Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

LOW PROFILE NEURO X PLATE 4 HO

Facility

$1,475.00

Hospital Charge Code	270664779
Hospital Revenue Code	278
Min. Negotiated Rate	$41.89
Max. Negotiated Rate	$737.50
Rate for Payer: Aetna Commercial	$560.50
Rate for Payer: Aetna Medicare Advantage	$442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$295.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$376.12
Rate for Payer: Cigna Commercial	$737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.95
Rate for Payer: Qualcare PPO/HMO/WC	$221.25
Rate for Payer: UnitedHealthcare Community & State	$46.61
Rate for Payer: Wellpoint Medicaid Managed Care	$41.89

LOW PROFILE STNAILH PL 2 HOLE

Facility

$290.00

Hospital Charge Code	270664780
Hospital Revenue Code	270
Min. Negotiated Rate	$8.24
Max. Negotiated Rate	$145.00
Rate for Payer: Aetna Commercial	$110.20
Rate for Payer: Aetna Medicare Advantage	$87.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$73.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$73.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$73.95
Rate for Payer: Cigna Commercial	$145.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.40
Rate for Payer: Oxford Commercial	$58.00
Rate for Payer: Qualcare PPO/HMO/WC	$43.50
Rate for Payer: UnitedHealthcare Commercial	$58.00
Rate for Payer: UnitedHealthcare Community & State	$9.16
Rate for Payer: Wellpoint Medicaid Managed Care	$8.24

LOW PROFILE STNAILH PL 2 HOLE

Facility

$290.00

Hospital Charge Code	270664780
Hospital Revenue Code	270
Min. Negotiated Rate	$43.50
Max. Negotiated Rate	$43.50
Rate for Payer: Qualcare PPO/HMO/WC	$43.50

LOWPRO SCRW TI 4.5X65MM CAN PT

Facility

$875.00

Service Code	HCPCS C1713
Hospital Charge Code	270688392
Hospital Revenue Code	278
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$211.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.75
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

LOWPRO SCRW TI 4.5X65MM CAN PT

Facility

$875.00

Service Code	HCPCS C1713
Hospital Charge Code	270688392
Hospital Revenue Code	278
Min. Negotiated Rate	$24.85
Max. Negotiated Rate	$437.50
Rate for Payer: Aetna Commercial	$332.50
Rate for Payer: Aetna Medicare Advantage	$262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.12
Rate for Payer: Cigna Commercial	$437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.75
Rate for Payer: Qualcare PPO/HMO/WC	$131.25
Rate for Payer: UnitedHealthcare Community & State	$27.65
Rate for Payer: Wellpoint Medicaid Managed Care	$24.85

L PLATE 2.3M PRO HD LOCK RI 6H

Facility

$2,725.00

Hospital Charge Code	270669929
Hospital Revenue Code	278
Min. Negotiated Rate	$77.39
Max. Negotiated Rate	$1,362.50
Rate for Payer: Aetna Commercial	$1,035.50
Rate for Payer: Aetna Medicare Advantage	$817.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$694.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$694.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$545.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$694.88
Rate for Payer: Cigna Commercial	$1,362.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$659.45
Rate for Payer: Qualcare PPO/HMO/WC	$408.75
Rate for Payer: UnitedHealthcare Community & State	$86.11
Rate for Payer: Wellpoint Medicaid Managed Care	$77.39

L PLATE 2.3M PRO HD LOCK RI 6H

Facility

$2,725.00

Hospital Charge Code	270669929
Hospital Revenue Code	278
Min. Negotiated Rate	$408.75
Max. Negotiated Rate	$659.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$545.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$659.45
Rate for Payer: Qualcare PPO/HMO/WC	$408.75

L-PLATE LCP LF 2HD 3H 2.7x32MM

Facility

$1,620.00

Hospital Charge Code	270667167
Hospital Revenue Code	278
Min. Negotiated Rate	$243.00
Max. Negotiated Rate	$392.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$324.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$392.04
Rate for Payer: Qualcare PPO/HMO/WC	$243.00

L-PLATE LCP LF 2HD 3H 2.7x32MM

Facility

$1,620.00

Hospital Charge Code	270667167
Hospital Revenue Code	278
Min. Negotiated Rate	$46.01
Max. Negotiated Rate	$810.00
Rate for Payer: Aetna Commercial	$615.60
Rate for Payer: Aetna Medicare Advantage	$486.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$413.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$413.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$324.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$413.10
Rate for Payer: Cigna Commercial	$810.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$392.04
Rate for Payer: Qualcare PPO/HMO/WC	$243.00
Rate for Payer: UnitedHealthcare Community & State	$51.19
Rate for Payer: Wellpoint Medicaid Managed Care	$46.01

L-PLATE LCP RT 2HD 3H 2.7x32MM

Facility

$1,620.00

Hospital Charge Code	270667166
Hospital Revenue Code	278
Min. Negotiated Rate	$46.01
Max. Negotiated Rate	$810.00
Rate for Payer: Aetna Commercial	$615.60
Rate for Payer: Aetna Medicare Advantage	$486.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$413.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$413.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$324.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$413.10
Rate for Payer: Cigna Commercial	$810.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$392.04
Rate for Payer: Qualcare PPO/HMO/WC	$243.00
Rate for Payer: UnitedHealthcare Community & State	$51.19
Rate for Payer: Wellpoint Medicaid Managed Care	$46.01

L-PLATE LCP RT 2HD 3H 2.7x32MM

Facility

$1,620.00

Hospital Charge Code	270667166
Hospital Revenue Code	278
Min. Negotiated Rate	$243.00
Max. Negotiated Rate	$392.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$324.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$392.04
Rate for Payer: Qualcare PPO/HMO/WC	$243.00

L-PLATE OBLIQUE LF 2H 2x20MM

Facility

$234.85

Service Code	HCPCS C1713
Hospital Charge Code	270604340
Hospital Revenue Code	278
Min. Negotiated Rate	$35.23
Max. Negotiated Rate	$56.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.83
Rate for Payer: Qualcare PPO/HMO/WC	$35.23

L-PLATE OBLIQUE LF 2H 2x20MM

Facility

$234.85

Service Code	HCPCS C1713
Hospital Charge Code	270604340
Hospital Revenue Code	278
Min. Negotiated Rate	$6.67
Max. Negotiated Rate	$117.42
Rate for Payer: Aetna Commercial	$89.24
Rate for Payer: Aetna Medicare Advantage	$70.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.89
Rate for Payer: Cigna Commercial	$117.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.83
Rate for Payer: Qualcare PPO/HMO/WC	$35.23
Rate for Payer: UnitedHealthcare Community & State	$7.42
Rate for Payer: Wellpoint Medicaid Managed Care	$6.67

L-PLATE OBLIQUE LF 3H 2.7x35MM

Facility

$359.55

Service Code	HCPCS C1713
Hospital Charge Code	270604325
Hospital Revenue Code	278
Min. Negotiated Rate	$53.93
Max. Negotiated Rate	$87.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.01
Rate for Payer: Qualcare PPO/HMO/WC	$53.93

L-PLATE OBLIQUE LF 3H 2.7x35MM

Facility

$359.55

Service Code	HCPCS C1713
Hospital Charge Code	270604325
Hospital Revenue Code	278
Min. Negotiated Rate	$10.21
Max. Negotiated Rate	$179.78
Rate for Payer: Aetna Commercial	$136.63
Rate for Payer: Aetna Medicare Advantage	$107.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.69
Rate for Payer: Cigna Commercial	$179.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.01
Rate for Payer: Qualcare PPO/HMO/WC	$53.93
Rate for Payer: UnitedHealthcare Community & State	$11.36
Rate for Payer: Wellpoint Medicaid Managed Care	$10.21

L-PLATE OBLIQUE RT 2H 2x20MM

Facility

$228.00

Hospital Charge Code	270665619
Hospital Revenue Code	278
Min. Negotiated Rate	$34.20
Max. Negotiated Rate	$55.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.18
Rate for Payer: Qualcare PPO/HMO/WC	$34.20

L-PLATE OBLIQUE RT 2H 2x20MM

Facility

$228.00

Hospital Charge Code	270665619
Hospital Revenue Code	278
Min. Negotiated Rate	$6.48
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$86.64
Rate for Payer: Aetna Medicare Advantage	$68.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.14
Rate for Payer: Cigna Commercial	$114.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.18
Rate for Payer: Qualcare PPO/HMO/WC	$34.20
Rate for Payer: UnitedHealthcare Community & State	$7.20
Rate for Payer: Wellpoint Medicaid Managed Care	$6.48

L-PLATE OBLIQUE RT 3H 2.7x35MM

Facility

$259.55

Service Code	HCPCS C1713
Hospital Charge Code	270604326
Hospital Revenue Code	278
Min. Negotiated Rate	$7.37
Max. Negotiated Rate	$129.78
Rate for Payer: Aetna Commercial	$98.63
Rate for Payer: Aetna Medicare Advantage	$77.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.19
Rate for Payer: Cigna Commercial	$129.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.81
Rate for Payer: Qualcare PPO/HMO/WC	$38.93
Rate for Payer: UnitedHealthcare Community & State	$8.20
Rate for Payer: Wellpoint Medicaid Managed Care	$7.37

L-PLATE OBLIQUE RT 3H 2.7x35MM

Facility

$259.55

Service Code	HCPCS C1713
Hospital Charge Code	270604326
Hospital Revenue Code	278
Min. Negotiated Rate	$38.93
Max. Negotiated Rate	$62.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.81
Rate for Payer: Qualcare PPO/HMO/WC	$38.93

L-PLATE OBL RT 2HD 3H 2.7x35MM

Facility

$1,620.00

Hospital Charge Code	270667165
Hospital Revenue Code	278
Min. Negotiated Rate	$46.01
Max. Negotiated Rate	$810.00
Rate for Payer: Aetna Commercial	$615.60
Rate for Payer: Aetna Medicare Advantage	$486.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$413.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$413.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$324.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$413.10
Rate for Payer: Cigna Commercial	$810.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$392.04
Rate for Payer: Qualcare PPO/HMO/WC	$243.00
Rate for Payer: UnitedHealthcare Community & State	$51.19
Rate for Payer: Wellpoint Medicaid Managed Care	$46.01

L-PLATE OBL RT 2HD 3H 2.7x35MM

Facility

$1,620.00

Hospital Charge Code	270667165
Hospital Revenue Code	278
Min. Negotiated Rate	$243.00
Max. Negotiated Rate	$392.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$324.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$392.04
Rate for Payer: Qualcare PPO/HMO/WC	$243.00

L.PNEUMOPHILA AB(IGM) I

Facility

$390.00

Service Code	HCPCS 8671391
Hospital Charge Code	39990102A
Hospital Revenue Code	302
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$148.20
Rate for Payer: Aetna Medicare Advantage	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.45
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.40
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$12.32
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

L.PNEUMOPHILA AB(IGM) I

Facility

$390.00

Service Code	HCPCS 8671391
Hospital Charge Code	39990102A
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

L.PNEUMOPHILA AB(IGM) II

Facility

$390.00

Service Code	HCPCS 8671391
Hospital Charge Code	39990102B
Hospital Revenue Code	302
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$148.20
Rate for Payer: Aetna Medicare Advantage	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.45
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.40
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$12.32
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

L.PNEUMOPHILA AB(IGM) II

Facility

$390.00

Service Code	HCPCS 8671391
Hospital Charge Code	39990102B
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

Know your out-of-pocket cost for care.

All Charges