Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

IMPLANT SYSTEM PARS SUTURE

Facility

$3,750.00

Hospital Charge Code	270682350
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 SYSTEM SUTURELOC

Facility

$10,300.00

Hospital Charge Code	270702109
Hospital Revenue Code	278
Min. Negotiated Rate	$292.52
Max. Negotiated Rate	$5,150.00
Rate for Payer: Aetna Commercial	$3,914.00
Rate for Payer: Aetna Medicare Advantage	$3,090.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,626.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,626.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,060.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,626.50
Rate for Payer: Cigna Commercial	$5,150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,492.60
Rate for Payer: Qualcare PPO/HMO/WC	$1,545.00
Rate for Payer: UnitedHealthcare Community & State	$325.48
Rate for Payer: Wellpoint Medicaid Managed Care	$292.52

IMPLANT SYSTEM SUTURELOC

Facility

$10,300.00

Hospital Charge Code	270702109
Hospital Revenue Code	278
Min. Negotiated Rate	$1,545.00
Max. Negotiated Rate	$2,492.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,060.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,492.60
Rate for Payer: Qualcare PPO/HMO/WC	$1,545.00

IMPLANT SYSTM PARS SUTURE TAPE

Facility

$7,475.00

Hospital Charge Code	270683624
Hospital Revenue Code	272
Min. Negotiated Rate	$1,121.25
Max. Negotiated Rate	$1,121.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,121.25

IMPLANT SYSTM PARS SUTURE TAPE

Facility

$7,475.00

Hospital Charge Code	270683624
Hospital Revenue Code	272
Min. Negotiated Rate	$212.29
Max. Negotiated Rate	$3,737.50
Rate for Payer: Aetna Commercial	$2,840.50
Rate for Payer: Aetna Medicare Advantage	$2,242.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,906.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,906.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,906.12
Rate for Payer: Cigna Commercial	$3,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,943.50
Rate for Payer: Oxford Commercial	$1,495.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,121.25
Rate for Payer: UnitedHealthcare Commercial	$1,495.00
Rate for Payer: UnitedHealthcare Community & State	$236.21
Rate for Payer: Wellpoint Medicaid Managed Care	$212.29

IMPLANT-TIBIA & ANKLE FRACTURE

Facility

$48,011.00

Hospital Charge Code	270335512
Hospital Revenue Code	278
Min. Negotiated Rate	$7,201.65
Max. Negotiated Rate	$11,618.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9,602.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11,618.66
Rate for Payer: Qualcare PPO/HMO/WC	$7,201.65

IMPLANT-TIBIA & ANKLE FRACTURE

Facility

$48,011.00

Hospital Charge Code	270335512
Hospital Revenue Code	278
Min. Negotiated Rate	$1,363.51
Max. Negotiated Rate	$24,005.50
Rate for Payer: Aetna Commercial	$18,244.18
Rate for Payer: Aetna Medicare Advantage	$14,403.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,242.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,242.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9,602.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12,242.81
Rate for Payer: Cigna Commercial	$24,005.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11,618.66
Rate for Payer: Qualcare PPO/HMO/WC	$7,201.65
Rate for Payer: UnitedHealthcare Community & State	$1,517.15
Rate for Payer: Wellpoint Medicaid Managed Care	$1,363.51

IMPLANT TIGHTROPE ABS

Facility

$920.00

Service Code	HCPCS C1713
Hospital Charge Code	270663930
Hospital Revenue Code	278
Min. Negotiated Rate	$138.00
Max. Negotiated Rate	$222.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$184.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$222.64
Rate for Payer: Qualcare PPO/HMO/WC	$138.00

IMPLANT TIGHTROPE ABS

Facility

$920.00

Service Code	HCPCS C1713
Hospital Charge Code	270663930
Hospital Revenue Code	278
Min. Negotiated Rate	$26.13
Max. Negotiated Rate	$460.00
Rate for Payer: Aetna Commercial	$349.60
Rate for Payer: Aetna Medicare Advantage	$276.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$234.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$234.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$184.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$234.60
Rate for Payer: Cigna Commercial	$460.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$222.64
Rate for Payer: Qualcare PPO/HMO/WC	$138.00
Rate for Payer: UnitedHealthcare Community & State	$29.07
Rate for Payer: Wellpoint Medicaid Managed Care	$26.13

IMPLANT TITANIUM GREAT TOE

Facility

$9,356.00

Hospital Charge Code	270332591
Hospital Revenue Code	278
Min. Negotiated Rate	$1,403.40
Max. Negotiated Rate	$2,264.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,871.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,264.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,403.40

IMPLANT TITANIUM GREAT TOE

Facility

$9,356.00

Hospital Charge Code	270332591
Hospital Revenue Code	278
Min. Negotiated Rate	$265.71
Max. Negotiated Rate	$4,678.00
Rate for Payer: Aetna Commercial	$3,555.28
Rate for Payer: Aetna Medicare Advantage	$2,806.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,385.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,385.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,871.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,385.78
Rate for Payer: Cigna Commercial	$4,678.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,264.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,403.40
Rate for Payer: UnitedHealthcare Community & State	$295.65
Rate for Payer: Wellpoint Medicaid Managed Care	$265.71

IMPLANT-TRAP EASE(VENA CAVA)

Facility

$7,225.00

Hospital Charge Code	270335513
Hospital Revenue Code	278
Min. Negotiated Rate	$205.19
Max. Negotiated Rate	$3,612.50
Rate for Payer: Aetna Commercial	$2,745.50
Rate for Payer: Aetna Medicare Advantage	$2,167.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,842.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,842.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,445.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,842.38
Rate for Payer: Cigna Commercial	$3,612.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,748.45
Rate for Payer: Qualcare PPO/HMO/WC	$1,083.75
Rate for Payer: UnitedHealthcare Community & State	$228.31
Rate for Payer: Wellpoint Medicaid Managed Care	$205.19

IMPLANT-TRAP EASE(VENA CAVA)

Facility

$7,225.00

Hospital Charge Code	270335513
Hospital Revenue Code	278
Min. Negotiated Rate	$1,083.75
Max. Negotiated Rate	$1,748.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,445.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,748.45
Rate for Payer: Qualcare PPO/HMO/WC	$1,083.75

IMPL BREAST 325 MED PROF-NC$

Facility

$0.01

Service Code	HCPCS L8600
Hospital Charge Code	270697860
Hospital Revenue Code	278
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$0.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

IMPL BREAST 325 MED PROF-NC$

Facility

$0.01

Service Code	HCPCS L8600
Hospital Charge Code	270697860
Hospital Revenue Code	278
Max. Negotiated Rate	$0.01
Rate for Payer: Aetna Commercial	$0.00
Rate for Payer: Aetna Medicare Advantage	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.00
Rate for Payer: Cigna Commercial	$0.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00
Rate for Payer: UnitedHealthcare Community & State	$0.00
Rate for Payer: Wellpoint Medicaid Managed Care	$0.00

IMPL DEL SYS DISTAL BICEP BIOC

Facility

$5,500.00

Hospital Charge Code	270677574
Hospital Revenue Code	278
Min. Negotiated Rate	$825.00
Max. Negotiated Rate	$1,331.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,331.00
Rate for Payer: Qualcare PPO/HMO/WC	$825.00

IMPL DEL SYS DISTAL BICEP BIOC

Facility

$5,500.00

Hospital Charge Code	270677574
Hospital Revenue Code	278
Min. Negotiated Rate	$156.20
Max. Negotiated Rate	$2,750.00
Rate for Payer: Aetna Commercial	$2,090.00
Rate for Payer: Aetna Medicare Advantage	$1,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,402.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,402.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,402.50
Rate for Payer: Cigna Commercial	$2,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,331.00
Rate for Payer: Qualcare PPO/HMO/WC	$825.00
Rate for Payer: UnitedHealthcare Community & State	$173.80
Rate for Payer: Wellpoint Medicaid Managed Care	$156.20

IMPL DEL SYS DIST BIOCOM BICEP

Facility

$5,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270681458
Hospital Revenue Code	278
Min. Negotiated Rate	$825.00
Max. Negotiated Rate	$1,331.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,331.00
Rate for Payer: Qualcare PPO/HMO/WC	$825.00

IMPL DEL SYS DIST BIOCOM BICEP

Facility

$5,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270681458
Hospital Revenue Code	278
Min. Negotiated Rate	$156.20
Max. Negotiated Rate	$2,750.00
Rate for Payer: Aetna Commercial	$2,090.00
Rate for Payer: Aetna Medicare Advantage	$1,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,402.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,402.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,402.50
Rate for Payer: Cigna Commercial	$2,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,331.00
Rate for Payer: Qualcare PPO/HMO/WC	$825.00
Rate for Payer: UnitedHealthcare Community & State	$173.80
Rate for Payer: Wellpoint Medicaid Managed Care	$156.20

IMPL SUBTALAR HYPROCURE II SZ8

Facility

$19,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270693926
Hospital Revenue Code	278
Min. Negotiated Rate	$567.29
Max. Negotiated Rate	$9,987.50
Rate for Payer: Aetna Commercial	$7,590.50
Rate for Payer: Aetna Medicare Advantage	$5,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,093.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,093.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,995.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,093.62
Rate for Payer: Cigna Commercial	$9,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,833.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,996.25
Rate for Payer: UnitedHealthcare Community & State	$631.21
Rate for Payer: Wellpoint Medicaid Managed Care	$567.29

IMPL SUBTALAR HYPROCURE II SZ8

Facility

$19,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270693926
Hospital Revenue Code	278
Min. Negotiated Rate	$2,996.25
Max. Negotiated Rate	$4,833.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,995.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,833.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,996.25

IMPLT PORT 19X1 SAF WO Y PWRLC

Facility

$57.00

Service Code	HCPCS C1788
Hospital Charge Code	270668314
Hospital Revenue Code	278
Min. Negotiated Rate	$8.55
Max. Negotiated Rate	$13.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.79
Rate for Payer: Qualcare PPO/HMO/WC	$8.55

IMPLT PORT 19X1 SAF WO Y PWRLC

Facility

$57.00

Service Code	HCPCS C1788
Hospital Charge Code	270668314
Hospital Revenue Code	278
Min. Negotiated Rate	$1.62
Max. Negotiated Rate	$28.50
Rate for Payer: Aetna Commercial	$21.66
Rate for Payer: Aetna Medicare Advantage	$17.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.54
Rate for Payer: Cigna Commercial	$28.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.79
Rate for Payer: Qualcare PPO/HMO/WC	$8.55
Rate for Payer: UnitedHealthcare Community & State	$1.80
Rate for Payer: Wellpoint Medicaid Managed Care	$1.62

IMP METATARSAL PHAL SZ 30

Facility

$6,280.00

Service Code	HCPCS C1776
Hospital Charge Code	270668131
Hospital Revenue Code	278
Min. Negotiated Rate	$942.00
Max. Negotiated Rate	$1,519.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,256.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,519.76
Rate for Payer: Qualcare PPO/HMO/WC	$942.00

IMP METATARSAL PHAL SZ 30

Facility

$6,280.00

Service Code	HCPCS C1776
Hospital Charge Code	270668131
Hospital Revenue Code	278
Min. Negotiated Rate	$178.35
Max. Negotiated Rate	$3,140.00
Rate for Payer: Aetna Commercial	$2,386.40
Rate for Payer: Aetna Medicare Advantage	$1,884.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,601.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,601.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,256.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,601.40
Rate for Payer: Cigna Commercial	$3,140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,519.76
Rate for Payer: Qualcare PPO/HMO/WC	$942.00
Rate for Payer: UnitedHealthcare Community & State	$198.45
Rate for Payer: Wellpoint Medicaid Managed Care	$178.35

Know your out-of-pocket cost for care.

All Charges