Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

FEMORAL NEXGEN LCCK, SZ D-LT

Facility

$28,661.45

Hospital Charge Code	270669762
Hospital Revenue Code	278
Min. Negotiated Rate	$813.99
Max. Negotiated Rate	$14,330.73
Rate for Payer: Aetna Commercial	$10,891.35
Rate for Payer: Aetna Medicare Advantage	$8,598.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,308.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,308.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,732.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,308.67
Rate for Payer: Cigna Commercial	$14,330.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,936.07
Rate for Payer: Qualcare PPO/HMO/WC	$4,299.22
Rate for Payer: UnitedHealthcare Community & State	$905.70
Rate for Payer: Wellpoint Medicaid Managed Care	$813.99

FEMORAL OSS POROUS 3cm RIGHT

Facility

$17,470.00

Service Code	HCPCS C1776
Hospital Charge Code	270673543
Hospital Revenue Code	278
Min. Negotiated Rate	$2,620.50
Max. Negotiated Rate	$4,227.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,494.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,227.74
Rate for Payer: Qualcare PPO/HMO/WC	$2,620.50

FEMORAL OSS POROUS 3cm RIGHT

Facility

$17,470.00

Service Code	HCPCS C1776
Hospital Charge Code	270673543
Hospital Revenue Code	278
Min. Negotiated Rate	$496.15
Max. Negotiated Rate	$8,735.00
Rate for Payer: Aetna Commercial	$6,638.60
Rate for Payer: Aetna Medicare Advantage	$5,241.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,454.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,454.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,494.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,454.85
Rate for Payer: Cigna Commercial	$8,735.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,227.74
Rate for Payer: Qualcare PPO/HMO/WC	$2,620.50
Rate for Payer: UnitedHealthcare Community & State	$552.05
Rate for Payer: Wellpoint Medicaid Managed Care	$496.15

FEMORAL POLY OSS SET 12

Facility

$3,333.30

Service Code	HCPCS C1776
Hospital Charge Code	270667951
Hospital Revenue Code	278
Min. Negotiated Rate	$94.67
Max. Negotiated Rate	$1,666.65
Rate for Payer: Aetna Commercial	$1,266.65
Rate for Payer: Aetna Medicare Advantage	$999.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$849.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$849.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$666.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$849.99
Rate for Payer: Cigna Commercial	$1,666.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$806.66
Rate for Payer: Qualcare PPO/HMO/WC	$500.00
Rate for Payer: UnitedHealthcare Community & State	$105.33
Rate for Payer: Wellpoint Medicaid Managed Care	$94.67

FEMORAL POLY OSS SET 12

Facility

$3,333.30

Service Code	HCPCS C1776
Hospital Charge Code	270667951
Hospital Revenue Code	278
Min. Negotiated Rate	$500.00
Max. Negotiated Rate	$806.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$666.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$806.66
Rate for Payer: Qualcare PPO/HMO/WC	$500.00

FEMORAL POR ECHO LAT 15X155MM

Facility

$10,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270690735
Hospital Revenue Code	278
Min. Negotiated Rate	$298.20
Max. Negotiated Rate	$5,250.00
Rate for Payer: Aetna Commercial	$3,990.00
Rate for Payer: Aetna Medicare Advantage	$3,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,677.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,677.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,677.50
Rate for Payer: Cigna Commercial	$5,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,541.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,575.00
Rate for Payer: UnitedHealthcare Community & State	$331.80
Rate for Payer: Wellpoint Medicaid Managed Care	$298.20

FEMORAL POR ECHO LAT 15X155MM

Facility

$10,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270690735
Hospital Revenue Code	278
Min. Negotiated Rate	$1,575.00
Max. Negotiated Rate	$2,541.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,541.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,575.00

FEMORAL POROUS COVERED STEM 4X

Facility

$10,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270703973
Hospital Revenue Code	278
Min. Negotiated Rate	$1,537.50
Max. Negotiated Rate	$2,480.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,480.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,537.50

FEMORAL POROUS COVERED STEM 4X

Facility

$10,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270703973
Hospital Revenue Code	278
Min. Negotiated Rate	$291.10
Max. Negotiated Rate	$5,125.00
Rate for Payer: Aetna Commercial	$3,895.00
Rate for Payer: Aetna Medicare Advantage	$3,075.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,613.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,613.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,613.75
Rate for Payer: Cigna Commercial	$5,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,480.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,537.50
Rate for Payer: UnitedHealthcare Community & State	$323.90
Rate for Payer: Wellpoint Medicaid Managed Care	$291.10

FEMORAL POST ASYM STAB SZ2 RT

Facility

$9,475.20

Service Code	HCPCS C1776
Hospital Charge Code	270670752
Hospital Revenue Code	278
Min. Negotiated Rate	$1,421.28
Max. Negotiated Rate	$2,293.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,895.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,293.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,421.28

FEMORAL POST ASYM STAB SZ2 RT

Facility

$9,475.20

Service Code	HCPCS C1776
Hospital Charge Code	270670752
Hospital Revenue Code	278
Min. Negotiated Rate	$269.10
Max. Negotiated Rate	$4,737.60
Rate for Payer: Aetna Commercial	$3,600.58
Rate for Payer: Aetna Medicare Advantage	$2,842.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,416.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,416.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,895.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,416.18
Rate for Payer: Cigna Commercial	$4,737.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,293.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,421.28
Rate for Payer: UnitedHealthcare Community & State	$299.42
Rate for Payer: Wellpoint Medicaid Managed Care	$269.10

FEMORAL POST BLK SCW SZ4 10MM

Facility

$3,861.00

Service Code	HCPCS C1776
Hospital Charge Code	270670652
Hospital Revenue Code	278
Min. Negotiated Rate	$579.15
Max. Negotiated Rate	$934.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$772.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$934.36
Rate for Payer: Qualcare PPO/HMO/WC	$579.15

FEMORAL POST BLK SCW SZ4 10MM

Facility

$3,861.00

Service Code	HCPCS C1776
Hospital Charge Code	270670652
Hospital Revenue Code	278
Min. Negotiated Rate	$109.65
Max. Negotiated Rate	$1,930.50
Rate for Payer: Aetna Commercial	$1,467.18
Rate for Payer: Aetna Medicare Advantage	$1,158.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$984.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$984.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$772.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$984.55
Rate for Payer: Cigna Commercial	$1,930.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$934.36
Rate for Payer: Qualcare PPO/HMO/WC	$579.15
Rate for Payer: UnitedHealthcare Community & State	$122.01
Rate for Payer: Wellpoint Medicaid Managed Care	$109.65

FEMORAL POST BLK SCW SZ4 5MM

Facility

$3,861.00

Hospital Charge Code	270670653
Hospital Revenue Code	278
Min. Negotiated Rate	$579.15
Max. Negotiated Rate	$934.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$772.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$934.36
Rate for Payer: Qualcare PPO/HMO/WC	$579.15

FEMORAL POST BLK SCW SZ4 5MM

Facility

$3,861.00

Hospital Charge Code	270670653
Hospital Revenue Code	278
Min. Negotiated Rate	$109.65
Max. Negotiated Rate	$1,930.50
Rate for Payer: Aetna Commercial	$1,467.18
Rate for Payer: Aetna Medicare Advantage	$1,158.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$984.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$984.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$772.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$984.55
Rate for Payer: Cigna Commercial	$1,930.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$934.36
Rate for Payer: Qualcare PPO/HMO/WC	$579.15
Rate for Payer: UnitedHealthcare Community & State	$122.01
Rate for Payer: Wellpoint Medicaid Managed Care	$109.65

FEMORAL POSTERIOR

Facility

$7,237.90

Service Code	HCPCS C1776
Hospital Charge Code	270691267
Hospital Revenue Code	278
Min. Negotiated Rate	$1,085.68
Max. Negotiated Rate	$1,751.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,447.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,751.57
Rate for Payer: Qualcare PPO/HMO/WC	$1,085.68

FEMORAL POSTERIOR

Facility

$7,237.90

Service Code	HCPCS C1776
Hospital Charge Code	270691267
Hospital Revenue Code	278
Min. Negotiated Rate	$205.56
Max. Negotiated Rate	$3,618.95
Rate for Payer: Aetna Commercial	$2,750.40
Rate for Payer: Aetna Medicare Advantage	$2,171.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,845.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,845.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,447.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,845.66
Rate for Payer: Cigna Commercial	$3,618.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,751.57
Rate for Payer: Qualcare PPO/HMO/WC	$1,085.68
Rate for Payer: UnitedHealthcare Community & State	$228.72
Rate for Payer: Wellpoint Medicaid Managed Care	$205.56

FEMORAL POSTERIOR SIZE 4 N

Facility

$10,750.00

Service Code	HCPCS C1776
Hospital Charge Code	270688759
Hospital Revenue Code	278
Min. Negotiated Rate	$1,612.50
Max. Negotiated Rate	$2,601.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,601.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,612.50

FEMORAL POSTERIOR SIZE 4 N

Facility

$10,750.00

Service Code	HCPCS C1776
Hospital Charge Code	270688759
Hospital Revenue Code	278
Min. Negotiated Rate	$305.30
Max. Negotiated Rate	$5,375.00
Rate for Payer: Aetna Commercial	$4,085.00
Rate for Payer: Aetna Medicare Advantage	$3,225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,741.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,741.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,741.25
Rate for Payer: Cigna Commercial	$5,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,601.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,612.50
Rate for Payer: UnitedHealthcare Community & State	$339.70
Rate for Payer: Wellpoint Medicaid Managed Care	$305.30

FEMORAL POSTERIOR STAB. SZ1 LF

Facility

$5,750.00

Service Code	HCPCS C1776
Hospital Charge Code	270670878
Hospital Revenue Code	278
Min. Negotiated Rate	$163.30
Max. Negotiated Rate	$2,875.00
Rate for Payer: Aetna Commercial	$2,185.00
Rate for Payer: Aetna Medicare Advantage	$1,725.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,466.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,466.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,466.25
Rate for Payer: Cigna Commercial	$2,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,391.50
Rate for Payer: Qualcare PPO/HMO/WC	$862.50
Rate for Payer: UnitedHealthcare Community & State	$181.70
Rate for Payer: Wellpoint Medicaid Managed Care	$163.30

FEMORAL POSTERIOR STAB. SZ1 LF

Facility

$5,750.00

Service Code	HCPCS C1776
Hospital Charge Code	270670878
Hospital Revenue Code	278
Min. Negotiated Rate	$862.50
Max. Negotiated Rate	$1,391.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,391.50
Rate for Payer: Qualcare PPO/HMO/WC	$862.50

FEMORAL POSTERIOR STAB. SZ1 RT

Facility

$6,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270671563
Hospital Revenue Code	278
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$1,452.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

FEMORAL POSTERIOR STAB. SZ1 RT

Facility

$6,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270671563
Hospital Revenue Code	278
Min. Negotiated Rate	$170.40
Max. Negotiated Rate	$3,000.00
Rate for Payer: Aetna Commercial	$2,280.00
Rate for Payer: Aetna Medicare Advantage	$1,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,530.00
Rate for Payer: Cigna Commercial	$3,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00
Rate for Payer: UnitedHealthcare Community & State	$189.60
Rate for Payer: Wellpoint Medicaid Managed Care	$170.40

FEMORAL POSTERIOR STAB. SZ2 LF

Facility

$5,750.00

Service Code	HCPCS C1776
Hospital Charge Code	270668731
Hospital Revenue Code	278
Min. Negotiated Rate	$163.30
Max. Negotiated Rate	$2,875.00
Rate for Payer: Aetna Commercial	$2,185.00
Rate for Payer: Aetna Medicare Advantage	$1,725.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,466.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,466.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,466.25
Rate for Payer: Cigna Commercial	$2,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,391.50
Rate for Payer: Qualcare PPO/HMO/WC	$862.50
Rate for Payer: UnitedHealthcare Community & State	$181.70
Rate for Payer: Wellpoint Medicaid Managed Care	$163.30

FEMORAL POSTERIOR STAB. SZ2 LF

Facility

$5,750.00

Service Code	HCPCS C1776
Hospital Charge Code	270668731
Hospital Revenue Code	278
Min. Negotiated Rate	$862.50
Max. Negotiated Rate	$1,391.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,391.50
Rate for Payer: Qualcare PPO/HMO/WC	$862.50

Know your out-of-pocket cost for care.

All Charges