Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

NEXGEN PRECOAT STEMMED TIBIAL

Facility

$6,156.70

Hospital Charge Code	270664941
Hospital Revenue Code	278
Min. Negotiated Rate	$174.85
Max. Negotiated Rate	$3,078.35
Rate for Payer: Aetna Commercial	$2,339.55
Rate for Payer: Aetna Medicare Advantage	$1,847.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,569.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,569.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,231.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,569.96
Rate for Payer: Cigna Commercial	$3,078.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,489.92
Rate for Payer: Qualcare PPO/HMO/WC	$923.50
Rate for Payer: UnitedHealthcare Community & State	$194.55
Rate for Payer: Wellpoint Medicaid Managed Care	$174.85

NEXGEN PRECOAT STEMMED TIBIAL

Facility

$8,520.00

Hospital Charge Code	270660655
Hospital Revenue Code	278
Min. Negotiated Rate	$1,278.00
Max. Negotiated Rate	$2,061.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,704.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,061.84
Rate for Payer: Qualcare PPO/HMO/WC	$1,278.00

NEXGEN PRECOAT STEMMED TIBIAL

Facility

$6,156.70

Hospital Charge Code	270664941
Hospital Revenue Code	278
Min. Negotiated Rate	$923.50
Max. Negotiated Rate	$1,489.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,231.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,489.92
Rate for Payer: Qualcare PPO/HMO/WC	$923.50

NEXGEN SPS - FLEX FIXED PROLON

Facility

$5,862.10

Hospital Charge Code	270665482
Hospital Revenue Code	270
Min. Negotiated Rate	$879.32
Max. Negotiated Rate	$879.32
Rate for Payer: Qualcare PPO/HMO/WC	$879.32

NEXGEN SPS - FLEX FIXED PROLON

Facility

$5,862.10

Hospital Charge Code	270665482
Hospital Revenue Code	270
Min. Negotiated Rate	$166.48
Max. Negotiated Rate	$2,931.05
Rate for Payer: Aetna Commercial	$2,227.60
Rate for Payer: Aetna Medicare Advantage	$1,758.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,494.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,494.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,494.84
Rate for Payer: Cigna Commercial	$2,931.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,524.15
Rate for Payer: Oxford Commercial	$1,172.42
Rate for Payer: Qualcare PPO/HMO/WC	$879.32
Rate for Payer: UnitedHealthcare Commercial	$1,172.42
Rate for Payer: UnitedHealthcare Community & State	$185.24
Rate for Payer: Wellpoint Medicaid Managed Care	$166.48

NEXGEN STRAIGHT STEM 100X14

Facility

$5,245.00

Hospital Charge Code	270665819
Hospital Revenue Code	278
Min. Negotiated Rate	$786.75
Max. Negotiated Rate	$1,269.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,049.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,269.29
Rate for Payer: Qualcare PPO/HMO/WC	$786.75

NEXGEN STRAIGHT STEM 100X14

Facility

$5,245.00

Hospital Charge Code	270665819
Hospital Revenue Code	278
Min. Negotiated Rate	$148.96
Max. Negotiated Rate	$2,622.50
Rate for Payer: Aetna Commercial	$1,993.10
Rate for Payer: Aetna Medicare Advantage	$1,573.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,337.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,337.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,049.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,337.47
Rate for Payer: Cigna Commercial	$2,622.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,269.29
Rate for Payer: Qualcare PPO/HMO/WC	$786.75
Rate for Payer: UnitedHealthcare Community & State	$165.74
Rate for Payer: Wellpoint Medicaid Managed Care	$148.96

NEXGEN STRAIGHT STEM 12 X14

Facility

$5,245.00

Hospital Charge Code	270665818
Hospital Revenue Code	278
Min. Negotiated Rate	$148.96
Max. Negotiated Rate	$2,622.50
Rate for Payer: Aetna Commercial	$1,993.10
Rate for Payer: Aetna Medicare Advantage	$1,573.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,337.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,337.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,049.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,337.47
Rate for Payer: Cigna Commercial	$2,622.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,269.29
Rate for Payer: Qualcare PPO/HMO/WC	$786.75
Rate for Payer: UnitedHealthcare Community & State	$165.74
Rate for Payer: Wellpoint Medicaid Managed Care	$148.96

NEXGEN STRAIGHT STEM 12 X14

Facility

$5,245.00

Hospital Charge Code	270665818
Hospital Revenue Code	278
Min. Negotiated Rate	$786.75
Max. Negotiated Rate	$1,269.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,049.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,269.29
Rate for Payer: Qualcare PPO/HMO/WC	$786.75

NEXGEN TAPER PLUG

Facility

$2,780.85

Hospital Charge Code	270665467
Hospital Revenue Code	278
Min. Negotiated Rate	$417.13
Max. Negotiated Rate	$672.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$556.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$672.97
Rate for Payer: Qualcare PPO/HMO/WC	$417.13

NEXGEN TAPER PLUG

Facility

$6,750.00

Hospital Charge Code	270657849
Hospital Revenue Code	270
Min. Negotiated Rate	$191.70
Max. Negotiated Rate	$3,375.00
Rate for Payer: Aetna Commercial	$2,565.00
Rate for Payer: Aetna Medicare Advantage	$2,025.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,721.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,721.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,721.25
Rate for Payer: Cigna Commercial	$3,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,755.00
Rate for Payer: Oxford Commercial	$1,350.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50
Rate for Payer: UnitedHealthcare Commercial	$1,350.00
Rate for Payer: UnitedHealthcare Community & State	$213.30
Rate for Payer: Wellpoint Medicaid Managed Care	$191.70

NEXGEN TAPER PLUG

Facility

$2,780.85

Hospital Charge Code	270665467
Hospital Revenue Code	278
Min. Negotiated Rate	$78.98
Max. Negotiated Rate	$1,390.42
Rate for Payer: Aetna Commercial	$1,056.72
Rate for Payer: Aetna Medicare Advantage	$834.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$709.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$709.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$556.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$709.12
Rate for Payer: Cigna Commercial	$1,390.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$672.97
Rate for Payer: Qualcare PPO/HMO/WC	$417.13
Rate for Payer: UnitedHealthcare Community & State	$87.87
Rate for Payer: Wellpoint Medicaid Managed Care	$78.98

NEXGEN TAPER PLUG

Facility

$6,750.00

Hospital Charge Code	270657849
Hospital Revenue Code	270
Min. Negotiated Rate	$1,012.50
Max. Negotiated Rate	$1,012.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50

NEXGEN TRAB MET LPS MONO 10MM

Facility

$12,408.30

Hospital Charge Code	270662345
Hospital Revenue Code	278
Min. Negotiated Rate	$352.40
Max. Negotiated Rate	$6,204.15
Rate for Payer: Aetna Commercial	$4,715.15
Rate for Payer: Aetna Medicare Advantage	$3,722.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,164.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,164.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,481.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,164.12
Rate for Payer: Cigna Commercial	$6,204.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,002.81
Rate for Payer: Qualcare PPO/HMO/WC	$1,861.24
Rate for Payer: UnitedHealthcare Community & State	$392.10
Rate for Payer: Wellpoint Medicaid Managed Care	$352.40

NEXGEN TRAB MET LPS MONO 10MM

Facility

$12,408.30

Hospital Charge Code	270662345
Hospital Revenue Code	278
Min. Negotiated Rate	$1,861.24
Max. Negotiated Rate	$3,002.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,481.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,002.81
Rate for Payer: Qualcare PPO/HMO/WC	$1,861.24

NEXUSSHORTTIPANDTUBING 1.9MM

Facility

$3,262.71

Hospital Charge Code	270692353
Hospital Revenue Code	272
Min. Negotiated Rate	$489.41
Max. Negotiated Rate	$489.41
Rate for Payer: Qualcare PPO/HMO/WC	$489.41

NEXUSSHORTTIPANDTUBING 1.9MM

Facility

$3,262.71

Hospital Charge Code	270692353
Hospital Revenue Code	272
Min. Negotiated Rate	$92.66
Max. Negotiated Rate	$1,631.36
Rate for Payer: Aetna Commercial	$1,239.83
Rate for Payer: Aetna Medicare Advantage	$978.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$831.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$831.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$831.99
Rate for Payer: Cigna Commercial	$1,631.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$848.30
Rate for Payer: Oxford Commercial	$652.54
Rate for Payer: Qualcare PPO/HMO/WC	$489.41
Rate for Payer: UnitedHealthcare Commercial	$652.54
Rate for Payer: UnitedHealthcare Community & State	$103.10
Rate for Payer: Wellpoint Medicaid Managed Care	$92.66

NEZHAT DORSY TUBING SET

Facility

$220.00

Hospital Charge Code	270338792
Hospital Revenue Code	272
Min. Negotiated Rate	$33.00
Max. Negotiated Rate	$33.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.00

NEZHAT DORSY TUBING SET

Facility

$220.00

Hospital Charge Code	270338792
Hospital Revenue Code	272
Min. Negotiated Rate	$6.25
Max. Negotiated Rate	$110.00
Rate for Payer: Aetna Commercial	$83.60
Rate for Payer: Aetna Medicare Advantage	$66.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.10
Rate for Payer: Cigna Commercial	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.20
Rate for Payer: Oxford Commercial	$44.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.00
Rate for Payer: UnitedHealthcare Commercial	$44.00
Rate for Payer: UnitedHealthcare Community & State	$6.95
Rate for Payer: Wellpoint Medicaid Managed Care	$6.25

NFCT DS BV RNA VAG FLU ALG

Facility

$82.96

Service Code	HCPCS 81513
Hospital Charge Code	401910123C
Hospital Revenue Code	310
Min. Negotiated Rate	$2.36
Max. Negotiated Rate	$517.39
Rate for Payer: Aetna Commercial	$387.95
Rate for Payer: Aetna Medicare Advantage	$462.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$517.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$517.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$142.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$517.39
Rate for Payer: Cigna Commercial	$41.48
Rate for Payer: Cigna Medicare Advantage	$142.63
Rate for Payer: Clover Medicare Advantage	$135.50
Rate for Payer: EmblemHealth Commercial	$427.89
Rate for Payer: Humana Medicare Advantage	$146.91
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$142.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.57
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.44
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$114.10
Rate for Payer: UnitedHealthcare Medicare Advantage	$142.63
Rate for Payer: Wellcare Medicare Advantage	$142.63
Rate for Payer: Wellpoint Medicaid Managed Care	$2.36

NFCT DS BV RNA VAG FLU ALG

Facility

$82.96

Service Code	HCPCS 81513
Hospital Charge Code	401910123C
Hospital Revenue Code	310
Min. Negotiated Rate	$12.44
Max. Negotiated Rate	$12.44
Rate for Payer: Qualcare PPO/HMO/WC	$12.44

N.GONORRHOEAE DNA AMP PROB

Facility

$82.95

Service Code	HCPCS 87591
Hospital Charge Code	401910123B
Hospital Revenue Code	306
Min. Negotiated Rate	$2.36
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$95.44
Rate for Payer: Aetna Medicare Advantage	$113.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$35.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$62.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.29
Rate for Payer: Cigna Commercial	$41.48
Rate for Payer: Cigna Medicare Advantage	$35.09
Rate for Payer: Clover Medicare Advantage	$33.34
Rate for Payer: EmblemHealth Commercial	$105.27
Rate for Payer: Humana Medicare Advantage	$36.14
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$35.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.57
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.44
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$28.07
Rate for Payer: UnitedHealthcare Medicare Advantage	$35.09
Rate for Payer: Wellcare Medicare Advantage	$35.09
Rate for Payer: Wellpoint Medicaid Managed Care	$2.36

N.GONORRHOEAE DNA AMP PROB

Facility

$82.95

Service Code	HCPCS 87591
Hospital Charge Code	401910123B
Hospital Revenue Code	306
Min. Negotiated Rate	$12.44
Max. Negotiated Rate	$12.44
Rate for Payer: Qualcare PPO/HMO/WC	$12.44

N. GONORRHOEAE DNA SDA

Facility

$247.00

Service Code	HCPCS 87591
Hospital Charge Code	38479098
Hospital Revenue Code	306
Min. Negotiated Rate	$7.01
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$95.44
Rate for Payer: Aetna Medicare Advantage	$113.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$35.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$62.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.29
Rate for Payer: Cigna Commercial	$123.50
Rate for Payer: Cigna Medicare Advantage	$35.09
Rate for Payer: Clover Medicare Advantage	$33.34
Rate for Payer: EmblemHealth Commercial	$105.27
Rate for Payer: Humana Medicare Advantage	$36.14
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$35.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.22
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.05
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$28.07
Rate for Payer: UnitedHealthcare Medicare Advantage	$35.09
Rate for Payer: Wellcare Medicare Advantage	$35.09
Rate for Payer: Wellpoint Medicaid Managed Care	$7.01

N. GONORRHOEAE DNA SDA

Facility

$247.00

Service Code	HCPCS 87591
Hospital Charge Code	38479098
Hospital Revenue Code	306
Min. Negotiated Rate	$37.05
Max. Negotiated Rate	$37.05
Rate for Payer: Qualcare PPO/HMO/WC	$37.05

Know your out-of-pocket cost for care.

All Charges