advantage	$75.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.75
Rate for Payer: Cigna Commercial	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.00
Rate for Payer: Oxford Commercial	$50.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.50
Rate for Payer: UnitedHealthcare Commercial	$50.00
Rate for Payer: UnitedHealthcare Community & State	$7.90
Rate for Payer: Wellpoint Medicaid Managed Care	$7.10

BB TAK

Facility

$425.00

Hospital Charge Code	270656495
Hospital Revenue Code	272
Min. Negotiated Rate	$63.75
Max. Negotiated Rate	$63.75
Rate for Payer: Qualcare PPO/HMO/WC	$63.75

BB TAK

Facility

$425.00

Hospital Charge Code	270656495
Hospital Revenue Code	272
Min. Negotiated Rate	$12.07
Max. Negotiated Rate	$212.50
Rate for Payer: Aetna Commercial	$161.50
Rate for Payer: Aetna Medicare Advantage	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$108.38
Rate for Payer: Cigna Commercial	$212.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.50
Rate for Payer: Oxford Commercial	$85.00
Rate for Payer: Qualcare PPO/HMO/WC	$63.75
Rate for Payer: UnitedHealthcare Commercial	$85.00
Rate for Payer: UnitedHealthcare Community & State	$13.43
Rate for Payer: Wellpoint Medicaid Managed Care	$12.07

BB TAK

Facility

$250.00

Hospital Charge Code	270652914
Hospital Revenue Code	272
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$37.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

BB-TAK MTP THREADED

Facility

$425.00

Service Code	HCPCS C1713
Hospital Charge Code	270694409
Hospital Revenue Code	278
Min. Negotiated Rate	$12.07
Max. Negotiated Rate	$212.50
Rate for Payer: Aetna Commercial	$161.50
Rate for Payer: Aetna Medicare Advantage	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$85.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$108.38
Rate for Payer: Cigna Commercial	$212.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.85
Rate for Payer: Qualcare PPO/HMO/WC	$63.75
Rate for Payer: UnitedHealthcare Community & State	$13.43
Rate for Payer: Wellpoint Medicaid Managed Care	$12.07

BB-TAK MTP THREADED

Facility

$425.00

Service Code	HCPCS C1713
Hospital Charge Code	270694409
Hospital Revenue Code	278
Min. Negotiated Rate	$63.75
Max. Negotiated Rate	$102.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$85.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.85
Rate for Payer: Qualcare PPO/HMO/WC	$63.75

BB TAK THREADED

Facility

$772.50

Service Code	HCPCS C1713
Hospital Charge Code	270703765
Hospital Revenue Code	278
Min. Negotiated Rate	$115.88
Max. Negotiated Rate	$186.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$154.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$186.94
Rate for Payer: Qualcare PPO/HMO/WC	$115.88

BB TAK THREADED

Facility

$772.50

Service Code	HCPCS C1713
Hospital Charge Code	270703765
Hospital Revenue Code	278
Min. Negotiated Rate	$21.94
Max. Negotiated Rate	$386.25
Rate for Payer: Aetna Commercial	$293.55
Rate for Payer: Aetna Medicare Advantage	$231.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$196.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$196.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$154.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$196.99
Rate for Payer: Cigna Commercial	$386.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$186.94
Rate for Payer: Qualcare PPO/HMO/WC	$115.88
Rate for Payer: UnitedHealthcare Community & State	$24.41
Rate for Payer: Wellpoint Medicaid Managed Care	$21.94

B.BURGDORFERI AB (IGG,M), I

Facility

$667.59

Service Code	HCPCS 8661791
Hospital Charge Code	39990036A
Hospital Revenue Code	302
Min. Negotiated Rate	$100.14
Max. Negotiated Rate	$100.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.14

B.BURGDORFERI AB (IGG,M), I

Facility

$667.59

Service Code	HCPCS 8661791
Hospital Charge Code	39990036A
Hospital Revenue Code	302
Min. Negotiated Rate	$18.96
Max. Negotiated Rate	$333.80
Rate for Payer: Aetna Commercial	$253.68
Rate for Payer: Aetna Medicare Advantage	$200.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$170.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$170.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$170.24
Rate for Payer: Cigna Commercial	$333.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.57
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$100.14
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$21.10
Rate for Payer: Wellpoint Medicaid Managed Care	$18.96

B.BURGDORFERI AB (IGG,M), II

Facility

$667.59

Service Code	HCPCS 8661791
Hospital Charge Code	39990036B
Hospital Revenue Code	302
Min. Negotiated Rate	$18.96
Max. Negotiated Rate	$333.80
Rate for Payer: Aetna Commercial	$253.68
Rate for Payer: Aetna Medicare Advantage	$200.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$170.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$170.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$170.24
Rate for Payer: Cigna Commercial	$333.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.57
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$100.14
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$21.10
Rate for Payer: Wellpoint Medicaid Managed Care	$18.96

B.BURGDORFERI AB (IGG,M), II

Facility

$667.59

Service Code	HCPCS 8661791
Hospital Charge Code	39990036B
Hospital Revenue Code	302
Min. Negotiated Rate	$100.14
Max. Negotiated Rate	$100.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.14

B.BURGDORFERI AB SCREEN W

Facility

$117.05

Service Code	HCPCS 86618
Hospital Charge Code	39900228
Hospital Revenue Code	302
Min. Negotiated Rate	$3.32
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$46.32
Rate for Payer: Aetna Medicare Advantage	$55.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.78
Rate for Payer: Cigna Commercial	$58.52
Rate for Payer: Cigna Medicare Advantage	$17.03
Rate for Payer: Clover Medicare Advantage	$16.18
Rate for Payer: EmblemHealth Commercial	$51.09
Rate for Payer: Humana Medicare Advantage	$17.54
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$17.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.43
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.56
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$13.62
Rate for Payer: UnitedHealthcare Medicare Advantage	$17.03
Rate for Payer: Wellcare Medicare Advantage	$17.03
Rate for Payer: Wellpoint Medicaid Managed Care	$3.32

B.BURGDORFERI AB SCREEN W

Facility

$117.05

Service Code	HCPCS 86618
Hospital Charge Code	39900228
Hospital Revenue Code	302
Min. Negotiated Rate	$17.56
Max. Negotiated Rate	$17.56
Rate for Payer: Qualcare PPO/HMO/WC	$17.56

BC ACHI SPDBRG W/ KL DX CC 3.9

Facility

$14,909.25

Hospital Charge Code	270702069
Hospital Revenue Code	278
Min. Negotiated Rate	$2,236.39
Max. Negotiated Rate	$3,608.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,981.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,608.04
Rate for Payer: Qualcare PPO/HMO/WC	$2,236.39

Know your out-of-pocket cost for care.

All Charges