Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

TFCC FAST FIX KIT

Facility

$2,965.00

Hospital Charge Code	270675400
Hospital Revenue Code	272
Min. Negotiated Rate	$444.75
Max. Negotiated Rate	$444.75
Rate for Payer: Qualcare PPO/HMO/WC	$444.75

TFNA 10MM 130D 320MM LT

Facility

$11,950.00

Service Code	HCPCS C1776
Hospital Charge Code	270694883
Hospital Revenue Code	278
Min. Negotiated Rate	$339.38
Max. Negotiated Rate	$5,975.00
Rate for Payer: Aetna Commercial	$4,541.00
Rate for Payer: Aetna Medicare Advantage	$3,585.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,047.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,047.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,390.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,047.25
Rate for Payer: Cigna Commercial	$5,975.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,891.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,792.50
Rate for Payer: UnitedHealthcare Community & State	$377.62
Rate for Payer: Wellpoint Medicaid Managed Care	$339.38

TFNA 10MM 130D 320MM LT

Facility

$11,950.00

Service Code	HCPCS C1776
Hospital Charge Code	270694883
Hospital Revenue Code	278
Min. Negotiated Rate	$1,792.50
Max. Negotiated Rate	$2,891.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,390.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,891.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,792.50

TFNA 10MM130DEGTI CANN440MM LT

Facility

$9,940.00

Service Code	HCPCS C1713
Hospital Charge Code	270693114
Hospital Revenue Code	278
Min. Negotiated Rate	$1,491.00
Max. Negotiated Rate	$2,405.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,988.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,405.48
Rate for Payer: Qualcare PPO/HMO/WC	$1,491.00

TFNA 10MM130DEGTI CANN440MM LT

Facility

$9,940.00

Service Code	HCPCS C1713
Hospital Charge Code	270693114
Hospital Revenue Code	278
Min. Negotiated Rate	$282.30
Max. Negotiated Rate	$4,970.00
Rate for Payer: Aetna Commercial	$3,777.20
Rate for Payer: Aetna Medicare Advantage	$2,982.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,534.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,534.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,988.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,534.70
Rate for Payer: Cigna Commercial	$4,970.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,405.48
Rate for Payer: Qualcare PPO/HMO/WC	$1,491.00
Rate for Payer: UnitedHealthcare Community & State	$314.10
Rate for Payer: Wellpoint Medicaid Managed Care	$282.30

TFNA 11MM 130D TI 235MM RT

Facility

$22,045.00

Service Code	HCPCS C1776
Hospital Charge Code	270694976
Hospital Revenue Code	278
Min. Negotiated Rate	$626.08
Max. Negotiated Rate	$11,022.50
Rate for Payer: Aetna Commercial	$8,377.10
Rate for Payer: Aetna Medicare Advantage	$6,613.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,621.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,621.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,409.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,621.48
Rate for Payer: Cigna Commercial	$11,022.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,334.89
Rate for Payer: Qualcare PPO/HMO/WC	$3,306.75
Rate for Payer: UnitedHealthcare Community & State	$696.62
Rate for Payer: Wellpoint Medicaid Managed Care	$626.08

TFNA 11MM 130D TI 235MM RT

Facility

$22,045.00

Service Code	HCPCS C1776
Hospital Charge Code	270694976
Hospital Revenue Code	278
Min. Negotiated Rate	$3,306.75
Max. Negotiated Rate	$5,334.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,409.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,334.89
Rate for Payer: Qualcare PPO/HMO/WC	$3,306.75

TFNA 380MM LT 10MM/130 DEG TI

Facility

$9,653.15

Service Code	HCPCS C1713
Hospital Charge Code	270679686
Hospital Revenue Code	278
Min. Negotiated Rate	$1,447.97
Max. Negotiated Rate	$2,336.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,930.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,336.06
Rate for Payer: Qualcare PPO/HMO/WC	$1,447.97

TFNA 380MM LT 10MM/130 DEG TI

Facility

$9,653.15

Service Code	HCPCS C1713
Hospital Charge Code	270679686
Hospital Revenue Code	278
Min. Negotiated Rate	$274.15
Max. Negotiated Rate	$4,826.57
Rate for Payer: Aetna Commercial	$3,668.20
Rate for Payer: Aetna Medicare Advantage	$2,895.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,461.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,461.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,930.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,461.55
Rate for Payer: Cigna Commercial	$4,826.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,336.06
Rate for Payer: Qualcare PPO/HMO/WC	$1,447.97
Rate for Payer: UnitedHealthcare Community & State	$305.04
Rate for Payer: Wellpoint Medicaid Managed Care	$274.15

TFNA CANN 10MM/130/360

Facility

$9,653.15

Service Code	HCPCS C1713
Hospital Charge Code	270677487
Hospital Revenue Code	278
Min. Negotiated Rate	$1,447.97
Max. Negotiated Rate	$2,336.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,930.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,336.06
Rate for Payer: Qualcare PPO/HMO/WC	$1,447.97

TFNA CANN 10MM/130/360

Facility

$9,653.15

Service Code	HCPCS C1713
Hospital Charge Code	270677487
Hospital Revenue Code	278
Min. Negotiated Rate	$274.15
Max. Negotiated Rate	$4,826.57
Rate for Payer: Aetna Commercial	$3,668.20
Rate for Payer: Aetna Medicare Advantage	$2,895.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,461.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,461.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,930.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,461.55
Rate for Payer: Cigna Commercial	$4,826.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,336.06
Rate for Payer: Qualcare PPO/HMO/WC	$1,447.97
Rate for Payer: UnitedHealthcare Community & State	$305.04
Rate for Payer: Wellpoint Medicaid Managed Care	$274.15

TFNA CANN 11MM 130D 235MM LT

Facility

$22,045.00

Service Code	HCPCS C1713
Hospital Charge Code	270700152
Hospital Revenue Code	278
Min. Negotiated Rate	$626.08
Max. Negotiated Rate	$11,022.50
Rate for Payer: Aetna Commercial	$8,377.10
Rate for Payer: Aetna Medicare Advantage	$6,613.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,621.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,621.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,409.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,621.48
Rate for Payer: Cigna Commercial	$11,022.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,334.89
Rate for Payer: Qualcare PPO/HMO/WC	$3,306.75
Rate for Payer: UnitedHealthcare Community & State	$696.62
Rate for Payer: Wellpoint Medicaid Managed Care	$626.08

TFNA CANN 11MM 130D 235MM LT

Facility

$22,045.00

Service Code	HCPCS C1713
Hospital Charge Code	270700152
Hospital Revenue Code	278
Min. Negotiated Rate	$3,306.75
Max. Negotiated Rate	$5,334.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,409.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,334.89
Rate for Payer: Qualcare PPO/HMO/WC	$3,306.75

TFNA CANNULA 11/125 340 RT

Facility

$10,969.10

Service Code	HCPCS C1713
Hospital Charge Code	270693038
Hospital Revenue Code	278
Min. Negotiated Rate	$311.52
Max. Negotiated Rate	$5,484.55
Rate for Payer: Aetna Commercial	$4,168.26
Rate for Payer: Aetna Medicare Advantage	$3,290.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,797.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,797.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,193.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,797.12
Rate for Payer: Cigna Commercial	$5,484.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,654.52
Rate for Payer: Qualcare PPO/HMO/WC	$1,645.37
Rate for Payer: UnitedHealthcare Community & State	$346.62
Rate for Payer: Wellpoint Medicaid Managed Care	$311.52

TFNA CANNULA 11/125 340 RT

Facility

$10,969.10

Service Code	HCPCS C1713
Hospital Charge Code	270693038
Hospital Revenue Code	278
Min. Negotiated Rate	$1,645.37
Max. Negotiated Rate	$2,654.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,193.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,654.52
Rate for Payer: Qualcare PPO/HMO/WC	$1,645.37

TFN-ADVNAIL12MM130DTICANN170MM

Facility

$7,576.05

Service Code	HCPCS C1713
Hospital Charge Code	270692572
Hospital Revenue Code	278
Min. Negotiated Rate	$1,136.41
Max. Negotiated Rate	$1,833.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,515.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,833.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,136.41

TFN-ADVNAIL12MM130DTICANN170MM

Facility

$7,576.05

Service Code	HCPCS C1713
Hospital Charge Code	270692572
Hospital Revenue Code	278
Min. Negotiated Rate	$215.16
Max. Negotiated Rate	$3,788.03
Rate for Payer: Aetna Commercial	$2,878.90
Rate for Payer: Aetna Medicare Advantage	$2,272.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,931.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,931.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,515.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,931.89
Rate for Payer: Cigna Commercial	$3,788.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,833.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,136.41
Rate for Payer: UnitedHealthcare Community & State	$239.40
Rate for Payer: Wellpoint Medicaid Managed Care	$215.16

TFNA FENESTRATED HELICAL 95MM

Facility

$3,389.60

Service Code	HCPCS C1713
Hospital Charge Code	270681754
Hospital Revenue Code	278
Min. Negotiated Rate	$508.44
Max. Negotiated Rate	$820.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$677.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$820.28
Rate for Payer: Qualcare PPO/HMO/WC	$508.44

TFNA FENESTRATED HELICAL 95MM

Facility

$3,389.60

Service Code	HCPCS C1713
Hospital Charge Code	270681754
Hospital Revenue Code	278
Min. Negotiated Rate	$96.26
Max. Negotiated Rate	$1,694.80
Rate for Payer: Aetna Commercial	$1,288.05
Rate for Payer: Aetna Medicare Advantage	$1,016.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$864.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$864.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$677.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$864.35
Rate for Payer: Cigna Commercial	$1,694.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$820.28
Rate for Payer: Qualcare PPO/HMO/WC	$508.44
Rate for Payer: UnitedHealthcare Community & State	$107.11
Rate for Payer: Wellpoint Medicaid Managed Care	$96.26

TFNA FENESTRATED SCREW 95 MM

Facility

$3,172.00

Service Code	HCPCS C1713
Hospital Charge Code	270687809
Hospital Revenue Code	278
Min. Negotiated Rate	$90.08
Max. Negotiated Rate	$1,586.00
Rate for Payer: Aetna Commercial	$1,205.36
Rate for Payer: Aetna Medicare Advantage	$951.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$808.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$808.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$634.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$808.86
Rate for Payer: Cigna Commercial	$1,586.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$767.62
Rate for Payer: Qualcare PPO/HMO/WC	$475.80
Rate for Payer: UnitedHealthcare Community & State	$100.24
Rate for Payer: Wellpoint Medicaid Managed Care	$90.08

TFNA FENESTRATED SCREW 95 MM

Facility

$3,172.00

Service Code	HCPCS C1713
Hospital Charge Code	270687809
Hospital Revenue Code	278
Min. Negotiated Rate	$475.80
Max. Negotiated Rate	$767.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$634.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$767.62
Rate for Payer: Qualcare PPO/HMO/WC	$475.80

TFNA FENSTRD HELICALBLADE 75MM

Facility

$3,389.60

Service Code	HCPCS C1713
Hospital Charge Code	270686548
Hospital Revenue Code	278
Min. Negotiated Rate	$96.26
Max. Negotiated Rate	$1,694.80
Rate for Payer: Aetna Commercial	$1,288.05
Rate for Payer: Aetna Medicare Advantage	$1,016.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$864.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$864.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$677.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$864.35
Rate for Payer: Cigna Commercial	$1,694.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$820.28
Rate for Payer: Qualcare PPO/HMO/WC	$508.44
Rate for Payer: UnitedHealthcare Community & State	$107.11
Rate for Payer: Wellpoint Medicaid Managed Care	$96.26

TFNA FENSTRD HELICALBLADE 75MM

Facility

$3,389.60

Service Code	HCPCS C1713
Hospital Charge Code	270686548
Hospital Revenue Code	278
Min. Negotiated Rate	$508.44
Max. Negotiated Rate	$820.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$677.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$820.28
Rate for Payer: Qualcare PPO/HMO/WC	$508.44

TFNA HELICAL BLADE 120MM

Facility

$3,290.85

Hospital Charge Code	270679723
Hospital Revenue Code	272
Min. Negotiated Rate	$493.63
Max. Negotiated Rate	$493.63
Rate for Payer: Qualcare PPO/HMO/WC	$493.63

TFNA HELICAL BLADE 120MM

Facility

$3,290.85

Hospital Charge Code	270679723
Hospital Revenue Code	272
Min. Negotiated Rate	$93.46
Max. Negotiated Rate	$1,645.42
Rate for Payer: Aetna Commercial	$1,250.52
Rate for Payer: Aetna Medicare Advantage	$987.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$839.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$839.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$839.17
Rate for Payer: Cigna Commercial	$1,645.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$855.62
Rate for Payer: Oxford Commercial	$658.17
Rate for Payer: Qualcare PPO/HMO/WC	$493.63
Rate for Payer: UnitedHealthcare Commercial	$658.17
Rate for Payer: UnitedHealthcare Community & State	$103.99
Rate for Payer: Wellpoint Medicaid Managed Care	$93.46

Know your out-of-pocket cost for care.

All Charges