Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

STRAP SECURE OPEN

Facility

$2,731.37

Hospital Charge Code	270676653
Hospital Revenue Code	272
Min. Negotiated Rate	$409.71
Max. Negotiated Rate	$409.71
Rate for Payer: Qualcare PPO/HMO/WC	$409.71

STRAP TOE 2ND LT

Facility

$458.00

Service Code	HCPCS 29550T1
Hospital Charge Code	5792195
Hospital Revenue Code	450
Min. Negotiated Rate	$68.70
Max. Negotiated Rate	$68.70
Rate for Payer: Qualcare PPO/HMO/WC	$68.70

STRAP TOE 2ND LT

Facility

$458.00

Service Code	HCPCS 29550T1
Hospital Charge Code	5792195
Hospital Revenue Code	450
Min. Negotiated Rate	$13.01
Max. Negotiated Rate	$229.00
Rate for Payer: Aetna Commercial	$174.04
Rate for Payer: Aetna Medicare Advantage	$137.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$116.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$116.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$116.79
Rate for Payer: Cigna Commercial	$229.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.08
Rate for Payer: Qualcare PPO/HMO/WC	$68.70
Rate for Payer: UnitedHealthcare Community & State	$140.00
Rate for Payer: Wellpoint Medicaid Managed Care	$13.01

STRAP TOE 2ND RT

Facility

$458.00

Service Code	HCPCS 29550T6
Hospital Charge Code	5792220
Hospital Revenue Code	450
Min. Negotiated Rate	$68.70
Max. Negotiated Rate	$68.70
Rate for Payer: Qualcare PPO/HMO/WC	$68.70

STRAP TOE 2ND RT

Facility

$458.00

Service Code	HCPCS 29550T6
Hospital Charge Code	5792220
Hospital Revenue Code	450
Min. Negotiated Rate	$13.01
Max. Negotiated Rate	$229.00
Rate for Payer: Aetna Commercial	$174.04
Rate for Payer: Aetna Medicare Advantage	$137.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$116.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$116.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$116.79
Rate for Payer: Cigna Commercial	$229.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.08
Rate for Payer: Qualcare PPO/HMO/WC	$68.70
Rate for Payer: UnitedHealthcare Community & State	$140.00
Rate for Payer: Wellpoint Medicaid Managed Care	$13.01

STRAP TOE 3RD LT

Facility

$468.75

Service Code	HCPCS 29550T2
Hospital Charge Code	5792200
Hospital Revenue Code	450
Min. Negotiated Rate	$70.31
Max. Negotiated Rate	$70.31
Rate for Payer: Qualcare PPO/HMO/WC	$70.31

STRAP TOE 3RD LT

Facility

$468.75

Service Code	HCPCS 29550T2
Hospital Charge Code	5792200
Hospital Revenue Code	450
Min. Negotiated Rate	$13.31
Max. Negotiated Rate	$234.38
Rate for Payer: Aetna Commercial	$178.12
Rate for Payer: Aetna Medicare Advantage	$140.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$119.53
Rate for Payer: Cigna Commercial	$234.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.88
Rate for Payer: Qualcare PPO/HMO/WC	$70.31
Rate for Payer: UnitedHealthcare Community & State	$140.00
Rate for Payer: Wellpoint Medicaid Managed Care	$13.31

STRAP TOE 4TH LT

Facility

$458.00

Service Code	HCPCS 29550T3
Hospital Charge Code	5792205
Hospital Revenue Code	450
Min. Negotiated Rate	$68.70
Max. Negotiated Rate	$68.70
Rate for Payer: Qualcare PPO/HMO/WC	$68.70

STRAP TOE 4TH LT

Facility

$458.00

Service Code	HCPCS 29550T3
Hospital Charge Code	5792205
Hospital Revenue Code	450
Min. Negotiated Rate	$13.01
Max. Negotiated Rate	$229.00
Rate for Payer: Aetna Commercial	$174.04
Rate for Payer: Aetna Medicare Advantage	$137.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$116.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$116.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$116.79
Rate for Payer: Cigna Commercial	$229.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.08
Rate for Payer: Qualcare PPO/HMO/WC	$68.70
Rate for Payer: UnitedHealthcare Community & State	$140.00
Rate for Payer: Wellpoint Medicaid Managed Care	$13.01

STRAP TOE 4TH RT

Facility

$458.00

Service Code	HCPCS 29550T8
Hospital Charge Code	5792225
Hospital Revenue Code	450
Min. Negotiated Rate	$13.01
Max. Negotiated Rate	$229.00
Rate for Payer: Aetna Commercial	$174.04
Rate for Payer: Aetna Medicare Advantage	$137.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$116.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$116.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$116.79
Rate for Payer: Cigna Commercial	$229.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.08
Rate for Payer: Qualcare PPO/HMO/WC	$68.70
Rate for Payer: UnitedHealthcare Community & State	$140.00
Rate for Payer: Wellpoint Medicaid Managed Care	$13.01

STRAP TOE 4TH RT

Facility

$458.00

Service Code	HCPCS 29550T8
Hospital Charge Code	5792225
Hospital Revenue Code	450
Min. Negotiated Rate	$68.70
Max. Negotiated Rate	$68.70
Rate for Payer: Qualcare PPO/HMO/WC	$68.70

STRAP TOE 5TH LT

Facility

$458.00

Service Code	HCPCS 29550T4
Hospital Charge Code	5792210
Hospital Revenue Code	450
Min. Negotiated Rate	$13.01
Max. Negotiated Rate	$229.00
Rate for Payer: Aetna Commercial	$174.04
Rate for Payer: Aetna Medicare Advantage	$137.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$116.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$116.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$116.79
Rate for Payer: Cigna Commercial	$229.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.08
Rate for Payer: Qualcare PPO/HMO/WC	$68.70
Rate for Payer: UnitedHealthcare Community & State	$140.00
Rate for Payer: Wellpoint Medicaid Managed Care	$13.01

STRAP TOE 5TH LT

Facility

$458.00

Service Code	HCPCS 29550T4
Hospital Charge Code	5792210
Hospital Revenue Code	450
Min. Negotiated Rate	$68.70
Max. Negotiated Rate	$68.70
Rate for Payer: Qualcare PPO/HMO/WC	$68.70

STRATIFT JCV AB/INHIBITION ASY

Facility

$238.80

Service Code	HCPCS 86711
Hospital Charge Code	38479741
Hospital Revenue Code	306
Min. Negotiated Rate	$35.82
Max. Negotiated Rate	$35.82
Rate for Payer: Qualcare PPO/HMO/WC	$35.82

STRATIFT JCV AB/INHIBITION ASY

Facility

$238.80

Service Code	HCPCS 86711
Hospital Charge Code	38479741
Hospital Revenue Code	306
Min. Negotiated Rate	$6.78
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$45.94
Rate for Payer: Aetna Medicare Advantage	$54.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.27
Rate for Payer: Cigna Commercial	$119.40
Rate for Payer: Cigna Medicare Advantage	$16.89
Rate for Payer: Clover Medicare Advantage	$16.05
Rate for Payer: EmblemHealth Commercial	$50.67
Rate for Payer: Humana Medicare Advantage	$17.40
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$16.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.09
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$35.82
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$13.51
Rate for Payer: UnitedHealthcare Medicare Advantage	$16.89
Rate for Payer: Wellcare Medicare Advantage	$16.89
Rate for Payer: Wellpoint Medicaid Managed Care	$6.78

STRATIFY JCV AB W REFLEX INHIB

Facility

$390.00

Service Code	HCPCS 86711
Hospital Charge Code	401086711
Hospital Revenue Code	301
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$45.94
Rate for Payer: Aetna Medicare Advantage	$54.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.27
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$16.89
Rate for Payer: Clover Medicare Advantage	$16.05
Rate for Payer: EmblemHealth Commercial	$50.67
Rate for Payer: Humana Medicare Advantage	$17.40
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$16.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.40
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$13.51
Rate for Payer: UnitedHealthcare Medicare Advantage	$16.89
Rate for Payer: Wellcare Medicare Advantage	$16.89
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

STRATIFY JCV AB W REFLEX INHIB

Facility

$390.00

Service Code	HCPCS 86711
Hospital Charge Code	401086711
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

STRATOFUSE 5CC

Facility

$3,187.50

Service Code	HCPCS C1713
Hospital Charge Code	270696837
Hospital Revenue Code	278
Min. Negotiated Rate	$90.53
Max. Negotiated Rate	$1,593.75
Rate for Payer: Aetna Commercial	$1,211.25
Rate for Payer: Aetna Medicare Advantage	$956.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$812.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$812.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$812.81
Rate for Payer: Cigna Commercial	$1,593.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$771.38
Rate for Payer: Qualcare PPO/HMO/WC	$478.12
Rate for Payer: UnitedHealthcare Community & State	$100.72
Rate for Payer: Wellpoint Medicaid Managed Care	$90.53

STRATOFUSE 5CC

Facility

$3,187.50

Service Code	HCPCS C1713
Hospital Charge Code	270696837
Hospital Revenue Code	278
Min. Negotiated Rate	$478.12
Max. Negotiated Rate	$771.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$637.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$771.38
Rate for Payer: Qualcare PPO/HMO/WC	$478.12

STRATOFUSE V OSTEO MATRIX 10CC

Facility

$39,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270695202
Hospital Revenue Code	278
Min. Negotiated Rate	$5,921.25
Max. Negotiated Rate	$9,552.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,895.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,552.95
Rate for Payer: Qualcare PPO/HMO/WC	$5,921.25

STRATOFUSE V OSTEO MATRIX 10CC

Facility

$39,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270695202
Hospital Revenue Code	278
Min. Negotiated Rate	$1,121.09
Max. Negotiated Rate	$19,737.50
Rate for Payer: Aetna Commercial	$15,000.50
Rate for Payer: Aetna Medicare Advantage	$11,842.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,066.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,066.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,895.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10,066.12
Rate for Payer: Cigna Commercial	$19,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,552.95
Rate for Payer: Qualcare PPO/HMO/WC	$5,921.25
Rate for Payer: UnitedHealthcare Community & State	$1,247.41
Rate for Payer: Wellpoint Medicaid Managed Care	$1,121.09

STRATOFUSE VOSTEO MATRIX 5CC

Facility

$20,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270696318
Hospital Revenue Code	278
Min. Negotiated Rate	$3,112.50
Max. Negotiated Rate	$5,021.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,021.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,112.50

STRATOFUSE VOSTEO MATRIX 5CC

Facility

$20,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270696318
Hospital Revenue Code	278
Min. Negotiated Rate	$589.30
Max. Negotiated Rate	$10,375.00
Rate for Payer: Aetna Commercial	$7,885.00
Rate for Payer: Aetna Medicare Advantage	$6,225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,291.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,291.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,291.25
Rate for Payer: Cigna Commercial	$10,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,021.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,112.50
Rate for Payer: UnitedHealthcare Community & State	$655.70
Rate for Payer: Wellpoint Medicaid Managed Care	$589.30

STRATOV-OSTEOVIABLEMATRIX5CC

Facility

$21,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270694685
Hospital Revenue Code	278
Min. Negotiated Rate	$603.50
Max. Negotiated Rate	$10,625.00
Rate for Payer: Aetna Commercial	$8,075.00
Rate for Payer: Aetna Medicare Advantage	$6,375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,418.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,418.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,418.75
Rate for Payer: Cigna Commercial	$10,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,142.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,187.50
Rate for Payer: UnitedHealthcare Community & State	$671.50
Rate for Payer: Wellpoint Medicaid Managed Care	$603.50

STRATOV-OSTEOVIABLEMATRIX5CC

Facility

$21,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270694685
Hospital Revenue Code	278
Min. Negotiated Rate	$3,187.50
Max. Negotiated Rate	$5,142.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,142.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,187.50

Know your out-of-pocket cost for care.

All Charges