Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

BUR STRY BRL HLW 5.5MM 275-951

Facility

$531.25

Hospital Charge Code	270601422
Hospital Revenue Code	272
Min. Negotiated Rate	$15.09
Max. Negotiated Rate	$265.62
Rate for Payer: Aetna Commercial	$201.88
Rate for Payer: Aetna Medicare Advantage	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$135.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$135.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$135.47
Rate for Payer: Cigna Commercial	$265.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$138.12
Rate for Payer: Oxford Commercial	$106.25
Rate for Payer: Qualcare PPO/HMO/WC	$79.69
Rate for Payer: UnitedHealthcare Commercial	$106.25
Rate for Payer: UnitedHealthcare Community & State	$16.79
Rate for Payer: Wellpoint Medicaid Managed Care	$15.09

BUR STRY BRL HLW 5.5MM 275-951

Facility

$531.25

Hospital Charge Code	270601422
Hospital Revenue Code	272
Min. Negotiated Rate	$79.69
Max. Negotiated Rate	$79.69
Rate for Payer: Qualcare PPO/HMO/WC	$79.69

BUR STRY RD CRB 2.3MM 2296-101

Facility

$19.50

Hospital Charge Code	270601438
Hospital Revenue Code	272
Min. Negotiated Rate	$2.92
Max. Negotiated Rate	$2.92
Rate for Payer: Qualcare PPO/HMO/WC	$2.92

BUR STRY RD CRB 2.3MM 2296-101

Facility

$19.50

Hospital Charge Code	270601438
Hospital Revenue Code	272
Min. Negotiated Rate	$0.55
Max. Negotiated Rate	$9.75
Rate for Payer: Aetna Commercial	$7.41
Rate for Payer: Aetna Medicare Advantage	$5.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.97
Rate for Payer: Cigna Commercial	$9.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.07
Rate for Payer: Oxford Commercial	$3.90
Rate for Payer: Qualcare PPO/HMO/WC	$2.92
Rate for Payer: UnitedHealthcare Commercial	$3.90
Rate for Payer: UnitedHealthcare Community & State	$0.62
Rate for Payer: Wellpoint Medicaid Managed Care	$0.55

BUR SURG OVAL 4MM DIA 48MML

Facility

$141.25

Hospital Charge Code	270655940
Hospital Revenue Code	271
Min. Negotiated Rate	$21.19
Max. Negotiated Rate	$21.19
Rate for Payer: Qualcare PPO/HMO/WC	$21.19

BUR SURG OVAL 4MM DIA 48MML

Facility

$141.25

Hospital Charge Code	270655940
Hospital Revenue Code	271
Min. Negotiated Rate	$4.01
Max. Negotiated Rate	$70.62
Rate for Payer: Aetna Commercial	$53.67
Rate for Payer: Aetna Medicare Advantage	$42.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.02
Rate for Payer: Cigna Commercial	$70.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.73
Rate for Payer: Oxford Commercial	$28.25
Rate for Payer: Qualcare PPO/HMO/WC	$21.19
Rate for Payer: UnitedHealthcare Commercial	$28.25
Rate for Payer: UnitedHealthcare Community & State	$4.46
Rate for Payer: Wellpoint Medicaid Managed Care	$4.01

BUR TOOL LEGEND 9CM 7.5MM

Facility

$1,909.50

Hospital Charge Code	270691484
Hospital Revenue Code	272
Min. Negotiated Rate	$286.43
Max. Negotiated Rate	$286.43
Rate for Payer: Qualcare PPO/HMO/WC	$286.43

BUR TOOL LEGEND 9CM 7.5MM

Facility

$1,909.50

Hospital Charge Code	270691484
Hospital Revenue Code	272
Min. Negotiated Rate	$54.23
Max. Negotiated Rate	$954.75
Rate for Payer: Aetna Commercial	$725.61
Rate for Payer: Aetna Medicare Advantage	$572.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$486.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$486.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$486.92
Rate for Payer: Cigna Commercial	$954.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$496.47
Rate for Payer: Oxford Commercial	$381.90
Rate for Payer: Qualcare PPO/HMO/WC	$286.43
Rate for Payer: UnitedHealthcare Commercial	$381.90
Rate for Payer: UnitedHealthcare Community & State	$60.34
Rate for Payer: Wellpoint Medicaid Managed Care	$54.23

BUR ULTRAPER RD 5mDx8m 7021328

Facility

$330.60

Hospital Charge Code	270629147
Hospital Revenue Code	272
Min. Negotiated Rate	$9.39
Max. Negotiated Rate	$165.30
Rate for Payer: Aetna Commercial	$125.63
Rate for Payer: Aetna Medicare Advantage	$99.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.30
Rate for Payer: Cigna Commercial	$165.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.96
Rate for Payer: Oxford Commercial	$66.12
Rate for Payer: Qualcare PPO/HMO/WC	$49.59
Rate for Payer: UnitedHealthcare Commercial	$66.12
Rate for Payer: UnitedHealthcare Community & State	$10.45
Rate for Payer: Wellpoint Medicaid Managed Care	$9.39

BUR ULTRAPER RD 5mDx8m 7021328

Facility

$330.60

Hospital Charge Code	270629147
Hospital Revenue Code	272
Min. Negotiated Rate	$49.59
Max. Negotiated Rate	$49.59
Rate for Payer: Qualcare PPO/HMO/WC	$49.59

BUR ULTRAPOWER RD 3.0m 7021226

Facility

$159.65

Hospital Charge Code	270632487
Hospital Revenue Code	272
Min. Negotiated Rate	$4.53
Max. Negotiated Rate	$79.83
Rate for Payer: Aetna Commercial	$60.67
Rate for Payer: Aetna Medicare Advantage	$47.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.71
Rate for Payer: Cigna Commercial	$79.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.51
Rate for Payer: Oxford Commercial	$31.93
Rate for Payer: Qualcare PPO/HMO/WC	$23.95
Rate for Payer: UnitedHealthcare Commercial	$31.93
Rate for Payer: UnitedHealthcare Community & State	$5.04
Rate for Payer: Wellpoint Medicaid Managed Care	$4.53

BUR ULTRAPOWER RD 3.0m 7021226

Facility

$159.65

Hospital Charge Code	270632487
Hospital Revenue Code	272
Min. Negotiated Rate	$23.95
Max. Negotiated Rate	$23.95
Rate for Payer: Qualcare PPO/HMO/WC	$23.95

BUR ULTRAPOWER RD 4.0m 7021227

Facility

$172.25

Hospital Charge Code	270632489
Hospital Revenue Code	272
Min. Negotiated Rate	$4.89
Max. Negotiated Rate	$86.12
Rate for Payer: Aetna Commercial	$65.45
Rate for Payer: Aetna Medicare Advantage	$51.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.92
Rate for Payer: Cigna Commercial	$86.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.78
Rate for Payer: Oxford Commercial	$34.45
Rate for Payer: Qualcare PPO/HMO/WC	$25.84
Rate for Payer: UnitedHealthcare Commercial	$34.45
Rate for Payer: UnitedHealthcare Community & State	$5.44
Rate for Payer: Wellpoint Medicaid Managed Care	$4.89

BUR ULTRAPOWER RD 4.0m 7021227

Facility

$172.25

Hospital Charge Code	270632489
Hospital Revenue Code	272
Min. Negotiated Rate	$25.84
Max. Negotiated Rate	$25.84
Rate for Payer: Qualcare PPO/HMO/WC	$25.84

BUR ULTRAPOWER RD 5.0m 7021228

Facility

$339.90

Hospital Charge Code	270632490
Hospital Revenue Code	272
Min. Negotiated Rate	$9.65
Max. Negotiated Rate	$169.95
Rate for Payer: Aetna Commercial	$129.16
Rate for Payer: Aetna Medicare Advantage	$101.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.67
Rate for Payer: Cigna Commercial	$169.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$88.37
Rate for Payer: Oxford Commercial	$67.98
Rate for Payer: Qualcare PPO/HMO/WC	$50.98
Rate for Payer: UnitedHealthcare Commercial	$67.98
Rate for Payer: UnitedHealthcare Community & State	$10.74
Rate for Payer: Wellpoint Medicaid Managed Care	$9.65

BUR ULTRAPOWER RD 5.0m 7021228

Facility

$339.90

Hospital Charge Code	270632490
Hospital Revenue Code	272
Min. Negotiated Rate	$50.98
Max. Negotiated Rate	$50.98
Rate for Payer: Qualcare PPO/HMO/WC	$50.98

BUR ULTRAPOWER TAPERED 3MMX36M

Facility

$190.90

Hospital Charge Code	270669745
Hospital Revenue Code	272
Min. Negotiated Rate	$28.64
Max. Negotiated Rate	$28.64
Rate for Payer: Qualcare PPO/HMO/WC	$28.64

BUR ULTRAPOWER TAPERED 3MMX36M

Facility

$190.90

Hospital Charge Code	270669745
Hospital Revenue Code	272
Min. Negotiated Rate	$5.42
Max. Negotiated Rate	$95.45
Rate for Payer: Aetna Commercial	$72.54
Rate for Payer: Aetna Medicare Advantage	$57.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.68
Rate for Payer: Cigna Commercial	$95.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.63
Rate for Payer: Oxford Commercial	$38.18
Rate for Payer: Qualcare PPO/HMO/WC	$28.64
Rate for Payer: UnitedHealthcare Commercial	$38.18
Rate for Payer: UnitedHealthcare Community & State	$6.03
Rate for Payer: Wellpoint Medicaid Managed Care	$5.42

BUR ZIM NEURO 5092-222

Facility

$111.75

Hospital Charge Code	270601068
Hospital Revenue Code	272
Min. Negotiated Rate	$3.17
Max. Negotiated Rate	$55.88
Rate for Payer: Aetna Commercial	$42.47
Rate for Payer: Aetna Medicare Advantage	$33.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.50
Rate for Payer: Cigna Commercial	$55.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.05
Rate for Payer: Oxford Commercial	$22.35
Rate for Payer: Qualcare PPO/HMO/WC	$16.76
Rate for Payer: UnitedHealthcare Commercial	$22.35
Rate for Payer: UnitedHealthcare Community & State	$3.53
Rate for Payer: Wellpoint Medicaid Managed Care	$3.17

BUR ZIM NEURO 5092-222

Facility

$111.75

Hospital Charge Code	270601068
Hospital Revenue Code	272
Min. Negotiated Rate	$16.76
Max. Negotiated Rate	$16.76
Rate for Payer: Qualcare PPO/HMO/WC	$16.76

BUR ZIM OVL 8.0MM 5091-236

Facility

$119.40

Hospital Charge Code	270601070
Hospital Revenue Code	272
Min. Negotiated Rate	$3.39
Max. Negotiated Rate	$59.70
Rate for Payer: Aetna Commercial	$45.37
Rate for Payer: Aetna Medicare Advantage	$35.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.45
Rate for Payer: Cigna Commercial	$59.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.04
Rate for Payer: Oxford Commercial	$23.88
Rate for Payer: Qualcare PPO/HMO/WC	$17.91
Rate for Payer: UnitedHealthcare Commercial	$23.88
Rate for Payer: UnitedHealthcare Community & State	$3.77
Rate for Payer: Wellpoint Medicaid Managed Care	$3.39

BUR ZIM OVL 8.0MM 5091-236

Facility

$119.40

Hospital Charge Code	270601070
Hospital Revenue Code	272
Min. Negotiated Rate	$17.91
Max. Negotiated Rate	$17.91
Rate for Payer: Qualcare PPO/HMO/WC	$17.91

BUR ZIM OVL MED 5.5MM 5091-238

Facility

$175.15

Hospital Charge Code	270601066
Hospital Revenue Code	272
Min. Negotiated Rate	$4.97
Max. Negotiated Rate	$87.58
Rate for Payer: Aetna Commercial	$66.56
Rate for Payer: Aetna Medicare Advantage	$52.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.66
Rate for Payer: Cigna Commercial	$87.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.54
Rate for Payer: Oxford Commercial	$35.03
Rate for Payer: Qualcare PPO/HMO/WC	$26.27
Rate for Payer: UnitedHealthcare Commercial	$35.03
Rate for Payer: UnitedHealthcare Community & State	$5.53
Rate for Payer: Wellpoint Medicaid Managed Care	$4.97

BUR ZIM OVL MED 5.5MM 5091-238

Facility

$175.15

Hospital Charge Code	270601066
Hospital Revenue Code	272
Min. Negotiated Rate	$26.27
Max. Negotiated Rate	$26.27
Rate for Payer: Qualcare PPO/HMO/WC	$26.27

BUR ZIM OVL ST 5.5MM 5092-238

Facility

$254.45

Hospital Charge Code	270606868
Hospital Revenue Code	272
Min. Negotiated Rate	$38.17
Max. Negotiated Rate	$38.17
Rate for Payer: Qualcare PPO/HMO/WC	$38.17

Know your out-of-pocket cost for care.

All Charges