Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

WIRE 24 GAGE 6.5MM

Facility

$520.00

Hospital Charge Code	270663597
Hospital Revenue Code	270
Min. Negotiated Rate	$78.00
Max. Negotiated Rate	$78.00
Rate for Payer: Qualcare PPO/HMO/WC	$78.00

WIRE 24 GAGE 6.5MM

Facility

$520.00

Hospital Charge Code	270663597
Hospital Revenue Code	270
Min. Negotiated Rate	$14.77
Max. Negotiated Rate	$260.00
Rate for Payer: Aetna Commercial	$197.60
Rate for Payer: Aetna Medicare Advantage	$156.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.60
Rate for Payer: Cigna Commercial	$260.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.20
Rate for Payer: Oxford Commercial	$104.00
Rate for Payer: Qualcare PPO/HMO/WC	$78.00
Rate for Payer: UnitedHealthcare Commercial	$104.00
Rate for Payer: UnitedHealthcare Community & State	$16.43
Rate for Payer: Wellpoint Medicaid Managed Care	$14.77

WIRE AMPLATZ .035X80X7

Facility

$146.85

Service Code	HCPCS C1769
Hospital Charge Code	270700846
Hospital Revenue Code	278
Min. Negotiated Rate	$22.03
Max. Negotiated Rate	$35.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.54
Rate for Payer: Qualcare PPO/HMO/WC	$22.03

WIRE AMPLATZ .035X80X7

Facility

$146.85

Service Code	HCPCS C1769
Hospital Charge Code	270700846
Hospital Revenue Code	278
Min. Negotiated Rate	$4.17
Max. Negotiated Rate	$73.42
Rate for Payer: Aetna Commercial	$55.80
Rate for Payer: Aetna Medicare Advantage	$44.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.45
Rate for Payer: Cigna Commercial	$73.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.54
Rate for Payer: Qualcare PPO/HMO/WC	$22.03
Rate for Payer: UnitedHealthcare Community & State	$4.64
Rate for Payer: Wellpoint Medicaid Managed Care	$4.17

WIRE AMPLATZ SS .035 X 80 X 7

Facility

$146.85

Service Code	HCPCS C1769
Hospital Charge Code	270700844
Hospital Revenue Code	278
Min. Negotiated Rate	$4.17
Max. Negotiated Rate	$73.42
Rate for Payer: Aetna Commercial	$55.80
Rate for Payer: Aetna Medicare Advantage	$44.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.45
Rate for Payer: Cigna Commercial	$73.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.54
Rate for Payer: Qualcare PPO/HMO/WC	$22.03
Rate for Payer: UnitedHealthcare Community & State	$4.64
Rate for Payer: Wellpoint Medicaid Managed Care	$4.17

WIRE AMPLATZ SS .035 X 80 X 7

Facility

$146.85

Service Code	HCPCS C1769
Hospital Charge Code	270700844
Hospital Revenue Code	278
Min. Negotiated Rate	$22.03
Max. Negotiated Rate	$35.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.54
Rate for Payer: Qualcare PPO/HMO/WC	$22.03

WIRE AMPLATZ SS .035X80X7

Facility

$146.85

Service Code	HCPCS C1769
Hospital Charge Code	270700845
Hospital Revenue Code	278
Min. Negotiated Rate	$22.03
Max. Negotiated Rate	$35.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.54
Rate for Payer: Qualcare PPO/HMO/WC	$22.03

WIRE AMPLATZ SS .035X80X7

Facility

$146.85

Service Code	HCPCS C1769
Hospital Charge Code	270700845
Hospital Revenue Code	278
Min. Negotiated Rate	$4.17
Max. Negotiated Rate	$73.42
Rate for Payer: Aetna Commercial	$55.80
Rate for Payer: Aetna Medicare Advantage	$44.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.45
Rate for Payer: Cigna Commercial	$73.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.54
Rate for Payer: Qualcare PPO/HMO/WC	$22.03
Rate for Payer: UnitedHealthcare Community & State	$4.64
Rate for Payer: Wellpoint Medicaid Managed Care	$4.17

WIRE ANGLED 80CM

Facility

$117.00

Hospital Charge Code	270655082
Hospital Revenue Code	278
Min. Negotiated Rate	$3.32
Max. Negotiated Rate	$58.50
Rate for Payer: Aetna Commercial	$44.46
Rate for Payer: Aetna Medicare Advantage	$35.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.84
Rate for Payer: Cigna Commercial	$58.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.31
Rate for Payer: Qualcare PPO/HMO/WC	$17.55
Rate for Payer: UnitedHealthcare Community & State	$3.70
Rate for Payer: Wellpoint Medicaid Managed Care	$3.32

WIRE ANGLED 80CM

Facility

$117.00

Hospital Charge Code	270655082
Hospital Revenue Code	278
Min. Negotiated Rate	$17.55
Max. Negotiated Rate	$28.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.31
Rate for Payer: Qualcare PPO/HMO/WC	$17.55

WIRE ANGLE SENSOR .035x150CM

Facility

$323.37

Hospital Charge Code	270672306
Hospital Revenue Code	272
Min. Negotiated Rate	$9.18
Max. Negotiated Rate	$161.69
Rate for Payer: Aetna Commercial	$122.88
Rate for Payer: Aetna Medicare Advantage	$97.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.46
Rate for Payer: Cigna Commercial	$161.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.08
Rate for Payer: Oxford Commercial	$64.67
Rate for Payer: Qualcare PPO/HMO/WC	$48.51
Rate for Payer: UnitedHealthcare Commercial	$64.67
Rate for Payer: UnitedHealthcare Community & State	$10.22
Rate for Payer: Wellpoint Medicaid Managed Care	$9.18

WIRE ANGLE SENSOR .035x150CM

Facility

$323.37

Hospital Charge Code	270672306
Hospital Revenue Code	272
Min. Negotiated Rate	$48.51
Max. Negotiated Rate	$48.51
Rate for Payer: Qualcare PPO/HMO/WC	$48.51

WIRE APPROACH CTO 12G .014x135

Facility

$765.00

Hospital Charge Code	270677164N
Hospital Revenue Code	272
Min. Negotiated Rate	$21.73
Max. Negotiated Rate	$382.50
Rate for Payer: Aetna Commercial	$290.70
Rate for Payer: Aetna Medicare Advantage	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$195.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$195.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$195.07
Rate for Payer: Cigna Commercial	$382.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$198.90
Rate for Payer: Oxford Commercial	$153.00
Rate for Payer: Qualcare PPO/HMO/WC	$114.75
Rate for Payer: UnitedHealthcare Commercial	$153.00
Rate for Payer: UnitedHealthcare Community & State	$24.17
Rate for Payer: Wellpoint Medicaid Managed Care	$21.73

WIRE APPROACH CTO 12G .014x135

Facility

$765.00

Hospital Charge Code	270677164N
Hospital Revenue Code	272
Min. Negotiated Rate	$114.75
Max. Negotiated Rate	$114.75
Rate for Payer: Qualcare PPO/HMO/WC	$114.75

WIRE APPROACH CTO 12G .014x135

Facility

$765.00

Hospital Charge Code	270677164
Hospital Revenue Code	272
Min. Negotiated Rate	$114.75
Max. Negotiated Rate	$114.75
Rate for Payer: Qualcare PPO/HMO/WC	$114.75

WIRE APPROACH CTO 12G .014x135

Facility

$765.00

Hospital Charge Code	270677164
Hospital Revenue Code	272
Min. Negotiated Rate	$21.73
Max. Negotiated Rate	$382.50
Rate for Payer: Aetna Commercial	$290.70
Rate for Payer: Aetna Medicare Advantage	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$195.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$195.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$195.07
Rate for Payer: Cigna Commercial	$382.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$198.90
Rate for Payer: Oxford Commercial	$153.00
Rate for Payer: Qualcare PPO/HMO/WC	$114.75
Rate for Payer: UnitedHealthcare Commercial	$153.00
Rate for Payer: UnitedHealthcare Community & State	$24.17
Rate for Payer: Wellpoint Medicaid Managed Care	$21.73

WIRE APPROACH CTO 6G .014x135

Facility

$765.00

Hospital Charge Code	270677163
Hospital Revenue Code	272
Min. Negotiated Rate	$21.73
Max. Negotiated Rate	$382.50
Rate for Payer: Aetna Commercial	$290.70
Rate for Payer: Aetna Medicare Advantage	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$195.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$195.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$195.07
Rate for Payer: Cigna Commercial	$382.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$198.90
Rate for Payer: Oxford Commercial	$153.00
Rate for Payer: Qualcare PPO/HMO/WC	$114.75
Rate for Payer: UnitedHealthcare Commercial	$153.00
Rate for Payer: UnitedHealthcare Community & State	$24.17
Rate for Payer: Wellpoint Medicaid Managed Care	$21.73

WIRE APPROACH CTO 6G .014x135

Facility

$765.00

Hospital Charge Code	270677163N
Hospital Revenue Code	272
Min. Negotiated Rate	$21.73
Max. Negotiated Rate	$382.50
Rate for Payer: Aetna Commercial	$290.70
Rate for Payer: Aetna Medicare Advantage	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$195.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$195.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$195.07
Rate for Payer: Cigna Commercial	$382.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$198.90
Rate for Payer: Oxford Commercial	$153.00
Rate for Payer: Qualcare PPO/HMO/WC	$114.75
Rate for Payer: UnitedHealthcare Commercial	$153.00
Rate for Payer: UnitedHealthcare Community & State	$24.17
Rate for Payer: Wellpoint Medicaid Managed Care	$21.73

WIRE APPROACH CTO 6G .014x135

Facility

$765.00

Hospital Charge Code	270677163N
Hospital Revenue Code	272
Min. Negotiated Rate	$114.75
Max. Negotiated Rate	$114.75
Rate for Payer: Qualcare PPO/HMO/WC	$114.75

WIRE APPROACH CTO 6G .014x135

Facility

$765.00

Hospital Charge Code	270677163
Hospital Revenue Code	272
Min. Negotiated Rate	$114.75
Max. Negotiated Rate	$114.75
Rate for Payer: Qualcare PPO/HMO/WC	$114.75

WIRE ASTATO 20X300 PAGH143392

Facility

$875.00

Service Code	HCPCS C1769
Hospital Charge Code	270665040
Hospital Revenue Code	278
Min. Negotiated Rate	$24.85
Max. Negotiated Rate	$437.50
Rate for Payer: Aetna Commercial	$332.50
Rate for Payer: Aetna Medicare Advantage	$262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.12
Rate for Payer: Cigna Commercial	$437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.75
Rate for Payer: Qualcare PPO/HMO/WC	$131.25
Rate for Payer: UnitedHealthcare Community & State	$27.65
Rate for Payer: Wellpoint Medicaid Managed Care	$24.85

WIRE ASTATO 20X300 PAGH143392

Facility

$875.00

Service Code	HCPCS C1769
Hospital Charge Code	270665040
Hospital Revenue Code	278
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$211.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.75
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

WIRE BD GUIDE .025 145C 281125

Facility

$63.25

Service Code	HCPCS C1769
Hospital Charge Code	270601265
Hospital Revenue Code	278
Min. Negotiated Rate	$9.49
Max. Negotiated Rate	$15.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.31
Rate for Payer: Qualcare PPO/HMO/WC	$9.49

WIRE BD GUIDE .025 145C 281125

Facility

$63.25

Service Code	HCPCS C1769
Hospital Charge Code	270601265
Hospital Revenue Code	278
Min. Negotiated Rate	$1.80
Max. Negotiated Rate	$31.62
Rate for Payer: Aetna Commercial	$24.04
Rate for Payer: Aetna Medicare Advantage	$18.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.13
Rate for Payer: Cigna Commercial	$31.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.31
Rate for Payer: Qualcare PPO/HMO/WC	$9.49
Rate for Payer: UnitedHealthcare Community & State	$2.00
Rate for Payer: Wellpoint Medicaid Managed Care	$1.80

WIRE BOLT LONG LRF 1.5X2.0MM

Facility

$594.75

Service Code	HCPCS A4649
Hospital Charge Code	270674289
Hospital Revenue Code	272
Min. Negotiated Rate	$16.89
Max. Negotiated Rate	$297.38
Rate for Payer: Aetna Commercial	$226.00
Rate for Payer: Aetna Medicare Advantage	$178.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.66
Rate for Payer: Cigna Commercial	$297.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$154.63
Rate for Payer: Oxford Commercial	$118.95
Rate for Payer: Qualcare PPO/HMO/WC	$89.21
Rate for Payer: UnitedHealthcare Commercial	$118.95
Rate for Payer: UnitedHealthcare Community & State	$18.79
Rate for Payer: Wellpoint Medicaid Managed Care	$16.89

Know your out-of-pocket cost for care.

All Charges