Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

WOODEN BIRDHOUSES

Facility

$239.95

Hospital Charge Code	270663155
Hospital Revenue Code	270
Min. Negotiated Rate	$6.81
Max. Negotiated Rate	$119.97
Rate for Payer: Aetna Commercial	$91.18
Rate for Payer: Aetna Medicare Advantage	$71.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.19
Rate for Payer: Cigna Commercial	$119.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.39
Rate for Payer: Oxford Commercial	$47.99
Rate for Payer: Qualcare PPO/HMO/WC	$35.99
Rate for Payer: UnitedHealthcare Commercial	$47.99
Rate for Payer: UnitedHealthcare Community & State	$7.58
Rate for Payer: Wellpoint Medicaid Managed Care	$6.81

WOODEN BIRDHOUSES

Facility

$239.95

Hospital Charge Code	270663155
Hospital Revenue Code	270
Min. Negotiated Rate	$35.99
Max. Negotiated Rate	$35.99
Rate for Payer: Qualcare PPO/HMO/WC	$35.99

WOODEN CANE

Facility

$81.00

Hospital Charge Code	84202100
Hospital Revenue Code	270
Min. Negotiated Rate	$2.30
Max. Negotiated Rate	$40.50
Rate for Payer: Aetna Commercial	$30.78
Rate for Payer: Aetna Medicare Advantage	$24.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.66
Rate for Payer: Cigna Commercial	$40.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.06
Rate for Payer: Oxford Commercial	$16.20
Rate for Payer: Qualcare PPO/HMO/WC	$12.15
Rate for Payer: UnitedHealthcare Commercial	$16.20
Rate for Payer: UnitedHealthcare Community & State	$2.56
Rate for Payer: Wellpoint Medicaid Managed Care	$2.30

WOODEN CANE

Facility

$81.00

Hospital Charge Code	84202100
Hospital Revenue Code	270
Min. Negotiated Rate	$12.15
Max. Negotiated Rate	$12.15
Rate for Payer: Qualcare PPO/HMO/WC	$12.15

WOODSON ELEVATOR W/SPATULAR

Facility

$195.00

Hospital Charge Code	270667513
Hospital Revenue Code	272
Min. Negotiated Rate	$5.54
Max. Negotiated Rate	$97.50
Rate for Payer: Aetna Commercial	$74.10
Rate for Payer: Aetna Medicare Advantage	$58.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.73
Rate for Payer: Cigna Commercial	$97.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$39.00
Rate for Payer: Qualcare PPO/HMO/WC	$29.25
Rate for Payer: UnitedHealthcare Commercial	$39.00
Rate for Payer: UnitedHealthcare Community & State	$6.16
Rate for Payer: Wellpoint Medicaid Managed Care	$5.54

WOODSON ELEVATOR W/SPATULAR

Facility

$195.00

Hospital Charge Code	270667513
Hospital Revenue Code	272
Min. Negotiated Rate	$29.25
Max. Negotiated Rate	$29.25
Rate for Payer: Qualcare PPO/HMO/WC	$29.25

WOODSON ELEVATOR W/SPATULAR

Facility

$322.50

Hospital Charge Code	270667512
Hospital Revenue Code	272
Min. Negotiated Rate	$48.38
Max. Negotiated Rate	$48.38
Rate for Payer: Qualcare PPO/HMO/WC	$48.38

WOODSON ELEVATOR W/SPATULAR

Facility

$322.50

Hospital Charge Code	270667512
Hospital Revenue Code	272
Min. Negotiated Rate	$9.16
Max. Negotiated Rate	$161.25
Rate for Payer: Aetna Commercial	$122.55
Rate for Payer: Aetna Medicare Advantage	$96.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.24
Rate for Payer: Cigna Commercial	$161.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.85
Rate for Payer: Oxford Commercial	$64.50
Rate for Payer: Qualcare PPO/HMO/WC	$48.38
Rate for Payer: UnitedHealthcare Commercial	$64.50
Rate for Payer: UnitedHealthcare Community & State	$10.19
Rate for Payer: Wellpoint Medicaid Managed Care	$9.16

WOUNDAVC CANISTER W/GEL 500ML

Facility

$180.02

Hospital Charge Code	270672869
Hospital Revenue Code	272
Min. Negotiated Rate	$27.00
Max. Negotiated Rate	$27.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00

WOUNDAVC CANISTER W/GEL 500ML

Facility

$180.02

Hospital Charge Code	270672869
Hospital Revenue Code	272
Min. Negotiated Rate	$5.11
Max. Negotiated Rate	$90.01
Rate for Payer: Aetna Commercial	$68.41
Rate for Payer: Aetna Medicare Advantage	$54.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.91
Rate for Payer: Cigna Commercial	$90.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.81
Rate for Payer: Oxford Commercial	$36.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00
Rate for Payer: UnitedHealthcare Commercial	$36.00
Rate for Payer: UnitedHealthcare Community & State	$5.69
Rate for Payer: Wellpoint Medicaid Managed Care	$5.11

WOUND CLOSER 3-0 GR 18 V-20 12

Facility

$293.89

Hospital Charge Code	270683967
Hospital Revenue Code	272
Min. Negotiated Rate	$8.35
Max. Negotiated Rate	$146.94
Rate for Payer: Aetna Commercial	$111.68
Rate for Payer: Aetna Medicare Advantage	$88.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.94
Rate for Payer: Cigna Commercial	$146.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.41
Rate for Payer: Oxford Commercial	$58.78
Rate for Payer: Qualcare PPO/HMO/WC	$44.08
Rate for Payer: UnitedHealthcare Commercial	$58.78
Rate for Payer: UnitedHealthcare Community & State	$9.29
Rate for Payer: Wellpoint Medicaid Managed Care	$8.35

WOUND CLOSER 3-0 GR 18 V-20 12

Facility

$293.89

Hospital Charge Code	270683967
Hospital Revenue Code	272
Min. Negotiated Rate	$44.08
Max. Negotiated Rate	$44.08
Rate for Payer: Qualcare PPO/HMO/WC	$44.08

WOUND CULTURE PANEL

Facility

$349.00

Service Code	HCPCS 87070
Hospital Charge Code	38475120
Hospital Revenue Code	306
Min. Negotiated Rate	$6.90
Max. Negotiated Rate	$174.50
Rate for Payer: Aetna Commercial	$23.45
Rate for Payer: Aetna Medicare Advantage	$27.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.27
Rate for Payer: Cigna Commercial	$174.50
Rate for Payer: Cigna Medicare Advantage	$8.62
Rate for Payer: Clover Medicare Advantage	$8.19
Rate for Payer: EmblemHealth Commercial	$25.86
Rate for Payer: Humana Medicare Advantage	$8.88
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$8.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.74
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$52.35
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$6.90
Rate for Payer: UnitedHealthcare Medicare Advantage	$8.62
Rate for Payer: Wellcare Medicare Advantage	$8.62
Rate for Payer: Wellpoint Medicaid Managed Care	$9.91

WOUND CULTURE PANEL

Facility

$349.00

Service Code	HCPCS 87070
Hospital Charge Code	38475120
Hospital Revenue Code	306
Min. Negotiated Rate	$52.35
Max. Negotiated Rate	$52.35
Rate for Payer: Qualcare PPO/HMO/WC	$52.35

WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC

Facility

$117,869.11

Service Code	MSDRG 464
Min. Negotiated Rate	$35,889.63
Max. Negotiated Rate	$117,869.11
Rate for Payer: Aetna Commercial	$85,806.25
Rate for Payer: Aetna Medicare Advantage	$117,869.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83,115.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83,115.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$37,778.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83,115.00
Rate for Payer: Cigna Commercial	$69,436.01
Rate for Payer: Cigna Medicare Advantage	$37,778.56
Rate for Payer: Clover Medicare Advantage	$35,889.63
Rate for Payer: EmblemHealth Commercial	$113,335.68
Rate for Payer: Humana Medicare Advantage	$38,911.92
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$37,778.56
Rate for Payer: Oxford Commercial	$54,881.01
Rate for Payer: UnitedHealthcare Commercial	$73,460.20
Rate for Payer: UnitedHealthcare Medicare Advantage	$37,778.56
Rate for Payer: Wellcare Medicare Advantage	$37,778.56

WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC

Facility

$199,532.17

Service Code	MSDRG 463
Min. Negotiated Rate	$60,754.99
Max. Negotiated Rate	$199,532.17
Rate for Payer: Aetna Commercial	$143,967.63
Rate for Payer: Aetna Medicare Advantage	$199,532.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$156,810.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$156,810.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$63,952.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$156,810.30
Rate for Payer: Cigna Commercial	$127,058.95
Rate for Payer: Cigna Medicare Advantage	$63,952.62
Rate for Payer: Clover Medicare Advantage	$60,754.99
Rate for Payer: EmblemHealth Commercial	$191,857.86
Rate for Payer: Humana Medicare Advantage	$65,871.20
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$63,952.62
Rate for Payer: Oxford Commercial	$100,425.19
Rate for Payer: UnitedHealthcare Commercial	$134,422.71
Rate for Payer: UnitedHealthcare Medicare Advantage	$63,952.62
Rate for Payer: Wellcare Medicare Advantage	$63,952.62

WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC

Facility

$77,081.82

Service Code	MSDRG 465
Min. Negotiated Rate	$23,470.42
Max. Negotiated Rate	$77,081.82
Rate for Payer: Aetna Commercial	$56,757.05
Rate for Payer: Aetna Medicare Advantage	$77,081.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51,808.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51,808.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$24,705.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51,808.35
Rate for Payer: Cigna Commercial	$40,655.74
Rate for Payer: Cigna Medicare Advantage	$24,705.71
Rate for Payer: Clover Medicare Advantage	$23,470.42
Rate for Payer: EmblemHealth Commercial	$74,117.13
Rate for Payer: Humana Medicare Advantage	$25,446.88
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$24,705.71
Rate for Payer: Oxford Commercial	$32,133.59
Rate for Payer: UnitedHealthcare Commercial	$43,011.96
Rate for Payer: UnitedHealthcare Medicare Advantage	$24,705.71
Rate for Payer: Wellcare Medicare Advantage	$24,705.71

WOUND DEBRIDEMENTS FOR INJURIES WITH CC

Facility

$79,950.56

Service Code	MSDRG 902
Min. Negotiated Rate	$24,343.92
Max. Negotiated Rate	$79,950.56
Rate for Payer: Aetna Commercial	$58,800.19
Rate for Payer: Aetna Medicare Advantage	$79,950.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52,085.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52,085.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$25,625.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52,085.40
Rate for Payer: Cigna Commercial	$42,679.95
Rate for Payer: Cigna Medicare Advantage	$25,625.18
Rate for Payer: Clover Medicare Advantage	$24,343.92
Rate for Payer: EmblemHealth Commercial	$76,875.54
Rate for Payer: Humana Medicare Advantage	$26,393.94
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$25,625.18
Rate for Payer: Oxford Commercial	$33,733.49
Rate for Payer: UnitedHealthcare Commercial	$45,153.48
Rate for Payer: UnitedHealthcare Medicare Advantage	$25,625.18
Rate for Payer: Wellcare Medicare Advantage	$25,625.18

WOUND DEBRIDEMENTS FOR INJURIES WITH MCC

Facility

$152,050.14

Service Code	MSDRG 901
Min. Negotiated Rate	$46,297.32
Max. Negotiated Rate	$152,050.14
Rate for Payer: Aetna Commercial	$110,150.36
Rate for Payer: Aetna Medicare Advantage	$152,050.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119,962.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119,962.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$48,734.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$119,962.65
Rate for Payer: Cigna Commercial	$93,554.80
Rate for Payer: Cigna Medicare Advantage	$48,734.02
Rate for Payer: Clover Medicare Advantage	$46,297.32
Rate for Payer: EmblemHealth Commercial	$146,202.06
Rate for Payer: Humana Medicare Advantage	$50,196.04
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$48,734.02
Rate for Payer: Oxford Commercial	$73,944.09
Rate for Payer: UnitedHealthcare Commercial	$98,976.81
Rate for Payer: UnitedHealthcare Medicare Advantage	$48,734.02
Rate for Payer: Wellcare Medicare Advantage	$48,734.02

WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC

Facility

$56,416.46

Service Code	MSDRG 903
Min. Negotiated Rate	$17,178.09
Max. Negotiated Rate	$56,416.46
Rate for Payer: Aetna Commercial	$42,038.94
Rate for Payer: Aetna Medicare Advantage	$56,416.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34,354.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34,354.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18,082.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34,354.20
Rate for Payer: Cigna Commercial	$26,073.89
Rate for Payer: Cigna Medicare Advantage	$18,082.20
Rate for Payer: Clover Medicare Advantage	$17,178.09
Rate for Payer: EmblemHealth Commercial	$54,246.60
Rate for Payer: Humana Medicare Advantage	$18,624.67
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$18,082.20
Rate for Payer: Oxford Commercial	$20,608.35
Rate for Payer: UnitedHealthcare Commercial	$27,585.02
Rate for Payer: UnitedHealthcare Medicare Advantage	$18,082.20
Rate for Payer: Wellcare Medicare Advantage	$18,082.20

WOUND DRAIN COLLECTOR 3-3/4

Facility

$59.00

Hospital Charge Code	270331141
Hospital Revenue Code	272
Min. Negotiated Rate	$1.68
Max. Negotiated Rate	$29.50
Rate for Payer: Aetna Commercial	$22.42
Rate for Payer: Aetna Medicare Advantage	$17.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.04
Rate for Payer: Cigna Commercial	$29.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.34
Rate for Payer: Oxford Commercial	$11.80
Rate for Payer: Qualcare PPO/HMO/WC	$8.85
Rate for Payer: UnitedHealthcare Commercial	$11.80
Rate for Payer: UnitedHealthcare Community & State	$1.86
Rate for Payer: Wellpoint Medicaid Managed Care	$1.68

WOUND DRAIN COLLECTOR 3-3/4

Facility

$59.00

Hospital Charge Code	270331141
Hospital Revenue Code	272
Min. Negotiated Rate	$8.85
Max. Negotiated Rate	$8.85
Rate for Payer: Qualcare PPO/HMO/WC	$8.85

WOUND DRAIN POUCH 4X9

Facility

$145.00

Hospital Charge Code	270331472
Hospital Revenue Code	278
Min. Negotiated Rate	$4.12
Max. Negotiated Rate	$72.50
Rate for Payer: Aetna Commercial	$55.10
Rate for Payer: Aetna Medicare Advantage	$43.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.98
Rate for Payer: Cigna Commercial	$72.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.09
Rate for Payer: Qualcare PPO/HMO/WC	$21.75
Rate for Payer: UnitedHealthcare Community & State	$4.58
Rate for Payer: Wellpoint Medicaid Managed Care	$4.12

WOUND DRAIN POUCH 4X9

Facility

$145.00

Hospital Charge Code	270331472
Hospital Revenue Code	278
Min. Negotiated Rate	$21.75
Max. Negotiated Rate	$35.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.09
Rate for Payer: Qualcare PPO/HMO/WC	$21.75

WOUND DRESSING PEGASUS 4 X 4CM

Facility

$2,593.00

Hospital Charge Code	270332662
Hospital Revenue Code	272
Min. Negotiated Rate	$73.64
Max. Negotiated Rate	$1,296.50
Rate for Payer: Aetna Commercial	$985.34
Rate for Payer: Aetna Medicare Advantage	$777.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$661.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$661.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$661.22
Rate for Payer: Cigna Commercial	$1,296.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$674.18
Rate for Payer: Oxford Commercial	$518.60
Rate for Payer: Qualcare PPO/HMO/WC	$388.95
Rate for Payer: UnitedHealthcare Commercial	$518.60
Rate for Payer: UnitedHealthcare Community & State	$81.94
Rate for Payer: Wellpoint Medicaid Managed Care	$73.64

Know your out-of-pocket cost for care.

All Charges