Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

Universal Bandage Scissors w/

Facility

$52.50

Hospital Charge Code	270662585
Hospital Revenue Code	270
Min. Negotiated Rate	$1.49
Max. Negotiated Rate	$26.25
Rate for Payer: Aetna Commercial	$19.95
Rate for Payer: Aetna Medicare Advantage	$15.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.39
Rate for Payer: Cigna Commercial	$26.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.65
Rate for Payer: Oxford Commercial	$10.50
Rate for Payer: Qualcare PPO/HMO/WC	$7.88
Rate for Payer: UnitedHealthcare Commercial	$10.50
Rate for Payer: UnitedHealthcare Community & State	$1.66
Rate for Payer: Wellpoint Medicaid Managed Care	$1.49

Universal Bandage Scissors w/

Facility

$52.50

Hospital Charge Code	270662585
Hospital Revenue Code	270
Min. Negotiated Rate	$7.88
Max. Negotiated Rate	$7.88
Rate for Payer: Qualcare PPO/HMO/WC	$7.88

UNIVERSAL CEMENT RESTRICTOR

Facility

$960.00

Service Code	HCPCS C1713
Hospital Charge Code	270664954
Hospital Revenue Code	278
Min. Negotiated Rate	$27.26
Max. Negotiated Rate	$480.00
Rate for Payer: Aetna Commercial	$364.80
Rate for Payer: Aetna Medicare Advantage	$288.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$244.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$244.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$192.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$244.80
Rate for Payer: Cigna Commercial	$480.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.32
Rate for Payer: Qualcare PPO/HMO/WC	$144.00
Rate for Payer: UnitedHealthcare Community & State	$30.34
Rate for Payer: Wellpoint Medicaid Managed Care	$27.26

UNIVERSAL CEMENT RESTRICTOR

Facility

$960.00

Service Code	HCPCS C1713
Hospital Charge Code	270664954
Hospital Revenue Code	278
Min. Negotiated Rate	$144.00
Max. Negotiated Rate	$232.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$192.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.32
Rate for Payer: Qualcare PPO/HMO/WC	$144.00

UNIVERSAL HEAD

Facility

$3,483.00

Hospital Charge Code	270335025
Hospital Revenue Code	278
Min. Negotiated Rate	$522.45
Max. Negotiated Rate	$842.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$696.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$842.89
Rate for Payer: Qualcare PPO/HMO/WC	$522.45

UNIVERSAL HEAD

Facility

$3,483.00

Hospital Charge Code	270335025
Hospital Revenue Code	278
Min. Negotiated Rate	$98.92
Max. Negotiated Rate	$1,741.50
Rate for Payer: Aetna Commercial	$1,323.54
Rate for Payer: Aetna Medicare Advantage	$1,044.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$888.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$888.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$696.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$888.16
Rate for Payer: Cigna Commercial	$1,741.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$842.89
Rate for Payer: Qualcare PPO/HMO/WC	$522.45
Rate for Payer: UnitedHealthcare Community & State	$110.06
Rate for Payer: Wellpoint Medicaid Managed Care	$98.92

UNIVERSAL HEAD 50 X 26MM

Facility

$3,763.65

Service Code	HCPCS C1776
Hospital Charge Code	270685005
Hospital Revenue Code	278
Min. Negotiated Rate	$564.55
Max. Negotiated Rate	$910.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$752.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$910.80
Rate for Payer: Qualcare PPO/HMO/WC	$564.55

UNIVERSAL HEAD 50 X 26MM

Facility

$3,763.65

Service Code	HCPCS C1776
Hospital Charge Code	270685005
Hospital Revenue Code	278
Min. Negotiated Rate	$106.89
Max. Negotiated Rate	$1,881.83
Rate for Payer: Aetna Commercial	$1,430.19
Rate for Payer: Aetna Medicare Advantage	$1,129.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$959.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$959.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$752.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$959.73
Rate for Payer: Cigna Commercial	$1,881.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$910.80
Rate for Payer: Qualcare PPO/HMO/WC	$564.55
Rate for Payer: UnitedHealthcare Community & State	$118.93
Rate for Payer: Wellpoint Medicaid Managed Care	$106.89

UNIVERSAL HEAD UHR 55MM 28MM

Facility

$4,125.00

Hospital Charge Code	270669390
Hospital Revenue Code	278
Min. Negotiated Rate	$117.15
Max. Negotiated Rate	$2,062.50
Rate for Payer: Aetna Commercial	$1,567.50
Rate for Payer: Aetna Medicare Advantage	$1,237.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,051.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,051.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,051.88
Rate for Payer: Cigna Commercial	$2,062.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$998.25
Rate for Payer: Qualcare PPO/HMO/WC	$618.75
Rate for Payer: UnitedHealthcare Community & State	$130.35
Rate for Payer: Wellpoint Medicaid Managed Care	$117.15

UNIVERSAL HEAD UHR 55MM 28MM

Facility

$4,125.00

Hospital Charge Code	270669390
Hospital Revenue Code	278
Min. Negotiated Rate	$618.75
Max. Negotiated Rate	$998.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$825.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$998.25
Rate for Payer: Qualcare PPO/HMO/WC	$618.75

UNIVERSAL HUM NAIL 7 X 240MM

Facility

$6,525.00

Service Code	HCPCS C1713
Hospital Charge Code	270685092
Hospital Revenue Code	278
Min. Negotiated Rate	$185.31
Max. Negotiated Rate	$3,262.50
Rate for Payer: Aetna Commercial	$2,479.50
Rate for Payer: Aetna Medicare Advantage	$1,957.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,663.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,663.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,305.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,663.88
Rate for Payer: Cigna Commercial	$3,262.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,579.05
Rate for Payer: Qualcare PPO/HMO/WC	$978.75
Rate for Payer: UnitedHealthcare Community & State	$206.19
Rate for Payer: Wellpoint Medicaid Managed Care	$185.31

UNIVERSAL HUM NAIL 7 X 240MM

Facility

$6,525.00

Service Code	HCPCS C1713
Hospital Charge Code	270685092
Hospital Revenue Code	278
Min. Negotiated Rate	$978.75
Max. Negotiated Rate	$1,579.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,305.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,579.05
Rate for Payer: Qualcare PPO/HMO/WC	$978.75

UNIVERSAL STREE POST

Facility

$2,970.00

Hospital Charge Code	270665319
Hospital Revenue Code	270
Min. Negotiated Rate	$445.50
Max. Negotiated Rate	$445.50
Rate for Payer: Qualcare PPO/HMO/WC	$445.50

UNIVERSAL STREE POST

Facility

$2,970.00

Hospital Charge Code	270665319
Hospital Revenue Code	270
Min. Negotiated Rate	$84.35
Max. Negotiated Rate	$1,485.00
Rate for Payer: Aetna Commercial	$1,128.60
Rate for Payer: Aetna Medicare Advantage	$891.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$757.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$757.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$757.35
Rate for Payer: Cigna Commercial	$1,485.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$772.20
Rate for Payer: Oxford Commercial	$594.00
Rate for Payer: Qualcare PPO/HMO/WC	$445.50
Rate for Payer: UnitedHealthcare Commercial	$594.00
Rate for Payer: UnitedHealthcare Community & State	$93.85
Rate for Payer: Wellpoint Medicaid Managed Care	$84.35

UNIVERSAL TENODESIS

Facility

$2,227.50

Hospital Charge Code	270678631
Hospital Revenue Code	272
Min. Negotiated Rate	$334.12
Max. Negotiated Rate	$334.12
Rate for Payer: Qualcare PPO/HMO/WC	$334.12

UNIVERSAL TENODESIS

Facility

$2,227.50

Hospital Charge Code	270678631
Hospital Revenue Code	272
Min. Negotiated Rate	$63.26
Max. Negotiated Rate	$1,113.75
Rate for Payer: Aetna Commercial	$846.45
Rate for Payer: Aetna Medicare Advantage	$668.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$568.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$568.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$568.01
Rate for Payer: Cigna Commercial	$1,113.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$579.15
Rate for Payer: Oxford Commercial	$445.50
Rate for Payer: Qualcare PPO/HMO/WC	$334.12
Rate for Payer: UnitedHealthcare Commercial	$445.50
Rate for Payer: UnitedHealthcare Community & State	$70.39
Rate for Payer: Wellpoint Medicaid Managed Care	$63.26

UNIVERSAL XTRACT SET

Facility

$9,000.00

Hospital Charge Code	270687383
Hospital Revenue Code	272
Min. Negotiated Rate	$1,350.00
Max. Negotiated Rate	$1,350.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,350.00

UNIVERSAL XTRACT SET

Facility

$9,000.00

Hospital Charge Code	270687383
Hospital Revenue Code	272
Min. Negotiated Rate	$255.60
Max. Negotiated Rate	$4,500.00
Rate for Payer: Aetna Commercial	$3,420.00
Rate for Payer: Aetna Medicare Advantage	$2,700.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,295.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,295.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,295.00
Rate for Payer: Cigna Commercial	$4,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,340.00
Rate for Payer: Oxford Commercial	$1,800.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,350.00
Rate for Payer: UnitedHealthcare Commercial	$1,800.00
Rate for Payer: UnitedHealthcare Community & State	$284.40
Rate for Payer: Wellpoint Medicaid Managed Care	$255.60

UNIWASH SKIN WS SENSICARE

Facility

$16.85

Hospital Charge Code	270302500
Hospital Revenue Code	272
Min. Negotiated Rate	$2.53
Max. Negotiated Rate	$2.53
Rate for Payer: Qualcare PPO/HMO/WC	$2.53

UNIWASH SKIN WS SENSICARE

Facility

$16.85

Hospital Charge Code	270302500
Hospital Revenue Code	272
Min. Negotiated Rate	$0.48
Max. Negotiated Rate	$8.43
Rate for Payer: Aetna Commercial	$6.40
Rate for Payer: Aetna Medicare Advantage	$5.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.30
Rate for Payer: Cigna Commercial	$8.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.38
Rate for Payer: Oxford Commercial	$3.37
Rate for Payer: Qualcare PPO/HMO/WC	$2.53
Rate for Payer: UnitedHealthcare Commercial	$3.37
Rate for Payer: UnitedHealthcare Community & State	$0.53
Rate for Payer: Wellpoint Medicaid Managed Care	$0.48

UNLISTED CASTING/STRAPPING PRO

Facility

$458.00

Service Code	HCPCS 29799
Hospital Charge Code	5780165
Hospital Revenue Code	450
Min. Negotiated Rate	$68.70
Max. Negotiated Rate	$68.70
Rate for Payer: Qualcare PPO/HMO/WC	$68.70

UNLISTED CASTING/STRAPPING PRO

Facility

$458.00

Service Code	HCPCS 29799
Hospital Charge Code	5780165
Hospital Revenue Code	450
Min. Negotiated Rate	$13.01
Max. Negotiated Rate	$700.29
Rate for Payer: Aetna Commercial	$525.10
Rate for Payer: Aetna Medicare Advantage	$625.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$700.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$700.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$193.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$700.29
Rate for Payer: Cigna Commercial	$386.97
Rate for Payer: Cigna Medicare Advantage	$193.05
Rate for Payer: Clover Medicare Advantage	$183.40
Rate for Payer: EmblemHealth Commercial	$579.15
Rate for Payer: Humana Medicare Advantage	$198.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$193.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.08
Rate for Payer: Qualcare PPO/HMO/WC	$68.70
Rate for Payer: UnitedHealthcare Community & State	$140.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$193.05
Rate for Payer: Wellcare Medicare Advantage	$193.05
Rate for Payer: Wellpoint Medicaid Managed Care	$13.01

UNLISTED CYTOPATH

Facility

$66.00

Service Code	HCPCS 88199
Hospital Charge Code	38477058
Hospital Revenue Code	311
Min. Negotiated Rate	$1.87
Max. Negotiated Rate	$224.58
Rate for Payer: Aetna Commercial	$168.40
Rate for Payer: Aetna Medicare Advantage	$200.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$224.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$224.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$61.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$224.58
Rate for Payer: Cigna Commercial	$124.10
Rate for Payer: Cigna Medicare Advantage	$61.91
Rate for Payer: Clover Medicare Advantage	$58.81
Rate for Payer: EmblemHealth Commercial	$185.73
Rate for Payer: Humana Medicare Advantage	$63.77
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$61.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.16
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.90
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$2.09
Rate for Payer: UnitedHealthcare Medicare Advantage	$61.91
Rate for Payer: Wellcare Medicare Advantage	$61.91
Rate for Payer: Wellpoint Medicaid Managed Care	$1.87

UNLISTED CYTOPATH

Facility

$66.00

Service Code	HCPCS 88199
Hospital Charge Code	38477058
Hospital Revenue Code	311
Min. Negotiated Rate	$9.90
Max. Negotiated Rate	$9.90
Rate for Payer: Qualcare PPO/HMO/WC	$9.90

UNLISTED HYSTEROSCOPY UTERUS

Facility

$778.40

Service Code	HCPCS 58579
Hospital Charge Code	16001008
Hospital Revenue Code	360
Min. Negotiated Rate	$22.11
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$653.29
Rate for Payer: Aetna Medicare Advantage	$778.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$871.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$871.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$240.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$871.25
Rate for Payer: Cigna Commercial	$481.45
Rate for Payer: Cigna Medicare Advantage	$240.18
Rate for Payer: Clover Medicare Advantage	$228.17
Rate for Payer: EmblemHealth Commercial	$720.54
Rate for Payer: Humana Medicare Advantage	$247.39
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$240.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$202.38
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$116.76
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$24.60
Rate for Payer: UnitedHealthcare Medicare Advantage	$240.18
Rate for Payer: Wellcare Medicare Advantage	$240.18
Rate for Payer: Wellpoint Medicaid Managed Care	$22.11

Know your out-of-pocket cost for care.

All Charges