Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

BLADE DERMATOME 8800-00-10

Facility

$247.93

Hospital Charge Code	270605722
Hospital Revenue Code	272
Min. Negotiated Rate	$7.04
Max. Negotiated Rate	$123.97
Rate for Payer: Aetna Commercial	$94.21
Rate for Payer: Aetna Medicare Advantage	$74.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.22
Rate for Payer: Cigna Commercial	$123.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.46
Rate for Payer: Oxford Commercial	$49.59
Rate for Payer: Qualcare PPO/HMO/WC	$37.19
Rate for Payer: UnitedHealthcare Commercial	$49.59
Rate for Payer: UnitedHealthcare Community & State	$7.83
Rate for Payer: Wellpoint Medicaid Managed Care	$7.04

BLADE DISP. LARYNGOSCOPE

Facility

$35.00

Hospital Charge Code	270332573
Hospital Revenue Code	272
Min. Negotiated Rate	$5.25
Max. Negotiated Rate	$5.25
Rate for Payer: Qualcare PPO/HMO/WC	$5.25

BLADE DISP. LARYNGOSCOPE

Facility

$35.00

Hospital Charge Code	270332573
Hospital Revenue Code	272
Min. Negotiated Rate	$0.99
Max. Negotiated Rate	$17.50
Rate for Payer: Aetna Commercial	$13.30
Rate for Payer: Aetna Medicare Advantage	$10.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.93
Rate for Payer: Cigna Commercial	$17.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.10
Rate for Payer: Oxford Commercial	$7.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.25
Rate for Payer: UnitedHealthcare Commercial	$7.00
Rate for Payer: UnitedHealthcare Community & State	$1.11
Rate for Payer: Wellpoint Medicaid Managed Care	$0.99

BLADE DUAL EDGE SHAVER - 3.5

Facility

$390.00

Hospital Charge Code	270680721
Hospital Revenue Code	272
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

BLADE DUAL EDGE SHAVER - 3.5

Facility

$390.00

Hospital Charge Code	270680721
Hospital Revenue Code	272
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$148.20
Rate for Payer: Aetna Medicare Advantage	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.45
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.40
Rate for Payer: Oxford Commercial	$78.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$78.00
Rate for Payer: UnitedHealthcare Community & State	$12.32
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

BLADE DUAL EDGE SHAVER - 4.0

Facility

$390.00

Hospital Charge Code	270680722
Hospital Revenue Code	272
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$148.20
Rate for Payer: Aetna Medicare Advantage	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.45
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.40
Rate for Payer: Oxford Commercial	$78.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$78.00
Rate for Payer: UnitedHealthcare Community & State	$12.32
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

BLADE DUAL EDGE SHAVER - 4.0

Facility

$390.00

Hospital Charge Code	270680722
Hospital Revenue Code	272
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

BLADE DUAL KAHOOK

Facility

$2,120.00

Hospital Charge Code	270688339
Hospital Revenue Code	272
Min. Negotiated Rate	$318.00
Max. Negotiated Rate	$318.00
Rate for Payer: Qualcare PPO/HMO/WC	$318.00

BLADE DUAL KAHOOK

Facility

$2,120.00

Hospital Charge Code	270688339
Hospital Revenue Code	272
Min. Negotiated Rate	$60.21
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$805.60
Rate for Payer: Aetna Medicare Advantage	$636.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$540.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$540.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$540.60
Rate for Payer: Cigna Commercial	$1,060.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$551.20
Rate for Payer: Oxford Commercial	$424.00
Rate for Payer: Qualcare PPO/HMO/WC	$318.00
Rate for Payer: UnitedHealthcare Commercial	$424.00
Rate for Payer: UnitedHealthcare Community & State	$66.99
Rate for Payer: Wellpoint Medicaid Managed Care	$60.21

BLADE DUAL SAGIT 25x90x1.19mm

Facility

$200.00

Hospital Charge Code	270678714
Hospital Revenue Code	272
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

BLADE DUAL SAGIT 25x90x1.19mm

Facility

$200.00

Hospital Charge Code	270678714
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 DYONICS PLAT FULL 5.5MM

Facility

$400.00

Hospital Charge Code	270696202
Hospital Revenue Code	272
Min. Negotiated Rate	$11.36
Max. Negotiated Rate	$200.00
Rate for Payer: Aetna Commercial	$152.00
Rate for Payer: Aetna Medicare Advantage	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$102.00
Rate for Payer: Cigna Commercial	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$104.00
Rate for Payer: Oxford Commercial	$80.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.00
Rate for Payer: UnitedHealthcare Commercial	$80.00
Rate for Payer: UnitedHealthcare Community & State	$12.64
Rate for Payer: Wellpoint Medicaid Managed Care	$11.36

BLADE DYONICS PLAT FULL 5.5MM

Facility

$400.00

Hospital Charge Code	270696202
Hospital Revenue Code	272
Min. Negotiated Rate	$60.00
Max. Negotiated Rate	$60.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.00

BLADE ELECTRODE EXTENDED 6

Facility

$47.00

Hospital Charge Code	270331054
Hospital Revenue Code	272
Min. Negotiated Rate	$1.33
Max. Negotiated Rate	$23.50
Rate for Payer: Aetna Commercial	$17.86
Rate for Payer: Aetna Medicare Advantage	$14.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.98
Rate for Payer: Cigna Commercial	$23.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.22
Rate for Payer: Oxford Commercial	$9.40
Rate for Payer: Qualcare PPO/HMO/WC	$7.05
Rate for Payer: UnitedHealthcare Commercial	$9.40
Rate for Payer: UnitedHealthcare Community & State	$1.49
Rate for Payer: Wellpoint Medicaid Managed Care	$1.33

BLADE ELECTRODE EXTENDED 6

Facility

$47.00

Hospital Charge Code	270331054
Hospital Revenue Code	272
Min. Negotiated Rate	$7.05
Max. Negotiated Rate	$7.05
Rate for Payer: Qualcare PPO/HMO/WC	$7.05

BLADE ELECTRODE EXTNDED E15516

Facility

$16.72

Hospital Charge Code	270600399
Hospital Revenue Code	272
Min. Negotiated Rate	$0.47
Max. Negotiated Rate	$8.36
Rate for Payer: Aetna Commercial	$6.35
Rate for Payer: Aetna Medicare Advantage	$5.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.26
Rate for Payer: Cigna Commercial	$8.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.35
Rate for Payer: Oxford Commercial	$3.34
Rate for Payer: Qualcare PPO/HMO/WC	$2.51
Rate for Payer: UnitedHealthcare Commercial	$3.34
Rate for Payer: UnitedHealthcare Community & State	$0.53
Rate for Payer: Wellpoint Medicaid Managed Care	$0.47

BLADE ELECTRODE EXTNDED E15516

Facility

$16.72

Hospital Charge Code	270600399
Hospital Revenue Code	272
Min. Negotiated Rate	$2.51
Max. Negotiated Rate	$2.51
Rate for Payer: Qualcare PPO/HMO/WC	$2.51

BLADE ENDOTRAC SYSTEM 3056

Facility

$3,020.00

Hospital Charge Code	270600365
Hospital Revenue Code	272
Min. Negotiated Rate	$453.00
Max. Negotiated Rate	$453.00
Rate for Payer: Qualcare PPO/HMO/WC	$453.00

BLADE ENDOTRAC SYSTEM 3056

Facility

$3,020.00

Hospital Charge Code	270600365
Hospital Revenue Code	272
Min. Negotiated Rate	$85.77
Max. Negotiated Rate	$1,510.00
Rate for Payer: Aetna Commercial	$1,147.60
Rate for Payer: Aetna Medicare Advantage	$906.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$770.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$770.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$770.10
Rate for Payer: Cigna Commercial	$1,510.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$785.20
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$453.00
Rate for Payer: UnitedHealthcare Commercial	$604.00
Rate for Payer: UnitedHealthcare Community & State	$95.43
Rate for Payer: Wellpoint Medicaid Managed Care	$85.77

BLADE EXPANDABLE SHAVER

Facility

$1,250.00

Hospital Charge Code	270692117
Hospital Revenue Code	272
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

BLADE EXPANDABLE SHAVER

Facility

$1,250.00

Hospital Charge Code	270692117
Hospital Revenue Code	272
Min. Negotiated Rate	$35.50
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$475.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$325.00
Rate for Payer: Oxford Commercial	$250.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Commercial	$250.00
Rate for Payer: UnitedHealthcare Community & State	$39.50
Rate for Payer: Wellpoint Medicaid Managed Care	$35.50

BLADE E-Z CLEAN LAPAROSCOPIC

Facility

$283.25

Hospital Charge Code	270655012
Hospital Revenue Code	270
Min. Negotiated Rate	$42.49
Max. Negotiated Rate	$42.49
Rate for Payer: Qualcare PPO/HMO/WC	$42.49

BLADE E-Z CLEAN LAPAROSCOPIC

Facility

$283.25

Hospital Charge Code	270655012
Hospital Revenue Code	270
Min. Negotiated Rate	$8.04
Max. Negotiated Rate	$141.62
Rate for Payer: Aetna Commercial	$107.64
Rate for Payer: Aetna Medicare Advantage	$84.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$72.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$72.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$72.23
Rate for Payer: Cigna Commercial	$141.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.64
Rate for Payer: Oxford Commercial	$56.65
Rate for Payer: Qualcare PPO/HMO/WC	$42.49
Rate for Payer: UnitedHealthcare Commercial	$56.65
Rate for Payer: UnitedHealthcare Community & State	$8.95
Rate for Payer: Wellpoint Medicaid Managed Care	$8.04

BLADE FAN CORE OFFSET COARSE

Facility

$241.50

Hospital Charge Code	270676552
Hospital Revenue Code	272
Min. Negotiated Rate	$36.23
Max. Negotiated Rate	$36.23
Rate for Payer: Qualcare PPO/HMO/WC	$36.23

BLADE FAN CORE OFFSET COARSE

Facility

$241.50

Hospital Charge Code	270676552
Hospital Revenue Code	272
Min. Negotiated Rate	$6.86
Max. Negotiated Rate	$120.75
Rate for Payer: Aetna Commercial	$91.77
Rate for Payer: Aetna Medicare Advantage	$72.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.58
Rate for Payer: Cigna Commercial	$120.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.79
Rate for Payer: Oxford Commercial	$48.30
Rate for Payer: Qualcare PPO/HMO/WC	$36.23
Rate for Payer: UnitedHealthcare Commercial	$48.30
Rate for Payer: UnitedHealthcare Community & State	$7.63
Rate for Payer: Wellpoint Medicaid Managed Care	$6.86

Know your out-of-pocket cost for care.

All Charges