Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

BINDER ABDOMINAL 46-62

Facility

$24.00

Hospital Charge Code	270650243
Hospital Revenue Code	272
Min. Negotiated Rate	$3.60
Max. Negotiated Rate	$3.60
Rate for Payer: Qualcare PPO/HMO/WC	$3.60

BINDER ABDOMINAL 4 PANEL12UNIV

Facility

$69.95

Hospital Charge Code	270650469
Hospital Revenue Code	272
Min. Negotiated Rate	$10.49
Max. Negotiated Rate	$10.49
Rate for Payer: Qualcare PPO/HMO/WC	$10.49

BINDER ABDOMINAL 4 PANEL12UNIV

Facility

$69.95

Hospital Charge Code	270650469
Hospital Revenue Code	272
Min. Negotiated Rate	$1.99
Max. Negotiated Rate	$34.98
Rate for Payer: Aetna Commercial	$26.58
Rate for Payer: Aetna Medicare Advantage	$20.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.84
Rate for Payer: Cigna Commercial	$34.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.19
Rate for Payer: Oxford Commercial	$13.99
Rate for Payer: Qualcare PPO/HMO/WC	$10.49
Rate for Payer: UnitedHealthcare Commercial	$13.99
Rate for Payer: UnitedHealthcare Community & State	$2.21
Rate for Payer: Wellpoint Medicaid Managed Care	$1.99

BINDER ABDOMINAL 4 PANEL 46-62

Facility

$57.45

Hospital Charge Code	270650461
Hospital Revenue Code	272
Min. Negotiated Rate	$1.63
Max. Negotiated Rate	$28.73
Rate for Payer: Aetna Commercial	$21.83
Rate for Payer: Aetna Medicare Advantage	$17.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.65
Rate for Payer: Cigna Commercial	$28.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.94
Rate for Payer: Oxford Commercial	$11.49
Rate for Payer: Qualcare PPO/HMO/WC	$8.62
Rate for Payer: UnitedHealthcare Commercial	$11.49
Rate for Payer: UnitedHealthcare Community & State	$1.82
Rate for Payer: Wellpoint Medicaid Managed Care	$1.63

BINDER ABDOMINAL 4 PANEL 46-62

Facility

$57.45

Hospital Charge Code	270650461
Hospital Revenue Code	272
Min. Negotiated Rate	$8.62
Max. Negotiated Rate	$8.62
Rate for Payer: Qualcare PPO/HMO/WC	$8.62

BIOARCH IMPLANT 10MM

Facility

$9,860.00

Hospital Charge Code	270656812
Hospital Revenue Code	278
Min. Negotiated Rate	$280.02
Max. Negotiated Rate	$4,930.00
Rate for Payer: Aetna Commercial	$3,746.80
Rate for Payer: Aetna Medicare Advantage	$2,958.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,514.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,514.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,972.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,514.30
Rate for Payer: Cigna Commercial	$4,930.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,386.12
Rate for Payer: Qualcare PPO/HMO/WC	$1,479.00
Rate for Payer: UnitedHealthcare Community & State	$311.58
Rate for Payer: Wellpoint Medicaid Managed Care	$280.02

BIOARCH IMPLANT 10MM

Facility

$9,860.00

Hospital Charge Code	270656812
Hospital Revenue Code	278
Min. Negotiated Rate	$1,479.00
Max. Negotiated Rate	$2,386.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,972.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,386.12
Rate for Payer: Qualcare PPO/HMO/WC	$1,479.00

BIOARCH IMPLANT 9MM

Facility

$9,860.00

Hospital Charge Code	270656810
Hospital Revenue Code	278
Min. Negotiated Rate	$1,479.00
Max. Negotiated Rate	$2,386.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,972.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,386.12
Rate for Payer: Qualcare PPO/HMO/WC	$1,479.00

BIOARCH IMPLANT 9MM

Facility

$9,860.00

Hospital Charge Code	270656810
Hospital Revenue Code	278
Min. Negotiated Rate	$280.02
Max. Negotiated Rate	$4,930.00
Rate for Payer: Aetna Commercial	$3,746.80
Rate for Payer: Aetna Medicare Advantage	$2,958.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,514.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,514.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,972.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,514.30
Rate for Payer: Cigna Commercial	$4,930.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,386.12
Rate for Payer: Qualcare PPO/HMO/WC	$1,479.00
Rate for Payer: UnitedHealthcare Community & State	$311.58
Rate for Payer: Wellpoint Medicaid Managed Care	$280.02

BIOARCH IMPLANT WRIGHT MEDICAL

Facility

$10,795.00

Hospital Charge Code	270339512
Hospital Revenue Code	278
Min. Negotiated Rate	$306.58
Max. Negotiated Rate	$5,397.50
Rate for Payer: Aetna Commercial	$4,102.10
Rate for Payer: Aetna Medicare Advantage	$3,238.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,752.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,752.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,159.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,752.72
Rate for Payer: Cigna Commercial	$5,397.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,612.39
Rate for Payer: Qualcare PPO/HMO/WC	$1,619.25
Rate for Payer: UnitedHealthcare Community & State	$341.12
Rate for Payer: Wellpoint Medicaid Managed Care	$306.58

BIOARCH IMPLANT WRIGHT MEDICAL

Facility

$10,795.00

Hospital Charge Code	270339512
Hospital Revenue Code	278
Min. Negotiated Rate	$1,619.25
Max. Negotiated Rate	$2,612.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,159.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,612.39
Rate for Payer: Qualcare PPO/HMO/WC	$1,619.25

BIOCARTILAGE DELIVERY KIT

Facility

$1,225.00

Service Code	HCPCS C1713
Hospital Charge Code	270687155
Hospital Revenue Code	278
Min. Negotiated Rate	$183.75
Max. Negotiated Rate	$296.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$245.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$296.45
Rate for Payer: Qualcare PPO/HMO/WC	$183.75

BIOCARTILAGE DELIVERY KIT

Facility

$1,225.00

Service Code	HCPCS C1713
Hospital Charge Code	270687155
Hospital Revenue Code	278
Min. Negotiated Rate	$34.79
Max. Negotiated Rate	$612.50
Rate for Payer: Aetna Commercial	$465.50
Rate for Payer: Aetna Medicare Advantage	$367.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$312.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$312.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$245.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$312.38
Rate for Payer: Cigna Commercial	$612.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$296.45
Rate for Payer: Qualcare PPO/HMO/WC	$183.75
Rate for Payer: UnitedHealthcare Community & State	$38.71
Rate for Payer: Wellpoint Medicaid Managed Care	$34.79

BIOCARTILAGE KIT SMALL JT

Facility

$1,225.00

Service Code	HCPCS A4649
Hospital Charge Code	270686399
Hospital Revenue Code	272
Min. Negotiated Rate	$34.79
Max. Negotiated Rate	$612.50
Rate for Payer: Aetna Commercial	$465.50
Rate for Payer: Aetna Medicare Advantage	$367.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$312.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$312.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$312.38
Rate for Payer: Cigna Commercial	$612.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$318.50
Rate for Payer: Oxford Commercial	$245.00
Rate for Payer: Qualcare PPO/HMO/WC	$183.75
Rate for Payer: UnitedHealthcare Commercial	$245.00
Rate for Payer: UnitedHealthcare Community & State	$38.71
Rate for Payer: Wellpoint Medicaid Managed Care	$34.79

BIOCARTILAGE KIT SMALL JT

Facility

$1,225.00

Service Code	HCPCS A4649
Hospital Charge Code	270686399
Hospital Revenue Code	272
Min. Negotiated Rate	$183.75
Max. Negotiated Rate	$183.75
Rate for Payer: Qualcare PPO/HMO/WC	$183.75

BIO-CARTRIDGE 1CC

Facility

$4,900.00

Hospital Charge Code	270659671
Hospital Revenue Code	272
Min. Negotiated Rate	$735.00
Max. Negotiated Rate	$735.00
Rate for Payer: Qualcare PPO/HMO/WC	$735.00

BIO-CARTRIDGE 1CC

Facility

$4,900.00

Hospital Charge Code	270659671
Hospital Revenue Code	272
Min. Negotiated Rate	$139.16
Max. Negotiated Rate	$2,450.00
Rate for Payer: Aetna Commercial	$1,862.00
Rate for Payer: Aetna Medicare Advantage	$1,470.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,249.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,249.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,249.50
Rate for Payer: Cigna Commercial	$2,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,274.00
Rate for Payer: Oxford Commercial	$980.00
Rate for Payer: Qualcare PPO/HMO/WC	$735.00
Rate for Payer: UnitedHealthcare Commercial	$980.00
Rate for Payer: UnitedHealthcare Community & State	$154.84
Rate for Payer: Wellpoint Medicaid Managed Care	$139.16

BIOCERAMIC NANOCRYSTALS 5CC

Facility

$11,250.00

Service Code	HCPCS C1763
Hospital Charge Code	270698051
Hospital Revenue Code	278
Min. Negotiated Rate	$1,687.50
Max. Negotiated Rate	$2,722.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,722.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,687.50

BIOCERAMIC NANOCRYSTALS 5CC

Facility

$11,250.00

Service Code	HCPCS C1763
Hospital Charge Code	270698051
Hospital Revenue Code	278
Min. Negotiated Rate	$319.50
Max. Negotiated Rate	$5,625.00
Rate for Payer: Aetna Commercial	$4,275.00
Rate for Payer: Aetna Medicare Advantage	$3,375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,868.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,868.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,868.75
Rate for Payer: Cigna Commercial	$5,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,722.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,687.50
Rate for Payer: UnitedHealthcare Community & State	$355.50
Rate for Payer: Wellpoint Medicaid Managed Care	$319.50

BIOCLEANSE PATELLAR TENDON PRE

Facility

$1,445.00

Hospital Charge Code	270679092
Hospital Revenue Code	278
Min. Negotiated Rate	$216.75
Max. Negotiated Rate	$349.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$289.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$349.69
Rate for Payer: Qualcare PPO/HMO/WC	$216.75

BIOCLEANSE PATELLAR TENDON PRE

Facility

$1,445.00

Hospital Charge Code	270679092
Hospital Revenue Code	278
Min. Negotiated Rate	$41.04
Max. Negotiated Rate	$722.50
Rate for Payer: Aetna Commercial	$549.10
Rate for Payer: Aetna Medicare Advantage	$433.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$368.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$368.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$289.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$368.48
Rate for Payer: Cigna Commercial	$722.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$349.69
Rate for Payer: Qualcare PPO/HMO/WC	$216.75
Rate for Payer: UnitedHealthcare Community & State	$45.66
Rate for Payer: Wellpoint Medicaid Managed Care	$41.04

BIO CORK SCREW

Facility

$411.00

Hospital Charge Code	270335682
Hospital Revenue Code	278
Min. Negotiated Rate	$11.67
Max. Negotiated Rate	$205.50
Rate for Payer: Aetna Commercial	$156.18
Rate for Payer: Aetna Medicare Advantage	$123.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$104.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$104.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$82.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$104.81
Rate for Payer: Cigna Commercial	$205.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.46
Rate for Payer: Qualcare PPO/HMO/WC	$61.65
Rate for Payer: UnitedHealthcare Community & State	$12.99
Rate for Payer: Wellpoint Medicaid Managed Care	$11.67

BIO CORK SCREW

Facility

$411.00

Hospital Charge Code	270335682
Hospital Revenue Code	278
Min. Negotiated Rate	$61.65
Max. Negotiated Rate	$99.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$82.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.46
Rate for Payer: Qualcare PPO/HMO/WC	$61.65

BIO-CORKSCREW 3.7 X 18MM

Facility

$1,860.00

Hospital Charge Code	270666936
Hospital Revenue Code	278
Min. Negotiated Rate	$279.00
Max. Negotiated Rate	$450.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$372.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$450.12
Rate for Payer: Qualcare PPO/HMO/WC	$279.00

BIO-CORKSCREW 3.7 X 18MM

Facility

$1,860.00

Hospital Charge Code	270666936
Hospital Revenue Code	278
Min. Negotiated Rate	$52.82
Max. Negotiated Rate	$930.00
Rate for Payer: Aetna Commercial	$706.80
Rate for Payer: Aetna Medicare Advantage	$558.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$474.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$474.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$372.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$474.30
Rate for Payer: Cigna Commercial	$930.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$450.12
Rate for Payer: Qualcare PPO/HMO/WC	$279.00
Rate for Payer: UnitedHealthcare Community & State	$58.78
Rate for Payer: Wellpoint Medicaid Managed Care	$52.82

Know your out-of-pocket cost for care.

All Charges