Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

BLADE LARYNG MILLER #1 INFANT

Facility

$102.10

Hospital Charge Code	270677124
Hospital Revenue Code	272
Min. Negotiated Rate	$2.90
Max. Negotiated Rate	$51.05
Rate for Payer: Aetna Commercial	$38.80
Rate for Payer: Aetna Medicare Advantage	$30.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.04
Rate for Payer: Cigna Commercial	$51.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.55
Rate for Payer: Oxford Commercial	$20.42
Rate for Payer: Qualcare PPO/HMO/WC	$15.31
Rate for Payer: UnitedHealthcare Commercial	$20.42
Rate for Payer: UnitedHealthcare Community & State	$3.23
Rate for Payer: Wellpoint Medicaid Managed Care	$2.90

BLADE LARYNG MILLER #1 INFANT

Facility

$102.10

Hospital Charge Code	270677124
Hospital Revenue Code	272
Min. Negotiated Rate	$15.31
Max. Negotiated Rate	$15.31
Rate for Payer: Qualcare PPO/HMO/WC	$15.31

BLADE LARYNG MILLER #3 ADULT M

Facility

$60.00

Hospital Charge Code	270678201
Hospital Revenue Code	272
Min. Negotiated Rate	$9.00
Max. Negotiated Rate	$9.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00

BLADE LARYNG MILLER #3 ADULT M

Facility

$60.00

Hospital Charge Code	270678201
Hospital Revenue Code	272
Min. Negotiated Rate	$1.70
Max. Negotiated Rate	$30.00
Rate for Payer: Aetna Commercial	$22.80
Rate for Payer: Aetna Medicare Advantage	$18.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.30
Rate for Payer: Cigna Commercial	$30.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.60
Rate for Payer: Oxford Commercial	$12.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00
Rate for Payer: UnitedHealthcare Commercial	$12.00
Rate for Payer: UnitedHealthcare Community & State	$1.90
Rate for Payer: Wellpoint Medicaid Managed Care	$1.70

BLADE LARYNG MILLER #4 ADULT L

Facility

$54.50

Hospital Charge Code	270678202
Hospital Revenue Code	272
Min. Negotiated Rate	$8.18
Max. Negotiated Rate	$8.18
Rate for Payer: Qualcare PPO/HMO/WC	$8.18

BLADE LARYNG MILLER #4 ADULT L

Facility

$54.50

Hospital Charge Code	270678202
Hospital Revenue Code	272
Min. Negotiated Rate	$1.55
Max. Negotiated Rate	$27.25
Rate for Payer: Aetna Commercial	$20.71
Rate for Payer: Aetna Medicare Advantage	$16.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.90
Rate for Payer: Cigna Commercial	$27.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.17
Rate for Payer: Oxford Commercial	$10.90
Rate for Payer: Qualcare PPO/HMO/WC	$8.18
Rate for Payer: UnitedHealthcare Commercial	$10.90
Rate for Payer: UnitedHealthcare Community & State	$1.72
Rate for Payer: Wellpoint Medicaid Managed Care	$1.55

BLADE LG HIP 4.0MM

Facility

$300.35

Hospital Charge Code	270688488
Hospital Revenue Code	272
Min. Negotiated Rate	$45.05
Max. Negotiated Rate	$45.05
Rate for Payer: Qualcare PPO/HMO/WC	$45.05

BLADE LG HIP 4.0MM

Facility

$300.35

Hospital Charge Code	270688488
Hospital Revenue Code	272
Min. Negotiated Rate	$8.53
Max. Negotiated Rate	$150.18
Rate for Payer: Aetna Commercial	$114.13
Rate for Payer: Aetna Medicare Advantage	$90.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.59
Rate for Payer: Cigna Commercial	$150.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.09
Rate for Payer: Oxford Commercial	$60.07
Rate for Payer: Qualcare PPO/HMO/WC	$45.05
Rate for Payer: UnitedHealthcare Commercial	$60.07
Rate for Payer: UnitedHealthcare Community & State	$9.49
Rate for Payer: Wellpoint Medicaid Managed Care	$8.53

BLADE LRG BONE 18.5x100x1.19mm

Facility

$200.00

Hospital Charge Code	270678715
Hospital Revenue Code	272
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

BLADE LRG BONE 18.5x100x1.19mm

Facility

$200.00

Hospital Charge Code	270678715
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 LRG BONE 18.5x90x1.27mm

Facility

$233.70

Hospital Charge Code	270678716
Hospital Revenue Code	272
Min. Negotiated Rate	$6.64
Max. Negotiated Rate	$116.85
Rate for Payer: Aetna Commercial	$88.81
Rate for Payer: Aetna Medicare Advantage	$70.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.59
Rate for Payer: Cigna Commercial	$116.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.76
Rate for Payer: Oxford Commercial	$46.74
Rate for Payer: Qualcare PPO/HMO/WC	$35.05
Rate for Payer: UnitedHealthcare Commercial	$46.74
Rate for Payer: UnitedHealthcare Community & State	$7.38
Rate for Payer: Wellpoint Medicaid Managed Care	$6.64

BLADE LRG BONE 18.5x90x1.27mm

Facility

$233.70

Hospital Charge Code	270678716
Hospital Revenue Code	272
Min. Negotiated Rate	$35.05
Max. Negotiated Rate	$35.05
Rate for Payer: Qualcare PPO/HMO/WC	$35.05

BLADE LRG RASP TEAR 13X6.5MM

Facility

$438.15

Hospital Charge Code	270701904
Hospital Revenue Code	272
Min. Negotiated Rate	$65.72
Max. Negotiated Rate	$65.72
Rate for Payer: Qualcare PPO/HMO/WC	$65.72

BLADE LRG RASP TEAR 13X6.5MM

Facility

$438.15

Hospital Charge Code	270701904
Hospital Revenue Code	272
Min. Negotiated Rate	$12.44
Max. Negotiated Rate	$219.07
Rate for Payer: Aetna Commercial	$166.50
Rate for Payer: Aetna Medicare Advantage	$131.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$111.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$111.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$111.73
Rate for Payer: Cigna Commercial	$219.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.92
Rate for Payer: Oxford Commercial	$87.63
Rate for Payer: Qualcare PPO/HMO/WC	$65.72
Rate for Payer: UnitedHealthcare Commercial	$87.63
Rate for Payer: UnitedHealthcare Community & State	$13.85
Rate for Payer: Wellpoint Medicaid Managed Care	$12.44

BLADE M-CLASS 1.27x13x90MM

Facility

$322.10

Hospital Charge Code	270675402
Hospital Revenue Code	272
Min. Negotiated Rate	$48.31
Max. Negotiated Rate	$48.31
Rate for Payer: Qualcare PPO/HMO/WC	$48.31

BLADE M-CLASS 1.27x13x90MM

Facility

$322.10

Hospital Charge Code	270675402
Hospital Revenue Code	272
Min. Negotiated Rate	$9.15
Max. Negotiated Rate	$161.05
Rate for Payer: Aetna Commercial	$122.40
Rate for Payer: Aetna Medicare Advantage	$96.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.14
Rate for Payer: Cigna Commercial	$161.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.75
Rate for Payer: Oxford Commercial	$64.42
Rate for Payer: Qualcare PPO/HMO/WC	$48.31
Rate for Payer: UnitedHealthcare Commercial	$64.42
Rate for Payer: UnitedHealthcare Community & State	$10.18
Rate for Payer: Wellpoint Medicaid Managed Care	$9.15

BLADE M-CLASS 1.27x19x90MM

Facility

$322.10

Hospital Charge Code	270675401
Hospital Revenue Code	272
Min. Negotiated Rate	$48.31
Max. Negotiated Rate	$48.31
Rate for Payer: Qualcare PPO/HMO/WC	$48.31

BLADE M-CLASS 1.27x19x90MM

Facility

$322.10

Hospital Charge Code	270675401
Hospital Revenue Code	272
Min. Negotiated Rate	$9.15
Max. Negotiated Rate	$161.05
Rate for Payer: Aetna Commercial	$122.40
Rate for Payer: Aetna Medicare Advantage	$96.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.14
Rate for Payer: Cigna Commercial	$161.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.75
Rate for Payer: Oxford Commercial	$64.42
Rate for Payer: Qualcare PPO/HMO/WC	$48.31
Rate for Payer: UnitedHealthcare Commercial	$64.42
Rate for Payer: UnitedHealthcare Community & State	$10.18
Rate for Payer: Wellpoint Medicaid Managed Care	$9.15

BLADE M-CLASS 1.27x25x90MM

Facility

$322.10

Hospital Charge Code	270675403
Hospital Revenue Code	272
Min. Negotiated Rate	$48.31
Max. Negotiated Rate	$48.31
Rate for Payer: Qualcare PPO/HMO/WC	$48.31

BLADE M-CLASS 1.27x25x90MM

Facility

$322.10

Hospital Charge Code	270675403
Hospital Revenue Code	272
Min. Negotiated Rate	$9.15
Max. Negotiated Rate	$161.05
Rate for Payer: Aetna Commercial	$122.40
Rate for Payer: Aetna Medicare Advantage	$96.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.14
Rate for Payer: Cigna Commercial	$161.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.75
Rate for Payer: Oxford Commercial	$64.42
Rate for Payer: Qualcare PPO/HMO/WC	$48.31
Rate for Payer: UnitedHealthcare Commercial	$64.42
Rate for Payer: UnitedHealthcare Community & State	$10.18
Rate for Payer: Wellpoint Medicaid Managed Care	$9.15

BLADE MICRO OSCILLATING

Facility

$30.80

Hospital Charge Code	270651559
Hospital Revenue Code	270
Min. Negotiated Rate	$4.62
Max. Negotiated Rate	$4.62
Rate for Payer: Qualcare PPO/HMO/WC	$4.62

BLADE MICRO OSCILLATING

Facility

$30.80

Hospital Charge Code	270651559
Hospital Revenue Code	270
Min. Negotiated Rate	$0.87
Max. Negotiated Rate	$15.40
Rate for Payer: Aetna Commercial	$11.70
Rate for Payer: Aetna Medicare Advantage	$9.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.85
Rate for Payer: Cigna Commercial	$15.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.01
Rate for Payer: Oxford Commercial	$6.16
Rate for Payer: Qualcare PPO/HMO/WC	$4.62
Rate for Payer: UnitedHealthcare Commercial	$6.16
Rate for Payer: UnitedHealthcare Community & State	$0.97
Rate for Payer: Wellpoint Medicaid Managed Care	$0.87

BLADE MICRO SAGITTAL

Facility

$33.50

Hospital Charge Code	270654634
Hospital Revenue Code	272
Min. Negotiated Rate	$5.03
Max. Negotiated Rate	$5.03
Rate for Payer: Qualcare PPO/HMO/WC	$5.03

BLADE MICRO SAGITTAL

Facility

$33.50

Hospital Charge Code	270654634
Hospital Revenue Code	272
Min. Negotiated Rate	$0.95
Max. Negotiated Rate	$16.75
Rate for Payer: Aetna Commercial	$12.73
Rate for Payer: Aetna Medicare Advantage	$10.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.54
Rate for Payer: Cigna Commercial	$16.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.71
Rate for Payer: Oxford Commercial	$6.70
Rate for Payer: Qualcare PPO/HMO/WC	$5.03
Rate for Payer: UnitedHealthcare Commercial	$6.70
Rate for Payer: UnitedHealthcare Community & State	$1.06
Rate for Payer: Wellpoint Medicaid Managed Care	$0.95

BLADE MICRO SAGITTAL5.5X0.38MM

Facility

$463.50

Hospital Charge Code	270691101
Hospital Revenue Code	272
Min. Negotiated Rate	$69.53
Max. Negotiated Rate	$69.53
Rate for Payer: Qualcare PPO/HMO/WC	$69.53

Know your out-of-pocket cost for care.

All Charges