Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

VORTEX VACUUM MIXING SYSTEM

Facility

$5,547.40

Hospital Charge Code	270686907
Hospital Revenue Code	272
Min. Negotiated Rate	$157.55
Max. Negotiated Rate	$2,773.70
Rate for Payer: Aetna Commercial	$2,108.01
Rate for Payer: Aetna Medicare Advantage	$1,664.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,414.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,414.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,414.59
Rate for Payer: Cigna Commercial	$2,773.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,442.32
Rate for Payer: Oxford Commercial	$1,109.48
Rate for Payer: Qualcare PPO/HMO/WC	$832.11
Rate for Payer: UnitedHealthcare Commercial	$1,109.48
Rate for Payer: UnitedHealthcare Community & State	$175.30
Rate for Payer: Wellpoint Medicaid Managed Care	$157.55

VPC SCREW 4.0X40MM

Facility

$1,950.00

Service Code	HCPCS C1713
Hospital Charge Code	270686589
Hospital Revenue Code	278
Min. Negotiated Rate	$55.38
Max. Negotiated Rate	$975.00
Rate for Payer: Aetna Commercial	$741.00
Rate for Payer: Aetna Medicare Advantage	$585.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$497.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$497.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$390.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$497.25
Rate for Payer: Cigna Commercial	$975.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$471.90
Rate for Payer: Qualcare PPO/HMO/WC	$292.50
Rate for Payer: UnitedHealthcare Community & State	$61.62
Rate for Payer: Wellpoint Medicaid Managed Care	$55.38

VPC SCREW 4.0X40MM

Facility

$1,950.00

Service Code	HCPCS C1713
Hospital Charge Code	270686589
Hospital Revenue Code	278
Min. Negotiated Rate	$292.50
Max. Negotiated Rate	$471.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$390.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$471.90
Rate for Payer: Qualcare PPO/HMO/WC	$292.50

VRBLE SLF DRILLING SCHOOL 14MM

Facility

$2,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270694167
Hospital Revenue Code	278
Min. Negotiated Rate	$337.50
Max. Negotiated Rate	$544.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$544.50
Rate for Payer: Qualcare PPO/HMO/WC	$337.50

VRBLE SLF DRILLING SCHOOL 14MM

Facility

$2,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270694167
Hospital Revenue Code	278
Min. Negotiated Rate	$63.90
Max. Negotiated Rate	$1,125.00
Rate for Payer: Aetna Commercial	$855.00
Rate for Payer: Aetna Medicare Advantage	$675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$573.75
Rate for Payer: Cigna Commercial	$1,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$544.50
Rate for Payer: Qualcare PPO/HMO/WC	$337.50
Rate for Payer: UnitedHealthcare Community & State	$71.10
Rate for Payer: Wellpoint Medicaid Managed Care	$63.90

VRE SCREEN

Facility

$390.00

Service Code	HCPCS 87081
Hospital Charge Code	3036051
Hospital Revenue Code	309
Min. Negotiated Rate	$5.30
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$18.03
Rate for Payer: Aetna Medicare Advantage	$21.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.05
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$6.63
Rate for Payer: Clover Medicare Advantage	$6.30
Rate for Payer: EmblemHealth Commercial	$19.89
Rate for Payer: Humana Medicare Advantage	$6.83
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$6.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.40
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$5.30
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.63
Rate for Payer: Wellcare Medicare Advantage	$6.63
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

VRE SCREEN

Facility

$390.00

Service Code	HCPCS 87081
Hospital Charge Code	3036051
Hospital Revenue Code	309
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

VRTBR CRPCTMY,CERV EA ADTL SGM

Facility

$19,892.30

Service Code	HCPCS 63082
Hospital Charge Code	160000224
Hospital Revenue Code	360
Min. Negotiated Rate	$2,983.84
Max. Negotiated Rate	$2,983.84
Rate for Payer: Qualcare PPO/HMO/WC	$2,983.84

VRTBR CRPCTMY,CERV EA ADTL SGM

Facility

$19,892.30

Service Code	HCPCS 63082
Hospital Charge Code	160000224
Hospital Revenue Code	360
Min. Negotiated Rate	$564.94
Max. Negotiated Rate	$10,269.00
Rate for Payer: Aetna Commercial	$7,559.07
Rate for Payer: Aetna Medicare Advantage	$5,967.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,072.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,072.54
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	$5,072.54
Rate for Payer: Cigna Commercial	$9,946.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,172.00
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,983.84
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$628.60
Rate for Payer: Wellpoint Medicaid Managed Care	$564.94

VUCAN PROBE ABLATOR #910003

Facility

$697.00

Hospital Charge Code	270335610
Hospital Revenue Code	272
Min. Negotiated Rate	$19.79
Max. Negotiated Rate	$348.50
Rate for Payer: Aetna Commercial	$264.86
Rate for Payer: Aetna Medicare Advantage	$209.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$177.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$177.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$177.74
Rate for Payer: Cigna Commercial	$348.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.22
Rate for Payer: Oxford Commercial	$139.40
Rate for Payer: Qualcare PPO/HMO/WC	$104.55
Rate for Payer: UnitedHealthcare Commercial	$139.40
Rate for Payer: UnitedHealthcare Community & State	$22.03
Rate for Payer: Wellpoint Medicaid Managed Care	$19.79

VUCAN PROBE ABLATOR #910003

Facility

$697.00

Hospital Charge Code	270335610
Hospital Revenue Code	272
Min. Negotiated Rate	$104.55
Max. Negotiated Rate	$104.55
Rate for Payer: Qualcare PPO/HMO/WC	$104.55

VUCAN PROBE ELECTROTHERMAL

Facility

$697.00

Hospital Charge Code	270335601
Hospital Revenue Code	272
Min. Negotiated Rate	$19.79
Max. Negotiated Rate	$348.50
Rate for Payer: Aetna Commercial	$264.86
Rate for Payer: Aetna Medicare Advantage	$209.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$177.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$177.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$177.74
Rate for Payer: Cigna Commercial	$348.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.22
Rate for Payer: Oxford Commercial	$139.40
Rate for Payer: Qualcare PPO/HMO/WC	$104.55
Rate for Payer: UnitedHealthcare Commercial	$139.40
Rate for Payer: UnitedHealthcare Community & State	$22.03
Rate for Payer: Wellpoint Medicaid Managed Care	$19.79

VUCAN PROBE ELECTROTHERMAL

Facility

$697.00

Hospital Charge Code	270335601
Hospital Revenue Code	272
Min. Negotiated Rate	$104.55
Max. Negotiated Rate	$104.55
Rate for Payer: Qualcare PPO/HMO/WC	$104.55

VUCAN PROBE LIGAMENT CHISEL

Facility

$272.00

Hospital Charge Code	270335611
Hospital Revenue Code	272
Min. Negotiated Rate	$7.72
Max. Negotiated Rate	$136.00
Rate for Payer: Aetna Commercial	$103.36
Rate for Payer: Aetna Medicare Advantage	$81.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$69.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$69.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$69.36
Rate for Payer: Cigna Commercial	$136.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$70.72
Rate for Payer: Oxford Commercial	$54.40
Rate for Payer: Qualcare PPO/HMO/WC	$40.80
Rate for Payer: UnitedHealthcare Commercial	$54.40
Rate for Payer: UnitedHealthcare Community & State	$8.60
Rate for Payer: Wellpoint Medicaid Managed Care	$7.72

VUCAN PROBE LIGAMENT CHISEL

Facility

$272.00

Hospital Charge Code	270335611
Hospital Revenue Code	272
Min. Negotiated Rate	$40.80
Max. Negotiated Rate	$40.80
Rate for Payer: Qualcare PPO/HMO/WC	$40.80

VUE POWERPORT 6 FR

Facility

$3,290.00

Service Code	HCPCS C1751
Hospital Charge Code	270654983
Hospital Revenue Code	278
Min. Negotiated Rate	$493.50
Max. Negotiated Rate	$796.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$658.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$796.18
Rate for Payer: Qualcare PPO/HMO/WC	$493.50

VUE POWERPORT 6 FR

Facility

$3,290.00

Service Code	HCPCS C1751
Hospital Charge Code	270654983
Hospital Revenue Code	278
Min. Negotiated Rate	$93.44
Max. Negotiated Rate	$1,645.00
Rate for Payer: Aetna Commercial	$1,250.20
Rate for Payer: Aetna Medicare Advantage	$987.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$838.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$838.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$658.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$838.95
Rate for Payer: Cigna Commercial	$1,645.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$796.18
Rate for Payer: Qualcare PPO/HMO/WC	$493.50
Rate for Payer: UnitedHealthcare Community & State	$103.96
Rate for Payer: Wellpoint Medicaid Managed Care	$93.44

VZ AB IGM

Facility

$390.00

Service Code	HCPCS 86787
Hospital Charge Code	39900387
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

VZ AB IGM

Facility

$390.00

Service Code	HCPCS 86787
Hospital Charge Code	39900387
Hospital Revenue Code	302
Min. Negotiated Rate	$10.30
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$35.03
Rate for Payer: Aetna Medicare Advantage	$41.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.72
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$12.88
Rate for Payer: Clover Medicare Advantage	$12.24
Rate for Payer: EmblemHealth Commercial	$38.64
Rate for Payer: Humana Medicare Advantage	$13.27
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.40
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$10.30
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.88
Rate for Payer: Wellcare Medicare Advantage	$12.88
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

VZV AB (IGG),EIA

Facility

$390.00

Service Code	HCPCS 86787
Hospital Charge Code	39900258
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

VZV AB (IGG),EIA

Facility

$390.00

Service Code	HCPCS 86787
Hospital Charge Code	39900258
Hospital Revenue Code	302
Min. Negotiated Rate	$10.30
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$35.03
Rate for Payer: Aetna Medicare Advantage	$41.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.72
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$12.88
Rate for Payer: Clover Medicare Advantage	$12.24
Rate for Payer: EmblemHealth Commercial	$38.64
Rate for Payer: Humana Medicare Advantage	$13.27
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.40
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$10.30
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.88
Rate for Payer: Wellcare Medicare Advantage	$12.88
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

WADA ACTIVATION

Facility

$5,700.00

Service Code	HCPCS 95958
Hospital Charge Code	411095958
Hospital Revenue Code	740
Min. Negotiated Rate	$855.00
Max. Negotiated Rate	$855.00
Rate for Payer: Qualcare PPO/HMO/WC	$855.00

WADA ACTIVATION

Facility

$5,700.00

Service Code	HCPCS 95958
Hospital Charge Code	411095958
Hospital Revenue Code	740
Min. Negotiated Rate	$161.88
Max. Negotiated Rate	$5,943.00
Rate for Payer: Aetna Commercial	$2,774.97
Rate for Payer: Aetna Medicare Advantage	$3,305.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,700.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,700.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,020.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$533.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,700.81
Rate for Payer: Cigna Commercial	$2,044.99
Rate for Payer: Cigna Medicare Advantage	$1,020.21
Rate for Payer: Clover Medicare Advantage	$969.20
Rate for Payer: EmblemHealth Commercial	$3,060.63
Rate for Payer: Humana Medicare Advantage	$1,050.82
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,020.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,482.00
Rate for Payer: Oxford Commercial	$5,237.00
Rate for Payer: Qualcare PPO/HMO/WC	$855.00
Rate for Payer: UnitedHealthcare Commercial	$5,943.00
Rate for Payer: UnitedHealthcare Community & State	$180.12
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,020.21
Rate for Payer: Wellcare Medicare Advantage	$1,020.21
Rate for Payer: Wellpoint Medicaid Managed Care	$161.88

WAFER DURAHESIVE FLANGE 2-14

Facility

$6.60

Hospital Charge Code	270647419
Hospital Revenue Code	270
Min. Negotiated Rate	$0.99
Max. Negotiated Rate	$0.99
Rate for Payer: Qualcare PPO/HMO/WC	$0.99

WAFER DURAHESIVE FLANGE 2-14

Facility

$6.60

Hospital Charge Code	270647419
Hospital Revenue Code	270
Min. Negotiated Rate	$0.19
Max. Negotiated Rate	$3.30
Rate for Payer: Aetna Commercial	$2.51
Rate for Payer: Aetna Medicare Advantage	$1.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.68
Rate for Payer: Cigna Commercial	$3.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.72
Rate for Payer: Oxford Commercial	$1.32
Rate for Payer: Qualcare PPO/HMO/WC	$0.99
Rate for Payer: UnitedHealthcare Commercial	$1.32
Rate for Payer: UnitedHealthcare Community & State	$0.21
Rate for Payer: Wellpoint Medicaid Managed Care	$0.19

Know your out-of-pocket cost for care.

All Charges