Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

MAXFORCE PLATE LEFT

Facility

$10,274.25

Service Code	HCPCS C1713
Hospital Charge Code	270705523
Hospital Revenue Code	278
Min. Negotiated Rate	$1,541.14
Max. Negotiated Rate	$2,486.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,054.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,486.37
Rate for Payer: Qualcare PPO/HMO/WC	$1,541.14

MAXFORCE PLATE PETITE RIGHT

Facility

$10,274.25

Service Code	HCPCS C1713
Hospital Charge Code	270693500
Hospital Revenue Code	278
Min. Negotiated Rate	$291.79
Max. Negotiated Rate	$5,137.12
Rate for Payer: Aetna Commercial	$3,904.22
Rate for Payer: Aetna Medicare Advantage	$3,082.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,619.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,619.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,054.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,619.93
Rate for Payer: Cigna Commercial	$5,137.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,486.37
Rate for Payer: Qualcare PPO/HMO/WC	$1,541.14
Rate for Payer: UnitedHealthcare Community & State	$324.67
Rate for Payer: Wellpoint Medicaid Managed Care	$291.79

MAXFORCE PLATE PETITE RIGHT

Facility

$10,274.25

Service Code	HCPCS C1713
Hospital Charge Code	270693500
Hospital Revenue Code	278
Min. Negotiated Rate	$1,541.14
Max. Negotiated Rate	$2,486.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,054.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,486.37
Rate for Payer: Qualcare PPO/HMO/WC	$1,541.14

MAXFRAME FULL RING 180MM ALUM

Facility

$6,930.00

Hospital Charge Code	270681262
Hospital Revenue Code	272
Min. Negotiated Rate	$1,039.50
Max. Negotiated Rate	$1,039.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,039.50

MAXFRAME FULL RING 180MM ALUM

Facility

$6,930.00

Hospital Charge Code	270681262
Hospital Revenue Code	272
Min. Negotiated Rate	$196.81
Max. Negotiated Rate	$3,465.00
Rate for Payer: Aetna Commercial	$2,633.40
Rate for Payer: Aetna Medicare Advantage	$2,079.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,767.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,767.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,767.15
Rate for Payer: Cigna Commercial	$3,465.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,801.80
Rate for Payer: Oxford Commercial	$1,386.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,039.50
Rate for Payer: UnitedHealthcare Commercial	$1,386.00
Rate for Payer: UnitedHealthcare Community & State	$218.99
Rate for Payer: Wellpoint Medicaid Managed Care	$196.81

MAXFRAME SHOULDR BOLT 8MM RNG

Facility

$450.00

Hospital Charge Code	270681316
Hospital Revenue Code	272
Min. Negotiated Rate	$12.78
Max. Negotiated Rate	$225.00
Rate for Payer: Aetna Commercial	$171.00
Rate for Payer: Aetna Medicare Advantage	$135.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.75
Rate for Payer: Cigna Commercial	$225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.00
Rate for Payer: Oxford Commercial	$90.00
Rate for Payer: Qualcare PPO/HMO/WC	$67.50
Rate for Payer: UnitedHealthcare Commercial	$90.00
Rate for Payer: UnitedHealthcare Community & State	$14.22
Rate for Payer: Wellpoint Medicaid Managed Care	$12.78

MAXFRAME SHOULDR BOLT 8MM RNG

Facility

$450.00

Hospital Charge Code	270681316
Hospital Revenue Code	272
Min. Negotiated Rate	$67.50
Max. Negotiated Rate	$67.50
Rate for Payer: Qualcare PPO/HMO/WC	$67.50

MAXFUSE DBM CRUNCH

Facility

$6,250.00

Service Code	HCPCS C1765
Hospital Charge Code	270705464
Hospital Revenue Code	278
Min. Negotiated Rate	$937.50
Max. Negotiated Rate	$1,512.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,512.50
Rate for Payer: Qualcare PPO/HMO/WC	$937.50

MAXFUSE DBM CRUNCH

Facility

$6,250.00

Service Code	HCPCS C1765
Hospital Charge Code	270705464
Hospital Revenue Code	278
Min. Negotiated Rate	$177.50
Max. Negotiated Rate	$3,125.00
Rate for Payer: Aetna Commercial	$2,375.00
Rate for Payer: Aetna Medicare Advantage	$1,875.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,593.75
Rate for Payer: Cigna Commercial	$3,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,512.50
Rate for Payer: Qualcare PPO/HMO/WC	$937.50
Rate for Payer: UnitedHealthcare Community & State	$197.50
Rate for Payer: Wellpoint Medicaid Managed Care	$177.50

MAXIFRAME X SHORT

Facility

$6,657.00

Hospital Charge Code	270683977
Hospital Revenue Code	272
Min. Negotiated Rate	$998.55
Max. Negotiated Rate	$998.55
Rate for Payer: Qualcare PPO/HMO/WC	$998.55

MAXIFRAME X SHORT

Facility

$6,657.00

Hospital Charge Code	270683977
Hospital Revenue Code	272
Min. Negotiated Rate	$189.06
Max. Negotiated Rate	$3,328.50
Rate for Payer: Aetna Commercial	$2,529.66
Rate for Payer: Aetna Medicare Advantage	$1,997.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,697.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,697.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,697.54
Rate for Payer: Cigna Commercial	$3,328.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,730.82
Rate for Payer: Oxford Commercial	$1,331.40
Rate for Payer: Qualcare PPO/HMO/WC	$998.55
Rate for Payer: UnitedHealthcare Commercial	$1,331.40
Rate for Payer: UnitedHealthcare Community & State	$210.36
Rate for Payer: Wellpoint Medicaid Managed Care	$189.06

MAX VPC CANN DRILL 3.2MM

Facility

$1,440.00

Hospital Charge Code	270686586
Hospital Revenue Code	272
Min. Negotiated Rate	$40.90
Max. Negotiated Rate	$720.00
Rate for Payer: Aetna Commercial	$547.20
Rate for Payer: Aetna Medicare Advantage	$432.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$367.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$367.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$367.20
Rate for Payer: Cigna Commercial	$720.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$374.40
Rate for Payer: Oxford Commercial	$288.00
Rate for Payer: Qualcare PPO/HMO/WC	$216.00
Rate for Payer: UnitedHealthcare Commercial	$288.00
Rate for Payer: UnitedHealthcare Community & State	$45.50
Rate for Payer: Wellpoint Medicaid Managed Care	$40.90

MAX VPC CANN DRILL 3.2MM

Facility

$1,440.00

Hospital Charge Code	270686586
Hospital Revenue Code	272
Min. Negotiated Rate	$216.00
Max. Negotiated Rate	$216.00
Rate for Payer: Qualcare PPO/HMO/WC	$216.00

MAXX-CELL ASPIRATION KIT

Facility

$11,250.00

Hospital Charge Code	270697196
Hospital Revenue Code	272
Min. Negotiated Rate	$1,687.50
Max. Negotiated Rate	$1,687.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,687.50

MAXX-CELL ASPIRATION KIT

Facility

$11,250.00

Hospital Charge Code	270697196
Hospital Revenue Code	272
Min. Negotiated Rate	$319.50
Max. Negotiated Rate	$5,625.00
Rate for Payer: Aetna Commercial	$4,275.00
Rate for Payer: Aetna Medicare Advantage	$3,375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,868.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,868.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,868.75
Rate for Payer: Cigna Commercial	$5,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,925.00
Rate for Payer: Oxford Commercial	$2,250.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,687.50
Rate for Payer: UnitedHealthcare Commercial	$2,250.00
Rate for Payer: UnitedHealthcare Community & State	$355.50
Rate for Payer: Wellpoint Medicaid Managed Care	$319.50

MAXX FUSE DBM 5CC

Facility

$4,300.00

Service Code	HCPCS C1713
Hospital Charge Code	270703945
Hospital Revenue Code	278
Min. Negotiated Rate	$645.00
Max. Negotiated Rate	$1,040.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$860.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,040.60
Rate for Payer: Qualcare PPO/HMO/WC	$645.00

MAXX FUSE DBM 5CC

Facility

$4,300.00

Service Code	HCPCS C1713
Hospital Charge Code	270703945
Hospital Revenue Code	278
Min. Negotiated Rate	$122.12
Max. Negotiated Rate	$2,150.00
Rate for Payer: Aetna Commercial	$1,634.00
Rate for Payer: Aetna Medicare Advantage	$1,290.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,096.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,096.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$860.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,096.50
Rate for Payer: Cigna Commercial	$2,150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,040.60
Rate for Payer: Qualcare PPO/HMO/WC	$645.00
Rate for Payer: UnitedHealthcare Community & State	$135.88
Rate for Payer: Wellpoint Medicaid Managed Care	$122.12

MAXX FUSE DBM CRUNCH 2.5CC

Facility

$2,750.00

Service Code	HCPCS C1765
Hospital Charge Code	270703875
Hospital Revenue Code	278
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) NJ Health	$550.00
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	$665.50
Rate for Payer: Qualcare PPO/HMO/WC	$412.50
Rate for Payer: UnitedHealthcare Community & State	$86.90
Rate for Payer: Wellpoint Medicaid Managed Care	$78.10

MAXX FUSE DBM CRUNCH 2.5CC

Facility

$2,750.00

Service Code	HCPCS C1765
Hospital Charge Code	270703875
Hospital Revenue Code	278
Min. Negotiated Rate	$412.50
Max. Negotiated Rate	$665.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$665.50
Rate for Payer: Qualcare PPO/HMO/WC	$412.50

MAXX FUSE SURE CHIP CANC 4-10M

Facility

$2,890.00

Service Code	HCPCS C1765
Hospital Charge Code	270705743
Hospital Revenue Code	278
Min. Negotiated Rate	$433.50
Max. Negotiated Rate	$699.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$578.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$699.38
Rate for Payer: Qualcare PPO/HMO/WC	$433.50

MAXX FUSE SURE CHIP CANC 4-10M

Facility

$2,890.00

Service Code	HCPCS C1765
Hospital Charge Code	270705743
Hospital Revenue Code	278
Min. Negotiated Rate	$82.08
Max. Negotiated Rate	$1,445.00
Rate for Payer: Aetna Commercial	$1,098.20
Rate for Payer: Aetna Medicare Advantage	$867.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$736.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$736.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$578.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$736.95
Rate for Payer: Cigna Commercial	$1,445.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$699.38
Rate for Payer: Qualcare PPO/HMO/WC	$433.50
Rate for Payer: UnitedHealthcare Community & State	$91.32
Rate for Payer: Wellpoint Medicaid Managed Care	$82.08

MAYO CATGUT NEEDLE

Facility

$11.00

Hospital Charge Code	270657334
Hospital Revenue Code	270
Min. Negotiated Rate	$0.31
Max. Negotiated Rate	$5.50
Rate for Payer: Aetna Commercial	$4.18
Rate for Payer: Aetna Medicare Advantage	$3.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.81
Rate for Payer: Cigna Commercial	$5.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.86
Rate for Payer: Oxford Commercial	$2.20
Rate for Payer: Qualcare PPO/HMO/WC	$1.65
Rate for Payer: UnitedHealthcare Commercial	$2.20
Rate for Payer: UnitedHealthcare Community & State	$0.35
Rate for Payer: Wellpoint Medicaid Managed Care	$0.31

MAYO CATGUT NEEDLE

Facility

$11.00

Hospital Charge Code	270657334
Hospital Revenue Code	270
Min. Negotiated Rate	$1.65
Max. Negotiated Rate	$1.65
Rate for Payer: Qualcare PPO/HMO/WC	$1.65

MB&J HIP POSITIONER CLAMPS

Facility

$3,260.00

Hospital Charge Code	270678486
Hospital Revenue Code	272
Min. Negotiated Rate	$489.00
Max. Negotiated Rate	$489.00
Rate for Payer: Qualcare PPO/HMO/WC	$489.00

MB&J HIP POSITIONER CLAMPS

Facility

$3,260.00

Hospital Charge Code	270678486
Hospital Revenue Code	272
Min. Negotiated Rate	$92.58
Max. Negotiated Rate	$1,630.00
Rate for Payer: Aetna Commercial	$1,238.80
Rate for Payer: Aetna Medicare Advantage	$978.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$831.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$831.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$831.30
Rate for Payer: Cigna Commercial	$1,630.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$847.60
Rate for Payer: Oxford Commercial	$652.00
Rate for Payer: Qualcare PPO/HMO/WC	$489.00
Rate for Payer: UnitedHealthcare Commercial	$652.00
Rate for Payer: UnitedHealthcare Community & State	$103.02
Rate for Payer: Wellpoint Medicaid Managed Care	$92.58

Know your out-of-pocket cost for care.

All Charges