Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CUTTER AGGRESSIVE PLUS 5.5mm

Facility

$190.00

Hospital Charge Code	270601434
Hospital Revenue Code	272
Min. Negotiated Rate	$5.40
Max. Negotiated Rate	$95.00
Rate for Payer: Aetna Commercial	$72.20
Rate for Payer: Aetna Medicare Advantage	$57.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.45
Rate for Payer: Cigna Commercial	$95.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.40
Rate for Payer: Oxford Commercial	$38.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.50
Rate for Payer: UnitedHealthcare Commercial	$38.00
Rate for Payer: UnitedHealthcare Community & State	$6.00
Rate for Payer: Wellpoint Medicaid Managed Care	$5.40

CUTTER AGGRESSIVE PLUS 5mm DIS

Facility

$190.00

Hospital Charge Code	270601435
Hospital Revenue Code	272
Min. Negotiated Rate	$28.50
Max. Negotiated Rate	$28.50
Rate for Payer: Qualcare PPO/HMO/WC	$28.50

CUTTER AGGRESSIVE PLUS 5mm DIS

Facility

$190.00

Hospital Charge Code	270601435
Hospital Revenue Code	272
Min. Negotiated Rate	$5.40
Max. Negotiated Rate	$95.00
Rate for Payer: Aetna Commercial	$72.20
Rate for Payer: Aetna Medicare Advantage	$57.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.45
Rate for Payer: Cigna Commercial	$95.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.40
Rate for Payer: Oxford Commercial	$38.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.50
Rate for Payer: UnitedHealthcare Commercial	$38.00
Rate for Payer: UnitedHealthcare Community & State	$6.00
Rate for Payer: Wellpoint Medicaid Managed Care	$5.40

CUTTER AGGRESS SM JOINT 2.5MM

Facility

$200.00

Hospital Charge Code	270658012
Hospital Revenue Code	272
Min. Negotiated Rate	$5.68
Max. Negotiated Rate	$100.00
Rate for Payer: Aetna Commercial	$76.00
Rate for Payer: Aetna Medicare Advantage	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.00
Rate for Payer: Cigna Commercial	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.00
Rate for Payer: Oxford Commercial	$40.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00
Rate for Payer: UnitedHealthcare Commercial	$40.00
Rate for Payer: UnitedHealthcare Community & State	$6.32
Rate for Payer: Wellpoint Medicaid Managed Care	$5.68

CUTTER AGGRESS SM JOINT 2.5MM

Facility

$200.00

Hospital Charge Code	270658012
Hospital Revenue Code	272
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

CUTTER AGGRESSV PLUS 2.5mm

Facility

$1,000.00

Hospital Charge Code	270640297
Hospital Revenue Code	272
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

CUTTER AGGRESSV PLUS 2.5mm

Facility

$1,000.00

Hospital Charge Code	270640297
Hospital Revenue Code	272
Min. Negotiated Rate	$28.40
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$380.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$260.00
Rate for Payer: Oxford Commercial	$200.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00
Rate for Payer: UnitedHealthcare Commercial	$200.00
Rate for Payer: UnitedHealthcare Community & State	$31.60
Rate for Payer: Wellpoint Medicaid Managed Care	$28.40

CUTTER AGGR MENISCUS DISP 4MM

Facility

$338.25

Hospital Charge Code	270657558
Hospital Revenue Code	272
Min. Negotiated Rate	$50.74
Max. Negotiated Rate	$50.74
Rate for Payer: Qualcare PPO/HMO/WC	$50.74

CUTTER AGGR MENISCUS DISP 4MM

Facility

$338.25

Hospital Charge Code	270657558
Hospital Revenue Code	272
Min. Negotiated Rate	$9.61
Max. Negotiated Rate	$169.12
Rate for Payer: Aetna Commercial	$128.53
Rate for Payer: Aetna Medicare Advantage	$101.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.25
Rate for Payer: Cigna Commercial	$169.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.94
Rate for Payer: Oxford Commercial	$67.65
Rate for Payer: Qualcare PPO/HMO/WC	$50.74
Rate for Payer: UnitedHealthcare Commercial	$67.65
Rate for Payer: UnitedHealthcare Community & State	$10.69
Rate for Payer: Wellpoint Medicaid Managed Care	$9.61

CUTTER AGGRSSV SM JOINT 3.5MM

Facility

$1,939.30

Hospital Charge Code	270658023
Hospital Revenue Code	272
Min. Negotiated Rate	$55.08
Max. Negotiated Rate	$969.65
Rate for Payer: Aetna Commercial	$736.93
Rate for Payer: Aetna Medicare Advantage	$581.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$494.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$494.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$494.52
Rate for Payer: Cigna Commercial	$969.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$504.22
Rate for Payer: Oxford Commercial	$387.86
Rate for Payer: Qualcare PPO/HMO/WC	$290.89
Rate for Payer: UnitedHealthcare Commercial	$387.86
Rate for Payer: UnitedHealthcare Community & State	$61.28
Rate for Payer: Wellpoint Medicaid Managed Care	$55.08

CUTTER AGGRSSV SM JOINT 3.5MM

Facility

$1,939.30

Hospital Charge Code	270658023
Hospital Revenue Code	272
Min. Negotiated Rate	$290.89
Max. Negotiated Rate	$290.89
Rate for Payer: Qualcare PPO/HMO/WC	$290.89

CUTTER AGRESSIVE +SM JOI 3.5mm

Facility

$190.00

Hospital Charge Code	270624901
Hospital Revenue Code	272
Min. Negotiated Rate	$28.50
Max. Negotiated Rate	$28.50
Rate for Payer: Qualcare PPO/HMO/WC	$28.50

CUTTER AGRESSIVE +SM JOI 3.5mm

Facility

$190.00

Hospital Charge Code	270624901
Hospital Revenue Code	272
Min. Negotiated Rate	$5.40
Max. Negotiated Rate	$95.00
Rate for Payer: Aetna Commercial	$72.20
Rate for Payer: Aetna Medicare Advantage	$57.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.45
Rate for Payer: Cigna Commercial	$95.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.40
Rate for Payer: Oxford Commercial	$38.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.50
Rate for Payer: UnitedHealthcare Commercial	$38.00
Rate for Payer: UnitedHealthcare Community & State	$6.00
Rate for Payer: Wellpoint Medicaid Managed Care	$5.40

CUTTER ANGLD DOUBLE BITE 4.5mm

Facility

$190.00

Hospital Charge Code	270644922
Hospital Revenue Code	272
Min. Negotiated Rate	$28.50
Max. Negotiated Rate	$28.50
Rate for Payer: Qualcare PPO/HMO/WC	$28.50

CUTTER ANGLD DOUBLE BITE 4.5mm

Facility

$190.00

Hospital Charge Code	270644922
Hospital Revenue Code	272
Min. Negotiated Rate	$5.40
Max. Negotiated Rate	$95.00
Rate for Payer: Aetna Commercial	$72.20
Rate for Payer: Aetna Medicare Advantage	$57.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.45
Rate for Payer: Cigna Commercial	$95.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.40
Rate for Payer: Oxford Commercial	$38.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.50
Rate for Payer: UnitedHealthcare Commercial	$38.00
Rate for Payer: UnitedHealthcare Community & State	$6.00
Rate for Payer: Wellpoint Medicaid Managed Care	$5.40

CUTTER ANGLED 4.5 MM

Facility

$200.00

Hospital Charge Code	270659129
Hospital Revenue Code	272
Min. Negotiated Rate	$5.68
Max. Negotiated Rate	$100.00
Rate for Payer: Aetna Commercial	$76.00
Rate for Payer: Aetna Medicare Advantage	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.00
Rate for Payer: Cigna Commercial	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.00
Rate for Payer: Oxford Commercial	$40.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00
Rate for Payer: UnitedHealthcare Commercial	$40.00
Rate for Payer: UnitedHealthcare Community & State	$6.32
Rate for Payer: Wellpoint Medicaid Managed Care	$5.68

CUTTER ANGLED 4.5 MM

Facility

$200.00

Hospital Charge Code	270659129
Hospital Revenue Code	272
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

CUTTER BLD AGRESSIVE +SHVE 4mm

Facility

$190.00

Hospital Charge Code	270644547
Hospital Revenue Code	272
Min. Negotiated Rate	$5.40
Max. Negotiated Rate	$95.00
Rate for Payer: Aetna Commercial	$72.20
Rate for Payer: Aetna Medicare Advantage	$57.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.45
Rate for Payer: Cigna Commercial	$95.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.40
Rate for Payer: Oxford Commercial	$38.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.50
Rate for Payer: UnitedHealthcare Commercial	$38.00
Rate for Payer: UnitedHealthcare Community & State	$6.00
Rate for Payer: Wellpoint Medicaid Managed Care	$5.40

CUTTER BLD AGRESSIVE +SHVE 4mm

Facility

$190.00

Hospital Charge Code	270644547
Hospital Revenue Code	272
Min. Negotiated Rate	$28.50
Max. Negotiated Rate	$28.50
Rate for Payer: Qualcare PPO/HMO/WC	$28.50

CUTTER DIAMOND PIN 7

Facility

$1,030.00

Hospital Charge Code	270667586
Hospital Revenue Code	272
Min. Negotiated Rate	$154.50
Max. Negotiated Rate	$154.50
Rate for Payer: Qualcare PPO/HMO/WC	$154.50

CUTTER DIAMOND PIN 7

Facility

$1,030.00

Hospital Charge Code	270667586
Hospital Revenue Code	272
Min. Negotiated Rate	$29.25
Max. Negotiated Rate	$515.00
Rate for Payer: Aetna Commercial	$391.40
Rate for Payer: Aetna Medicare Advantage	$309.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$262.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$262.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$262.65
Rate for Payer: Cigna Commercial	$515.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$267.80
Rate for Payer: Oxford Commercial	$206.00
Rate for Payer: Qualcare PPO/HMO/WC	$154.50
Rate for Payer: UnitedHealthcare Commercial	$206.00
Rate for Payer: UnitedHealthcare Community & State	$32.55
Rate for Payer: Wellpoint Medicaid Managed Care	$29.25

CUTTER DISPOSIBLE

Facility

$427.60

Hospital Charge Code	270659979
Hospital Revenue Code	272
Min. Negotiated Rate	$12.14
Max. Negotiated Rate	$213.80
Rate for Payer: Aetna Commercial	$162.49
Rate for Payer: Aetna Medicare Advantage	$128.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.04
Rate for Payer: Cigna Commercial	$213.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.18
Rate for Payer: Oxford Commercial	$85.52
Rate for Payer: Qualcare PPO/HMO/WC	$64.14
Rate for Payer: UnitedHealthcare Commercial	$85.52
Rate for Payer: UnitedHealthcare Community & State	$13.51
Rate for Payer: Wellpoint Medicaid Managed Care	$12.14

CUTTER DISPOSIBLE

Facility

$427.60

Hospital Charge Code	270659979
Hospital Revenue Code	272
Min. Negotiated Rate	$64.14
Max. Negotiated Rate	$64.14
Rate for Payer: Qualcare PPO/HMO/WC	$64.14

CUTTER DRIVER DIRECT GEN5

Facility

$0.01

Hospital Charge Code	270649461S
Hospital Revenue Code	272
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

CUTTER DRIVER DIRECT GEN5

Facility

$0.01

Hospital Charge Code	270649461S
Hospital Revenue Code	272
Max. Negotiated Rate	$0.01
Rate for Payer: Aetna Commercial	$0.00
Rate for Payer: Aetna Medicare Advantage	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.00
Rate for Payer: Cigna Commercial	$0.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Oxford Commercial	$0.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00
Rate for Payer: UnitedHealthcare Commercial	$0.00
Rate for Payer: UnitedHealthcare Community & State	$0.00
Rate for Payer: Wellpoint Medicaid Managed Care	$0.00

Know your out-of-pocket cost for care.

All Charges