Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

STRM MDS SCREW 3.5X12MM

Facility

$1,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270694005
Hospital Revenue Code	278
Min. Negotiated Rate	$34.08
Max. Negotiated Rate	$600.00
Rate for Payer: Aetna Commercial	$456.00
Rate for Payer: Aetna Medicare Advantage	$360.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$306.00
Rate for Payer: Cigna Commercial	$600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.40
Rate for Payer: Qualcare PPO/HMO/WC	$180.00
Rate for Payer: UnitedHealthcare Community & State	$37.92
Rate for Payer: Wellpoint Medicaid Managed Care	$34.08

STRM TORQ LIMIT HANDLE 2NM ST

Facility

$2,160.00

Hospital Charge Code	270694259
Hospital Revenue Code	272
Min. Negotiated Rate	$61.34
Max. Negotiated Rate	$1,080.00
Rate for Payer: Aetna Commercial	$820.80
Rate for Payer: Aetna Medicare Advantage	$648.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$550.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$550.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$550.80
Rate for Payer: Cigna Commercial	$1,080.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$561.60
Rate for Payer: Oxford Commercial	$432.00
Rate for Payer: Qualcare PPO/HMO/WC	$324.00
Rate for Payer: UnitedHealthcare Commercial	$432.00
Rate for Payer: UnitedHealthcare Community & State	$68.26
Rate for Payer: Wellpoint Medicaid Managed Care	$61.34

STRM TORQ LIMIT HANDLE 2NM ST

Facility

$2,160.00

Hospital Charge Code	270694259
Hospital Revenue Code	272
Min. Negotiated Rate	$324.00
Max. Negotiated Rate	$324.00
Rate for Payer: Qualcare PPO/HMO/WC	$324.00

STRONGYLOIDES AB (IGG), I

Facility

$103.05

Service Code	HCPCS 86317
Hospital Charge Code	39990030A
Hospital Revenue Code	302
Min. Negotiated Rate	$2.93
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$40.77
Rate for Payer: Aetna Medicare Advantage	$48.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.38
Rate for Payer: Cigna Commercial	$51.52
Rate for Payer: Cigna Medicare Advantage	$14.99
Rate for Payer: Clover Medicare Advantage	$14.24
Rate for Payer: EmblemHealth Commercial	$44.97
Rate for Payer: Humana Medicare Advantage	$15.44
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$14.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.79
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.46
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$11.99
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.99
Rate for Payer: Wellcare Medicare Advantage	$14.99
Rate for Payer: Wellpoint Medicaid Managed Care	$2.93

STRONGYLOIDES AB (IGG), I

Facility

$103.05

Service Code	HCPCS 86317
Hospital Charge Code	39990030A
Hospital Revenue Code	302
Min. Negotiated Rate	$15.46
Max. Negotiated Rate	$15.46
Rate for Payer: Qualcare PPO/HMO/WC	$15.46

STRONGYLOIDES AB (IGG), II

Facility

$89.40

Service Code	HCPCS 86682
Hospital Charge Code	39990030B
Hospital Revenue Code	302
Min. Negotiated Rate	$13.41
Max. Negotiated Rate	$13.41
Rate for Payer: Qualcare PPO/HMO/WC	$13.41

STRONGYLOIDES AB (IGG), II

Facility

$89.40

Service Code	HCPCS 86682
Hospital Charge Code	39990030B
Hospital Revenue Code	302
Min. Negotiated Rate	$2.54
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$35.39
Rate for Payer: Aetna Medicare Advantage	$42.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.19
Rate for Payer: Cigna Commercial	$44.70
Rate for Payer: Cigna Medicare Advantage	$13.01
Rate for Payer: Clover Medicare Advantage	$12.36
Rate for Payer: EmblemHealth Commercial	$39.03
Rate for Payer: Humana Medicare Advantage	$13.40
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.24
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.41
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$10.41
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.01
Rate for Payer: Wellcare Medicare Advantage	$13.01
Rate for Payer: Wellpoint Medicaid Managed Care	$2.54

STRONGYLOIDES ANTIBODY IgG

Facility

$215.98

Service Code	HCPCS 86682
Hospital Charge Code	401186682A
Hospital Revenue Code	300
Min. Negotiated Rate	$6.13
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$35.39
Rate for Payer: Aetna Medicare Advantage	$42.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.19
Rate for Payer: Cigna Commercial	$107.99
Rate for Payer: Cigna Medicare Advantage	$13.01
Rate for Payer: Clover Medicare Advantage	$12.36
Rate for Payer: EmblemHealth Commercial	$39.03
Rate for Payer: Humana Medicare Advantage	$13.40
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.15
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.40
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$10.41
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.01
Rate for Payer: Wellcare Medicare Advantage	$13.01
Rate for Payer: Wellpoint Medicaid Managed Care	$6.13

STRONGYLOIDES ANTIBODY IgG

Facility

$215.98

Service Code	HCPCS 86682
Hospital Charge Code	401186682A
Hospital Revenue Code	300
Min. Negotiated Rate	$32.40
Max. Negotiated Rate	$32.40
Rate for Payer: Qualcare PPO/HMO/WC	$32.40

STROVITE TABS

Facility

$4.00

Service Code	NDC 48107004904
Hospital Charge Code	60634746
Hospital Revenue Code	250
Min. Negotiated Rate	$0.11
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.52
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.04
Rate for Payer: Oxford Commercial	$0.80
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$0.80
Rate for Payer: UnitedHealthcare Community & State	$0.13
Rate for Payer: Wellpoint Medicaid Managed Care	$0.11

STROVITE TABS

Facility

$4.00

Service Code	NDC 48107004904
Hospital Charge Code	60634746
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

STR REM RGT8 MM 30CM RS X 70CM

Facility

$5,650.00

Service Code	HCPCS C1768
Hospital Charge Code	270658078
Hospital Revenue Code	278
Min. Negotiated Rate	$847.50
Max. Negotiated Rate	$1,367.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,130.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,367.30
Rate for Payer: Qualcare PPO/HMO/WC	$847.50

STR REM RGT8 MM 30CM RS X 70CM

Facility

$5,650.00

Service Code	HCPCS C1768
Hospital Charge Code	270658078
Hospital Revenue Code	278
Min. Negotiated Rate	$160.46
Max. Negotiated Rate	$2,825.00
Rate for Payer: Aetna Commercial	$2,147.00
Rate for Payer: Aetna Medicare Advantage	$1,695.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,440.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,440.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,130.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,440.75
Rate for Payer: Cigna Commercial	$2,825.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,367.30
Rate for Payer: Qualcare PPO/HMO/WC	$847.50
Rate for Payer: UnitedHealthcare Community & State	$178.54
Rate for Payer: Wellpoint Medicaid Managed Care	$160.46

STR SI FOR ULCR WND INJ,MLPERF

Facility

$17,925.50

Service Code	HCPCS 44603
Hospital Charge Code	1600000490
Hospital Revenue Code	360
Min. Negotiated Rate	$509.08
Max. Negotiated Rate	$10,269.00
Rate for Payer: Aetna Commercial	$6,811.69
Rate for Payer: Aetna Medicare Advantage	$5,377.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,571.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,571.00
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	$4,571.00
Rate for Payer: Cigna Commercial	$8,962.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,660.63
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,688.82
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$566.45
Rate for Payer: Wellpoint Medicaid Managed Care	$509.08

STR SI FOR ULCR WND INJ,MLPERF

Facility

$17,925.50

Service Code	HCPCS 44603
Hospital Charge Code	1600000490
Hospital Revenue Code	360
Min. Negotiated Rate	$2,688.82
Max. Negotiated Rate	$2,688.82
Rate for Payer: Qualcare PPO/HMO/WC	$2,688.82

STRT STEM EXT15MM DI 145 100MM

Facility

$6,690.00

Service Code	HCPCS C1776
Hospital Charge Code	270686881
Hospital Revenue Code	278
Min. Negotiated Rate	$190.00
Max. Negotiated Rate	$3,345.00
Rate for Payer: Aetna Commercial	$2,542.20
Rate for Payer: Aetna Medicare Advantage	$2,007.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,705.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,705.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,338.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,705.95
Rate for Payer: Cigna Commercial	$3,345.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,618.98
Rate for Payer: Qualcare PPO/HMO/WC	$1,003.50
Rate for Payer: UnitedHealthcare Community & State	$211.40
Rate for Payer: Wellpoint Medicaid Managed Care	$190.00

STRT STEM EXT15MM DI 145 100MM

Facility

$6,690.00

Service Code	HCPCS C1776
Hospital Charge Code	270686881
Hospital Revenue Code	278
Min. Negotiated Rate	$1,003.50
Max. Negotiated Rate	$1,618.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,338.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,618.98
Rate for Payer: Qualcare PPO/HMO/WC	$1,003.50

STRUT CORTICAL TIBIAL 20x200MM

Facility

$2,872.50

Service Code	HCPCS C1776
Hospital Charge Code	270675966
Hospital Revenue Code	278
Min. Negotiated Rate	$81.58
Max. Negotiated Rate	$1,436.25
Rate for Payer: Aetna Commercial	$1,091.55
Rate for Payer: Aetna Medicare Advantage	$861.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$732.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$732.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$574.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$732.49
Rate for Payer: Cigna Commercial	$1,436.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$695.14
Rate for Payer: Qualcare PPO/HMO/WC	$430.88
Rate for Payer: UnitedHealthcare Community & State	$90.77
Rate for Payer: Wellpoint Medicaid Managed Care	$81.58

STRUT CORTICAL TIBIAL 20x200MM

Facility

$2,872.50

Service Code	HCPCS C1776
Hospital Charge Code	270675966
Hospital Revenue Code	278
Min. Negotiated Rate	$430.88
Max. Negotiated Rate	$695.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$574.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$695.14
Rate for Payer: Qualcare PPO/HMO/WC	$430.88

STRUT FIBULAR 10CM LONG

Facility

$4,400.00

Hospital Charge Code	270663749
Hospital Revenue Code	270
Min. Negotiated Rate	$660.00
Max. Negotiated Rate	$660.00
Rate for Payer: Qualcare PPO/HMO/WC	$660.00

STRUT FIBULAR 10CM LONG

Facility

$4,400.00

Hospital Charge Code	270663749
Hospital Revenue Code	270
Min. Negotiated Rate	$124.96
Max. Negotiated Rate	$2,200.00
Rate for Payer: Aetna Commercial	$1,672.00
Rate for Payer: Aetna Medicare Advantage	$1,320.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,122.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,122.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,122.00
Rate for Payer: Cigna Commercial	$2,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,144.00
Rate for Payer: Oxford Commercial	$880.00
Rate for Payer: Qualcare PPO/HMO/WC	$660.00
Rate for Payer: UnitedHealthcare Commercial	$880.00
Rate for Payer: UnitedHealthcare Community & State	$139.04
Rate for Payer: Wellpoint Medicaid Managed Care	$124.96

STRUT MAXFRAME MEDIUM

Facility

$5,559.90

Hospital Charge Code	270691899
Hospital Revenue Code	272
Min. Negotiated Rate	$157.90
Max. Negotiated Rate	$2,779.95
Rate for Payer: Aetna Commercial	$2,112.76
Rate for Payer: Aetna Medicare Advantage	$1,667.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,417.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,417.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,417.77
Rate for Payer: Cigna Commercial	$2,779.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,445.57
Rate for Payer: Oxford Commercial	$1,111.98
Rate for Payer: Qualcare PPO/HMO/WC	$833.99
Rate for Payer: UnitedHealthcare Commercial	$1,111.98
Rate for Payer: UnitedHealthcare Community & State	$175.69
Rate for Payer: Wellpoint Medicaid Managed Care	$157.90

STRUT MAXFRAME MEDIUM

Facility

$5,559.90

Hospital Charge Code	270691899
Hospital Revenue Code	272
Min. Negotiated Rate	$833.99
Max. Negotiated Rate	$833.99
Rate for Payer: Qualcare PPO/HMO/WC	$833.99

STRUT QUICK ADJUST-X SHORT

Facility

$6,657.00

Hospital Charge Code	270683947
Hospital Revenue Code	272
Min. Negotiated Rate	$189.06
Max. Negotiated Rate	$3,328.50
Rate for Payer: Aetna Commercial	$2,529.66
Rate for Payer: Aetna Medicare Advantage	$1,997.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,697.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,697.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,697.54
Rate for Payer: Cigna Commercial	$3,328.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,730.82
Rate for Payer: Oxford Commercial	$1,331.40
Rate for Payer: Qualcare PPO/HMO/WC	$998.55
Rate for Payer: UnitedHealthcare Commercial	$1,331.40
Rate for Payer: UnitedHealthcare Community & State	$210.36
Rate for Payer: Wellpoint Medicaid Managed Care	$189.06

STRUT QUICK ADJUST-X SHORT

Facility

$6,657.00

Hospital Charge Code	270683946
Hospital Revenue Code	272
Min. Negotiated Rate	$998.55
Max. Negotiated Rate	$998.55
Rate for Payer: Qualcare PPO/HMO/WC	$998.55

Know your out-of-pocket cost for care.

All Charges