Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

PUSHER MT COIL MT PULM 401216

Facility

$694.45

Service Code	HCPCS C1884
Hospital Charge Code	270627378N
Hospital Revenue Code	278
Min. Negotiated Rate	$19.72
Max. Negotiated Rate	$347.23
Rate for Payer: Aetna Commercial	$263.89
Rate for Payer: Aetna Medicare Advantage	$208.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$177.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$177.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$138.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$177.08
Rate for Payer: Cigna Commercial	$347.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$168.06
Rate for Payer: Qualcare PPO/HMO/WC	$104.17
Rate for Payer: UnitedHealthcare Community & State	$21.94
Rate for Payer: Wellpoint Medicaid Managed Care	$19.72

PUSHER MT COIL MT PULM 401216

Facility

$774.25

Hospital Charge Code	270627378
Hospital Revenue Code	272
Min. Negotiated Rate	$116.14
Max. Negotiated Rate	$116.14
Rate for Payer: Qualcare PPO/HMO/WC	$116.14

PUSHER MT COIL MT PULM 401216

Facility

$774.25

Hospital Charge Code	270627378S
Hospital Revenue Code	272
Min. Negotiated Rate	$116.14
Max. Negotiated Rate	$116.14
Rate for Payer: Qualcare PPO/HMO/WC	$116.14

PUSHER MT COIL MT PULM 401216

Facility

$774.25

Hospital Charge Code	270627378S
Hospital Revenue Code	272
Min. Negotiated Rate	$21.99
Max. Negotiated Rate	$387.12
Rate for Payer: Aetna Commercial	$294.21
Rate for Payer: Aetna Medicare Advantage	$232.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.43
Rate for Payer: Cigna Commercial	$387.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$201.31
Rate for Payer: Oxford Commercial	$154.85
Rate for Payer: Qualcare PPO/HMO/WC	$116.14
Rate for Payer: UnitedHealthcare Commercial	$154.85
Rate for Payer: UnitedHealthcare Community & State	$24.47
Rate for Payer: Wellpoint Medicaid Managed Care	$21.99

PUSHER MT COIL MT PULM 401216

Facility

$774.25

Hospital Charge Code	270627378
Hospital Revenue Code	272
Min. Negotiated Rate	$21.99
Max. Negotiated Rate	$387.12
Rate for Payer: Aetna Commercial	$294.21
Rate for Payer: Aetna Medicare Advantage	$232.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.43
Rate for Payer: Cigna Commercial	$387.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$201.31
Rate for Payer: Oxford Commercial	$154.85
Rate for Payer: Qualcare PPO/HMO/WC	$116.14
Rate for Payer: UnitedHealthcare Commercial	$154.85
Rate for Payer: UnitedHealthcare Community & State	$24.47
Rate for Payer: Wellpoint Medicaid Managed Care	$21.99

PUSHLOCK 3.5 MM HIP

Facility

$875.00

Hospital Charge Code	270688378
Hospital Revenue Code	272
Min. Negotiated Rate	$24.85
Max. Negotiated Rate	$437.50
Rate for Payer: Aetna Commercial	$332.50
Rate for Payer: Aetna Medicare Advantage	$262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.12
Rate for Payer: Cigna Commercial	$437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$227.50
Rate for Payer: Oxford Commercial	$175.00
Rate for Payer: Qualcare PPO/HMO/WC	$131.25
Rate for Payer: UnitedHealthcare Commercial	$175.00
Rate for Payer: UnitedHealthcare Community & State	$27.65
Rate for Payer: Wellpoint Medicaid Managed Care	$24.85

PUSHLOCK 3.5 MM HIP

Facility

$875.00

Hospital Charge Code	270688378
Hospital Revenue Code	272
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$131.25
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

PUSHLOCK HIP 2.9MM DISP KIT

Facility

$875.00

Hospital Charge Code	270677471
Hospital Revenue Code	272
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$131.25
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

PUSHLOCK HIP 2.9MM DISP KIT

Facility

$875.00

Hospital Charge Code	270677471
Hospital Revenue Code	272
Min. Negotiated Rate	$24.85
Max. Negotiated Rate	$437.50
Rate for Payer: Aetna Commercial	$332.50
Rate for Payer: Aetna Medicare Advantage	$262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.12
Rate for Payer: Cigna Commercial	$437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$227.50
Rate for Payer: Oxford Commercial	$175.00
Rate for Payer: Qualcare PPO/HMO/WC	$131.25
Rate for Payer: UnitedHealthcare Commercial	$175.00
Rate for Payer: UnitedHealthcare Community & State	$27.65
Rate for Payer: Wellpoint Medicaid Managed Care	$24.85

PUSH TRANSFUSION, BLOOD

Facility

$1,387.00

Service Code	HCPCS 36440
Hospital Charge Code	5780185
Hospital Revenue Code	391
Min. Negotiated Rate	$208.05
Max. Negotiated Rate	$208.05
Rate for Payer: Qualcare PPO/HMO/WC	$208.05

PUSH TRANSFUSION, BLOOD

Facility

$1,425.45

Service Code	HCPCS 36440
Hospital Charge Code	1600000760
Hospital Revenue Code	360
Min. Negotiated Rate	$213.82
Max. Negotiated Rate	$213.82
Rate for Payer: Qualcare PPO/HMO/WC	$213.82

PUSH TRANSFUSION, BLOOD

Facility

$1,387.00

Service Code	HCPCS 36440
Hospital Charge Code	5780185
Hospital Revenue Code	391
Min. Negotiated Rate	$39.39
Max. Negotiated Rate	$1,901.28
Rate for Payer: Aetna Commercial	$1,425.63
Rate for Payer: Aetna Medicare Advantage	$1,698.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,901.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,901.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$524.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,901.28
Rate for Payer: Cigna Commercial	$1,050.61
Rate for Payer: Cigna Medicare Advantage	$524.13
Rate for Payer: Clover Medicare Advantage	$497.92
Rate for Payer: EmblemHealth Commercial	$1,572.39
Rate for Payer: Humana Medicare Advantage	$539.85
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$524.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$360.62
Rate for Payer: Oxford Commercial	$1,028.00
Rate for Payer: Qualcare PPO/HMO/WC	$208.05
Rate for Payer: UnitedHealthcare Commercial	$1,167.00
Rate for Payer: UnitedHealthcare Community & State	$43.83
Rate for Payer: UnitedHealthcare Medicare Advantage	$524.13
Rate for Payer: Wellcare Medicare Advantage	$524.13
Rate for Payer: Wellpoint Medicaid Managed Care	$39.39

PUSH TRANSFUSION, BLOOD

Facility

$1,425.45

Service Code	HCPCS 36440
Hospital Charge Code	1600000760
Hospital Revenue Code	360
Min. Negotiated Rate	$40.48
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$1,425.63
Rate for Payer: Aetna Medicare Advantage	$1,698.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,901.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,901.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$524.13
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	$1,901.28
Rate for Payer: Cigna Commercial	$1,050.61
Rate for Payer: Cigna Medicare Advantage	$524.13
Rate for Payer: Clover Medicare Advantage	$497.92
Rate for Payer: EmblemHealth Commercial	$1,572.39
Rate for Payer: Humana Medicare Advantage	$539.85
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$524.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$370.62
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$213.82
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$45.04
Rate for Payer: UnitedHealthcare Medicare Advantage	$524.13
Rate for Payer: Wellcare Medicare Advantage	$524.13
Rate for Payer: Wellpoint Medicaid Managed Care	$40.48

PUTTY 10 CC OSTEOSELECT

Facility

$4,930.00

Hospital Charge Code	270701850
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

PUTTY 10 CC OSTEOSELECT

Facility

$4,930.00

Hospital Charge Code	270701850
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

PUTTY 1 CC

Facility

$625.00

Service Code	HCPCS C1716
Hospital Charge Code	270701788
Hospital Revenue Code	278
Min. Negotiated Rate	$17.75
Max. Negotiated Rate	$2,166.34
Rate for Payer: Aetna Commercial	$1,624.38
Rate for Payer: Aetna Medicare Advantage	$1,934.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,166.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,166.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$597.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,166.34
Rate for Payer: Cigna Commercial	$1,197.08
Rate for Payer: Cigna Medicare Advantage	$597.20
Rate for Payer: Clover Medicare Advantage	$567.34
Rate for Payer: EmblemHealth Commercial	$1,791.60
Rate for Payer: Humana Medicare Advantage	$615.12
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$597.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Community & State	$19.75
Rate for Payer: UnitedHealthcare Medicare Advantage	$597.20
Rate for Payer: Wellcare Medicare Advantage	$597.20
Rate for Payer: Wellpoint Medicaid Managed Care	$17.75

PUTTY 1 CC

Facility

$625.00

Service Code	HCPCS C1716
Hospital Charge Code	270701788
Hospital Revenue Code	278
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$151.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

PUTTY ACCELL EVO3 5CC

Facility

$6,106.45

Hospital Charge Code	270668133
Hospital Revenue Code	278
Min. Negotiated Rate	$915.97
Max. Negotiated Rate	$1,477.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,221.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,477.76
Rate for Payer: Qualcare PPO/HMO/WC	$915.97

PUTTY ACCELL EVO3 5CC

Facility

$6,106.45

Hospital Charge Code	270668133
Hospital Revenue Code	278
Min. Negotiated Rate	$173.42
Max. Negotiated Rate	$3,053.22
Rate for Payer: Aetna Commercial	$2,320.45
Rate for Payer: Aetna Medicare Advantage	$1,831.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,557.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,557.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,221.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,557.14
Rate for Payer: Cigna Commercial	$3,053.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,477.76
Rate for Payer: Qualcare PPO/HMO/WC	$915.97
Rate for Payer: UnitedHealthcare Community & State	$192.96
Rate for Payer: Wellpoint Medicaid Managed Care	$173.42

PUTTY ACCELL EVO3C 5CC

Facility

$6,834.70

Hospital Charge Code	270668134
Hospital Revenue Code	278
Min. Negotiated Rate	$1,025.20
Max. Negotiated Rate	$1,654.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,366.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,654.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,025.20

PUTTY ACCELL EVO3C 5CC

Facility

$6,834.70

Hospital Charge Code	270668134
Hospital Revenue Code	278
Min. Negotiated Rate	$194.11
Max. Negotiated Rate	$3,417.35
Rate for Payer: Aetna Commercial	$2,597.19
Rate for Payer: Aetna Medicare Advantage	$2,050.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,742.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,742.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,366.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,742.85
Rate for Payer: Cigna Commercial	$3,417.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,654.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,025.20
Rate for Payer: UnitedHealthcare Community & State	$215.98
Rate for Payer: Wellpoint Medicaid Managed Care	$194.11

PUTTY ALLOFUSE DBM 10CC

Facility

$5,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270681848
Hospital Revenue Code	278
Min. Negotiated Rate	$750.00
Max. Negotiated Rate	$1,210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,210.00
Rate for Payer: Qualcare PPO/HMO/WC	$750.00

PUTTY ALLOFUSE DBM 10CC

Facility

$5,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270681848
Hospital Revenue Code	278
Min. Negotiated Rate	$142.00
Max. Negotiated Rate	$2,500.00
Rate for Payer: Aetna Commercial	$1,900.00
Rate for Payer: Aetna Medicare Advantage	$1,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,275.00
Rate for Payer: Cigna Commercial	$2,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,210.00
Rate for Payer: Qualcare PPO/HMO/WC	$750.00
Rate for Payer: UnitedHealthcare Community & State	$158.00
Rate for Payer: Wellpoint Medicaid Managed Care	$142.00

PUTTY ALLOFUSE DBM 1CC

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270681845
Hospital Revenue Code	278
Min. Negotiated Rate	$17.75
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$237.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Community & State	$19.75
Rate for Payer: Wellpoint Medicaid Managed Care	$17.75

PUTTY ALLOFUSE DBM 1CC

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270681845
Hospital Revenue Code	278
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$151.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

Know your out-of-pocket cost for care.

All Charges