Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

OSTEOFLO NANOPUTTY 2.5CC

Facility

$4,700.00

Service Code	HCPCS C1713
Hospital Charge Code	270693126
Hospital Revenue Code	278
Min. Negotiated Rate	$705.00
Max. Negotiated Rate	$1,137.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$940.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,137.40
Rate for Payer: Qualcare PPO/HMO/WC	$705.00

OSTEOFLO NANOPUTTY 2.5CC

Facility

$4,700.00

Service Code	HCPCS C1713
Hospital Charge Code	270693126
Hospital Revenue Code	278
Min. Negotiated Rate	$133.48
Max. Negotiated Rate	$2,350.00
Rate for Payer: Aetna Commercial	$1,786.00
Rate for Payer: Aetna Medicare Advantage	$1,410.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,198.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,198.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$940.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,198.50
Rate for Payer: Cigna Commercial	$2,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,137.40
Rate for Payer: Qualcare PPO/HMO/WC	$705.00
Rate for Payer: UnitedHealthcare Community & State	$148.52
Rate for Payer: Wellpoint Medicaid Managed Care	$133.48

OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS

Facility

$9,061.07

Service Code	APR-DRG 3441
Min. Negotiated Rate	$8,883.40
Max. Negotiated Rate	$9,061.07
Rate for Payer: UnitedHealthcare Community & State	$8,883.40
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$9,061.07
Rate for Payer: Wellpoint Medicaid Managed Care	$8,883.40

OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS

Facility

$16,616.65

Service Code	APR-DRG 3443
Min. Negotiated Rate	$16,290.83
Max. Negotiated Rate	$16,616.65
Rate for Payer: UnitedHealthcare Community & State	$16,290.83
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$16,616.65
Rate for Payer: Wellpoint Medicaid Managed Care	$16,290.83

OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS

Facility

$11,483.65

Service Code	APR-DRG 3442
Min. Negotiated Rate	$11,258.48
Max. Negotiated Rate	$11,483.65
Rate for Payer: UnitedHealthcare Community & State	$11,258.48
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$11,483.65
Rate for Payer: Wellpoint Medicaid Managed Care	$11,258.48

OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS

Facility

$25,985.28

Service Code	APR-DRG 3444
Min. Negotiated Rate	$25,475.76
Max. Negotiated Rate	$25,985.28
Rate for Payer: UnitedHealthcare Community & State	$25,475.76
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$25,985.28
Rate for Payer: Wellpoint Medicaid Managed Care	$25,475.76

OSTEOMYELITIS WITH CC

Facility

$60,419.33

Service Code	MSDRG 540
Min. Negotiated Rate	$18,396.91
Max. Negotiated Rate	$60,419.33
Rate for Payer: Aetna Commercial	$44,889.84
Rate for Payer: Aetna Medicare Advantage	$60,419.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36,016.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36,016.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19,365.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36,016.50
Rate for Payer: Cigna Commercial	$28,898.42
Rate for Payer: Cigna Medicare Advantage	$19,365.17
Rate for Payer: Clover Medicare Advantage	$18,396.91
Rate for Payer: EmblemHealth Commercial	$58,095.51
Rate for Payer: Humana Medicare Advantage	$19,946.13
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$19,365.17
Rate for Payer: Oxford Commercial	$22,840.81
Rate for Payer: UnitedHealthcare Commercial	$30,573.24
Rate for Payer: UnitedHealthcare Medicare Advantage	$19,365.17
Rate for Payer: Wellcare Medicare Advantage	$19,365.17

OSTEOMYELITIS WITH MCC

Facility

$81,694.52

Service Code	MSDRG 539
Min. Negotiated Rate	$24,874.93
Max. Negotiated Rate	$81,694.52
Rate for Payer: Aetna Commercial	$60,042.30
Rate for Payer: Aetna Medicare Advantage	$81,694.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54,855.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54,855.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$26,184.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54,855.90
Rate for Payer: Cigna Commercial	$43,910.52
Rate for Payer: Cigna Medicare Advantage	$26,184.14
Rate for Payer: Clover Medicare Advantage	$24,874.93
Rate for Payer: EmblemHealth Commercial	$78,552.42
Rate for Payer: Humana Medicare Advantage	$26,969.66
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$26,184.14
Rate for Payer: Oxford Commercial	$34,706.11
Rate for Payer: UnitedHealthcare Commercial	$46,455.37
Rate for Payer: UnitedHealthcare Medicare Advantage	$26,184.14
Rate for Payer: Wellcare Medicare Advantage	$26,184.14

OSTEOMYELITIS WITHOUT CC/MCC

Facility

$44,341.41

Service Code	MSDRG 541
Min. Negotiated Rate	$13,501.39
Max. Negotiated Rate	$44,341.41
Rate for Payer: Aetna Commercial	$33,438.96
Rate for Payer: Aetna Medicare Advantage	$44,341.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23,826.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23,826.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14,211.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23,826.30
Rate for Payer: Cigna Commercial	$17,199.05
Rate for Payer: Cigna Medicare Advantage	$14,211.99
Rate for Payer: Clover Medicare Advantage	$13,501.39
Rate for Payer: EmblemHealth Commercial	$42,635.97
Rate for Payer: Humana Medicare Advantage	$14,638.35
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$14,211.99
Rate for Payer: Oxford Commercial	$13,593.83
Rate for Payer: UnitedHealthcare Commercial	$18,195.83
Rate for Payer: UnitedHealthcare Medicare Advantage	$14,211.99
Rate for Payer: Wellcare Medicare Advantage	$14,211.99

OSTEO-P BONE GRAFT MATRIX 5CC

Facility

$16,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270697505
Hospital Revenue Code	278
Min. Negotiated Rate	$2,471.25
Max. Negotiated Rate	$3,986.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,295.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,986.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,471.25

OSTEO-P BONE GRAFT MATRIX 5CC

Facility

$16,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270697505
Hospital Revenue Code	278
Min. Negotiated Rate	$467.89
Max. Negotiated Rate	$8,237.50
Rate for Payer: Aetna Commercial	$6,260.50
Rate for Payer: Aetna Medicare Advantage	$4,942.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,201.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,201.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,295.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,201.12
Rate for Payer: Cigna Commercial	$8,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,986.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,471.25
Rate for Payer: UnitedHealthcare Community & State	$520.61
Rate for Payer: Wellpoint Medicaid Managed Care	$467.89

OSTEOSELECT DBM 1CC

Facility

$4,930.00

Hospital Charge Code	270703500
Hospital Revenue Code	278
Min. Negotiated Rate	$739.50
Max. Negotiated Rate	$1,193.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$986.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,193.06
Rate for Payer: Qualcare PPO/HMO/WC	$739.50

OSTEOSELECT DBM 1CC

Facility

$4,930.00

Hospital Charge Code	270703500
Hospital Revenue Code	278
Min. Negotiated Rate	$140.01
Max. Negotiated Rate	$2,465.00
Rate for Payer: Aetna Commercial	$1,873.40
Rate for Payer: Aetna Medicare Advantage	$1,479.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,257.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,257.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$986.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,257.15
Rate for Payer: Cigna Commercial	$2,465.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,193.06
Rate for Payer: Qualcare PPO/HMO/WC	$739.50
Rate for Payer: UnitedHealthcare Community & State	$155.79
Rate for Payer: Wellpoint Medicaid Managed Care	$140.01

OSTEOSELECT DBM 2.5CC

Facility

$1,700.00

Service Code	HCPCS C1762
Hospital Charge Code	270704125
Hospital Revenue Code	278
Min. Negotiated Rate	$48.28
Max. Negotiated Rate	$850.00
Rate for Payer: Aetna Commercial	$646.00
Rate for Payer: Aetna Medicare Advantage	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$433.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$433.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$340.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$433.50
Rate for Payer: Cigna Commercial	$850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$411.40
Rate for Payer: Qualcare PPO/HMO/WC	$255.00
Rate for Payer: UnitedHealthcare Community & State	$53.72
Rate for Payer: Wellpoint Medicaid Managed Care	$48.28

OSTEOSELECT DBM 2.5CC

Facility

$1,700.00

Service Code	HCPCS C1762
Hospital Charge Code	270704125
Hospital Revenue Code	278
Min. Negotiated Rate	$255.00
Max. Negotiated Rate	$411.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$340.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$411.40
Rate for Payer: Qualcare PPO/HMO/WC	$255.00

OSTEOSET RESORBABLE BEAD SET

Facility

$2,393.00

Hospital Charge Code	270335545
Hospital Revenue Code	278
Min. Negotiated Rate	$67.96
Max. Negotiated Rate	$1,196.50
Rate for Payer: Aetna Commercial	$909.34
Rate for Payer: Aetna Medicare Advantage	$717.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$610.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$610.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$478.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$610.22
Rate for Payer: Cigna Commercial	$1,196.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$579.11
Rate for Payer: Qualcare PPO/HMO/WC	$358.95
Rate for Payer: UnitedHealthcare Community & State	$75.62
Rate for Payer: Wellpoint Medicaid Managed Care	$67.96

OSTEOSET RESORBABLE BEAD SET

Facility

$2,393.00

Hospital Charge Code	270335545
Hospital Revenue Code	278
Min. Negotiated Rate	$358.95
Max. Negotiated Rate	$579.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$478.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$579.11
Rate for Payer: Qualcare PPO/HMO/WC	$358.95

OSTEOSPONGE FILLER 15CC

Facility

$5,735.00

Service Code	HCPCS C1889
Hospital Charge Code	270704120
Hospital Revenue Code	278
Min. Negotiated Rate	$162.87
Max. Negotiated Rate	$2,867.50
Rate for Payer: Aetna Commercial	$2,179.30
Rate for Payer: Aetna Medicare Advantage	$1,720.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,462.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,462.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,147.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,462.42
Rate for Payer: Cigna Commercial	$2,867.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,387.87
Rate for Payer: Qualcare PPO/HMO/WC	$860.25
Rate for Payer: UnitedHealthcare Community & State	$181.23
Rate for Payer: Wellpoint Medicaid Managed Care	$162.87

OSTEOSPONGE FILLER 15CC

Facility

$5,735.00

Service Code	HCPCS C1889
Hospital Charge Code	270704120
Hospital Revenue Code	278
Min. Negotiated Rate	$860.25
Max. Negotiated Rate	$1,387.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,147.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,387.87
Rate for Payer: Qualcare PPO/HMO/WC	$860.25

OSTEO SPONGE FILLER 30.00 CC

Facility

$10,837.50

Service Code	HCPCS C1713
Hospital Charge Code	270686303
Hospital Revenue Code	278
Min. Negotiated Rate	$307.79
Max. Negotiated Rate	$5,418.75
Rate for Payer: Aetna Commercial	$4,118.25
Rate for Payer: Aetna Medicare Advantage	$3,251.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,763.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,763.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,167.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,763.56
Rate for Payer: Cigna Commercial	$5,418.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,622.68
Rate for Payer: Qualcare PPO/HMO/WC	$1,625.62
Rate for Payer: UnitedHealthcare Community & State	$342.46
Rate for Payer: Wellpoint Medicaid Managed Care	$307.79

OSTEO SPONGE FILLER 30.00 CC

Facility

$10,837.50

Service Code	HCPCS C1713
Hospital Charge Code	270686303
Hospital Revenue Code	278
Min. Negotiated Rate	$1,625.62
Max. Negotiated Rate	$2,622.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,167.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,622.68
Rate for Payer: Qualcare PPO/HMO/WC	$1,625.62

OSTEOSPONGEFILLER FINE 30CC

Facility

$10,835.00

Hospital Charge Code	270701851
Hospital Revenue Code	278
Min. Negotiated Rate	$307.71
Max. Negotiated Rate	$5,417.50
Rate for Payer: Aetna Commercial	$4,117.30
Rate for Payer: Aetna Medicare Advantage	$3,250.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,762.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,762.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,167.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,762.93
Rate for Payer: Cigna Commercial	$5,417.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,622.07
Rate for Payer: Qualcare PPO/HMO/WC	$1,625.25
Rate for Payer: UnitedHealthcare Community & State	$342.39
Rate for Payer: Wellpoint Medicaid Managed Care	$307.71

OSTEOSPONGEFILLER FINE 30CC

Facility

$10,835.00

Hospital Charge Code	270701851
Hospital Revenue Code	278
Min. Negotiated Rate	$1,625.25
Max. Negotiated Rate	$2,622.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,167.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,622.07
Rate for Payer: Qualcare PPO/HMO/WC	$1,625.25

OSTEOSURGE 300 PUTTY 2.5CC

Facility

$2,995.00

Service Code	HCPCS C1713
Hospital Charge Code	270694152
Hospital Revenue Code	278
Min. Negotiated Rate	$85.06
Max. Negotiated Rate	$1,497.50
Rate for Payer: Aetna Commercial	$1,138.10
Rate for Payer: Aetna Medicare Advantage	$898.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$763.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$763.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$599.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$763.73
Rate for Payer: Cigna Commercial	$1,497.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$724.79
Rate for Payer: Qualcare PPO/HMO/WC	$449.25
Rate for Payer: UnitedHealthcare Community & State	$94.64
Rate for Payer: Wellpoint Medicaid Managed Care	$85.06

OSTEOSURGE 300 PUTTY 2.5CC

Facility

$2,995.00

Service Code	HCPCS C1713
Hospital Charge Code	270694152
Hospital Revenue Code	278
Min. Negotiated Rate	$449.25
Max. Negotiated Rate	$724.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$599.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$724.79
Rate for Payer: Qualcare PPO/HMO/WC	$449.25

Know your out-of-pocket cost for care.

All Charges