Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

BUR 1.6MMX9CM MIDAS REX MR8

Facility

$1,660.00

Hospital Charge Code	270696446
Hospital Revenue Code	272
Min. Negotiated Rate	$47.14
Max. Negotiated Rate	$830.00
Rate for Payer: Aetna Commercial	$630.80
Rate for Payer: Aetna Medicare Advantage	$498.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$423.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$423.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$423.30
Rate for Payer: Cigna Commercial	$830.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$431.60
Rate for Payer: Oxford Commercial	$332.00
Rate for Payer: Qualcare PPO/HMO/WC	$249.00
Rate for Payer: UnitedHealthcare Commercial	$332.00
Rate for Payer: UnitedHealthcare Community & State	$52.46
Rate for Payer: Wellpoint Medicaid Managed Care	$47.14

BUR 2.3 MM TAPERED ROUTER

Facility

$577.55

Hospital Charge Code	270683609
Hospital Revenue Code	272
Min. Negotiated Rate	$86.63
Max. Negotiated Rate	$86.63
Rate for Payer: Qualcare PPO/HMO/WC	$86.63

BUR 2.3 MM TAPERED ROUTER

Facility

$577.55

Hospital Charge Code	270683609
Hospital Revenue Code	272
Min. Negotiated Rate	$16.40
Max. Negotiated Rate	$288.77
Rate for Payer: Aetna Commercial	$219.47
Rate for Payer: Aetna Medicare Advantage	$173.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$147.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$147.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$147.28
Rate for Payer: Cigna Commercial	$288.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.16
Rate for Payer: Oxford Commercial	$115.51
Rate for Payer: Qualcare PPO/HMO/WC	$86.63
Rate for Payer: UnitedHealthcare Commercial	$115.51
Rate for Payer: UnitedHealthcare Community & State	$18.25
Rate for Payer: Wellpoint Medicaid Managed Care	$16.40

BUR 25.4MMX9CM MIDAS REX MR8

Facility

$1,385.00

Hospital Charge Code	270696447
Hospital Revenue Code	272
Min. Negotiated Rate	$207.75
Max. Negotiated Rate	$207.75
Rate for Payer: Qualcare PPO/HMO/WC	$207.75

BUR 25.4MMX9CM MIDAS REX MR8

Facility

$1,385.00

Hospital Charge Code	270696447
Hospital Revenue Code	272
Min. Negotiated Rate	$39.33
Max. Negotiated Rate	$692.50
Rate for Payer: Aetna Commercial	$526.30
Rate for Payer: Aetna Medicare Advantage	$415.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$353.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$353.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$353.18
Rate for Payer: Cigna Commercial	$692.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$360.10
Rate for Payer: Oxford Commercial	$277.00
Rate for Payer: Qualcare PPO/HMO/WC	$207.75
Rate for Payer: UnitedHealthcare Commercial	$277.00
Rate for Payer: UnitedHealthcare Community & State	$43.77
Rate for Payer: Wellpoint Medicaid Managed Care	$39.33

BUR 3MMX9CM MIDAS REX MR8

Facility

$1,660.00

Hospital Charge Code	270696448
Hospital Revenue Code	272
Min. Negotiated Rate	$47.14
Max. Negotiated Rate	$830.00
Rate for Payer: Aetna Commercial	$630.80
Rate for Payer: Aetna Medicare Advantage	$498.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$423.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$423.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$423.30
Rate for Payer: Cigna Commercial	$830.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$431.60
Rate for Payer: Oxford Commercial	$332.00
Rate for Payer: Qualcare PPO/HMO/WC	$249.00
Rate for Payer: UnitedHealthcare Commercial	$332.00
Rate for Payer: UnitedHealthcare Community & State	$52.46
Rate for Payer: Wellpoint Medicaid Managed Care	$47.14

BUR 3MMX9CM MIDAS REX MR8

Facility

$1,660.00

Hospital Charge Code	270696448
Hospital Revenue Code	272
Min. Negotiated Rate	$249.00
Max. Negotiated Rate	$249.00
Rate for Payer: Qualcare PPO/HMO/WC	$249.00

BUR 4.0MM ROUND CUTTING

Facility

$274.00

Hospital Charge Code	270696474
Hospital Revenue Code	272
Min. Negotiated Rate	$41.10
Max. Negotiated Rate	$41.10
Rate for Payer: Qualcare PPO/HMO/WC	$41.10

BUR 4.0MM ROUND CUTTING

Facility

$274.00

Hospital Charge Code	270696474
Hospital Revenue Code	272
Min. Negotiated Rate	$7.78
Max. Negotiated Rate	$137.00
Rate for Payer: Aetna Commercial	$104.12
Rate for Payer: Aetna Medicare Advantage	$82.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$69.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$69.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$69.87
Rate for Payer: Cigna Commercial	$137.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.24
Rate for Payer: Oxford Commercial	$54.80
Rate for Payer: Qualcare PPO/HMO/WC	$41.10
Rate for Payer: UnitedHealthcare Commercial	$54.80
Rate for Payer: UnitedHealthcare Community & State	$8.66
Rate for Payer: Wellpoint Medicaid Managed Care	$7.78

BUR 6.0 ACORN MM

Facility

$1,125.00

Hospital Charge Code	270683985
Hospital Revenue Code	272
Min. Negotiated Rate	$31.95
Max. Negotiated Rate	$562.50
Rate for Payer: Aetna Commercial	$427.50
Rate for Payer: Aetna Medicare Advantage	$337.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.88
Rate for Payer: Cigna Commercial	$562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$292.50
Rate for Payer: Oxford Commercial	$225.00
Rate for Payer: Qualcare PPO/HMO/WC	$168.75
Rate for Payer: UnitedHealthcare Commercial	$225.00
Rate for Payer: UnitedHealthcare Community & State	$35.55
Rate for Payer: Wellpoint Medicaid Managed Care	$31.95

BUR 6.0 ACORN MM

Facility

$1,125.00

Hospital Charge Code	270683985
Hospital Revenue Code	272
Min. Negotiated Rate	$168.75
Max. Negotiated Rate	$168.75
Rate for Payer: Qualcare PPO/HMO/WC	$168.75

BUR ACORN 6.0MM

Facility

$621.00

Hospital Charge Code	270675182
Hospital Revenue Code	272
Min. Negotiated Rate	$17.64
Max. Negotiated Rate	$310.50
Rate for Payer: Aetna Commercial	$235.98
Rate for Payer: Aetna Medicare Advantage	$186.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.35
Rate for Payer: Cigna Commercial	$310.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$161.46
Rate for Payer: Oxford Commercial	$124.20
Rate for Payer: Qualcare PPO/HMO/WC	$93.15
Rate for Payer: UnitedHealthcare Commercial	$124.20
Rate for Payer: UnitedHealthcare Community & State	$19.62
Rate for Payer: Wellpoint Medicaid Managed Care	$17.64

BUR ACORN 6.0MM

Facility

$621.00

Hospital Charge Code	270675182
Hospital Revenue Code	272
Min. Negotiated Rate	$93.15
Max. Negotiated Rate	$93.15
Rate for Payer: Qualcare PPO/HMO/WC	$93.15

BUR ACORN 6.0MM LONG

Facility

$440.00

Hospital Charge Code	270676377
Hospital Revenue Code	272
Min. Negotiated Rate	$12.50
Max. Negotiated Rate	$220.00
Rate for Payer: Aetna Commercial	$167.20
Rate for Payer: Aetna Medicare Advantage	$132.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$112.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$112.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$112.20
Rate for Payer: Cigna Commercial	$220.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.40
Rate for Payer: Oxford Commercial	$88.00
Rate for Payer: Qualcare PPO/HMO/WC	$66.00
Rate for Payer: UnitedHealthcare Commercial	$88.00
Rate for Payer: UnitedHealthcare Community & State	$13.90
Rate for Payer: Wellpoint Medicaid Managed Care	$12.50

BUR ACORN 6.0MM LONG

Facility

$440.00

Hospital Charge Code	270676377
Hospital Revenue Code	272
Min. Negotiated Rate	$66.00
Max. Negotiated Rate	$66.00
Rate for Payer: Qualcare PPO/HMO/WC	$66.00

BUR ACORN EXTRA LONG

Facility

$580.75

Hospital Charge Code	270675302
Hospital Revenue Code	272
Min. Negotiated Rate	$87.11
Max. Negotiated Rate	$87.11
Rate for Payer: Qualcare PPO/HMO/WC	$87.11

BUR ACORN EXTRA LONG

Facility

$580.75

Hospital Charge Code	270675302
Hospital Revenue Code	272
Min. Negotiated Rate	$16.49
Max. Negotiated Rate	$290.38
Rate for Payer: Aetna Commercial	$220.69
Rate for Payer: Aetna Medicare Advantage	$174.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$148.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$148.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$148.09
Rate for Payer: Cigna Commercial	$290.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.00
Rate for Payer: Oxford Commercial	$116.15
Rate for Payer: Qualcare PPO/HMO/WC	$87.11
Rate for Payer: UnitedHealthcare Commercial	$116.15
Rate for Payer: UnitedHealthcare Community & State	$18.35
Rate for Payer: Wellpoint Medicaid Managed Care	$16.49

BUR ACORN PRECISION 6MM

Facility

$560.50

Hospital Charge Code	270672682
Hospital Revenue Code	272
Min. Negotiated Rate	$84.08
Max. Negotiated Rate	$84.08
Rate for Payer: Qualcare PPO/HMO/WC	$84.08

BUR ACORN PRECISION 6MM

Facility

$560.50

Hospital Charge Code	270672682
Hospital Revenue Code	272
Min. Negotiated Rate	$15.92
Max. Negotiated Rate	$280.25
Rate for Payer: Aetna Commercial	$212.99
Rate for Payer: Aetna Medicare Advantage	$168.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$142.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$142.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$142.93
Rate for Payer: Cigna Commercial	$280.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.73
Rate for Payer: Oxford Commercial	$112.10
Rate for Payer: Qualcare PPO/HMO/WC	$84.08
Rate for Payer: UnitedHealthcare Commercial	$112.10
Rate for Payer: UnitedHealthcare Community & State	$17.71
Rate for Payer: Wellpoint Medicaid Managed Care	$15.92

BUR ACORN SHORT

Facility

$379.50

Hospital Charge Code	270675300
Hospital Revenue Code	272
Min. Negotiated Rate	$10.78
Max. Negotiated Rate	$189.75
Rate for Payer: Aetna Commercial	$144.21
Rate for Payer: Aetna Medicare Advantage	$113.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$96.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$96.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$96.77
Rate for Payer: Cigna Commercial	$189.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.67
Rate for Payer: Oxford Commercial	$75.90
Rate for Payer: Qualcare PPO/HMO/WC	$56.92
Rate for Payer: UnitedHealthcare Commercial	$75.90
Rate for Payer: UnitedHealthcare Community & State	$11.99
Rate for Payer: Wellpoint Medicaid Managed Care	$10.78

BUR ACORN SHORT

Facility

$379.50

Hospital Charge Code	270675300
Hospital Revenue Code	272
Min. Negotiated Rate	$56.92
Max. Negotiated Rate	$56.92
Rate for Payer: Qualcare PPO/HMO/WC	$56.92

BUR ANKLE

Facility

$1,443.00

Hospital Charge Code	270677301
Hospital Revenue Code	272
Min. Negotiated Rate	$216.45
Max. Negotiated Rate	$216.45
Rate for Payer: Qualcare PPO/HMO/WC	$216.45

BUR ANKLE

Facility

$1,443.00

Hospital Charge Code	270677301
Hospital Revenue Code	272
Min. Negotiated Rate	$40.98
Max. Negotiated Rate	$721.50
Rate for Payer: Aetna Commercial	$548.34
Rate for Payer: Aetna Medicare Advantage	$432.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$367.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$367.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$367.96
Rate for Payer: Cigna Commercial	$721.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$375.18
Rate for Payer: Oxford Commercial	$288.60
Rate for Payer: Qualcare PPO/HMO/WC	$216.45
Rate for Payer: UnitedHealthcare Commercial	$288.60
Rate for Payer: UnitedHealthcare Community & State	$45.60
Rate for Payer: Wellpoint Medicaid Managed Care	$40.98

BUR ARTHOSCOPY 5.0cm OVAL

Facility

$314.15

Hospital Charge Code	270674986
Hospital Revenue Code	272
Min. Negotiated Rate	$8.92
Max. Negotiated Rate	$157.07
Rate for Payer: Aetna Commercial	$119.38
Rate for Payer: Aetna Medicare Advantage	$94.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80.11
Rate for Payer: Cigna Commercial	$157.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.68
Rate for Payer: Oxford Commercial	$62.83
Rate for Payer: Qualcare PPO/HMO/WC	$47.12
Rate for Payer: UnitedHealthcare Commercial	$62.83
Rate for Payer: UnitedHealthcare Community & State	$9.93
Rate for Payer: Wellpoint Medicaid Managed Care	$8.92

BUR ARTHOSCOPY 5.0cm OVAL

Facility

$314.15

Hospital Charge Code	270674986
Hospital Revenue Code	272
Min. Negotiated Rate	$47.12
Max. Negotiated Rate	$47.12
Rate for Payer: Qualcare PPO/HMO/WC	$47.12

Know your out-of-pocket cost for care.

All Charges