Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

BLADE HELICAL TI 11.0x90mm

Facility

$2,743.90

Service Code	HCPCS C1713
Hospital Charge Code	270646024
Hospital Revenue Code	278
Min. Negotiated Rate	$411.58
Max. Negotiated Rate	$664.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$548.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$664.02
Rate for Payer: Qualcare PPO/HMO/WC	$411.58

BLADE HELICAL TI 11.0x90mm

Facility

$2,743.90

Service Code	HCPCS C1713
Hospital Charge Code	270646024
Hospital Revenue Code	278
Min. Negotiated Rate	$77.93
Max. Negotiated Rate	$1,371.95
Rate for Payer: Aetna Commercial	$1,042.68
Rate for Payer: Aetna Medicare Advantage	$823.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$699.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$699.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$548.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$699.69
Rate for Payer: Cigna Commercial	$1,371.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$664.02
Rate for Payer: Qualcare PPO/HMO/WC	$411.58
Rate for Payer: UnitedHealthcare Community & State	$86.71
Rate for Payer: Wellpoint Medicaid Managed Care	$77.93

BLADE HELICAL TI 11.0x95mm

Facility

$2,743.90

Hospital Charge Code	270645390
Hospital Revenue Code	272
Min. Negotiated Rate	$77.93
Max. Negotiated Rate	$1,371.95
Rate for Payer: Aetna Commercial	$1,042.68
Rate for Payer: Aetna Medicare Advantage	$823.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$699.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$699.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$699.69
Rate for Payer: Cigna Commercial	$1,371.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$713.41
Rate for Payer: Oxford Commercial	$548.78
Rate for Payer: Qualcare PPO/HMO/WC	$411.58
Rate for Payer: UnitedHealthcare Commercial	$548.78
Rate for Payer: UnitedHealthcare Community & State	$86.71
Rate for Payer: Wellpoint Medicaid Managed Care	$77.93

BLADE HELICAL TI 11.0x95mm

Facility

$2,743.90

Hospital Charge Code	270645390
Hospital Revenue Code	272
Min. Negotiated Rate	$411.58
Max. Negotiated Rate	$411.58
Rate for Payer: Qualcare PPO/HMO/WC	$411.58

BLADE HIP ACCESS KIT CURVED

Facility

$2,910.00

Hospital Charge Code	270670482
Hospital Revenue Code	272
Min. Negotiated Rate	$82.64
Max. Negotiated Rate	$1,455.00
Rate for Payer: Aetna Commercial	$1,105.80
Rate for Payer: Aetna Medicare Advantage	$873.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$742.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$742.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$742.05
Rate for Payer: Cigna Commercial	$1,455.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$756.60
Rate for Payer: Oxford Commercial	$582.00
Rate for Payer: Qualcare PPO/HMO/WC	$436.50
Rate for Payer: UnitedHealthcare Commercial	$582.00
Rate for Payer: UnitedHealthcare Community & State	$91.96
Rate for Payer: Wellpoint Medicaid Managed Care	$82.64

BLADE HIP ACCESS KIT CURVED

Facility

$2,910.00

Hospital Charge Code	270670482
Hospital Revenue Code	272
Min. Negotiated Rate	$436.50
Max. Negotiated Rate	$436.50
Rate for Payer: Qualcare PPO/HMO/WC	$436.50

BLADE HIP ACCESS KIT STR

Facility

$2,780.00

Hospital Charge Code	270670481
Hospital Revenue Code	272
Min. Negotiated Rate	$417.00
Max. Negotiated Rate	$417.00
Rate for Payer: Qualcare PPO/HMO/WC	$417.00

BLADE HIP ACCESS KIT STR

Facility

$2,780.00

Hospital Charge Code	270670481
Hospital Revenue Code	272
Min. Negotiated Rate	$78.95
Max. Negotiated Rate	$1,390.00
Rate for Payer: Aetna Commercial	$1,056.40
Rate for Payer: Aetna Medicare Advantage	$834.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$708.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$708.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$708.90
Rate for Payer: Cigna Commercial	$1,390.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$722.80
Rate for Payer: Oxford Commercial	$556.00
Rate for Payer: Qualcare PPO/HMO/WC	$417.00
Rate for Payer: UnitedHealthcare Commercial	$556.00
Rate for Payer: UnitedHealthcare Community & State	$87.85
Rate for Payer: Wellpoint Medicaid Managed Care	$78.95

BLADE HIP CURVED XL LONG 4MM

Facility

$332.28

Hospital Charge Code	270679826
Hospital Revenue Code	272
Min. Negotiated Rate	$49.84
Max. Negotiated Rate	$49.84
Rate for Payer: Qualcare PPO/HMO/WC	$49.84

BLADE HIP CURVED XL LONG 4MM

Facility

$332.28

Hospital Charge Code	270679826
Hospital Revenue Code	272
Min. Negotiated Rate	$9.44
Max. Negotiated Rate	$166.14
Rate for Payer: Aetna Commercial	$126.27
Rate for Payer: Aetna Medicare Advantage	$99.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.73
Rate for Payer: Cigna Commercial	$166.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.39
Rate for Payer: Oxford Commercial	$66.46
Rate for Payer: Qualcare PPO/HMO/WC	$49.84
Rate for Payer: UnitedHealthcare Commercial	$66.46
Rate for Payer: UnitedHealthcare Community & State	$10.50
Rate for Payer: Wellpoint Medicaid Managed Care	$9.44

BLADE HIP STRAIGHT LONG 4 MM

Facility

$1,711.25

Hospital Charge Code	270693111
Hospital Revenue Code	272
Min. Negotiated Rate	$48.60
Max. Negotiated Rate	$855.62
Rate for Payer: Aetna Commercial	$650.27
Rate for Payer: Aetna Medicare Advantage	$513.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$436.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$436.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$436.37
Rate for Payer: Cigna Commercial	$855.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$444.93
Rate for Payer: Oxford Commercial	$342.25
Rate for Payer: Qualcare PPO/HMO/WC	$256.69
Rate for Payer: UnitedHealthcare Commercial	$342.25
Rate for Payer: UnitedHealthcare Community & State	$54.08
Rate for Payer: Wellpoint Medicaid Managed Care	$48.60

BLADE HIP STRAIGHT LONG 4 MM

Facility

$1,711.25

Hospital Charge Code	270693111
Hospital Revenue Code	272
Min. Negotiated Rate	$256.69
Max. Negotiated Rate	$256.69
Rate for Payer: Qualcare PPO/HMO/WC	$256.69

BLADE HIP STRAIGHT LONG 4MM

Facility

$1,661.40

Hospital Charge Code	270679825
Hospital Revenue Code	272
Min. Negotiated Rate	$249.21
Max. Negotiated Rate	$249.21
Rate for Payer: Qualcare PPO/HMO/WC	$249.21

BLADE HIP STRAIGHT LONG 4MM

Facility

$1,661.40

Hospital Charge Code	270679825
Hospital Revenue Code	272
Min. Negotiated Rate	$47.18
Max. Negotiated Rate	$830.70
Rate for Payer: Aetna Commercial	$631.33
Rate for Payer: Aetna Medicare Advantage	$498.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$423.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$423.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$423.66
Rate for Payer: Cigna Commercial	$830.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$431.96
Rate for Payer: Oxford Commercial	$332.28
Rate for Payer: Qualcare PPO/HMO/WC	$249.21
Rate for Payer: UnitedHealthcare Commercial	$332.28
Rate for Payer: UnitedHealthcare Community & State	$52.50
Rate for Payer: Wellpoint Medicaid Managed Care	$47.18

BLADE HOOK HARMONIC

Facility

$1,429.25

Hospital Charge Code	270670759
Hospital Revenue Code	272
Min. Negotiated Rate	$214.39
Max. Negotiated Rate	$214.39
Rate for Payer: Qualcare PPO/HMO/WC	$214.39

BLADE HOOK HARMONIC

Facility

$1,429.25

Hospital Charge Code	270670759
Hospital Revenue Code	272
Min. Negotiated Rate	$40.59
Max. Negotiated Rate	$714.62
Rate for Payer: Aetna Commercial	$543.12
Rate for Payer: Aetna Medicare Advantage	$428.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$364.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$364.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$364.46
Rate for Payer: Cigna Commercial	$714.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$371.61
Rate for Payer: Oxford Commercial	$285.85
Rate for Payer: Qualcare PPO/HMO/WC	$214.39
Rate for Payer: UnitedHealthcare Commercial	$285.85
Rate for Payer: UnitedHealthcare Community & State	$45.16
Rate for Payer: Wellpoint Medicaid Managed Care	$40.59

BLADE HOOK MINI AGL 50DG 4058A

Facility

$375.00

Hospital Charge Code	270632346
Hospital Revenue Code	272
Min. Negotiated Rate	$10.65
Max. Negotiated Rate	$187.50
Rate for Payer: Aetna Commercial	$142.50
Rate for Payer: Aetna Medicare Advantage	$112.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.62
Rate for Payer: Cigna Commercial	$187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.50
Rate for Payer: Oxford Commercial	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$56.25
Rate for Payer: UnitedHealthcare Commercial	$75.00
Rate for Payer: UnitedHealthcare Community & State	$11.85
Rate for Payer: Wellpoint Medicaid Managed Care	$10.65

BLADE HOOK MINI AGL 50DG 4058A

Facility

$375.00

Hospital Charge Code	270632346
Hospital Revenue Code	272
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$56.25
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

BLADE ICT RELEASE TOME 200060

Facility

$725.00

Hospital Charge Code	270600353
Hospital Revenue Code	272
Min. Negotiated Rate	$20.59
Max. Negotiated Rate	$362.50
Rate for Payer: Aetna Commercial	$275.50
Rate for Payer: Aetna Medicare Advantage	$217.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$184.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$184.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$184.88
Rate for Payer: Cigna Commercial	$362.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$188.50
Rate for Payer: Oxford Commercial	$145.00
Rate for Payer: Qualcare PPO/HMO/WC	$108.75
Rate for Payer: UnitedHealthcare Commercial	$145.00
Rate for Payer: UnitedHealthcare Community & State	$22.91
Rate for Payer: Wellpoint Medicaid Managed Care	$20.59

BLADE ICT RELEASE TOME 200060

Facility

$725.00

Hospital Charge Code	270600353
Hospital Revenue Code	272
Min. Negotiated Rate	$108.75
Max. Negotiated Rate	$108.75
Rate for Payer: Qualcare PPO/HMO/WC	$108.75

BLADE ILLUMINATION SYSTEM

Facility

$12,400.00

Hospital Charge Code	270695150
Hospital Revenue Code	272
Min. Negotiated Rate	$1,860.00
Max. Negotiated Rate	$1,860.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,860.00

BLADE ILLUMINATION SYSTEM

Facility

$12,400.00

Hospital Charge Code	270695150
Hospital Revenue Code	272
Min. Negotiated Rate	$352.16
Max. Negotiated Rate	$6,200.00
Rate for Payer: Aetna Commercial	$4,712.00
Rate for Payer: Aetna Medicare Advantage	$3,720.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,162.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,162.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,162.00
Rate for Payer: Cigna Commercial	$6,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,224.00
Rate for Payer: Oxford Commercial	$2,480.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,860.00
Rate for Payer: UnitedHealthcare Commercial	$2,480.00
Rate for Payer: UnitedHealthcare Community & State	$391.84
Rate for Payer: Wellpoint Medicaid Managed Care	$352.16

BLADE KOBYGARD

Facility

$1,625.00

Hospital Charge Code	270668932
Hospital Revenue Code	272
Min. Negotiated Rate	$243.75
Max. Negotiated Rate	$243.75
Rate for Payer: Qualcare PPO/HMO/WC	$243.75

BLADE KOBYGARD

Facility

$1,625.00

Hospital Charge Code	270668932
Hospital Revenue Code	272
Min. Negotiated Rate	$46.15
Max. Negotiated Rate	$812.50
Rate for Payer: Aetna Commercial	$617.50
Rate for Payer: Aetna Medicare Advantage	$487.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$414.38
Rate for Payer: Cigna Commercial	$812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$422.50
Rate for Payer: Oxford Commercial	$325.00
Rate for Payer: Qualcare PPO/HMO/WC	$243.75
Rate for Payer: UnitedHealthcare Commercial	$325.00
Rate for Payer: UnitedHealthcare Community & State	$51.35
Rate for Payer: Wellpoint Medicaid Managed Care	$46.15

BLADE LARGE SERRATED SONICONE

Facility

$2,025.00

Hospital Charge Code	270678537
Hospital Revenue Code	272
Min. Negotiated Rate	$303.75
Max. Negotiated Rate	$303.75
Rate for Payer: Qualcare PPO/HMO/WC	$303.75

Know your out-of-pocket cost for care.

All Charges