Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

BLADE SAW 1.37X25X90MM

Facility

$135.00

Service Code	HCPCS A4649
Hospital Charge Code	270698895
Hospital Revenue Code	272
Min. Negotiated Rate	$3.83
Max. Negotiated Rate	$67.50
Rate for Payer: Aetna Commercial	$51.30
Rate for Payer: Aetna Medicare Advantage	$40.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.42
Rate for Payer: Cigna Commercial	$67.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.10
Rate for Payer: Oxford Commercial	$27.00
Rate for Payer: Qualcare PPO/HMO/WC	$20.25
Rate for Payer: UnitedHealthcare Commercial	$27.00
Rate for Payer: UnitedHealthcare Community & State	$4.27
Rate for Payer: Wellpoint Medicaid Managed Care	$3.83

BLADE SAW 1.37X25X90MM

Facility

$135.00

Service Code	HCPCS A4649
Hospital Charge Code	270698895
Hospital Revenue Code	272
Min. Negotiated Rate	$20.25
Max. Negotiated Rate	$20.25
Rate for Payer: Qualcare PPO/HMO/WC	$20.25

BLADE SAW 13X19MM

Facility

$625.00

Hospital Charge Code	270698285
Hospital Revenue Code	272
Min. Negotiated Rate	$17.75
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$237.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.50
Rate for Payer: Oxford Commercial	$125.00
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Commercial	$125.00
Rate for Payer: UnitedHealthcare Community & State	$19.75
Rate for Payer: Wellpoint Medicaid Managed Care	$17.75

BLADE SAW 13X19MM

Facility

$625.00

Hospital Charge Code	270698285
Hospital Revenue Code	272
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$93.75
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

BLADE SAW 13X19MM

Facility

$625.00

Hospital Charge Code	698285
Hospital Revenue Code	272
Min. Negotiated Rate	$17.75
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$237.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.50
Rate for Payer: Oxford Commercial	$125.00
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Commercial	$125.00
Rate for Payer: UnitedHealthcare Community & State	$19.75
Rate for Payer: Wellpoint Medicaid Managed Care	$17.75

BLADE SAW 13X19MM

Facility

$625.00

Hospital Charge Code	698285
Hospital Revenue Code	272
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$93.75
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

BLADE SAW 25.0MMx9.0MM

Facility

$175.40

Hospital Charge Code	270650290
Hospital Revenue Code	272
Min. Negotiated Rate	$4.98
Max. Negotiated Rate	$87.70
Rate for Payer: Aetna Commercial	$66.65
Rate for Payer: Aetna Medicare Advantage	$52.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.73
Rate for Payer: Cigna Commercial	$87.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.60
Rate for Payer: Oxford Commercial	$35.08
Rate for Payer: Qualcare PPO/HMO/WC	$26.31
Rate for Payer: UnitedHealthcare Commercial	$35.08
Rate for Payer: UnitedHealthcare Community & State	$5.54
Rate for Payer: Wellpoint Medicaid Managed Care	$4.98

BLADE SAW 25.0MMx9.0MM

Facility

$175.40

Hospital Charge Code	270650290
Hospital Revenue Code	272
Min. Negotiated Rate	$26.31
Max. Negotiated Rate	$26.31
Rate for Payer: Qualcare PPO/HMO/WC	$26.31

BLADE SAW 40X11MM DISP

Facility

$725.00

Hospital Charge Code	270693224
Hospital Revenue Code	272
Min. Negotiated Rate	$108.75
Max. Negotiated Rate	$108.75
Rate for Payer: Qualcare PPO/HMO/WC	$108.75

BLADE SAW 40X11MM DISP

Facility

$725.00

Hospital Charge Code	270693224
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 SAW 90X12.5MM

Facility

$625.00

Hospital Charge Code	270698286
Hospital Revenue Code	272
Min. Negotiated Rate	$17.75
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$237.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.50
Rate for Payer: Oxford Commercial	$125.00
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Commercial	$125.00
Rate for Payer: UnitedHealthcare Community & State	$19.75
Rate for Payer: Wellpoint Medicaid Managed Care	$17.75

BLADE SAW 90X12.5MM

Facility

$625.00

Hospital Charge Code	270698286
Hospital Revenue Code	272
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$93.75
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

BLADE SAW 90X12.5MM

Facility

$625.00

Hospital Charge Code	698286
Hospital Revenue Code	272
Min. Negotiated Rate	$17.75
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$237.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.50
Rate for Payer: Oxford Commercial	$125.00
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Commercial	$125.00
Rate for Payer: UnitedHealthcare Community & State	$19.75
Rate for Payer: Wellpoint Medicaid Managed Care	$17.75

BLADE SAW 90X12.5MM

Facility

$625.00

Hospital Charge Code	698286
Hospital Revenue Code	272
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$93.75
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

BLADE SAW 90X19MM

Facility

$625.00

Hospital Charge Code	270698284
Hospital Revenue Code	272
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$93.75
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

BLADE SAW 90X19MM

Facility

$625.00

Hospital Charge Code	698284
Hospital Revenue Code	272
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$93.75
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

BLADE SAW 90X19MM

Facility

$625.00

Hospital Charge Code	698284
Hospital Revenue Code	272
Min. Negotiated Rate	$17.75
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$237.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.50
Rate for Payer: Oxford Commercial	$125.00
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Commercial	$125.00
Rate for Payer: UnitedHealthcare Community & State	$19.75
Rate for Payer: Wellpoint Medicaid Managed Care	$17.75

BLADE SAW 90X19MM

Facility

$625.00

Hospital Charge Code	270698284
Hospital Revenue Code	272
Min. Negotiated Rate	$17.75
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$237.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.50
Rate for Payer: Oxford Commercial	$125.00
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Commercial	$125.00
Rate for Payer: UnitedHealthcare Community & State	$19.75
Rate for Payer: Wellpoint Medicaid Managed Care	$17.75

BLADE SAW 9X31X.051MM

Facility

$9,375.00

Service Code	HCPCS A4649
Hospital Charge Code	270699359
Hospital Revenue Code	272
Min. Negotiated Rate	$1,406.25
Max. Negotiated Rate	$1,406.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,406.25

BLADE SAW 9X31X.051MM

Facility

$9,375.00

Service Code	HCPCS A4649
Hospital Charge Code	270699359
Hospital Revenue Code	272
Min. Negotiated Rate	$266.25
Max. Negotiated Rate	$4,687.50
Rate for Payer: Aetna Commercial	$3,562.50
Rate for Payer: Aetna Medicare Advantage	$2,812.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,390.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,390.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,390.62
Rate for Payer: Cigna Commercial	$4,687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,437.50
Rate for Payer: Oxford Commercial	$1,875.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,406.25
Rate for Payer: UnitedHealthcare Commercial	$1,875.00
Rate for Payer: UnitedHealthcare Community & State	$296.25
Rate for Payer: Wellpoint Medicaid Managed Care	$266.25

BLADE SAW MED NARROW 18.5x7MM

Facility

$180.20

Hospital Charge Code	270650289
Hospital Revenue Code	272
Min. Negotiated Rate	$27.03
Max. Negotiated Rate	$27.03
Rate for Payer: Qualcare PPO/HMO/WC	$27.03

BLADE SAW MED NARROW 18.5x7MM

Facility

$180.20

Hospital Charge Code	270650289
Hospital Revenue Code	272
Min. Negotiated Rate	$5.12
Max. Negotiated Rate	$90.10
Rate for Payer: Aetna Commercial	$68.48
Rate for Payer: Aetna Medicare Advantage	$54.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.95
Rate for Payer: Cigna Commercial	$90.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.85
Rate for Payer: Oxford Commercial	$36.04
Rate for Payer: Qualcare PPO/HMO/WC	$27.03
Rate for Payer: UnitedHealthcare Commercial	$36.04
Rate for Payer: UnitedHealthcare Community & State	$5.69
Rate for Payer: Wellpoint Medicaid Managed Care	$5.12

BLADE SAW MICR 5.5X.051X11.5MM

Facility

$180.20

Service Code	HCPCS A4649
Hospital Charge Code	270691097
Hospital Revenue Code	272
Min. Negotiated Rate	$27.03
Max. Negotiated Rate	$27.03
Rate for Payer: Qualcare PPO/HMO/WC	$27.03

BLADE SAW MICR 5.5X.051X11.5MM

Facility

$180.20

Service Code	HCPCS A4649
Hospital Charge Code	270691097
Hospital Revenue Code	272
Min. Negotiated Rate	$5.12
Max. Negotiated Rate	$90.10
Rate for Payer: Aetna Commercial	$68.48
Rate for Payer: Aetna Medicare Advantage	$54.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.95
Rate for Payer: Cigna Commercial	$90.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.85
Rate for Payer: Oxford Commercial	$36.04
Rate for Payer: Qualcare PPO/HMO/WC	$27.03
Rate for Payer: UnitedHealthcare Commercial	$36.04
Rate for Payer: UnitedHealthcare Community & State	$5.69
Rate for Payer: Wellpoint Medicaid Managed Care	$5.12

BLADE SAW SAGITAL 25x9MM

Facility

$131.95

Hospital Charge Code	270674136
Hospital Revenue Code	272
Min. Negotiated Rate	$19.79
Max. Negotiated Rate	$19.79
Rate for Payer: Qualcare PPO/HMO/WC	$19.79

Know your out-of-pocket cost for care.

All Charges