Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

BOLT SHOULDER MAXFRAME FOR 8MM

Facility

$450.00

Hospital Charge Code	270681234
Hospital Revenue Code	272
Min. Negotiated Rate	$12.78
Max. Negotiated Rate	$225.00
Rate for Payer: Aetna Commercial	$171.00
Rate for Payer: Aetna Medicare Advantage	$135.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.75
Rate for Payer: Cigna Commercial	$225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.00
Rate for Payer: Oxford Commercial	$90.00
Rate for Payer: Qualcare PPO/HMO/WC	$67.50
Rate for Payer: UnitedHealthcare Commercial	$90.00
Rate for Payer: UnitedHealthcare Community & State	$14.22
Rate for Payer: Wellpoint Medicaid Managed Care	$12.78

BOLT WIRED T/SLOTTED

Facility

$221.20

Hospital Charge Code	270681229
Hospital Revenue Code	272
Min. Negotiated Rate	$6.28
Max. Negotiated Rate	$110.60
Rate for Payer: Aetna Commercial	$84.06
Rate for Payer: Aetna Medicare Advantage	$66.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.41
Rate for Payer: Cigna Commercial	$110.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.51
Rate for Payer: Oxford Commercial	$44.24
Rate for Payer: Qualcare PPO/HMO/WC	$33.18
Rate for Payer: UnitedHealthcare Commercial	$44.24
Rate for Payer: UnitedHealthcare Community & State	$6.99
Rate for Payer: Wellpoint Medicaid Managed Care	$6.28

BOLT WIRED T/SLOTTED

Facility

$221.20

Hospital Charge Code	270681229
Hospital Revenue Code	272
Min. Negotiated Rate	$33.18
Max. Negotiated Rate	$33.18
Rate for Payer: Qualcare PPO/HMO/WC	$33.18

BOLT WIRE OFFSET 0 DEGREE

Facility

$205.30

Hospital Charge Code	270683951
Hospital Revenue Code	272
Min. Negotiated Rate	$5.83
Max. Negotiated Rate	$102.65
Rate for Payer: Aetna Commercial	$78.01
Rate for Payer: Aetna Medicare Advantage	$61.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.35
Rate for Payer: Cigna Commercial	$102.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.38
Rate for Payer: Oxford Commercial	$41.06
Rate for Payer: Qualcare PPO/HMO/WC	$30.80
Rate for Payer: UnitedHealthcare Commercial	$41.06
Rate for Payer: UnitedHealthcare Community & State	$6.49
Rate for Payer: Wellpoint Medicaid Managed Care	$5.83

BOLT WIRE OFFSET 0 DEGREE

Facility

$205.30

Hospital Charge Code	270683951
Hospital Revenue Code	272
Min. Negotiated Rate	$30.80
Max. Negotiated Rate	$30.80
Rate for Payer: Qualcare PPO/HMO/WC	$30.80

BONE ACCESS OSTEOCOOL

Facility

$2,520.00

Hospital Charge Code	270691563
Hospital Revenue Code	272
Min. Negotiated Rate	$378.00
Max. Negotiated Rate	$378.00
Rate for Payer: Qualcare PPO/HMO/WC	$378.00

BONE ACCESS OSTEOCOOL

Facility

$2,520.00

Hospital Charge Code	270691563
Hospital Revenue Code	272
Min. Negotiated Rate	$71.57
Max. Negotiated Rate	$1,260.00
Rate for Payer: Aetna Commercial	$957.60
Rate for Payer: Aetna Medicare Advantage	$756.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$642.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$642.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$642.60
Rate for Payer: Cigna Commercial	$1,260.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$655.20
Rate for Payer: Oxford Commercial	$504.00
Rate for Payer: Qualcare PPO/HMO/WC	$378.00
Rate for Payer: UnitedHealthcare Commercial	$504.00
Rate for Payer: UnitedHealthcare Community & State	$79.63
Rate for Payer: Wellpoint Medicaid Managed Care	$71.57

BONE AGE

Facility

$5,100.00

Service Code	HCPCS 77072
Hospital Charge Code	94061193
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

BONE AGE

Facility

$5,100.00

Service Code	HCPCS 77072
Hospital Charge Code	94061193
Hospital Revenue Code	320
Min. Negotiated Rate	$26.48
Max. Negotiated Rate	$2,231.00
Rate for Payer: Aetna Commercial	$337.82
Rate for Payer: Aetna Medicare Advantage	$402.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$450.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$450.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$124.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$450.54
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: Cigna Medicare Advantage	$86.94
Rate for Payer: Clover Medicare Advantage	$117.99
Rate for Payer: EmblemHealth Commercial	$372.60
Rate for Payer: Humana Medicare Advantage	$127.93
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$124.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,326.00
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$161.16
Rate for Payer: UnitedHealthcare Medicare Advantage	$124.20
Rate for Payer: Wellcare Medicare Advantage	$124.20
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$407.88
Rate for Payer: Wellpoint Medicaid Managed Care	$144.84

BONE ANCHORS 3 W ARTHR DEL SYS

Facility

$4,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270687115
Hospital Revenue Code	278
Min. Negotiated Rate	$712.50
Max. Negotiated Rate	$1,149.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,149.50
Rate for Payer: Qualcare PPO/HMO/WC	$712.50

BONE ANCHORS 3 W ARTHR DEL SYS

Facility

$4,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270687115
Hospital Revenue Code	278
Min. Negotiated Rate	$134.90
Max. Negotiated Rate	$2,375.00
Rate for Payer: Aetna Commercial	$1,805.00
Rate for Payer: Aetna Medicare Advantage	$1,425.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$950.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,211.25
Rate for Payer: Cigna Commercial	$2,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,149.50
Rate for Payer: Qualcare PPO/HMO/WC	$712.50
Rate for Payer: UnitedHealthcare Community & State	$150.10
Rate for Payer: Wellpoint Medicaid Managed Care	$134.90

BONE ANCHORS 3 W ARTHRO DEL SY

Facility

$4,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270688655
Hospital Revenue Code	278
Min. Negotiated Rate	$134.90
Max. Negotiated Rate	$2,375.00
Rate for Payer: Aetna Commercial	$1,805.00
Rate for Payer: Aetna Medicare Advantage	$1,425.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$950.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,211.25
Rate for Payer: Cigna Commercial	$2,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,149.50
Rate for Payer: Qualcare PPO/HMO/WC	$712.50
Rate for Payer: UnitedHealthcare Community & State	$150.10
Rate for Payer: Wellpoint Medicaid Managed Care	$134.90

BONE ANCHORS 3 W ARTHRO DEL SY

Facility

$4,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270688655
Hospital Revenue Code	278
Min. Negotiated Rate	$712.50
Max. Negotiated Rate	$1,149.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,149.50
Rate for Payer: Qualcare PPO/HMO/WC	$712.50

BONE ASPIRATIO KIT

Facility

$1,269.00

Hospital Charge Code	270332656
Hospital Revenue Code	272
Min. Negotiated Rate	$36.04
Max. Negotiated Rate	$634.50
Rate for Payer: Aetna Commercial	$482.22
Rate for Payer: Aetna Medicare Advantage	$380.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$323.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$323.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$323.60
Rate for Payer: Cigna Commercial	$634.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$329.94
Rate for Payer: Oxford Commercial	$253.80
Rate for Payer: Qualcare PPO/HMO/WC	$190.35
Rate for Payer: UnitedHealthcare Commercial	$253.80
Rate for Payer: UnitedHealthcare Community & State	$40.10
Rate for Payer: Wellpoint Medicaid Managed Care	$36.04

BONE ASPIRATIO KIT

Facility

$1,269.00

Hospital Charge Code	270332656
Hospital Revenue Code	272
Min. Negotiated Rate	$190.35
Max. Negotiated Rate	$190.35
Rate for Payer: Qualcare PPO/HMO/WC	$190.35

BONE ASP NEEDLE

Facility

$875.00

Hospital Charge Code	270703140
Hospital Revenue Code	278
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$211.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.75
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

BONE ASP NEEDLE

Facility

$875.00

Hospital Charge Code	270703140
Hospital Revenue Code	278
Min. Negotiated Rate	$24.85
Max. Negotiated Rate	$437.50
Rate for Payer: Aetna Commercial	$332.50
Rate for Payer: Aetna Medicare Advantage	$262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.12
Rate for Payer: Cigna Commercial	$437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.75
Rate for Payer: Qualcare PPO/HMO/WC	$131.25
Rate for Payer: UnitedHealthcare Community & State	$27.65
Rate for Payer: Wellpoint Medicaid Managed Care	$24.85

BONE AWL 30 DEGREE

Facility

$2,266.05

Hospital Charge Code	270683646
Hospital Revenue Code	272
Min. Negotiated Rate	$64.36
Max. Negotiated Rate	$1,133.03
Rate for Payer: Aetna Commercial	$861.10
Rate for Payer: Aetna Medicare Advantage	$679.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$577.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$577.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$577.84
Rate for Payer: Cigna Commercial	$1,133.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$589.17
Rate for Payer: Oxford Commercial	$453.21
Rate for Payer: Qualcare PPO/HMO/WC	$339.91
Rate for Payer: UnitedHealthcare Commercial	$453.21
Rate for Payer: UnitedHealthcare Community & State	$71.61
Rate for Payer: Wellpoint Medicaid Managed Care	$64.36

BONE AWL 30 DEGREE

Facility

$2,266.05

Hospital Charge Code	270683646
Hospital Revenue Code	272
Min. Negotiated Rate	$339.91
Max. Negotiated Rate	$339.91
Rate for Payer: Qualcare PPO/HMO/WC	$339.91

BONE AWL 45 DEGREE

Facility

$2,266.05

Hospital Charge Code	270683647
Hospital Revenue Code	272
Min. Negotiated Rate	$64.36
Max. Negotiated Rate	$1,133.03
Rate for Payer: Aetna Commercial	$861.10
Rate for Payer: Aetna Medicare Advantage	$679.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$577.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$577.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$577.84
Rate for Payer: Cigna Commercial	$1,133.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$589.17
Rate for Payer: Oxford Commercial	$453.21
Rate for Payer: Qualcare PPO/HMO/WC	$339.91
Rate for Payer: UnitedHealthcare Commercial	$453.21
Rate for Payer: UnitedHealthcare Community & State	$71.61
Rate for Payer: Wellpoint Medicaid Managed Care	$64.36

BONE AWL 45 DEGREE

Facility

$2,266.05

Hospital Charge Code	270683647
Hospital Revenue Code	272
Min. Negotiated Rate	$339.91
Max. Negotiated Rate	$339.91
Rate for Payer: Qualcare PPO/HMO/WC	$339.91

BONE AWL 90 DEGREEE

Facility

$2,266.05

Hospital Charge Code	270683648
Hospital Revenue Code	272
Min. Negotiated Rate	$64.36
Max. Negotiated Rate	$1,133.03
Rate for Payer: Aetna Commercial	$861.10
Rate for Payer: Aetna Medicare Advantage	$679.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$577.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$577.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$577.84
Rate for Payer: Cigna Commercial	$1,133.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$589.17
Rate for Payer: Oxford Commercial	$453.21
Rate for Payer: Qualcare PPO/HMO/WC	$339.91
Rate for Payer: UnitedHealthcare Commercial	$453.21
Rate for Payer: UnitedHealthcare Community & State	$71.61
Rate for Payer: Wellpoint Medicaid Managed Care	$64.36

BONE AWL 90 DEGREEE

Facility

$2,266.05

Hospital Charge Code	270683648
Hospital Revenue Code	272
Min. Negotiated Rate	$339.91
Max. Negotiated Rate	$339.91
Rate for Payer: Qualcare PPO/HMO/WC	$339.91

BONE BX TR/NDL; SUPERF

Facility

$6,876.40

Service Code	HCPCS 20220
Hospital Charge Code	16000299
Hospital Revenue Code	360
Min. Negotiated Rate	$195.29
Max. Negotiated Rate	$7,117.66
Rate for Payer: Aetna Commercial	$5,337.02
Rate for Payer: Aetna Medicare Advantage	$6,357.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,117.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,117.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,962.14
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	$7,117.66
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: Cigna Medicare Advantage	$1,962.14
Rate for Payer: Clover Medicare Advantage	$1,864.03
Rate for Payer: EmblemHealth Commercial	$5,886.42
Rate for Payer: Humana Medicare Advantage	$2,021.00
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,962.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,787.86
Rate for Payer: Oxford Commercial	$3,505.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,031.46
Rate for Payer: UnitedHealthcare Commercial	$3,629.00
Rate for Payer: UnitedHealthcare Community & State	$217.29
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,962.14
Rate for Payer: Wellcare Medicare Advantage	$1,962.14
Rate for Payer: Wellpoint Medicaid Managed Care	$195.29

BONE BX TR/NDL; SUPERF

Facility

$6,876.40

Service Code	HCPCS 20220
Hospital Charge Code	16000299
Hospital Revenue Code	360
Min. Negotiated Rate	$1,031.46
Max. Negotiated Rate	$1,031.46
Rate for Payer: Qualcare PPO/HMO/WC	$1,031.46

Know your out-of-pocket cost for care.

All Charges