Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

BLADE 25.0 X1.19X 90MM

Facility

$300.25

Hospital Charge Code	270668541
Hospital Revenue Code	272
Min. Negotiated Rate	$45.04
Max. Negotiated Rate	$45.04
Rate for Payer: Qualcare PPO/HMO/WC	$45.04

BLADE 25.0 X1.37X 90MM

Facility

$300.25

Hospital Charge Code	270687657
Hospital Revenue Code	272
Min. Negotiated Rate	$8.53
Max. Negotiated Rate	$150.12
Rate for Payer: Aetna Commercial	$114.09
Rate for Payer: Aetna Medicare Advantage	$90.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.56
Rate for Payer: Cigna Commercial	$150.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.06
Rate for Payer: Oxford Commercial	$60.05
Rate for Payer: Qualcare PPO/HMO/WC	$45.04
Rate for Payer: UnitedHealthcare Commercial	$60.05
Rate for Payer: UnitedHealthcare Community & State	$9.49
Rate for Payer: Wellpoint Medicaid Managed Care	$8.53

BLADE 25.0 X1.37X 90MM

Facility

$300.25

Hospital Charge Code	270687657
Hospital Revenue Code	272
Min. Negotiated Rate	$45.04
Max. Negotiated Rate	$45.04
Rate for Payer: Qualcare PPO/HMO/WC	$45.04

BLADE 40.0 X 10.0MM 1.19MM

Facility

$127.00

Hospital Charge Code	270703058
Hospital Revenue Code	270
Min. Negotiated Rate	$19.05
Max. Negotiated Rate	$19.05
Rate for Payer: Qualcare PPO/HMO/WC	$19.05

BLADE 40.0 X 10.0MM 1.19MM

Facility

$127.00

Hospital Charge Code	270703058
Hospital Revenue Code	270
Min. Negotiated Rate	$3.61
Max. Negotiated Rate	$63.50
Rate for Payer: Aetna Commercial	$48.26
Rate for Payer: Aetna Medicare Advantage	$38.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.38
Rate for Payer: Cigna Commercial	$63.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.02
Rate for Payer: Oxford Commercial	$25.40
Rate for Payer: Qualcare PPO/HMO/WC	$19.05
Rate for Payer: UnitedHealthcare Commercial	$25.40
Rate for Payer: UnitedHealthcare Community & State	$4.01
Rate for Payer: Wellpoint Medicaid Managed Care	$3.61

BLADE 90X18 1.14 MAT 1.27CUT

Facility

$129.60

Hospital Charge Code	270699047
Hospital Revenue Code	279
Min. Negotiated Rate	$19.44
Max. Negotiated Rate	$19.44
Rate for Payer: Qualcare PPO/HMO/WC	$19.44

BLADE 90X18 1.14 MAT 1.27CUT

Facility

$129.60

Hospital Charge Code	270699047
Hospital Revenue Code	279
Min. Negotiated Rate	$3.68
Max. Negotiated Rate	$64.80
Rate for Payer: Aetna Commercial	$49.25
Rate for Payer: Aetna Medicare Advantage	$38.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.05
Rate for Payer: Cigna Commercial	$64.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.70
Rate for Payer: Oxford Commercial	$25.92
Rate for Payer: Qualcare PPO/HMO/WC	$19.44
Rate for Payer: UnitedHealthcare Commercial	$25.92
Rate for Payer: UnitedHealthcare Community & State	$4.10
Rate for Payer: Wellpoint Medicaid Managed Care	$3.68

BLADE BARREL BUR 5.5MM

Facility

$200.00

Hospital Charge Code	270657600
Hospital Revenue Code	272
Min. Negotiated Rate	$5.68
Max. Negotiated Rate	$100.00
Rate for Payer: Aetna Commercial	$76.00
Rate for Payer: Aetna Medicare Advantage	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.00
Rate for Payer: Cigna Commercial	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.00
Rate for Payer: Oxford Commercial	$40.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00
Rate for Payer: UnitedHealthcare Commercial	$40.00
Rate for Payer: UnitedHealthcare Community & State	$6.32
Rate for Payer: Wellpoint Medicaid Managed Care	$5.68

BLADE BARREL BUR 5.5MM

Facility

$200.00

Hospital Charge Code	270657600
Hospital Revenue Code	272
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

BLADE BEAVER #64

Facility

$9.58

Hospital Charge Code	270600364
Hospital Revenue Code	272
Min. Negotiated Rate	$0.27
Max. Negotiated Rate	$4.79
Rate for Payer: Aetna Commercial	$3.64
Rate for Payer: Aetna Medicare Advantage	$2.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.44
Rate for Payer: Cigna Commercial	$4.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.49
Rate for Payer: Oxford Commercial	$1.92
Rate for Payer: Qualcare PPO/HMO/WC	$1.44
Rate for Payer: UnitedHealthcare Commercial	$1.92
Rate for Payer: UnitedHealthcare Community & State	$0.30
Rate for Payer: Wellpoint Medicaid Managed Care	$0.27

BLADE BEAVER #64

Facility

$9.58

Hospital Charge Code	270600364
Hospital Revenue Code	272
Min. Negotiated Rate	$1.44
Max. Negotiated Rate	$1.44
Rate for Payer: Qualcare PPO/HMO/WC	$1.44

BLADE BEAVER MINI #61

Facility

$6.27

Hospital Charge Code	270600363
Hospital Revenue Code	272
Min. Negotiated Rate	$0.18
Max. Negotiated Rate	$3.13
Rate for Payer: Aetna Commercial	$2.38
Rate for Payer: Aetna Medicare Advantage	$1.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.60
Rate for Payer: Cigna Commercial	$3.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.63
Rate for Payer: Oxford Commercial	$1.25
Rate for Payer: Qualcare PPO/HMO/WC	$0.94
Rate for Payer: UnitedHealthcare Commercial	$1.25
Rate for Payer: UnitedHealthcare Community & State	$0.20
Rate for Payer: Wellpoint Medicaid Managed Care	$0.18

BLADE BEAVER MINI #61

Facility

$6.27

Hospital Charge Code	270600363
Hospital Revenue Code	272
Min. Negotiated Rate	$0.94
Max. Negotiated Rate	$0.94
Rate for Payer: Qualcare PPO/HMO/WC	$0.94

BLADE BEAVER MYRING 377120

Facility

$39.25

Hospital Charge Code	270618117
Hospital Revenue Code	272
Min. Negotiated Rate	$5.89
Max. Negotiated Rate	$5.89
Rate for Payer: Qualcare PPO/HMO/WC	$5.89

BLADE BEAVER MYRING 377120

Facility

$39.25

Hospital Charge Code	270618117
Hospital Revenue Code	272
Min. Negotiated Rate	$1.11
Max. Negotiated Rate	$19.62
Rate for Payer: Aetna Commercial	$14.91
Rate for Payer: Aetna Medicare Advantage	$11.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.01
Rate for Payer: Cigna Commercial	$19.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.21
Rate for Payer: Oxford Commercial	$7.85
Rate for Payer: Qualcare PPO/HMO/WC	$5.89
Rate for Payer: UnitedHealthcare Commercial	$7.85
Rate for Payer: UnitedHealthcare Community & State	$1.24
Rate for Payer: Wellpoint Medicaid Managed Care	$1.11

BLADE BLUN SHEATH &TUBE 20MM

Facility

$3,775.50

Hospital Charge Code	270692974
Hospital Revenue Code	272
Min. Negotiated Rate	$566.33
Max. Negotiated Rate	$566.33
Rate for Payer: Qualcare PPO/HMO/WC	$566.33

BLADE BLUN SHEATH &TUBE 20MM

Facility

$3,775.50

Hospital Charge Code	270692974
Hospital Revenue Code	272
Min. Negotiated Rate	$107.22
Max. Negotiated Rate	$1,887.75
Rate for Payer: Aetna Commercial	$1,434.69
Rate for Payer: Aetna Medicare Advantage	$1,132.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$962.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$962.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$962.75
Rate for Payer: Cigna Commercial	$1,887.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$981.63
Rate for Payer: Oxford Commercial	$755.10
Rate for Payer: Qualcare PPO/HMO/WC	$566.33
Rate for Payer: UnitedHealthcare Commercial	$755.10
Rate for Payer: UnitedHealthcare Community & State	$119.31
Rate for Payer: Wellpoint Medicaid Managed Care	$107.22

BLADE BLUNT 20MM AND TUBING

Facility

$2,775.00

Hospital Charge Code	270693211
Hospital Revenue Code	272
Min. Negotiated Rate	$416.25
Max. Negotiated Rate	$416.25
Rate for Payer: Qualcare PPO/HMO/WC	$416.25

BLADE BLUNT 20MM AND TUBING

Facility

$2,775.00

Hospital Charge Code	270693211
Hospital Revenue Code	272
Min. Negotiated Rate	$78.81
Max. Negotiated Rate	$1,387.50
Rate for Payer: Aetna Commercial	$1,054.50
Rate for Payer: Aetna Medicare Advantage	$832.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$707.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$707.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$707.62
Rate for Payer: Cigna Commercial	$1,387.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$721.50
Rate for Payer: Oxford Commercial	$555.00
Rate for Payer: Qualcare PPO/HMO/WC	$416.25
Rate for Payer: UnitedHealthcare Commercial	$555.00
Rate for Payer: UnitedHealthcare Community & State	$87.69
Rate for Payer: Wellpoint Medicaid Managed Care	$78.81

BLADE BLUNT MIS 10MM

Facility

$3,775.90

Hospital Charge Code	270694731
Hospital Revenue Code	272
Min. Negotiated Rate	$107.24
Max. Negotiated Rate	$1,887.95
Rate for Payer: Aetna Commercial	$1,434.84
Rate for Payer: Aetna Medicare Advantage	$1,132.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$962.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$962.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$962.85
Rate for Payer: Cigna Commercial	$1,887.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$981.73
Rate for Payer: Oxford Commercial	$755.18
Rate for Payer: Qualcare PPO/HMO/WC	$566.38
Rate for Payer: UnitedHealthcare Commercial	$755.18
Rate for Payer: UnitedHealthcare Community & State	$119.32
Rate for Payer: Wellpoint Medicaid Managed Care	$107.24

BLADE BLUNT MIS 10MM

Facility

$3,775.90

Hospital Charge Code	270694731
Hospital Revenue Code	272
Min. Negotiated Rate	$566.38
Max. Negotiated Rate	$566.38
Rate for Payer: Qualcare PPO/HMO/WC	$566.38

BLADE BLUNT-S 50MM

Facility

$2,525.00

Hospital Charge Code	270697369
Hospital Revenue Code	272
Min. Negotiated Rate	$378.75
Max. Negotiated Rate	$378.75
Rate for Payer: Qualcare PPO/HMO/WC	$378.75

BLADE BLUNT-S 50MM

Facility

$2,525.00

Hospital Charge Code	270697369
Hospital Revenue Code	272
Min. Negotiated Rate	$71.71
Max. Negotiated Rate	$1,262.50
Rate for Payer: Aetna Commercial	$959.50
Rate for Payer: Aetna Medicare Advantage	$757.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$643.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$643.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$643.88
Rate for Payer: Cigna Commercial	$1,262.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$656.50
Rate for Payer: Oxford Commercial	$505.00
Rate for Payer: Qualcare PPO/HMO/WC	$378.75
Rate for Payer: UnitedHealthcare Commercial	$505.00
Rate for Payer: UnitedHealthcare Community & State	$79.79
Rate for Payer: Wellpoint Medicaid Managed Care	$71.71

BLADE BMT OSCILL SAW 506053

Facility

$425.00

Hospital Charge Code	270606318
Hospital Revenue Code	272
Min. Negotiated Rate	$63.75
Max. Negotiated Rate	$63.75
Rate for Payer: Qualcare PPO/HMO/WC	$63.75

BLADE BMT OSCILL SAW 506053

Facility

$425.00

Hospital Charge Code	270606318
Hospital Revenue Code	272
Min. Negotiated Rate	$12.07
Max. Negotiated Rate	$212.50
Rate for Payer: Aetna Commercial	$161.50
Rate for Payer: Aetna Medicare Advantage	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$108.38
Rate for Payer: Cigna Commercial	$212.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.50
Rate for Payer: Oxford Commercial	$85.00
Rate for Payer: Qualcare PPO/HMO/WC	$63.75
Rate for Payer: UnitedHealthcare Commercial	$85.00
Rate for Payer: UnitedHealthcare Community & State	$13.43
Rate for Payer: Wellpoint Medicaid Managed Care	$12.07

Know your out-of-pocket cost for care.

All Charges