Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CLAMP CIRCUMCISION 500 NEWBORN

Facility

$939.50

Hospital Charge Code	270663796
Hospital Revenue Code	270
Min. Negotiated Rate	$140.93
Max. Negotiated Rate	$140.93
Rate for Payer: Qualcare PPO/HMO/WC	$140.93

CLAMP CIRCUMCISION 500 NEWBORN

Facility

$939.50

Hospital Charge Code	270663796
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 COMBINATION 8.0mm

Facility

$2,453.45

Service Code	HCPCS C1713
Hospital Charge Code	270644919
Hospital Revenue Code	272
Min. Negotiated Rate	$368.02
Max. Negotiated Rate	$368.02
Rate for Payer: Qualcare PPO/HMO/WC	$368.02

CLAMP COMBINATION 8.0mm

Facility

$2,453.45

Service Code	HCPCS C1713
Hospital Charge Code	270644919
Hospital Revenue Code	272
Min. Negotiated Rate	$69.68
Max. Negotiated Rate	$1,226.72
Rate for Payer: Aetna Commercial	$932.31
Rate for Payer: Aetna Medicare Advantage	$736.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$625.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$625.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$625.63
Rate for Payer: Cigna Commercial	$1,226.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$637.90
Rate for Payer: Oxford Commercial	$490.69
Rate for Payer: Qualcare PPO/HMO/WC	$368.02
Rate for Payer: UnitedHealthcare Commercial	$490.69
Rate for Payer: UnitedHealthcare Community & State	$77.53
Rate for Payer: Wellpoint Medicaid Managed Care	$69.68

CLAMP COMBINATION 8.0 MM/11.00

Facility

$3,229.05

Hospital Charge Code	270688025
Hospital Revenue Code	272
Min. Negotiated Rate	$484.36
Max. Negotiated Rate	$484.36
Rate for Payer: Qualcare PPO/HMO/WC	$484.36

CLAMP COMBINATION 8.0 MM/11.00

Facility

$3,229.05

Hospital Charge Code	270688025
Hospital Revenue Code	272
Min. Negotiated Rate	$91.71
Max. Negotiated Rate	$1,614.53
Rate for Payer: Aetna Commercial	$1,227.04
Rate for Payer: Aetna Medicare Advantage	$968.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$823.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$823.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$823.41
Rate for Payer: Cigna Commercial	$1,614.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$839.55
Rate for Payer: Oxford Commercial	$645.81
Rate for Payer: Qualcare PPO/HMO/WC	$484.36
Rate for Payer: UnitedHealthcare Commercial	$645.81
Rate for Payer: UnitedHealthcare Community & State	$102.04
Rate for Payer: Wellpoint Medicaid Managed Care	$91.71

CLAMP CRANIAL FLAP TEXT 18MM

Facility

$2,415.00

Service Code	HCPCS C1713
Hospital Charge Code	270671883
Hospital Revenue Code	278
Min. Negotiated Rate	$68.59
Max. Negotiated Rate	$1,207.50
Rate for Payer: Aetna Commercial	$917.70
Rate for Payer: Aetna Medicare Advantage	$724.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$615.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$615.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$483.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$615.83
Rate for Payer: Cigna Commercial	$1,207.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$584.43
Rate for Payer: Qualcare PPO/HMO/WC	$362.25
Rate for Payer: UnitedHealthcare Community & State	$76.31
Rate for Payer: Wellpoint Medicaid Managed Care	$68.59

CLAMP CRANIAL FLAP TEXT 18MM

Facility

$2,415.00

Service Code	HCPCS C1713
Hospital Charge Code	270671883
Hospital Revenue Code	278
Min. Negotiated Rate	$362.25
Max. Negotiated Rate	$584.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$483.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$584.43
Rate for Payer: Qualcare PPO/HMO/WC	$362.25

CLAMP CRANIVAL 13MM

Facility

$2,080.00

Hospital Charge Code	270668364
Hospital Revenue Code	278
Min. Negotiated Rate	$59.07
Max. Negotiated Rate	$1,040.00
Rate for Payer: Aetna Commercial	$790.40
Rate for Payer: Aetna Medicare Advantage	$624.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$530.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$530.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$416.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$530.40
Rate for Payer: Cigna Commercial	$1,040.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$503.36
Rate for Payer: Qualcare PPO/HMO/WC	$312.00
Rate for Payer: UnitedHealthcare Community & State	$65.73
Rate for Payer: Wellpoint Medicaid Managed Care	$59.07

CLAMP CRANIVAL 13MM

Facility

$2,080.00

Hospital Charge Code	270668364
Hospital Revenue Code	278
Min. Negotiated Rate	$312.00
Max. Negotiated Rate	$503.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$416.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$503.36
Rate for Payer: Qualcare PPO/HMO/WC	$312.00

CLAMP CRANIVAL 18MM

Facility

$2,170.00

Hospital Charge Code	270668365
Hospital Revenue Code	278
Min. Negotiated Rate	$325.50
Max. Negotiated Rate	$525.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$434.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$525.14
Rate for Payer: Qualcare PPO/HMO/WC	$325.50

CLAMP CRANIVAL 18MM

Facility

$2,170.00

Hospital Charge Code	270668365
Hospital Revenue Code	278
Min. Negotiated Rate	$61.63
Max. Negotiated Rate	$1,085.00
Rate for Payer: Aetna Commercial	$824.60
Rate for Payer: Aetna Medicare Advantage	$651.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$553.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$553.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$434.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$553.35
Rate for Payer: Cigna Commercial	$1,085.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$525.14
Rate for Payer: Qualcare PPO/HMO/WC	$325.50
Rate for Payer: UnitedHealthcare Community & State	$68.57
Rate for Payer: Wellpoint Medicaid Managed Care	$61.63

CLAMP EX-FIX LG 4-POSTN MULTI

Facility

$3,225.95

Hospital Charge Code	270635608
Hospital Revenue Code	272
Min. Negotiated Rate	$483.89
Max. Negotiated Rate	$483.89
Rate for Payer: Qualcare PPO/HMO/WC	$483.89

CLAMP EX-FIX LG 4-POSTN MULTI

Facility

$3,225.95

Hospital Charge Code	270635608
Hospital Revenue Code	272
Min. Negotiated Rate	$91.62
Max. Negotiated Rate	$1,612.97
Rate for Payer: Aetna Commercial	$1,225.86
Rate for Payer: Aetna Medicare Advantage	$967.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$822.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$822.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$822.62
Rate for Payer: Cigna Commercial	$1,612.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$838.75
Rate for Payer: Oxford Commercial	$645.19
Rate for Payer: Qualcare PPO/HMO/WC	$483.89
Rate for Payer: UnitedHealthcare Commercial	$645.19
Rate for Payer: UnitedHealthcare Community & State	$101.94
Rate for Payer: Wellpoint Medicaid Managed Care	$91.62

CLAMP EX-FIX LG 6-POSITION

Facility

$2,208.80

Hospital Charge Code	270642896
Hospital Revenue Code	272
Min. Negotiated Rate	$331.32
Max. Negotiated Rate	$331.32
Rate for Payer: Qualcare PPO/HMO/WC	$331.32

CLAMP EX-FIX LG 6-POSITION

Facility

$2,208.80

Hospital Charge Code	270642896
Hospital Revenue Code	272
Min. Negotiated Rate	$62.73
Max. Negotiated Rate	$1,104.40
Rate for Payer: Aetna Commercial	$839.34
Rate for Payer: Aetna Medicare Advantage	$662.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$563.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$563.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$563.24
Rate for Payer: Cigna Commercial	$1,104.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$574.29
Rate for Payer: Oxford Commercial	$441.76
Rate for Payer: Qualcare PPO/HMO/WC	$331.32
Rate for Payer: UnitedHealthcare Commercial	$441.76
Rate for Payer: UnitedHealthcare Community & State	$69.80
Rate for Payer: Wellpoint Medicaid Managed Care	$62.73

CLAMP EX-FIX LG 6-POSTN MULTI

Facility

$3,445.35

Hospital Charge Code	270633728
Hospital Revenue Code	272
Min. Negotiated Rate	$97.85
Max. Negotiated Rate	$1,722.67
Rate for Payer: Aetna Commercial	$1,309.23
Rate for Payer: Aetna Medicare Advantage	$1,033.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$878.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$878.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$878.56
Rate for Payer: Cigna Commercial	$1,722.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$895.79
Rate for Payer: Oxford Commercial	$689.07
Rate for Payer: Qualcare PPO/HMO/WC	$516.80
Rate for Payer: UnitedHealthcare Commercial	$689.07
Rate for Payer: UnitedHealthcare Community & State	$108.87
Rate for Payer: Wellpoint Medicaid Managed Care	$97.85

CLAMP EX-FIX LG 6-POSTN MULTI

Facility

$3,445.35

Hospital Charge Code	270633728
Hospital Revenue Code	272
Min. Negotiated Rate	$516.80
Max. Negotiated Rate	$516.80
Rate for Payer: Qualcare PPO/HMO/WC	$516.80

CLAMP EX-FIX LG COMBINATION

Facility

$3,103.15

Hospital Charge Code	270632998
Hospital Revenue Code	272
Min. Negotiated Rate	$88.13
Max. Negotiated Rate	$1,551.58
Rate for Payer: Aetna Commercial	$1,179.20
Rate for Payer: Aetna Medicare Advantage	$930.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$791.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$791.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$791.30
Rate for Payer: Cigna Commercial	$1,551.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$806.82
Rate for Payer: Oxford Commercial	$620.63
Rate for Payer: Qualcare PPO/HMO/WC	$465.47
Rate for Payer: UnitedHealthcare Commercial	$620.63
Rate for Payer: UnitedHealthcare Community & State	$98.06
Rate for Payer: Wellpoint Medicaid Managed Care	$88.13

CLAMP EX-FIX LG COMBINATION

Facility

$3,103.15

Hospital Charge Code	270632998
Hospital Revenue Code	272
Min. Negotiated Rate	$465.47
Max. Negotiated Rate	$465.47
Rate for Payer: Qualcare PPO/HMO/WC	$465.47

CLAMP EX-FIX LG OPEN ADJ

Facility

$2,496.70

Hospital Charge Code	270633451
Hospital Revenue Code	272
Min. Negotiated Rate	$374.50
Max. Negotiated Rate	$374.50
Rate for Payer: Qualcare PPO/HMO/WC	$374.50

CLAMP EX-FIX LG OPEN ADJ

Facility

$2,496.70

Hospital Charge Code	270633451
Hospital Revenue Code	272
Min. Negotiated Rate	$70.91
Max. Negotiated Rate	$1,248.35
Rate for Payer: Aetna Commercial	$948.75
Rate for Payer: Aetna Medicare Advantage	$749.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$636.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$636.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$636.66
Rate for Payer: Cigna Commercial	$1,248.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$649.14
Rate for Payer: Oxford Commercial	$499.34
Rate for Payer: Qualcare PPO/HMO/WC	$374.50
Rate for Payer: UnitedHealthcare Commercial	$499.34
Rate for Payer: UnitedHealthcare Community & State	$78.90
Rate for Payer: Wellpoint Medicaid Managed Care	$70.91

CLAMP LARGE COMBINATION

Facility

$2,480.00

Service Code	HCPCS C1713
Hospital Charge Code	270699321
Hospital Revenue Code	278
Min. Negotiated Rate	$70.43
Max. Negotiated Rate	$1,240.00
Rate for Payer: Aetna Commercial	$942.40
Rate for Payer: Aetna Medicare Advantage	$744.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$632.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$632.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$496.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$632.40
Rate for Payer: Cigna Commercial	$1,240.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$600.16
Rate for Payer: Qualcare PPO/HMO/WC	$372.00
Rate for Payer: UnitedHealthcare Community & State	$78.37
Rate for Payer: Wellpoint Medicaid Managed Care	$70.43

CLAMP LARGE COMBINATION

Facility

$2,480.00

Service Code	HCPCS C1713
Hospital Charge Code	270699321
Hospital Revenue Code	278
Min. Negotiated Rate	$372.00
Max. Negotiated Rate	$600.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$496.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$600.16
Rate for Payer: Qualcare PPO/HMO/WC	$372.00

CLAMP LG FIXATOR EXTERNAL UNIV

Facility

$3,043.65

Hospital Charge Code	270634838
Hospital Revenue Code	272
Min. Negotiated Rate	$86.44
Max. Negotiated Rate	$1,521.83
Rate for Payer: Aetna Commercial	$1,156.59
Rate for Payer: Aetna Medicare Advantage	$913.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$776.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$776.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$776.13
Rate for Payer: Cigna Commercial	$1,521.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$791.35
Rate for Payer: Oxford Commercial	$608.73
Rate for Payer: Qualcare PPO/HMO/WC	$456.55
Rate for Payer: UnitedHealthcare Commercial	$608.73
Rate for Payer: UnitedHealthcare Community & State	$96.18
Rate for Payer: Wellpoint Medicaid Managed Care	$86.44

Know your out-of-pocket cost for care.

All Charges