Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

PRECEPT SCREW 6.5x40MM POLYAXI

Facility

$10,285.00

Hospital Charge Code	270665929
Hospital Revenue Code	278
Min. Negotiated Rate	$1,542.75
Max. Negotiated Rate	$2,488.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,057.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,488.97
Rate for Payer: Qualcare PPO/HMO/WC	$1,542.75

PRECEPT SCREW 6.5x50MM POLYAXI

Facility

$10,285.00

Hospital Charge Code	270665928
Hospital Revenue Code	278
Min. Negotiated Rate	$292.09
Max. Negotiated Rate	$5,142.50
Rate for Payer: Aetna Commercial	$3,908.30
Rate for Payer: Aetna Medicare Advantage	$3,085.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,622.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,622.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,057.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,622.68
Rate for Payer: Cigna Commercial	$5,142.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,488.97
Rate for Payer: Qualcare PPO/HMO/WC	$1,542.75
Rate for Payer: UnitedHealthcare Community & State	$325.01
Rate for Payer: Wellpoint Medicaid Managed Care	$292.09

PRECEPT SCREW 6.5x50MM POLYAXI

Facility

$10,285.00

Hospital Charge Code	270665928
Hospital Revenue Code	278
Min. Negotiated Rate	$1,542.75
Max. Negotiated Rate	$2,488.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,057.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,488.97
Rate for Payer: Qualcare PPO/HMO/WC	$1,542.75

PRECEPT SCREW SHANK, 6.5x50MM

Facility

$4,865.00

Hospital Charge Code	270665930
Hospital Revenue Code	278
Min. Negotiated Rate	$729.75
Max. Negotiated Rate	$1,177.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$973.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,177.33
Rate for Payer: Qualcare PPO/HMO/WC	$729.75

PRECEPT SCREW SHANK, 6.5x50MM

Facility

$4,865.00

Hospital Charge Code	270665930
Hospital Revenue Code	278
Min. Negotiated Rate	$138.17
Max. Negotiated Rate	$2,432.50
Rate for Payer: Aetna Commercial	$1,848.70
Rate for Payer: Aetna Medicare Advantage	$1,459.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,240.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,240.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$973.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,240.58
Rate for Payer: Cigna Commercial	$2,432.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,177.33
Rate for Payer: Qualcare PPO/HMO/WC	$729.75
Rate for Payer: UnitedHealthcare Community & State	$153.73
Rate for Payer: Wellpoint Medicaid Managed Care	$138.17

PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC

Facility

$65,866.13

Service Code	MSDRG 067
Min. Negotiated Rate	$20,055.39
Max. Negotiated Rate	$65,866.13
Rate for Payer: Aetna Medicare Advantage	$65,866.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21,110.94
Rate for Payer: Cigna Commercial	$32,741.73
Rate for Payer: Cigna Medicare Advantage	$21,110.94
Rate for Payer: Clover Medicare Advantage	$20,055.39
Rate for Payer: EmblemHealth Commercial	$63,332.82
Rate for Payer: Humana Medicare Advantage	$21,744.27
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$21,110.94
Rate for Payer: Oxford Commercial	$25,878.49
Rate for Payer: UnitedHealthcare Commercial	$34,639.29
Rate for Payer: UnitedHealthcare Medicare Advantage	$21,110.94
Rate for Payer: Wellcare Medicare Advantage	$21,110.94

PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC

Facility

$46,774.07

Service Code	MSDRG 068
Min. Negotiated Rate	$14,242.11
Max. Negotiated Rate	$46,774.07
Rate for Payer: Aetna Medicare Advantage	$46,774.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14,991.69
Rate for Payer: Cigna Commercial	$19,270.07
Rate for Payer: Cigna Medicare Advantage	$14,991.69
Rate for Payer: Clover Medicare Advantage	$14,242.11
Rate for Payer: EmblemHealth Commercial	$44,975.07
Rate for Payer: Humana Medicare Advantage	$15,441.44
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$14,991.69
Rate for Payer: Oxford Commercial	$15,230.73
Rate for Payer: UnitedHealthcare Commercial	$20,386.87
Rate for Payer: UnitedHealthcare Medicare Advantage	$14,991.69
Rate for Payer: Wellcare Medicare Advantage	$14,991.69

PRECHAMBER PROGAV W/SA10

Facility

$15,112.85

Hospital Charge Code	270686380
Hospital Revenue Code	278
Min. Negotiated Rate	$429.20
Max. Negotiated Rate	$7,556.43
Rate for Payer: Aetna Commercial	$5,742.88
Rate for Payer: Aetna Medicare Advantage	$4,533.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,853.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,853.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,022.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,853.78
Rate for Payer: Cigna Commercial	$7,556.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,657.31
Rate for Payer: Qualcare PPO/HMO/WC	$2,266.93
Rate for Payer: UnitedHealthcare Community & State	$477.57
Rate for Payer: Wellpoint Medicaid Managed Care	$429.20

PRECHAMBER PROGAV W/SA10

Facility

$15,112.85

Hospital Charge Code	270686380
Hospital Revenue Code	278
Min. Negotiated Rate	$2,266.93
Max. Negotiated Rate	$3,657.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,022.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,657.31
Rate for Payer: Qualcare PPO/HMO/WC	$2,266.93

PRECHAMBER PROGAV W/SA10

Facility

$15,112.85

Hospital Charge Code	270686382
Hospital Revenue Code	278
Min. Negotiated Rate	$2,266.93
Max. Negotiated Rate	$3,657.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,022.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,657.31
Rate for Payer: Qualcare PPO/HMO/WC	$2,266.93

PRECHAMBER PROGAV W/SA10

Facility

$15,112.85

Hospital Charge Code	270686382
Hospital Revenue Code	278
Min. Negotiated Rate	$429.20
Max. Negotiated Rate	$7,556.43
Rate for Payer: Aetna Commercial	$5,742.88
Rate for Payer: Aetna Medicare Advantage	$4,533.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,853.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,853.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,022.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,853.78
Rate for Payer: Cigna Commercial	$7,556.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,657.31
Rate for Payer: Qualcare PPO/HMO/WC	$2,266.93
Rate for Payer: UnitedHealthcare Community & State	$477.57
Rate for Payer: Wellpoint Medicaid Managed Care	$429.20

PRECHAMBER PROGAV W/SA20

Facility

$15,112.85

Hospital Charge Code	270686381
Hospital Revenue Code	278
Min. Negotiated Rate	$2,266.93
Max. Negotiated Rate	$3,657.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,022.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,657.31
Rate for Payer: Qualcare PPO/HMO/WC	$2,266.93

PRECHAMBER PROGAV W/SA20

Facility

$15,112.85

Hospital Charge Code	270686381
Hospital Revenue Code	278
Min. Negotiated Rate	$429.20
Max. Negotiated Rate	$7,556.43
Rate for Payer: Aetna Commercial	$5,742.88
Rate for Payer: Aetna Medicare Advantage	$4,533.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,853.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,853.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,022.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,853.78
Rate for Payer: Cigna Commercial	$7,556.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,657.31
Rate for Payer: Qualcare PPO/HMO/WC	$2,266.93
Rate for Payer: UnitedHealthcare Community & State	$477.57
Rate for Payer: Wellpoint Medicaid Managed Care	$429.20

PRECHAMBER PROGAV W/SA20

Facility

$15,112.85

Hospital Charge Code	270686383
Hospital Revenue Code	278
Min. Negotiated Rate	$2,266.93
Max. Negotiated Rate	$3,657.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,022.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,657.31
Rate for Payer: Qualcare PPO/HMO/WC	$2,266.93

PRECHAMBER PROGAV W/SA20

Facility

$15,112.85

Hospital Charge Code	270686383
Hospital Revenue Code	278
Min. Negotiated Rate	$429.20
Max. Negotiated Rate	$7,556.43
Rate for Payer: Aetna Commercial	$5,742.88
Rate for Payer: Aetna Medicare Advantage	$4,533.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,853.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,853.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,022.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,853.78
Rate for Payer: Cigna Commercial	$7,556.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,657.31
Rate for Payer: Qualcare PPO/HMO/WC	$2,266.93
Rate for Payer: UnitedHealthcare Community & State	$477.57
Rate for Payer: Wellpoint Medicaid Managed Care	$429.20

PRECISE PRO RX US CAROT STENT

Facility

$6,100.00

Service Code	HCPCS C1876
Hospital Charge Code	270684256
Hospital Revenue Code	278
Min. Negotiated Rate	$915.00
Max. Negotiated Rate	$1,476.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,220.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,476.20
Rate for Payer: Qualcare PPO/HMO/WC	$915.00

PRECISE PRO RX US CAROT STENT

Facility

$6,100.00

Service Code	HCPCS C1876
Hospital Charge Code	270684256S
Hospital Revenue Code	278
Min. Negotiated Rate	$915.00
Max. Negotiated Rate	$1,476.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,220.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,476.20
Rate for Payer: Qualcare PPO/HMO/WC	$915.00

PRECISE PRO RX US CAROT STENT

Facility

$6,100.00

Service Code	HCPCS C1876
Hospital Charge Code	270684256
Hospital Revenue Code	278
Min. Negotiated Rate	$173.24
Max. Negotiated Rate	$3,050.00
Rate for Payer: Aetna Commercial	$2,318.00
Rate for Payer: Aetna Medicare Advantage	$1,830.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,555.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,555.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,220.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,555.50
Rate for Payer: Cigna Commercial	$3,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,476.20
Rate for Payer: Qualcare PPO/HMO/WC	$915.00
Rate for Payer: UnitedHealthcare Community & State	$192.76
Rate for Payer: Wellpoint Medicaid Managed Care	$173.24

PRECISE PRO RX US CAROT STENT

Facility

$6,100.00

Service Code	HCPCS C1876
Hospital Charge Code	270684256S
Hospital Revenue Code	278
Min. Negotiated Rate	$173.24
Max. Negotiated Rate	$3,050.00
Rate for Payer: Aetna Commercial	$2,318.00
Rate for Payer: Aetna Medicare Advantage	$1,830.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,555.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,555.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,220.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,555.50
Rate for Payer: Cigna Commercial	$3,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,476.20
Rate for Payer: Qualcare PPO/HMO/WC	$915.00
Rate for Payer: UnitedHealthcare Community & State	$192.76
Rate for Payer: Wellpoint Medicaid Managed Care	$173.24

PRECISE PRO RX US CAROT STENT

Facility

$6,100.00

Service Code	HCPCS C1876
Hospital Charge Code	270684256N
Hospital Revenue Code	278
Min. Negotiated Rate	$173.24
Max. Negotiated Rate	$3,050.00
Rate for Payer: Aetna Commercial	$2,318.00
Rate for Payer: Aetna Medicare Advantage	$1,830.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,555.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,555.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,220.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,555.50
Rate for Payer: Cigna Commercial	$3,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,476.20
Rate for Payer: Qualcare PPO/HMO/WC	$915.00
Rate for Payer: UnitedHealthcare Community & State	$192.76
Rate for Payer: Wellpoint Medicaid Managed Care	$173.24

PRECISE PRO RX US CAROT STENT

Facility

$6,100.00

Service Code	HCPCS C1876
Hospital Charge Code	270684256N
Hospital Revenue Code	278
Min. Negotiated Rate	$915.00
Max. Negotiated Rate	$1,476.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,220.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,476.20
Rate for Payer: Qualcare PPO/HMO/WC	$915.00

PRECISE STENT 8MMX30MM

Facility

$10,590.00

Service Code	HCPCS C1876
Hospital Charge Code	270682958
Hospital Revenue Code	278
Min. Negotiated Rate	$1,588.50
Max. Negotiated Rate	$2,562.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,118.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,562.78
Rate for Payer: Qualcare PPO/HMO/WC	$1,588.50

PRECISE STENT 8MMX30MM

Facility

$10,590.00

Service Code	HCPCS C1876
Hospital Charge Code	270682958
Hospital Revenue Code	278
Min. Negotiated Rate	$300.76
Max. Negotiated Rate	$5,295.00
Rate for Payer: Aetna Commercial	$4,024.20
Rate for Payer: Aetna Medicare Advantage	$3,177.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,700.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,700.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,118.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,700.45
Rate for Payer: Cigna Commercial	$5,295.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,562.78
Rate for Payer: Qualcare PPO/HMO/WC	$1,588.50
Rate for Payer: UnitedHealthcare Community & State	$334.64
Rate for Payer: Wellpoint Medicaid Managed Care	$300.76

PRECISION SPINE DEKOTA CAGE 14

Facility

$32,250.00

Service Code	HCPCS C1889
Hospital Charge Code	270697210
Hospital Revenue Code	278
Min. Negotiated Rate	$915.90
Max. Negotiated Rate	$16,125.00
Rate for Payer: Aetna Commercial	$12,255.00
Rate for Payer: Aetna Medicare Advantage	$9,675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,223.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,223.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,223.75
Rate for Payer: Cigna Commercial	$16,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,804.50
Rate for Payer: Qualcare PPO/HMO/WC	$4,837.50
Rate for Payer: UnitedHealthcare Community & State	$1,019.10
Rate for Payer: Wellpoint Medicaid Managed Care	$915.90

PRECISION SPINE DEKOTA CAGE 14

Facility

$32,250.00

Service Code	HCPCS C1889
Hospital Charge Code	270697210
Hospital Revenue Code	278
Min. Negotiated Rate	$4,837.50
Max. Negotiated Rate	$7,804.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,804.50
Rate for Payer: Qualcare PPO/HMO/WC	$4,837.50

Know your out-of-pocket cost for care.

All Charges