Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

ARTHRD PST DFRM 7-12 VRT SGM

Facility

$14,810.75

Service Code	HCPCS 22802
Hospital Charge Code	16000805
Hospital Revenue Code	360
Min. Negotiated Rate	$2,221.61
Max. Negotiated Rate	$2,221.61
Rate for Payer: Qualcare PPO/HMO/WC	$2,221.61

ARTHRD PST DFRM 7-12 VRT SGM

Facility

$14,810.75

Service Code	HCPCS 22802
Hospital Charge Code	16000805
Hospital Revenue Code	360
Min. Negotiated Rate	$420.63
Max. Negotiated Rate	$75,563.15
Rate for Payer: Aetna Commercial	$56,659.34
Rate for Payer: Aetna Medicare Advantage	$67,491.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$75,563.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$75,563.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20,830.64
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	$75,563.15
Rate for Payer: Cigna Commercial	$41,754.94
Rate for Payer: Cigna Medicare Advantage	$20,830.64
Rate for Payer: Clover Medicare Advantage	$19,789.11
Rate for Payer: EmblemHealth Commercial	$62,491.92
Rate for Payer: Humana Medicare Advantage	$21,455.56
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$20,830.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,850.80
Rate for Payer: Oxford Commercial	$14,968.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,221.61
Rate for Payer: UnitedHealthcare Commercial	$16,639.00
Rate for Payer: UnitedHealthcare Community & State	$468.02
Rate for Payer: UnitedHealthcare Medicare Advantage	$20,830.64
Rate for Payer: Wellcare Medicare Advantage	$20,830.64
Rate for Payer: Wellpoint Medicaid Managed Care	$420.63

ARTHRD SI JT PRQ WO TFXJ DEV

Facility

$84,204.60

Service Code	HCPCS 27278
Hospital Charge Code	16001048
Hospital Revenue Code	360
Min. Negotiated Rate	$12,630.69
Max. Negotiated Rate	$12,630.69
Rate for Payer: Qualcare PPO/HMO/WC	$12,630.69

ARTHRD SI JT PRQ WO TFXJ DEV

Facility

$84,204.60

Service Code	HCPCS 27278
Hospital Charge Code	16001048
Hospital Revenue Code	360
Min. Negotiated Rate	$2,391.41
Max. Negotiated Rate	$75,563.15
Rate for Payer: Aetna Commercial	$56,659.34
Rate for Payer: Aetna Medicare Advantage	$67,491.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$75,563.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$75,563.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20,830.64
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	$75,563.15
Rate for Payer: Cigna Commercial	$41,754.94
Rate for Payer: Cigna Medicare Advantage	$20,830.64
Rate for Payer: Clover Medicare Advantage	$19,789.11
Rate for Payer: EmblemHealth Commercial	$62,491.92
Rate for Payer: Humana Medicare Advantage	$21,455.56
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$20,830.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21,893.20
Rate for Payer: Oxford Commercial	$14,968.00
Rate for Payer: Qualcare PPO/HMO/WC	$12,630.69
Rate for Payer: UnitedHealthcare Commercial	$16,639.00
Rate for Payer: UnitedHealthcare Community & State	$2,660.87
Rate for Payer: UnitedHealthcare Medicare Advantage	$20,830.64
Rate for Payer: Wellcare Medicare Advantage	$20,830.64
Rate for Payer: Wellpoint Medicaid Managed Care	$2,391.41

ARTHREX 10MM RETRO CUTTER CAT

Facility

$1,395.00

Hospital Charge Code	270656418
Hospital Revenue Code	270
Min. Negotiated Rate	$209.25
Max. Negotiated Rate	$209.25
Rate for Payer: Qualcare PPO/HMO/WC	$209.25

ARTHREX 10MM RETRO CUTTER CAT

Facility

$1,395.00

Hospital Charge Code	270656418
Hospital Revenue Code	270
Min. Negotiated Rate	$39.62
Max. Negotiated Rate	$697.50
Rate for Payer: Aetna Commercial	$530.10
Rate for Payer: Aetna Medicare Advantage	$418.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$355.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$355.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$355.73
Rate for Payer: Cigna Commercial	$697.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$362.70
Rate for Payer: Oxford Commercial	$279.00
Rate for Payer: Qualcare PPO/HMO/WC	$209.25
Rate for Payer: UnitedHealthcare Commercial	$279.00
Rate for Payer: UnitedHealthcare Community & State	$44.08
Rate for Payer: Wellpoint Medicaid Managed Care	$39.62

ARTHREX ACP KIT SERIES WITH AC

Facility

$1,075.00

Hospital Charge Code	270703393
Hospital Revenue Code	278
Min. Negotiated Rate	$30.53
Max. Negotiated Rate	$537.50
Rate for Payer: Aetna Commercial	$408.50
Rate for Payer: Aetna Medicare Advantage	$322.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$274.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$274.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$215.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$274.12
Rate for Payer: Cigna Commercial	$537.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$260.15
Rate for Payer: Qualcare PPO/HMO/WC	$161.25
Rate for Payer: UnitedHealthcare Community & State	$33.97
Rate for Payer: Wellpoint Medicaid Managed Care	$30.53

ARTHREX ACP KIT SERIES WITH AC

Facility

$1,075.00

Hospital Charge Code	270703393
Hospital Revenue Code	278
Min. Negotiated Rate	$161.25
Max. Negotiated Rate	$260.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$215.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$260.15
Rate for Payer: Qualcare PPO/HMO/WC	$161.25

ARTHREX DISSECTOR 3.5MM X 13CM

Facility

$200.00

Hospital Charge Code	270704728
Hospital Revenue Code	279
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

ARTHREX DISSECTOR 3.5MM X 13CM

Facility

$200.00

Hospital Charge Code	270704728
Hospital Revenue Code	279
Min. Negotiated Rate	$5.68
Max. Negotiated Rate	$100.00
Rate for Payer: Aetna Commercial	$76.00
Rate for Payer: Aetna Medicare Advantage	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.00
Rate for Payer: Cigna Commercial	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.00
Rate for Payer: Oxford Commercial	$40.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00
Rate for Payer: UnitedHealthcare Commercial	$40.00
Rate for Payer: UnitedHealthcare Community & State	$6.32
Rate for Payer: Wellpoint Medicaid Managed Care	$5.68

ARTHREX FIBERTAK

Facility

$875.00

Hospital Charge Code	270704953
Hospital Revenue Code	279
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$131.25
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

ARTHREX FIBERTAK

Facility

$875.00

Hospital Charge Code	270704953
Hospital Revenue Code	279
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) PPO	$223.12
Rate for Payer: Cigna Commercial	$437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$227.50
Rate for Payer: Oxford Commercial	$175.00
Rate for Payer: Qualcare PPO/HMO/WC	$131.25
Rate for Payer: UnitedHealthcare Commercial	$175.00
Rate for Payer: UnitedHealthcare Community & State	$27.65
Rate for Payer: Wellpoint Medicaid Managed Care	$24.85

ARTHREX LASSO

Facility

$901.25

Hospital Charge Code	270704952
Hospital Revenue Code	279
Min. Negotiated Rate	$135.19
Max. Negotiated Rate	$135.19
Rate for Payer: Qualcare PPO/HMO/WC	$135.19

ARTHREX LASSO

Facility

$901.25

Hospital Charge Code	270704952
Hospital Revenue Code	279
Min. Negotiated Rate	$25.60
Max. Negotiated Rate	$450.62
Rate for Payer: Aetna Commercial	$342.48
Rate for Payer: Aetna Medicare Advantage	$270.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$229.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$229.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$229.82
Rate for Payer: Cigna Commercial	$450.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$234.32
Rate for Payer: Oxford Commercial	$180.25
Rate for Payer: Qualcare PPO/HMO/WC	$135.19
Rate for Payer: UnitedHealthcare Commercial	$180.25
Rate for Payer: UnitedHealthcare Community & State	$28.48
Rate for Payer: Wellpoint Medicaid Managed Care	$25.60

ARTHRO BIOINDUCTIVE 1 MED

Facility

$14,000.00

Hospital Charge Code	270687117
Hospital Revenue Code	278
Min. Negotiated Rate	$2,100.00
Max. Negotiated Rate	$3,388.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,388.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,100.00

ARTHRO BIOINDUCTIVE 1 MED

Facility

$14,000.00

Hospital Charge Code	270687117
Hospital Revenue Code	278
Min. Negotiated Rate	$397.60
Max. Negotiated Rate	$7,000.00
Rate for Payer: Aetna Commercial	$5,320.00
Rate for Payer: Aetna Medicare Advantage	$4,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,570.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,570.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,570.00
Rate for Payer: Cigna Commercial	$7,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,388.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,100.00
Rate for Payer: UnitedHealthcare Community & State	$442.40
Rate for Payer: Wellpoint Medicaid Managed Care	$397.60

ARTHROCARE WAND (ARTHROCARE)

Facility

$1,227.00

Hospital Charge Code	270335410
Hospital Revenue Code	272
Min. Negotiated Rate	$184.05
Max. Negotiated Rate	$184.05
Rate for Payer: Qualcare PPO/HMO/WC	$184.05

ARTHROCARE WAND (ARTHROCARE)

Facility

$1,227.00

Hospital Charge Code	270335410
Hospital Revenue Code	272
Min. Negotiated Rate	$34.85
Max. Negotiated Rate	$613.50
Rate for Payer: Aetna Commercial	$466.26
Rate for Payer: Aetna Medicare Advantage	$368.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$312.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$312.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$312.88
Rate for Payer: Cigna Commercial	$613.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$319.02
Rate for Payer: Oxford Commercial	$245.40
Rate for Payer: Qualcare PPO/HMO/WC	$184.05
Rate for Payer: UnitedHealthcare Commercial	$245.40
Rate for Payer: UnitedHealthcare Community & State	$38.77
Rate for Payer: Wellpoint Medicaid Managed Care	$34.85

ARTHROCELL

Facility

$9,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270686676
Hospital Revenue Code	278
Min. Negotiated Rate	$1,425.00
Max. Negotiated Rate	$2,299.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,299.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00

ARTHROCELL

Facility

$9,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270686676
Hospital Revenue Code	278
Min. Negotiated Rate	$269.80
Max. Negotiated Rate	$4,750.00
Rate for Payer: Aetna Commercial	$3,610.00
Rate for Payer: Aetna Medicare Advantage	$2,850.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,422.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,422.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,422.50
Rate for Payer: Cigna Commercial	$4,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,299.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00
Rate for Payer: UnitedHealthcare Community & State	$300.20
Rate for Payer: Wellpoint Medicaid Managed Care	$269.80

ARTHRODESIS ANT SP4-7 VERTEB

Facility

$9,300.00

Service Code	HCPCS 22810
Hospital Charge Code	1600000872
Hospital Revenue Code	360
Min. Negotiated Rate	$293.88
Max. Negotiated Rate	$75,563.15
Rate for Payer: Aetna Commercial	$56,659.34
Rate for Payer: Aetna Medicare Advantage	$67,491.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$75,563.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$75,563.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20,830.64
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	$75,563.15
Rate for Payer: Cigna Commercial	$41,754.94
Rate for Payer: Cigna Medicare Advantage	$20,830.64
Rate for Payer: Clover Medicare Advantage	$19,789.11
Rate for Payer: EmblemHealth Commercial	$62,491.92
Rate for Payer: Humana Medicare Advantage	$21,455.56
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$20,830.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,418.00
Rate for Payer: Oxford Commercial	$14,968.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,395.00
Rate for Payer: UnitedHealthcare Commercial	$16,639.00
Rate for Payer: UnitedHealthcare Community & State	$293.88
Rate for Payer: UnitedHealthcare Medicare Advantage	$20,830.64
Rate for Payer: Wellcare Medicare Advantage	$20,830.64

ARTHRODESIS ANT SP4-7 VERTEB

Facility

$9,300.00

Service Code	HCPCS 22810
Hospital Charge Code	1600000872
Hospital Revenue Code	360
Min. Negotiated Rate	$1,395.00
Max. Negotiated Rate	$1,395.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,395.00

ARTHRODESIS GREAT TOE,IP JOINT

Facility

$19,998.60

Service Code	HCPCS 28755
Hospital Charge Code	16000726
Hospital Revenue Code	360
Min. Negotiated Rate	$567.96
Max. Negotiated Rate	$31,271.12
Rate for Payer: Aetna Commercial	$23,447.95
Rate for Payer: Aetna Medicare Advantage	$27,930.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31,271.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31,271.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8,620.57
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	$31,271.12
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: Cigna Medicare Advantage	$8,620.57
Rate for Payer: Clover Medicare Advantage	$8,189.54
Rate for Payer: EmblemHealth Commercial	$25,861.71
Rate for Payer: Humana Medicare Advantage	$8,879.19
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$8,620.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,199.64
Rate for Payer: Oxford Commercial	$7,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,999.79
Rate for Payer: UnitedHealthcare Commercial	$8,192.00
Rate for Payer: UnitedHealthcare Community & State	$631.96
Rate for Payer: UnitedHealthcare Medicare Advantage	$8,620.57
Rate for Payer: Wellcare Medicare Advantage	$8,620.57
Rate for Payer: Wellpoint Medicaid Managed Care	$567.96

ARTHRODESIS GREAT TOE,IP JOINT

Facility

$19,998.60

Service Code	HCPCS 28755
Hospital Charge Code	16000726
Hospital Revenue Code	360
Min. Negotiated Rate	$2,999.79
Max. Negotiated Rate	$2,999.79
Rate for Payer: Qualcare PPO/HMO/WC	$2,999.79

ARTHRODESIS GREAT TOE,MTP JNT

Facility

$57,834.50

Service Code	HCPCS 28750
Hospital Charge Code	16000279
Hospital Revenue Code	360
Min. Negotiated Rate	$1,642.50
Max. Negotiated Rate	$31,271.12
Rate for Payer: Aetna Commercial	$23,447.95
Rate for Payer: Aetna Medicare Advantage	$27,930.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31,271.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31,271.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8,620.57
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	$31,271.12
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: Cigna Medicare Advantage	$8,620.57
Rate for Payer: Clover Medicare Advantage	$8,189.54
Rate for Payer: EmblemHealth Commercial	$25,861.71
Rate for Payer: Humana Medicare Advantage	$8,879.19
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$8,620.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15,036.97
Rate for Payer: Oxford Commercial	$13,407.00
Rate for Payer: Qualcare PPO/HMO/WC	$8,675.17
Rate for Payer: UnitedHealthcare Commercial	$14,869.00
Rate for Payer: UnitedHealthcare Community & State	$1,827.57
Rate for Payer: UnitedHealthcare Medicare Advantage	$8,620.57
Rate for Payer: Wellcare Medicare Advantage	$8,620.57
Rate for Payer: Wellpoint Medicaid Managed Care	$1,642.50

Know your out-of-pocket cost for care.

All Charges