Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

EXPANDER TISSUE MED HT 950 CC

Facility

$8,225.00

Hospital Charge Code	270677730
Hospital Revenue Code	278
Min. Negotiated Rate	$1,233.75
Max. Negotiated Rate	$1,990.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,645.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,990.45
Rate for Payer: Qualcare PPO/HMO/WC	$1,233.75

EXPANDER TISSUE MED HT 950 CC

Facility

$8,225.00

Hospital Charge Code	270677730
Hospital Revenue Code	278
Min. Negotiated Rate	$233.59
Max. Negotiated Rate	$4,112.50
Rate for Payer: Aetna Commercial	$3,125.50
Rate for Payer: Aetna Medicare Advantage	$2,467.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,097.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,097.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,645.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,097.38
Rate for Payer: Cigna Commercial	$4,112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,990.45
Rate for Payer: Qualcare PPO/HMO/WC	$1,233.75
Rate for Payer: UnitedHealthcare Community & State	$259.91
Rate for Payer: Wellpoint Medicaid Managed Care	$233.59

EXPANDSIENTRASMMIDHT340-420

Facility

$9,845.00

Service Code	HCPCS L8600
Hospital Charge Code	270700136
Hospital Revenue Code	278
Min. Negotiated Rate	$279.60
Max. Negotiated Rate	$4,922.50
Rate for Payer: Aetna Commercial	$3,741.10
Rate for Payer: Aetna Medicare Advantage	$2,953.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,510.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,510.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,969.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,510.47
Rate for Payer: Cigna Commercial	$4,922.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,382.49
Rate for Payer: Qualcare PPO/HMO/WC	$1,476.75
Rate for Payer: UnitedHealthcare Community & State	$311.10
Rate for Payer: Wellpoint Medicaid Managed Care	$279.60

EXPANDSIENTRASMMIDHT340-420

Facility

$9,845.00

Service Code	HCPCS L8600
Hospital Charge Code	270700136
Hospital Revenue Code	278
Min. Negotiated Rate	$1,476.75
Max. Negotiated Rate	$2,382.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,969.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,382.49
Rate for Payer: Qualcare PPO/HMO/WC	$1,476.75

EXPEDIUM SCREW SET 5.5

Facility

$791.00

Service Code	HCPCS C1713
Hospital Charge Code	270691062
Hospital Revenue Code	278
Min. Negotiated Rate	$22.46
Max. Negotiated Rate	$395.50
Rate for Payer: Aetna Commercial	$300.58
Rate for Payer: Aetna Medicare Advantage	$237.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$201.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$201.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$201.71
Rate for Payer: Cigna Commercial	$395.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.42
Rate for Payer: Qualcare PPO/HMO/WC	$118.65
Rate for Payer: UnitedHealthcare Community & State	$25.00
Rate for Payer: Wellpoint Medicaid Managed Care	$22.46

EXPEDIUM SCREW SET 5.5

Facility

$791.00

Service Code	HCPCS C1713
Hospital Charge Code	270691062
Hospital Revenue Code	278
Min. Negotiated Rate	$118.65
Max. Negotiated Rate	$191.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.42
Rate for Payer: Qualcare PPO/HMO/WC	$118.65

EXPLANT LDH PROVISION HEAD SIZ

Facility

$1,440.00

Service Code	HCPCS C1776
Hospital Charge Code	270698036
Hospital Revenue Code	278
Min. Negotiated Rate	$40.90
Max. Negotiated Rate	$720.00
Rate for Payer: Aetna Commercial	$547.20
Rate for Payer: Aetna Medicare Advantage	$432.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$367.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$367.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$288.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$367.20
Rate for Payer: Cigna Commercial	$720.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$348.48
Rate for Payer: Qualcare PPO/HMO/WC	$216.00
Rate for Payer: UnitedHealthcare Community & State	$45.50
Rate for Payer: Wellpoint Medicaid Managed Care	$40.90

EXPLANT LDH PROVISION HEAD SIZ

Facility

$1,440.00

Service Code	HCPCS C1776
Hospital Charge Code	270698036
Hospital Revenue Code	278
Min. Negotiated Rate	$216.00
Max. Negotiated Rate	$348.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$288.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$348.48
Rate for Payer: Qualcare PPO/HMO/WC	$216.00

EXPL KNEE W DRAIN/REM FB

Facility

$30,595.00

Service Code	HCPCS 27310
Hospital Charge Code	16000447
Hospital Revenue Code	360
Min. Negotiated Rate	$4,589.25
Max. Negotiated Rate	$4,589.25
Rate for Payer: Qualcare PPO/HMO/WC	$4,589.25

EXPL KNEE W DRAIN/REM FB

Facility

$30,595.00

Service Code	HCPCS 27310
Hospital Charge Code	16000447
Hospital Revenue Code	360
Min. Negotiated Rate	$868.90
Max. Negotiated Rate	$14,100.89
Rate for Payer: Aetna Commercial	$10,573.24
Rate for Payer: Aetna Medicare Advantage	$12,594.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,100.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,100.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,887.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14,100.89
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: Cigna Medicare Advantage	$3,887.22
Rate for Payer: Clover Medicare Advantage	$3,692.86
Rate for Payer: EmblemHealth Commercial	$11,661.66
Rate for Payer: Humana Medicare Advantage	$4,003.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,887.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,954.70
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,589.25
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$966.80
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,887.22
Rate for Payer: Wellcare Medicare Advantage	$3,887.22
Rate for Payer: Wellpoint Medicaid Managed Care	$868.90

EXPL LAPAROTOMY EXPL CELIOTOMY

Facility

$8,578.30

Service Code	HCPCS 49000
Hospital Charge Code	16000985
Hospital Revenue Code	360
Min. Negotiated Rate	$243.62
Max. Negotiated Rate	$10,269.00
Rate for Payer: Aetna Commercial	$3,259.75
Rate for Payer: Aetna Medicare Advantage	$2,573.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,187.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,187.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,187.47
Rate for Payer: Cigna Commercial	$4,289.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,230.36
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,286.74
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$271.07
Rate for Payer: Wellpoint Medicaid Managed Care	$243.62

EXPL LAPAROTOMY EXPL CELIOTOMY

Facility

$8,578.30

Service Code	HCPCS 49000
Hospital Charge Code	16000985
Hospital Revenue Code	360
Min. Negotiated Rate	$1,286.74
Max. Negotiated Rate	$1,286.74
Rate for Payer: Qualcare PPO/HMO/WC	$1,286.74

EXPL N/FLWD SURG NECK ART

Facility

$23,767.00

Service Code	HCPCS 35701
Hospital Charge Code	1600000721
Hospital Revenue Code	360
Min. Negotiated Rate	$674.98
Max. Negotiated Rate	$11,883.50
Rate for Payer: Aetna Commercial	$9,031.46
Rate for Payer: Aetna Medicare Advantage	$7,130.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,060.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,060.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,060.59
Rate for Payer: Cigna Commercial	$11,883.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,179.42
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,565.05
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$751.04
Rate for Payer: Wellpoint Medicaid Managed Care	$674.98

EXPL N/FLWD SURG NECK ART

Facility

$23,767.00

Service Code	HCPCS 35701
Hospital Charge Code	1600000721
Hospital Revenue Code	360
Min. Negotiated Rate	$3,565.05
Max. Negotiated Rate	$3,565.05
Rate for Payer: Qualcare PPO/HMO/WC	$3,565.05

EXPLORE ADRENAL GLAND

Facility

$23,063.00

Service Code	HCPCS 60540
Hospital Charge Code	1600000750
Hospital Revenue Code	360
Min. Negotiated Rate	$654.99
Max. Negotiated Rate	$11,531.50
Rate for Payer: Aetna Commercial	$8,763.94
Rate for Payer: Aetna Medicare Advantage	$6,918.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,881.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,881.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,881.06
Rate for Payer: Cigna Commercial	$11,531.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,996.38
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,459.45
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$728.79
Rate for Payer: Wellpoint Medicaid Managed Care	$654.99

EXPLORE ADRENAL GLAND

Facility

$23,063.00

Service Code	HCPCS 60540
Hospital Charge Code	1600000750
Hospital Revenue Code	360
Min. Negotiated Rate	$3,459.45
Max. Negotiated Rate	$3,459.45
Rate for Payer: Qualcare PPO/HMO/WC	$3,459.45

EXPLORE PARATHYROID GLANDS

Facility

$20,350.20

Service Code	HCPCS 60500
Hospital Charge Code	1600000352
Hospital Revenue Code	360
Min. Negotiated Rate	$3,052.53
Max. Negotiated Rate	$3,052.53
Rate for Payer: Qualcare PPO/HMO/WC	$3,052.53

EXPLORE PARATHYROID GLANDS

Facility

$20,350.20

Service Code	HCPCS 60500
Hospital Charge Code	1600000352
Hospital Revenue Code	360
Min. Negotiated Rate	$577.95
Max. Negotiated Rate	$25,511.88
Rate for Payer: Aetna Commercial	$19,129.52
Rate for Payer: Aetna Medicare Advantage	$22,786.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25,511.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25,511.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7,032.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25,511.88
Rate for Payer: Cigna Commercial	$14,097.46
Rate for Payer: Cigna Medicare Advantage	$7,032.91
Rate for Payer: Clover Medicare Advantage	$6,681.26
Rate for Payer: EmblemHealth Commercial	$21,098.73
Rate for Payer: Humana Medicare Advantage	$7,243.90
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$7,032.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,291.05
Rate for Payer: Oxford Commercial	$11,677.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,052.53
Rate for Payer: UnitedHealthcare Commercial	$12,906.00
Rate for Payer: UnitedHealthcare Community & State	$643.07
Rate for Payer: UnitedHealthcare Medicare Advantage	$7,032.91
Rate for Payer: Wellcare Medicare Advantage	$7,032.91
Rate for Payer: Wellpoint Medicaid Managed Care	$577.95

EXPLORE SCROTUM

Facility

$20,303.55

Service Code	HCPCS 55110
Hospital Charge Code	1600000480
Hospital Revenue Code	360
Min. Negotiated Rate	$576.62
Max. Negotiated Rate	$15,191.14
Rate for Payer: Aetna Commercial	$11,390.73
Rate for Payer: Aetna Medicare Advantage	$13,568.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15,191.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15,191.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4,187.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15,191.14
Rate for Payer: Cigna Commercial	$8,394.37
Rate for Payer: Cigna Medicare Advantage	$4,187.77
Rate for Payer: Clover Medicare Advantage	$3,978.38
Rate for Payer: EmblemHealth Commercial	$12,563.31
Rate for Payer: Humana Medicare Advantage	$4,313.40
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4,187.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,278.92
Rate for Payer: Oxford Commercial	$7,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,045.53
Rate for Payer: UnitedHealthcare Commercial	$8,192.00
Rate for Payer: UnitedHealthcare Community & State	$641.59
Rate for Payer: UnitedHealthcare Medicare Advantage	$4,187.77
Rate for Payer: Wellcare Medicare Advantage	$4,187.77
Rate for Payer: Wellpoint Medicaid Managed Care	$576.62

EXPLORE SCROTUM

Facility

$20,303.55

Service Code	HCPCS 55110
Hospital Charge Code	1600000480
Hospital Revenue Code	360
Min. Negotiated Rate	$3,045.53
Max. Negotiated Rate	$3,045.53
Rate for Payer: Qualcare PPO/HMO/WC	$3,045.53

EXPLORE SMALL INTESTINE

Facility

$20,827.80

Service Code	HCPCS 44020
Hospital Charge Code	1600000761
Hospital Revenue Code	360
Min. Negotiated Rate	$3,124.17
Max. Negotiated Rate	$3,124.17
Rate for Payer: Qualcare PPO/HMO/WC	$3,124.17

EXPLORE SMALL INTESTINE

Facility

$20,827.80

Service Code	HCPCS 44020
Hospital Charge Code	1600000761
Hospital Revenue Code	360
Min. Negotiated Rate	$591.51
Max. Negotiated Rate	$10,413.90
Rate for Payer: Aetna Commercial	$7,914.56
Rate for Payer: Aetna Medicare Advantage	$6,248.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,311.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,311.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,311.09
Rate for Payer: Cigna Commercial	$10,413.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,415.23
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,124.17
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$658.16
Rate for Payer: Wellpoint Medicaid Managed Care	$591.51

EXPLORE SPINAL FUSION

Facility

$12,938.00

Service Code	HCPCS 22830
Hospital Charge Code	160000230
Hospital Revenue Code	360
Min. Negotiated Rate	$1,940.70
Max. Negotiated Rate	$1,940.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,940.70

EXPLORE SPINAL FUSION

Facility

$12,938.00

Service Code	HCPCS 22830
Hospital Charge Code	160000230
Hospital Revenue Code	360
Min. Negotiated Rate	$367.44
Max. Negotiated Rate	$31,271.12
Rate for Payer: Aetna Commercial	$23,447.95
Rate for Payer: Aetna Medicare Advantage	$27,930.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31,271.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31,271.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8,620.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31,271.12
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: Cigna Medicare Advantage	$8,620.57
Rate for Payer: Clover Medicare Advantage	$8,189.54
Rate for Payer: EmblemHealth Commercial	$25,861.71
Rate for Payer: Humana Medicare Advantage	$8,879.19
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$8,620.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,363.88
Rate for Payer: Oxford Commercial	$13,407.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,940.70
Rate for Payer: UnitedHealthcare Commercial	$14,869.00
Rate for Payer: UnitedHealthcare Community & State	$408.84
Rate for Payer: UnitedHealthcare Medicare Advantage	$8,620.57
Rate for Payer: Wellcare Medicare Advantage	$8,620.57
Rate for Payer: Wellpoint Medicaid Managed Care	$367.44

EXPLORE/TREAT ANKLE JOINT-LT

Facility

$32,127.31

Service Code	HCPCS 27610
Hospital Charge Code	16000890
Hospital Revenue Code	360
Min. Negotiated Rate	$912.42
Max. Negotiated Rate	$14,100.89
Rate for Payer: Aetna Commercial	$10,573.24
Rate for Payer: Aetna Medicare Advantage	$12,594.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,100.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,100.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,887.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14,100.89
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: Cigna Medicare Advantage	$3,887.22
Rate for Payer: Clover Medicare Advantage	$3,692.86
Rate for Payer: EmblemHealth Commercial	$11,661.66
Rate for Payer: Humana Medicare Advantage	$4,003.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,887.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,353.10
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,819.10
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$1,015.22
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,887.22
Rate for Payer: Wellcare Medicare Advantage	$3,887.22
Rate for Payer: Wellpoint Medicaid Managed Care	$912.42

Know your out-of-pocket cost for care.

All Charges