Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CLAMP LG FIXATOR EXTERNAL UNIV

Facility

$3,043.65

Hospital Charge Code	270634838
Hospital Revenue Code	272
Min. Negotiated Rate	$456.55
Max. Negotiated Rate	$456.55
Rate for Payer: Qualcare PPO/HMO/WC	$456.55

CLAMP LUNG ANG 25 MM LOVELACE

Facility

$469.80

Hospital Charge Code	270689566
Hospital Revenue Code	272
Min. Negotiated Rate	$13.34
Max. Negotiated Rate	$234.90
Rate for Payer: Aetna Commercial	$178.52
Rate for Payer: Aetna Medicare Advantage	$140.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$119.80
Rate for Payer: Cigna Commercial	$234.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$122.15
Rate for Payer: Oxford Commercial	$93.96
Rate for Payer: Qualcare PPO/HMO/WC	$70.47
Rate for Payer: UnitedHealthcare Commercial	$93.96
Rate for Payer: UnitedHealthcare Community & State	$14.85
Rate for Payer: Wellpoint Medicaid Managed Care	$13.34

CLAMP LUNG ANG 25 MM LOVELACE

Facility

$469.80

Hospital Charge Code	270689566
Hospital Revenue Code	272
Min. Negotiated Rate	$70.47
Max. Negotiated Rate	$70.47
Rate for Payer: Qualcare PPO/HMO/WC	$70.47

CLAMP MEDIUM 4-POSITION WITH

Facility

$2,966.40

Service Code	HCPCS C1713
Hospital Charge Code	270644916
Hospital Revenue Code	272
Min. Negotiated Rate	$84.25
Max. Negotiated Rate	$1,483.20
Rate for Payer: Aetna Commercial	$1,127.23
Rate for Payer: Aetna Medicare Advantage	$889.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$756.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$756.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$756.43
Rate for Payer: Cigna Commercial	$1,483.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$771.26
Rate for Payer: Oxford Commercial	$593.28
Rate for Payer: Qualcare PPO/HMO/WC	$444.96
Rate for Payer: UnitedHealthcare Commercial	$593.28
Rate for Payer: UnitedHealthcare Community & State	$93.74
Rate for Payer: Wellpoint Medicaid Managed Care	$84.25

CLAMP MEDIUM 4-POSITION WITH

Facility

$2,966.40

Service Code	HCPCS C1713
Hospital Charge Code	270644916
Hospital Revenue Code	272
Min. Negotiated Rate	$444.96
Max. Negotiated Rate	$444.96
Rate for Payer: Qualcare PPO/HMO/WC	$444.96

CLAMP MEDIUM 6-POSITION WITH

Facility

$3,229.05

Hospital Charge Code	270644914
Hospital Revenue Code	272
Min. Negotiated Rate	$484.36
Max. Negotiated Rate	$484.36
Rate for Payer: Qualcare PPO/HMO/WC	$484.36

CLAMP MEDIUM 6-POSITION WITH

Facility

$3,229.05

Hospital Charge Code	270644914
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 MI ANGL VASTAT 2 1001533

Facility

$47.60

Hospital Charge Code	270626259
Hospital Revenue Code	272
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$23.80
Rate for Payer: Aetna Commercial	$18.09
Rate for Payer: Aetna Medicare Advantage	$14.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.14
Rate for Payer: Cigna Commercial	$23.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.38
Rate for Payer: Oxford Commercial	$9.52
Rate for Payer: Qualcare PPO/HMO/WC	$7.14
Rate for Payer: UnitedHealthcare Commercial	$9.52
Rate for Payer: UnitedHealthcare Community & State	$1.50
Rate for Payer: Wellpoint Medicaid Managed Care	$1.35

CLAMP MI ANGL VASTAT 2 1001533

Facility

$47.60

Hospital Charge Code	270626259
Hospital Revenue Code	272
Min. Negotiated Rate	$7.14
Max. Negotiated Rate	$7.14
Rate for Payer: Qualcare PPO/HMO/WC	$7.14

CLAMP MIXTER 8 1/4

Facility

$219.80

Hospital Charge Code	270689133
Hospital Revenue Code	272
Min. Negotiated Rate	$6.24
Max. Negotiated Rate	$109.90
Rate for Payer: Aetna Commercial	$83.52
Rate for Payer: Aetna Medicare Advantage	$65.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.05
Rate for Payer: Cigna Commercial	$109.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.15
Rate for Payer: Oxford Commercial	$43.96
Rate for Payer: Qualcare PPO/HMO/WC	$32.97
Rate for Payer: UnitedHealthcare Commercial	$43.96
Rate for Payer: UnitedHealthcare Community & State	$6.95
Rate for Payer: Wellpoint Medicaid Managed Care	$6.24

CLAMP MIXTER 8 1/4

Facility

$219.80

Hospital Charge Code	270689133
Hospital Revenue Code	272
Min. Negotiated Rate	$32.97
Max. Negotiated Rate	$32.97
Rate for Payer: Qualcare PPO/HMO/WC	$32.97

CLAMP MULTI-PIN LARGE

Facility

$2,000.00

Service Code	HCPCS A4649
Hospital Charge Code	270699855
Hospital Revenue Code	272
Min. Negotiated Rate	$300.00
Max. Negotiated Rate	$300.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00

CLAMP MULTI-PIN LARGE

Facility

$2,000.00

Service Code	HCPCS A4649
Hospital Charge Code	270699855
Hospital Revenue Code	272
Min. Negotiated Rate	$56.80
Max. Negotiated Rate	$1,000.00
Rate for Payer: Aetna Commercial	$760.00
Rate for Payer: Aetna Medicare Advantage	$600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$510.00
Rate for Payer: Cigna Commercial	$1,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$520.00
Rate for Payer: Oxford Commercial	$400.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00
Rate for Payer: UnitedHealthcare Commercial	$400.00
Rate for Payer: UnitedHealthcare Community & State	$63.20
Rate for Payer: Wellpoint Medicaid Managed Care	$56.80

CLAMP OPEN

Facility

$1,109.30

Service Code	HCPCS C1713
Hospital Charge Code	270639890
Hospital Revenue Code	278
Min. Negotiated Rate	$31.50
Max. Negotiated Rate	$554.65
Rate for Payer: Aetna Commercial	$421.53
Rate for Payer: Aetna Medicare Advantage	$332.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$282.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$282.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$221.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$282.87
Rate for Payer: Cigna Commercial	$554.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$268.45
Rate for Payer: Qualcare PPO/HMO/WC	$166.40
Rate for Payer: UnitedHealthcare Community & State	$35.05
Rate for Payer: Wellpoint Medicaid Managed Care	$31.50

CLAMP OPEN

Facility

$1,109.30

Service Code	HCPCS C1713
Hospital Charge Code	270639890
Hospital Revenue Code	278
Min. Negotiated Rate	$166.40
Max. Negotiated Rate	$268.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$221.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$268.45
Rate for Payer: Qualcare PPO/HMO/WC	$166.40

CLAMP OPEN ADJUSTBL MED

Facility

$1,965.00

Hospital Charge Code	270676712
Hospital Revenue Code	272
Min. Negotiated Rate	$294.75
Max. Negotiated Rate	$294.75
Rate for Payer: Qualcare PPO/HMO/WC	$294.75

CLAMP OPEN ADJUSTBL MED

Facility

$1,965.00

Hospital Charge Code	270676712
Hospital Revenue Code	272
Min. Negotiated Rate	$55.81
Max. Negotiated Rate	$982.50
Rate for Payer: Aetna Commercial	$746.70
Rate for Payer: Aetna Medicare Advantage	$589.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$501.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$501.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$501.07
Rate for Payer: Cigna Commercial	$982.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$510.90
Rate for Payer: Oxford Commercial	$393.00
Rate for Payer: Qualcare PPO/HMO/WC	$294.75
Rate for Payer: UnitedHealthcare Commercial	$393.00
Rate for Payer: UnitedHealthcare Community & State	$62.09
Rate for Payer: Wellpoint Medicaid Managed Care	$55.81

CLAMP PIN 5 HOLE W/ 11MM POST

Facility

$3,833.30

Hospital Charge Code	270674578
Hospital Revenue Code	278
Min. Negotiated Rate	$108.87
Max. Negotiated Rate	$1,916.65
Rate for Payer: Aetna Commercial	$1,456.65
Rate for Payer: Aetna Medicare Advantage	$1,149.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$977.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$977.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$766.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$977.49
Rate for Payer: Cigna Commercial	$1,916.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$927.66
Rate for Payer: Qualcare PPO/HMO/WC	$575.00
Rate for Payer: UnitedHealthcare Community & State	$121.13
Rate for Payer: Wellpoint Medicaid Managed Care	$108.87

CLAMP PIN 5 HOLE W/ 11MM POST

Facility

$3,833.30

Hospital Charge Code	270674578
Hospital Revenue Code	278
Min. Negotiated Rate	$575.00
Max. Negotiated Rate	$927.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$766.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$927.66
Rate for Payer: Qualcare PPO/HMO/WC	$575.00

CLAMP PIN LENGTHENER MICRO HI

Facility

$7,889.20

Hospital Charge Code	270688787
Hospital Revenue Code	272
Min. Negotiated Rate	$224.05
Max. Negotiated Rate	$3,944.60
Rate for Payer: Aetna Commercial	$2,997.90
Rate for Payer: Aetna Medicare Advantage	$2,366.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,011.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,011.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,011.75
Rate for Payer: Cigna Commercial	$3,944.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,051.19
Rate for Payer: Oxford Commercial	$1,577.84
Rate for Payer: Qualcare PPO/HMO/WC	$1,183.38
Rate for Payer: UnitedHealthcare Commercial	$1,577.84
Rate for Payer: UnitedHealthcare Community & State	$249.30
Rate for Payer: Wellpoint Medicaid Managed Care	$224.05

CLAMP PIN LENGTHENER MICRO HI

Facility

$7,889.20

Hospital Charge Code	270688787
Hospital Revenue Code	272
Min. Negotiated Rate	$1,183.38
Max. Negotiated Rate	$1,183.38
Rate for Payer: Qualcare PPO/HMO/WC	$1,183.38

CLAMP PIN TO BAR SMALL

Facility

$2,560.00

Hospital Charge Code	270669002
Hospital Revenue Code	272
Min. Negotiated Rate	$384.00
Max. Negotiated Rate	$384.00
Rate for Payer: Qualcare PPO/HMO/WC	$384.00

CLAMP PIN TO BAR SMALL

Facility

$2,560.00

Hospital Charge Code	270669002
Hospital Revenue Code	272
Min. Negotiated Rate	$72.70
Max. Negotiated Rate	$1,280.00
Rate for Payer: Aetna Commercial	$972.80
Rate for Payer: Aetna Medicare Advantage	$768.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$652.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$652.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$652.80
Rate for Payer: Cigna Commercial	$1,280.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$665.60
Rate for Payer: Oxford Commercial	$512.00
Rate for Payer: Qualcare PPO/HMO/WC	$384.00
Rate for Payer: UnitedHealthcare Commercial	$512.00
Rate for Payer: UnitedHealthcare Community & State	$80.90
Rate for Payer: Wellpoint Medicaid Managed Care	$72.70

CLAMP RF SPIN DOWN 12MM

Facility

$1,930.00

Hospital Charge Code	270662172
Hospital Revenue Code	272
Min. Negotiated Rate	$54.81
Max. Negotiated Rate	$965.00
Rate for Payer: Aetna Commercial	$733.40
Rate for Payer: Aetna Medicare Advantage	$579.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$492.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$492.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$492.15
Rate for Payer: Cigna Commercial	$965.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$501.80
Rate for Payer: Oxford Commercial	$386.00
Rate for Payer: Qualcare PPO/HMO/WC	$289.50
Rate for Payer: UnitedHealthcare Commercial	$386.00
Rate for Payer: UnitedHealthcare Community & State	$60.99
Rate for Payer: Wellpoint Medicaid Managed Care	$54.81

CLAMP RF SPIN DOWN 12MM

Facility

$1,930.00

Hospital Charge Code	270662172
Hospital Revenue Code	272
Min. Negotiated Rate	$289.50
Max. Negotiated Rate	$289.50
Rate for Payer: Qualcare PPO/HMO/WC	$289.50

Know your out-of-pocket cost for care.

All Charges