Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

BLADE SET E SHAPER

Facility

$3,750.00

Hospital Charge Code	270670839
Hospital Revenue Code	272
Min. Negotiated Rate	$562.50
Max. Negotiated Rate	$562.50
Rate for Payer: Qualcare PPO/HMO/WC	$562.50

BLADE SET E SHAPER

Facility

$3,750.00

Hospital Charge Code	270670839
Hospital Revenue Code	272
Min. Negotiated Rate	$106.50
Max. Negotiated Rate	$1,875.00
Rate for Payer: Aetna Commercial	$1,425.00
Rate for Payer: Aetna Medicare Advantage	$1,125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$956.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$956.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$956.25
Rate for Payer: Cigna Commercial	$1,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$975.00
Rate for Payer: Oxford Commercial	$750.00
Rate for Payer: Qualcare PPO/HMO/WC	$562.50
Rate for Payer: UnitedHealthcare Commercial	$750.00
Rate for Payer: UnitedHealthcare Community & State	$118.50
Rate for Payer: Wellpoint Medicaid Managed Care	$106.50

BLADE SHAVER FULL RAD 2MMX7CM

Facility

$1,500.00

Hospital Charge Code	270695939
Hospital Revenue Code	272
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$225.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

BLADE SHAVER FULL RAD 2MMX7CM

Facility

$1,500.00

Hospital Charge Code	270695939
Hospital Revenue Code	272
Min. Negotiated Rate	$42.60
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$570.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$390.00
Rate for Payer: Oxford Commercial	$300.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00
Rate for Payer: UnitedHealthcare Commercial	$300.00
Rate for Payer: UnitedHealthcare Community & State	$47.40
Rate for Payer: Wellpoint Medicaid Managed Care	$42.60

BLADE SHVR 4MM 11CML M4 ROTATE

Facility

$1,520.00

Hospital Charge Code	270663279
Hospital Revenue Code	272
Min. Negotiated Rate	$43.17
Max. Negotiated Rate	$760.00
Rate for Payer: Aetna Commercial	$577.60
Rate for Payer: Aetna Medicare Advantage	$456.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$387.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$387.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$387.60
Rate for Payer: Cigna Commercial	$760.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$395.20
Rate for Payer: Oxford Commercial	$304.00
Rate for Payer: Qualcare PPO/HMO/WC	$228.00
Rate for Payer: UnitedHealthcare Commercial	$304.00
Rate for Payer: UnitedHealthcare Community & State	$48.03
Rate for Payer: Wellpoint Medicaid Managed Care	$43.17

BLADE SHVR 4MM 11CML M4 ROTATE

Facility

$1,520.00

Hospital Charge Code	270663279
Hospital Revenue Code	272
Min. Negotiated Rate	$228.00
Max. Negotiated Rate	$228.00
Rate for Payer: Qualcare PPO/HMO/WC	$228.00

BLADE SIDEWINER ICW

Facility

$4,462.00

Hospital Charge Code	270688039
Hospital Revenue Code	272
Min. Negotiated Rate	$126.72
Max. Negotiated Rate	$2,231.00
Rate for Payer: Aetna Commercial	$1,695.56
Rate for Payer: Aetna Medicare Advantage	$1,338.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,137.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,137.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,137.81
Rate for Payer: Cigna Commercial	$2,231.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,160.12
Rate for Payer: Oxford Commercial	$892.40
Rate for Payer: Qualcare PPO/HMO/WC	$669.30
Rate for Payer: UnitedHealthcare Commercial	$892.40
Rate for Payer: UnitedHealthcare Community & State	$141.00
Rate for Payer: Wellpoint Medicaid Managed Care	$126.72

BLADE SIDEWINER ICW

Facility

$4,462.00

Hospital Charge Code	270688039
Hospital Revenue Code	272
Min. Negotiated Rate	$669.30
Max. Negotiated Rate	$669.30
Rate for Payer: Qualcare PPO/HMO/WC	$669.30

BLADES INC PL ELITE MINI 3.5MM

Facility

$1,500.00

Hospital Charge Code	270693725
Hospital Revenue Code	272
Min. Negotiated Rate	$42.60
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$570.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$390.00
Rate for Payer: Oxford Commercial	$300.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00
Rate for Payer: UnitedHealthcare Commercial	$300.00
Rate for Payer: UnitedHealthcare Community & State	$47.40
Rate for Payer: Wellpoint Medicaid Managed Care	$42.60

BLADES INC PL ELITE MINI 3.5MM

Facility

$1,500.00

Hospital Charge Code	270693725
Hospital Revenue Code	272
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$225.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

BLADE SLIT ALCON 2.75 CLEAR

Facility

$137.50

Hospital Charge Code	270651605
Hospital Revenue Code	272
Min. Negotiated Rate	$3.90
Max. Negotiated Rate	$68.75
Rate for Payer: Aetna Commercial	$52.25
Rate for Payer: Aetna Medicare Advantage	$41.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.06
Rate for Payer: Cigna Commercial	$68.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.75
Rate for Payer: Oxford Commercial	$27.50
Rate for Payer: Qualcare PPO/HMO/WC	$20.62
Rate for Payer: UnitedHealthcare Commercial	$27.50
Rate for Payer: UnitedHealthcare Community & State	$4.34
Rate for Payer: Wellpoint Medicaid Managed Care	$3.90

BLADE SLIT ALCON 2.75 CLEAR

Facility

$137.50

Hospital Charge Code	270651605
Hospital Revenue Code	272
Min. Negotiated Rate	$20.62
Max. Negotiated Rate	$20.62
Rate for Payer: Qualcare PPO/HMO/WC	$20.62

BLADE SPHERICAL STERILING 4.5m

Facility

$39.48

Hospital Charge Code	270674987
Hospital Revenue Code	272
Min. Negotiated Rate	$5.92
Max. Negotiated Rate	$5.92
Rate for Payer: Qualcare PPO/HMO/WC	$5.92

BLADE SPHERICAL STERILING 4.5m

Facility

$39.48

Hospital Charge Code	270674987
Hospital Revenue Code	272
Min. Negotiated Rate	$1.12
Max. Negotiated Rate	$19.74
Rate for Payer: Aetna Commercial	$15.00
Rate for Payer: Aetna Medicare Advantage	$11.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.07
Rate for Payer: Cigna Commercial	$19.74
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.26
Rate for Payer: Oxford Commercial	$7.90
Rate for Payer: Qualcare PPO/HMO/WC	$5.92
Rate for Payer: UnitedHealthcare Commercial	$7.90
Rate for Payer: UnitedHealthcare Community & State	$1.25
Rate for Payer: Wellpoint Medicaid Managed Care	$1.12

BLADE SPIRAL TI 75MM

Facility

$2,640.75

Service Code	HCPCS C1713
Hospital Charge Code	270693260
Hospital Revenue Code	278
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$1,320.38
Rate for Payer: Aetna Commercial	$1,003.49
Rate for Payer: Aetna Medicare Advantage	$792.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$673.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$673.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$528.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$673.39
Rate for Payer: Cigna Commercial	$1,320.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$639.06
Rate for Payer: Qualcare PPO/HMO/WC	$396.11
Rate for Payer: UnitedHealthcare Community & State	$83.45
Rate for Payer: Wellpoint Medicaid Managed Care	$75.00

BLADE SPIRAL TI 75MM

Facility

$2,640.75

Service Code	HCPCS C1713
Hospital Charge Code	270693260
Hospital Revenue Code	278
Min. Negotiated Rate	$396.11
Max. Negotiated Rate	$639.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$528.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$639.06
Rate for Payer: Qualcare PPO/HMO/WC	$396.11

BLADE STABLECUT MICRO 9X31MM

Facility

$489.60

Hospital Charge Code	270694258
Hospital Revenue Code	272
Min. Negotiated Rate	$13.90
Max. Negotiated Rate	$244.80
Rate for Payer: Aetna Commercial	$186.05
Rate for Payer: Aetna Medicare Advantage	$146.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.85
Rate for Payer: Cigna Commercial	$244.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.30
Rate for Payer: Oxford Commercial	$97.92
Rate for Payer: Qualcare PPO/HMO/WC	$73.44
Rate for Payer: UnitedHealthcare Commercial	$97.92
Rate for Payer: UnitedHealthcare Community & State	$15.47
Rate for Payer: Wellpoint Medicaid Managed Care	$13.90

BLADE STABLECUT MICRO 9X31MM

Facility

$489.60

Hospital Charge Code	270694258
Hospital Revenue Code	272
Min. Negotiated Rate	$73.44
Max. Negotiated Rate	$73.44
Rate for Payer: Qualcare PPO/HMO/WC	$73.44

BLADE STRAIGHT

Facility

$3,500.00

Hospital Charge Code	270687188
Hospital Revenue Code	272
Min. Negotiated Rate	$525.00
Max. Negotiated Rate	$525.00
Rate for Payer: Qualcare PPO/HMO/WC	$525.00

BLADE STRAIGHT

Facility

$3,500.00

Hospital Charge Code	270687188
Hospital Revenue Code	272
Min. Negotiated Rate	$99.40
Max. Negotiated Rate	$1,750.00
Rate for Payer: Aetna Commercial	$1,330.00
Rate for Payer: Aetna Medicare Advantage	$1,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$892.50
Rate for Payer: Cigna Commercial	$1,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$910.00
Rate for Payer: Oxford Commercial	$700.00
Rate for Payer: Qualcare PPO/HMO/WC	$525.00
Rate for Payer: UnitedHealthcare Commercial	$700.00
Rate for Payer: UnitedHealthcare Community & State	$110.60
Rate for Payer: Wellpoint Medicaid Managed Care	$99.40

BLADE STRYKER DUAL 18MMX9X1.19

Facility

$233.70

Hospital Charge Code	270688550
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 STRYKER DUAL 18MMX9X1.19

Facility

$233.70

Hospital Charge Code	270688550
Hospital Revenue Code	272
Min. Negotiated Rate	$35.05
Max. Negotiated Rate	$35.05
Rate for Payer: Qualcare PPO/HMO/WC	$35.05

BLADE SUG PRECISION 9X.38X25MM

Facility

$175.40

Hospital Charge Code	270691104
Hospital Revenue Code	272
Min. Negotiated Rate	$26.31
Max. Negotiated Rate	$26.31
Rate for Payer: Qualcare PPO/HMO/WC	$26.31

BLADE SUG PRECISION 9X.38X25MM

Facility

$175.40

Hospital Charge Code	270691104
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 SURGICAL #10

Facility

$5.00

Hospital Charge Code	270300345
Hospital Revenue Code	272
Min. Negotiated Rate	$0.14
Max. Negotiated Rate	$2.50
Rate for Payer: Aetna Commercial	$1.90
Rate for Payer: Aetna Medicare Advantage	$1.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.27
Rate for Payer: Cigna Commercial	$2.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.30
Rate for Payer: Oxford Commercial	$1.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.75
Rate for Payer: UnitedHealthcare Commercial	$1.00
Rate for Payer: UnitedHealthcare Community & State	$0.16
Rate for Payer: Wellpoint Medicaid Managed Care	$0.14

Know your out-of-pocket cost for care.

All Charges