Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CLAMP 2 3/5 POST

Facility

$1,080.00

Hospital Charge Code	270665211
Hospital Revenue Code	278
Min. Negotiated Rate	$162.00
Max. Negotiated Rate	$261.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$216.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$261.36
Rate for Payer: Qualcare PPO/HMO/WC	$162.00

CLAMP 2-BAR BLUE 75MM PIN

Facility

$6,700.00

Hospital Charge Code	270668708
Hospital Revenue Code	278
Min. Negotiated Rate	$1,005.00
Max. Negotiated Rate	$1,621.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,340.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,621.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,005.00

CLAMP 2-BAR BLUE 75MM PIN

Facility

$6,700.00

Hospital Charge Code	270668708
Hospital Revenue Code	278
Min. Negotiated Rate	$190.28
Max. Negotiated Rate	$3,350.00
Rate for Payer: Aetna Commercial	$2,546.00
Rate for Payer: Aetna Medicare Advantage	$2,010.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,708.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,708.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,340.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,708.50
Rate for Payer: Cigna Commercial	$3,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,621.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,005.00
Rate for Payer: UnitedHealthcare Community & State	$211.72
Rate for Payer: Wellpoint Medicaid Managed Care	$190.28

CLAMP 3-D BLUE BAR TO BAR

Facility

$2,830.75

Hospital Charge Code	270668706
Hospital Revenue Code	278
Min. Negotiated Rate	$80.39
Max. Negotiated Rate	$1,415.38
Rate for Payer: Aetna Commercial	$1,075.68
Rate for Payer: Aetna Medicare Advantage	$849.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$721.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$721.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$566.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$721.84
Rate for Payer: Cigna Commercial	$1,415.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$685.04
Rate for Payer: Qualcare PPO/HMO/WC	$424.61
Rate for Payer: UnitedHealthcare Community & State	$89.45
Rate for Payer: Wellpoint Medicaid Managed Care	$80.39

CLAMP 3-D BLUE BAR TO BAR

Facility

$2,830.75

Hospital Charge Code	270668706
Hospital Revenue Code	278
Min. Negotiated Rate	$424.61
Max. Negotiated Rate	$685.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$566.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$685.04
Rate for Payer: Qualcare PPO/HMO/WC	$424.61

CLAMP 3-D BLUE BAR TO PIN

Facility

$2,830.75

Hospital Charge Code	270668707
Hospital Revenue Code	278
Min. Negotiated Rate	$80.39
Max. Negotiated Rate	$1,415.38
Rate for Payer: Aetna Commercial	$1,075.68
Rate for Payer: Aetna Medicare Advantage	$849.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$721.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$721.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$566.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$721.84
Rate for Payer: Cigna Commercial	$1,415.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$685.04
Rate for Payer: Qualcare PPO/HMO/WC	$424.61
Rate for Payer: UnitedHealthcare Community & State	$89.45
Rate for Payer: Wellpoint Medicaid Managed Care	$80.39

CLAMP 3-D BLUE BAR TO PIN

Facility

$2,830.75

Hospital Charge Code	270668707
Hospital Revenue Code	278
Min. Negotiated Rate	$424.61
Max. Negotiated Rate	$685.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$566.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$685.04
Rate for Payer: Qualcare PPO/HMO/WC	$424.61

CLAMP 4.0 ADJUSTABLE

Facility

$3,562.75

Hospital Charge Code	270619757
Hospital Revenue Code	272
Min. Negotiated Rate	$534.41
Max. Negotiated Rate	$534.41
Rate for Payer: Qualcare PPO/HMO/WC	$534.41

CLAMP 4.0 ADJUSTABLE

Facility

$3,562.75

Hospital Charge Code	270619757
Hospital Revenue Code	272
Min. Negotiated Rate	$101.18
Max. Negotiated Rate	$1,781.38
Rate for Payer: Aetna Commercial	$1,353.85
Rate for Payer: Aetna Medicare Advantage	$1,068.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$908.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$908.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$908.50
Rate for Payer: Cigna Commercial	$1,781.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$926.32
Rate for Payer: Oxford Commercial	$712.55
Rate for Payer: Qualcare PPO/HMO/WC	$534.41
Rate for Payer: UnitedHealthcare Commercial	$712.55
Rate for Payer: UnitedHealthcare Community & State	$112.58
Rate for Payer: Wellpoint Medicaid Managed Care	$101.18

CLAMP 4-HOLE 4940-2-020

Facility

$2,885.00

Hospital Charge Code	270647956
Hospital Revenue Code	272
Min. Negotiated Rate	$432.75
Max. Negotiated Rate	$432.75
Rate for Payer: Qualcare PPO/HMO/WC	$432.75

CLAMP 4-HOLE 4940-2-020

Facility

$2,885.00

Hospital Charge Code	270647956
Hospital Revenue Code	272
Min. Negotiated Rate	$81.93
Max. Negotiated Rate	$1,442.50
Rate for Payer: Aetna Commercial	$1,096.30
Rate for Payer: Aetna Medicare Advantage	$865.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$735.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$735.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$735.67
Rate for Payer: Cigna Commercial	$1,442.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$750.10
Rate for Payer: Oxford Commercial	$577.00
Rate for Payer: Qualcare PPO/HMO/WC	$432.75
Rate for Payer: UnitedHealthcare Commercial	$577.00
Rate for Payer: UnitedHealthcare Community & State	$91.17
Rate for Payer: Wellpoint Medicaid Managed Care	$81.93

CLAMP 500S CIRCUMCISION EXTRA

Facility

$939.50

Hospital Charge Code	270663795
Hospital Revenue Code	270
Min. Negotiated Rate	$140.93
Max. Negotiated Rate	$140.93
Rate for Payer: Qualcare PPO/HMO/WC	$140.93

CLAMP 500S CIRCUMCISION EXTRA

Facility

$939.50

Hospital Charge Code	270663795
Hospital Revenue Code	270
Min. Negotiated Rate	$26.68
Max. Negotiated Rate	$469.75
Rate for Payer: Aetna Commercial	$357.01
Rate for Payer: Aetna Medicare Advantage	$281.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$239.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$239.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$239.57
Rate for Payer: Cigna Commercial	$469.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$244.27
Rate for Payer: Oxford Commercial	$187.90
Rate for Payer: Qualcare PPO/HMO/WC	$140.93
Rate for Payer: UnitedHealthcare Commercial	$187.90
Rate for Payer: UnitedHealthcare Community & State	$29.69
Rate for Payer: Wellpoint Medicaid Managed Care	$26.68

CLAMP 5 HOLE

Facility

$3,045.00

Hospital Charge Code	270665210
Hospital Revenue Code	278
Min. Negotiated Rate	$456.75
Max. Negotiated Rate	$736.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$609.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$736.89
Rate for Payer: Qualcare PPO/HMO/WC	$456.75

CLAMP 5 HOLE

Facility

$3,045.00

Hospital Charge Code	270665210
Hospital Revenue Code	278
Min. Negotiated Rate	$86.48
Max. Negotiated Rate	$1,522.50
Rate for Payer: Aetna Commercial	$1,157.10
Rate for Payer: Aetna Medicare Advantage	$913.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$776.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$776.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$609.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$776.48
Rate for Payer: Cigna Commercial	$1,522.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$736.89
Rate for Payer: Qualcare PPO/HMO/WC	$456.75
Rate for Payer: UnitedHealthcare Community & State	$96.22
Rate for Payer: Wellpoint Medicaid Managed Care	$86.48

CLAMP 5-HOLE 4922-2-020

Facility

$4,470.00

Hospital Charge Code	270648623
Hospital Revenue Code	272
Min. Negotiated Rate	$126.95
Max. Negotiated Rate	$2,235.00
Rate for Payer: Aetna Commercial	$1,698.60
Rate for Payer: Aetna Medicare Advantage	$1,341.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,139.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,139.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,139.85
Rate for Payer: Cigna Commercial	$2,235.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,162.20
Rate for Payer: Oxford Commercial	$894.00
Rate for Payer: Qualcare PPO/HMO/WC	$670.50
Rate for Payer: UnitedHealthcare Commercial	$894.00
Rate for Payer: UnitedHealthcare Community & State	$141.25
Rate for Payer: Wellpoint Medicaid Managed Care	$126.95

CLAMP 5-HOLE 4922-2-020

Facility

$4,470.00

Hospital Charge Code	270648623
Hospital Revenue Code	272
Min. Negotiated Rate	$670.50
Max. Negotiated Rate	$670.50
Rate for Payer: Qualcare PPO/HMO/WC	$670.50

CLAMP 5 HOLE HEX SHAFT SQUARE

Facility

$755.00

Hospital Charge Code	270675277
Hospital Revenue Code	278
Min. Negotiated Rate	$21.44
Max. Negotiated Rate	$377.50
Rate for Payer: Aetna Commercial	$286.90
Rate for Payer: Aetna Medicare Advantage	$226.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$151.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.53
Rate for Payer: Cigna Commercial	$377.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.71
Rate for Payer: Qualcare PPO/HMO/WC	$113.25
Rate for Payer: UnitedHealthcare Community & State	$23.86
Rate for Payer: Wellpoint Medicaid Managed Care	$21.44

CLAMP 5 HOLE HEX SHAFT SQUARE

Facility

$755.00

Hospital Charge Code	270675277
Hospital Revenue Code	278
Min. Negotiated Rate	$113.25
Max. Negotiated Rate	$182.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$151.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.71
Rate for Payer: Qualcare PPO/HMO/WC	$113.25

CLAMP ADJUSTABLE WIRE/PIN

Facility

$3,686.35

Service Code	HCPCS C1713
Hospital Charge Code	270632995
Hospital Revenue Code	272
Min. Negotiated Rate	$552.95
Max. Negotiated Rate	$552.95
Rate for Payer: Qualcare PPO/HMO/WC	$552.95

CLAMP ADJUSTABLE WIRE/PIN

Facility

$3,686.35

Service Code	HCPCS C1713
Hospital Charge Code	270632995
Hospital Revenue Code	272
Min. Negotiated Rate	$104.69
Max. Negotiated Rate	$1,843.17
Rate for Payer: Aetna Commercial	$1,400.81
Rate for Payer: Aetna Medicare Advantage	$1,105.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$940.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$940.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$940.02
Rate for Payer: Cigna Commercial	$1,843.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$958.45
Rate for Payer: Oxford Commercial	$737.27
Rate for Payer: Qualcare PPO/HMO/WC	$552.95
Rate for Payer: UnitedHealthcare Commercial	$737.27
Rate for Payer: UnitedHealthcare Community & State	$116.49
Rate for Payer: Wellpoint Medicaid Managed Care	$104.69

CLAMP BAR PIN

Facility

$4,475.00

Hospital Charge Code	270662209
Hospital Revenue Code	278
Min. Negotiated Rate	$671.25
Max. Negotiated Rate	$1,082.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$895.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,082.95
Rate for Payer: Qualcare PPO/HMO/WC	$671.25

CLAMP BAR PIN

Facility

$4,475.00

Hospital Charge Code	270662209
Hospital Revenue Code	278
Min. Negotiated Rate	$127.09
Max. Negotiated Rate	$2,237.50
Rate for Payer: Aetna Commercial	$1,700.50
Rate for Payer: Aetna Medicare Advantage	$1,342.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,141.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,141.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$895.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,141.12
Rate for Payer: Cigna Commercial	$2,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,082.95
Rate for Payer: Qualcare PPO/HMO/WC	$671.25
Rate for Payer: UnitedHealthcare Community & State	$141.41
Rate for Payer: Wellpoint Medicaid Managed Care	$127.09

CLAMP BONE W/RATCHET

Facility

$2,051.75

Hospital Charge Code	270614783
Hospital Revenue Code	272
Min. Negotiated Rate	$58.27
Max. Negotiated Rate	$1,025.88
Rate for Payer: Aetna Commercial	$779.66
Rate for Payer: Aetna Medicare Advantage	$615.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$523.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$523.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$523.20
Rate for Payer: Cigna Commercial	$1,025.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$533.46
Rate for Payer: Oxford Commercial	$410.35
Rate for Payer: Qualcare PPO/HMO/WC	$307.76
Rate for Payer: UnitedHealthcare Commercial	$410.35
Rate for Payer: UnitedHealthcare Community & State	$64.84
Rate for Payer: Wellpoint Medicaid Managed Care	$58.27

CLAMP BONE W/RATCHET

Facility

$2,051.75

Hospital Charge Code	270614783
Hospital Revenue Code	272
Min. Negotiated Rate	$307.76
Max. Negotiated Rate	$307.76
Rate for Payer: Qualcare PPO/HMO/WC	$307.76

Know your out-of-pocket cost for care.

All Charges