Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

KIT KNOTLESS HIP

Facility

$2,750.00

Hospital Charge Code	270687983
Hospital Revenue Code	272
Min. Negotiated Rate	$78.10
Max. Negotiated Rate	$1,375.00
Rate for Payer: Aetna Commercial	$1,045.00
Rate for Payer: Aetna Medicare Advantage	$825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$701.25
Rate for Payer: Cigna Commercial	$1,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$715.00
Rate for Payer: Oxford Commercial	$550.00
Rate for Payer: Qualcare PPO/HMO/WC	$412.50
Rate for Payer: UnitedHealthcare Commercial	$550.00
Rate for Payer: UnitedHealthcare Community & State	$86.90
Rate for Payer: Wellpoint Medicaid Managed Care	$78.10

KIT KYPHOPLASTY FIRST FRACT

Facility

$21,600.00

Hospital Charge Code	270647891
Hospital Revenue Code	272
Min. Negotiated Rate	$3,240.00
Max. Negotiated Rate	$3,240.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,240.00

KIT KYPHOPLASTY FIRST FRACT

Facility

$21,600.00

Hospital Charge Code	270647891
Hospital Revenue Code	272
Min. Negotiated Rate	$613.44
Max. Negotiated Rate	$10,800.00
Rate for Payer: Aetna Commercial	$8,208.00
Rate for Payer: Aetna Medicare Advantage	$6,480.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,508.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,508.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,508.00
Rate for Payer: Cigna Commercial	$10,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,616.00
Rate for Payer: Oxford Commercial	$4,320.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,240.00
Rate for Payer: UnitedHealthcare Commercial	$4,320.00
Rate for Payer: UnitedHealthcare Community & State	$682.56
Rate for Payer: Wellpoint Medicaid Managed Care	$613.44

KIT KYPHOPLASTY FIRST FRACTURE

Facility

$14,968.80

Service Code	HCPCS C1713
Hospital Charge Code	270679165
Hospital Revenue Code	278
Min. Negotiated Rate	$425.11
Max. Negotiated Rate	$7,484.40
Rate for Payer: Aetna Commercial	$5,688.14
Rate for Payer: Aetna Medicare Advantage	$4,490.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,817.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,817.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,993.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,817.04
Rate for Payer: Cigna Commercial	$7,484.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,622.45
Rate for Payer: Qualcare PPO/HMO/WC	$2,245.32
Rate for Payer: UnitedHealthcare Community & State	$473.01
Rate for Payer: Wellpoint Medicaid Managed Care	$425.11

KIT KYPHOPLASTY FIRST FRACTURE

Facility

$14,968.80

Service Code	HCPCS C1713
Hospital Charge Code	270679165
Hospital Revenue Code	278
Min. Negotiated Rate	$2,245.32
Max. Negotiated Rate	$3,622.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,993.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,622.45
Rate for Payer: Qualcare PPO/HMO/WC	$2,245.32

KIT KYPHOPLASTY KPX153

Facility

$14,968.80

Hospital Charge Code	270647891C
Hospital Revenue Code	272
Min. Negotiated Rate	$425.11
Max. Negotiated Rate	$7,484.40
Rate for Payer: Aetna Commercial	$5,688.14
Rate for Payer: Aetna Medicare Advantage	$4,490.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,817.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,817.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,817.04
Rate for Payer: Cigna Commercial	$7,484.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,891.89
Rate for Payer: Oxford Commercial	$2,993.76
Rate for Payer: Qualcare PPO/HMO/WC	$2,245.32
Rate for Payer: UnitedHealthcare Commercial	$2,993.76
Rate for Payer: UnitedHealthcare Community & State	$473.01
Rate for Payer: Wellpoint Medicaid Managed Care	$425.11

KIT KYPHOPLASTY KPX153

Facility

$14,968.80

Hospital Charge Code	270647891C
Hospital Revenue Code	272
Min. Negotiated Rate	$2,245.32
Max. Negotiated Rate	$2,245.32
Rate for Payer: Qualcare PPO/HMO/WC	$2,245.32

KIT LATERAL SUPPORT

Facility

$3,250.00

Hospital Charge Code	270703547
Hospital Revenue Code	272
Min. Negotiated Rate	$487.50
Max. Negotiated Rate	$487.50
Rate for Payer: Qualcare PPO/HMO/WC	$487.50

KIT LATERAL SUPPORT

Facility

$3,250.00

Hospital Charge Code	270703547
Hospital Revenue Code	272
Min. Negotiated Rate	$92.30
Max. Negotiated Rate	$1,625.00
Rate for Payer: Aetna Commercial	$1,235.00
Rate for Payer: Aetna Medicare Advantage	$975.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$828.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$828.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$828.75
Rate for Payer: Cigna Commercial	$1,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$845.00
Rate for Payer: Oxford Commercial	$650.00
Rate for Payer: Qualcare PPO/HMO/WC	$487.50
Rate for Payer: UnitedHealthcare Commercial	$650.00
Rate for Payer: UnitedHealthcare Community & State	$102.70
Rate for Payer: Wellpoint Medicaid Managed Care	$92.30

KIT LEAD

Facility

$6,950.00

Service Code	HCPCS C1778
Hospital Charge Code	270665617
Hospital Revenue Code	278
Min. Negotiated Rate	$197.38
Max. Negotiated Rate	$3,475.00
Rate for Payer: Aetna Commercial	$2,641.00
Rate for Payer: Aetna Medicare Advantage	$2,085.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,772.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,772.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,390.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,772.25
Rate for Payer: Cigna Commercial	$3,475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,681.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,042.50
Rate for Payer: UnitedHealthcare Community & State	$219.62
Rate for Payer: Wellpoint Medicaid Managed Care	$197.38

KIT LEAD

Facility

$6,950.00

Service Code	HCPCS C1778
Hospital Charge Code	270665617
Hospital Revenue Code	278
Min. Negotiated Rate	$1,042.50
Max. Negotiated Rate	$1,681.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,390.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,681.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,042.50

KIT LEAD

Facility

$32,550.00

Service Code	HCPCS C1767
Hospital Charge Code	270663408
Hospital Revenue Code	278
Min. Negotiated Rate	$924.42
Max. Negotiated Rate	$16,275.00
Rate for Payer: Aetna Commercial	$12,369.00
Rate for Payer: Aetna Medicare Advantage	$9,765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,300.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,300.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,300.25
Rate for Payer: Cigna Commercial	$16,275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,877.10
Rate for Payer: Qualcare PPO/HMO/WC	$4,882.50
Rate for Payer: UnitedHealthcare Community & State	$1,028.58
Rate for Payer: Wellpoint Medicaid Managed Care	$924.42

KIT LEAD

Facility

$32,550.00

Service Code	HCPCS C1767
Hospital Charge Code	270663408
Hospital Revenue Code	278
Min. Negotiated Rate	$4,882.50
Max. Negotiated Rate	$7,877.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,510.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,877.10
Rate for Payer: Qualcare PPO/HMO/WC	$4,882.50

KIT LEAD

Facility

$12,800.00

Service Code	HCPCS C1897
Hospital Charge Code	270665899
Hospital Revenue Code	278
Min. Negotiated Rate	$363.52
Max. Negotiated Rate	$6,400.00
Rate for Payer: Aetna Commercial	$4,864.00
Rate for Payer: Aetna Medicare Advantage	$3,840.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,264.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,264.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,560.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,264.00
Rate for Payer: Cigna Commercial	$6,400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,097.60
Rate for Payer: Qualcare PPO/HMO/WC	$1,920.00
Rate for Payer: UnitedHealthcare Community & State	$404.48
Rate for Payer: Wellpoint Medicaid Managed Care	$363.52

KIT LEAD

Facility

$12,800.00

Service Code	HCPCS C1897
Hospital Charge Code	270665899
Hospital Revenue Code	278
Min. Negotiated Rate	$1,920.00
Max. Negotiated Rate	$3,097.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,560.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,097.60
Rate for Payer: Qualcare PPO/HMO/WC	$1,920.00

KIT LEAD 90 CM LENGTH

Facility

$16,075.00

Service Code	HCPCS C1788
Hospital Charge Code	270672151
Hospital Revenue Code	278
Min. Negotiated Rate	$2,411.25
Max. Negotiated Rate	$3,890.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,215.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,890.15
Rate for Payer: Qualcare PPO/HMO/WC	$2,411.25

KIT LEAD 90 CM LENGTH

Facility

$16,075.00

Service Code	HCPCS C1788
Hospital Charge Code	270672151
Hospital Revenue Code	278
Min. Negotiated Rate	$456.53
Max. Negotiated Rate	$8,037.50
Rate for Payer: Aetna Commercial	$6,108.50
Rate for Payer: Aetna Medicare Advantage	$4,822.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,099.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,099.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,215.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,099.12
Rate for Payer: Cigna Commercial	$8,037.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,890.15
Rate for Payer: Qualcare PPO/HMO/WC	$2,411.25
Rate for Payer: UnitedHealthcare Community & State	$507.97
Rate for Payer: Wellpoint Medicaid Managed Care	$456.53

KIT LEAD NEUROSTIMULAT 5X50CM

Facility

$2,500.00

Service Code	HCPCS C1778
Hospital Charge Code	270693874
Hospital Revenue Code	278
Min. Negotiated Rate	$71.00
Max. Negotiated Rate	$1,250.00
Rate for Payer: Aetna Commercial	$950.00
Rate for Payer: Aetna Medicare Advantage	$750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$637.50
Rate for Payer: Cigna Commercial	$1,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$605.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00
Rate for Payer: UnitedHealthcare Community & State	$79.00
Rate for Payer: Wellpoint Medicaid Managed Care	$71.00

KIT LEAD NEUROSTIMULAT 5X50CM

Facility

$2,500.00

Service Code	HCPCS C1778
Hospital Charge Code	270693874
Hospital Revenue Code	278
Min. Negotiated Rate	$375.00
Max. Negotiated Rate	$605.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$605.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00

KIT LEAD OCTRODE TRIAL 60CML

Facility

$2,500.00

Service Code	HCPCS C1897
Hospital Charge Code	270633761
Hospital Revenue Code	278
Min. Negotiated Rate	$375.00
Max. Negotiated Rate	$605.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$605.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00

KIT LEAD OCTRODE TRIAL 60CML

Facility

$2,500.00

Service Code	HCPCS C1897
Hospital Charge Code	270633761
Hospital Revenue Code	278
Min. Negotiated Rate	$71.00
Max. Negotiated Rate	$1,250.00
Rate for Payer: Aetna Commercial	$950.00
Rate for Payer: Aetna Medicare Advantage	$750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$637.50
Rate for Payer: Cigna Commercial	$1,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$605.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00
Rate for Payer: UnitedHealthcare Community & State	$79.00
Rate for Payer: Wellpoint Medicaid Managed Care	$71.00

KIT LONG NAIL R1,TI, LEFT

Facility

$7.55

Hospital Charge Code	270663904
Hospital Revenue Code	278
Min. Negotiated Rate	$0.21
Max. Negotiated Rate	$3.77
Rate for Payer: Aetna Commercial	$2.87
Rate for Payer: Aetna Medicare Advantage	$2.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.93
Rate for Payer: Cigna Commercial	$3.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.83
Rate for Payer: Qualcare PPO/HMO/WC	$1.13
Rate for Payer: UnitedHealthcare Community & State	$0.24
Rate for Payer: Wellpoint Medicaid Managed Care	$0.21

KIT LONG NAIL R1,TI, LEFT

Facility

$7.55

Hospital Charge Code	270663904
Hospital Revenue Code	278
Min. Negotiated Rate	$1.13
Max. Negotiated Rate	$1.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.83
Rate for Payer: Qualcare PPO/HMO/WC	$1.13

KIT MANIFOLD MERIT

Facility

$413.70

Hospital Charge Code	270690129S
Hospital Revenue Code	272
Min. Negotiated Rate	$62.05
Max. Negotiated Rate	$62.05
Rate for Payer: Qualcare PPO/HMO/WC	$62.05

KIT MANIFOLD MERIT

Facility

$413.70

Hospital Charge Code	270690129S
Hospital Revenue Code	272
Min. Negotiated Rate	$11.75
Max. Negotiated Rate	$206.85
Rate for Payer: Aetna Commercial	$157.21
Rate for Payer: Aetna Medicare Advantage	$124.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$105.49
Rate for Payer: Cigna Commercial	$206.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$107.56
Rate for Payer: Oxford Commercial	$82.74
Rate for Payer: Qualcare PPO/HMO/WC	$62.05
Rate for Payer: UnitedHealthcare Commercial	$82.74
Rate for Payer: UnitedHealthcare Community & State	$13.07
Rate for Payer: Wellpoint Medicaid Managed Care	$11.75

Know your out-of-pocket cost for care.

All Charges