Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SPINE ENTIRE MIN 6 VIEWS

Facility

$1,131.07

Service Code	HCPCS 72084
Hospital Charge Code	94061479
Hospital Revenue Code	320
Min. Negotiated Rate	$32.12
Max. Negotiated Rate	$2,231.00
Rate for Payer: Aetna Commercial	$337.82
Rate for Payer: Aetna Medicare Advantage	$402.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$450.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$450.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$124.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$450.54
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: Cigna Medicare Advantage	$86.94
Rate for Payer: Clover Medicare Advantage	$117.99
Rate for Payer: EmblemHealth Commercial	$372.60
Rate for Payer: Humana Medicare Advantage	$127.93
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$124.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$294.08
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$169.66
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$35.74
Rate for Payer: UnitedHealthcare Medicare Advantage	$124.20
Rate for Payer: Wellcare Medicare Advantage	$124.20
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$817.38
Rate for Payer: Wellpoint Medicaid Managed Care	$32.12

SPINE ENTIRE MIN 6 VIEWS

Facility

$1,131.07

Service Code	HCPCS 72084
Hospital Charge Code	94061479
Hospital Revenue Code	320
Min. Negotiated Rate	$169.66
Max. Negotiated Rate	$169.66
Rate for Payer: Qualcare PPO/HMO/WC	$169.66

SPINE FUSE&REMV CERV BEL C2,SG

Facility

$44,286.00

Service Code	HCPCS 22551
Hospital Charge Code	16000384
Hospital Revenue Code	360
Min. Negotiated Rate	$1,257.72
Max. Negotiated Rate	$55,329.13
Rate for Payer: Aetna Commercial	$41,487.32
Rate for Payer: Aetna Medicare Advantage	$49,418.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55,329.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55,329.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15,252.69
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	$55,329.13
Rate for Payer: Cigna Commercial	$30,573.98
Rate for Payer: Cigna Medicare Advantage	$15,252.69
Rate for Payer: Clover Medicare Advantage	$14,490.06
Rate for Payer: EmblemHealth Commercial	$45,758.07
Rate for Payer: Humana Medicare Advantage	$15,710.27
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$15,252.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11,514.36
Rate for Payer: Oxford Commercial	$13,407.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,642.90
Rate for Payer: UnitedHealthcare Commercial	$14,869.00
Rate for Payer: UnitedHealthcare Community & State	$1,399.44
Rate for Payer: UnitedHealthcare Medicare Advantage	$15,252.69
Rate for Payer: Wellcare Medicare Advantage	$15,252.69
Rate for Payer: Wellpoint Medicaid Managed Care	$1,257.72

SPINE FUSE&REMV CERV BEL C2,SG

Facility

$44,286.00

Service Code	HCPCS 22551
Hospital Charge Code	16000384
Hospital Revenue Code	360
Min. Negotiated Rate	$6,642.90
Max. Negotiated Rate	$6,642.90
Rate for Payer: Qualcare PPO/HMO/WC	$6,642.90

SPINE FUSION EXTRA SEGMENT

Facility

$20,716.40

Service Code	HCPCS 22634
Hospital Charge Code	16000609
Hospital Revenue Code	360
Min. Negotiated Rate	$3,107.46
Max. Negotiated Rate	$3,107.46
Rate for Payer: Qualcare PPO/HMO/WC	$3,107.46

SPINE FUSION EXTRA SEGMENT

Facility

$23,739.75

Service Code	HCPCS 22632
Hospital Charge Code	16000608
Hospital Revenue Code	360
Min. Negotiated Rate	$3,560.96
Max. Negotiated Rate	$3,560.96
Rate for Payer: Qualcare PPO/HMO/WC	$3,560.96

SPINE FUSION EXTRA SEGMENT

Facility

$23,739.75

Service Code	HCPCS 22632
Hospital Charge Code	16000608
Hospital Revenue Code	360
Min. Negotiated Rate	$750.18
Max. Negotiated Rate	$11,869.88
Rate for Payer: Aetna Commercial	$9,021.10
Rate for Payer: Aetna Medicare Advantage	$7,121.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,053.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,053.64
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	$6,053.64
Rate for Payer: Cigna Commercial	$11,869.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,172.34
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,560.96
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$750.18

SPINE FUSION EXTRA SEGMENT

Facility

$20,716.40

Service Code	HCPCS 22634
Hospital Charge Code	16000609
Hospital Revenue Code	360
Min. Negotiated Rate	$654.64
Max. Negotiated Rate	$10,358.20
Rate for Payer: Aetna Commercial	$7,872.23
Rate for Payer: Aetna Medicare Advantage	$6,214.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,282.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,282.68
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	$5,282.68
Rate for Payer: Cigna Commercial	$10,358.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,386.26
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,107.46
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$654.64

SPINE JET ENDO RECEPTOR 2.0 GA

Facility

$1,650.00

Hospital Charge Code	270335917
Hospital Revenue Code	272
Min. Negotiated Rate	$247.50
Max. Negotiated Rate	$247.50
Rate for Payer: Qualcare PPO/HMO/WC	$247.50

SPINE JET ENDO RECEPTOR 2.0 GA

Facility

$1,650.00

Hospital Charge Code	270335917
Hospital Revenue Code	272
Min. Negotiated Rate	$46.86
Max. Negotiated Rate	$825.00
Rate for Payer: Aetna Commercial	$627.00
Rate for Payer: Aetna Medicare Advantage	$495.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$420.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$420.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$420.75
Rate for Payer: Cigna Commercial	$825.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$429.00
Rate for Payer: Oxford Commercial	$330.00
Rate for Payer: Qualcare PPO/HMO/WC	$247.50
Rate for Payer: UnitedHealthcare Commercial	$330.00
Rate for Payer: UnitedHealthcare Community & State	$52.14
Rate for Payer: Wellpoint Medicaid Managed Care	$46.86

SPINE JET QUICK CONNECTOR

Facility

$638.00

Hospital Charge Code	270335916
Hospital Revenue Code	272
Min. Negotiated Rate	$95.70
Max. Negotiated Rate	$95.70
Rate for Payer: Qualcare PPO/HMO/WC	$95.70

SPINE JET QUICK CONNECTOR

Facility

$638.00

Hospital Charge Code	270335916
Hospital Revenue Code	272
Min. Negotiated Rate	$18.12
Max. Negotiated Rate	$319.00
Rate for Payer: Aetna Commercial	$242.44
Rate for Payer: Aetna Medicare Advantage	$191.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$162.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$162.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$162.69
Rate for Payer: Cigna Commercial	$319.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$165.88
Rate for Payer: Oxford Commercial	$127.60
Rate for Payer: Qualcare PPO/HMO/WC	$95.70
Rate for Payer: UnitedHealthcare Commercial	$127.60
Rate for Payer: UnitedHealthcare Community & State	$20.16
Rate for Payer: Wellpoint Medicaid Managed Care	$18.12

SPINE PAIN STIMULATOR

Facility

$6,985.00

Hospital Charge Code	270332601
Hospital Revenue Code	278
Min. Negotiated Rate	$198.37
Max. Negotiated Rate	$3,492.50
Rate for Payer: Aetna Commercial	$2,654.30
Rate for Payer: Aetna Medicare Advantage	$2,095.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,781.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,781.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,397.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,781.17
Rate for Payer: Cigna Commercial	$3,492.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,690.37
Rate for Payer: Qualcare PPO/HMO/WC	$1,047.75
Rate for Payer: UnitedHealthcare Community & State	$220.73
Rate for Payer: Wellpoint Medicaid Managed Care	$198.37

SPINE PAIN STIMULATOR

Facility

$3,493.00

Hospital Charge Code	270338782
Hospital Revenue Code	278
Min. Negotiated Rate	$523.95
Max. Negotiated Rate	$845.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$698.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$845.31
Rate for Payer: Qualcare PPO/HMO/WC	$523.95

SPINE PAIN STIMULATOR

Facility

$3,493.00

Hospital Charge Code	270338782
Hospital Revenue Code	278
Min. Negotiated Rate	$99.20
Max. Negotiated Rate	$1,746.50
Rate for Payer: Aetna Commercial	$1,327.34
Rate for Payer: Aetna Medicare Advantage	$1,047.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$890.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$890.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$698.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$890.72
Rate for Payer: Cigna Commercial	$1,746.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$845.31
Rate for Payer: Qualcare PPO/HMO/WC	$523.95
Rate for Payer: UnitedHealthcare Community & State	$110.38
Rate for Payer: Wellpoint Medicaid Managed Care	$99.20

SPINE PAIN STIMULATOR

Facility

$6,985.00

Hospital Charge Code	270332601
Hospital Revenue Code	278
Min. Negotiated Rate	$1,047.75
Max. Negotiated Rate	$1,690.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,397.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,690.37
Rate for Payer: Qualcare PPO/HMO/WC	$1,047.75

SPINL NEEDL 18G 3.5INCH TOUHEY

Facility

$447.00

Hospital Charge Code	270325403
Hospital Revenue Code	272
Min. Negotiated Rate	$12.69
Max. Negotiated Rate	$223.50
Rate for Payer: Aetna Commercial	$169.86
Rate for Payer: Aetna Medicare Advantage	$134.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$113.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$113.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$113.98
Rate for Payer: Cigna Commercial	$223.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.22
Rate for Payer: Oxford Commercial	$89.40
Rate for Payer: Qualcare PPO/HMO/WC	$67.05
Rate for Payer: UnitedHealthcare Commercial	$89.40
Rate for Payer: UnitedHealthcare Community & State	$14.13
Rate for Payer: Wellpoint Medicaid Managed Care	$12.69

SPINL NEEDL 18G 3.5INCH TOUHEY

Facility

$447.00

Hospital Charge Code	270325403
Hospital Revenue Code	272
Min. Negotiated Rate	$67.05
Max. Negotiated Rate	$67.05
Rate for Payer: Qualcare PPO/HMO/WC	$67.05

SPINL NEEDLE 25 G 3.5 INCH

Facility

$1,320.00

Hospital Charge Code	270325402
Hospital Revenue Code	272
Min. Negotiated Rate	$198.00
Max. Negotiated Rate	$198.00
Rate for Payer: Qualcare PPO/HMO/WC	$198.00

SPINL NEEDLE 25 G 3.5 INCH

Facility

$1,320.00

Hospital Charge Code	270325402
Hospital Revenue Code	272
Min. Negotiated Rate	$37.49
Max. Negotiated Rate	$660.00
Rate for Payer: Aetna Commercial	$501.60
Rate for Payer: Aetna Medicare Advantage	$396.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$336.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$336.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$336.60
Rate for Payer: Cigna Commercial	$660.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$343.20
Rate for Payer: Oxford Commercial	$264.00
Rate for Payer: Qualcare PPO/HMO/WC	$198.00
Rate for Payer: UnitedHealthcare Commercial	$264.00
Rate for Payer: UnitedHealthcare Community & State	$41.71
Rate for Payer: Wellpoint Medicaid Managed Care	$37.49

SPIRAL ELECTRODE

Facility

$51.00

Hospital Charge Code	270331667
Hospital Revenue Code	272
Min. Negotiated Rate	$7.65
Max. Negotiated Rate	$7.65
Rate for Payer: Qualcare PPO/HMO/WC	$7.65

SPIRAL ELECTRODE

Facility

$51.00

Hospital Charge Code	270331667
Hospital Revenue Code	272
Min. Negotiated Rate	$1.45
Max. Negotiated Rate	$25.50
Rate for Payer: Aetna Commercial	$19.38
Rate for Payer: Aetna Medicare Advantage	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.01
Rate for Payer: Cigna Commercial	$25.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.26
Rate for Payer: Oxford Commercial	$10.20
Rate for Payer: Qualcare PPO/HMO/WC	$7.65
Rate for Payer: UnitedHealthcare Commercial	$10.20
Rate for Payer: UnitedHealthcare Community & State	$1.61
Rate for Payer: Wellpoint Medicaid Managed Care	$1.45

SPIRO 12 X 16 1 1/4 IN

Facility

$285.00

Hospital Charge Code	270682982
Hospital Revenue Code	272
Min. Negotiated Rate	$42.75
Max. Negotiated Rate	$42.75
Rate for Payer: Qualcare PPO/HMO/WC	$42.75

SPIRO 12 X 16 1 1/4 IN

Facility

$285.00

Hospital Charge Code	270682982
Hospital Revenue Code	272
Min. Negotiated Rate	$8.09
Max. Negotiated Rate	$142.50
Rate for Payer: Aetna Commercial	$108.30
Rate for Payer: Aetna Medicare Advantage	$85.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$72.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$72.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$72.67
Rate for Payer: Cigna Commercial	$142.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.10
Rate for Payer: Oxford Commercial	$57.00
Rate for Payer: Qualcare PPO/HMO/WC	$42.75
Rate for Payer: UnitedHealthcare Commercial	$57.00
Rate for Payer: UnitedHealthcare Community & State	$9.01
Rate for Payer: Wellpoint Medicaid Managed Care	$8.09

SPIROMETER INCENTIVE

Facility

$37.65

Hospital Charge Code	270607014
Hospital Revenue Code	270
Min. Negotiated Rate	$1.07
Max. Negotiated Rate	$18.82
Rate for Payer: Aetna Commercial	$14.31
Rate for Payer: Aetna Medicare Advantage	$11.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.60
Rate for Payer: Cigna Commercial	$18.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.79
Rate for Payer: Oxford Commercial	$7.53
Rate for Payer: Qualcare PPO/HMO/WC	$5.65
Rate for Payer: UnitedHealthcare Commercial	$7.53
Rate for Payer: UnitedHealthcare Community & State	$1.19
Rate for Payer: Wellpoint Medicaid Managed Care	$1.07

Know your out-of-pocket cost for care.

All Charges