Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

TAPE VIPER TRACK RADIOPAQUE

Facility

$165.00

Hospital Charge Code	270642017C
Hospital Revenue Code	270
Min. Negotiated Rate	$24.75
Max. Negotiated Rate	$24.75
Rate for Payer: Qualcare PPO/HMO/WC	$24.75

TAPE VIPER TRACK RADIOPAQUE

Facility

$165.00

Hospital Charge Code	270642017S
Hospital Revenue Code	270
Min. Negotiated Rate	$24.75
Max. Negotiated Rate	$24.75
Rate for Payer: Qualcare PPO/HMO/WC	$24.75

TAPE VIPER TRACK RADIOPAQUE

Facility

$165.00

Hospital Charge Code	270642017S
Hospital Revenue Code	270
Min. Negotiated Rate	$4.69
Max. Negotiated Rate	$82.50
Rate for Payer: Aetna Commercial	$62.70
Rate for Payer: Aetna Medicare Advantage	$49.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.08
Rate for Payer: Cigna Commercial	$82.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.90
Rate for Payer: Oxford Commercial	$33.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.75
Rate for Payer: UnitedHealthcare Commercial	$33.00
Rate for Payer: UnitedHealthcare Community & State	$5.21
Rate for Payer: Wellpoint Medicaid Managed Care	$4.69

TAPE VIPER TRACK RADIOPAQUE

Facility

$165.00

Hospital Charge Code	270642017C
Hospital Revenue Code	270
Min. Negotiated Rate	$4.69
Max. Negotiated Rate	$82.50
Rate for Payer: Aetna Commercial	$62.70
Rate for Payer: Aetna Medicare Advantage	$49.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.08
Rate for Payer: Cigna Commercial	$82.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.90
Rate for Payer: Oxford Commercial	$33.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.75
Rate for Payer: UnitedHealthcare Commercial	$33.00
Rate for Payer: UnitedHealthcare Community & State	$5.21
Rate for Payer: Wellpoint Medicaid Managed Care	$4.69

TAP F/2MM CORTEX SCREW 54MM

Facility

$417.15

Service Code	HCPCS C1713
Hospital Charge Code	270604457
Hospital Revenue Code	278
Min. Negotiated Rate	$11.85
Max. Negotiated Rate	$208.57
Rate for Payer: Aetna Commercial	$158.52
Rate for Payer: Aetna Medicare Advantage	$125.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$106.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$106.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$83.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$106.37
Rate for Payer: Cigna Commercial	$208.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$100.95
Rate for Payer: Qualcare PPO/HMO/WC	$62.57
Rate for Payer: UnitedHealthcare Community & State	$13.18
Rate for Payer: Wellpoint Medicaid Managed Care	$11.85

TAP F/2MM CORTEX SCREW 54MM

Facility

$417.15

Service Code	HCPCS C1713
Hospital Charge Code	270604457
Hospital Revenue Code	278
Min. Negotiated Rate	$62.57
Max. Negotiated Rate	$100.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$83.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$100.95
Rate for Payer: Qualcare PPO/HMO/WC	$62.57

TAP F/4.5mm CANNULATED SCREW

Facility

$940.00

Service Code	HCPCS C1713
Hospital Charge Code	270604932
Hospital Revenue Code	278
Min. Negotiated Rate	$141.00
Max. Negotiated Rate	$227.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$188.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$227.48
Rate for Payer: Qualcare PPO/HMO/WC	$141.00

TAP F/4.5mm CANNULATED SCREW

Facility

$940.00

Service Code	HCPCS C1713
Hospital Charge Code	270604932
Hospital Revenue Code	278
Min. Negotiated Rate	$26.70
Max. Negotiated Rate	$470.00
Rate for Payer: Aetna Commercial	$357.20
Rate for Payer: Aetna Medicare Advantage	$282.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$239.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$239.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$188.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$239.70
Rate for Payer: Cigna Commercial	$470.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$227.48
Rate for Payer: Qualcare PPO/HMO/WC	$141.00
Rate for Payer: UnitedHealthcare Community & State	$29.70
Rate for Payer: Wellpoint Medicaid Managed Care	$26.70

TAP F/CORTEX SCREW 2.7MM

Facility

$491.30

Service Code	HCPCS C1713
Hospital Charge Code	270604139
Hospital Revenue Code	278
Min. Negotiated Rate	$73.69
Max. Negotiated Rate	$118.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$98.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.89
Rate for Payer: Qualcare PPO/HMO/WC	$73.69

TAP F/CORTEX SCREW 2.7MM

Facility

$491.30

Service Code	HCPCS C1713
Hospital Charge Code	270604139
Hospital Revenue Code	278
Min. Negotiated Rate	$13.95
Max. Negotiated Rate	$245.65
Rate for Payer: Aetna Commercial	$186.69
Rate for Payer: Aetna Medicare Advantage	$147.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$125.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$125.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$98.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$125.28
Rate for Payer: Cigna Commercial	$245.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.89
Rate for Payer: Qualcare PPO/HMO/WC	$73.69
Rate for Payer: UnitedHealthcare Community & State	$15.53
Rate for Payer: Wellpoint Medicaid Managed Care	$13.95

TAP FOR 6.5MM CANC BONE SCREW

Facility

$1,059.00

Hospital Charge Code	270671821
Hospital Revenue Code	272
Min. Negotiated Rate	$158.85
Max. Negotiated Rate	$158.85
Rate for Payer: Qualcare PPO/HMO/WC	$158.85

TAP FOR 6.5MM CANC BONE SCREW

Facility

$1,059.00

Hospital Charge Code	270671821
Hospital Revenue Code	272
Min. Negotiated Rate	$30.08
Max. Negotiated Rate	$529.50
Rate for Payer: Aetna Commercial	$402.42
Rate for Payer: Aetna Medicare Advantage	$317.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$270.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$270.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$270.05
Rate for Payer: Cigna Commercial	$529.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.34
Rate for Payer: Oxford Commercial	$211.80
Rate for Payer: Qualcare PPO/HMO/WC	$158.85
Rate for Payer: UnitedHealthcare Commercial	$211.80
Rate for Payer: UnitedHealthcare Community & State	$33.46
Rate for Payer: Wellpoint Medicaid Managed Care	$30.08

TAP FOR SCREW

Facility

$3,455.40

Service Code	HCPCS C1713
Hospital Charge Code	270688472
Hospital Revenue Code	278
Min. Negotiated Rate	$518.31
Max. Negotiated Rate	$836.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$691.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$836.21
Rate for Payer: Qualcare PPO/HMO/WC	$518.31

TAP FOR SCREW

Facility

$3,455.40

Service Code	HCPCS C1713
Hospital Charge Code	270688472
Hospital Revenue Code	278
Min. Negotiated Rate	$98.13
Max. Negotiated Rate	$1,727.70
Rate for Payer: Aetna Commercial	$1,313.05
Rate for Payer: Aetna Medicare Advantage	$1,036.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$881.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$881.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$691.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$881.13
Rate for Payer: Cigna Commercial	$1,727.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$836.21
Rate for Payer: Qualcare PPO/HMO/WC	$518.31
Rate for Payer: UnitedHealthcare Community & State	$109.19
Rate for Payer: Wellpoint Medicaid Managed Care	$98.13

TAP MOUNTAINEER 3.0MM

Facility

$1,912.50

Hospital Charge Code	270663782
Hospital Revenue Code	272
Min. Negotiated Rate	$54.31
Max. Negotiated Rate	$956.25
Rate for Payer: Aetna Commercial	$726.75
Rate for Payer: Aetna Medicare Advantage	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$487.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$487.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$487.69
Rate for Payer: Cigna Commercial	$956.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$497.25
Rate for Payer: Oxford Commercial	$382.50
Rate for Payer: Qualcare PPO/HMO/WC	$286.88
Rate for Payer: UnitedHealthcare Commercial	$382.50
Rate for Payer: UnitedHealthcare Community & State	$60.44
Rate for Payer: Wellpoint Medicaid Managed Care	$54.31

TAP MOUNTAINEER 3.0MM

Facility

$1,912.50

Hospital Charge Code	270663782
Hospital Revenue Code	272
Min. Negotiated Rate	$286.88
Max. Negotiated Rate	$286.88
Rate for Payer: Qualcare PPO/HMO/WC	$286.88

TAP OVERWATCH EXTEND 5.5X40MM

Facility

$5,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270694121
Hospital Revenue Code	278
Min. Negotiated Rate	$787.50
Max. Negotiated Rate	$1,270.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.50
Rate for Payer: Qualcare PPO/HMO/WC	$787.50

TAP OVERWATCH EXTEND 5.5X40MM

Facility

$5,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270694121
Hospital Revenue Code	278
Min. Negotiated Rate	$149.10
Max. Negotiated Rate	$2,625.00
Rate for Payer: Aetna Commercial	$1,995.00
Rate for Payer: Aetna Medicare Advantage	$1,575.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,338.75
Rate for Payer: Cigna Commercial	$2,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.50
Rate for Payer: Qualcare PPO/HMO/WC	$787.50
Rate for Payer: UnitedHealthcare Community & State	$165.90
Rate for Payer: Wellpoint Medicaid Managed Care	$149.10

TAPR M/L 9 STD RECD NECK LNGTH

Facility

$15,359.40

Hospital Charge Code	270668332
Hospital Revenue Code	278
Min. Negotiated Rate	$2,303.91
Max. Negotiated Rate	$3,716.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,071.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,716.97
Rate for Payer: Qualcare PPO/HMO/WC	$2,303.91

TAPR M/L 9 STD RECD NECK LNGTH

Facility

$15,359.40

Hospital Charge Code	270668332
Hospital Revenue Code	278
Min. Negotiated Rate	$436.21
Max. Negotiated Rate	$7,679.70
Rate for Payer: Aetna Commercial	$5,836.57
Rate for Payer: Aetna Medicare Advantage	$4,607.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,916.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,916.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,071.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,916.65
Rate for Payer: Cigna Commercial	$7,679.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,716.97
Rate for Payer: Qualcare PPO/HMO/WC	$2,303.91
Rate for Payer: UnitedHealthcare Community & State	$485.36
Rate for Payer: Wellpoint Medicaid Managed Care	$436.21

TAPS

Facility

$3,075.00

Hospital Charge Code	270703021
Hospital Revenue Code	278
Min. Negotiated Rate	$87.33
Max. Negotiated Rate	$1,537.50
Rate for Payer: Aetna Commercial	$1,168.50
Rate for Payer: Aetna Medicare Advantage	$922.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$784.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$784.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$615.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$784.12
Rate for Payer: Cigna Commercial	$1,537.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$744.15
Rate for Payer: Qualcare PPO/HMO/WC	$461.25
Rate for Payer: UnitedHealthcare Community & State	$97.17
Rate for Payer: Wellpoint Medicaid Managed Care	$87.33

TAPS

Facility

$3,075.00

Hospital Charge Code	270703021
Hospital Revenue Code	278
Min. Negotiated Rate	$461.25
Max. Negotiated Rate	$744.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$615.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$744.15
Rate for Payer: Qualcare PPO/HMO/WC	$461.25

TAP-SCREW

Facility

$1,438.00

Hospital Charge Code	270339054
Hospital Revenue Code	278
Min. Negotiated Rate	$215.70
Max. Negotiated Rate	$348.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$287.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$348.00
Rate for Payer: Qualcare PPO/HMO/WC	$215.70

TAP-SCREW

Facility

$1,438.00

Hospital Charge Code	270339054
Hospital Revenue Code	278
Min. Negotiated Rate	$40.84
Max. Negotiated Rate	$719.00
Rate for Payer: Aetna Commercial	$546.44
Rate for Payer: Aetna Medicare Advantage	$431.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$366.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$366.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$287.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$366.69
Rate for Payer: Cigna Commercial	$719.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$348.00
Rate for Payer: Qualcare PPO/HMO/WC	$215.70
Rate for Payer: UnitedHealthcare Community & State	$45.44
Rate for Payer: Wellpoint Medicaid Managed Care	$40.84

TAP SURGICAL 5.5MM GPS

Facility

$6,190.00

Hospital Charge Code	270696765
Hospital Revenue Code	272
Min. Negotiated Rate	$928.50
Max. Negotiated Rate	$928.50
Rate for Payer: Qualcare PPO/HMO/WC	$928.50

Know your out-of-pocket cost for care.

All Charges