Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

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

BLADE LARGO MAC MILLER SZ 0

Facility

$72.14

Hospital Charge Code	270684541
Hospital Revenue Code	272
Min. Negotiated Rate	$2.05
Max. Negotiated Rate	$36.07
Rate for Payer: Aetna Commercial	$27.41
Rate for Payer: Aetna Medicare Advantage	$21.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.40
Rate for Payer: Cigna Commercial	$36.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.76
Rate for Payer: Oxford Commercial	$14.43
Rate for Payer: Qualcare PPO/HMO/WC	$10.82
Rate for Payer: UnitedHealthcare Commercial	$14.43
Rate for Payer: UnitedHealthcare Community & State	$2.28
Rate for Payer: Wellpoint Medicaid Managed Care	$2.05

BLADE LARGO MAC MILLER SZ 0

Facility

$72.14

Hospital Charge Code	270684541
Hospital Revenue Code	272
Min. Negotiated Rate	$10.82
Max. Negotiated Rate	$10.82
Rate for Payer: Qualcare PPO/HMO/WC	$10.82

BLADE LARGO MAC MILLER SZ 00

Facility

$72.14

Hospital Charge Code	270684540
Hospital Revenue Code	272
Min. Negotiated Rate	$10.82
Max. Negotiated Rate	$10.82
Rate for Payer: Qualcare PPO/HMO/WC	$10.82

BLADE LARGO MAC MILLER SZ 00

Facility

$72.14

Hospital Charge Code	270684540
Hospital Revenue Code	272
Min. Negotiated Rate	$2.05
Max. Negotiated Rate	$36.07
Rate for Payer: Aetna Commercial	$27.41
Rate for Payer: Aetna Medicare Advantage	$21.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.40
Rate for Payer: Cigna Commercial	$36.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.76
Rate for Payer: Oxford Commercial	$14.43
Rate for Payer: Qualcare PPO/HMO/WC	$10.82
Rate for Payer: UnitedHealthcare Commercial	$14.43
Rate for Payer: UnitedHealthcare Community & State	$2.28
Rate for Payer: Wellpoint Medicaid Managed Care	$2.05

BLADE LARGO MAC MILLER SZ 1

Facility

$72.14

Hospital Charge Code	270684542
Hospital Revenue Code	272
Min. Negotiated Rate	$2.05
Max. Negotiated Rate	$36.07
Rate for Payer: Aetna Commercial	$27.41
Rate for Payer: Aetna Medicare Advantage	$21.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.40
Rate for Payer: Cigna Commercial	$36.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.76
Rate for Payer: Oxford Commercial	$14.43
Rate for Payer: Qualcare PPO/HMO/WC	$10.82
Rate for Payer: UnitedHealthcare Commercial	$14.43
Rate for Payer: UnitedHealthcare Community & State	$2.28
Rate for Payer: Wellpoint Medicaid Managed Care	$2.05

BLADE LARGO MAC MILLER SZ 1

Facility

$72.14

Hospital Charge Code	270684542
Hospital Revenue Code	272
Min. Negotiated Rate	$10.82
Max. Negotiated Rate	$10.82
Rate for Payer: Qualcare PPO/HMO/WC	$10.82

BLADE LARGO MAC MILLER SZ 2

Facility

$72.14

Hospital Charge Code	270684543
Hospital Revenue Code	272
Min. Negotiated Rate	$10.82
Max. Negotiated Rate	$10.82
Rate for Payer: Qualcare PPO/HMO/WC	$10.82

BLADE LARGO MAC MILLER SZ 2

Facility

$72.14

Hospital Charge Code	270684543
Hospital Revenue Code	272
Min. Negotiated Rate	$2.05
Max. Negotiated Rate	$36.07
Rate for Payer: Aetna Commercial	$27.41
Rate for Payer: Aetna Medicare Advantage	$21.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.40
Rate for Payer: Cigna Commercial	$36.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.76
Rate for Payer: Oxford Commercial	$14.43
Rate for Payer: Qualcare PPO/HMO/WC	$10.82
Rate for Payer: UnitedHealthcare Commercial	$14.43
Rate for Payer: UnitedHealthcare Community & State	$2.28
Rate for Payer: Wellpoint Medicaid Managed Care	$2.05

BLADE LARGO MAC MILLER SZ 3

Facility

$72.14

Hospital Charge Code	270684544
Hospital Revenue Code	272
Min. Negotiated Rate	$2.05
Max. Negotiated Rate	$36.07
Rate for Payer: Aetna Commercial	$27.41
Rate for Payer: Aetna Medicare Advantage	$21.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.40
Rate for Payer: Cigna Commercial	$36.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.76
Rate for Payer: Oxford Commercial	$14.43
Rate for Payer: Qualcare PPO/HMO/WC	$10.82
Rate for Payer: UnitedHealthcare Commercial	$14.43
Rate for Payer: UnitedHealthcare Community & State	$2.28
Rate for Payer: Wellpoint Medicaid Managed Care	$2.05

BLADE LARGO MAC MILLER SZ 3

Facility

$72.14

Hospital Charge Code	270684544
Hospital Revenue Code	272
Min. Negotiated Rate	$10.82
Max. Negotiated Rate	$10.82
Rate for Payer: Qualcare PPO/HMO/WC	$10.82

BLADE LARGO MAC MILLER SZ 4

Facility

$72.14

Hospital Charge Code	270684545
Hospital Revenue Code	272
Min. Negotiated Rate	$2.05
Max. Negotiated Rate	$36.07
Rate for Payer: Aetna Commercial	$27.41
Rate for Payer: Aetna Medicare Advantage	$21.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.40
Rate for Payer: Cigna Commercial	$36.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.76
Rate for Payer: Oxford Commercial	$14.43
Rate for Payer: Qualcare PPO/HMO/WC	$10.82
Rate for Payer: UnitedHealthcare Commercial	$14.43
Rate for Payer: UnitedHealthcare Community & State	$2.28
Rate for Payer: Wellpoint Medicaid Managed Care	$2.05

BLADE LARGO MAC MILLER SZ 4

Facility

$72.14

Hospital Charge Code	270684545
Hospital Revenue Code	272
Min. Negotiated Rate	$10.82
Max. Negotiated Rate	$10.82
Rate for Payer: Qualcare PPO/HMO/WC	$10.82

BLADE LARYGO MAC SIZE 1 DISP

Facility

$72.14

Hospital Charge Code	270684536
Hospital Revenue Code	272
Min. Negotiated Rate	$10.82
Max. Negotiated Rate	$10.82
Rate for Payer: Qualcare PPO/HMO/WC	$10.82

BLADE LARYGO MAC SIZE 1 DISP

Facility

$72.14

Hospital Charge Code	270684536
Hospital Revenue Code	272
Min. Negotiated Rate	$2.05
Max. Negotiated Rate	$36.07
Rate for Payer: Aetna Commercial	$27.41
Rate for Payer: Aetna Medicare Advantage	$21.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.40
Rate for Payer: Cigna Commercial	$36.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.76
Rate for Payer: Oxford Commercial	$14.43
Rate for Payer: Qualcare PPO/HMO/WC	$10.82
Rate for Payer: UnitedHealthcare Commercial	$14.43
Rate for Payer: UnitedHealthcare Community & State	$2.28
Rate for Payer: Wellpoint Medicaid Managed Care	$2.05

BLADE LARYGO MAC SIZE 2 DISP

Facility

$72.14

Hospital Charge Code	270684537
Hospital Revenue Code	272
Min. Negotiated Rate	$10.82
Max. Negotiated Rate	$10.82
Rate for Payer: Qualcare PPO/HMO/WC	$10.82

BLADE LARYGO MAC SIZE 2 DISP

Facility

$72.14

Hospital Charge Code	270684537
Hospital Revenue Code	272
Min. Negotiated Rate	$2.05
Max. Negotiated Rate	$36.07
Rate for Payer: Aetna Commercial	$27.41
Rate for Payer: Aetna Medicare Advantage	$21.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.40
Rate for Payer: Cigna Commercial	$36.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.76
Rate for Payer: Oxford Commercial	$14.43
Rate for Payer: Qualcare PPO/HMO/WC	$10.82
Rate for Payer: UnitedHealthcare Commercial	$14.43
Rate for Payer: UnitedHealthcare Community & State	$2.28
Rate for Payer: Wellpoint Medicaid Managed Care	$2.05

BLADE LARYGO MAC SIZE 3 DISP

Facility

$72.14

Hospital Charge Code	270684538
Hospital Revenue Code	272
Min. Negotiated Rate	$2.05
Max. Negotiated Rate	$36.07
Rate for Payer: Aetna Commercial	$27.41
Rate for Payer: Aetna Medicare Advantage	$21.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.40
Rate for Payer: Cigna Commercial	$36.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.76
Rate for Payer: Oxford Commercial	$14.43
Rate for Payer: Qualcare PPO/HMO/WC	$10.82
Rate for Payer: UnitedHealthcare Commercial	$14.43
Rate for Payer: UnitedHealthcare Community & State	$2.28
Rate for Payer: Wellpoint Medicaid Managed Care	$2.05

BLADE LARYGO MAC SIZE 3 DISP

Facility

$72.14

Hospital Charge Code	270684538
Hospital Revenue Code	272
Min. Negotiated Rate	$10.82
Max. Negotiated Rate	$10.82
Rate for Payer: Qualcare PPO/HMO/WC	$10.82

BLADE LARYGO MAC SIZE 4 DISP

Facility

$72.14

Hospital Charge Code	270684539
Hospital Revenue Code	272
Min. Negotiated Rate	$10.82
Max. Negotiated Rate	$10.82
Rate for Payer: Qualcare PPO/HMO/WC	$10.82

BLADE LARYGO MAC SIZE 4 DISP

Facility

$72.14

Hospital Charge Code	270684539
Hospital Revenue Code	272
Min. Negotiated Rate	$2.05
Max. Negotiated Rate	$36.07
Rate for Payer: Aetna Commercial	$27.41
Rate for Payer: Aetna Medicare Advantage	$21.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.40
Rate for Payer: Cigna Commercial	$36.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.76
Rate for Payer: Oxford Commercial	$14.43
Rate for Payer: Qualcare PPO/HMO/WC	$10.82
Rate for Payer: UnitedHealthcare Commercial	$14.43
Rate for Payer: UnitedHealthcare Community & State	$2.28
Rate for Payer: Wellpoint Medicaid Managed Care	$2.05

BLADE LARYNG MILLER #00 PREMIE

Facility

$104.10

Hospital Charge Code	270677122
Hospital Revenue Code	272
Min. Negotiated Rate	$2.96
Max. Negotiated Rate	$52.05
Rate for Payer: Aetna Commercial	$39.56
Rate for Payer: Aetna Medicare Advantage	$31.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.55
Rate for Payer: Cigna Commercial	$52.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.07
Rate for Payer: Oxford Commercial	$20.82
Rate for Payer: Qualcare PPO/HMO/WC	$15.62
Rate for Payer: UnitedHealthcare Commercial	$20.82
Rate for Payer: UnitedHealthcare Community & State	$3.29
Rate for Payer: Wellpoint Medicaid Managed Care	$2.96

BLADE LARYNG MILLER #00 PREMIE

Facility

$104.10

Hospital Charge Code	270677122
Hospital Revenue Code	272
Min. Negotiated Rate	$15.62
Max. Negotiated Rate	$15.62
Rate for Payer: Qualcare PPO/HMO/WC	$15.62

BLADE LARYNG MILLER #0 NEWBORN

Facility

$105.20

Hospital Charge Code	270677123
Hospital Revenue Code	272
Min. Negotiated Rate	$2.99
Max. Negotiated Rate	$52.60
Rate for Payer: Aetna Commercial	$39.98
Rate for Payer: Aetna Medicare Advantage	$31.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.83
Rate for Payer: Cigna Commercial	$52.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.35
Rate for Payer: Oxford Commercial	$21.04
Rate for Payer: Qualcare PPO/HMO/WC	$15.78
Rate for Payer: UnitedHealthcare Commercial	$21.04
Rate for Payer: UnitedHealthcare Community & State	$3.32
Rate for Payer: Wellpoint Medicaid Managed Care	$2.99

BLADE LARYNG MILLER #0 NEWBORN

Facility

$105.20

Hospital Charge Code	270677123
Hospital Revenue Code	272
Min. Negotiated Rate	$15.78
Max. Negotiated Rate	$15.78
Rate for Payer: Qualcare PPO/HMO/WC	$15.78

Know your out-of-pocket cost for care.

All Charges