Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

BURR INVERTED CONE S 6.5x6.1MM

Facility

$430.50

Hospital Charge Code	270674476
Hospital Revenue Code	272
Min. Negotiated Rate	$12.23
Max. Negotiated Rate	$215.25
Rate for Payer: Aetna Commercial	$163.59
Rate for Payer: Aetna Medicare Advantage	$129.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.78
Rate for Payer: Cigna Commercial	$215.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.93
Rate for Payer: Oxford Commercial	$86.10
Rate for Payer: Qualcare PPO/HMO/WC	$64.58
Rate for Payer: UnitedHealthcare Commercial	$86.10
Rate for Payer: UnitedHealthcare Community & State	$13.60
Rate for Payer: Wellpoint Medicaid Managed Care	$12.23

BURR INVERTED CONE S 6.5x6.1MM

Facility

$430.50

Hospital Charge Code	270674476
Hospital Revenue Code	272
Min. Negotiated Rate	$64.58
Max. Negotiated Rate	$64.58
Rate for Payer: Qualcare PPO/HMO/WC	$64.58

BURR MATCH ROUND

Facility

$1,125.00

Hospital Charge Code	270692511
Hospital Revenue Code	272
Min. Negotiated Rate	$168.75
Max. Negotiated Rate	$168.75
Rate for Payer: Qualcare PPO/HMO/WC	$168.75

BURR MATCH ROUND

Facility

$1,125.00

Hospital Charge Code	270692511
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

BURR MICA 2X20MM MICA

Facility

$1,610.00

Service Code	HCPCS C1716
Hospital Charge Code	270702335
Hospital Revenue Code	278
Min. Negotiated Rate	$241.50
Max. Negotiated Rate	$389.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$322.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$389.62
Rate for Payer: Qualcare PPO/HMO/WC	$241.50

BURR MICA 2X20MM MICA

Facility

$1,610.00

Service Code	HCPCS C1716
Hospital Charge Code	270702335
Hospital Revenue Code	278
Min. Negotiated Rate	$45.72
Max. Negotiated Rate	$2,166.34
Rate for Payer: Aetna Commercial	$1,624.38
Rate for Payer: Aetna Medicare Advantage	$1,934.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,166.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,166.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$597.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$322.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,166.34
Rate for Payer: Cigna Commercial	$1,197.08
Rate for Payer: Cigna Medicare Advantage	$597.20
Rate for Payer: Clover Medicare Advantage	$567.34
Rate for Payer: EmblemHealth Commercial	$1,791.60
Rate for Payer: Humana Medicare Advantage	$615.12
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$597.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$389.62
Rate for Payer: Qualcare PPO/HMO/WC	$241.50
Rate for Payer: UnitedHealthcare Community & State	$50.88
Rate for Payer: UnitedHealthcare Medicare Advantage	$597.20
Rate for Payer: Wellcare Medicare Advantage	$597.20
Rate for Payer: Wellpoint Medicaid Managed Care	$45.72

BURR MICA WEDGE 3.1X13MM DISP

Facility

$1,843.70

Service Code	HCPCS A4649
Hospital Charge Code	270699089
Hospital Revenue Code	272
Min. Negotiated Rate	$276.56
Max. Negotiated Rate	$276.56
Rate for Payer: Qualcare PPO/HMO/WC	$276.56

BURR MICA WEDGE 3.1X13MM DISP

Facility

$1,843.70

Service Code	HCPCS A4649
Hospital Charge Code	270699089
Hospital Revenue Code	272
Min. Negotiated Rate	$52.36
Max. Negotiated Rate	$921.85
Rate for Payer: Aetna Commercial	$700.61
Rate for Payer: Aetna Medicare Advantage	$553.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$470.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$470.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$470.14
Rate for Payer: Cigna Commercial	$921.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$479.36
Rate for Payer: Oxford Commercial	$368.74
Rate for Payer: Qualcare PPO/HMO/WC	$276.56
Rate for Payer: UnitedHealthcare Commercial	$368.74
Rate for Payer: UnitedHealthcare Community & State	$58.26
Rate for Payer: Wellpoint Medicaid Managed Care	$52.36

BURR MIDAS REX MR8

Facility

$1,305.00

Hospital Charge Code	270694454
Hospital Revenue Code	272
Min. Negotiated Rate	$37.06
Max. Negotiated Rate	$652.50
Rate for Payer: Aetna Commercial	$495.90
Rate for Payer: Aetna Medicare Advantage	$391.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$332.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$332.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$332.77
Rate for Payer: Cigna Commercial	$652.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$339.30
Rate for Payer: Oxford Commercial	$261.00
Rate for Payer: Qualcare PPO/HMO/WC	$195.75
Rate for Payer: UnitedHealthcare Commercial	$261.00
Rate for Payer: UnitedHealthcare Community & State	$41.24
Rate for Payer: Wellpoint Medicaid Managed Care	$37.06

BURR MIDAS REX MR8

Facility

$1,305.00

Hospital Charge Code	270694454
Hospital Revenue Code	272
Min. Negotiated Rate	$195.75
Max. Negotiated Rate	$195.75
Rate for Payer: Qualcare PPO/HMO/WC	$195.75

BURR MR8 TAPER SPIRAL 1.5 7CM

Facility

$1,135.00

Service Code	HCPCS A4649
Hospital Charge Code	270696498
Hospital Revenue Code	272
Min. Negotiated Rate	$32.23
Max. Negotiated Rate	$567.50
Rate for Payer: Aetna Commercial	$431.30
Rate for Payer: Aetna Medicare Advantage	$340.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$289.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$289.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$289.43
Rate for Payer: Cigna Commercial	$567.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$295.10
Rate for Payer: Oxford Commercial	$227.00
Rate for Payer: Qualcare PPO/HMO/WC	$170.25
Rate for Payer: UnitedHealthcare Commercial	$227.00
Rate for Payer: UnitedHealthcare Community & State	$35.87
Rate for Payer: Wellpoint Medicaid Managed Care	$32.23

BURR MR8 TAPER SPIRAL 1.5 7CM

Facility

$1,135.00

Service Code	HCPCS A4649
Hospital Charge Code	270696498
Hospital Revenue Code	272
Min. Negotiated Rate	$170.25
Max. Negotiated Rate	$170.25
Rate for Payer: Qualcare PPO/HMO/WC	$170.25

BUR RND DIAMOND MED. 2.0MM

Facility

$297.50

Hospital Charge Code	270679753
Hospital Revenue Code	272
Min. Negotiated Rate	$44.62
Max. Negotiated Rate	$44.62
Rate for Payer: Qualcare PPO/HMO/WC	$44.62

BUR RND DIAMOND MED. 2.0MM

Facility

$297.50

Hospital Charge Code	270679753
Hospital Revenue Code	272
Min. Negotiated Rate	$8.45
Max. Negotiated Rate	$148.75
Rate for Payer: Aetna Commercial	$113.05
Rate for Payer: Aetna Medicare Advantage	$89.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$75.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$75.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$75.86
Rate for Payer: Cigna Commercial	$148.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.35
Rate for Payer: Oxford Commercial	$59.50
Rate for Payer: Qualcare PPO/HMO/WC	$44.62
Rate for Payer: UnitedHealthcare Commercial	$59.50
Rate for Payer: UnitedHealthcare Community & State	$9.40
Rate for Payer: Wellpoint Medicaid Managed Care	$8.45

BUR RND SOLID CARBIDE LNG 2.0M

Facility

$180.00

Hospital Charge Code	270679754
Hospital Revenue Code	272
Min. Negotiated Rate	$27.00
Max. Negotiated Rate	$27.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00

BUR RND SOLID CARBIDE LNG 2.0M

Facility

$180.00

Hospital Charge Code	270679754
Hospital Revenue Code	272
Min. Negotiated Rate	$5.11
Max. Negotiated Rate	$90.00
Rate for Payer: Aetna Commercial	$68.40
Rate for Payer: Aetna Medicare Advantage	$54.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.90
Rate for Payer: Cigna Commercial	$90.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.80
Rate for Payer: Oxford Commercial	$36.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00
Rate for Payer: UnitedHealthcare Commercial	$36.00
Rate for Payer: UnitedHealthcare Community & State	$5.69
Rate for Payer: Wellpoint Medicaid Managed Care	$5.11

BUR RND SOLID CARBID MED 2.0MM

Facility

$112.50

Hospital Charge Code	270679755
Hospital Revenue Code	272
Min. Negotiated Rate	$16.88
Max. Negotiated Rate	$16.88
Rate for Payer: Qualcare PPO/HMO/WC	$16.88

BUR RND SOLID CARBID MED 2.0MM

Facility

$112.50

Hospital Charge Code	270679755
Hospital Revenue Code	272
Min. Negotiated Rate	$3.19
Max. Negotiated Rate	$56.25
Rate for Payer: Aetna Commercial	$42.75
Rate for Payer: Aetna Medicare Advantage	$33.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.69
Rate for Payer: Cigna Commercial	$56.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.25
Rate for Payer: Oxford Commercial	$22.50
Rate for Payer: Qualcare PPO/HMO/WC	$16.88
Rate for Payer: UnitedHealthcare Commercial	$22.50
Rate for Payer: UnitedHealthcare Community & State	$3.56
Rate for Payer: Wellpoint Medicaid Managed Care	$3.19

BURR NEURO 4.0X5.1MM

Facility

$1,375.00

Hospital Charge Code	270695383
Hospital Revenue Code	272
Min. Negotiated Rate	$39.05
Max. Negotiated Rate	$687.50
Rate for Payer: Aetna Commercial	$522.50
Rate for Payer: Aetna Medicare Advantage	$412.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$350.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$350.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$350.62
Rate for Payer: Cigna Commercial	$687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$357.50
Rate for Payer: Oxford Commercial	$275.00
Rate for Payer: Qualcare PPO/HMO/WC	$206.25
Rate for Payer: UnitedHealthcare Commercial	$275.00
Rate for Payer: UnitedHealthcare Community & State	$43.45
Rate for Payer: Wellpoint Medicaid Managed Care	$39.05

BURR NEURO 4.0X5.1MM

Facility

$1,375.00

Hospital Charge Code	270695383
Hospital Revenue Code	272
Min. Negotiated Rate	$206.25
Max. Negotiated Rate	$206.25
Rate for Payer: Qualcare PPO/HMO/WC	$206.25

BURR NEURO HOLE COVER 17MM

Facility

$1,585.00

Hospital Charge Code	270674574
Hospital Revenue Code	278
Min. Negotiated Rate	$237.75
Max. Negotiated Rate	$383.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$317.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$383.57
Rate for Payer: Qualcare PPO/HMO/WC	$237.75

BURR NEURO HOLE COVER 17MM

Facility

$1,585.00

Hospital Charge Code	270674574
Hospital Revenue Code	278
Min. Negotiated Rate	$45.01
Max. Negotiated Rate	$792.50
Rate for Payer: Aetna Commercial	$602.30
Rate for Payer: Aetna Medicare Advantage	$475.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$404.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$404.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$317.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$404.18
Rate for Payer: Cigna Commercial	$792.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$383.57
Rate for Payer: Qualcare PPO/HMO/WC	$237.75
Rate for Payer: UnitedHealthcare Community & State	$50.09
Rate for Payer: Wellpoint Medicaid Managed Care	$45.01

BURR NEURO L 1.7MM HD LGTH 2.3

Facility

$490.00

Hospital Charge Code	270674511
Hospital Revenue Code	272
Min. Negotiated Rate	$13.92
Max. Negotiated Rate	$245.00
Rate for Payer: Aetna Commercial	$186.20
Rate for Payer: Aetna Medicare Advantage	$147.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.95
Rate for Payer: Cigna Commercial	$245.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.40
Rate for Payer: Oxford Commercial	$98.00
Rate for Payer: Qualcare PPO/HMO/WC	$73.50
Rate for Payer: UnitedHealthcare Commercial	$98.00
Rate for Payer: UnitedHealthcare Community & State	$15.48
Rate for Payer: Wellpoint Medicaid Managed Care	$13.92

BURR NEURO L 1.7MM HD LGTH 2.3

Facility

$490.00

Hospital Charge Code	270674511
Hospital Revenue Code	272
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$73.50
Rate for Payer: Qualcare PPO/HMO/WC	$73.50

BURR NEURO L 2.2MM HD LGTH 3.7

Facility

$490.00

Hospital Charge Code	270674515
Hospital Revenue Code	272
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$73.50
Rate for Payer: Qualcare PPO/HMO/WC	$73.50

Know your out-of-pocket cost for care.

All Charges