Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

VERSAWRAP 5X5CM

Facility

$15,000.00

Service Code	HCPCS C1781
Hospital Charge Code	270704758
Hospital Revenue Code	278
Min. Negotiated Rate	$2,250.00
Max. Negotiated Rate	$3,630.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,630.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,250.00

VERSAWRAP 5X5CM

Facility

$15,000.00

Service Code	HCPCS C1781
Hospital Charge Code	270704758
Hospital Revenue Code	278
Min. Negotiated Rate	$426.00
Max. Negotiated Rate	$7,500.00
Rate for Payer: Aetna Commercial	$5,700.00
Rate for Payer: Aetna Medicare Advantage	$4,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,825.00
Rate for Payer: Cigna Commercial	$7,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,630.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,250.00
Rate for Payer: UnitedHealthcare Community & State	$474.00
Rate for Payer: Wellpoint Medicaid Managed Care	$426.00

VERSYS ADVOCATE STDRD OFFSET

Facility

$29,335.00

Hospital Charge Code	270658835
Hospital Revenue Code	270
Min. Negotiated Rate	$4,400.25
Max. Negotiated Rate	$4,400.25
Rate for Payer: Qualcare PPO/HMO/WC	$4,400.25

VERSYS ADVOCATE STDRD OFFSET

Facility

$29,335.00

Hospital Charge Code	270658835
Hospital Revenue Code	270
Min. Negotiated Rate	$833.11
Max. Negotiated Rate	$14,667.50
Rate for Payer: Aetna Commercial	$11,147.30
Rate for Payer: Aetna Medicare Advantage	$8,800.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,480.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,480.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,480.43
Rate for Payer: Cigna Commercial	$14,667.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,627.10
Rate for Payer: Oxford Commercial	$5,867.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,400.25
Rate for Payer: UnitedHealthcare Commercial	$5,867.00
Rate for Payer: UnitedHealthcare Community & State	$926.99
Rate for Payer: Wellpoint Medicaid Managed Care	$833.11

VERSYS EPOCH,14MM STD BODY

Facility

$22,015.00

Hospital Charge Code	270666711
Hospital Revenue Code	278
Min. Negotiated Rate	$3,302.25
Max. Negotiated Rate	$5,327.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,403.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,327.63
Rate for Payer: Qualcare PPO/HMO/WC	$3,302.25

VERSYS EPOCH,14MM STD BODY

Facility

$22,015.00

Hospital Charge Code	270666711
Hospital Revenue Code	278
Min. Negotiated Rate	$625.23
Max. Negotiated Rate	$11,007.50
Rate for Payer: Aetna Commercial	$8,365.70
Rate for Payer: Aetna Medicare Advantage	$6,604.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,613.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,613.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,403.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,613.82
Rate for Payer: Cigna Commercial	$11,007.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,327.63
Rate for Payer: Qualcare PPO/HMO/WC	$3,302.25
Rate for Payer: UnitedHealthcare Community & State	$695.67
Rate for Payer: Wellpoint Medicaid Managed Care	$625.23

VERSYSFMTAPER15X140STDBODYNECK

Facility

$15,948.55

Hospital Charge Code	270662350
Hospital Revenue Code	272
Min. Negotiated Rate	$2,392.28
Max. Negotiated Rate	$2,392.28
Rate for Payer: Qualcare PPO/HMO/WC	$2,392.28

VERSYSFMTAPER15X140STDBODYNECK

Facility

$15,948.55

Hospital Charge Code	270662350
Hospital Revenue Code	272
Min. Negotiated Rate	$452.94
Max. Negotiated Rate	$7,974.27
Rate for Payer: Aetna Commercial	$6,060.45
Rate for Payer: Aetna Medicare Advantage	$4,784.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,066.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,066.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,066.88
Rate for Payer: Cigna Commercial	$7,974.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,146.62
Rate for Payer: Oxford Commercial	$3,189.71
Rate for Payer: Qualcare PPO/HMO/WC	$2,392.28
Rate for Payer: UnitedHealthcare Commercial	$3,189.71
Rate for Payer: UnitedHealthcare Community & State	$503.97
Rate for Payer: Wellpoint Medicaid Managed Care	$452.94

VERTAPLEX

Facility

$4,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270692053
Hospital Revenue Code	278
Min. Negotiated Rate	$117.15
Max. Negotiated Rate	$2,062.50
Rate for Payer: Aetna Commercial	$1,567.50
Rate for Payer: Aetna Medicare Advantage	$1,237.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,051.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,051.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,051.88
Rate for Payer: Cigna Commercial	$2,062.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$998.25
Rate for Payer: Qualcare PPO/HMO/WC	$618.75
Rate for Payer: UnitedHealthcare Community & State	$130.35
Rate for Payer: Wellpoint Medicaid Managed Care	$117.15

VERTAPLEX

Facility

$4,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270692053
Hospital Revenue Code	278
Min. Negotiated Rate	$618.75
Max. Negotiated Rate	$998.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$825.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$998.25
Rate for Payer: Qualcare PPO/HMO/WC	$618.75

VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES

Facility

$28,306.74

Service Code	APR-DRG 3103
Min. Negotiated Rate	$27,751.71
Max. Negotiated Rate	$28,306.74
Rate for Payer: UnitedHealthcare Community & State	$27,751.71
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$28,306.74
Rate for Payer: Wellpoint Medicaid Managed Care	$27,751.71

VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES

Facility

$20,673.93

Service Code	APR-DRG 3102
Min. Negotiated Rate	$20,268.56
Max. Negotiated Rate	$20,673.93
Rate for Payer: UnitedHealthcare Community & State	$20,268.56
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$20,673.93
Rate for Payer: Wellpoint Medicaid Managed Care	$20,268.56

VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES

Facility

$15,484.74

Service Code	APR-DRG 3101
Min. Negotiated Rate	$15,181.12
Max. Negotiated Rate	$15,484.74
Rate for Payer: UnitedHealthcare Community & State	$15,181.12
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$15,484.74
Rate for Payer: Wellpoint Medicaid Managed Care	$15,181.12

VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES

Facility

$52,693.78

Service Code	APR-DRG 3104
Min. Negotiated Rate	$51,660.57
Max. Negotiated Rate	$52,693.78
Rate for Payer: UnitedHealthcare Community & State	$51,660.57
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$52,693.78
Rate for Payer: Wellpoint Medicaid Managed Care	$51,660.57

VERTEBR CORPCTMY,CERV SGL SEGT

Facility

$19,892.30

Service Code	HCPCS 63081
Hospital Charge Code	16001029
Hospital Revenue Code	360
Min. Negotiated Rate	$564.94
Max. Negotiated Rate	$14,869.00
Rate for Payer: Aetna Commercial	$7,559.07
Rate for Payer: Aetna Medicare Advantage	$5,967.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,072.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,072.54
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	$5,072.54
Rate for Payer: Cigna Commercial	$9,946.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,172.00
Rate for Payer: Oxford Commercial	$13,407.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,983.84
Rate for Payer: UnitedHealthcare Commercial	$14,869.00
Rate for Payer: UnitedHealthcare Community & State	$628.60
Rate for Payer: Wellpoint Medicaid Managed Care	$564.94

VERTEBR CORPCTMY,CERV SGL SEGT

Facility

$19,892.30

Service Code	HCPCS 63081
Hospital Charge Code	16001029
Hospital Revenue Code	360
Min. Negotiated Rate	$2,983.84
Max. Negotiated Rate	$2,983.84
Rate for Payer: Qualcare PPO/HMO/WC	$2,983.84

VERTEBROPLASTY ADDL INJECT

Facility

$8,337.15

Service Code	HCPCS 22512
Hospital Charge Code	7411354
Hospital Revenue Code	320
Min. Negotiated Rate	$236.78
Max. Negotiated Rate	$4,168.57
Rate for Payer: Aetna Commercial	$3,168.12
Rate for Payer: Aetna Medicare Advantage	$2,501.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,125.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,125.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$635.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,125.97
Rate for Payer: Cigna Commercial	$4,168.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,167.66
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,250.57
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$263.45
Rate for Payer: Wellpoint Medicaid Managed Care	$236.78

VERTEBROPLASTY ADDL INJECT

Facility

$8,337.15

Service Code	HCPCS 22512
Hospital Charge Code	5701105
Hospital Revenue Code	320
Min. Negotiated Rate	$1,250.57
Max. Negotiated Rate	$1,250.57
Rate for Payer: Qualcare PPO/HMO/WC	$1,250.57

VERTEBROPLASTY ADDL INJECT

Facility

$8,337.15

Service Code	HCPCS 22512
Hospital Charge Code	5701105
Hospital Revenue Code	320
Min. Negotiated Rate	$236.78
Max. Negotiated Rate	$4,168.57
Rate for Payer: Aetna Commercial	$3,168.12
Rate for Payer: Aetna Medicare Advantage	$2,501.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,125.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,125.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$635.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,125.97
Rate for Payer: Cigna Commercial	$4,168.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,167.66
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,250.57
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$263.45
Rate for Payer: Wellpoint Medicaid Managed Care	$236.78

VERTEBROPLASTY ADDL INJECT

Facility

$8,337.15

Service Code	HCPCS 22512
Hospital Charge Code	7411354
Hospital Revenue Code	320
Min. Negotiated Rate	$1,250.57
Max. Negotiated Rate	$1,250.57
Rate for Payer: Qualcare PPO/HMO/WC	$1,250.57

VERTIGO AND OTHER LABYRINTH DISORDERS

Facility

$7,571.00

Service Code	APR-DRG 1111
Min. Negotiated Rate	$7,422.55
Max. Negotiated Rate	$7,571.00
Rate for Payer: UnitedHealthcare Community & State	$7,422.55
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,571.00
Rate for Payer: Wellpoint Medicaid Managed Care	$7,422.55

VERTIGO AND OTHER LABYRINTH DISORDERS

Facility

$8,680.50

Service Code	APR-DRG 1112
Min. Negotiated Rate	$8,510.29
Max. Negotiated Rate	$8,680.50
Rate for Payer: UnitedHealthcare Community & State	$8,510.29
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,680.50
Rate for Payer: Wellpoint Medicaid Managed Care	$8,510.29

VERTIGO AND OTHER LABYRINTH DISORDERS

Facility

$10,535.70

Service Code	APR-DRG 1113
Min. Negotiated Rate	$10,329.12
Max. Negotiated Rate	$10,535.70
Rate for Payer: UnitedHealthcare Community & State	$10,329.12
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$10,535.70
Rate for Payer: Wellpoint Medicaid Managed Care	$10,329.12

VERTIGO AND OTHER LABYRINTH DISORDERS

Facility

$21,864.80

Service Code	APR-DRG 1114
Min. Negotiated Rate	$21,436.08
Max. Negotiated Rate	$21,864.80
Rate for Payer: UnitedHealthcare Community & State	$21,436.08
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$21,864.80
Rate for Payer: Wellpoint Medicaid Managed Care	$21,436.08

VERT INTERBODY 16X14X9MM 7D

Facility

$10,250.00

Service Code	HCPCS C1889
Hospital Charge Code	270693815
Hospital Revenue Code	278
Min. Negotiated Rate	$291.10
Max. Negotiated Rate	$5,125.00
Rate for Payer: Aetna Commercial	$3,895.00
Rate for Payer: Aetna Medicare Advantage	$3,075.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,613.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,613.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,613.75
Rate for Payer: Cigna Commercial	$5,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,480.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,537.50
Rate for Payer: UnitedHealthcare Community & State	$323.90
Rate for Payer: Wellpoint Medicaid Managed Care	$291.10

Know your out-of-pocket cost for care.

All Charges