Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CLAW PLATE 2.7MM 2 HOLE

Facility

$7,220.00

Hospital Charge Code	270339480
Hospital Revenue Code	278
Min. Negotiated Rate	$1,083.00
Max. Negotiated Rate	$1,747.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,444.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,747.24
Rate for Payer: Qualcare PPO/HMO/WC	$1,083.00

CLAW PLATE 2.7MM 2 HOLE

Facility

$7,220.00

Hospital Charge Code	270339480
Hospital Revenue Code	278
Min. Negotiated Rate	$205.05
Max. Negotiated Rate	$3,610.00
Rate for Payer: Aetna Commercial	$2,743.60
Rate for Payer: Aetna Medicare Advantage	$2,166.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,841.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,841.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,444.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,841.10
Rate for Payer: Cigna Commercial	$3,610.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,747.24
Rate for Payer: Qualcare PPO/HMO/WC	$1,083.00
Rate for Payer: UnitedHealthcare Community & State	$228.15
Rate for Payer: Wellpoint Medicaid Managed Care	$205.05

CLAW PLATE 3.5MM 2 HOLE

Facility

$8,950.00

Hospital Charge Code	270339481
Hospital Revenue Code	278
Min. Negotiated Rate	$254.18
Max. Negotiated Rate	$4,475.00
Rate for Payer: Aetna Commercial	$3,401.00
Rate for Payer: Aetna Medicare Advantage	$2,685.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,282.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,282.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,790.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,282.25
Rate for Payer: Cigna Commercial	$4,475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,165.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,342.50
Rate for Payer: UnitedHealthcare Community & State	$282.82
Rate for Payer: Wellpoint Medicaid Managed Care	$254.18

CLAW PLATE 3.5MM 2 HOLE

Facility

$8,950.00

Hospital Charge Code	270339481
Hospital Revenue Code	278
Min. Negotiated Rate	$1,342.50
Max. Negotiated Rate	$2,165.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,790.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,165.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,342.50

CLAW PLATE 3.5MM 4 HOLE

Facility

$10,980.00

Hospital Charge Code	270339482
Hospital Revenue Code	278
Min. Negotiated Rate	$1,647.00
Max. Negotiated Rate	$2,657.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,196.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,657.16
Rate for Payer: Qualcare PPO/HMO/WC	$1,647.00

CLAW PLATE 3.5MM 4 HOLE

Facility

$10,980.00

Hospital Charge Code	270339482
Hospital Revenue Code	278
Min. Negotiated Rate	$311.83
Max. Negotiated Rate	$5,490.00
Rate for Payer: Aetna Commercial	$4,172.40
Rate for Payer: Aetna Medicare Advantage	$3,294.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,799.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,799.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,196.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,799.90
Rate for Payer: Cigna Commercial	$5,490.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,657.16
Rate for Payer: Qualcare PPO/HMO/WC	$1,647.00
Rate for Payer: UnitedHealthcare Community & State	$346.97
Rate for Payer: Wellpoint Medicaid Managed Care	$311.83

CLEANER 15

Facility

$4,750.00

Hospital Charge Code	270678575
Hospital Revenue Code	272
Min. Negotiated Rate	$134.90
Max. Negotiated Rate	$2,375.00
Rate for Payer: Aetna Commercial	$1,805.00
Rate for Payer: Aetna Medicare Advantage	$1,425.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,211.25
Rate for Payer: Cigna Commercial	$2,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,235.00
Rate for Payer: Oxford Commercial	$950.00
Rate for Payer: Qualcare PPO/HMO/WC	$712.50
Rate for Payer: UnitedHealthcare Commercial	$950.00
Rate for Payer: UnitedHealthcare Community & State	$150.10
Rate for Payer: Wellpoint Medicaid Managed Care	$134.90

CLEANER 15

Facility

$4,750.00

Hospital Charge Code	270678575N
Hospital Revenue Code	272
Min. Negotiated Rate	$712.50
Max. Negotiated Rate	$712.50
Rate for Payer: Qualcare PPO/HMO/WC	$712.50

CLEANER 15

Facility

$4,750.00

Hospital Charge Code	270678575N
Hospital Revenue Code	272
Min. Negotiated Rate	$134.90
Max. Negotiated Rate	$2,375.00
Rate for Payer: Aetna Commercial	$1,805.00
Rate for Payer: Aetna Medicare Advantage	$1,425.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,211.25
Rate for Payer: Cigna Commercial	$2,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,235.00
Rate for Payer: Oxford Commercial	$950.00
Rate for Payer: Qualcare PPO/HMO/WC	$712.50
Rate for Payer: UnitedHealthcare Commercial	$950.00
Rate for Payer: UnitedHealthcare Community & State	$150.10
Rate for Payer: Wellpoint Medicaid Managed Care	$134.90

CLEANER 15

Facility

$4,750.00

Hospital Charge Code	270678575
Hospital Revenue Code	272
Min. Negotiated Rate	$712.50
Max. Negotiated Rate	$712.50
Rate for Payer: Qualcare PPO/HMO/WC	$712.50

CLEANER15 THR 7Fx65cm

Facility

$3,250.00

Hospital Charge Code	270678569
Hospital Revenue Code	272
Min. Negotiated Rate	$487.50
Max. Negotiated Rate	$487.50
Rate for Payer: Qualcare PPO/HMO/WC	$487.50

CLEANER15 THR 7Fx65cm

Facility

$3,250.00

Hospital Charge Code	270678569N
Hospital Revenue Code	272
Min. Negotiated Rate	$487.50
Max. Negotiated Rate	$487.50
Rate for Payer: Qualcare PPO/HMO/WC	$487.50

CLEANER15 THR 7Fx65cm

Facility

$3,250.00

Hospital Charge Code	270678569N
Hospital Revenue Code	272
Min. Negotiated Rate	$92.30
Max. Negotiated Rate	$1,625.00
Rate for Payer: Aetna Commercial	$1,235.00
Rate for Payer: Aetna Medicare Advantage	$975.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$828.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$828.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$828.75
Rate for Payer: Cigna Commercial	$1,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$845.00
Rate for Payer: Oxford Commercial	$650.00
Rate for Payer: Qualcare PPO/HMO/WC	$487.50
Rate for Payer: UnitedHealthcare Commercial	$650.00
Rate for Payer: UnitedHealthcare Community & State	$102.70
Rate for Payer: Wellpoint Medicaid Managed Care	$92.30

CLEANER15 THR 7Fx65cm

Facility

$3,250.00

Hospital Charge Code	270678569
Hospital Revenue Code	272
Min. Negotiated Rate	$92.30
Max. Negotiated Rate	$1,625.00
Rate for Payer: Aetna Commercial	$1,235.00
Rate for Payer: Aetna Medicare Advantage	$975.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$828.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$828.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$828.75
Rate for Payer: Cigna Commercial	$1,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$845.00
Rate for Payer: Oxford Commercial	$650.00
Rate for Payer: Qualcare PPO/HMO/WC	$487.50
Rate for Payer: UnitedHealthcare Commercial	$650.00
Rate for Payer: UnitedHealthcare Community & State	$102.70
Rate for Payer: Wellpoint Medicaid Managed Care	$92.30

CLEANER CAUTERY TIP

Facility

$9.65

Hospital Charge Code	270061200
Hospital Revenue Code	272
Min. Negotiated Rate	$1.45
Max. Negotiated Rate	$1.45
Rate for Payer: Qualcare PPO/HMO/WC	$1.45

CLEANER CAUTERY TIP

Facility

$9.65

Hospital Charge Code	270061200
Hospital Revenue Code	272
Min. Negotiated Rate	$0.27
Max. Negotiated Rate	$4.83
Rate for Payer: Aetna Commercial	$3.67
Rate for Payer: Aetna Medicare Advantage	$2.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.46
Rate for Payer: Cigna Commercial	$4.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.51
Rate for Payer: Oxford Commercial	$1.93
Rate for Payer: Qualcare PPO/HMO/WC	$1.45
Rate for Payer: UnitedHealthcare Commercial	$1.93
Rate for Payer: UnitedHealthcare Community & State	$0.30
Rate for Payer: Wellpoint Medicaid Managed Care	$0.27

CLEANER DISINFECTANT 22 OUNCE

Facility

$24.55

Hospital Charge Code	270665155
Hospital Revenue Code	270
Min. Negotiated Rate	$0.70
Max. Negotiated Rate	$12.28
Rate for Payer: Aetna Commercial	$9.33
Rate for Payer: Aetna Medicare Advantage	$7.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.26
Rate for Payer: Cigna Commercial	$12.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.38
Rate for Payer: Oxford Commercial	$4.91
Rate for Payer: Qualcare PPO/HMO/WC	$3.68
Rate for Payer: UnitedHealthcare Commercial	$4.91
Rate for Payer: UnitedHealthcare Community & State	$0.78
Rate for Payer: Wellpoint Medicaid Managed Care	$0.70

CLEANER DISINFECTANT 22 OUNCE

Facility

$24.55

Hospital Charge Code	270665155
Hospital Revenue Code	270
Min. Negotiated Rate	$3.68
Max. Negotiated Rate	$3.68
Rate for Payer: Qualcare PPO/HMO/WC	$3.68

CLEANER ELECTRO-SURGICAL TIP

Facility

$3.05

Hospital Charge Code	270649369
Hospital Revenue Code	270
Min. Negotiated Rate	$0.46
Max. Negotiated Rate	$0.46
Rate for Payer: Qualcare PPO/HMO/WC	$0.46

CLEANER ELECTRO-SURGICAL TIP

Facility

$3.05

Hospital Charge Code	270649369
Hospital Revenue Code	270
Min. Negotiated Rate	$0.09
Max. Negotiated Rate	$1.52
Rate for Payer: Aetna Commercial	$1.16
Rate for Payer: Aetna Medicare Advantage	$0.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.78
Rate for Payer: Cigna Commercial	$1.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.79
Rate for Payer: Oxford Commercial	$0.61
Rate for Payer: Qualcare PPO/HMO/WC	$0.46
Rate for Payer: UnitedHealthcare Commercial	$0.61
Rate for Payer: UnitedHealthcare Community & State	$0.10
Rate for Payer: Wellpoint Medicaid Managed Care	$0.09

CLEANER ELECTRO-SURGICAL TIP

Facility

$3.05

Hospital Charge Code	270649369N
Hospital Revenue Code	272
Min. Negotiated Rate	$0.46
Max. Negotiated Rate	$0.46
Rate for Payer: Qualcare PPO/HMO/WC	$0.46

CLEANER ELECTRO-SURGICAL TIP

Facility

$3.05

Hospital Charge Code	270649369S
Hospital Revenue Code	272
Min. Negotiated Rate	$0.46
Max. Negotiated Rate	$0.46
Rate for Payer: Qualcare PPO/HMO/WC	$0.46

CLEANER ELECTRO-SURGICAL TIP

Facility

$3.05

Hospital Charge Code	270649369S
Hospital Revenue Code	272
Min. Negotiated Rate	$0.09
Max. Negotiated Rate	$1.52
Rate for Payer: Aetna Commercial	$1.16
Rate for Payer: Aetna Medicare Advantage	$0.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.78
Rate for Payer: Cigna Commercial	$1.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.79
Rate for Payer: Oxford Commercial	$0.61
Rate for Payer: Qualcare PPO/HMO/WC	$0.46
Rate for Payer: UnitedHealthcare Commercial	$0.61
Rate for Payer: UnitedHealthcare Community & State	$0.10
Rate for Payer: Wellpoint Medicaid Managed Care	$0.09

CLEANER ELECTRO-SURGICAL TIP

Facility

$3.05

Hospital Charge Code	270649369N
Hospital Revenue Code	272
Min. Negotiated Rate	$0.09
Max. Negotiated Rate	$1.52
Rate for Payer: Aetna Commercial	$1.16
Rate for Payer: Aetna Medicare Advantage	$0.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.78
Rate for Payer: Cigna Commercial	$1.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.79
Rate for Payer: Oxford Commercial	$0.61
Rate for Payer: Qualcare PPO/HMO/WC	$0.46
Rate for Payer: UnitedHealthcare Commercial	$0.61
Rate for Payer: UnitedHealthcare Community & State	$0.10
Rate for Payer: Wellpoint Medicaid Managed Care	$0.09

CLEANER SKIN CAVILON 8OZ 3380

Facility

$10.00

Hospital Charge Code	270641326W
Hospital Revenue Code	272
Min. Negotiated Rate	$1.50
Max. Negotiated Rate	$1.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.50

Know your out-of-pocket cost for care.

All Charges