Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

ROD STRAIGHT 5.5MM 65MM

Facility

$1,325.00

Hospital Charge Code	270670355
Hospital Revenue Code	278
Min. Negotiated Rate	$37.63
Max. Negotiated Rate	$662.50
Rate for Payer: Aetna Commercial	$503.50
Rate for Payer: Aetna Medicare Advantage	$397.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$337.88
Rate for Payer: Cigna Commercial	$662.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: Qualcare PPO/HMO/WC	$198.75
Rate for Payer: UnitedHealthcare Community & State	$41.87
Rate for Payer: Wellpoint Medicaid Managed Care	$37.63

ROD STRAIGHT 5.5MM 70MM

Facility

$1,325.00

Service Code	HCPCS C1713
Hospital Charge Code	270670356
Hospital Revenue Code	278
Min. Negotiated Rate	$198.75
Max. Negotiated Rate	$320.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: Qualcare PPO/HMO/WC	$198.75

ROD STRAIGHT 5.5MM 70MM

Facility

$1,325.00

Service Code	HCPCS C1713
Hospital Charge Code	270670356
Hospital Revenue Code	278
Min. Negotiated Rate	$37.63
Max. Negotiated Rate	$662.50
Rate for Payer: Aetna Commercial	$503.50
Rate for Payer: Aetna Medicare Advantage	$397.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$337.88
Rate for Payer: Cigna Commercial	$662.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: Qualcare PPO/HMO/WC	$198.75
Rate for Payer: UnitedHealthcare Community & State	$41.87
Rate for Payer: Wellpoint Medicaid Managed Care	$37.63

ROD STRAIGHT 5.5MM 75MM

Facility

$1,325.00

Hospital Charge Code	270670357
Hospital Revenue Code	278
Min. Negotiated Rate	$37.63
Max. Negotiated Rate	$662.50
Rate for Payer: Aetna Commercial	$503.50
Rate for Payer: Aetna Medicare Advantage	$397.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$337.88
Rate for Payer: Cigna Commercial	$662.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: Qualcare PPO/HMO/WC	$198.75
Rate for Payer: UnitedHealthcare Community & State	$41.87
Rate for Payer: Wellpoint Medicaid Managed Care	$37.63

ROD STRAIGHT 5.5MM 75MM

Facility

$1,325.00

Hospital Charge Code	270670357
Hospital Revenue Code	278
Min. Negotiated Rate	$198.75
Max. Negotiated Rate	$320.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: Qualcare PPO/HMO/WC	$198.75

ROD STRAIGHT 5.5MM 80MM

Facility

$1,325.00

Hospital Charge Code	270670358
Hospital Revenue Code	278
Min. Negotiated Rate	$37.63
Max. Negotiated Rate	$662.50
Rate for Payer: Aetna Commercial	$503.50
Rate for Payer: Aetna Medicare Advantage	$397.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$337.88
Rate for Payer: Cigna Commercial	$662.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: Qualcare PPO/HMO/WC	$198.75
Rate for Payer: UnitedHealthcare Community & State	$41.87
Rate for Payer: Wellpoint Medicaid Managed Care	$37.63

ROD STRAIGHT 5.5MM 80MM

Facility

$1,325.00

Hospital Charge Code	270670358
Hospital Revenue Code	278
Min. Negotiated Rate	$198.75
Max. Negotiated Rate	$320.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: Qualcare PPO/HMO/WC	$198.75

ROD STRAIGHT 5.5MM 85MM

Facility

$1,325.00

Hospital Charge Code	270670359
Hospital Revenue Code	278
Min. Negotiated Rate	$198.75
Max. Negotiated Rate	$320.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: Qualcare PPO/HMO/WC	$198.75

ROD STRAIGHT 5.5MM 85MM

Facility

$1,325.00

Hospital Charge Code	270670359
Hospital Revenue Code	278
Min. Negotiated Rate	$37.63
Max. Negotiated Rate	$662.50
Rate for Payer: Aetna Commercial	$503.50
Rate for Payer: Aetna Medicare Advantage	$397.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$337.88
Rate for Payer: Cigna Commercial	$662.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: Qualcare PPO/HMO/WC	$198.75
Rate for Payer: UnitedHealthcare Community & State	$41.87
Rate for Payer: Wellpoint Medicaid Managed Care	$37.63

ROD STRAIGHT 5.5MM 90MM

Facility

$1,325.00

Hospital Charge Code	270670360
Hospital Revenue Code	278
Min. Negotiated Rate	$37.63
Max. Negotiated Rate	$662.50
Rate for Payer: Aetna Commercial	$503.50
Rate for Payer: Aetna Medicare Advantage	$397.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$337.88
Rate for Payer: Cigna Commercial	$662.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: Qualcare PPO/HMO/WC	$198.75
Rate for Payer: UnitedHealthcare Community & State	$41.87
Rate for Payer: Wellpoint Medicaid Managed Care	$37.63

ROD STRAIGHT 5.5MM 90MM

Facility

$1,325.00

Hospital Charge Code	270670360
Hospital Revenue Code	278
Min. Negotiated Rate	$198.75
Max. Negotiated Rate	$320.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: Qualcare PPO/HMO/WC	$198.75

ROD STRAIGHT 5.5MM 95MM

Facility

$1,325.00

Hospital Charge Code	270670361
Hospital Revenue Code	278
Min. Negotiated Rate	$37.63
Max. Negotiated Rate	$662.50
Rate for Payer: Aetna Commercial	$503.50
Rate for Payer: Aetna Medicare Advantage	$397.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$337.88
Rate for Payer: Cigna Commercial	$662.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: Qualcare PPO/HMO/WC	$198.75
Rate for Payer: UnitedHealthcare Community & State	$41.87
Rate for Payer: Wellpoint Medicaid Managed Care	$37.63

ROD STRAIGHT 5.5MM 95MM

Facility

$1,325.00

Hospital Charge Code	270670361
Hospital Revenue Code	278
Min. Negotiated Rate	$198.75
Max. Negotiated Rate	$320.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: Qualcare PPO/HMO/WC	$198.75

ROD ST TI REFORM 3.5X40MM

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270694344
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$363.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

ROD ST TI REFORM 3.5X40MM

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270694344
Hospital Revenue Code	278
Min. Negotiated Rate	$42.60
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$570.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00
Rate for Payer: UnitedHealthcare Community & State	$47.40
Rate for Payer: Wellpoint Medicaid Managed Care	$42.60

ROD SYMPHONY 65MM

Facility

$2,395.00

Service Code	HCPCS C1713
Hospital Charge Code	270693339
Hospital Revenue Code	278
Min. Negotiated Rate	$359.25
Max. Negotiated Rate	$579.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$479.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$579.59
Rate for Payer: Qualcare PPO/HMO/WC	$359.25

ROD SYMPHONY 65MM

Facility

$2,395.00

Service Code	HCPCS C1713
Hospital Charge Code	270693339
Hospital Revenue Code	278
Min. Negotiated Rate	$68.02
Max. Negotiated Rate	$1,197.50
Rate for Payer: Aetna Commercial	$910.10
Rate for Payer: Aetna Medicare Advantage	$718.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$610.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$610.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$479.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$610.73
Rate for Payer: Cigna Commercial	$1,197.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$579.59
Rate for Payer: Qualcare PPO/HMO/WC	$359.25
Rate for Payer: UnitedHealthcare Community & State	$75.68
Rate for Payer: Wellpoint Medicaid Managed Care	$68.02

ROD SYMPHONY 70MM

Facility

$2,395.00

Service Code	HCPCS C1713
Hospital Charge Code	270693338
Hospital Revenue Code	278
Min. Negotiated Rate	$359.25
Max. Negotiated Rate	$579.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$479.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$579.59
Rate for Payer: Qualcare PPO/HMO/WC	$359.25

ROD SYMPHONY 70MM

Facility

$2,395.00

Service Code	HCPCS C1713
Hospital Charge Code	270693338
Hospital Revenue Code	278
Min. Negotiated Rate	$68.02
Max. Negotiated Rate	$1,197.50
Rate for Payer: Aetna Commercial	$910.10
Rate for Payer: Aetna Medicare Advantage	$718.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$610.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$610.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$479.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$610.73
Rate for Payer: Cigna Commercial	$1,197.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$579.59
Rate for Payer: Qualcare PPO/HMO/WC	$359.25
Rate for Payer: UnitedHealthcare Community & State	$75.68
Rate for Payer: Wellpoint Medicaid Managed Care	$68.02

ROD SYMPHONY LORDOSED TI 30MM

Facility

$1,880.00

Service Code	HCPCS C1713
Hospital Charge Code	270692652
Hospital Revenue Code	278
Min. Negotiated Rate	$53.39
Max. Negotiated Rate	$940.00
Rate for Payer: Aetna Commercial	$714.40
Rate for Payer: Aetna Medicare Advantage	$564.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$479.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$479.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$376.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$479.40
Rate for Payer: Cigna Commercial	$940.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$454.96
Rate for Payer: Qualcare PPO/HMO/WC	$282.00
Rate for Payer: UnitedHealthcare Community & State	$59.41
Rate for Payer: Wellpoint Medicaid Managed Care	$53.39

ROD SYMPHONY LORDOSED TI 30MM

Facility

$1,880.00

Service Code	HCPCS C1713
Hospital Charge Code	270692652
Hospital Revenue Code	278
Min. Negotiated Rate	$282.00
Max. Negotiated Rate	$454.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$376.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$454.96
Rate for Payer: Qualcare PPO/HMO/WC	$282.00

ROD SYN REAMING 2.5 950MM

Facility

$671.00

Service Code	HCPCS C1713
Hospital Charge Code	270697807
Hospital Revenue Code	278
Min. Negotiated Rate	$19.06
Max. Negotiated Rate	$335.50
Rate for Payer: Aetna Commercial	$254.98
Rate for Payer: Aetna Medicare Advantage	$201.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$171.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$171.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$134.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$171.10
Rate for Payer: Cigna Commercial	$335.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.38
Rate for Payer: Qualcare PPO/HMO/WC	$100.65
Rate for Payer: UnitedHealthcare Community & State	$21.20
Rate for Payer: Wellpoint Medicaid Managed Care	$19.06

ROD SYN REAMING 2.5 950MM

Facility

$671.00

Service Code	HCPCS C1713
Hospital Charge Code	270697807
Hospital Revenue Code	278
Min. Negotiated Rate	$100.65
Max. Negotiated Rate	$162.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$134.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.38
Rate for Payer: Qualcare PPO/HMO/WC	$100.65

ROD SYN REAMING 3 950 351.76S

Facility

$502.50

Service Code	HCPCS C1713
Hospital Charge Code	270627052
Hospital Revenue Code	278
Min. Negotiated Rate	$14.27
Max. Negotiated Rate	$251.25
Rate for Payer: Aetna Commercial	$190.95
Rate for Payer: Aetna Medicare Advantage	$150.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$128.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$128.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$128.14
Rate for Payer: Cigna Commercial	$251.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.61
Rate for Payer: Qualcare PPO/HMO/WC	$75.38
Rate for Payer: UnitedHealthcare Community & State	$15.88
Rate for Payer: Wellpoint Medicaid Managed Care	$14.27

ROD SYN REAMING 3 950 351.76S

Facility

$502.50

Service Code	HCPCS C1713
Hospital Charge Code	270627052
Hospital Revenue Code	278
Min. Negotiated Rate	$75.38
Max. Negotiated Rate	$121.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.61
Rate for Payer: Qualcare PPO/HMO/WC	$75.38

Know your out-of-pocket cost for care.

All Charges