Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CUTTER ECHELON 60 LINEAR

Facility

$229.64

Hospital Charge Code	270608732
Hospital Revenue Code	272
Min. Negotiated Rate	$34.45
Max. Negotiated Rate	$34.45
Rate for Payer: Qualcare PPO/HMO/WC	$34.45

CUTTER ECHELON 60 LINEAR

Facility

$229.64

Hospital Charge Code	270608732
Hospital Revenue Code	272
Min. Negotiated Rate	$6.52
Max. Negotiated Rate	$114.82
Rate for Payer: Aetna Commercial	$87.26
Rate for Payer: Aetna Medicare Advantage	$68.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.56
Rate for Payer: Cigna Commercial	$114.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.71
Rate for Payer: Oxford Commercial	$45.93
Rate for Payer: Qualcare PPO/HMO/WC	$34.45
Rate for Payer: UnitedHealthcare Commercial	$45.93
Rate for Payer: UnitedHealthcare Community & State	$7.26
Rate for Payer: Wellpoint Medicaid Managed Care	$6.52

CUTTER ECHELON LINEAR 45MM

Facility

$2,026.95

Hospital Charge Code	270670865
Hospital Revenue Code	272
Min. Negotiated Rate	$57.57
Max. Negotiated Rate	$1,013.48
Rate for Payer: Aetna Commercial	$770.24
Rate for Payer: Aetna Medicare Advantage	$608.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$516.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$516.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$516.87
Rate for Payer: Cigna Commercial	$1,013.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$527.01
Rate for Payer: Oxford Commercial	$405.39
Rate for Payer: Qualcare PPO/HMO/WC	$304.04
Rate for Payer: UnitedHealthcare Commercial	$405.39
Rate for Payer: UnitedHealthcare Community & State	$64.05
Rate for Payer: Wellpoint Medicaid Managed Care	$57.57

CUTTER ECHELON LINEAR 45MM

Facility

$2,026.95

Hospital Charge Code	270670865
Hospital Revenue Code	272
Min. Negotiated Rate	$304.04
Max. Negotiated Rate	$304.04
Rate for Payer: Qualcare PPO/HMO/WC	$304.04

CUTTER ENDO PRELOADED WHT 35MM

Facility

$115.00

Hospital Charge Code	270656581
Hospital Revenue Code	272
Min. Negotiated Rate	$17.25
Max. Negotiated Rate	$17.25
Rate for Payer: Qualcare PPO/HMO/WC	$17.25

CUTTER ENDO PRELOADED WHT 35MM

Facility

$115.00

Hospital Charge Code	270656581
Hospital Revenue Code	272
Min. Negotiated Rate	$3.27
Max. Negotiated Rate	$57.50
Rate for Payer: Aetna Commercial	$43.70
Rate for Payer: Aetna Medicare Advantage	$34.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.32
Rate for Payer: Cigna Commercial	$57.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.90
Rate for Payer: Oxford Commercial	$23.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.25
Rate for Payer: UnitedHealthcare Commercial	$23.00
Rate for Payer: UnitedHealthcare Community & State	$3.63
Rate for Payer: Wellpoint Medicaid Managed Care	$3.27

CUTTER ENDOSCOPIC ECHELON

Facility

$1,925.08

Hospital Charge Code	270662483
Hospital Revenue Code	272
Min. Negotiated Rate	$54.67
Max. Negotiated Rate	$962.54
Rate for Payer: Aetna Commercial	$731.53
Rate for Payer: Aetna Medicare Advantage	$577.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$490.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$490.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$490.90
Rate for Payer: Cigna Commercial	$962.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$500.52
Rate for Payer: Oxford Commercial	$385.02
Rate for Payer: Qualcare PPO/HMO/WC	$288.76
Rate for Payer: UnitedHealthcare Commercial	$385.02
Rate for Payer: UnitedHealthcare Community & State	$60.83
Rate for Payer: Wellpoint Medicaid Managed Care	$54.67

CUTTER ENDOSCOPIC ECHELON

Facility

$1,925.08

Hospital Charge Code	270662483
Hospital Revenue Code	272
Min. Negotiated Rate	$288.76
Max. Negotiated Rate	$288.76
Rate for Payer: Qualcare PPO/HMO/WC	$288.76

CUTTER ETH ARTIC ENDO 45 ATB45

Facility

$1,566.65

Hospital Charge Code	270625728
Hospital Revenue Code	272
Min. Negotiated Rate	$44.49
Max. Negotiated Rate	$783.33
Rate for Payer: Aetna Commercial	$595.33
Rate for Payer: Aetna Medicare Advantage	$470.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$399.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$399.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$399.50
Rate for Payer: Cigna Commercial	$783.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$407.33
Rate for Payer: Oxford Commercial	$313.33
Rate for Payer: Qualcare PPO/HMO/WC	$235.00
Rate for Payer: UnitedHealthcare Commercial	$313.33
Rate for Payer: UnitedHealthcare Community & State	$49.51
Rate for Payer: Wellpoint Medicaid Managed Care	$44.49

CUTTER ETH ARTIC ENDO 45 ATB45

Facility

$1,566.65

Hospital Charge Code	270625728
Hospital Revenue Code	272
Min. Negotiated Rate	$235.00
Max. Negotiated Rate	$235.00
Rate for Payer: Qualcare PPO/HMO/WC	$235.00

CUTTER ETH ARTIC ENDO 45 TR45W

Facility

$1,172.58

Hospital Charge Code	270625420
Hospital Revenue Code	272
Min. Negotiated Rate	$175.89
Max. Negotiated Rate	$175.89
Rate for Payer: Qualcare PPO/HMO/WC	$175.89

CUTTER ETH ARTIC ENDO 45 TR45W

Facility

$1,172.58

Hospital Charge Code	270625420
Hospital Revenue Code	272
Min. Negotiated Rate	$33.30
Max. Negotiated Rate	$586.29
Rate for Payer: Aetna Commercial	$445.58
Rate for Payer: Aetna Medicare Advantage	$351.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$299.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$299.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$299.01
Rate for Payer: Cigna Commercial	$586.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$304.87
Rate for Payer: Oxford Commercial	$234.52
Rate for Payer: Qualcare PPO/HMO/WC	$175.89
Rate for Payer: UnitedHealthcare Commercial	$234.52
Rate for Payer: UnitedHealthcare Community & State	$37.05
Rate for Payer: Wellpoint Medicaid Managed Care	$33.30

CUTTER FULL RADIUS 3.5MM

Facility

$1,283.75

Service Code	HCPCS C1776
Hospital Charge Code	270658028
Hospital Revenue Code	278
Min. Negotiated Rate	$36.46
Max. Negotiated Rate	$641.88
Rate for Payer: Aetna Commercial	$487.82
Rate for Payer: Aetna Medicare Advantage	$385.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$327.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$327.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$256.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$327.36
Rate for Payer: Cigna Commercial	$641.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$310.67
Rate for Payer: Qualcare PPO/HMO/WC	$192.56
Rate for Payer: UnitedHealthcare Community & State	$40.57
Rate for Payer: Wellpoint Medicaid Managed Care	$36.46

CUTTER FULL RADIUS 3.5MM

Facility

$1,283.75

Service Code	HCPCS C1776
Hospital Charge Code	270658028
Hospital Revenue Code	278
Min. Negotiated Rate	$192.56
Max. Negotiated Rate	$310.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$256.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$310.67
Rate for Payer: Qualcare PPO/HMO/WC	$192.56

CUTTER FULL RADIUS 3.5 SMJOINT

Facility

$166.67

Hospital Charge Code	270657597
Hospital Revenue Code	272
Min. Negotiated Rate	$25.00
Max. Negotiated Rate	$25.00
Rate for Payer: Qualcare PPO/HMO/WC	$25.00

CUTTER FULL RADIUS 3.5 SMJOINT

Facility

$166.67

Hospital Charge Code	270657597
Hospital Revenue Code	272
Min. Negotiated Rate	$4.73
Max. Negotiated Rate	$83.33
Rate for Payer: Aetna Commercial	$63.33
Rate for Payer: Aetna Medicare Advantage	$50.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.50
Rate for Payer: Cigna Commercial	$83.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.33
Rate for Payer: Oxford Commercial	$33.33
Rate for Payer: Qualcare PPO/HMO/WC	$25.00
Rate for Payer: UnitedHealthcare Commercial	$33.33
Rate for Payer: UnitedHealthcare Community & State	$5.27
Rate for Payer: Wellpoint Medicaid Managed Care	$4.73

CUTTER FULL RAD SM JOINT 2.5MM

Facility

$238.76

Service Code	HCPCS C1776
Hospital Charge Code	270658007
Hospital Revenue Code	278
Min. Negotiated Rate	$35.81
Max. Negotiated Rate	$57.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.78
Rate for Payer: Qualcare PPO/HMO/WC	$35.81

CUTTER FULL RAD SM JOINT 2.5MM

Facility

$238.76

Service Code	HCPCS C1776
Hospital Charge Code	270658007
Hospital Revenue Code	278
Min. Negotiated Rate	$6.78
Max. Negotiated Rate	$119.38
Rate for Payer: Aetna Commercial	$90.73
Rate for Payer: Aetna Medicare Advantage	$71.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.88
Rate for Payer: Cigna Commercial	$119.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.78
Rate for Payer: Qualcare PPO/HMO/WC	$35.81
Rate for Payer: UnitedHealthcare Community & State	$7.54
Rate for Payer: Wellpoint Medicaid Managed Care	$6.78

CUTTER GATOR SHAVER 4.2MM

Facility

$236.90

Hospital Charge Code	270677535
Hospital Revenue Code	272
Min. Negotiated Rate	$6.73
Max. Negotiated Rate	$118.45
Rate for Payer: Aetna Commercial	$90.02
Rate for Payer: Aetna Medicare Advantage	$71.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.41
Rate for Payer: Cigna Commercial	$118.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.59
Rate for Payer: Oxford Commercial	$47.38
Rate for Payer: Qualcare PPO/HMO/WC	$35.53
Rate for Payer: UnitedHealthcare Commercial	$47.38
Rate for Payer: UnitedHealthcare Community & State	$7.49
Rate for Payer: Wellpoint Medicaid Managed Care	$6.73

CUTTER GATOR SHAVER 4.2MM

Facility

$236.90

Hospital Charge Code	270677535
Hospital Revenue Code	272
Min. Negotiated Rate	$35.53
Max. Negotiated Rate	$35.53
Rate for Payer: Qualcare PPO/HMO/WC	$35.53

CUTTER II FLIPPERCUTTER

Facility

$2,075.00

Hospital Charge Code	270688307
Hospital Revenue Code	272
Min. Negotiated Rate	$311.25
Max. Negotiated Rate	$311.25
Rate for Payer: Qualcare PPO/HMO/WC	$311.25

CUTTER II FLIPPERCUTTER

Facility

$2,075.00

Hospital Charge Code	270688307
Hospital Revenue Code	272
Min. Negotiated Rate	$58.93
Max. Negotiated Rate	$1,037.50
Rate for Payer: Aetna Commercial	$788.50
Rate for Payer: Aetna Medicare Advantage	$622.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$529.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$529.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$529.12
Rate for Payer: Cigna Commercial	$1,037.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$539.50
Rate for Payer: Oxford Commercial	$415.00
Rate for Payer: Qualcare PPO/HMO/WC	$311.25
Rate for Payer: UnitedHealthcare Commercial	$415.00
Rate for Payer: UnitedHealthcare Community & State	$65.57
Rate for Payer: Wellpoint Medicaid Managed Care	$58.93

CUTTER KNOT FAST FIX ULTRA

Facility

$690.00

Hospital Charge Code	270656310
Hospital Revenue Code	272
Min. Negotiated Rate	$19.60
Max. Negotiated Rate	$345.00
Rate for Payer: Aetna Commercial	$262.20
Rate for Payer: Aetna Medicare Advantage	$207.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$175.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$175.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$175.95
Rate for Payer: Cigna Commercial	$345.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$179.40
Rate for Payer: Oxford Commercial	$138.00
Rate for Payer: Qualcare PPO/HMO/WC	$103.50
Rate for Payer: UnitedHealthcare Commercial	$138.00
Rate for Payer: UnitedHealthcare Community & State	$21.80
Rate for Payer: Wellpoint Medicaid Managed Care	$19.60

CUTTER KNOT FAST FIX ULTRA

Facility

$690.00

Hospital Charge Code	270656310
Hospital Revenue Code	272
Min. Negotiated Rate	$103.50
Max. Negotiated Rate	$103.50
Rate for Payer: Qualcare PPO/HMO/WC	$103.50

CUTTER LINEAR 280MM 45 MM COMP

Facility

$1,664.17

Hospital Charge Code	270690128
Hospital Revenue Code	272
Min. Negotiated Rate	$249.63
Max. Negotiated Rate	$249.63
Rate for Payer: Qualcare PPO/HMO/WC	$249.63

Know your out-of-pocket cost for care.

All Charges