Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

HAMMER TUBE SYSTEM

Facility

$5,675.00

Service Code	HCPCS C1713
Hospital Charge Code	270687157
Hospital Revenue Code	278
Min. Negotiated Rate	$161.17
Max. Negotiated Rate	$2,837.50
Rate for Payer: Aetna Commercial	$2,156.50
Rate for Payer: Aetna Medicare Advantage	$1,702.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,447.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,447.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,135.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,447.12
Rate for Payer: Cigna Commercial	$2,837.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,373.35
Rate for Payer: Qualcare PPO/HMO/WC	$851.25
Rate for Payer: UnitedHealthcare Community & State	$179.33
Rate for Payer: Wellpoint Medicaid Managed Care	$161.17

HAMRLCK 2DRLKIT W/2.1MM DRLBIT

Facility

$1,350.00

Hospital Charge Code	270672148
Hospital Revenue Code	272
Min. Negotiated Rate	$202.50
Max. Negotiated Rate	$202.50
Rate for Payer: Qualcare PPO/HMO/WC	$202.50

HAMRLCK 2DRLKIT W/2.1MM DRLBIT

Facility

$1,350.00

Hospital Charge Code	270672148
Hospital Revenue Code	272
Min. Negotiated Rate	$38.34
Max. Negotiated Rate	$675.00
Rate for Payer: Aetna Commercial	$513.00
Rate for Payer: Aetna Medicare Advantage	$405.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$344.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$344.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$344.25
Rate for Payer: Cigna Commercial	$675.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$351.00
Rate for Payer: Oxford Commercial	$270.00
Rate for Payer: Qualcare PPO/HMO/WC	$202.50
Rate for Payer: UnitedHealthcare Commercial	$270.00
Rate for Payer: UnitedHealthcare Community & State	$42.66
Rate for Payer: Wellpoint Medicaid Managed Care	$38.34

HAMRLCK 2 IMP 15x5MM/0DEG MED

Facility

$4,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270672149
Hospital Revenue Code	278
Min. Negotiated Rate	$675.00
Max. Negotiated Rate	$1,089.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,089.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00

HAMRLCK 2 IMP 15x5MM/0DEG MED

Facility

$4,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270672149
Hospital Revenue Code	278
Min. Negotiated Rate	$127.80
Max. Negotiated Rate	$2,250.00
Rate for Payer: Aetna Commercial	$1,710.00
Rate for Payer: Aetna Medicare Advantage	$1,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,147.50
Rate for Payer: Cigna Commercial	$2,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,089.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00
Rate for Payer: UnitedHealthcare Community & State	$142.20
Rate for Payer: Wellpoint Medicaid Managed Care	$127.80

HAN 12 X 180

Facility

$7,559.95

Service Code	HCPCS C1713
Hospital Charge Code	270687876
Hospital Revenue Code	278
Min. Negotiated Rate	$1,133.99
Max. Negotiated Rate	$1,829.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,511.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,829.51
Rate for Payer: Qualcare PPO/HMO/WC	$1,133.99

HAN 12 X 180

Facility

$7,559.95

Service Code	HCPCS C1713
Hospital Charge Code	270687876
Hospital Revenue Code	278
Min. Negotiated Rate	$214.70
Max. Negotiated Rate	$3,779.97
Rate for Payer: Aetna Commercial	$2,872.78
Rate for Payer: Aetna Medicare Advantage	$2,267.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,927.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,927.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,511.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,927.79
Rate for Payer: Cigna Commercial	$3,779.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,829.51
Rate for Payer: Qualcare PPO/HMO/WC	$1,133.99
Rate for Payer: UnitedHealthcare Community & State	$238.89
Rate for Payer: Wellpoint Medicaid Managed Care	$214.70

HAND 2 VIEWS-BILAT

Facility

$5,100.00

Service Code	HCPCS 7312050
Hospital Charge Code	94061231
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

HAND 2 VIEWS-BILAT

Facility

$5,100.00

Service Code	HCPCS 7312050
Hospital Charge Code	94061231
Hospital Revenue Code	320
Min. Negotiated Rate	$144.84
Max. Negotiated Rate	$2,550.00
Rate for Payer: Aetna Commercial	$1,938.00
Rate for Payer: Aetna Medicare Advantage	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$2,550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,326.00
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$161.16
Rate for Payer: Wellpoint Medicaid Managed Care	$144.84

HAND 2 VIEWS-LT

Facility

$5,100.00

Service Code	HCPCS 73120LT
Hospital Charge Code	94061321
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

HAND 2 VIEWS-LT

Facility

$5,100.00

Service Code	HCPCS 73120LT
Hospital Charge Code	94061321
Hospital Revenue Code	320
Min. Negotiated Rate	$144.84
Max. Negotiated Rate	$2,550.00
Rate for Payer: Aetna Commercial	$1,938.00
Rate for Payer: Aetna Medicare Advantage	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$2,550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,326.00
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$161.16
Rate for Payer: Wellpoint Medicaid Managed Care	$144.84

HAND 2 VIEWS-RT

Facility

$5,100.00

Service Code	HCPCS 73120RT
Hospital Charge Code	94061323
Hospital Revenue Code	320
Min. Negotiated Rate	$144.84
Max. Negotiated Rate	$2,550.00
Rate for Payer: Aetna Commercial	$1,938.00
Rate for Payer: Aetna Medicare Advantage	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$2,550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,326.00
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$161.16
Rate for Payer: Wellpoint Medicaid Managed Care	$144.84

HAND 2 VIEWS-RT

Facility

$5,100.00

Service Code	HCPCS 73120RT
Hospital Charge Code	94061323
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

HAND 3 VIEWS-BILAT

Facility

$6,601.19

Service Code	HCPCS 7313050
Hospital Charge Code	94061233
Hospital Revenue Code	320
Min. Negotiated Rate	$187.47
Max. Negotiated Rate	$3,300.59
Rate for Payer: Aetna Commercial	$2,508.45
Rate for Payer: Aetna Medicare Advantage	$1,980.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,683.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,683.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,683.30
Rate for Payer: Cigna Commercial	$3,300.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,716.31
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$990.18
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$208.60
Rate for Payer: Wellpoint Medicaid Managed Care	$187.47

HAND 3 VIEWS-BILAT

Facility

$6,601.19

Service Code	HCPCS 7313050
Hospital Charge Code	94061233
Hospital Revenue Code	320
Min. Negotiated Rate	$990.18
Max. Negotiated Rate	$990.18
Rate for Payer: Qualcare PPO/HMO/WC	$990.18

HAND 3 VIEWS-LT

Facility

$6,601.19

Service Code	HCPCS 73130LT
Hospital Charge Code	94061325
Hospital Revenue Code	320
Min. Negotiated Rate	$187.47
Max. Negotiated Rate	$3,300.59
Rate for Payer: Aetna Commercial	$2,508.45
Rate for Payer: Aetna Medicare Advantage	$1,980.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,683.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,683.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,683.30
Rate for Payer: Cigna Commercial	$3,300.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,716.31
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$990.18
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$208.60
Rate for Payer: Wellpoint Medicaid Managed Care	$187.47

HAND 3 VIEWS-LT

Facility

$6,601.19

Service Code	HCPCS 73130LT
Hospital Charge Code	94061325
Hospital Revenue Code	320
Min. Negotiated Rate	$990.18
Max. Negotiated Rate	$990.18
Rate for Payer: Qualcare PPO/HMO/WC	$990.18

HAND 3 VIEWS-RT

Facility

$6,601.19

Service Code	HCPCS 73130RT
Hospital Charge Code	94061327
Hospital Revenue Code	320
Min. Negotiated Rate	$990.18
Max. Negotiated Rate	$990.18
Rate for Payer: Qualcare PPO/HMO/WC	$990.18

HAND 3 VIEWS-RT

Facility

$6,601.19

Service Code	HCPCS 73130RT
Hospital Charge Code	94061327
Hospital Revenue Code	320
Min. Negotiated Rate	$187.47
Max. Negotiated Rate	$3,300.59
Rate for Payer: Aetna Commercial	$2,508.45
Rate for Payer: Aetna Medicare Advantage	$1,980.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,683.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,683.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,683.30
Rate for Payer: Cigna Commercial	$3,300.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,716.31
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$990.18
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$208.60
Rate for Payer: Wellpoint Medicaid Managed Care	$187.47

HAND AND WRIST PROCEDURES

Facility

$15,108.31

Service Code	APR-DRG 3162
Min. Negotiated Rate	$14,812.07
Max. Negotiated Rate	$15,108.31
Rate for Payer: UnitedHealthcare Community & State	$14,812.07
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$15,108.31
Rate for Payer: Wellpoint Medicaid Managed Care	$14,812.07

HAND AND WRIST PROCEDURES

Facility

$42,941.72

Service Code	APR-DRG 3164
Min. Negotiated Rate	$42,099.73
Max. Negotiated Rate	$42,941.72
Rate for Payer: UnitedHealthcare Community & State	$42,099.73
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$42,941.72
Rate for Payer: Wellpoint Medicaid Managed Care	$42,099.73

HAND AND WRIST PROCEDURES

Facility

$11,322.11

Service Code	APR-DRG 3161
Min. Negotiated Rate	$11,100.11
Max. Negotiated Rate	$11,322.11
Rate for Payer: UnitedHealthcare Community & State	$11,100.11
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$11,322.11
Rate for Payer: Wellpoint Medicaid Managed Care	$11,100.11

HAND AND WRIST PROCEDURES

Facility

$23,232.71

Service Code	APR-DRG 3163
Min. Negotiated Rate	$22,777.17
Max. Negotiated Rate	$23,232.71
Rate for Payer: UnitedHealthcare Community & State	$22,777.17
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$23,232.71
Rate for Payer: Wellpoint Medicaid Managed Care	$22,777.17

HAND CONTROL

Facility

$508.80

Hospital Charge Code	270683670
Hospital Revenue Code	270
Min. Negotiated Rate	$14.45
Max. Negotiated Rate	$254.40
Rate for Payer: Aetna Commercial	$193.34
Rate for Payer: Aetna Medicare Advantage	$152.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$129.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$129.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$129.74
Rate for Payer: Cigna Commercial	$254.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$132.29
Rate for Payer: Oxford Commercial	$101.76
Rate for Payer: Qualcare PPO/HMO/WC	$76.32
Rate for Payer: UnitedHealthcare Commercial	$101.76
Rate for Payer: UnitedHealthcare Community & State	$16.08
Rate for Payer: Wellpoint Medicaid Managed Care	$14.45

HAND CONTROL

Facility

$508.80

Hospital Charge Code	270683670
Hospital Revenue Code	270
Min. Negotiated Rate	$76.32
Max. Negotiated Rate	$76.32
Rate for Payer: Qualcare PPO/HMO/WC	$76.32

Know your out-of-pocket cost for care.

All Charges