Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

BUR ARTHROSCOPY BARREL AGGRESS

Facility

$190.00

Hospital Charge Code	270656367
Hospital Revenue Code	272
Min. Negotiated Rate	$28.50
Max. Negotiated Rate	$28.50
Rate for Payer: Qualcare PPO/HMO/WC	$28.50

BUR ARTHROSCOPY BARREL AGGRESS

Facility

$190.00

Hospital Charge Code	270656367
Hospital Revenue Code	272
Min. Negotiated Rate	$5.40
Max. Negotiated Rate	$95.00
Rate for Payer: Aetna Commercial	$72.20
Rate for Payer: Aetna Medicare Advantage	$57.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.45
Rate for Payer: Cigna Commercial	$95.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.40
Rate for Payer: Oxford Commercial	$38.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.50
Rate for Payer: UnitedHealthcare Commercial	$38.00
Rate for Payer: UnitedHealthcare Community & State	$6.00
Rate for Payer: Wellpoint Medicaid Managed Care	$5.40

BUR BARREL 12 FLUTE 4.0 HOLLOW

Facility

$190.00

Hospital Charge Code	270657598
Hospital Revenue Code	272
Min. Negotiated Rate	$28.50
Max. Negotiated Rate	$28.50
Rate for Payer: Qualcare PPO/HMO/WC	$28.50

BUR BARREL 12 FLUTE 4.0 HOLLOW

Facility

$190.00

Hospital Charge Code	270657598
Hospital Revenue Code	272
Min. Negotiated Rate	$5.40
Max. Negotiated Rate	$95.00
Rate for Payer: Aetna Commercial	$72.20
Rate for Payer: Aetna Medicare Advantage	$57.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.45
Rate for Payer: Cigna Commercial	$95.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.40
Rate for Payer: Oxford Commercial	$38.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.50
Rate for Payer: UnitedHealthcare Commercial	$38.00
Rate for Payer: UnitedHealthcare Community & State	$6.00
Rate for Payer: Wellpoint Medicaid Managed Care	$5.40

BUR BARREL 4x10MM

Facility

$98.70

Hospital Charge Code	270677700
Hospital Revenue Code	272
Min. Negotiated Rate	$14.80
Max. Negotiated Rate	$14.80
Rate for Payer: Qualcare PPO/HMO/WC	$14.80

BUR BARREL 4x10MM

Facility

$98.70

Hospital Charge Code	270677700
Hospital Revenue Code	272
Min. Negotiated Rate	$2.80
Max. Negotiated Rate	$49.35
Rate for Payer: Aetna Commercial	$37.51
Rate for Payer: Aetna Medicare Advantage	$29.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.17
Rate for Payer: Cigna Commercial	$49.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.66
Rate for Payer: Oxford Commercial	$19.74
Rate for Payer: Qualcare PPO/HMO/WC	$14.80
Rate for Payer: UnitedHealthcare Commercial	$19.74
Rate for Payer: UnitedHealthcare Community & State	$3.12
Rate for Payer: Wellpoint Medicaid Managed Care	$2.80

BUR BARREL UNHOODED 4.0MM 6 FL

Facility

$200.00

Hospital Charge Code	270657599
Hospital Revenue Code	272
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

BUR BARREL UNHOODED 4.0MM 6 FL

Facility

$200.00

Hospital Charge Code	270657599
Hospital Revenue Code	272
Min. Negotiated Rate	$5.68
Max. Negotiated Rate	$100.00
Rate for Payer: Aetna Commercial	$76.00
Rate for Payer: Aetna Medicare Advantage	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.00
Rate for Payer: Cigna Commercial	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.00
Rate for Payer: Oxford Commercial	$40.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00
Rate for Payer: UnitedHealthcare Commercial	$40.00
Rate for Payer: UnitedHealthcare Community & State	$6.32
Rate for Payer: Wellpoint Medicaid Managed Care	$5.68

BUR CARBIDE MATCH HEAD 3.0MM

Facility

$1,376.05

Hospital Charge Code	270683791
Hospital Revenue Code	270
Min. Negotiated Rate	$206.41
Max. Negotiated Rate	$206.41
Rate for Payer: Qualcare PPO/HMO/WC	$206.41

BUR CARBIDE MATCH HEAD 3.0MM

Facility

$1,376.05

Hospital Charge Code	270683791
Hospital Revenue Code	270
Min. Negotiated Rate	$39.08
Max. Negotiated Rate	$688.02
Rate for Payer: Aetna Commercial	$522.90
Rate for Payer: Aetna Medicare Advantage	$412.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$350.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$350.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$350.89
Rate for Payer: Cigna Commercial	$688.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$357.77
Rate for Payer: Oxford Commercial	$275.21
Rate for Payer: Qualcare PPO/HMO/WC	$206.41
Rate for Payer: UnitedHealthcare Commercial	$275.21
Rate for Payer: UnitedHealthcare Community & State	$43.48
Rate for Payer: Wellpoint Medicaid Managed Care	$39.08

BUR CRANIAL ROUTER TAP 2.3MM

Facility

$392.85

Hospital Charge Code	270700148
Hospital Revenue Code	272
Min. Negotiated Rate	$58.93
Max. Negotiated Rate	$58.93
Rate for Payer: Qualcare PPO/HMO/WC	$58.93

BUR CRANIAL ROUTER TAP 2.3MM

Facility

$392.85

Hospital Charge Code	270700148
Hospital Revenue Code	272
Min. Negotiated Rate	$11.16
Max. Negotiated Rate	$196.43
Rate for Payer: Aetna Commercial	$149.28
Rate for Payer: Aetna Medicare Advantage	$117.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100.18
Rate for Payer: Cigna Commercial	$196.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.14
Rate for Payer: Oxford Commercial	$78.57
Rate for Payer: Qualcare PPO/HMO/WC	$58.93
Rate for Payer: UnitedHealthcare Commercial	$78.57
Rate for Payer: UnitedHealthcare Community & State	$12.41
Rate for Payer: Wellpoint Medicaid Managed Care	$11.16

BUR DIAMOND ELITE ROUND 2.0mm

Facility

$607.55

Hospital Charge Code	270678593
Hospital Revenue Code	272
Min. Negotiated Rate	$17.25
Max. Negotiated Rate	$303.77
Rate for Payer: Aetna Commercial	$230.87
Rate for Payer: Aetna Medicare Advantage	$182.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$154.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$154.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$154.93
Rate for Payer: Cigna Commercial	$303.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.96
Rate for Payer: Oxford Commercial	$121.51
Rate for Payer: Qualcare PPO/HMO/WC	$91.13
Rate for Payer: UnitedHealthcare Commercial	$121.51
Rate for Payer: UnitedHealthcare Community & State	$19.20
Rate for Payer: Wellpoint Medicaid Managed Care	$17.25

BUR DIAMOND ELITE ROUND 2.0mm

Facility

$607.55

Hospital Charge Code	270678593
Hospital Revenue Code	272
Min. Negotiated Rate	$91.13
Max. Negotiated Rate	$91.13
Rate for Payer: Qualcare PPO/HMO/WC	$91.13

BUR DIAMOND EXTRA COARSE 6.0

Facility

$1,345.00

Hospital Charge Code	270694624
Hospital Revenue Code	272
Min. Negotiated Rate	$201.75
Max. Negotiated Rate	$201.75
Rate for Payer: Qualcare PPO/HMO/WC	$201.75

BUR DIAMOND EXTRA COARSE 6.0

Facility

$1,345.00

Hospital Charge Code	270694624
Hospital Revenue Code	272
Min. Negotiated Rate	$38.20
Max. Negotiated Rate	$672.50
Rate for Payer: Aetna Commercial	$511.10
Rate for Payer: Aetna Medicare Advantage	$403.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$342.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$342.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$342.98
Rate for Payer: Cigna Commercial	$672.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$349.70
Rate for Payer: Oxford Commercial	$269.00
Rate for Payer: Qualcare PPO/HMO/WC	$201.75
Rate for Payer: UnitedHealthcare Commercial	$269.00
Rate for Payer: UnitedHealthcare Community & State	$42.50
Rate for Payer: Wellpoint Medicaid Managed Care	$38.20

BUR DIAMOND EXTRA COARSE 7.0

Facility

$1,345.00

Hospital Charge Code	270694625
Hospital Revenue Code	272
Min. Negotiated Rate	$201.75
Max. Negotiated Rate	$201.75
Rate for Payer: Qualcare PPO/HMO/WC	$201.75

BUR DIAMOND EXTRA COARSE 7.0

Facility

$1,345.00

Hospital Charge Code	270694625
Hospital Revenue Code	272
Min. Negotiated Rate	$38.20
Max. Negotiated Rate	$672.50
Rate for Payer: Aetna Commercial	$511.10
Rate for Payer: Aetna Medicare Advantage	$403.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$342.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$342.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$342.98
Rate for Payer: Cigna Commercial	$672.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$349.70
Rate for Payer: Oxford Commercial	$269.00
Rate for Payer: Qualcare PPO/HMO/WC	$201.75
Rate for Payer: UnitedHealthcare Commercial	$269.00
Rate for Payer: UnitedHealthcare Community & State	$42.50
Rate for Payer: Wellpoint Medicaid Managed Care	$38.20

BUR DIAMOND EXTRA COARSE 8.0

Facility

$1,345.00

Hospital Charge Code	270694626
Hospital Revenue Code	272
Min. Negotiated Rate	$201.75
Max. Negotiated Rate	$201.75
Rate for Payer: Qualcare PPO/HMO/WC	$201.75

BUR DIAMOND EXTRA COARSE 8.0

Facility

$1,345.00

Hospital Charge Code	270694626
Hospital Revenue Code	272
Min. Negotiated Rate	$38.20
Max. Negotiated Rate	$672.50
Rate for Payer: Aetna Commercial	$511.10
Rate for Payer: Aetna Medicare Advantage	$403.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$342.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$342.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$342.98
Rate for Payer: Cigna Commercial	$672.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$349.70
Rate for Payer: Oxford Commercial	$269.00
Rate for Payer: Qualcare PPO/HMO/WC	$201.75
Rate for Payer: UnitedHealthcare Commercial	$269.00
Rate for Payer: UnitedHealthcare Community & State	$42.50
Rate for Payer: Wellpoint Medicaid Managed Care	$38.20

BUR DIAMOND RND 3MM

Facility

$621.00

Hospital Charge Code	270679194
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 DIAMOND RND 3MM

Facility

$621.00

Hospital Charge Code	270679194
Hospital Revenue Code	272
Min. Negotiated Rate	$93.15
Max. Negotiated Rate	$93.15
Rate for Payer: Qualcare PPO/HMO/WC	$93.15

BUR DIAMOND RND 4MM

Facility

$621.00

Hospital Charge Code	270672678
Hospital Revenue Code	272
Min. Negotiated Rate	$93.15
Max. Negotiated Rate	$93.15
Rate for Payer: Qualcare PPO/HMO/WC	$93.15

BUR DIAMOND RND 4MM

Facility

$621.00

Hospital Charge Code	270672678
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 DIAMOND RND 5MM

Facility

$621.00

Hospital Charge Code	270672679
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

Know your out-of-pocket cost for care.

All Charges