Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

FASTENER CART EXOSHAPE 11X30mm

Facility

$3,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270678722
Hospital Revenue Code	278
Min. Negotiated Rate	$596.25
Max. Negotiated Rate	$961.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$795.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$961.95
Rate for Payer: Qualcare PPO/HMO/WC	$596.25

FASTENER FEM EXOSHAPE 10x21MM

Facility

$6,725.00

Service Code	HCPCS C1713
Hospital Charge Code	270678192
Hospital Revenue Code	278
Min. Negotiated Rate	$1,008.75
Max. Negotiated Rate	$1,627.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,345.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,627.45
Rate for Payer: Qualcare PPO/HMO/WC	$1,008.75

FASTENER FEM EXOSHAPE 10x21MM

Facility

$6,725.00

Service Code	HCPCS C1713
Hospital Charge Code	270678192
Hospital Revenue Code	278
Min. Negotiated Rate	$190.99
Max. Negotiated Rate	$3,362.50
Rate for Payer: Aetna Commercial	$2,555.50
Rate for Payer: Aetna Medicare Advantage	$2,017.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,714.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,714.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,345.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,714.88
Rate for Payer: Cigna Commercial	$3,362.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,627.45
Rate for Payer: Qualcare PPO/HMO/WC	$1,008.75
Rate for Payer: UnitedHealthcare Community & State	$212.51
Rate for Payer: Wellpoint Medicaid Managed Care	$190.99

FASTENER TIB EXOSHAPE 10x30MM

Facility

$3,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270678193
Hospital Revenue Code	278
Min. Negotiated Rate	$596.25
Max. Negotiated Rate	$961.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$795.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$961.95
Rate for Payer: Qualcare PPO/HMO/WC	$596.25

FASTENER TIB EXOSHAPE 10x30MM

Facility

$3,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270678193
Hospital Revenue Code	278
Min. Negotiated Rate	$112.89
Max. Negotiated Rate	$1,987.50
Rate for Payer: Aetna Commercial	$1,510.50
Rate for Payer: Aetna Medicare Advantage	$1,192.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,013.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,013.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$795.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,013.62
Rate for Payer: Cigna Commercial	$1,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$961.95
Rate for Payer: Qualcare PPO/HMO/WC	$596.25
Rate for Payer: UnitedHealthcare Community & State	$125.61
Rate for Payer: Wellpoint Medicaid Managed Care	$112.89

FAST-FIX 360 CRVD CANNULA

Facility

$740.00

Hospital Charge Code	270661479
Hospital Revenue Code	272
Min. Negotiated Rate	$21.02
Max. Negotiated Rate	$370.00
Rate for Payer: Aetna Commercial	$281.20
Rate for Payer: Aetna Medicare Advantage	$222.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$188.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$188.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$188.70
Rate for Payer: Cigna Commercial	$370.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$192.40
Rate for Payer: Oxford Commercial	$148.00
Rate for Payer: Qualcare PPO/HMO/WC	$111.00
Rate for Payer: UnitedHealthcare Commercial	$148.00
Rate for Payer: UnitedHealthcare Community & State	$23.38
Rate for Payer: Wellpoint Medicaid Managed Care	$21.02

FAST-FIX 360 CRVD CANNULA

Facility

$740.00

Hospital Charge Code	270661479
Hospital Revenue Code	272
Min. Negotiated Rate	$111.00
Max. Negotiated Rate	$111.00
Rate for Payer: Qualcare PPO/HMO/WC	$111.00

FAST FIX 360 CURVED NDL DELIVE

Facility

$2,327.80

Hospital Charge Code	270681122
Hospital Revenue Code	272
Min. Negotiated Rate	$349.17
Max. Negotiated Rate	$349.17
Rate for Payer: Qualcare PPO/HMO/WC	$349.17

FAST FIX 360 CURVED NDL DELIVE

Facility

$2,327.80

Hospital Charge Code	270681122
Hospital Revenue Code	272
Min. Negotiated Rate	$66.11
Max. Negotiated Rate	$1,163.90
Rate for Payer: Aetna Commercial	$884.56
Rate for Payer: Aetna Medicare Advantage	$698.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$593.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$593.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$593.59
Rate for Payer: Cigna Commercial	$1,163.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$605.23
Rate for Payer: Oxford Commercial	$465.56
Rate for Payer: Qualcare PPO/HMO/WC	$349.17
Rate for Payer: UnitedHealthcare Commercial	$465.56
Rate for Payer: UnitedHealthcare Community & State	$73.56
Rate for Payer: Wellpoint Medicaid Managed Care	$66.11

FASTFIX 360 CURVE NDL DEL SYS

Facility

$2,327.80

Service Code	HCPCS C1713
Hospital Charge Code	270646586
Hospital Revenue Code	278
Min. Negotiated Rate	$66.11
Max. Negotiated Rate	$1,163.90
Rate for Payer: Aetna Commercial	$884.56
Rate for Payer: Aetna Medicare Advantage	$698.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$593.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$593.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$465.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$593.59
Rate for Payer: Cigna Commercial	$1,163.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$563.33
Rate for Payer: Qualcare PPO/HMO/WC	$349.17
Rate for Payer: UnitedHealthcare Community & State	$73.56
Rate for Payer: Wellpoint Medicaid Managed Care	$66.11

FASTFIX 360 CURVE NDL DEL SYS

Facility

$2,327.80

Service Code	HCPCS C1713
Hospital Charge Code	270646586
Hospital Revenue Code	278
Min. Negotiated Rate	$349.17
Max. Negotiated Rate	$563.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$465.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$563.33
Rate for Payer: Qualcare PPO/HMO/WC	$349.17

FAST FIX 360 REVERSED CURVE ND

Facility

$2,327.80

Hospital Charge Code	270681124
Hospital Revenue Code	272
Min. Negotiated Rate	$349.17
Max. Negotiated Rate	$349.17
Rate for Payer: Qualcare PPO/HMO/WC	$349.17

FAST FIX 360 REVERSED CURVE ND

Facility

$2,327.80

Hospital Charge Code	270681124
Hospital Revenue Code	272
Min. Negotiated Rate	$66.11
Max. Negotiated Rate	$1,163.90
Rate for Payer: Aetna Commercial	$884.56
Rate for Payer: Aetna Medicare Advantage	$698.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$593.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$593.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$593.59
Rate for Payer: Cigna Commercial	$1,163.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$605.23
Rate for Payer: Oxford Commercial	$465.56
Rate for Payer: Qualcare PPO/HMO/WC	$349.17
Rate for Payer: UnitedHealthcare Commercial	$465.56
Rate for Payer: UnitedHealthcare Community & State	$73.56
Rate for Payer: Wellpoint Medicaid Managed Care	$66.11

FAST FIX 360 STRA NEDL DEL SYS

Facility

$2,260.00

Hospital Charge Code	270661478
Hospital Revenue Code	272
Min. Negotiated Rate	$339.00
Max. Negotiated Rate	$339.00
Rate for Payer: Qualcare PPO/HMO/WC	$339.00

FAST FIX 360 STRA NEDL DEL SYS

Facility

$2,260.00

Hospital Charge Code	270661478
Hospital Revenue Code	272
Min. Negotiated Rate	$64.18
Max. Negotiated Rate	$1,130.00
Rate for Payer: Aetna Commercial	$858.80
Rate for Payer: Aetna Medicare Advantage	$678.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$576.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$576.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$576.30
Rate for Payer: Cigna Commercial	$1,130.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$587.60
Rate for Payer: Oxford Commercial	$452.00
Rate for Payer: Qualcare PPO/HMO/WC	$339.00
Rate for Payer: UnitedHealthcare Commercial	$452.00
Rate for Payer: UnitedHealthcare Community & State	$71.42
Rate for Payer: Wellpoint Medicaid Managed Care	$64.18

FAST-FIX DELIVERY SYSTEM 360

Facility

$2,260.00

Hospital Charge Code	270661476
Hospital Revenue Code	272
Min. Negotiated Rate	$339.00
Max. Negotiated Rate	$339.00
Rate for Payer: Qualcare PPO/HMO/WC	$339.00

FAST-FIX DELIVERY SYSTEM 360

Facility

$2,260.00

Hospital Charge Code	270661476
Hospital Revenue Code	272
Min. Negotiated Rate	$64.18
Max. Negotiated Rate	$1,130.00
Rate for Payer: Aetna Commercial	$858.80
Rate for Payer: Aetna Medicare Advantage	$678.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$576.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$576.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$576.30
Rate for Payer: Cigna Commercial	$1,130.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$587.60
Rate for Payer: Oxford Commercial	$452.00
Rate for Payer: Qualcare PPO/HMO/WC	$339.00
Rate for Payer: UnitedHealthcare Commercial	$452.00
Rate for Payer: UnitedHealthcare Community & State	$71.42
Rate for Payer: Wellpoint Medicaid Managed Care	$64.18

FASTGRAFTER AUTOGRAFT HARVESTI

Facility

$4,975.00

Hospital Charge Code	270704034
Hospital Revenue Code	272
Min. Negotiated Rate	$141.29
Max. Negotiated Rate	$2,487.50
Rate for Payer: Aetna Commercial	$1,890.50
Rate for Payer: Aetna Medicare Advantage	$1,492.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,268.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,268.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,268.62
Rate for Payer: Cigna Commercial	$2,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,293.50
Rate for Payer: Oxford Commercial	$995.00
Rate for Payer: Qualcare PPO/HMO/WC	$746.25
Rate for Payer: UnitedHealthcare Commercial	$995.00
Rate for Payer: UnitedHealthcare Community & State	$157.21
Rate for Payer: Wellpoint Medicaid Managed Care	$141.29

FASTGRAFTER AUTOGRAFT HARVESTI

Facility

$4,975.00

Hospital Charge Code	270704034
Hospital Revenue Code	272
Min. Negotiated Rate	$746.25
Max. Negotiated Rate	$746.25
Rate for Payer: Qualcare PPO/HMO/WC	$746.25

FASTING GLUCOSE TOL

Facility

$650.00

Hospital Charge Code	38479021
Hospital Revenue Code	301
Min. Negotiated Rate	$18.46
Max. Negotiated Rate	$325.00
Rate for Payer: Aetna Commercial	$247.00
Rate for Payer: Aetna Medicare Advantage	$195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$165.75
Rate for Payer: Cigna Commercial	$325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.00
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$97.50
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$20.54
Rate for Payer: Wellpoint Medicaid Managed Care	$18.46

FASTING GLUCOSE TOL

Facility

$650.00

Hospital Charge Code	38479021
Hospital Revenue Code	301
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$97.50
Rate for Payer: Qualcare PPO/HMO/WC	$97.50

FAT DROPLETS, URINE

Facility

$120.00

Service Code	HCPCS 81099
Hospital Charge Code	38477032
Hospital Revenue Code	307
Min. Negotiated Rate	$3.41
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$45.60
Rate for Payer: Aetna Medicare Advantage	$36.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.60
Rate for Payer: Cigna Commercial	$60.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.20
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.00
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$3.79
Rate for Payer: Wellpoint Medicaid Managed Care	$3.41

FAT DROPLETS, URINE

Facility

$120.00

Service Code	HCPCS 81099
Hospital Charge Code	38477032
Hospital Revenue Code	307
Min. Negotiated Rate	$18.00
Max. Negotiated Rate	$18.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.00

FAT STAIN,FECES,URINE,OR RESP

Facility

$30.00

Service Code	HCPCS 89125
Hospital Charge Code	38477034
Hospital Revenue Code	300
Min. Negotiated Rate	$0.85
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$15.99
Rate for Payer: Aetna Medicare Advantage	$19.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$0.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.33
Rate for Payer: Cigna Commercial	$15.00
Rate for Payer: Cigna Medicare Advantage	$5.88
Rate for Payer: Clover Medicare Advantage	$5.59
Rate for Payer: EmblemHealth Commercial	$17.64
Rate for Payer: Humana Medicare Advantage	$6.06
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.80
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.50
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$4.70
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.88
Rate for Payer: Wellcare Medicare Advantage	$5.88
Rate for Payer: Wellpoint Medicaid Managed Care	$0.85

FAT STAIN,FECES,URINE,OR RESP

Facility

$30.00

Service Code	HCPCS 89125
Hospital Charge Code	38477034
Hospital Revenue Code	300
Min. Negotiated Rate	$4.50
Max. Negotiated Rate	$4.50
Rate for Payer: Qualcare PPO/HMO/WC	$4.50

Know your out-of-pocket cost for care.

All Charges