Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

2.5 DRILL

Facility

$1,570.00

Hospital Charge Code	270703460
Hospital Revenue Code	279
Min. Negotiated Rate	$44.59
Max. Negotiated Rate	$785.00
Rate for Payer: Aetna Commercial	$596.60
Rate for Payer: Aetna Medicare Advantage	$471.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$400.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$400.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$400.35
Rate for Payer: Cigna Commercial	$785.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$408.20
Rate for Payer: Oxford Commercial	$314.00
Rate for Payer: Qualcare PPO/HMO/WC	$235.50
Rate for Payer: UnitedHealthcare Commercial	$314.00
Rate for Payer: UnitedHealthcare Community & State	$49.61
Rate for Payer: Wellpoint Medicaid Managed Care	$44.59

2.5 DRILL

Facility

$1,570.00

Hospital Charge Code	270703460
Hospital Revenue Code	279
Min. Negotiated Rate	$235.50
Max. Negotiated Rate	$235.50
Rate for Payer: Qualcare PPO/HMO/WC	$235.50

2.5 DRILL BIT

Facility

$316.65

Hospital Charge Code	270656288
Hospital Revenue Code	272
Min. Negotiated Rate	$47.50
Max. Negotiated Rate	$47.50
Rate for Payer: Qualcare PPO/HMO/WC	$47.50

2.5 DRILL BIT

Facility

$425.00

Hospital Charge Code	270656429
Hospital Revenue Code	272
Min. Negotiated Rate	$63.75
Max. Negotiated Rate	$63.75
Rate for Payer: Qualcare PPO/HMO/WC	$63.75

2.5 DRILL BIT

Facility

$316.65

Hospital Charge Code	270656288
Hospital Revenue Code	272
Min. Negotiated Rate	$8.99
Max. Negotiated Rate	$158.32
Rate for Payer: Aetna Commercial	$120.33
Rate for Payer: Aetna Medicare Advantage	$95.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80.75
Rate for Payer: Cigna Commercial	$158.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.33
Rate for Payer: Oxford Commercial	$63.33
Rate for Payer: Qualcare PPO/HMO/WC	$47.50
Rate for Payer: UnitedHealthcare Commercial	$63.33
Rate for Payer: UnitedHealthcare Community & State	$10.01
Rate for Payer: Wellpoint Medicaid Managed Care	$8.99

2.5 DRILL BIT

Facility

$425.00

Hospital Charge Code	270656429
Hospital Revenue Code	272
Min. Negotiated Rate	$12.07
Max. Negotiated Rate	$212.50
Rate for Payer: Aetna Commercial	$161.50
Rate for Payer: Aetna Medicare Advantage	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$108.38
Rate for Payer: Cigna Commercial	$212.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.50
Rate for Payer: Oxford Commercial	$85.00
Rate for Payer: Qualcare PPO/HMO/WC	$63.75
Rate for Payer: UnitedHealthcare Commercial	$85.00
Rate for Payer: UnitedHealthcare Community & State	$13.43
Rate for Payer: Wellpoint Medicaid Managed Care	$12.07

25 G 5 INCH SPINAL NEEDLE

Facility

$935.00

Hospital Charge Code	270325444
Hospital Revenue Code	272
Min. Negotiated Rate	$140.25
Max. Negotiated Rate	$140.25
Rate for Payer: Qualcare PPO/HMO/WC	$140.25

25 G 5 INCH SPINAL NEEDLE

Facility

$935.00

Hospital Charge Code	270325444
Hospital Revenue Code	272
Min. Negotiated Rate	$26.55
Max. Negotiated Rate	$467.50
Rate for Payer: Aetna Commercial	$355.30
Rate for Payer: Aetna Medicare Advantage	$280.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$238.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$238.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$238.43
Rate for Payer: Cigna Commercial	$467.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$243.10
Rate for Payer: Oxford Commercial	$187.00
Rate for Payer: Qualcare PPO/HMO/WC	$140.25
Rate for Payer: UnitedHealthcare Commercial	$187.00
Rate for Payer: UnitedHealthcare Community & State	$29.55
Rate for Payer: Wellpoint Medicaid Managed Care	$26.55

2.5 GRADUATED DRILL BIT

Facility

$425.00

Hospital Charge Code	270656430
Hospital Revenue Code	272
Min. Negotiated Rate	$12.07
Max. Negotiated Rate	$212.50
Rate for Payer: Aetna Commercial	$161.50
Rate for Payer: Aetna Medicare Advantage	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$108.38
Rate for Payer: Cigna Commercial	$212.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.50
Rate for Payer: Oxford Commercial	$85.00
Rate for Payer: Qualcare PPO/HMO/WC	$63.75
Rate for Payer: UnitedHealthcare Commercial	$85.00
Rate for Payer: UnitedHealthcare Community & State	$13.43
Rate for Payer: Wellpoint Medicaid Managed Care	$12.07

2.5 GRADUATED DRILL BIT

Facility

$425.00

Hospital Charge Code	270656430
Hospital Revenue Code	272
Min. Negotiated Rate	$63.75
Max. Negotiated Rate	$63.75
Rate for Payer: Qualcare PPO/HMO/WC	$63.75

25 HYDROXYVITAMIN D

Facility

$390.00

Service Code	HCPCS 82306
Hospital Charge Code	401082306
Hospital Revenue Code	301
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$80.51
Rate for Payer: Aetna Medicare Advantage	$95.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$29.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.37
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$29.60
Rate for Payer: Clover Medicare Advantage	$28.12
Rate for Payer: EmblemHealth Commercial	$88.80
Rate for Payer: Humana Medicare Advantage	$30.49
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$29.60
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	$23.68
Rate for Payer: UnitedHealthcare Medicare Advantage	$29.60
Rate for Payer: Wellcare Medicare Advantage	$29.60
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

25 HYDROXYVITAMIN D

Facility

$390.00

Service Code	HCPCS 82306
Hospital Charge Code	401082306
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

2.5 MM 10 DIGIFUSE

Facility

$10,220.45

Service Code	HCPCS C1713
Hospital Charge Code	270687126
Hospital Revenue Code	278
Min. Negotiated Rate	$290.26
Max. Negotiated Rate	$5,110.23
Rate for Payer: Aetna Commercial	$3,883.77
Rate for Payer: Aetna Medicare Advantage	$3,066.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,606.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,606.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,044.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,606.21
Rate for Payer: Cigna Commercial	$5,110.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,473.35
Rate for Payer: Qualcare PPO/HMO/WC	$1,533.07
Rate for Payer: UnitedHealthcare Community & State	$322.97
Rate for Payer: Wellpoint Medicaid Managed Care	$290.26

2.5 MM 10 DIGIFUSE

Facility

$10,220.45

Service Code	HCPCS C1713
Hospital Charge Code	270687126
Hospital Revenue Code	278
Min. Negotiated Rate	$1,533.07
Max. Negotiated Rate	$2,473.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,044.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,473.35
Rate for Payer: Qualcare PPO/HMO/WC	$1,533.07

2.5MM HEADED SCREW LENGTH 12MM

Facility

$1,421.80

Service Code	HCPCS C1713
Hospital Charge Code	270687946
Hospital Revenue Code	278
Min. Negotiated Rate	$40.38
Max. Negotiated Rate	$710.90
Rate for Payer: Aetna Commercial	$540.28
Rate for Payer: Aetna Medicare Advantage	$426.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$362.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$362.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$284.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$362.56
Rate for Payer: Cigna Commercial	$710.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$344.08
Rate for Payer: Qualcare PPO/HMO/WC	$213.27
Rate for Payer: UnitedHealthcare Community & State	$44.93
Rate for Payer: Wellpoint Medicaid Managed Care	$40.38

2.5MM HEADED SCREW LENGTH 12MM

Facility

$1,421.80

Service Code	HCPCS C1713
Hospital Charge Code	270687946
Hospital Revenue Code	278
Min. Negotiated Rate	$213.27
Max. Negotiated Rate	$344.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$284.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$344.08
Rate for Payer: Qualcare PPO/HMO/WC	$213.27

2.5MM HEADED SCREW LENGTH 14MM

Facility

$1,421.80

Service Code	HCPCS C1713
Hospital Charge Code	270687947
Hospital Revenue Code	278
Min. Negotiated Rate	$40.38
Max. Negotiated Rate	$710.90
Rate for Payer: Aetna Commercial	$540.28
Rate for Payer: Aetna Medicare Advantage	$426.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$362.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$362.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$284.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$362.56
Rate for Payer: Cigna Commercial	$710.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$344.08
Rate for Payer: Qualcare PPO/HMO/WC	$213.27
Rate for Payer: UnitedHealthcare Community & State	$44.93
Rate for Payer: Wellpoint Medicaid Managed Care	$40.38

2.5MM HEADED SCREW LENGTH 14MM

Facility

$1,421.80

Service Code	HCPCS C1713
Hospital Charge Code	270687947
Hospital Revenue Code	278
Min. Negotiated Rate	$213.27
Max. Negotiated Rate	$344.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$284.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$344.08
Rate for Payer: Qualcare PPO/HMO/WC	$213.27

2.5 M MM TI CAN COMPRESSION HE

Facility

$3,796.00

Service Code	HCPCS C1713
Hospital Charge Code	270688650
Hospital Revenue Code	278
Min. Negotiated Rate	$569.40
Max. Negotiated Rate	$918.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$759.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$918.63
Rate for Payer: Qualcare PPO/HMO/WC	$569.40

2.5 M MM TI CAN COMPRESSION HE

Facility

$1,898.00

Service Code	HCPCS C1713
Hospital Charge Code	270688649
Hospital Revenue Code	278
Min. Negotiated Rate	$53.90
Max. Negotiated Rate	$949.00
Rate for Payer: Aetna Commercial	$721.24
Rate for Payer: Aetna Medicare Advantage	$569.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$483.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$483.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$379.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$483.99
Rate for Payer: Cigna Commercial	$949.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.32
Rate for Payer: Qualcare PPO/HMO/WC	$284.70
Rate for Payer: UnitedHealthcare Community & State	$59.98
Rate for Payer: Wellpoint Medicaid Managed Care	$53.90

2.5 M MM TI CAN COMPRESSION HE

Facility

$1,898.00

Service Code	HCPCS C1713
Hospital Charge Code	270688649
Hospital Revenue Code	278
Min. Negotiated Rate	$284.70
Max. Negotiated Rate	$459.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$379.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.32
Rate for Payer: Qualcare PPO/HMO/WC	$284.70

2.5 M MM TI CAN COMPRESSION HE

Facility

$3,796.00

Service Code	HCPCS C1713
Hospital Charge Code	270688650
Hospital Revenue Code	278
Min. Negotiated Rate	$107.81
Max. Negotiated Rate	$1,898.00
Rate for Payer: Aetna Commercial	$1,442.48
Rate for Payer: Aetna Medicare Advantage	$1,138.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$967.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$967.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$759.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$967.98
Rate for Payer: Cigna Commercial	$1,898.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$918.63
Rate for Payer: Qualcare PPO/HMO/WC	$569.40
Rate for Payer: UnitedHealthcare Community & State	$119.95
Rate for Payer: Wellpoint Medicaid Managed Care	$107.81

2.5MM THREADED K WIRE

Facility

$254.40

Hospital Charge Code	270687948
Hospital Revenue Code	272
Min. Negotiated Rate	$7.22
Max. Negotiated Rate	$127.20
Rate for Payer: Aetna Commercial	$96.67
Rate for Payer: Aetna Medicare Advantage	$76.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$64.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$64.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$64.87
Rate for Payer: Cigna Commercial	$127.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.14
Rate for Payer: Oxford Commercial	$50.88
Rate for Payer: Qualcare PPO/HMO/WC	$38.16
Rate for Payer: UnitedHealthcare Commercial	$50.88
Rate for Payer: UnitedHealthcare Community & State	$8.04
Rate for Payer: Wellpoint Medicaid Managed Care	$7.22

2.5MM THREADED K WIRE

Facility

$254.40

Hospital Charge Code	270687948
Hospital Revenue Code	272
Min. Negotiated Rate	$38.16
Max. Negotiated Rate	$38.16
Rate for Payer: Qualcare PPO/HMO/WC	$38.16

25X10X10 EXPAND CAGE #11-5348

Facility

$25,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270705465
Hospital Revenue Code	278
Min. Negotiated Rate	$3,750.00
Max. Negotiated Rate	$6,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,050.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,750.00

Know your out-of-pocket cost for care.

All Charges