Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

KNEE 1 OR 2 VIEWS-BILA

Facility

$6,601.19

Service Code	HCPCS 7356050
Hospital Charge Code	94061237
Hospital Revenue Code	320
Min. Negotiated Rate	$187.47
Max. Negotiated Rate	$3,300.59
Rate for Payer: Aetna Commercial	$2,508.45
Rate for Payer: Aetna Medicare Advantage	$1,980.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,683.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,683.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,683.30
Rate for Payer: Cigna Commercial	$3,300.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,716.31
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$990.18
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$208.60
Rate for Payer: Wellpoint Medicaid Managed Care	$187.47

KNEE 1 OR 2 VIEWS-BILA

Facility

$6,601.19

Service Code	HCPCS 7356050
Hospital Charge Code	94061237
Hospital Revenue Code	320
Min. Negotiated Rate	$990.18
Max. Negotiated Rate	$990.18
Rate for Payer: Qualcare PPO/HMO/WC	$990.18

KNEE 1 OR 2 VIEWS-LT

Facility

$6,601.19

Service Code	HCPCS 73560LT
Hospital Charge Code	94061365
Hospital Revenue Code	320
Min. Negotiated Rate	$187.47
Max. Negotiated Rate	$3,300.59
Rate for Payer: Aetna Commercial	$2,508.45
Rate for Payer: Aetna Medicare Advantage	$1,980.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,683.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,683.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,683.30
Rate for Payer: Cigna Commercial	$3,300.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,716.31
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$990.18
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$208.60
Rate for Payer: Wellpoint Medicaid Managed Care	$187.47

KNEE 1 OR 2 VIEWS-LT

Facility

$6,601.19

Service Code	HCPCS 73560LT
Hospital Charge Code	94061365
Hospital Revenue Code	320
Min. Negotiated Rate	$990.18
Max. Negotiated Rate	$990.18
Rate for Payer: Qualcare PPO/HMO/WC	$990.18

KNEE 1 OR 2 VIEWS-RT

Facility

$6,601.19

Service Code	HCPCS 73560RT
Hospital Charge Code	94061367
Hospital Revenue Code	320
Min. Negotiated Rate	$187.47
Max. Negotiated Rate	$3,300.59
Rate for Payer: Aetna Commercial	$2,508.45
Rate for Payer: Aetna Medicare Advantage	$1,980.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,683.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,683.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,683.30
Rate for Payer: Cigna Commercial	$3,300.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,716.31
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$990.18
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$208.60
Rate for Payer: Wellpoint Medicaid Managed Care	$187.47

KNEE 1 OR 2 VIEWS-RT

Facility

$6,601.19

Service Code	HCPCS 73560RT
Hospital Charge Code	94061367
Hospital Revenue Code	320
Min. Negotiated Rate	$990.18
Max. Negotiated Rate	$990.18
Rate for Payer: Qualcare PPO/HMO/WC	$990.18

KNEE 4 OR MORE VIEWS-R

Facility

$5,100.00

Service Code	HCPCS 73564RT
Hospital Charge Code	94061375
Hospital Revenue Code	320
Min. Negotiated Rate	$144.84
Max. Negotiated Rate	$2,550.00
Rate for Payer: Aetna Commercial	$1,938.00
Rate for Payer: Aetna Medicare Advantage	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$2,550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,326.00
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$161.16
Rate for Payer: Wellpoint Medicaid Managed Care	$144.84

KNEE 4 OR MORE VIEWS-R

Facility

$5,100.00

Service Code	HCPCS 73564RT
Hospital Charge Code	94061375
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

KNEE 4 OR MORE VW-LT

Facility

$5,100.00

Service Code	HCPCS 73564LT
Hospital Charge Code	94061373
Hospital Revenue Code	320
Min. Negotiated Rate	$144.84
Max. Negotiated Rate	$2,550.00
Rate for Payer: Aetna Commercial	$1,938.00
Rate for Payer: Aetna Medicare Advantage	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$2,550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,326.00
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$161.16
Rate for Payer: Wellpoint Medicaid Managed Care	$144.84

KNEE 4 OR MORE VW-LT

Facility

$5,100.00

Service Code	HCPCS 73564LT
Hospital Charge Code	94061373
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

KNEE 4 OR MORE VWS-BIL

Facility

$5,100.00

Service Code	HCPCS 7356450
Hospital Charge Code	94061241
Hospital Revenue Code	320
Min. Negotiated Rate	$144.84
Max. Negotiated Rate	$2,550.00
Rate for Payer: Aetna Commercial	$1,938.00
Rate for Payer: Aetna Medicare Advantage	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$2,550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,326.00
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$161.16
Rate for Payer: Wellpoint Medicaid Managed Care	$144.84

KNEE 4 OR MORE VWS-BIL

Facility

$5,100.00

Service Code	HCPCS 7356450
Hospital Charge Code	94061241
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

KNEEALIGN 2 NAVIGATION UNIT

Facility

$3,125.00

Hospital Charge Code	270675510
Hospital Revenue Code	272
Min. Negotiated Rate	$88.75
Max. Negotiated Rate	$1,562.50
Rate for Payer: Aetna Commercial	$1,187.50
Rate for Payer: Aetna Medicare Advantage	$937.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$796.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$796.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$796.88
Rate for Payer: Cigna Commercial	$1,562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$812.50
Rate for Payer: Oxford Commercial	$625.00
Rate for Payer: Qualcare PPO/HMO/WC	$468.75
Rate for Payer: UnitedHealthcare Commercial	$625.00
Rate for Payer: UnitedHealthcare Community & State	$98.75
Rate for Payer: Wellpoint Medicaid Managed Care	$88.75

KNEEALIGN 2 NAVIGATION UNIT

Facility

$3,125.00

Hospital Charge Code	270675510
Hospital Revenue Code	272
Min. Negotiated Rate	$468.75
Max. Negotiated Rate	$468.75
Rate for Payer: Qualcare PPO/HMO/WC	$468.75

KNEEALIGN 2 NAVIGATION UNIT PL

Facility

$2,604.17

Hospital Charge Code	270685463
Hospital Revenue Code	272
Min. Negotiated Rate	$73.96
Max. Negotiated Rate	$1,302.09
Rate for Payer: Aetna Commercial	$989.58
Rate for Payer: Aetna Medicare Advantage	$781.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$664.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$664.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$664.06
Rate for Payer: Cigna Commercial	$1,302.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$677.08
Rate for Payer: Oxford Commercial	$520.83
Rate for Payer: Qualcare PPO/HMO/WC	$390.63
Rate for Payer: UnitedHealthcare Commercial	$520.83
Rate for Payer: UnitedHealthcare Community & State	$82.29
Rate for Payer: Wellpoint Medicaid Managed Care	$73.96

KNEEALIGN 2 NAVIGATION UNIT PL

Facility

$2,604.17

Hospital Charge Code	270685463
Hospital Revenue Code	272
Min. Negotiated Rate	$390.63
Max. Negotiated Rate	$390.63
Rate for Payer: Qualcare PPO/HMO/WC	$390.63

KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT

Facility

$18,422.64

Service Code	APR-DRG 3131
Min. Negotiated Rate	$18,061.41
Max. Negotiated Rate	$18,422.64
Rate for Payer: UnitedHealthcare Community & State	$18,061.41
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$18,422.64
Rate for Payer: Wellpoint Medicaid Managed Care	$18,061.41

KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT

Facility

$54,619.15

Service Code	APR-DRG 3134
Min. Negotiated Rate	$53,548.19
Max. Negotiated Rate	$54,619.15
Rate for Payer: UnitedHealthcare Community & State	$53,548.19
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$54,619.15
Rate for Payer: Wellpoint Medicaid Managed Care	$53,548.19

KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT

Facility

$34,127.87

Service Code	APR-DRG 3133
Min. Negotiated Rate	$33,458.70
Max. Negotiated Rate	$34,127.87
Rate for Payer: UnitedHealthcare Community & State	$33,458.70
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$34,127.87
Rate for Payer: Wellpoint Medicaid Managed Care	$33,458.70

KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT

Facility

$23,755.10

Service Code	APR-DRG 3132
Min. Negotiated Rate	$23,289.31
Max. Negotiated Rate	$23,755.10
Rate for Payer: UnitedHealthcare Community & State	$23,289.31
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$23,755.10
Rate for Payer: Wellpoint Medicaid Managed Care	$23,289.31

KNEE ARTHROSCOP/SURGERY--RT

Facility

$35,454.57

Service Code	HCPCS 29876
Hospital Charge Code	16000179
Hospital Revenue Code	360
Min. Negotiated Rate	$5,318.19
Max. Negotiated Rate	$5,318.19
Rate for Payer: Qualcare PPO/HMO/WC	$5,318.19

KNEE ARTHROSCOP/SURGERY--RT

Facility

$35,454.57

Service Code	HCPCS 29876
Hospital Charge Code	16000179
Hospital Revenue Code	360
Min. Negotiated Rate	$1,006.91
Max. Negotiated Rate	$14,100.89
Rate for Payer: Aetna Commercial	$10,573.24
Rate for Payer: Aetna Medicare Advantage	$12,594.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,100.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,100.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,887.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14,100.89
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: Cigna Medicare Advantage	$3,887.22
Rate for Payer: Clover Medicare Advantage	$3,692.86
Rate for Payer: EmblemHealth Commercial	$11,661.66
Rate for Payer: Humana Medicare Advantage	$4,003.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,887.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,218.19
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,318.19
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$1,120.36
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,887.22
Rate for Payer: Wellcare Medicare Advantage	$3,887.22
Rate for Payer: Wellpoint Medicaid Managed Care	$1,006.91

KNEE ARTHROSCOP/SURG--RT

Facility

$35,454.57

Service Code	HCPCS 29879
Hospital Charge Code	16000192
Hospital Revenue Code	360
Min. Negotiated Rate	$5,318.19
Max. Negotiated Rate	$5,318.19
Rate for Payer: Qualcare PPO/HMO/WC	$5,318.19

KNEE ARTHROSCOP/SURG--RT

Facility

$35,454.57

Service Code	HCPCS 29879
Hospital Charge Code	16000192
Hospital Revenue Code	360
Min. Negotiated Rate	$1,120.36
Max. Negotiated Rate	$14,100.89
Rate for Payer: Aetna Commercial	$10,573.24
Rate for Payer: Aetna Medicare Advantage	$12,594.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,100.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,100.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,887.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14,100.89
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: Cigna Medicare Advantage	$3,887.22
Rate for Payer: Clover Medicare Advantage	$3,692.86
Rate for Payer: EmblemHealth Commercial	$11,661.66
Rate for Payer: Humana Medicare Advantage	$4,003.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,887.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,218.19
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,318.19
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$1,120.36
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,887.22
Rate for Payer: Wellcare Medicare Advantage	$3,887.22
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,822.27
Rate for Payer: Wellpoint Medicaid Managed Care	$8,649.28

KNEE ARTHROSCOPY KIT

Facility

$461.00

Hospital Charge Code	270338737
Hospital Revenue Code	272
Min. Negotiated Rate	$69.15
Max. Negotiated Rate	$69.15
Rate for Payer: Qualcare PPO/HMO/WC	$69.15

Know your out-of-pocket cost for care.

All Charges