Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

BONE CRUSH CANCELLOUS 15CC

Facility

$1,890.00

Hospital Charge Code	270673110
Hospital Revenue Code	278
Min. Negotiated Rate	$53.68
Max. Negotiated Rate	$945.00
Rate for Payer: Aetna Commercial	$718.20
Rate for Payer: Aetna Medicare Advantage	$567.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$481.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$481.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$378.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$481.95
Rate for Payer: Cigna Commercial	$945.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$457.38
Rate for Payer: Qualcare PPO/HMO/WC	$283.50
Rate for Payer: UnitedHealthcare Community & State	$59.72
Rate for Payer: Wellpoint Medicaid Managed Care	$53.68

BONE CRUSH CANCELLOUS 15CC

Facility

$1,890.00

Hospital Charge Code	270673110
Hospital Revenue Code	278
Min. Negotiated Rate	$283.50
Max. Negotiated Rate	$457.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$378.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$457.38
Rate for Payer: Qualcare PPO/HMO/WC	$283.50

BONE CUBE CONFORM 13MM

Facility

$3,600.00

Service Code	HCPCS C1713
Hospital Charge Code	270665054
Hospital Revenue Code	278
Min. Negotiated Rate	$102.24
Max. Negotiated Rate	$1,800.00
Rate for Payer: Aetna Commercial	$1,368.00
Rate for Payer: Aetna Medicare Advantage	$1,080.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$918.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$918.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$720.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$918.00
Rate for Payer: Cigna Commercial	$1,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$871.20
Rate for Payer: Qualcare PPO/HMO/WC	$540.00
Rate for Payer: UnitedHealthcare Community & State	$113.76
Rate for Payer: Wellpoint Medicaid Managed Care	$102.24

BONE CUBE CONFORM 13MM

Facility

$3,600.00

Service Code	HCPCS C1713
Hospital Charge Code	270665054
Hospital Revenue Code	278
Min. Negotiated Rate	$540.00
Max. Negotiated Rate	$871.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$720.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$871.20
Rate for Payer: Qualcare PPO/HMO/WC	$540.00

BONE CUTTER 4 MM X 13 CM

Facility

$330.00

Hospital Charge Code	270688459
Hospital Revenue Code	272
Min. Negotiated Rate	$9.37
Max. Negotiated Rate	$165.00
Rate for Payer: Aetna Commercial	$125.40
Rate for Payer: Aetna Medicare Advantage	$99.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.15
Rate for Payer: Cigna Commercial	$165.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.80
Rate for Payer: Oxford Commercial	$66.00
Rate for Payer: Qualcare PPO/HMO/WC	$49.50
Rate for Payer: UnitedHealthcare Commercial	$66.00
Rate for Payer: UnitedHealthcare Community & State	$10.43
Rate for Payer: Wellpoint Medicaid Managed Care	$9.37

BONE CUTTER 4 MM X 13 CM

Facility

$330.00

Hospital Charge Code	270688459
Hospital Revenue Code	272
Min. Negotiated Rate	$49.50
Max. Negotiated Rate	$49.50
Rate for Payer: Qualcare PPO/HMO/WC	$49.50

BONE CUTTER HL 4.2 MM x 19 CM

Facility

$330.00

Hospital Charge Code	270681363
Hospital Revenue Code	272
Min. Negotiated Rate	$9.37
Max. Negotiated Rate	$165.00
Rate for Payer: Aetna Commercial	$125.40
Rate for Payer: Aetna Medicare Advantage	$99.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.15
Rate for Payer: Cigna Commercial	$165.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.80
Rate for Payer: Oxford Commercial	$66.00
Rate for Payer: Qualcare PPO/HMO/WC	$49.50
Rate for Payer: UnitedHealthcare Commercial	$66.00
Rate for Payer: UnitedHealthcare Community & State	$10.43
Rate for Payer: Wellpoint Medicaid Managed Care	$9.37

BONE CUTTER HL 4.2 MM x 19 CM

Facility

$330.00

Hospital Charge Code	270681363
Hospital Revenue Code	272
Min. Negotiated Rate	$49.50
Max. Negotiated Rate	$49.50
Rate for Payer: Qualcare PPO/HMO/WC	$49.50

BONE CUTTER TUBESET

Facility

$250.00

Hospital Charge Code	270663411
Hospital Revenue Code	272
Min. Negotiated Rate	$7.10
Max. Negotiated Rate	$125.00
Rate for Payer: Aetna Commercial	$95.00
Rate for Payer: Aetna Medicare Advantage	$75.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.75
Rate for Payer: Cigna Commercial	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.00
Rate for Payer: Oxford Commercial	$50.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.50
Rate for Payer: UnitedHealthcare Commercial	$50.00
Rate for Payer: UnitedHealthcare Community & State	$7.90
Rate for Payer: Wellpoint Medicaid Managed Care	$7.10

BONE CUTTER TUBESET

Facility

$250.00

Hospital Charge Code	270663411
Hospital Revenue Code	272
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$37.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

BONE DEMINERALIZED BONE PUTT

Facility

$1,270.00

Service Code	HCPCS C1713
Hospital Charge Code	270655823
Hospital Revenue Code	278
Min. Negotiated Rate	$190.50
Max. Negotiated Rate	$307.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$254.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$307.34
Rate for Payer: Qualcare PPO/HMO/WC	$190.50

BONE DEMINERALIZED BONE PUTT

Facility

$1,270.00

Service Code	HCPCS C1713
Hospital Charge Code	270655823
Hospital Revenue Code	278
Min. Negotiated Rate	$36.07
Max. Negotiated Rate	$635.00
Rate for Payer: Aetna Commercial	$482.60
Rate for Payer: Aetna Medicare Advantage	$381.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$323.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$323.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$254.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$323.85
Rate for Payer: Cigna Commercial	$635.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$307.34
Rate for Payer: Qualcare PPO/HMO/WC	$190.50
Rate for Payer: UnitedHealthcare Community & State	$40.13
Rate for Payer: Wellpoint Medicaid Managed Care	$36.07

BONE DENSITY

Facility

$5,100.00

Service Code	HCPCS 77080
Hospital Charge Code	94061199
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

BONE DENSITY

Facility

$5,100.00

Service Code	HCPCS 77080
Hospital Charge Code	94061199
Hospital Revenue Code	320
Min. Negotiated Rate	$86.94
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	$107.25
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: Wellpoint Medicaid Managed Care	$144.84

BONE DENSITY DEXA APP SKELETON

Facility

$191.00

Service Code	HCPCS 77081
Hospital Charge Code	2709001
Hospital Revenue Code	320
Min. Negotiated Rate	$5.42
Max. Negotiated Rate	$2,231.00
Rate for Payer: Aetna Commercial	$281.22
Rate for Payer: Aetna Medicare Advantage	$334.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$375.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$375.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$103.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$375.05
Rate for Payer: Cigna Commercial	$207.24
Rate for Payer: Cigna Medicare Advantage	$72.37
Rate for Payer: Clover Medicare Advantage	$98.22
Rate for Payer: EmblemHealth Commercial	$310.17
Rate for Payer: Humana Medicare Advantage	$106.49
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$103.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.66
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.65
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$6.04
Rate for Payer: UnitedHealthcare Medicare Advantage	$103.39
Rate for Payer: Wellcare Medicare Advantage	$103.39
Rate for Payer: Wellpoint Medicaid Managed Care	$5.42

BONE DENSITY DEXA APP SKELETON

Facility

$191.00

Service Code	HCPCS 77081
Hospital Charge Code	2709001
Hospital Revenue Code	320
Min. Negotiated Rate	$28.65
Max. Negotiated Rate	$28.65
Rate for Payer: Qualcare PPO/HMO/WC	$28.65

BONE DISEASES AND ARTHROPATHIES WITH MCC

Facility

$60,419.33

Service Code	MSDRG 553
Min. Negotiated Rate	$18,396.91
Max. Negotiated Rate	$60,419.33
Rate for Payer: Aetna Commercial	$44,889.84
Rate for Payer: Aetna Medicare Advantage	$60,419.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37,401.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37,401.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19,365.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37,401.75
Rate for Payer: Cigna Commercial	$28,898.42
Rate for Payer: Cigna Medicare Advantage	$19,365.17
Rate for Payer: Clover Medicare Advantage	$18,396.91
Rate for Payer: EmblemHealth Commercial	$58,095.51
Rate for Payer: Humana Medicare Advantage	$19,946.13
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$19,365.17
Rate for Payer: Oxford Commercial	$22,840.81
Rate for Payer: UnitedHealthcare Commercial	$30,573.24
Rate for Payer: UnitedHealthcare Medicare Advantage	$19,365.17
Rate for Payer: Wellcare Medicare Advantage	$19,365.17

BONE DISEASES AND ARTHROPATHIES WITHOUT MCC

Facility

$45,690.43

Service Code	MSDRG 554
Min. Negotiated Rate	$13,912.15
Max. Negotiated Rate	$45,690.43
Rate for Payer: Aetna Commercial	$34,399.76
Rate for Payer: Aetna Medicare Advantage	$45,690.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22,718.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22,718.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14,644.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22,718.10
Rate for Payer: Cigna Commercial	$18,505.42
Rate for Payer: Cigna Medicare Advantage	$14,644.37
Rate for Payer: Clover Medicare Advantage	$13,912.15
Rate for Payer: EmblemHealth Commercial	$43,933.11
Rate for Payer: Humana Medicare Advantage	$15,083.70
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$14,644.37
Rate for Payer: Oxford Commercial	$14,626.36
Rate for Payer: UnitedHealthcare Commercial	$19,577.91
Rate for Payer: UnitedHealthcare Medicare Advantage	$14,644.37
Rate for Payer: Wellcare Medicare Advantage	$14,644.37

BONE DOWEL 10MM

Facility

$4,887.50

Service Code	HCPCS C1713
Hospital Charge Code	270686213
Hospital Revenue Code	278
Min. Negotiated Rate	$733.12
Max. Negotiated Rate	$1,182.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$977.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,182.78
Rate for Payer: Qualcare PPO/HMO/WC	$733.12

BONE DOWEL 10MM

Facility

$4,887.50

Service Code	HCPCS C1713
Hospital Charge Code	270686213
Hospital Revenue Code	278
Min. Negotiated Rate	$138.81
Max. Negotiated Rate	$2,443.75
Rate for Payer: Aetna Commercial	$1,857.25
Rate for Payer: Aetna Medicare Advantage	$1,466.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,246.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,246.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$977.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,246.31
Rate for Payer: Cigna Commercial	$2,443.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,182.78
Rate for Payer: Qualcare PPO/HMO/WC	$733.12
Rate for Payer: UnitedHealthcare Community & State	$154.44
Rate for Payer: Wellpoint Medicaid Managed Care	$138.81

BONE DOWEL 9MM

Facility

$4,887.50

Service Code	HCPCS C1713
Hospital Charge Code	270686212
Hospital Revenue Code	278
Min. Negotiated Rate	$138.81
Max. Negotiated Rate	$2,443.75
Rate for Payer: Aetna Commercial	$1,857.25
Rate for Payer: Aetna Medicare Advantage	$1,466.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,246.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,246.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$977.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,246.31
Rate for Payer: Cigna Commercial	$2,443.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,182.78
Rate for Payer: Qualcare PPO/HMO/WC	$733.12
Rate for Payer: UnitedHealthcare Community & State	$154.44
Rate for Payer: Wellpoint Medicaid Managed Care	$138.81

BONE DOWEL 9MM

Facility

$4,887.50

Service Code	HCPCS C1713
Hospital Charge Code	270686212
Hospital Revenue Code	278
Min. Negotiated Rate	$733.12
Max. Negotiated Rate	$1,182.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$977.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,182.78
Rate for Payer: Qualcare PPO/HMO/WC	$733.12

BONE DOWEL REVISION KIT 18MM

Facility

$2,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270695354
Hospital Revenue Code	278
Min. Negotiated Rate	$78.10
Max. Negotiated Rate	$1,375.00
Rate for Payer: Aetna Commercial	$1,045.00
Rate for Payer: Aetna Medicare Advantage	$825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$550.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$701.25
Rate for Payer: Cigna Commercial	$1,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$665.50
Rate for Payer: Qualcare PPO/HMO/WC	$412.50
Rate for Payer: UnitedHealthcare Community & State	$86.90
Rate for Payer: Wellpoint Medicaid Managed Care	$78.10

BONE DOWEL REVISION KIT 18MM

Facility

$2,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270695354
Hospital Revenue Code	278
Min. Negotiated Rate	$412.50
Max. Negotiated Rate	$665.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$665.50
Rate for Payer: Qualcare PPO/HMO/WC	$412.50

BONE DRILL 3.0

Facility

$676.40

Hospital Charge Code	270670675
Hospital Revenue Code	272
Min. Negotiated Rate	$101.46
Max. Negotiated Rate	$101.46
Rate for Payer: Qualcare PPO/HMO/WC	$101.46

Know your out-of-pocket cost for care.

All Charges