Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES

Facility

$63,749.09

Service Code	APR-DRG 3214
Min. Negotiated Rate	$62,499.11
Max. Negotiated Rate	$63,749.09
Rate for Payer: UnitedHealthcare Community & State	$62,499.11
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$63,749.09
Rate for Payer: Wellpoint Medicaid Managed Care	$62,499.11

SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES

Facility

$24,311.26

Service Code	APR-DRG 3211
Min. Negotiated Rate	$23,834.57
Max. Negotiated Rate	$24,311.26
Rate for Payer: UnitedHealthcare Community & State	$23,834.57
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$24,311.26
Rate for Payer: Wellpoint Medicaid Managed Care	$23,834.57

SPINAL FUSION EXCEPT CERVICAL WITH MCC

Facility

$183,684.15

Service Code	MSDRG 459
Min. Negotiated Rate	$183,684.15
Max. Negotiated Rate	$183,684.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$183,684.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$183,684.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$183,684.15

SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC

Facility

$101,400.30

Service Code	MSDRG 460
Min. Negotiated Rate	$101,400.30
Max. Negotiated Rate	$101,400.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$101,400.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$101,400.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$101,400.30

SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC

Facility

$207,860.20

Service Code	MSDRG 457
Min. Negotiated Rate	$63,290.77
Max. Negotiated Rate	$207,860.20
Rate for Payer: Aetna Commercial	$149,898.95
Rate for Payer: Aetna Medicare Advantage	$207,860.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168,446.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168,446.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$66,621.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168,446.40
Rate for Payer: Cigna Commercial	$132,935.39
Rate for Payer: Cigna Medicare Advantage	$66,621.86
Rate for Payer: Clover Medicare Advantage	$63,290.77
Rate for Payer: EmblemHealth Commercial	$199,865.58
Rate for Payer: Humana Medicare Advantage	$68,620.52
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$66,621.86
Rate for Payer: Oxford Commercial	$105,069.82
Rate for Payer: UnitedHealthcare Commercial	$140,639.71
Rate for Payer: UnitedHealthcare Medicare Advantage	$66,621.86
Rate for Payer: Wellcare Medicare Advantage	$66,621.86

SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC

Facility

$284,957.96

Service Code	MSDRG 456
Min. Negotiated Rate	$86,766.05
Max. Negotiated Rate	$284,957.96
Rate for Payer: Aetna Commercial	$204,808.84
Rate for Payer: Aetna Medicare Advantage	$284,957.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$233,553.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$233,553.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$91,332.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$233,553.15
Rate for Payer: Cigna Commercial	$187,337.00
Rate for Payer: Cigna Medicare Advantage	$91,332.68
Rate for Payer: Clover Medicare Advantage	$86,766.05
Rate for Payer: EmblemHealth Commercial	$273,998.04
Rate for Payer: Humana Medicare Advantage	$94,072.66
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$91,332.68
Rate for Payer: Oxford Commercial	$148,067.91
Rate for Payer: UnitedHealthcare Commercial	$198,194.19
Rate for Payer: UnitedHealthcare Medicare Advantage	$91,332.68
Rate for Payer: Wellcare Medicare Advantage	$91,332.68

SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC

Facility

$151,291.92

Service Code	MSDRG 458
Min. Negotiated Rate	$46,066.45
Max. Negotiated Rate	$151,291.92
Rate for Payer: Aetna Commercial	$109,610.37
Rate for Payer: Aetna Medicare Advantage	$151,291.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$125,503.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$125,503.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$48,491.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$125,503.65
Rate for Payer: Cigna Commercial	$93,019.77
Rate for Payer: Cigna Medicare Advantage	$48,491.00
Rate for Payer: Clover Medicare Advantage	$46,066.45
Rate for Payer: EmblemHealth Commercial	$145,473.00
Rate for Payer: Humana Medicare Advantage	$49,945.73
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$48,491.00
Rate for Payer: Oxford Commercial	$73,521.21
Rate for Payer: UnitedHealthcare Commercial	$98,410.77
Rate for Payer: UnitedHealthcare Medicare Advantage	$48,491.00
Rate for Payer: Wellcare Medicare Advantage	$48,491.00

SPINAL FUSION IMPLANTS

Facility

$76,600.00

Hospital Charge Code	270339094
Hospital Revenue Code	278
Min. Negotiated Rate	$2,175.44
Max. Negotiated Rate	$38,300.00
Rate for Payer: Aetna Commercial	$29,108.00
Rate for Payer: Aetna Medicare Advantage	$22,980.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19,533.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19,533.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15,320.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19,533.00
Rate for Payer: Cigna Commercial	$38,300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18,537.20
Rate for Payer: Qualcare PPO/HMO/WC	$11,490.00
Rate for Payer: UnitedHealthcare Community & State	$2,420.56
Rate for Payer: Wellpoint Medicaid Managed Care	$2,175.44

SPINAL FUSION IMPLANTS

Facility

$76,600.00

Hospital Charge Code	270339094
Hospital Revenue Code	278
Min. Negotiated Rate	$11,490.00
Max. Negotiated Rate	$18,537.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15,320.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18,537.20
Rate for Payer: Qualcare PPO/HMO/WC	$11,490.00

SPINAL NEEDLE 18GX8 DISP

Facility

$92.00

Hospital Charge Code	270332330
Hospital Revenue Code	272
Min. Negotiated Rate	$2.61
Max. Negotiated Rate	$46.00
Rate for Payer: Aetna Commercial	$34.96
Rate for Payer: Aetna Medicare Advantage	$27.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.46
Rate for Payer: Cigna Commercial	$46.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.92
Rate for Payer: Oxford Commercial	$18.40
Rate for Payer: Qualcare PPO/HMO/WC	$13.80
Rate for Payer: UnitedHealthcare Commercial	$18.40
Rate for Payer: UnitedHealthcare Community & State	$2.91
Rate for Payer: Wellpoint Medicaid Managed Care	$2.61

SPINAL NEEDLE 18GX8 DISP

Facility

$92.00

Hospital Charge Code	270332330
Hospital Revenue Code	272
Min. Negotiated Rate	$13.80
Max. Negotiated Rate	$13.80
Rate for Payer: Qualcare PPO/HMO/WC	$13.80

SPINAL NEEDLE 20G 3-1/2YELLOW

Facility

$15.00

Hospital Charge Code	270332214
Hospital Revenue Code	272
Min. Negotiated Rate	$0.43
Max. Negotiated Rate	$7.50
Rate for Payer: Aetna Commercial	$5.70
Rate for Payer: Aetna Medicare Advantage	$4.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.83
Rate for Payer: Cigna Commercial	$7.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.90
Rate for Payer: Oxford Commercial	$3.00
Rate for Payer: Qualcare PPO/HMO/WC	$2.25
Rate for Payer: UnitedHealthcare Commercial	$3.00
Rate for Payer: UnitedHealthcare Community & State	$0.47
Rate for Payer: Wellpoint Medicaid Managed Care	$0.43

SPINAL NEEDLE 20G 3-1/2YELLOW

Facility

$15.00

Hospital Charge Code	270332214
Hospital Revenue Code	272
Min. Negotiated Rate	$2.25
Max. Negotiated Rate	$2.25
Rate for Payer: Qualcare PPO/HMO/WC	$2.25

SPINAL NEEDLE 20G 8 DISP.

Facility

$92.00

Hospital Charge Code	270332331
Hospital Revenue Code	272
Min. Negotiated Rate	$2.61
Max. Negotiated Rate	$46.00
Rate for Payer: Aetna Commercial	$34.96
Rate for Payer: Aetna Medicare Advantage	$27.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.46
Rate for Payer: Cigna Commercial	$46.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.92
Rate for Payer: Oxford Commercial	$18.40
Rate for Payer: Qualcare PPO/HMO/WC	$13.80
Rate for Payer: UnitedHealthcare Commercial	$18.40
Rate for Payer: UnitedHealthcare Community & State	$2.91
Rate for Payer: Wellpoint Medicaid Managed Care	$2.61

SPINAL NEEDLE 20G 8 DISP.

Facility

$92.00

Hospital Charge Code	270332331
Hospital Revenue Code	272
Min. Negotiated Rate	$13.80
Max. Negotiated Rate	$13.80
Rate for Payer: Qualcare PPO/HMO/WC	$13.80

SPINAL NEEDLE 22G 8 DISP.

Facility

$92.00

Hospital Charge Code	270332332
Hospital Revenue Code	272
Min. Negotiated Rate	$13.80
Max. Negotiated Rate	$13.80
Rate for Payer: Qualcare PPO/HMO/WC	$13.80

SPINAL NEEDLE 22G 8 DISP.

Facility

$92.00

Hospital Charge Code	270332332
Hospital Revenue Code	272
Min. Negotiated Rate	$2.61
Max. Negotiated Rate	$46.00
Rate for Payer: Aetna Commercial	$34.96
Rate for Payer: Aetna Medicare Advantage	$27.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.46
Rate for Payer: Cigna Commercial	$46.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.92
Rate for Payer: Oxford Commercial	$18.40
Rate for Payer: Qualcare PPO/HMO/WC	$13.80
Rate for Payer: UnitedHealthcare Commercial	$18.40
Rate for Payer: UnitedHealthcare Community & State	$2.91
Rate for Payer: Wellpoint Medicaid Managed Care	$2.61

SPINAL NEEDLE 25G-3-1/2 BLUE

Facility

$15.00

Hospital Charge Code	270332213
Hospital Revenue Code	272
Min. Negotiated Rate	$0.43
Max. Negotiated Rate	$7.50
Rate for Payer: Aetna Commercial	$5.70
Rate for Payer: Aetna Medicare Advantage	$4.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.83
Rate for Payer: Cigna Commercial	$7.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.90
Rate for Payer: Oxford Commercial	$3.00
Rate for Payer: Qualcare PPO/HMO/WC	$2.25
Rate for Payer: UnitedHealthcare Commercial	$3.00
Rate for Payer: UnitedHealthcare Community & State	$0.47
Rate for Payer: Wellpoint Medicaid Managed Care	$0.43

SPINAL NEEDLE 25G-3-1/2 BLUE

Facility

$15.00

Hospital Charge Code	270332213
Hospital Revenue Code	272
Min. Negotiated Rate	$2.25
Max. Negotiated Rate	$2.25
Rate for Payer: Qualcare PPO/HMO/WC	$2.25

SPINAL NEEDLE W/K-WIRE 150MM

Facility

$116.00

Hospital Charge Code	270339011
Hospital Revenue Code	272
Min. Negotiated Rate	$3.29
Max. Negotiated Rate	$58.00
Rate for Payer: Aetna Commercial	$44.08
Rate for Payer: Aetna Medicare Advantage	$34.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.58
Rate for Payer: Cigna Commercial	$58.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.16
Rate for Payer: Oxford Commercial	$23.20
Rate for Payer: Qualcare PPO/HMO/WC	$17.40
Rate for Payer: UnitedHealthcare Commercial	$23.20
Rate for Payer: UnitedHealthcare Community & State	$3.67
Rate for Payer: Wellpoint Medicaid Managed Care	$3.29

SPINAL NEEDLE W/K-WIRE 150MM

Facility

$116.00

Hospital Charge Code	270339011
Hospital Revenue Code	272
Min. Negotiated Rate	$17.40
Max. Negotiated Rate	$17.40
Rate for Payer: Qualcare PPO/HMO/WC	$17.40

SPINAL PROCEDURES

Facility

$78,732.41

Service Code	APR-DRG 0234
Min. Negotiated Rate	$77,188.64
Max. Negotiated Rate	$78,732.41
Rate for Payer: UnitedHealthcare Community & State	$77,188.64
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$78,732.41
Rate for Payer: Wellpoint Medicaid Managed Care	$77,188.64

SPINAL PROCEDURES

Facility

$29,615.62

Service Code	APR-DRG 0232
Min. Negotiated Rate	$29,034.92
Max. Negotiated Rate	$29,615.62
Rate for Payer: UnitedHealthcare Community & State	$29,034.92
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$29,615.62
Rate for Payer: Wellpoint Medicaid Managed Care	$29,034.92

SPINAL PROCEDURES

Facility

$49,835.87

Service Code	APR-DRG 0233
Min. Negotiated Rate	$48,858.70
Max. Negotiated Rate	$49,835.87
Rate for Payer: UnitedHealthcare Community & State	$48,858.70
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$49,835.87
Rate for Payer: Wellpoint Medicaid Managed Care	$48,858.70

SPINAL PROCEDURES

Facility

$21,811.45

Service Code	APR-DRG 0231
Min. Negotiated Rate	$21,383.77
Max. Negotiated Rate	$21,811.45
Rate for Payer: UnitedHealthcare Community & State	$21,383.77
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$21,811.45
Rate for Payer: Wellpoint Medicaid Managed Care	$21,383.77

Know your out-of-pocket cost for care.

All Charges