Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

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

BLADE SURGICAL #11

Facility

$7.25

Hospital Charge Code	270300350
Hospital Revenue Code	272
Min. Negotiated Rate	$0.21
Max. Negotiated Rate	$3.62
Rate for Payer: Aetna Commercial	$2.75
Rate for Payer: Aetna Medicare Advantage	$2.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.85
Rate for Payer: Cigna Commercial	$3.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.89
Rate for Payer: Oxford Commercial	$1.45
Rate for Payer: Qualcare PPO/HMO/WC	$1.09
Rate for Payer: UnitedHealthcare Commercial	$1.45
Rate for Payer: UnitedHealthcare Community & State	$0.23
Rate for Payer: Wellpoint Medicaid Managed Care	$0.21

BLADE SURGICAL #11

Facility

$7.25

Hospital Charge Code	270300350
Hospital Revenue Code	272
Min. Negotiated Rate	$1.09
Max. Negotiated Rate	$1.09
Rate for Payer: Qualcare PPO/HMO/WC	$1.09

BLADE SURGICAL #15

Facility

$5.00

Hospital Charge Code	270300360
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

BLADE SURGICAL #15

Facility

$5.00

Hospital Charge Code	270300360
Hospital Revenue Code	272
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$0.75
Rate for Payer: Qualcare PPO/HMO/WC	$0.75

BLADE SURGICAL #20

Facility

$5.00

Hospital Charge Code	270300365
Hospital Revenue Code	272
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$0.75
Rate for Payer: Qualcare PPO/HMO/WC	$0.75

BLADE SURGICAL #20

Facility

$5.00

Hospital Charge Code	270300365
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

BLADE TFNA FENES HELICAL 115MM

Facility

$3,746.05

Service Code	HCPCS C1713
Hospital Charge Code	270698585
Hospital Revenue Code	278
Min. Negotiated Rate	$561.91
Max. Negotiated Rate	$906.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$749.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$906.54
Rate for Payer: Qualcare PPO/HMO/WC	$561.91

BLADE TFNA FENES HELICAL 115MM

Facility

$3,746.05

Service Code	HCPCS C1713
Hospital Charge Code	270698585
Hospital Revenue Code	278
Min. Negotiated Rate	$106.39
Max. Negotiated Rate	$1,873.03
Rate for Payer: Aetna Commercial	$1,423.50
Rate for Payer: Aetna Medicare Advantage	$1,123.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$955.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$955.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$749.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$955.24
Rate for Payer: Cigna Commercial	$1,873.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$906.54
Rate for Payer: Qualcare PPO/HMO/WC	$561.91
Rate for Payer: UnitedHealthcare Community & State	$118.38
Rate for Payer: Wellpoint Medicaid Managed Care	$106.39

BLADE TFNA HELICAL 100MM STR

Facility

$3,290.85

Hospital Charge Code	270674944
Hospital Revenue Code	272
Min. Negotiated Rate	$93.46
Max. Negotiated Rate	$1,645.42
Rate for Payer: Aetna Commercial	$1,250.52
Rate for Payer: Aetna Medicare Advantage	$987.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$839.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$839.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$839.17
Rate for Payer: Cigna Commercial	$1,645.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$855.62
Rate for Payer: Oxford Commercial	$658.17
Rate for Payer: Qualcare PPO/HMO/WC	$493.63
Rate for Payer: UnitedHealthcare Commercial	$658.17
Rate for Payer: UnitedHealthcare Community & State	$103.99
Rate for Payer: Wellpoint Medicaid Managed Care	$93.46

BLADE TFNA HELICAL 100MM STR

Facility

$3,290.85

Hospital Charge Code	270674944
Hospital Revenue Code	272
Min. Negotiated Rate	$493.63
Max. Negotiated Rate	$493.63
Rate for Payer: Qualcare PPO/HMO/WC	$493.63

BLADE TFNA HELICAL 105MM STER

Facility

$3,389.60

Hospital Charge Code	270676584
Hospital Revenue Code	272
Min. Negotiated Rate	$508.44
Max. Negotiated Rate	$508.44
Rate for Payer: Qualcare PPO/HMO/WC	$508.44

BLADE TFNA HELICAL 105MM STER

Facility

$3,389.60

Hospital Charge Code	270676584
Hospital Revenue Code	272
Min. Negotiated Rate	$96.26
Max. Negotiated Rate	$1,694.80
Rate for Payer: Aetna Commercial	$1,288.05
Rate for Payer: Aetna Medicare Advantage	$1,016.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$864.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$864.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$864.35
Rate for Payer: Cigna Commercial	$1,694.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$881.30
Rate for Payer: Oxford Commercial	$677.92
Rate for Payer: Qualcare PPO/HMO/WC	$508.44
Rate for Payer: UnitedHealthcare Commercial	$677.92
Rate for Payer: UnitedHealthcare Community & State	$107.11
Rate for Payer: Wellpoint Medicaid Managed Care	$96.26

BLADE TFNA HELICAL 105M STER

Facility

$3,389.60

Hospital Charge Code	270683631
Hospital Revenue Code	272
Min. Negotiated Rate	$96.26
Max. Negotiated Rate	$1,694.80
Rate for Payer: Aetna Commercial	$1,288.05
Rate for Payer: Aetna Medicare Advantage	$1,016.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$864.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$864.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$864.35
Rate for Payer: Cigna Commercial	$1,694.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$881.30
Rate for Payer: Oxford Commercial	$677.92
Rate for Payer: Qualcare PPO/HMO/WC	$508.44
Rate for Payer: UnitedHealthcare Commercial	$677.92
Rate for Payer: UnitedHealthcare Community & State	$107.11
Rate for Payer: Wellpoint Medicaid Managed Care	$96.26

BLADE TFNA HELICAL 105M STER

Facility

$3,389.60

Hospital Charge Code	270683631
Hospital Revenue Code	272
Min. Negotiated Rate	$508.44
Max. Negotiated Rate	$508.44
Rate for Payer: Qualcare PPO/HMO/WC	$508.44

BLADE TFNA HELICAL 110MM

Facility

$16,050.00

Hospital Charge Code	270693448
Hospital Revenue Code	272
Min. Negotiated Rate	$455.82
Max. Negotiated Rate	$8,025.00
Rate for Payer: Aetna Commercial	$6,099.00
Rate for Payer: Aetna Medicare Advantage	$4,815.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,092.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,092.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,092.75
Rate for Payer: Cigna Commercial	$8,025.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,173.00
Rate for Payer: Oxford Commercial	$3,210.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,407.50
Rate for Payer: UnitedHealthcare Commercial	$3,210.00
Rate for Payer: UnitedHealthcare Community & State	$507.18
Rate for Payer: Wellpoint Medicaid Managed Care	$455.82

BLADE TFNA HELICAL 110MM

Facility

$16,050.00

Hospital Charge Code	270693448
Hospital Revenue Code	272
Min. Negotiated Rate	$2,407.50
Max. Negotiated Rate	$2,407.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,407.50

BLADE TFNA HELICAL 110MM STER

Facility

$3,290.85

Service Code	HCPCS C1713
Hospital Charge Code	270675961
Hospital Revenue Code	278
Min. Negotiated Rate	$493.63
Max. Negotiated Rate	$796.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$658.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$796.39
Rate for Payer: Qualcare PPO/HMO/WC	$493.63

BLADE TFNA HELICAL 110MM STER

Facility

$3,290.85

Service Code	HCPCS C1713
Hospital Charge Code	270675961
Hospital Revenue Code	278
Min. Negotiated Rate	$93.46
Max. Negotiated Rate	$1,645.42
Rate for Payer: Aetna Commercial	$1,250.52
Rate for Payer: Aetna Medicare Advantage	$987.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$839.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$839.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$658.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$839.17
Rate for Payer: Cigna Commercial	$1,645.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$796.39
Rate for Payer: Qualcare PPO/HMO/WC	$493.63
Rate for Payer: UnitedHealthcare Community & State	$103.99
Rate for Payer: Wellpoint Medicaid Managed Care	$93.46

BLADE TFNA HELICAL 115MM STR

Facility

$3,290.85

Hospital Charge Code	270675686
Hospital Revenue Code	272
Min. Negotiated Rate	$493.63
Max. Negotiated Rate	$493.63
Rate for Payer: Qualcare PPO/HMO/WC	$493.63

BLADE TFNA HELICAL 115MM STR

Facility

$3,290.85

Hospital Charge Code	270675686
Hospital Revenue Code	272
Min. Negotiated Rate	$93.46
Max. Negotiated Rate	$1,645.42
Rate for Payer: Aetna Commercial	$1,250.52
Rate for Payer: Aetna Medicare Advantage	$987.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$839.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$839.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$839.17
Rate for Payer: Cigna Commercial	$1,645.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$855.62
Rate for Payer: Oxford Commercial	$658.17
Rate for Payer: Qualcare PPO/HMO/WC	$493.63
Rate for Payer: UnitedHealthcare Commercial	$658.17
Rate for Payer: UnitedHealthcare Community & State	$103.99
Rate for Payer: Wellpoint Medicaid Managed Care	$93.46

BLADE TFNA HELICAL 75MM STER

Facility

$3,290.85

Hospital Charge Code	270677488
Hospital Revenue Code	272
Min. Negotiated Rate	$493.63
Max. Negotiated Rate	$493.63
Rate for Payer: Qualcare PPO/HMO/WC	$493.63

BLADE TFNA HELICAL 75MM STER

Facility

$3,290.85

Hospital Charge Code	270677488
Hospital Revenue Code	272
Min. Negotiated Rate	$93.46
Max. Negotiated Rate	$1,645.42
Rate for Payer: Aetna Commercial	$1,250.52
Rate for Payer: Aetna Medicare Advantage	$987.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$839.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$839.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$839.17
Rate for Payer: Cigna Commercial	$1,645.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$855.62
Rate for Payer: Oxford Commercial	$658.17
Rate for Payer: Qualcare PPO/HMO/WC	$493.63
Rate for Payer: UnitedHealthcare Commercial	$658.17
Rate for Payer: UnitedHealthcare Community & State	$103.99
Rate for Payer: Wellpoint Medicaid Managed Care	$93.46

BLADE TFNA HELICAL 80MM STER

Facility

$3,290.85

Hospital Charge Code	270675801
Hospital Revenue Code	272
Min. Negotiated Rate	$493.63
Max. Negotiated Rate	$493.63
Rate for Payer: Qualcare PPO/HMO/WC	$493.63

BLADE TFNA HELICAL 80MM STER

Facility

$3,290.85

Hospital Charge Code	270675801
Hospital Revenue Code	272
Min. Negotiated Rate	$93.46
Max. Negotiated Rate	$1,645.42
Rate for Payer: Aetna Commercial	$1,250.52
Rate for Payer: Aetna Medicare Advantage	$987.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$839.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$839.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$839.17
Rate for Payer: Cigna Commercial	$1,645.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$855.62
Rate for Payer: Oxford Commercial	$658.17
Rate for Payer: Qualcare PPO/HMO/WC	$493.63
Rate for Payer: UnitedHealthcare Commercial	$658.17
Rate for Payer: UnitedHealthcare Community & State	$103.99
Rate for Payer: Wellpoint Medicaid Managed Care	$93.46

Know your out-of-pocket cost for care.

All Charges