Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

BLADE MICRO SAGITTAL5.5X0.38MM

Facility

$463.50

Hospital Charge Code	270691101
Hospital Revenue Code	272
Min. Negotiated Rate	$13.16
Max. Negotiated Rate	$231.75
Rate for Payer: Aetna Commercial	$176.13
Rate for Payer: Aetna Medicare Advantage	$139.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$118.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$118.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$118.19
Rate for Payer: Cigna Commercial	$231.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.51
Rate for Payer: Oxford Commercial	$92.70
Rate for Payer: Qualcare PPO/HMO/WC	$69.53
Rate for Payer: UnitedHealthcare Commercial	$92.70
Rate for Payer: UnitedHealthcare Community & State	$14.65
Rate for Payer: Wellpoint Medicaid Managed Care	$13.16

BLADE MICRO SAGITTAL FINE

Facility

$67.85

Hospital Charge Code	270690395
Hospital Revenue Code	272
Min. Negotiated Rate	$10.18
Max. Negotiated Rate	$10.18
Rate for Payer: Qualcare PPO/HMO/WC	$10.18

BLADE MICRO SAGITTAL FINE

Facility

$67.85

Hospital Charge Code	270690395
Hospital Revenue Code	272
Min. Negotiated Rate	$1.93
Max. Negotiated Rate	$33.92
Rate for Payer: Aetna Commercial	$25.78
Rate for Payer: Aetna Medicare Advantage	$20.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.30
Rate for Payer: Cigna Commercial	$33.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.64
Rate for Payer: Oxford Commercial	$13.57
Rate for Payer: Qualcare PPO/HMO/WC	$10.18
Rate for Payer: UnitedHealthcare Commercial	$13.57
Rate for Payer: UnitedHealthcare Community & State	$2.14
Rate for Payer: Wellpoint Medicaid Managed Care	$1.93

BLADE MICS SAG 4X.38X15.2 MM

Facility

$395.00

Hospital Charge Code	270688511
Hospital Revenue Code	272
Min. Negotiated Rate	$59.25
Max. Negotiated Rate	$59.25
Rate for Payer: Qualcare PPO/HMO/WC	$59.25

BLADE MICS SAG 4X.38X15.2 MM

Facility

$395.00

Hospital Charge Code	270688511
Hospital Revenue Code	272
Min. Negotiated Rate	$11.22
Max. Negotiated Rate	$197.50
Rate for Payer: Aetna Commercial	$150.10
Rate for Payer: Aetna Medicare Advantage	$118.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100.72
Rate for Payer: Cigna Commercial	$197.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.70
Rate for Payer: Oxford Commercial	$79.00
Rate for Payer: Qualcare PPO/HMO/WC	$59.25
Rate for Payer: UnitedHealthcare Commercial	$79.00
Rate for Payer: UnitedHealthcare Community & State	$12.48
Rate for Payer: Wellpoint Medicaid Managed Care	$11.22

BLADE MILLER F/O LARYNGO SZ

Facility

$450.00

Hospital Charge Code	270665588
Hospital Revenue Code	272
Min. Negotiated Rate	$67.50
Max. Negotiated Rate	$67.50
Rate for Payer: Qualcare PPO/HMO/WC	$67.50

BLADE MILLER F/O LARYNGO SZ

Facility

$450.00

Hospital Charge Code	270665588
Hospital Revenue Code	272
Min. Negotiated Rate	$12.78
Max. Negotiated Rate	$225.00
Rate for Payer: Aetna Commercial	$171.00
Rate for Payer: Aetna Medicare Advantage	$135.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.75
Rate for Payer: Cigna Commercial	$225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.00
Rate for Payer: Oxford Commercial	$90.00
Rate for Payer: Qualcare PPO/HMO/WC	$67.50
Rate for Payer: UnitedHealthcare Commercial	$90.00
Rate for Payer: UnitedHealthcare Community & State	$14.22
Rate for Payer: Wellpoint Medicaid Managed Care	$12.78

BLADE MULTI ULTRACUT STER 5.5m

Facility

$437.75

Hospital Charge Code	270674988
Hospital Revenue Code	272
Min. Negotiated Rate	$12.43
Max. Negotiated Rate	$218.88
Rate for Payer: Aetna Commercial	$166.34
Rate for Payer: Aetna Medicare Advantage	$131.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$111.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$111.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$111.63
Rate for Payer: Cigna Commercial	$218.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.81
Rate for Payer: Oxford Commercial	$87.55
Rate for Payer: Qualcare PPO/HMO/WC	$65.66
Rate for Payer: UnitedHealthcare Commercial	$87.55
Rate for Payer: UnitedHealthcare Community & State	$13.83
Rate for Payer: Wellpoint Medicaid Managed Care	$12.43

BLADE MULTI ULTRACUT STER 5.5m

Facility

$437.75

Hospital Charge Code	270674988
Hospital Revenue Code	272
Min. Negotiated Rate	$65.66
Max. Negotiated Rate	$65.66
Rate for Payer: Qualcare PPO/HMO/WC	$65.66

BLADE MYRINGTOMY SPEAR 45DEG

Facility

$68.62

Hospital Charge Code	270645139
Hospital Revenue Code	270
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$34.31
Rate for Payer: Aetna Commercial	$26.08
Rate for Payer: Aetna Medicare Advantage	$20.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.50
Rate for Payer: Cigna Commercial	$34.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.84
Rate for Payer: Oxford Commercial	$13.72
Rate for Payer: Qualcare PPO/HMO/WC	$10.29
Rate for Payer: UnitedHealthcare Commercial	$13.72
Rate for Payer: UnitedHealthcare Community & State	$2.17
Rate for Payer: Wellpoint Medicaid Managed Care	$1.95

BLADE MYRINGTOMY SPEAR 45DEG

Facility

$68.62

Hospital Charge Code	270645139
Hospital Revenue Code	270
Min. Negotiated Rate	$10.29
Max. Negotiated Rate	$10.29
Rate for Payer: Qualcare PPO/HMO/WC	$10.29

BLADE OMEGA OSC 40X11.1X0.58MM

Facility

$725.00

Service Code	HCPCS A4649
Hospital Charge Code	270698030
Hospital Revenue Code	272
Min. Negotiated Rate	$108.75
Max. Negotiated Rate	$108.75
Rate for Payer: Qualcare PPO/HMO/WC	$108.75

BLADE OMEGA OSC 40X11.1X0.58MM

Facility

$725.00

Service Code	HCPCS A4649
Hospital Charge Code	270698030
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 OSCI FIN 10x12.4 5023161

Facility

$46.35

Hospital Charge Code	270631018
Hospital Revenue Code	272
Min. Negotiated Rate	$6.95
Max. Negotiated Rate	$6.95
Rate for Payer: Qualcare PPO/HMO/WC	$6.95

BLADE OSCI FIN 10x12.4 5023161

Facility

$46.35

Hospital Charge Code	270631018
Hospital Revenue Code	272
Min. Negotiated Rate	$1.32
Max. Negotiated Rate	$23.18
Rate for Payer: Aetna Commercial	$17.61
Rate for Payer: Aetna Medicare Advantage	$13.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.82
Rate for Payer: Cigna Commercial	$23.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.05
Rate for Payer: Oxford Commercial	$9.27
Rate for Payer: Qualcare PPO/HMO/WC	$6.95
Rate for Payer: UnitedHealthcare Commercial	$9.27
Rate for Payer: UnitedHealthcare Community & State	$1.46
Rate for Payer: Wellpoint Medicaid Managed Care	$1.32

BLADE OSCILL

Facility

$288.00

Hospital Charge Code	270657686
Hospital Revenue Code	272
Min. Negotiated Rate	$8.18
Max. Negotiated Rate	$144.00
Rate for Payer: Aetna Commercial	$109.44
Rate for Payer: Aetna Medicare Advantage	$86.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$73.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$73.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$73.44
Rate for Payer: Cigna Commercial	$144.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.88
Rate for Payer: Oxford Commercial	$57.60
Rate for Payer: Qualcare PPO/HMO/WC	$43.20
Rate for Payer: UnitedHealthcare Commercial	$57.60
Rate for Payer: UnitedHealthcare Community & State	$9.10
Rate for Payer: Wellpoint Medicaid Managed Care	$8.18

BLADE OSCILL

Facility

$288.00

Hospital Charge Code	270657686
Hospital Revenue Code	272
Min. Negotiated Rate	$43.20
Max. Negotiated Rate	$43.20
Rate for Payer: Qualcare PPO/HMO/WC	$43.20

BLADE OSCILLATING SAW

Facility

$82.00

Hospital Charge Code	270658462
Hospital Revenue Code	272
Min. Negotiated Rate	$2.33
Max. Negotiated Rate	$41.00
Rate for Payer: Aetna Commercial	$31.16
Rate for Payer: Aetna Medicare Advantage	$24.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.91
Rate for Payer: Cigna Commercial	$41.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.32
Rate for Payer: Oxford Commercial	$16.40
Rate for Payer: Qualcare PPO/HMO/WC	$12.30
Rate for Payer: UnitedHealthcare Commercial	$16.40
Rate for Payer: UnitedHealthcare Community & State	$2.59
Rate for Payer: Wellpoint Medicaid Managed Care	$2.33

BLADE OSCILLATING SAW

Facility

$82.00

Hospital Charge Code	270658462
Hospital Revenue Code	272
Min. Negotiated Rate	$12.30
Max. Negotiated Rate	$12.30
Rate for Payer: Qualcare PPO/HMO/WC	$12.30

BLADE OSCILL MICRO 5.5x12mm

Facility

$72.50

Hospital Charge Code	270638944
Hospital Revenue Code	272
Min. Negotiated Rate	$2.06
Max. Negotiated Rate	$36.25
Rate for Payer: Aetna Commercial	$27.55
Rate for Payer: Aetna Medicare Advantage	$21.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.49
Rate for Payer: Cigna Commercial	$36.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.85
Rate for Payer: Oxford Commercial	$14.50
Rate for Payer: Qualcare PPO/HMO/WC	$10.88
Rate for Payer: UnitedHealthcare Commercial	$14.50
Rate for Payer: UnitedHealthcare Community & State	$2.29
Rate for Payer: Wellpoint Medicaid Managed Care	$2.06

BLADE OSCILL MICRO 5.5x12mm

Facility

$72.50

Hospital Charge Code	270638944
Hospital Revenue Code	272
Min. Negotiated Rate	$10.88
Max. Negotiated Rate	$10.88
Rate for Payer: Qualcare PPO/HMO/WC	$10.88

BLADE OSCILL SAW LG BONE

Facility

$205.00

Hospital Charge Code	270658497
Hospital Revenue Code	272
Min. Negotiated Rate	$30.75
Max. Negotiated Rate	$30.75
Rate for Payer: Qualcare PPO/HMO/WC	$30.75

BLADE OSCILL SAW LG BONE

Facility

$205.00

Hospital Charge Code	270658497
Hospital Revenue Code	272
Min. Negotiated Rate	$5.82
Max. Negotiated Rate	$102.50
Rate for Payer: Aetna Commercial	$77.90
Rate for Payer: Aetna Medicare Advantage	$61.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.27
Rate for Payer: Cigna Commercial	$102.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.30
Rate for Payer: Oxford Commercial	$41.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.75
Rate for Payer: UnitedHealthcare Commercial	$41.00
Rate for Payer: UnitedHealthcare Community & State	$6.48
Rate for Payer: Wellpoint Medicaid Managed Care	$5.82

BLADE OSTEOTOME THIN 12MMX3IN

Facility

$560.00

Service Code	HCPCS A4649
Hospital Charge Code	270698026
Hospital Revenue Code	272
Min. Negotiated Rate	$15.90
Max. Negotiated Rate	$280.00
Rate for Payer: Aetna Commercial	$212.80
Rate for Payer: Aetna Medicare Advantage	$168.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$142.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$142.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$142.80
Rate for Payer: Cigna Commercial	$280.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.60
Rate for Payer: Oxford Commercial	$112.00
Rate for Payer: Qualcare PPO/HMO/WC	$84.00
Rate for Payer: UnitedHealthcare Commercial	$112.00
Rate for Payer: UnitedHealthcare Community & State	$17.70
Rate for Payer: Wellpoint Medicaid Managed Care	$15.90

BLADE OSTEOTOME THIN 12MMX3IN

Facility

$560.00

Service Code	HCPCS A4649
Hospital Charge Code	270698026
Hospital Revenue Code	272
Min. Negotiated Rate	$84.00
Max. Negotiated Rate	$84.00
Rate for Payer: Qualcare PPO/HMO/WC	$84.00

Know your out-of-pocket cost for care.

All Charges