Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

POSITIONER HEAD ADULT

Facility

$10.14

Hospital Charge Code	270665497
Hospital Revenue Code	270
Min. Negotiated Rate	$1.52
Max. Negotiated Rate	$1.52
Rate for Payer: Qualcare PPO/HMO/WC	$1.52

POSITIONER HIP LONG PEG

Facility

$2,740.00

Hospital Charge Code	270677974
Hospital Revenue Code	272
Min. Negotiated Rate	$77.82
Max. Negotiated Rate	$1,370.00
Rate for Payer: Aetna Commercial	$1,041.20
Rate for Payer: Aetna Medicare Advantage	$822.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$698.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$698.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$698.70
Rate for Payer: Cigna Commercial	$1,370.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$712.40
Rate for Payer: Oxford Commercial	$548.00
Rate for Payer: Qualcare PPO/HMO/WC	$411.00
Rate for Payer: UnitedHealthcare Commercial	$548.00
Rate for Payer: UnitedHealthcare Community & State	$86.58
Rate for Payer: Wellpoint Medicaid Managed Care	$77.82

POSITIONER HIP LONG PEG

Facility

$2,740.00

Hospital Charge Code	270677974
Hospital Revenue Code	272
Min. Negotiated Rate	$411.00
Max. Negotiated Rate	$411.00
Rate for Payer: Qualcare PPO/HMO/WC	$411.00

POSITIONER HIP SHORT PEG

Facility

$2,740.00

Hospital Charge Code	270677975
Hospital Revenue Code	272
Min. Negotiated Rate	$411.00
Max. Negotiated Rate	$411.00
Rate for Payer: Qualcare PPO/HMO/WC	$411.00

POSITIONER HIP SHORT PEG

Facility

$2,740.00

Hospital Charge Code	270677975
Hospital Revenue Code	272
Min. Negotiated Rate	$77.82
Max. Negotiated Rate	$1,370.00
Rate for Payer: Aetna Commercial	$1,041.20
Rate for Payer: Aetna Medicare Advantage	$822.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$698.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$698.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$698.70
Rate for Payer: Cigna Commercial	$1,370.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$712.40
Rate for Payer: Oxford Commercial	$548.00
Rate for Payer: Qualcare PPO/HMO/WC	$411.00
Rate for Payer: UnitedHealthcare Commercial	$548.00
Rate for Payer: UnitedHealthcare Community & State	$86.58
Rate for Payer: Wellpoint Medicaid Managed Care	$77.82

POSITIONER PIGAZZI KIT

Facility

$727.40

Hospital Charge Code	270677558
Hospital Revenue Code	272
Min. Negotiated Rate	$20.66
Max. Negotiated Rate	$363.70
Rate for Payer: Aetna Commercial	$276.41
Rate for Payer: Aetna Medicare Advantage	$218.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$185.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$185.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$185.49
Rate for Payer: Cigna Commercial	$363.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$189.12
Rate for Payer: Oxford Commercial	$145.48
Rate for Payer: Qualcare PPO/HMO/WC	$109.11
Rate for Payer: UnitedHealthcare Commercial	$145.48
Rate for Payer: UnitedHealthcare Community & State	$22.99
Rate for Payer: Wellpoint Medicaid Managed Care	$20.66

POSITIONER PIGAZZI KIT

Facility

$727.40

Hospital Charge Code	270677558
Hospital Revenue Code	272
Min. Negotiated Rate	$109.11
Max. Negotiated Rate	$109.11
Rate for Payer: Qualcare PPO/HMO/WC	$109.11

POSITIONER SALVATION LEG

Facility

$1,280.00

Hospital Charge Code	270684462
Hospital Revenue Code	272
Min. Negotiated Rate	$192.00
Max. Negotiated Rate	$192.00
Rate for Payer: Qualcare PPO/HMO/WC	$192.00

POSITIONER SALVATION LEG

Facility

$1,280.00

Hospital Charge Code	270684462
Hospital Revenue Code	272
Min. Negotiated Rate	$36.35
Max. Negotiated Rate	$640.00
Rate for Payer: Aetna Commercial	$486.40
Rate for Payer: Aetna Medicare Advantage	$384.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$326.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$326.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$326.40
Rate for Payer: Cigna Commercial	$640.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$332.80
Rate for Payer: Oxford Commercial	$256.00
Rate for Payer: Qualcare PPO/HMO/WC	$192.00
Rate for Payer: UnitedHealthcare Commercial	$256.00
Rate for Payer: UnitedHealthcare Community & State	$40.45
Rate for Payer: Wellpoint Medicaid Managed Care	$36.35

POSITIONER SLT KIT

Facility

$358.75

Hospital Charge Code	270675045
Hospital Revenue Code	272
Min. Negotiated Rate	$53.81
Max. Negotiated Rate	$53.81
Rate for Payer: Qualcare PPO/HMO/WC	$53.81

POSITIONER SLT KIT

Facility

$358.75

Hospital Charge Code	270675045
Hospital Revenue Code	272
Min. Negotiated Rate	$10.19
Max. Negotiated Rate	$179.38
Rate for Payer: Aetna Commercial	$136.32
Rate for Payer: Aetna Medicare Advantage	$107.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.48
Rate for Payer: Cigna Commercial	$179.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$93.28
Rate for Payer: Oxford Commercial	$71.75
Rate for Payer: Qualcare PPO/HMO/WC	$53.81
Rate for Payer: UnitedHealthcare Commercial	$71.75
Rate for Payer: UnitedHealthcare Community & State	$11.34
Rate for Payer: Wellpoint Medicaid Managed Care	$10.19

POSITIONER SPIDER LIMB KIT

Facility

$466.80

Hospital Charge Code	270678171
Hospital Revenue Code	272
Min. Negotiated Rate	$70.02
Max. Negotiated Rate	$70.02
Rate for Payer: Qualcare PPO/HMO/WC	$70.02

POSITIONER SPIDER LIMB KIT

Facility

$466.80

Hospital Charge Code	270678171
Hospital Revenue Code	272
Min. Negotiated Rate	$13.26
Max. Negotiated Rate	$233.40
Rate for Payer: Aetna Commercial	$177.38
Rate for Payer: Aetna Medicare Advantage	$140.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$119.03
Rate for Payer: Cigna Commercial	$233.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.37
Rate for Payer: Oxford Commercial	$93.36
Rate for Payer: Qualcare PPO/HMO/WC	$70.02
Rate for Payer: UnitedHealthcare Commercial	$93.36
Rate for Payer: UnitedHealthcare Community & State	$14.75
Rate for Payer: Wellpoint Medicaid Managed Care	$13.26

POSITIONING ROD 2MM SINGLE USE

Facility

$764.80

Hospital Charge Code	270674963
Hospital Revenue Code	272
Min. Negotiated Rate	$21.72
Max. Negotiated Rate	$382.40
Rate for Payer: Aetna Commercial	$290.62
Rate for Payer: Aetna Medicare Advantage	$229.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$195.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$195.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$195.02
Rate for Payer: Cigna Commercial	$382.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$198.85
Rate for Payer: Oxford Commercial	$152.96
Rate for Payer: Qualcare PPO/HMO/WC	$114.72
Rate for Payer: UnitedHealthcare Commercial	$152.96
Rate for Payer: UnitedHealthcare Community & State	$24.17
Rate for Payer: Wellpoint Medicaid Managed Care	$21.72

POSITIONING ROD 2MM SINGLE USE

Facility

$764.80

Hospital Charge Code	270674963
Hospital Revenue Code	272
Min. Negotiated Rate	$114.72
Max. Negotiated Rate	$114.72
Rate for Payer: Qualcare PPO/HMO/WC	$114.72

POST 1 SRFC RESINBASED CMPST

Facility

$9,790.05

Service Code	HCPCS D2391
Hospital Charge Code	1600000775
Hospital Revenue Code	360
Min. Negotiated Rate	$278.04
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$2,089.07
Rate for Payer: Aetna Medicare Advantage	$2,488.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,786.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,786.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$768.04
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	$2,786.07
Rate for Payer: Cigna Commercial	$1,539.55
Rate for Payer: Cigna Medicare Advantage	$768.04
Rate for Payer: Clover Medicare Advantage	$729.64
Rate for Payer: EmblemHealth Commercial	$2,304.12
Rate for Payer: Humana Medicare Advantage	$791.08
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$768.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,545.41
Rate for Payer: Qualcare PPO/HMO/WC	$1,468.51
Rate for Payer: UnitedHealthcare Community & State	$309.37
Rate for Payer: UnitedHealthcare Medicare Advantage	$768.04
Rate for Payer: Wellcare Medicare Advantage	$768.04
Rate for Payer: Wellpoint Medicaid Managed Care	$278.04

POST 1 SRFC RESINBASED CMPST

Facility

$9,790.05

Service Code	HCPCS D2391
Hospital Charge Code	1600000775
Hospital Revenue Code	360
Min. Negotiated Rate	$1,468.51
Max. Negotiated Rate	$1,468.51
Rate for Payer: Qualcare PPO/HMO/WC	$1,468.51

POST 2 SRFC RESINBASED CMPST

Facility

$9,790.05

Service Code	HCPCS D2392
Hospital Charge Code	1600000776
Hospital Revenue Code	360
Min. Negotiated Rate	$278.04
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$2,089.07
Rate for Payer: Aetna Medicare Advantage	$2,488.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,786.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,786.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$768.04
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	$2,786.07
Rate for Payer: Cigna Commercial	$1,539.55
Rate for Payer: Cigna Medicare Advantage	$768.04
Rate for Payer: Clover Medicare Advantage	$729.64
Rate for Payer: EmblemHealth Commercial	$2,304.12
Rate for Payer: Humana Medicare Advantage	$791.08
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$768.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,545.41
Rate for Payer: Qualcare PPO/HMO/WC	$1,468.51
Rate for Payer: UnitedHealthcare Community & State	$309.37
Rate for Payer: UnitedHealthcare Medicare Advantage	$768.04
Rate for Payer: Wellcare Medicare Advantage	$768.04
Rate for Payer: Wellpoint Medicaid Managed Care	$278.04

POST 2 SRFC RESINBASED CMPST

Facility

$9,790.05

Service Code	HCPCS D2392
Hospital Charge Code	1600000776
Hospital Revenue Code	360
Min. Negotiated Rate	$1,468.51
Max. Negotiated Rate	$1,468.51
Rate for Payer: Qualcare PPO/HMO/WC	$1,468.51

POST 3.2MM

Facility

$1,105.00

Hospital Charge Code	270671569
Hospital Revenue Code	278
Min. Negotiated Rate	$165.75
Max. Negotiated Rate	$267.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$221.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$267.41
Rate for Payer: Qualcare PPO/HMO/WC	$165.75

POST 3.2MM

Facility

$1,105.00

Hospital Charge Code	270671569
Hospital Revenue Code	278
Min. Negotiated Rate	$31.38
Max. Negotiated Rate	$552.50
Rate for Payer: Aetna Commercial	$419.90
Rate for Payer: Aetna Medicare Advantage	$331.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$281.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$281.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$221.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$281.77
Rate for Payer: Cigna Commercial	$552.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$267.41
Rate for Payer: Qualcare PPO/HMO/WC	$165.75
Rate for Payer: UnitedHealthcare Community & State	$34.92
Rate for Payer: Wellpoint Medicaid Managed Care	$31.38

POST 4 HOLE TOWER

Facility

$605.00

Hospital Charge Code	270684451
Hospital Revenue Code	272
Min. Negotiated Rate	$90.75
Max. Negotiated Rate	$90.75
Rate for Payer: Qualcare PPO/HMO/WC	$90.75

POST 4 HOLE TOWER

Facility

$605.00

Hospital Charge Code	270684451
Hospital Revenue Code	272
Min. Negotiated Rate	$17.18
Max. Negotiated Rate	$302.50
Rate for Payer: Aetna Commercial	$229.90
Rate for Payer: Aetna Medicare Advantage	$181.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$154.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$154.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$154.28
Rate for Payer: Cigna Commercial	$302.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.30
Rate for Payer: Oxford Commercial	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.75
Rate for Payer: UnitedHealthcare Commercial	$121.00
Rate for Payer: UnitedHealthcare Community & State	$19.12
Rate for Payer: Wellpoint Medicaid Managed Care	$17.18

POST 5.9 X28 LAPIDUS

Facility

$17,440.00

Service Code	HCPCS C1713
Hospital Charge Code	270686978
Hospital Revenue Code	278
Min. Negotiated Rate	$495.30
Max. Negotiated Rate	$8,720.00
Rate for Payer: Aetna Commercial	$6,627.20
Rate for Payer: Aetna Medicare Advantage	$5,232.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,447.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,447.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,488.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,447.20
Rate for Payer: Cigna Commercial	$8,720.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,220.48
Rate for Payer: Qualcare PPO/HMO/WC	$2,616.00
Rate for Payer: UnitedHealthcare Community & State	$551.10
Rate for Payer: Wellpoint Medicaid Managed Care	$495.30

POST 5.9 X28 LAPIDUS

Facility

$17,440.00

Service Code	HCPCS C1713
Hospital Charge Code	270686978
Hospital Revenue Code	278
Min. Negotiated Rate	$2,616.00
Max. Negotiated Rate	$4,220.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,488.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,220.48
Rate for Payer: Qualcare PPO/HMO/WC	$2,616.00

Know your out-of-pocket cost for care.

All Charges