Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

OSTEOAMP SEL FIBERS 15CC

Facility

$31,205.00

Service Code	HCPCS C1889
Hospital Charge Code	270691815
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 SEL FIBERS 5CC

Facility

$13,740.00

Service Code	HCPCS C1889
Hospital Charge Code	270691816
Hospital Revenue Code	278
Min. Negotiated Rate	$390.22
Max. Negotiated Rate	$6,870.00
Rate for Payer: Aetna Commercial	$5,221.20
Rate for Payer: Aetna Medicare Advantage	$4,122.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,503.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,503.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,748.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,503.70
Rate for Payer: Cigna Commercial	$6,870.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,325.08
Rate for Payer: Qualcare PPO/HMO/WC	$2,061.00
Rate for Payer: UnitedHealthcare Community & State	$434.18
Rate for Payer: Wellpoint Medicaid Managed Care	$390.22

OSTEOAMP SEL FIBERS 5CC

Facility

$13,740.00

Service Code	HCPCS C1889
Hospital Charge Code	270691816
Hospital Revenue Code	278
Min. Negotiated Rate	$2,061.00
Max. Negotiated Rate	$3,325.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,748.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,325.08
Rate for Payer: Qualcare PPO/HMO/WC	$2,061.00

OSTEOART ALGRFT W/SURF & B1

Facility

$15,955.20

Service Code	HCPCS 20932
Hospital Charge Code	1600000526
Hospital Revenue Code	360
Min. Negotiated Rate	$2,393.28
Max. Negotiated Rate	$2,393.28
Rate for Payer: Qualcare PPO/HMO/WC	$2,393.28

OSTEOART ALGRFT W/SURF & B1

Facility

$15,955.20

Service Code	HCPCS 20932
Hospital Charge Code	1600000526
Hospital Revenue Code	360
Min. Negotiated Rate	$453.13
Max. Negotiated Rate	$7,977.60
Rate for Payer: Aetna Commercial	$6,062.98
Rate for Payer: Aetna Medicare Advantage	$4,786.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,068.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,068.58
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	$4,068.58
Rate for Payer: Cigna Commercial	$7,977.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,148.35
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,393.28
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$504.18
Rate for Payer: Wellpoint Medicaid Managed Care	$453.13

OSTEOBOND CEMENT LOW VISC.

Facility

$369.40

Hospital Charge Code	270656064
Hospital Revenue Code	271
Min. Negotiated Rate	$10.49
Max. Negotiated Rate	$184.70
Rate for Payer: Aetna Commercial	$140.37
Rate for Payer: Aetna Medicare Advantage	$110.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.20
Rate for Payer: Cigna Commercial	$184.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.04
Rate for Payer: Oxford Commercial	$73.88
Rate for Payer: Qualcare PPO/HMO/WC	$55.41
Rate for Payer: UnitedHealthcare Commercial	$73.88
Rate for Payer: UnitedHealthcare Community & State	$11.67
Rate for Payer: Wellpoint Medicaid Managed Care	$10.49

OSTEOBOND CEMENT LOW VISC.

Facility

$369.40

Hospital Charge Code	270656064
Hospital Revenue Code	271
Min. Negotiated Rate	$55.41
Max. Negotiated Rate	$55.41
Rate for Payer: Qualcare PPO/HMO/WC	$55.41

OSTEOCALCIN

Facility

$210.00

Service Code	HCPCS 83937
Hospital Charge Code	38477182
Hospital Revenue Code	301
Min. Negotiated Rate	$5.96
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$81.19
Rate for Payer: Aetna Medicare Advantage	$96.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$108.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$108.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$29.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$108.28
Rate for Payer: Cigna Commercial	$105.00
Rate for Payer: Cigna Medicare Advantage	$29.85
Rate for Payer: Clover Medicare Advantage	$28.36
Rate for Payer: EmblemHealth Commercial	$89.55
Rate for Payer: Humana Medicare Advantage	$30.75
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$29.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.60
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$31.50
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$23.88
Rate for Payer: UnitedHealthcare Medicare Advantage	$29.85
Rate for Payer: Wellcare Medicare Advantage	$29.85
Rate for Payer: Wellpoint Medicaid Managed Care	$5.96

OSTEOCALCIN

Facility

$210.00

Service Code	HCPCS 83937
Hospital Charge Code	38477182
Hospital Revenue Code	301
Min. Negotiated Rate	$31.50
Max. Negotiated Rate	$31.50
Rate for Payer: Qualcare PPO/HMO/WC	$31.50

OSTEOCEL 10CC

Facility

$2,250.00

Hospital Charge Code	270657287
Hospital Revenue Code	272
Min. Negotiated Rate	$337.50
Max. Negotiated Rate	$337.50
Rate for Payer: Qualcare PPO/HMO/WC	$337.50

OSTEOCEL 10CC

Facility

$2,250.00

Hospital Charge Code	270657287
Hospital Revenue Code	272
Min. Negotiated Rate	$63.90
Max. Negotiated Rate	$1,125.00
Rate for Payer: Aetna Commercial	$855.00
Rate for Payer: Aetna Medicare Advantage	$675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$573.75
Rate for Payer: Cigna Commercial	$1,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$585.00
Rate for Payer: Oxford Commercial	$450.00
Rate for Payer: Qualcare PPO/HMO/WC	$337.50
Rate for Payer: UnitedHealthcare Commercial	$450.00
Rate for Payer: UnitedHealthcare Community & State	$71.10
Rate for Payer: Wellpoint Medicaid Managed Care	$63.90

OSTEOCEL 15CC

Facility

$1,125.00

Hospital Charge Code	270657313
Hospital Revenue Code	272
Min. Negotiated Rate	$168.75
Max. Negotiated Rate	$168.75
Rate for Payer: Qualcare PPO/HMO/WC	$168.75

OSTEOCEL 15CC

Facility

$1,125.00

Hospital Charge Code	270657313
Hospital Revenue Code	272
Min. Negotiated Rate	$31.95
Max. Negotiated Rate	$562.50
Rate for Payer: Aetna Commercial	$427.50
Rate for Payer: Aetna Medicare Advantage	$337.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.88
Rate for Payer: Cigna Commercial	$562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$292.50
Rate for Payer: Oxford Commercial	$225.00
Rate for Payer: Qualcare PPO/HMO/WC	$168.75
Rate for Payer: UnitedHealthcare Commercial	$225.00
Rate for Payer: UnitedHealthcare Community & State	$35.55
Rate for Payer: Wellpoint Medicaid Managed Care	$31.95

OSTEOCHONDRAL CORE 10 MM

Facility

$12,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270673913
Hospital Revenue Code	278
Min. Negotiated Rate	$354.29
Max. Negotiated Rate	$6,237.50
Rate for Payer: Aetna Commercial	$4,740.50
Rate for Payer: Aetna Medicare Advantage	$3,742.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,181.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,181.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,495.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,181.12
Rate for Payer: Cigna Commercial	$6,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,018.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,871.25
Rate for Payer: UnitedHealthcare Community & State	$394.21
Rate for Payer: Wellpoint Medicaid Managed Care	$354.29

OSTEOCHONDRAL CORE 10 MM

Facility

$12,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270673913
Hospital Revenue Code	278
Min. Negotiated Rate	$1,871.25
Max. Negotiated Rate	$3,018.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,018.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,871.25

OSTEOCHONDRAL FLAP REPAIR SET

Facility

$2,600.00

Hospital Charge Code	270675207
Hospital Revenue Code	272
Min. Negotiated Rate	$73.84
Max. Negotiated Rate	$1,300.00
Rate for Payer: Aetna Commercial	$988.00
Rate for Payer: Aetna Medicare Advantage	$780.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$663.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$663.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$663.00
Rate for Payer: Cigna Commercial	$1,300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$676.00
Rate for Payer: Oxford Commercial	$520.00
Rate for Payer: Qualcare PPO/HMO/WC	$390.00
Rate for Payer: UnitedHealthcare Commercial	$520.00
Rate for Payer: UnitedHealthcare Community & State	$82.16
Rate for Payer: Wellpoint Medicaid Managed Care	$73.84

OSTEOCHONDRAL FLAP REPAIR SET

Facility

$2,600.00

Hospital Charge Code	270675207
Hospital Revenue Code	272
Min. Negotiated Rate	$390.00
Max. Negotiated Rate	$390.00
Rate for Payer: Qualcare PPO/HMO/WC	$390.00

OSTEOCURE BRILL SLEEVE SZ B9MM

Facility

$495.00

Hospital Charge Code	270335937
Hospital Revenue Code	272
Min. Negotiated Rate	$14.06
Max. Negotiated Rate	$247.50
Rate for Payer: Aetna Commercial	$188.10
Rate for Payer: Aetna Medicare Advantage	$148.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.22
Rate for Payer: Cigna Commercial	$247.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.70
Rate for Payer: Oxford Commercial	$99.00
Rate for Payer: Qualcare PPO/HMO/WC	$74.25
Rate for Payer: UnitedHealthcare Commercial	$99.00
Rate for Payer: UnitedHealthcare Community & State	$15.64
Rate for Payer: Wellpoint Medicaid Managed Care	$14.06

OSTEOCURE BRILL SLEEVE SZ B9MM

Facility

$495.00

Hospital Charge Code	270335937
Hospital Revenue Code	272
Min. Negotiated Rate	$74.25
Max. Negotiated Rate	$74.25
Rate for Payer: Qualcare PPO/HMO/WC	$74.25

OSTEOFACTOR PRO 5CC

Facility

$11,250.00

Service Code	HCPCS C1765
Hospital Charge Code	270705430
Hospital Revenue Code	278
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) NJ Health	$2,250.00
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	$2,722.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,687.50
Rate for Payer: UnitedHealthcare Community & State	$355.50
Rate for Payer: Wellpoint Medicaid Managed Care	$319.50

OSTEOFACTOR PRO 5CC

Facility

$11,250.00

Service Code	HCPCS C1765
Hospital Charge Code	270705430
Hospital Revenue Code	278
Min. Negotiated Rate	$1,687.50
Max. Negotiated Rate	$2,722.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,722.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,687.50

OSTEOFLEX BONE CEMENT

Facility

$700.00

Hospital Charge Code	270703448
Hospital Revenue Code	278
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$169.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

OSTEOFLEX BONE CEMENT

Facility

$700.00

Hospital Charge Code	270703448
Hospital Revenue Code	278
Min. Negotiated Rate	$19.88
Max. Negotiated Rate	$350.00
Rate for Payer: Aetna Commercial	$266.00
Rate for Payer: Aetna Medicare Advantage	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.50
Rate for Payer: Cigna Commercial	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: Qualcare PPO/HMO/WC	$105.00
Rate for Payer: UnitedHealthcare Community & State	$22.12
Rate for Payer: Wellpoint Medicaid Managed Care	$19.88

OSTEOFLEX CEMENT/SYSTEM

Facility

$1,375.00

Hospital Charge Code	270703066
Hospital Revenue Code	278
Min. Negotiated Rate	$39.05
Max. Negotiated Rate	$687.50
Rate for Payer: Aetna Commercial	$522.50
Rate for Payer: Aetna Medicare Advantage	$412.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$350.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$350.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$350.62
Rate for Payer: Cigna Commercial	$687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$332.75
Rate for Payer: Qualcare PPO/HMO/WC	$206.25
Rate for Payer: UnitedHealthcare Community & State	$43.45
Rate for Payer: Wellpoint Medicaid Managed Care	$39.05

OSTEOFLEX CEMENT/SYSTEM

Facility

$1,375.00

Hospital Charge Code	270703066
Hospital Revenue Code	278
Min. Negotiated Rate	$206.25
Max. Negotiated Rate	$332.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$332.75
Rate for Payer: Qualcare PPO/HMO/WC	$206.25

Know your out-of-pocket cost for care.

All Charges