Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

BONE MARROW NEEDLE BIOPSY-STAI

Facility

$1,529.00

Service Code	HCPCS 88313
Hospital Charge Code	38474076
Hospital Revenue Code	310
Min. Negotiated Rate	$43.42
Max. Negotiated Rate	$573.36
Rate for Payer: Aetna Commercial	$429.92
Rate for Payer: Aetna Medicare Advantage	$512.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$573.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$573.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$158.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$573.36
Rate for Payer: Cigna Commercial	$316.85
Rate for Payer: Cigna Medicare Advantage	$158.06
Rate for Payer: Clover Medicare Advantage	$150.16
Rate for Payer: EmblemHealth Commercial	$474.18
Rate for Payer: Humana Medicare Advantage	$162.80
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$158.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$397.54
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$229.35
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$68.14
Rate for Payer: UnitedHealthcare Medicare Advantage	$158.06
Rate for Payer: Wellcare Medicare Advantage	$158.06
Rate for Payer: Wellpoint Medicaid Managed Care	$43.42

BONE MARROW SMEAR INTERPRETATI

Facility

$473.00

Service Code	HCPCS 85097
Hospital Charge Code	38474013
Hospital Revenue Code	305
Min. Negotiated Rate	$13.43
Max. Negotiated Rate	$3,472.13
Rate for Payer: Aetna Commercial	$2,603.50
Rate for Payer: Aetna Medicare Advantage	$3,101.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,472.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,472.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$957.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,472.13
Rate for Payer: Cigna Commercial	$1,918.64
Rate for Payer: Cigna Medicare Advantage	$957.17
Rate for Payer: Clover Medicare Advantage	$909.31
Rate for Payer: EmblemHealth Commercial	$2,871.51
Rate for Payer: Humana Medicare Advantage	$985.89
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$957.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$122.98
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$70.95
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$55.71
Rate for Payer: UnitedHealthcare Medicare Advantage	$957.17
Rate for Payer: Wellcare Medicare Advantage	$957.17
Rate for Payer: Wellpoint Medicaid Managed Care	$13.43

BONE MARROW SMEAR INTERPRETATI

Facility

$473.00

Service Code	HCPCS 85097
Hospital Charge Code	38474013
Hospital Revenue Code	305
Min. Negotiated Rate	$70.95
Max. Negotiated Rate	$70.95
Rate for Payer: Qualcare PPO/HMO/WC	$70.95

BONE MARTIX ALLOGRAFT 1CC

Facility

$1,530.00

Service Code	HCPCS C1762
Hospital Charge Code	270671093
Hospital Revenue Code	278
Min. Negotiated Rate	$43.45
Max. Negotiated Rate	$765.00
Rate for Payer: Aetna Commercial	$581.40
Rate for Payer: Aetna Medicare Advantage	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$390.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$390.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$390.15
Rate for Payer: Cigna Commercial	$765.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$370.26
Rate for Payer: Qualcare PPO/HMO/WC	$229.50
Rate for Payer: UnitedHealthcare Community & State	$48.35
Rate for Payer: Wellpoint Medicaid Managed Care	$43.45

BONE MARTIX ALLOGRAFT 1CC

Facility

$1,530.00

Service Code	HCPCS C1762
Hospital Charge Code	270671093
Hospital Revenue Code	278
Min. Negotiated Rate	$229.50
Max. Negotiated Rate	$370.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$306.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$370.26
Rate for Payer: Qualcare PPO/HMO/WC	$229.50

BONE MARTIX ALLOGRAFT 2CC

Facility

$2,953.75

Service Code	HCPCS C1762
Hospital Charge Code	270671094
Hospital Revenue Code	278
Min. Negotiated Rate	$443.06
Max. Negotiated Rate	$714.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$590.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$714.81
Rate for Payer: Qualcare PPO/HMO/WC	$443.06

BONE MARTIX ALLOGRAFT 2CC

Facility

$2,953.75

Service Code	HCPCS C1762
Hospital Charge Code	270671094
Hospital Revenue Code	278
Min. Negotiated Rate	$83.89
Max. Negotiated Rate	$1,476.88
Rate for Payer: Aetna Commercial	$1,122.42
Rate for Payer: Aetna Medicare Advantage	$886.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$753.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$753.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$590.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$753.21
Rate for Payer: Cigna Commercial	$1,476.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$714.81
Rate for Payer: Qualcare PPO/HMO/WC	$443.06
Rate for Payer: UnitedHealthcare Community & State	$93.34
Rate for Payer: Wellpoint Medicaid Managed Care	$83.89

BONE MATRIX

Facility

$2,997.50

Service Code	HCPCS C1713
Hospital Charge Code	270692209
Hospital Revenue Code	278
Min. Negotiated Rate	$85.13
Max. Negotiated Rate	$1,498.75
Rate for Payer: Aetna Commercial	$1,139.05
Rate for Payer: Aetna Medicare Advantage	$899.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$764.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$764.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$599.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$764.36
Rate for Payer: Cigna Commercial	$1,498.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$725.39
Rate for Payer: Qualcare PPO/HMO/WC	$449.62
Rate for Payer: UnitedHealthcare Community & State	$94.72
Rate for Payer: Wellpoint Medicaid Managed Care	$85.13

BONE MATRIX

Facility

$2,997.50

Service Code	HCPCS C1713
Hospital Charge Code	270692209
Hospital Revenue Code	278
Min. Negotiated Rate	$449.62
Max. Negotiated Rate	$725.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$599.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$725.39
Rate for Payer: Qualcare PPO/HMO/WC	$449.62

BONE MATRIX 10CC

Facility

$24,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270692703
Hospital Revenue Code	278
Min. Negotiated Rate	$3,693.75
Max. Negotiated Rate	$5,959.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,925.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,959.25
Rate for Payer: Qualcare PPO/HMO/WC	$3,693.75

BONE MATRIX 10CC

Facility

$24,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270692703
Hospital Revenue Code	278
Min. Negotiated Rate	$699.35
Max. Negotiated Rate	$12,312.50
Rate for Payer: Aetna Commercial	$9,357.50
Rate for Payer: Aetna Medicare Advantage	$7,387.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,279.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,279.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,925.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,279.38
Rate for Payer: Cigna Commercial	$12,312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,959.25
Rate for Payer: Qualcare PPO/HMO/WC	$3,693.75
Rate for Payer: UnitedHealthcare Community & State	$778.15
Rate for Payer: Wellpoint Medicaid Managed Care	$699.35

BONE MATRIX 2.5MM

Facility

$9,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270692490
Hospital Revenue Code	278
Min. Negotiated Rate	$1,496.25
Max. Negotiated Rate	$2,413.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,995.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,413.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,496.25

BONE MATRIX 2.5MM

Facility

$9,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270692490
Hospital Revenue Code	278
Min. Negotiated Rate	$283.29
Max. Negotiated Rate	$4,987.50
Rate for Payer: Aetna Commercial	$3,790.50
Rate for Payer: Aetna Medicare Advantage	$2,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,543.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,543.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,995.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,543.62
Rate for Payer: Cigna Commercial	$4,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,413.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,496.25
Rate for Payer: UnitedHealthcare Community & State	$315.21
Rate for Payer: Wellpoint Medicaid Managed Care	$283.29

BONE MATRIX 5.0 CC

Facility

$18,750.00

Hospital Charge Code	270702738
Hospital Revenue Code	278
Min. Negotiated Rate	$2,812.50
Max. Negotiated Rate	$4,537.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,537.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,812.50

BONE MATRIX 5.0 CC

Facility

$18,750.00

Hospital Charge Code	270702738
Hospital Revenue Code	278
Min. Negotiated Rate	$532.50
Max. Negotiated Rate	$9,375.00
Rate for Payer: Aetna Commercial	$7,125.00
Rate for Payer: Aetna Medicare Advantage	$5,625.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,781.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,781.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,781.25
Rate for Payer: Cigna Commercial	$9,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,537.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,812.50
Rate for Payer: UnitedHealthcare Community & State	$592.50
Rate for Payer: Wellpoint Medicaid Managed Care	$532.50

BONE MATRIX 5CC

Facility

$17,055.00

Service Code	HCPCS C1713
Hospital Charge Code	270692583
Hospital Revenue Code	278
Min. Negotiated Rate	$484.36
Max. Negotiated Rate	$8,527.50
Rate for Payer: Aetna Commercial	$6,480.90
Rate for Payer: Aetna Medicare Advantage	$5,116.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,349.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,349.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,411.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,349.02
Rate for Payer: Cigna Commercial	$8,527.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,127.31
Rate for Payer: Qualcare PPO/HMO/WC	$2,558.25
Rate for Payer: UnitedHealthcare Community & State	$538.94
Rate for Payer: Wellpoint Medicaid Managed Care	$484.36

BONE MATRIX 5CC

Facility

$17,055.00

Service Code	HCPCS C1713
Hospital Charge Code	270692583
Hospital Revenue Code	278
Min. Negotiated Rate	$2,558.25
Max. Negotiated Rate	$4,127.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,411.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,127.31
Rate for Payer: Qualcare PPO/HMO/WC	$2,558.25

BONE MATRIX ALLOGRAFT 10CC

Facility

$12,006.25

Hospital Charge Code	270680534
Hospital Revenue Code	278
Min. Negotiated Rate	$340.98
Max. Negotiated Rate	$6,003.12
Rate for Payer: Aetna Commercial	$4,562.38
Rate for Payer: Aetna Medicare Advantage	$3,601.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,061.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,061.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,401.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,061.59
Rate for Payer: Cigna Commercial	$6,003.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,905.51
Rate for Payer: Qualcare PPO/HMO/WC	$1,800.94
Rate for Payer: UnitedHealthcare Community & State	$379.40
Rate for Payer: Wellpoint Medicaid Managed Care	$340.98

BONE MATRIX ALLOGRAFT 10CC

Facility

$12,006.30

Hospital Charge Code	270670534
Hospital Revenue Code	278
Min. Negotiated Rate	$1,800.94
Max. Negotiated Rate	$2,905.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,401.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,905.52
Rate for Payer: Qualcare PPO/HMO/WC	$1,800.94

BONE MATRIX ALLOGRAFT 10CC

Facility

$12,006.25

Hospital Charge Code	270680534
Hospital Revenue Code	278
Min. Negotiated Rate	$1,800.94
Max. Negotiated Rate	$2,905.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,401.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,905.51
Rate for Payer: Qualcare PPO/HMO/WC	$1,800.94

BONE MATRIX ALLOGRAFT 10CC

Facility

$12,006.30

Hospital Charge Code	270670534
Hospital Revenue Code	278
Min. Negotiated Rate	$340.98
Max. Negotiated Rate	$6,003.15
Rate for Payer: Aetna Commercial	$4,562.39
Rate for Payer: Aetna Medicare Advantage	$3,601.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,061.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,061.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,401.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,061.61
Rate for Payer: Cigna Commercial	$6,003.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,905.52
Rate for Payer: Qualcare PPO/HMO/WC	$1,800.94
Rate for Payer: UnitedHealthcare Community & State	$379.40
Rate for Payer: Wellpoint Medicaid Managed Care	$340.98

BONE MATRIX ALLOGRAFT 1CC

Facility

$1,200.00

Service Code	HCPCS C1762
Hospital Charge Code	270673101
Hospital Revenue Code	278
Min. Negotiated Rate	$34.08
Max. Negotiated Rate	$600.00
Rate for Payer: Aetna Commercial	$456.00
Rate for Payer: Aetna Medicare Advantage	$360.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$306.00
Rate for Payer: Cigna Commercial	$600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.40
Rate for Payer: Qualcare PPO/HMO/WC	$180.00
Rate for Payer: UnitedHealthcare Community & State	$37.92
Rate for Payer: Wellpoint Medicaid Managed Care	$34.08

BONE MATRIX ALLOGRAFT 1CC

Facility

$1,200.00

Service Code	HCPCS C1762
Hospital Charge Code	270673101
Hospital Revenue Code	278
Min. Negotiated Rate	$180.00
Max. Negotiated Rate	$290.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$240.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.40
Rate for Payer: Qualcare PPO/HMO/WC	$180.00

BONE MATRIX ALLOGRAFT 20CC

Facility

$21,335.00

Hospital Charge Code	270670533
Hospital Revenue Code	278
Min. Negotiated Rate	$605.91
Max. Negotiated Rate	$10,667.50
Rate for Payer: Aetna Commercial	$8,107.30
Rate for Payer: Aetna Medicare Advantage	$6,400.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,440.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,440.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,267.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,440.43
Rate for Payer: Cigna Commercial	$10,667.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,163.07
Rate for Payer: Qualcare PPO/HMO/WC	$3,200.25
Rate for Payer: UnitedHealthcare Community & State	$674.19
Rate for Payer: Wellpoint Medicaid Managed Care	$605.91

BONE MATRIX ALLOGRAFT 20CC

Facility

$21,335.00

Hospital Charge Code	270670533
Hospital Revenue Code	278
Min. Negotiated Rate	$3,200.25
Max. Negotiated Rate	$5,163.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,267.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,163.07
Rate for Payer: Qualcare PPO/HMO/WC	$3,200.25

Know your out-of-pocket cost for care.

All Charges