Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

BURR 5.0 ROUND FLUTED

Facility

$700.00

Hospital Charge Code	270703074
Hospital Revenue Code	270
Min. Negotiated Rate	$19.88
Max. Negotiated Rate	$350.00
Rate for Payer: Aetna Commercial	$266.00
Rate for Payer: Aetna Medicare Advantage	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.50
Rate for Payer: Cigna Commercial	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.00
Rate for Payer: Oxford Commercial	$140.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00
Rate for Payer: UnitedHealthcare Commercial	$140.00
Rate for Payer: UnitedHealthcare Community & State	$22.12
Rate for Payer: Wellpoint Medicaid Managed Care	$19.88

BURR 5.0 ROUND FLUTED

Facility

$700.00

Hospital Charge Code	270703074
Hospital Revenue Code	270
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$105.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

BURR ABRADER 4MM

Facility

$569.45

Hospital Charge Code	270676716
Hospital Revenue Code	272
Min. Negotiated Rate	$85.42
Max. Negotiated Rate	$85.42
Rate for Payer: Qualcare PPO/HMO/WC	$85.42

BURR ABRADER 4MM

Facility

$569.45

Hospital Charge Code	270676716
Hospital Revenue Code	272
Min. Negotiated Rate	$16.17
Max. Negotiated Rate	$284.73
Rate for Payer: Aetna Commercial	$216.39
Rate for Payer: Aetna Medicare Advantage	$170.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$145.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$145.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$145.21
Rate for Payer: Cigna Commercial	$284.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.06
Rate for Payer: Oxford Commercial	$113.89
Rate for Payer: Qualcare PPO/HMO/WC	$85.42
Rate for Payer: UnitedHealthcare Commercial	$113.89
Rate for Payer: UnitedHealthcare Community & State	$17.99
Rate for Payer: Wellpoint Medicaid Managed Care	$16.17

BURR ACORN L 5MM HD LGTH 6.7MM

Facility

$329.00

Hospital Charge Code	270674622
Hospital Revenue Code	272
Min. Negotiated Rate	$9.34
Max. Negotiated Rate	$164.50
Rate for Payer: Aetna Commercial	$125.02
Rate for Payer: Aetna Medicare Advantage	$98.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.89
Rate for Payer: Cigna Commercial	$164.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.54
Rate for Payer: Oxford Commercial	$65.80
Rate for Payer: Qualcare PPO/HMO/WC	$49.35
Rate for Payer: UnitedHealthcare Commercial	$65.80
Rate for Payer: UnitedHealthcare Community & State	$10.40
Rate for Payer: Wellpoint Medicaid Managed Care	$9.34

BURR ACORN L 5MM HD LGTH 6.7MM

Facility

$329.00

Hospital Charge Code	270674622
Hospital Revenue Code	272
Min. Negotiated Rate	$49.35
Max. Negotiated Rate	$49.35
Rate for Payer: Qualcare PPO/HMO/WC	$49.35

BURR ACORN L 6MM HD LGTH 8MM

Facility

$329.00

Hospital Charge Code	270674438
Hospital Revenue Code	272
Min. Negotiated Rate	$9.34
Max. Negotiated Rate	$164.50
Rate for Payer: Aetna Commercial	$125.02
Rate for Payer: Aetna Medicare Advantage	$98.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.89
Rate for Payer: Cigna Commercial	$164.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.54
Rate for Payer: Oxford Commercial	$65.80
Rate for Payer: Qualcare PPO/HMO/WC	$49.35
Rate for Payer: UnitedHealthcare Commercial	$65.80
Rate for Payer: UnitedHealthcare Community & State	$10.40
Rate for Payer: Wellpoint Medicaid Managed Care	$9.34

BURR ACORN L 6MM HD LGTH 8MM

Facility

$329.00

Hospital Charge Code	270674438
Hospital Revenue Code	272
Min. Negotiated Rate	$49.35
Max. Negotiated Rate	$49.35
Rate for Payer: Qualcare PPO/HMO/WC	$49.35

BURR ACORN L 7.5MM HD LGTH 9.5

Facility

$329.00

Hospital Charge Code	270674442
Hospital Revenue Code	272
Min. Negotiated Rate	$9.34
Max. Negotiated Rate	$164.50
Rate for Payer: Aetna Commercial	$125.02
Rate for Payer: Aetna Medicare Advantage	$98.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.89
Rate for Payer: Cigna Commercial	$164.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.54
Rate for Payer: Oxford Commercial	$65.80
Rate for Payer: Qualcare PPO/HMO/WC	$49.35
Rate for Payer: UnitedHealthcare Commercial	$65.80
Rate for Payer: UnitedHealthcare Community & State	$10.40
Rate for Payer: Wellpoint Medicaid Managed Care	$9.34

BURR ACORN L 7.5MM HD LGTH 9.5

Facility

$329.00

Hospital Charge Code	270674442
Hospital Revenue Code	272
Min. Negotiated Rate	$49.35
Max. Negotiated Rate	$49.35
Rate for Payer: Qualcare PPO/HMO/WC	$49.35

BURR ACORN L 9MM HD LTH 11.4MM

Facility

$329.00

Hospital Charge Code	270674445
Hospital Revenue Code	272
Min. Negotiated Rate	$9.34
Max. Negotiated Rate	$164.50
Rate for Payer: Aetna Commercial	$125.02
Rate for Payer: Aetna Medicare Advantage	$98.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.89
Rate for Payer: Cigna Commercial	$164.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.54
Rate for Payer: Oxford Commercial	$65.80
Rate for Payer: Qualcare PPO/HMO/WC	$49.35
Rate for Payer: UnitedHealthcare Commercial	$65.80
Rate for Payer: UnitedHealthcare Community & State	$10.40
Rate for Payer: Wellpoint Medicaid Managed Care	$9.34

BURR ACORN L 9MM HD LTH 11.4MM

Facility

$329.00

Hospital Charge Code	270674445
Hospital Revenue Code	272
Min. Negotiated Rate	$49.35
Max. Negotiated Rate	$49.35
Rate for Payer: Qualcare PPO/HMO/WC	$49.35

BURR ACORN M 5MM HD LGTH 6.7MM

Facility

$329.00

Hospital Charge Code	270674621
Hospital Revenue Code	272
Min. Negotiated Rate	$9.34
Max. Negotiated Rate	$164.50
Rate for Payer: Aetna Commercial	$125.02
Rate for Payer: Aetna Medicare Advantage	$98.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.89
Rate for Payer: Cigna Commercial	$164.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.54
Rate for Payer: Oxford Commercial	$65.80
Rate for Payer: Qualcare PPO/HMO/WC	$49.35
Rate for Payer: UnitedHealthcare Commercial	$65.80
Rate for Payer: UnitedHealthcare Community & State	$10.40
Rate for Payer: Wellpoint Medicaid Managed Care	$9.34

BURR ACORN M 5MM HD LGTH 6.7MM

Facility

$329.00

Hospital Charge Code	270674621
Hospital Revenue Code	272
Min. Negotiated Rate	$49.35
Max. Negotiated Rate	$49.35
Rate for Payer: Qualcare PPO/HMO/WC	$49.35

BURR ACORN M 6MM HD LGTH 8MM

Facility

$329.00

Hospital Charge Code	270674437
Hospital Revenue Code	272
Min. Negotiated Rate	$9.34
Max. Negotiated Rate	$164.50
Rate for Payer: Aetna Commercial	$125.02
Rate for Payer: Aetna Medicare Advantage	$98.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.89
Rate for Payer: Cigna Commercial	$164.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.54
Rate for Payer: Oxford Commercial	$65.80
Rate for Payer: Qualcare PPO/HMO/WC	$49.35
Rate for Payer: UnitedHealthcare Commercial	$65.80
Rate for Payer: UnitedHealthcare Community & State	$10.40
Rate for Payer: Wellpoint Medicaid Managed Care	$9.34

BURR ACORN M 6MM HD LGTH 8MM

Facility

$329.00

Hospital Charge Code	270674437
Hospital Revenue Code	272
Min. Negotiated Rate	$49.35
Max. Negotiated Rate	$49.35
Rate for Payer: Qualcare PPO/HMO/WC	$49.35

BURR ACORN M 7.5MM HD LGTH 9.5

Facility

$329.00

Hospital Charge Code	270674441
Hospital Revenue Code	272
Min. Negotiated Rate	$9.34
Max. Negotiated Rate	$164.50
Rate for Payer: Aetna Commercial	$125.02
Rate for Payer: Aetna Medicare Advantage	$98.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.89
Rate for Payer: Cigna Commercial	$164.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.54
Rate for Payer: Oxford Commercial	$65.80
Rate for Payer: Qualcare PPO/HMO/WC	$49.35
Rate for Payer: UnitedHealthcare Commercial	$65.80
Rate for Payer: UnitedHealthcare Community & State	$10.40
Rate for Payer: Wellpoint Medicaid Managed Care	$9.34

BURR ACORN M 7.5MM HD LGTH 9.5

Facility

$329.00

Hospital Charge Code	270674441
Hospital Revenue Code	272
Min. Negotiated Rate	$49.35
Max. Negotiated Rate	$49.35
Rate for Payer: Qualcare PPO/HMO/WC	$49.35

BURR ACORN M 9MM HD LTH 11.4MM

Facility

$329.00

Hospital Charge Code	270674444
Hospital Revenue Code	272
Min. Negotiated Rate	$9.34
Max. Negotiated Rate	$164.50
Rate for Payer: Aetna Commercial	$125.02
Rate for Payer: Aetna Medicare Advantage	$98.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.89
Rate for Payer: Cigna Commercial	$164.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.54
Rate for Payer: Oxford Commercial	$65.80
Rate for Payer: Qualcare PPO/HMO/WC	$49.35
Rate for Payer: UnitedHealthcare Commercial	$65.80
Rate for Payer: UnitedHealthcare Community & State	$10.40
Rate for Payer: Wellpoint Medicaid Managed Care	$9.34

BURR ACORN M 9MM HD LTH 11.4MM

Facility

$329.00

Hospital Charge Code	270674444
Hospital Revenue Code	272
Min. Negotiated Rate	$49.35
Max. Negotiated Rate	$49.35
Rate for Payer: Qualcare PPO/HMO/WC	$49.35

BURR ACORN S 5MM HD LGTH 6.7MM

Facility

$329.00

Hospital Charge Code	270674620
Hospital Revenue Code	272
Min. Negotiated Rate	$9.34
Max. Negotiated Rate	$164.50
Rate for Payer: Aetna Commercial	$125.02
Rate for Payer: Aetna Medicare Advantage	$98.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.89
Rate for Payer: Cigna Commercial	$164.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.54
Rate for Payer: Oxford Commercial	$65.80
Rate for Payer: Qualcare PPO/HMO/WC	$49.35
Rate for Payer: UnitedHealthcare Commercial	$65.80
Rate for Payer: UnitedHealthcare Community & State	$10.40
Rate for Payer: Wellpoint Medicaid Managed Care	$9.34

BURR ACORN S 5MM HD LGTH 6.7MM

Facility

$329.00

Hospital Charge Code	270674620
Hospital Revenue Code	272
Min. Negotiated Rate	$49.35
Max. Negotiated Rate	$49.35
Rate for Payer: Qualcare PPO/HMO/WC	$49.35

BURR ACORN S 6MM HD LGTH 8MM

Facility

$329.00

Hospital Charge Code	270674436
Hospital Revenue Code	272
Min. Negotiated Rate	$9.34
Max. Negotiated Rate	$164.50
Rate for Payer: Aetna Commercial	$125.02
Rate for Payer: Aetna Medicare Advantage	$98.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.89
Rate for Payer: Cigna Commercial	$164.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.54
Rate for Payer: Oxford Commercial	$65.80
Rate for Payer: Qualcare PPO/HMO/WC	$49.35
Rate for Payer: UnitedHealthcare Commercial	$65.80
Rate for Payer: UnitedHealthcare Community & State	$10.40
Rate for Payer: Wellpoint Medicaid Managed Care	$9.34

BURR ACORN S 6MM HD LGTH 8MM

Facility

$329.00

Hospital Charge Code	270674436
Hospital Revenue Code	272
Min. Negotiated Rate	$49.35
Max. Negotiated Rate	$49.35
Rate for Payer: Qualcare PPO/HMO/WC	$49.35

BURR ACORN S 7.5MM HD LGTH 9.5

Facility

$329.00

Hospital Charge Code	270674439
Hospital Revenue Code	272
Min. Negotiated Rate	$9.34
Max. Negotiated Rate	$164.50
Rate for Payer: Aetna Commercial	$125.02
Rate for Payer: Aetna Medicare Advantage	$98.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.89
Rate for Payer: Cigna Commercial	$164.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.54
Rate for Payer: Oxford Commercial	$65.80
Rate for Payer: Qualcare PPO/HMO/WC	$49.35
Rate for Payer: UnitedHealthcare Commercial	$65.80
Rate for Payer: UnitedHealthcare Community & State	$10.40
Rate for Payer: Wellpoint Medicaid Managed Care	$9.34

Know your out-of-pocket cost for care.

All Charges