Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

HLA TYPING CELIAC DISEASE II

Facility

$843.65

Service Code	HCPCS 81382
Hospital Charge Code	39990155B
Hospital Revenue Code	310
Min. Negotiated Rate	$126.55
Max. Negotiated Rate	$126.55
Rate for Payer: Qualcare PPO/HMO/WC	$126.55

HLA TYPING CELIAC DISEASE II

Facility

$843.65

Service Code	HCPCS 81382
Hospital Charge Code	39990155B
Hospital Revenue Code	310
Min. Negotiated Rate	$23.96
Max. Negotiated Rate	$448.65
Rate for Payer: Aetna Commercial	$336.41
Rate for Payer: Aetna Medicare Advantage	$400.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$448.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$448.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$123.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$448.65
Rate for Payer: Cigna Commercial	$421.82
Rate for Payer: Cigna Medicare Advantage	$123.68
Rate for Payer: Clover Medicare Advantage	$117.50
Rate for Payer: EmblemHealth Commercial	$371.04
Rate for Payer: Humana Medicare Advantage	$127.39
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$123.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.35
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$126.55
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$98.94
Rate for Payer: UnitedHealthcare Medicare Advantage	$123.68
Rate for Payer: Wellcare Medicare Advantage	$123.68
Rate for Payer: Wellpoint Medicaid Managed Care	$23.96

HMRL BEARING 36MM STD VITE

Facility

$11,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270688615
Hospital Revenue Code	278
Min. Negotiated Rate	$326.60
Max. Negotiated Rate	$5,750.00
Rate for Payer: Aetna Commercial	$4,370.00
Rate for Payer: Aetna Medicare Advantage	$3,450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,932.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,932.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,932.50
Rate for Payer: Cigna Commercial	$5,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,783.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,725.00
Rate for Payer: UnitedHealthcare Community & State	$363.40
Rate for Payer: Wellpoint Medicaid Managed Care	$326.60

HMRL BEARING 36MM STD VITE

Facility

$11,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270688615
Hospital Revenue Code	278
Min. Negotiated Rate	$1,725.00
Max. Negotiated Rate	$2,783.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,783.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,725.00

HMRL TRAY STD STD

Facility

$6,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270688614
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

HMRL TRAY STD STD

Facility

$6,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270688614
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

HMRL TRAYT STD +5 MM

Facility

$6,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270690728
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

HMRL TRAYT STD +5 MM

Facility

$6,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270690728
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

HOFFMAN FIXATOR IMPLANT

Facility

$11,976.00

Hospital Charge Code	270335075
Hospital Revenue Code	278
Min. Negotiated Rate	$340.12
Max. Negotiated Rate	$5,988.00
Rate for Payer: Aetna Commercial	$4,550.88
Rate for Payer: Aetna Medicare Advantage	$3,592.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,053.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,053.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,395.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,053.88
Rate for Payer: Cigna Commercial	$5,988.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,898.19
Rate for Payer: Qualcare PPO/HMO/WC	$1,796.40
Rate for Payer: UnitedHealthcare Community & State	$378.44
Rate for Payer: Wellpoint Medicaid Managed Care	$340.12

HOFFMAN FIXATOR IMPLANT

Facility

$11,976.00

Hospital Charge Code	270335075
Hospital Revenue Code	278
Min. Negotiated Rate	$1,796.40
Max. Negotiated Rate	$2,898.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,395.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,898.19
Rate for Payer: Qualcare PPO/HMO/WC	$1,796.40

HOFFMAN FOOT ARCH LRF 180MM

Facility

$11,332.20

Service Code	HCPCS C1713
Hospital Charge Code	270700234
Hospital Revenue Code	278
Min. Negotiated Rate	$321.83
Max. Negotiated Rate	$5,666.10
Rate for Payer: Aetna Commercial	$4,306.24
Rate for Payer: Aetna Medicare Advantage	$3,399.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,889.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,889.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,266.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,889.71
Rate for Payer: Cigna Commercial	$5,666.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,742.39
Rate for Payer: Qualcare PPO/HMO/WC	$1,699.83
Rate for Payer: UnitedHealthcare Community & State	$358.10
Rate for Payer: Wellpoint Medicaid Managed Care	$321.83

HOFFMAN FOOT ARCH LRF 180MM

Facility

$11,332.20

Service Code	HCPCS C1713
Hospital Charge Code	270700234
Hospital Revenue Code	278
Min. Negotiated Rate	$1,699.83
Max. Negotiated Rate	$2,742.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,266.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,742.39
Rate for Payer: Qualcare PPO/HMO/WC	$1,699.83

HOFFMAN FOOT RING LNG LRF180MM

Facility

$13,034.05

Service Code	HCPCS C1713
Hospital Charge Code	270700232
Hospital Revenue Code	278
Min. Negotiated Rate	$370.17
Max. Negotiated Rate	$6,517.02
Rate for Payer: Aetna Commercial	$4,952.94
Rate for Payer: Aetna Medicare Advantage	$3,910.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,323.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,323.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,606.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,323.68
Rate for Payer: Cigna Commercial	$6,517.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,154.24
Rate for Payer: Qualcare PPO/HMO/WC	$1,955.11
Rate for Payer: UnitedHealthcare Community & State	$411.88
Rate for Payer: Wellpoint Medicaid Managed Care	$370.17

HOFFMAN FOOT RING LNG LRF180MM

Facility

$13,034.05

Service Code	HCPCS C1713
Hospital Charge Code	270700232
Hospital Revenue Code	278
Min. Negotiated Rate	$1,955.11
Max. Negotiated Rate	$3,154.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,606.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,154.24
Rate for Payer: Qualcare PPO/HMO/WC	$1,955.11

HOFFMAN FOOT RING SH LRF 180MM

Facility

$13,427.80

Service Code	HCPCS C1713
Hospital Charge Code	270700233
Hospital Revenue Code	278
Min. Negotiated Rate	$381.35
Max. Negotiated Rate	$6,713.90
Rate for Payer: Aetna Commercial	$5,102.56
Rate for Payer: Aetna Medicare Advantage	$4,028.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,424.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,424.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,685.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,424.09
Rate for Payer: Cigna Commercial	$6,713.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,249.53
Rate for Payer: Qualcare PPO/HMO/WC	$2,014.17
Rate for Payer: UnitedHealthcare Community & State	$424.32
Rate for Payer: Wellpoint Medicaid Managed Care	$381.35

HOFFMAN FOOT RING SH LRF 180MM

Facility

$13,427.80

Service Code	HCPCS C1713
Hospital Charge Code	270700233
Hospital Revenue Code	278
Min. Negotiated Rate	$2,014.17
Max. Negotiated Rate	$3,249.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,685.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,249.53
Rate for Payer: Qualcare PPO/HMO/WC	$2,014.17

HOFFMAN FULL RING LRF 180MM

Facility

$10,201.00

Service Code	HCPCS C1713
Hospital Charge Code	270700229
Hospital Revenue Code	278
Min. Negotiated Rate	$1,530.15
Max. Negotiated Rate	$2,468.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,040.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,468.64
Rate for Payer: Qualcare PPO/HMO/WC	$1,530.15

HOFFMAN FULL RING LRF 180MM

Facility

$10,201.00

Service Code	HCPCS C1713
Hospital Charge Code	270700229
Hospital Revenue Code	278
Min. Negotiated Rate	$289.71
Max. Negotiated Rate	$5,100.50
Rate for Payer: Aetna Commercial	$3,876.38
Rate for Payer: Aetna Medicare Advantage	$3,060.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,601.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,601.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,040.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,601.26
Rate for Payer: Cigna Commercial	$5,100.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,468.64
Rate for Payer: Qualcare PPO/HMO/WC	$1,530.15
Rate for Payer: UnitedHealthcare Community & State	$322.35
Rate for Payer: Wellpoint Medicaid Managed Care	$289.71

HOFFMAN HEXAPO STRUTXS89-109MM

Facility

$15,730.75

Service Code	HCPCS C1713
Hospital Charge Code	270700235
Hospital Revenue Code	278
Min. Negotiated Rate	$2,359.61
Max. Negotiated Rate	$3,806.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,146.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,806.84
Rate for Payer: Qualcare PPO/HMO/WC	$2,359.61

HOFFMAN HEXAPO STRUTXS89-109MM

Facility

$15,730.75

Service Code	HCPCS C1713
Hospital Charge Code	270700235
Hospital Revenue Code	278
Min. Negotiated Rate	$446.75
Max. Negotiated Rate	$7,865.38
Rate for Payer: Aetna Commercial	$5,977.69
Rate for Payer: Aetna Medicare Advantage	$4,719.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,011.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,011.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,146.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,011.34
Rate for Payer: Cigna Commercial	$7,865.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,806.84
Rate for Payer: Qualcare PPO/HMO/WC	$2,359.61
Rate for Payer: UnitedHealthcare Community & State	$497.09
Rate for Payer: Wellpoint Medicaid Managed Care	$446.75

HOFFMAN HINGE BOLTLNGLRF6X16MM

Facility

$595.90

Service Code	HCPCS C1713
Hospital Charge Code	270700231
Hospital Revenue Code	278
Min. Negotiated Rate	$89.39
Max. Negotiated Rate	$144.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.21
Rate for Payer: Qualcare PPO/HMO/WC	$89.39

HOFFMAN HINGE BOLTLNGLRF6X16MM

Facility

$595.90

Service Code	HCPCS C1713
Hospital Charge Code	270700231
Hospital Revenue Code	278
Min. Negotiated Rate	$16.92
Max. Negotiated Rate	$297.95
Rate for Payer: Aetna Commercial	$226.44
Rate for Payer: Aetna Medicare Advantage	$178.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.95
Rate for Payer: Cigna Commercial	$297.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.21
Rate for Payer: Qualcare PPO/HMO/WC	$89.39
Rate for Payer: UnitedHealthcare Community & State	$18.83
Rate for Payer: Wellpoint Medicaid Managed Care	$16.92

HOFFMAN STATIC STRUTMEDLRF40MM

Facility

$474.70

Service Code	HCPCS C1713
Hospital Charge Code	270700227
Hospital Revenue Code	278
Min. Negotiated Rate	$71.20
Max. Negotiated Rate	$114.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$94.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.88
Rate for Payer: Qualcare PPO/HMO/WC	$71.20

HOFFMAN STATIC STRUTMEDLRF40MM

Facility

$474.70

Service Code	HCPCS C1713
Hospital Charge Code	270700227
Hospital Revenue Code	278
Min. Negotiated Rate	$13.48
Max. Negotiated Rate	$237.35
Rate for Payer: Aetna Commercial	$180.39
Rate for Payer: Aetna Medicare Advantage	$142.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$121.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$121.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$94.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$121.05
Rate for Payer: Cigna Commercial	$237.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.88
Rate for Payer: Qualcare PPO/HMO/WC	$71.20
Rate for Payer: UnitedHealthcare Community & State	$15.00
Rate for Payer: Wellpoint Medicaid Managed Care	$13.48

HOFFMANTELESTRUTXSLRF100-125MM

Facility

$16,310.00

Service Code	HCPCS C1713
Hospital Charge Code	270700226
Hospital Revenue Code	278
Min. Negotiated Rate	$2,446.50
Max. Negotiated Rate	$3,947.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,262.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,947.02
Rate for Payer: Qualcare PPO/HMO/WC	$2,446.50

Know your out-of-pocket cost for care.

All Charges