Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

IMPLANTABLE SPINE FUSION STIMU

Facility

$11,591.00

Hospital Charge Code	270335738
Hospital Revenue Code	278
Min. Negotiated Rate	$329.18
Max. Negotiated Rate	$5,795.50
Rate for Payer: Aetna Commercial	$4,404.58
Rate for Payer: Aetna Medicare Advantage	$3,477.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,955.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,955.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,318.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,955.70
Rate for Payer: Cigna Commercial	$5,795.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,805.02
Rate for Payer: Qualcare PPO/HMO/WC	$1,738.65
Rate for Payer: UnitedHealthcare Community & State	$366.28
Rate for Payer: Wellpoint Medicaid Managed Care	$329.18

IMPLANT ACUTE SYSTEM

Facility

$5,625.00

Service Code	HCPCS C1776
Hospital Charge Code	270668535
Hospital Revenue Code	278
Min. Negotiated Rate	$159.75
Max. Negotiated Rate	$2,812.50
Rate for Payer: Aetna Commercial	$2,137.50
Rate for Payer: Aetna Medicare Advantage	$1,687.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,434.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,434.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,434.38
Rate for Payer: Cigna Commercial	$2,812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,361.25
Rate for Payer: Qualcare PPO/HMO/WC	$843.75
Rate for Payer: UnitedHealthcare Community & State	$177.75
Rate for Payer: Wellpoint Medicaid Managed Care	$159.75

IMPLANT ACUTE SYSTEM

Facility

$5,625.00

Service Code	HCPCS C1776
Hospital Charge Code	270668535
Hospital Revenue Code	278
Min. Negotiated Rate	$843.75
Max. Negotiated Rate	$1,361.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,361.25
Rate for Payer: Qualcare PPO/HMO/WC	$843.75

IMPLANT-AMBICOR INFLT. PENILE

Facility

$11,332.00

Hospital Charge Code	270335663
Hospital Revenue Code	278
Min. Negotiated Rate	$1,699.80
Max. Negotiated Rate	$2,742.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,266.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,742.34
Rate for Payer: Qualcare PPO/HMO/WC	$1,699.80

IMPLANT-AMBICOR INFLT. PENILE

Facility

$11,332.00

Hospital Charge Code	270335663
Hospital Revenue Code	278
Min. Negotiated Rate	$321.83
Max. Negotiated Rate	$5,666.00
Rate for Payer: Aetna Commercial	$4,306.16
Rate for Payer: Aetna Medicare Advantage	$3,399.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,889.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,889.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,266.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,889.66
Rate for Payer: Cigna Commercial	$5,666.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,742.34
Rate for Payer: Qualcare PPO/HMO/WC	$1,699.80
Rate for Payer: UnitedHealthcare Community & State	$358.09
Rate for Payer: Wellpoint Medicaid Managed Care	$321.83

IMPLANT-ANKLE FRACTURE

Facility

$10,513.00

Hospital Charge Code	270335469
Hospital Revenue Code	278
Min. Negotiated Rate	$298.57
Max. Negotiated Rate	$5,256.50
Rate for Payer: Aetna Commercial	$3,994.94
Rate for Payer: Aetna Medicare Advantage	$3,153.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,680.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,680.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,102.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,680.82
Rate for Payer: Cigna Commercial	$5,256.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,544.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,576.95
Rate for Payer: UnitedHealthcare Community & State	$332.21
Rate for Payer: Wellpoint Medicaid Managed Care	$298.57

IMPLANT-ANKLE FRACTURE

Facility

$10,513.00

Hospital Charge Code	270335469
Hospital Revenue Code	278
Min. Negotiated Rate	$1,576.95
Max. Negotiated Rate	$2,544.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,102.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,544.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,576.95

IMPLANT BIOINDUCTIVE ARTH DEL

Facility

$14,000.00

Service Code	HCPCS C1781
Hospital Charge Code	270690425
Hospital Revenue Code	278
Min. Negotiated Rate	$397.60
Max. Negotiated Rate	$7,000.00
Rate for Payer: Aetna Commercial	$5,320.00
Rate for Payer: Aetna Medicare Advantage	$4,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,570.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,570.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,570.00
Rate for Payer: Cigna Commercial	$7,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,388.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,100.00
Rate for Payer: UnitedHealthcare Community & State	$442.40
Rate for Payer: Wellpoint Medicaid Managed Care	$397.60

IMPLANT BIOINDUCTIVE ARTH DEL

Facility

$14,000.00

Service Code	HCPCS C1781
Hospital Charge Code	270690425
Hospital Revenue Code	278
Min. Negotiated Rate	$2,100.00
Max. Negotiated Rate	$3,388.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,388.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,100.00

IMPLANTBLE PULSE GENERATOR KIT

Facility

$102,500.00

Service Code	HCPCS C1778
Hospital Charge Code	270703486
Hospital Revenue Code	278
Min. Negotiated Rate	$2,911.00
Max. Negotiated Rate	$51,250.00
Rate for Payer: Aetna Commercial	$38,950.00
Rate for Payer: Aetna Medicare Advantage	$30,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26,137.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26,137.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26,137.50
Rate for Payer: Cigna Commercial	$51,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24,805.00
Rate for Payer: Qualcare PPO/HMO/WC	$15,375.00
Rate for Payer: UnitedHealthcare Community & State	$3,239.00
Rate for Payer: Wellpoint Medicaid Managed Care	$2,911.00

IMPLANTBLE PULSE GENERATOR KIT

Facility

$102,500.00

Service Code	HCPCS C1778
Hospital Charge Code	270703486
Hospital Revenue Code	278
Min. Negotiated Rate	$15,375.00
Max. Negotiated Rate	$24,805.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24,805.00
Rate for Payer: Qualcare PPO/HMO/WC	$15,375.00

IMPLANT-BONE STIMULATOR(E.B.I)

Facility

$12,128.00

Hospital Charge Code	270335470
Hospital Revenue Code	270
Min. Negotiated Rate	$1,819.20
Max. Negotiated Rate	$1,819.20
Rate for Payer: Qualcare PPO/HMO/WC	$1,819.20

IMPLANT-BONE STIMULATOR(E.B.I)

Facility

$12,128.00

Hospital Charge Code	270335470
Hospital Revenue Code	270
Min. Negotiated Rate	$344.44
Max. Negotiated Rate	$6,064.00
Rate for Payer: Aetna Commercial	$4,608.64
Rate for Payer: Aetna Medicare Advantage	$3,638.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,092.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,092.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,092.64
Rate for Payer: Cigna Commercial	$6,064.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,153.28
Rate for Payer: Oxford Commercial	$2,425.60
Rate for Payer: Qualcare PPO/HMO/WC	$1,819.20
Rate for Payer: UnitedHealthcare Commercial	$2,425.60
Rate for Payer: UnitedHealthcare Community & State	$383.24
Rate for Payer: Wellpoint Medicaid Managed Care	$344.44

IMPLANT -BREAST RECONSTRUCTION

Facility

$19,194.00

Hospital Charge Code	270335473
Hospital Revenue Code	278
Min. Negotiated Rate	$545.11
Max. Negotiated Rate	$9,597.00
Rate for Payer: Aetna Commercial	$7,293.72
Rate for Payer: Aetna Medicare Advantage	$5,758.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,894.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,894.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,838.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,894.47
Rate for Payer: Cigna Commercial	$9,597.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,644.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,879.10
Rate for Payer: UnitedHealthcare Community & State	$606.53
Rate for Payer: Wellpoint Medicaid Managed Care	$545.11

IMPLANT -BREAST RECONSTRUCTION

Facility

$19,194.00

Hospital Charge Code	270335473
Hospital Revenue Code	278
Min. Negotiated Rate	$2,879.10
Max. Negotiated Rate	$4,644.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,838.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,644.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,879.10

IMPLANT BREAST SM RND 255CC

Facility

$5,475.00

Service Code	HCPCS C1789
Hospital Charge Code	270698115
Hospital Revenue Code	278
Min. Negotiated Rate	$155.49
Max. Negotiated Rate	$2,737.50
Rate for Payer: Aetna Commercial	$2,080.50
Rate for Payer: Aetna Medicare Advantage	$1,642.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,396.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,396.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,095.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,396.12
Rate for Payer: Cigna Commercial	$2,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,324.95
Rate for Payer: Qualcare PPO/HMO/WC	$821.25
Rate for Payer: UnitedHealthcare Community & State	$173.01
Rate for Payer: Wellpoint Medicaid Managed Care	$155.49

IMPLANT BREAST SM RND 255CC

Facility

$5,475.00

Service Code	HCPCS C1789
Hospital Charge Code	270698115
Hospital Revenue Code	278
Min. Negotiated Rate	$821.25
Max. Negotiated Rate	$1,324.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,095.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,324.95
Rate for Payer: Qualcare PPO/HMO/WC	$821.25

IMPLANT-CERVICAL DISSECTION

Facility

$57,669.00

Hospital Charge Code	270335476
Hospital Revenue Code	278
Min. Negotiated Rate	$8,650.35
Max. Negotiated Rate	$13,955.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11,533.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13,955.90
Rate for Payer: Qualcare PPO/HMO/WC	$8,650.35

IMPLANT-CERVICAL DISSECTION

Facility

$57,669.00

Hospital Charge Code	270335476
Hospital Revenue Code	278
Min. Negotiated Rate	$1,637.80
Max. Negotiated Rate	$28,834.50
Rate for Payer: Aetna Commercial	$21,914.22
Rate for Payer: Aetna Medicare Advantage	$17,300.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,705.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,705.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11,533.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14,705.59
Rate for Payer: Cigna Commercial	$28,834.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13,955.90
Rate for Payer: Qualcare PPO/HMO/WC	$8,650.35
Rate for Payer: UnitedHealthcare Community & State	$1,822.34
Rate for Payer: Wellpoint Medicaid Managed Care	$1,637.80

IMPLANT EXT HIGH PROFILE 500cc

Facility

$3,750.00

Hospital Charge Code	270673556
Hospital Revenue Code	278
Min. Negotiated Rate	$562.50
Max. Negotiated Rate	$907.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$907.50
Rate for Payer: Qualcare PPO/HMO/WC	$562.50

IMPLANT EXT HIGH PROFILE 500cc

Facility

$3,750.00

Hospital Charge Code	270673556
Hospital Revenue Code	278
Min. Negotiated Rate	$106.50
Max. Negotiated Rate	$1,875.00
Rate for Payer: Aetna Commercial	$1,425.00
Rate for Payer: Aetna Medicare Advantage	$1,125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$956.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$956.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$956.25
Rate for Payer: Cigna Commercial	$1,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$907.50
Rate for Payer: Qualcare PPO/HMO/WC	$562.50
Rate for Payer: UnitedHealthcare Community & State	$118.50
Rate for Payer: Wellpoint Medicaid Managed Care	$106.50

IMPLANT EXT HIGH PROFILE 550cc

Facility

$3,750.00

Hospital Charge Code	270673555
Hospital Revenue Code	278
Min. Negotiated Rate	$106.50
Max. Negotiated Rate	$1,875.00
Rate for Payer: Aetna Commercial	$1,425.00
Rate for Payer: Aetna Medicare Advantage	$1,125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$956.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$956.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$956.25
Rate for Payer: Cigna Commercial	$1,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$907.50
Rate for Payer: Qualcare PPO/HMO/WC	$562.50
Rate for Payer: UnitedHealthcare Community & State	$118.50
Rate for Payer: Wellpoint Medicaid Managed Care	$106.50

IMPLANT EXT HIGH PROFILE 550cc

Facility

$3,750.00

Hospital Charge Code	270673555
Hospital Revenue Code	278
Min. Negotiated Rate	$562.50
Max. Negotiated Rate	$907.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$907.50
Rate for Payer: Qualcare PPO/HMO/WC	$562.50

IMPLANT EXT HIGH PROFILE 600cc

Facility

$3,750.00

Hospital Charge Code	270673557
Hospital Revenue Code	278
Min. Negotiated Rate	$562.50
Max. Negotiated Rate	$907.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$907.50
Rate for Payer: Qualcare PPO/HMO/WC	$562.50

IMPLANT EXT HIGH PROFILE 600cc

Facility

$3,750.00

Hospital Charge Code	270673557
Hospital Revenue Code	278
Min. Negotiated Rate	$106.50
Max. Negotiated Rate	$1,875.00
Rate for Payer: Aetna Commercial	$1,425.00
Rate for Payer: Aetna Medicare Advantage	$1,125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$956.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$956.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$956.25
Rate for Payer: Cigna Commercial	$1,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$907.50
Rate for Payer: Qualcare PPO/HMO/WC	$562.50
Rate for Payer: UnitedHealthcare Community & State	$118.50
Rate for Payer: Wellpoint Medicaid Managed Care	$106.50

Know your out-of-pocket cost for care.

All Charges