Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

OSSIO PUNCH PK 4.75MM

Facility

$2,475.00

Hospital Charge Code	270700791
Hospital Revenue Code	272
Min. Negotiated Rate	$70.29
Max. Negotiated Rate	$1,237.50
Rate for Payer: Aetna Commercial	$940.50
Rate for Payer: Aetna Medicare Advantage	$742.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$631.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$631.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$631.12
Rate for Payer: Cigna Commercial	$1,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$643.50
Rate for Payer: Oxford Commercial	$495.00
Rate for Payer: Qualcare PPO/HMO/WC	$371.25
Rate for Payer: UnitedHealthcare Commercial	$495.00
Rate for Payer: UnitedHealthcare Community & State	$78.21
Rate for Payer: Wellpoint Medicaid Managed Care	$70.29

OSSIO PUNCH PK 4.75MM

Facility

$2,475.00

Hospital Charge Code	270700791
Hospital Revenue Code	272
Min. Negotiated Rate	$371.25
Max. Negotiated Rate	$371.25
Rate for Payer: Qualcare PPO/HMO/WC	$371.25

OSSIO TAP PK 4.75MM

Facility

$2,475.00

Hospital Charge Code	270700790
Hospital Revenue Code	272
Min. Negotiated Rate	$371.25
Max. Negotiated Rate	$371.25
Rate for Payer: Qualcare PPO/HMO/WC	$371.25

OSSIO TAP PK 4.75MM

Facility

$2,475.00

Hospital Charge Code	270700790
Hospital Revenue Code	272
Min. Negotiated Rate	$70.29
Max. Negotiated Rate	$1,237.50
Rate for Payer: Aetna Commercial	$940.50
Rate for Payer: Aetna Medicare Advantage	$742.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$631.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$631.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$631.12
Rate for Payer: Cigna Commercial	$1,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$643.50
Rate for Payer: Oxford Commercial	$495.00
Rate for Payer: Qualcare PPO/HMO/WC	$371.25
Rate for Payer: UnitedHealthcare Commercial	$495.00
Rate for Payer: UnitedHealthcare Community & State	$78.21
Rate for Payer: Wellpoint Medicaid Managed Care	$70.29

OSS MOLDABLE 3CC

Facility

$7,125.00

Hospital Charge Code	270702345
Hospital Revenue Code	278
Min. Negotiated Rate	$1,068.75
Max. Negotiated Rate	$1,724.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,724.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,068.75

OSS MOLDABLE 3CC

Facility

$7,125.00

Hospital Charge Code	270702345
Hospital Revenue Code	278
Min. Negotiated Rate	$202.35
Max. Negotiated Rate	$3,562.50
Rate for Payer: Aetna Commercial	$2,707.50
Rate for Payer: Aetna Medicare Advantage	$2,137.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,816.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,816.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,425.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,816.88
Rate for Payer: Cigna Commercial	$3,562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,724.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,068.75
Rate for Payer: UnitedHealthcare Community & State	$225.15
Rate for Payer: Wellpoint Medicaid Managed Care	$202.35

OSS NON-MOD TIB PLATE LONG 71

Facility

$30,550.00

Service Code	HCPCS C1713
Hospital Charge Code	270681526
Hospital Revenue Code	278
Min. Negotiated Rate	$867.62
Max. Negotiated Rate	$15,275.00
Rate for Payer: Aetna Commercial	$11,609.00
Rate for Payer: Aetna Medicare Advantage	$9,165.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,790.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,790.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,110.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,790.25
Rate for Payer: Cigna Commercial	$15,275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,393.10
Rate for Payer: Qualcare PPO/HMO/WC	$4,582.50
Rate for Payer: UnitedHealthcare Community & State	$965.38
Rate for Payer: Wellpoint Medicaid Managed Care	$867.62

OSS NON-MOD TIB PLATE LONG 71

Facility

$30,550.00

Service Code	HCPCS C1713
Hospital Charge Code	270681526
Hospital Revenue Code	278
Min. Negotiated Rate	$4,582.50
Max. Negotiated Rate	$7,393.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,393.10
Rate for Payer: Qualcare PPO/HMO/WC	$4,582.50

OSS RS 8.5CM ELLIP SEG FMRL-LT

Facility

$63,900.00

Service Code	HCPCS C1776
Hospital Charge Code	270689984
Hospital Revenue Code	278
Min. Negotiated Rate	$1,814.76
Max. Negotiated Rate	$31,950.00
Rate for Payer: Aetna Commercial	$24,282.00
Rate for Payer: Aetna Medicare Advantage	$19,170.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16,294.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16,294.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12,780.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16,294.50
Rate for Payer: Cigna Commercial	$31,950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15,463.80
Rate for Payer: Qualcare PPO/HMO/WC	$9,585.00
Rate for Payer: UnitedHealthcare Community & State	$2,019.24
Rate for Payer: Wellpoint Medicaid Managed Care	$1,814.76

OSS RS 8.5CM ELLIP SEG FMRL-LT

Facility

$63,900.00

Service Code	HCPCS C1776
Hospital Charge Code	270689984
Hospital Revenue Code	278
Min. Negotiated Rate	$9,585.00
Max. Negotiated Rate	$15,463.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12,780.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15,463.80
Rate for Payer: Qualcare PPO/HMO/WC	$9,585.00

OSSTAPLE

Facility

$1,227.00

Hospital Charge Code	270332602
Hospital Revenue Code	278
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) NJ Health	$245.40
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	$296.93
Rate for Payer: Qualcare PPO/HMO/WC	$184.05
Rate for Payer: UnitedHealthcare Community & State	$38.77
Rate for Payer: Wellpoint Medicaid Managed Care	$34.85

OSSTAPLE

Facility

$1,227.00

Hospital Charge Code	270332602
Hospital Revenue Code	278
Min. Negotiated Rate	$184.05
Max. Negotiated Rate	$296.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$245.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$296.93
Rate for Payer: Qualcare PPO/HMO/WC	$184.05

OSS TI 5CM DSTL FEMUR RT

Facility

$37,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270684636
Hospital Revenue Code	278
Min. Negotiated Rate	$1,065.00
Max. Negotiated Rate	$18,750.00
Rate for Payer: Aetna Commercial	$14,250.00
Rate for Payer: Aetna Medicare Advantage	$11,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,562.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,562.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,562.50
Rate for Payer: Cigna Commercial	$18,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,075.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,625.00
Rate for Payer: UnitedHealthcare Community & State	$1,185.00
Rate for Payer: Wellpoint Medicaid Managed Care	$1,065.00

OSS TI 5CM DSTL FEMUR RT

Facility

$37,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270684636
Hospital Revenue Code	278
Min. Negotiated Rate	$5,625.00
Max. Negotiated Rate	$9,075.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,075.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,625.00

OSS TI AXLE W CAP AND SCR

Facility

$6,900.00

Service Code	HCPCS C1713
Hospital Charge Code	270684639
Hospital Revenue Code	278
Min. Negotiated Rate	$195.96
Max. Negotiated Rate	$3,450.00
Rate for Payer: Aetna Commercial	$2,622.00
Rate for Payer: Aetna Medicare Advantage	$2,070.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,759.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,759.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,380.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,759.50
Rate for Payer: Cigna Commercial	$3,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,669.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,035.00
Rate for Payer: UnitedHealthcare Community & State	$218.04
Rate for Payer: Wellpoint Medicaid Managed Care	$195.96

OSS TI AXLE W CAP AND SCR

Facility

$6,900.00

Service Code	HCPCS C1713
Hospital Charge Code	270684639
Hospital Revenue Code	278
Min. Negotiated Rate	$1,035.00
Max. Negotiated Rate	$1,669.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,380.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,669.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,035.00

OSS TIBIAL POLY BEARING 20MM

Facility

$8,952.00

Service Code	HCPCS C1776
Hospital Charge Code	270691629
Hospital Revenue Code	278
Min. Negotiated Rate	$254.24
Max. Negotiated Rate	$4,476.00
Rate for Payer: Aetna Commercial	$3,401.76
Rate for Payer: Aetna Medicare Advantage	$2,685.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,282.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,282.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,790.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,282.76
Rate for Payer: Cigna Commercial	$4,476.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,166.38
Rate for Payer: Qualcare PPO/HMO/WC	$1,342.80
Rate for Payer: UnitedHealthcare Community & State	$282.88
Rate for Payer: Wellpoint Medicaid Managed Care	$254.24

OSS TIBIAL POLY BEARING 20MM

Facility

$8,952.00

Service Code	HCPCS C1776
Hospital Charge Code	270691629
Hospital Revenue Code	278
Min. Negotiated Rate	$1,342.80
Max. Negotiated Rate	$2,166.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,790.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,166.38
Rate for Payer: Qualcare PPO/HMO/WC	$1,342.80

OSTEOAMP FLOWABLE 5.0CC

Facility

$12,639.65

Service Code	HCPCS C1889
Hospital Charge Code	270696321
Hospital Revenue Code	278
Min. Negotiated Rate	$358.97
Max. Negotiated Rate	$6,319.82
Rate for Payer: Aetna Commercial	$4,803.07
Rate for Payer: Aetna Medicare Advantage	$3,791.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,223.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,223.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,527.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,223.11
Rate for Payer: Cigna Commercial	$6,319.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,058.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,895.95
Rate for Payer: UnitedHealthcare Community & State	$399.41
Rate for Payer: Wellpoint Medicaid Managed Care	$358.97

OSTEOAMP FLOWABLE 5.0CC

Facility

$12,639.65

Service Code	HCPCS C1889
Hospital Charge Code	270696321
Hospital Revenue Code	278
Min. Negotiated Rate	$1,895.95
Max. Negotiated Rate	$3,058.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,527.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,058.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,895.95

OSTEOAMP GRAFT FIBERS 15 CC OA

Facility

$31,205.00

Service Code	HCPCS C1889
Hospital Charge Code	270691812
Hospital Revenue Code	278
Min. Negotiated Rate	$886.22
Max. Negotiated Rate	$15,602.50
Rate for Payer: Aetna Commercial	$11,857.90
Rate for Payer: Aetna Medicare Advantage	$9,361.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,957.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,957.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,241.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,957.27
Rate for Payer: Cigna Commercial	$15,602.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,551.61
Rate for Payer: Qualcare PPO/HMO/WC	$4,680.75
Rate for Payer: UnitedHealthcare Community & State	$986.08
Rate for Payer: Wellpoint Medicaid Managed Care	$886.22

OSTEOAMP GRAFT FIBERS 15 CC OA

Facility

$31,205.00

Service Code	HCPCS C1889
Hospital Charge Code	270691812
Hospital Revenue Code	278
Min. Negotiated Rate	$4,680.75
Max. Negotiated Rate	$7,551.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,241.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,551.61
Rate for Payer: Qualcare PPO/HMO/WC	$4,680.75

OSTEOAMP SEL FIBERS 10CC

Facility

$23,180.00

Service Code	HCPCS C1889
Hospital Charge Code	270691817
Hospital Revenue Code	278
Min. Negotiated Rate	$658.31
Max. Negotiated Rate	$11,590.00
Rate for Payer: Aetna Commercial	$8,808.40
Rate for Payer: Aetna Medicare Advantage	$6,954.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,910.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,910.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,636.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,910.90
Rate for Payer: Cigna Commercial	$11,590.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,609.56
Rate for Payer: Qualcare PPO/HMO/WC	$3,477.00
Rate for Payer: UnitedHealthcare Community & State	$732.49
Rate for Payer: Wellpoint Medicaid Managed Care	$658.31

OSTEOAMP SEL FIBERS 10CC

Facility

$23,180.00

Service Code	HCPCS C1889
Hospital Charge Code	270691817
Hospital Revenue Code	278
Min. Negotiated Rate	$3,477.00
Max. Negotiated Rate	$5,609.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,636.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,609.56
Rate for Payer: Qualcare PPO/HMO/WC	$3,477.00

OSTEOAMP SEL FIBERS 15CC

Facility

$31,205.00

Service Code	HCPCS C1889
Hospital Charge Code	270691815
Hospital Revenue Code	278
Min. Negotiated Rate	$4,680.75
Max. Negotiated Rate	$7,551.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,241.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,551.61
Rate for Payer: Qualcare PPO/HMO/WC	$4,680.75

Know your out-of-pocket cost for care.

All Charges