Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

HUM METAPHYS CMNTLS 135A 7 DEG

Facility

$4,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270686874
Hospital Revenue Code	278
Min. Negotiated Rate	$113.60
Max. Negotiated Rate	$2,000.00
Rate for Payer: Aetna Commercial	$1,520.00
Rate for Payer: Aetna Medicare Advantage	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,020.00
Rate for Payer: Cigna Commercial	$2,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$968.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00
Rate for Payer: UnitedHealthcare Community & State	$126.40
Rate for Payer: Wellpoint Medicaid Managed Care	$113.60

HUM STEM TA6V 12 CEMENTLESS

Facility

$15,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270692129
Hospital Revenue Code	278
Min. Negotiated Rate	$2,325.00
Max. Negotiated Rate	$3,751.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,751.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,325.00

HUM STEM TA6V 12 CEMENTLESS

Facility

$15,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270692129
Hospital Revenue Code	278
Min. Negotiated Rate	$440.20
Max. Negotiated Rate	$7,750.00
Rate for Payer: Aetna Commercial	$5,890.00
Rate for Payer: Aetna Medicare Advantage	$4,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,952.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,952.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,952.50
Rate for Payer: Cigna Commercial	$7,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,751.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,325.00
Rate for Payer: UnitedHealthcare Community & State	$489.80
Rate for Payer: Wellpoint Medicaid Managed Care	$440.20

HUMULIN R 100U/ML 10ML VIAL

Facility

$267.65

Hospital Charge Code	606390570
Hospital Revenue Code	250
Min. Negotiated Rate	$7.60
Max. Negotiated Rate	$133.82
Rate for Payer: Aetna Commercial	$101.71
Rate for Payer: Aetna Medicare Advantage	$80.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.25
Rate for Payer: Cigna Commercial	$133.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.59
Rate for Payer: Oxford Commercial	$53.53
Rate for Payer: Qualcare PPO/HMO/WC	$40.15
Rate for Payer: UnitedHealthcare Commercial	$53.53
Rate for Payer: UnitedHealthcare Community & State	$8.46
Rate for Payer: Wellpoint Medicaid Managed Care	$7.60

HUMULIN R 100U/ML 10ML VIAL

Facility

$267.65

Hospital Charge Code	606390570
Hospital Revenue Code	250
Min. Negotiated Rate	$40.15
Max. Negotiated Rate	$40.15
Rate for Payer: Qualcare PPO/HMO/WC	$40.15

HUNTER ACTIVE TENDON IMPLANT P

Facility

$7,150.00

Service Code	HCPCS C1762
Hospital Charge Code	270679623
Hospital Revenue Code	278
Min. Negotiated Rate	$1,072.50
Max. Negotiated Rate	$1,730.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,430.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,730.30
Rate for Payer: Qualcare PPO/HMO/WC	$1,072.50

HUNTER ACTIVE TENDON IMPLANT P

Facility

$7,150.00

Service Code	HCPCS C1762
Hospital Charge Code	270679623
Hospital Revenue Code	278
Min. Negotiated Rate	$203.06
Max. Negotiated Rate	$3,575.00
Rate for Payer: Aetna Commercial	$2,717.00
Rate for Payer: Aetna Medicare Advantage	$2,145.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,823.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,823.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,430.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,823.25
Rate for Payer: Cigna Commercial	$3,575.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,730.30
Rate for Payer: Qualcare PPO/HMO/WC	$1,072.50
Rate for Payer: UnitedHealthcare Community & State	$225.94
Rate for Payer: Wellpoint Medicaid Managed Care	$203.06

HUNTER ROD 4x24.5CM

Facility

$7,150.00

Service Code	HCPCS C1713
Hospital Charge Code	270671369
Hospital Revenue Code	278
Min. Negotiated Rate	$203.06
Max. Negotiated Rate	$3,575.00
Rate for Payer: Aetna Commercial	$2,717.00
Rate for Payer: Aetna Medicare Advantage	$2,145.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,823.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,823.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,430.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,823.25
Rate for Payer: Cigna Commercial	$3,575.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,730.30
Rate for Payer: Qualcare PPO/HMO/WC	$1,072.50
Rate for Payer: UnitedHealthcare Community & State	$225.94
Rate for Payer: Wellpoint Medicaid Managed Care	$203.06

HUNTER ROD 4x24.5CM

Facility

$7,150.00

Service Code	HCPCS C1713
Hospital Charge Code	270671369
Hospital Revenue Code	278
Min. Negotiated Rate	$1,072.50
Max. Negotiated Rate	$1,730.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,430.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,730.30
Rate for Payer: Qualcare PPO/HMO/WC	$1,072.50

HUNTINGTON DISEASE MUTATI

Facility

$2,375.00

Service Code	HCPCS 81401
Hospital Charge Code	39900026
Hospital Revenue Code	310
Min. Negotiated Rate	$67.45
Max. Negotiated Rate	$1,187.50
Rate for Payer: Aetna Commercial	$372.64
Rate for Payer: Aetna Medicare Advantage	$443.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$496.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$496.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$137.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$496.97
Rate for Payer: Cigna Commercial	$1,187.50
Rate for Payer: Cigna Medicare Advantage	$137.00
Rate for Payer: Clover Medicare Advantage	$130.15
Rate for Payer: EmblemHealth Commercial	$411.00
Rate for Payer: Humana Medicare Advantage	$141.11
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$137.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$617.50
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$356.25
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$109.60
Rate for Payer: UnitedHealthcare Medicare Advantage	$137.00
Rate for Payer: Wellcare Medicare Advantage	$137.00
Rate for Payer: Wellpoint Medicaid Managed Care	$67.45

HUNTINGTON DISEASE MUTATI

Facility

$2,375.00

Service Code	HCPCS 81401
Hospital Charge Code	39900026
Hospital Revenue Code	310
Min. Negotiated Rate	$356.25
Max. Negotiated Rate	$356.25
Rate for Payer: Qualcare PPO/HMO/WC	$356.25

HURRICANE ONE SPRAY 0.5ML

Facility

$92.66

Service Code	NDC 283061026
Hospital Charge Code	60635735
Hospital Revenue Code	250
Min. Negotiated Rate	$2.63
Max. Negotiated Rate	$46.33
Rate for Payer: Aetna Commercial	$35.21
Rate for Payer: Aetna Medicare Advantage	$27.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.63
Rate for Payer: Cigna Commercial	$46.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.09
Rate for Payer: Oxford Commercial	$18.53
Rate for Payer: Qualcare PPO/HMO/WC	$13.90
Rate for Payer: UnitedHealthcare Commercial	$18.53
Rate for Payer: UnitedHealthcare Community & State	$2.93
Rate for Payer: Wellpoint Medicaid Managed Care	$2.63

HURRICANE ONE SPRAY 0.5ML

Facility

$92.66

Service Code	NDC 283061026
Hospital Charge Code	60635735
Hospital Revenue Code	250
Min. Negotiated Rate	$13.90
Max. Negotiated Rate	$13.90
Rate for Payer: Qualcare PPO/HMO/WC	$13.90

HX DRIV N-FORCE 4.0

Facility

$520.00

Hospital Charge Code	270687090
Hospital Revenue Code	272
Min. Negotiated Rate	$14.77
Max. Negotiated Rate	$260.00
Rate for Payer: Aetna Commercial	$197.60
Rate for Payer: Aetna Medicare Advantage	$156.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.60
Rate for Payer: Cigna Commercial	$260.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.20
Rate for Payer: Oxford Commercial	$104.00
Rate for Payer: Qualcare PPO/HMO/WC	$78.00
Rate for Payer: UnitedHealthcare Commercial	$104.00
Rate for Payer: UnitedHealthcare Community & State	$16.43
Rate for Payer: Wellpoint Medicaid Managed Care	$14.77

HX DRIV N-FORCE 4.0

Facility

$520.00

Hospital Charge Code	270687090
Hospital Revenue Code	272
Min. Negotiated Rate	$78.00
Max. Negotiated Rate	$78.00
Rate for Payer: Qualcare PPO/HMO/WC	$78.00

HYALURONAN FOR IA INJ

Facility

$1,026.64

Service Code	HCPCS J7323
Hospital Charge Code	412317323
Hospital Revenue Code	636
Min. Negotiated Rate	$29.16
Max. Negotiated Rate	$382.99
Rate for Payer: Aetna Commercial	$287.18
Rate for Payer: Aetna Medicare Advantage	$342.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$105.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$111.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.99
Rate for Payer: Cigna Medicare Advantage	$105.58
Rate for Payer: Clover Medicare Advantage	$100.30
Rate for Payer: EmblemHealth Commercial	$316.74
Rate for Payer: Humana Medicare Advantage	$108.75
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$105.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$248.45
Rate for Payer: Qualcare PPO/HMO/WC	$154.00
Rate for Payer: UnitedHealthcare Community & State	$32.44
Rate for Payer: UnitedHealthcare Medicare Advantage	$105.58
Rate for Payer: Wellcare Medicare Advantage	$105.58
Rate for Payer: Wellpoint Medicaid Managed Care	$29.16

HYALURONAN FOR IA INJ

Facility

$1,026.64

Service Code	HCPCS J7323
Hospital Charge Code	412317323
Hospital Revenue Code	636
Min. Negotiated Rate	$154.00
Max. Negotiated Rate	$248.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$248.45
Rate for Payer: Qualcare PPO/HMO/WC	$154.00

HYALURONIDASE 200 U/ML VIAL

Facility

$446.15

Service Code	HCPCS J3470
Hospital Charge Code	60630065
Hospital Revenue Code	636
Min. Negotiated Rate	$12.67
Max. Negotiated Rate	$223.07
Rate for Payer: Aetna Commercial	$169.54
Rate for Payer: Aetna Medicare Advantage	$133.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$113.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$113.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$113.77
Rate for Payer: Cigna Commercial	$223.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$107.97
Rate for Payer: Qualcare PPO/HMO/WC	$66.92
Rate for Payer: UnitedHealthcare Community & State	$14.10
Rate for Payer: Wellpoint Medicaid Managed Care	$12.67

HYALURONIDASE 200 U/ML VIAL

Facility

$446.15

Service Code	HCPCS J3470
Hospital Charge Code	60630065
Hospital Revenue Code	636
Min. Negotiated Rate	$66.92
Max. Negotiated Rate	$107.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$107.97
Rate for Payer: Qualcare PPO/HMO/WC	$66.92

HYBRID KNEE FIBER TAK

Facility

$2,703.75

Service Code	HCPCS C1713
Hospital Charge Code	270703168
Hospital Revenue Code	278
Min. Negotiated Rate	$76.79
Max. Negotiated Rate	$1,351.88
Rate for Payer: Aetna Commercial	$1,027.42
Rate for Payer: Aetna Medicare Advantage	$811.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$689.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$689.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$540.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$689.46
Rate for Payer: Cigna Commercial	$1,351.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$654.31
Rate for Payer: Qualcare PPO/HMO/WC	$405.56
Rate for Payer: UnitedHealthcare Community & State	$85.44
Rate for Payer: Wellpoint Medicaid Managed Care	$76.79

HYBRID KNEE FIBER TAK

Facility

$2,703.75

Service Code	HCPCS C1713
Hospital Charge Code	270703168
Hospital Revenue Code	278
Min. Negotiated Rate	$405.56
Max. Negotiated Rate	$654.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$540.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$654.31
Rate for Payer: Qualcare PPO/HMO/WC	$405.56

HYBRID VASCULAR GRAFT 5 X 8 MM

Facility

$12,555.00

Service Code	HCPCS C1768
Hospital Charge Code	270659424
Hospital Revenue Code	278
Min. Negotiated Rate	$1,883.25
Max. Negotiated Rate	$3,038.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,511.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,038.31
Rate for Payer: Qualcare PPO/HMO/WC	$1,883.25

HYBRID VASCULAR GRAFT 5 X 8 MM

Facility

$12,555.00

Service Code	HCPCS C1768
Hospital Charge Code	270659424
Hospital Revenue Code	278
Min. Negotiated Rate	$356.56
Max. Negotiated Rate	$6,277.50
Rate for Payer: Aetna Commercial	$4,770.90
Rate for Payer: Aetna Medicare Advantage	$3,766.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,201.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,201.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,511.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,201.53
Rate for Payer: Cigna Commercial	$6,277.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,038.31
Rate for Payer: Qualcare PPO/HMO/WC	$1,883.25
Rate for Payer: UnitedHealthcare Community & State	$396.74
Rate for Payer: Wellpoint Medicaid Managed Care	$356.56

HYDRA JAGWIRE 035260STRA 5600

Facility

$862.50

Hospital Charge Code	270634925
Hospital Revenue Code	270
Min. Negotiated Rate	$129.38
Max. Negotiated Rate	$129.38
Rate for Payer: Qualcare PPO/HMO/WC	$129.38

HYDRA JAGWIRE 035260STRA 5600

Facility

$862.50

Hospital Charge Code	270634925
Hospital Revenue Code	270
Min. Negotiated Rate	$24.50
Max. Negotiated Rate	$431.25
Rate for Payer: Aetna Commercial	$327.75
Rate for Payer: Aetna Medicare Advantage	$258.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$219.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$219.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$219.94
Rate for Payer: Cigna Commercial	$431.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$224.25
Rate for Payer: Oxford Commercial	$172.50
Rate for Payer: Qualcare PPO/HMO/WC	$129.38
Rate for Payer: UnitedHealthcare Commercial	$172.50
Rate for Payer: UnitedHealthcare Community & State	$27.25
Rate for Payer: Wellpoint Medicaid Managed Care	$24.50

Know your out-of-pocket cost for care.

All Charges