Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

DISPOSABLE LIGHT CABLE

Facility

$2,500.00

Hospital Charge Code	270694229
Hospital Revenue Code	272
Min. Negotiated Rate	$375.00
Max. Negotiated Rate	$375.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00

DISPOSABLE NTCURVED RF CANNULA

Facility

$50.00

Hospital Charge Code	270322295
Hospital Revenue Code	272
Min. Negotiated Rate	$7.50
Max. Negotiated Rate	$7.50
Rate for Payer: Qualcare PPO/HMO/WC	$7.50

DISPOSABLE NTCURVED RF CANNULA

Facility

$50.00

Hospital Charge Code	270322295
Hospital Revenue Code	272
Min. Negotiated Rate	$1.42
Max. Negotiated Rate	$25.00
Rate for Payer: Aetna Commercial	$19.00
Rate for Payer: Aetna Medicare Advantage	$15.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.75
Rate for Payer: Cigna Commercial	$25.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.00
Rate for Payer: Oxford Commercial	$10.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.50
Rate for Payer: UnitedHealthcare Commercial	$10.00
Rate for Payer: UnitedHealthcare Community & State	$1.58
Rate for Payer: Wellpoint Medicaid Managed Care	$1.42

DISPOSABLE NT RF GROUND PADS

Facility

$28.00

Hospital Charge Code	270322296
Hospital Revenue Code	272
Min. Negotiated Rate	$0.80
Max. Negotiated Rate	$14.00
Rate for Payer: Aetna Commercial	$10.64
Rate for Payer: Aetna Medicare Advantage	$8.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.14
Rate for Payer: Cigna Commercial	$14.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.28
Rate for Payer: Oxford Commercial	$5.60
Rate for Payer: Qualcare PPO/HMO/WC	$4.20
Rate for Payer: UnitedHealthcare Commercial	$5.60
Rate for Payer: UnitedHealthcare Community & State	$0.88
Rate for Payer: Wellpoint Medicaid Managed Care	$0.80

DISPOSABLE NT RF GROUND PADS

Facility

$28.00

Hospital Charge Code	270322296
Hospital Revenue Code	272
Min. Negotiated Rate	$4.20
Max. Negotiated Rate	$4.20
Rate for Payer: Qualcare PPO/HMO/WC	$4.20

DISPOSABLE PERFORATOR

Facility

$665.00

Hospital Charge Code	270335101
Hospital Revenue Code	272
Min. Negotiated Rate	$18.89
Max. Negotiated Rate	$332.50
Rate for Payer: Aetna Commercial	$252.70
Rate for Payer: Aetna Medicare Advantage	$199.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$169.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$169.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$169.57
Rate for Payer: Cigna Commercial	$332.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$172.90
Rate for Payer: Oxford Commercial	$133.00
Rate for Payer: Qualcare PPO/HMO/WC	$99.75
Rate for Payer: UnitedHealthcare Commercial	$133.00
Rate for Payer: UnitedHealthcare Community & State	$21.01
Rate for Payer: Wellpoint Medicaid Managed Care	$18.89

DISPOSABLE PERFORATOR

Facility

$665.00

Hospital Charge Code	270335101
Hospital Revenue Code	272
Min. Negotiated Rate	$99.75
Max. Negotiated Rate	$99.75
Rate for Payer: Qualcare PPO/HMO/WC	$99.75

DISPOSABLE SCALP CLIP APPLIER

Facility

$72.00

Hospital Charge Code	270335576
Hospital Revenue Code	272
Min. Negotiated Rate	$2.04
Max. Negotiated Rate	$36.00
Rate for Payer: Aetna Commercial	$27.36
Rate for Payer: Aetna Medicare Advantage	$21.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.36
Rate for Payer: Cigna Commercial	$36.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.72
Rate for Payer: Oxford Commercial	$14.40
Rate for Payer: Qualcare PPO/HMO/WC	$10.80
Rate for Payer: UnitedHealthcare Commercial	$14.40
Rate for Payer: UnitedHealthcare Community & State	$2.28
Rate for Payer: Wellpoint Medicaid Managed Care	$2.04

DISPOSABLE SCALP CLIP APPLIER

Facility

$72.00

Hospital Charge Code	270335576
Hospital Revenue Code	272
Min. Negotiated Rate	$10.80
Max. Negotiated Rate	$10.80
Rate for Payer: Qualcare PPO/HMO/WC	$10.80

DISPOSABLESKIT,FOR3MMSUTURETAC

Facility

$2,420.00

Hospital Charge Code	270663911
Hospital Revenue Code	272
Min. Negotiated Rate	$363.00
Max. Negotiated Rate	$363.00
Rate for Payer: Qualcare PPO/HMO/WC	$363.00

DISPOSABLESKIT,FOR3MMSUTURETAC

Facility

$2,420.00

Hospital Charge Code	270663911
Hospital Revenue Code	272
Min. Negotiated Rate	$68.73
Max. Negotiated Rate	$1,210.00
Rate for Payer: Aetna Commercial	$919.60
Rate for Payer: Aetna Medicare Advantage	$726.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$617.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$617.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$617.10
Rate for Payer: Cigna Commercial	$1,210.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$629.20
Rate for Payer: Oxford Commercial	$484.00
Rate for Payer: Qualcare PPO/HMO/WC	$363.00
Rate for Payer: UnitedHealthcare Commercial	$484.00
Rate for Payer: UnitedHealthcare Community & State	$76.47
Rate for Payer: Wellpoint Medicaid Managed Care	$68.73

DISPOS KIT KNEE FIBERTAK

Facility

$12,611.75

Hospital Charge Code	270703163
Hospital Revenue Code	272
Min. Negotiated Rate	$358.17
Max. Negotiated Rate	$6,305.88
Rate for Payer: Aetna Commercial	$4,792.47
Rate for Payer: Aetna Medicare Advantage	$3,783.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,216.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,216.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,216.00
Rate for Payer: Cigna Commercial	$6,305.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,279.05
Rate for Payer: Oxford Commercial	$2,522.35
Rate for Payer: Qualcare PPO/HMO/WC	$1,891.76
Rate for Payer: UnitedHealthcare Commercial	$2,522.35
Rate for Payer: UnitedHealthcare Community & State	$398.53
Rate for Payer: Wellpoint Medicaid Managed Care	$358.17

DISPOS KIT KNEE FIBERTAK

Facility

$12,611.75

Hospital Charge Code	270703163
Hospital Revenue Code	272
Min. Negotiated Rate	$1,891.76
Max. Negotiated Rate	$1,891.76
Rate for Payer: Qualcare PPO/HMO/WC	$1,891.76

DISPO. VEIN STRIPPERS

Facility

$98.00

Hospital Charge Code	270339008
Hospital Revenue Code	272
Min. Negotiated Rate	$14.70
Max. Negotiated Rate	$14.70
Rate for Payer: Qualcare PPO/HMO/WC	$14.70

DISPO. VEIN STRIPPERS

Facility

$98.00

Hospital Charge Code	270339008
Hospital Revenue Code	272
Min. Negotiated Rate	$2.78
Max. Negotiated Rate	$49.00
Rate for Payer: Aetna Commercial	$37.24
Rate for Payer: Aetna Medicare Advantage	$29.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.99
Rate for Payer: Cigna Commercial	$49.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.48
Rate for Payer: Oxford Commercial	$19.60
Rate for Payer: Qualcare PPO/HMO/WC	$14.70
Rate for Payer: UnitedHealthcare Commercial	$19.60
Rate for Payer: UnitedHealthcare Community & State	$3.10
Rate for Payer: Wellpoint Medicaid Managed Care	$2.78

DISP PEEP VALVE 5-20 CM 22 MM

Facility

$15.55

Hospital Charge Code	270689022
Hospital Revenue Code	272
Min. Negotiated Rate	$0.44
Max. Negotiated Rate	$7.78
Rate for Payer: Aetna Commercial	$5.91
Rate for Payer: Aetna Medicare Advantage	$4.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.97
Rate for Payer: Cigna Commercial	$7.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.04
Rate for Payer: Oxford Commercial	$3.11
Rate for Payer: Qualcare PPO/HMO/WC	$2.33
Rate for Payer: UnitedHealthcare Commercial	$3.11
Rate for Payer: UnitedHealthcare Community & State	$0.49
Rate for Payer: Wellpoint Medicaid Managed Care	$0.44

DISP PEEP VALVE 5-20 CM 22 MM

Facility

$15.55

Hospital Charge Code	270689022
Hospital Revenue Code	272
Min. Negotiated Rate	$2.33
Max. Negotiated Rate	$2.33
Rate for Payer: Qualcare PPO/HMO/WC	$2.33

DISSECTING HOOK 5MM HDH05

Facility

$975.35

Hospital Charge Code	270609764
Hospital Revenue Code	272
Min. Negotiated Rate	$27.70
Max. Negotiated Rate	$487.68
Rate for Payer: Aetna Commercial	$370.63
Rate for Payer: Aetna Medicare Advantage	$292.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.71
Rate for Payer: Cigna Commercial	$487.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$253.59
Rate for Payer: Oxford Commercial	$195.07
Rate for Payer: Qualcare PPO/HMO/WC	$146.30
Rate for Payer: UnitedHealthcare Commercial	$195.07
Rate for Payer: UnitedHealthcare Community & State	$30.82
Rate for Payer: Wellpoint Medicaid Managed Care	$27.70

DISSECTING HOOK 5MM HDH05

Facility

$975.35

Hospital Charge Code	270609764
Hospital Revenue Code	272
Min. Negotiated Rate	$146.30
Max. Negotiated Rate	$146.30
Rate for Payer: Qualcare PPO/HMO/WC	$146.30

DISSECTING TOOL

Facility

$636.50

Hospital Charge Code	270657897
Hospital Revenue Code	272
Min. Negotiated Rate	$95.47
Max. Negotiated Rate	$95.47
Rate for Payer: Qualcare PPO/HMO/WC	$95.47

DISSECTING TOOL

Facility

$764.75

Hospital Charge Code	270657887
Hospital Revenue Code	272
Min. Negotiated Rate	$114.71
Max. Negotiated Rate	$114.71
Rate for Payer: Qualcare PPO/HMO/WC	$114.71

DISSECTING TOOL

Facility

$764.75

Hospital Charge Code	270657887
Hospital Revenue Code	272
Min. Negotiated Rate	$21.72
Max. Negotiated Rate	$382.38
Rate for Payer: Aetna Commercial	$290.61
Rate for Payer: Aetna Medicare Advantage	$229.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$195.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$195.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$195.01
Rate for Payer: Cigna Commercial	$382.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$198.84
Rate for Payer: Oxford Commercial	$152.95
Rate for Payer: Qualcare PPO/HMO/WC	$114.71
Rate for Payer: UnitedHealthcare Commercial	$152.95
Rate for Payer: UnitedHealthcare Community & State	$24.17
Rate for Payer: Wellpoint Medicaid Managed Care	$21.72

DISSECTING TOOL

Facility

$636.50

Hospital Charge Code	270657897
Hospital Revenue Code	272
Min. Negotiated Rate	$18.08
Max. Negotiated Rate	$318.25
Rate for Payer: Aetna Commercial	$241.87
Rate for Payer: Aetna Medicare Advantage	$190.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$162.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$162.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$162.31
Rate for Payer: Cigna Commercial	$318.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$165.49
Rate for Payer: Oxford Commercial	$127.30
Rate for Payer: Qualcare PPO/HMO/WC	$95.47
Rate for Payer: UnitedHealthcare Commercial	$127.30
Rate for Payer: UnitedHealthcare Community & State	$20.11
Rate for Payer: Wellpoint Medicaid Managed Care	$18.08

DISSECTING TOOL PURPLE

Facility

$755.25

Hospital Charge Code	270657257
Hospital Revenue Code	272
Min. Negotiated Rate	$21.45
Max. Negotiated Rate	$377.62
Rate for Payer: Aetna Commercial	$287.00
Rate for Payer: Aetna Medicare Advantage	$226.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.59
Rate for Payer: Cigna Commercial	$377.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.37
Rate for Payer: Oxford Commercial	$151.05
Rate for Payer: Qualcare PPO/HMO/WC	$113.29
Rate for Payer: UnitedHealthcare Commercial	$151.05
Rate for Payer: UnitedHealthcare Community & State	$23.87
Rate for Payer: Wellpoint Medicaid Managed Care	$21.45

DISSECTING TOOL PURPLE

Facility

$755.25

Hospital Charge Code	270657257
Hospital Revenue Code	272
Min. Negotiated Rate	$113.29
Max. Negotiated Rate	$113.29
Rate for Payer: Qualcare PPO/HMO/WC	$113.29

Know your out-of-pocket cost for care.

All Charges