Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

WASHER SCREW CANN STAINLESS

Facility

$565.00

Hospital Charge Code	270663836
Hospital Revenue Code	278
Min. Negotiated Rate	$84.75
Max. Negotiated Rate	$136.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$136.73
Rate for Payer: Qualcare PPO/HMO/WC	$84.75

WASHER SCREW CANN STAINLESS

Facility

$565.00

Hospital Charge Code	270663836
Hospital Revenue Code	278
Min. Negotiated Rate	$16.05
Max. Negotiated Rate	$282.50
Rate for Payer: Aetna Commercial	$214.70
Rate for Payer: Aetna Medicare Advantage	$169.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.07
Rate for Payer: Cigna Commercial	$282.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$136.73
Rate for Payer: Qualcare PPO/HMO/WC	$84.75
Rate for Payer: UnitedHealthcare Community & State	$17.85
Rate for Payer: Wellpoint Medicaid Managed Care	$16.05

WASHER SPIKED 13.5MM/4.0MM

Facility

$504.00

Hospital Charge Code	270656315
Hospital Revenue Code	278
Min. Negotiated Rate	$75.60
Max. Negotiated Rate	$121.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.97
Rate for Payer: Qualcare PPO/HMO/WC	$75.60

WASHER SPIKED 13.5MM/4.0MM

Facility

$504.00

Hospital Charge Code	270656315
Hospital Revenue Code	278
Min. Negotiated Rate	$14.31
Max. Negotiated Rate	$252.00
Rate for Payer: Aetna Commercial	$191.52
Rate for Payer: Aetna Medicare Advantage	$151.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$128.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$128.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$128.52
Rate for Payer: Cigna Commercial	$252.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.97
Rate for Payer: Qualcare PPO/HMO/WC	$75.60
Rate for Payer: UnitedHealthcare Community & State	$15.93
Rate for Payer: Wellpoint Medicaid Managed Care	$14.31

WASHER SPIKED 13.5x5.5mm

Facility

$528.35

Hospital Charge Code	270625495
Hospital Revenue Code	278
Min. Negotiated Rate	$15.01
Max. Negotiated Rate	$264.18
Rate for Payer: Aetna Commercial	$200.77
Rate for Payer: Aetna Medicare Advantage	$158.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$134.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$134.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$105.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$134.73
Rate for Payer: Cigna Commercial	$264.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.86
Rate for Payer: Qualcare PPO/HMO/WC	$79.25
Rate for Payer: UnitedHealthcare Community & State	$16.70
Rate for Payer: Wellpoint Medicaid Managed Care	$15.01

WASHER SPIKED 13.5x5.5mm

Facility

$528.35

Hospital Charge Code	270625495
Hospital Revenue Code	278
Min. Negotiated Rate	$79.25
Max. Negotiated Rate	$127.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$105.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.86
Rate for Payer: Qualcare PPO/HMO/WC	$79.25

WASHER TI

Facility

$162.95

Hospital Charge Code	270664978
Hospital Revenue Code	270
Min. Negotiated Rate	$4.63
Max. Negotiated Rate	$81.47
Rate for Payer: Aetna Commercial	$61.92
Rate for Payer: Aetna Medicare Advantage	$48.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.55
Rate for Payer: Cigna Commercial	$81.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.37
Rate for Payer: Oxford Commercial	$32.59
Rate for Payer: Qualcare PPO/HMO/WC	$24.44
Rate for Payer: UnitedHealthcare Commercial	$32.59
Rate for Payer: UnitedHealthcare Community & State	$5.15
Rate for Payer: Wellpoint Medicaid Managed Care	$4.63

WASHER TI

Facility

$162.95

Hospital Charge Code	270664978
Hospital Revenue Code	270
Min. Negotiated Rate	$24.44
Max. Negotiated Rate	$24.44
Rate for Payer: Qualcare PPO/HMO/WC	$24.44

WASHER TI 7MM

Facility

$175.00

Hospital Charge Code	270674275
Hospital Revenue Code	272
Min. Negotiated Rate	$4.97
Max. Negotiated Rate	$87.50
Rate for Payer: Aetna Commercial	$66.50
Rate for Payer: Aetna Medicare Advantage	$52.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.62
Rate for Payer: Cigna Commercial	$87.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.50
Rate for Payer: Oxford Commercial	$35.00
Rate for Payer: Qualcare PPO/HMO/WC	$26.25
Rate for Payer: UnitedHealthcare Commercial	$35.00
Rate for Payer: UnitedHealthcare Community & State	$5.53
Rate for Payer: Wellpoint Medicaid Managed Care	$4.97

WASHER TI 7MM

Facility

$175.00

Hospital Charge Code	270674275
Hospital Revenue Code	272
Min. Negotiated Rate	$26.25
Max. Negotiated Rate	$26.25
Rate for Payer: Qualcare PPO/HMO/WC	$26.25

WASHER TI BONE GRAFT 15MM

Facility

$1,610.00

Hospital Charge Code	270670734
Hospital Revenue Code	278
Min. Negotiated Rate	$45.72
Max. Negotiated Rate	$805.00
Rate for Payer: Aetna Commercial	$611.80
Rate for Payer: Aetna Medicare Advantage	$483.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$410.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$410.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$322.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$410.55
Rate for Payer: Cigna Commercial	$805.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$389.62
Rate for Payer: Qualcare PPO/HMO/WC	$241.50
Rate for Payer: UnitedHealthcare Community & State	$50.88
Rate for Payer: Wellpoint Medicaid Managed Care	$45.72

WASHER TI BONE GRAFT 15MM

Facility

$1,610.00

Hospital Charge Code	270670734
Hospital Revenue Code	278
Min. Negotiated Rate	$241.50
Max. Negotiated Rate	$389.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$322.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$389.62
Rate for Payer: Qualcare PPO/HMO/WC	$241.50

WASHER TITANIUM 10MM

Facility

$575.00

Hospital Charge Code	270669796
Hospital Revenue Code	278
Min. Negotiated Rate	$86.25
Max. Negotiated Rate	$139.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.15
Rate for Payer: Qualcare PPO/HMO/WC	$86.25

WASHER TITANIUM 10MM

Facility

$575.00

Hospital Charge Code	270669796
Hospital Revenue Code	278
Min. Negotiated Rate	$16.33
Max. Negotiated Rate	$287.50
Rate for Payer: Aetna Commercial	$218.50
Rate for Payer: Aetna Medicare Advantage	$172.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$146.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$146.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$146.62
Rate for Payer: Cigna Commercial	$287.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.15
Rate for Payer: Qualcare PPO/HMO/WC	$86.25
Rate for Payer: UnitedHealthcare Community & State	$18.17
Rate for Payer: Wellpoint Medicaid Managed Care	$16.33

WASHER TYPHOON GOLD 4.5X10MM

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270695208
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$363.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

WASHER TYPHOON GOLD 4.5X10MM

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270695208
Hospital Revenue Code	278
Min. Negotiated Rate	$42.60
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$570.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00
Rate for Payer: UnitedHealthcare Community & State	$47.40
Rate for Payer: Wellpoint Medicaid Managed Care	$42.60

WASHER TYPHOON TI 4.5X10MM

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270696186
Hospital Revenue Code	278
Min. Negotiated Rate	$42.60
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$570.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00
Rate for Payer: UnitedHealthcare Community & State	$47.40
Rate for Payer: Wellpoint Medicaid Managed Care	$42.60

WASHER TYPHOON TI 4.5X10MM

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270696186
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$363.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

WATERBIRTH THERMOMETER

Facility

$510.00

Hospital Charge Code	270679568
Hospital Revenue Code	272
Min. Negotiated Rate	$14.48
Max. Negotiated Rate	$255.00
Rate for Payer: Aetna Commercial	$193.80
Rate for Payer: Aetna Medicare Advantage	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$130.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$130.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$130.05
Rate for Payer: Cigna Commercial	$255.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$132.60
Rate for Payer: Oxford Commercial	$102.00
Rate for Payer: Qualcare PPO/HMO/WC	$76.50
Rate for Payer: UnitedHealthcare Commercial	$102.00
Rate for Payer: UnitedHealthcare Community & State	$16.12
Rate for Payer: Wellpoint Medicaid Managed Care	$14.48

WATERBIRTH THERMOMETER

Facility

$510.00

Hospital Charge Code	270679568
Hospital Revenue Code	272
Min. Negotiated Rate	$76.50
Max. Negotiated Rate	$76.50
Rate for Payer: Qualcare PPO/HMO/WC	$76.50

WATER CONTAINER FOR CV-1

Facility

$1,097.00

Hospital Charge Code	270332111
Hospital Revenue Code	272
Min. Negotiated Rate	$164.55
Max. Negotiated Rate	$164.55
Rate for Payer: Qualcare PPO/HMO/WC	$164.55

WATER CONTAINER FOR CV-1

Facility

$1,097.00

Hospital Charge Code	270332111
Hospital Revenue Code	272
Min. Negotiated Rate	$31.15
Max. Negotiated Rate	$548.50
Rate for Payer: Aetna Commercial	$416.86
Rate for Payer: Aetna Medicare Advantage	$329.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$279.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$279.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$279.74
Rate for Payer: Cigna Commercial	$548.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$285.22
Rate for Payer: Oxford Commercial	$219.40
Rate for Payer: Qualcare PPO/HMO/WC	$164.55
Rate for Payer: UnitedHealthcare Commercial	$219.40
Rate for Payer: UnitedHealthcare Community & State	$34.67
Rate for Payer: Wellpoint Medicaid Managed Care	$31.15

WATER FOR IRRIGATION 2000ml

Facility

$47.70

Hospital Charge Code	270650087
Hospital Revenue Code	270
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$23.85
Rate for Payer: Aetna Commercial	$18.13
Rate for Payer: Aetna Medicare Advantage	$14.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.16
Rate for Payer: Cigna Commercial	$23.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.40
Rate for Payer: Oxford Commercial	$9.54
Rate for Payer: Qualcare PPO/HMO/WC	$7.16
Rate for Payer: UnitedHealthcare Commercial	$9.54
Rate for Payer: UnitedHealthcare Community & State	$1.51
Rate for Payer: Wellpoint Medicaid Managed Care	$1.35

WATER FOR IRRIGATION 2000ml

Facility

$47.70

Hospital Charge Code	270650087
Hospital Revenue Code	270
Min. Negotiated Rate	$7.16
Max. Negotiated Rate	$7.16
Rate for Payer: Qualcare PPO/HMO/WC	$7.16

WATER FOR IRRIGATION 200ML

Facility

$82.01

Service Code	NDC 409797307
Hospital Charge Code	606361018
Hospital Revenue Code	272
Min. Negotiated Rate	$12.30
Max. Negotiated Rate	$12.30
Rate for Payer: Qualcare PPO/HMO/WC	$12.30

Know your out-of-pocket cost for care.

All Charges