Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

BONE MATRIX ALLOGRAFT 2CC RT

Facility

$2,362.50

Hospital Charge Code	270674031
Hospital Revenue Code	278
Min. Negotiated Rate	$354.38
Max. Negotiated Rate	$571.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$472.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$571.73
Rate for Payer: Qualcare PPO/HMO/WC	$354.38

BONE MATRIX ALLOGRAFT 2CC RT

Facility

$2,362.50

Hospital Charge Code	270674031
Hospital Revenue Code	278
Min. Negotiated Rate	$67.09
Max. Negotiated Rate	$1,181.25
Rate for Payer: Aetna Commercial	$897.75
Rate for Payer: Aetna Medicare Advantage	$708.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$602.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$602.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$472.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$602.44
Rate for Payer: Cigna Commercial	$1,181.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$571.73
Rate for Payer: Qualcare PPO/HMO/WC	$354.38
Rate for Payer: UnitedHealthcare Community & State	$74.66
Rate for Payer: Wellpoint Medicaid Managed Care	$67.09

BONE MATRIX ALLOGRAFT 5CC

Facility

$6,318.75

Service Code	HCPCS C1713
Hospital Charge Code	270675888
Hospital Revenue Code	278
Min. Negotiated Rate	$947.81
Max. Negotiated Rate	$1,529.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,263.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,529.14
Rate for Payer: Qualcare PPO/HMO/WC	$947.81

BONE MATRIX ALLOGRAFT 5CC

Facility

$6,318.75

Service Code	HCPCS C1713
Hospital Charge Code	270675888
Hospital Revenue Code	278
Min. Negotiated Rate	$179.45
Max. Negotiated Rate	$3,159.38
Rate for Payer: Aetna Commercial	$2,401.12
Rate for Payer: Aetna Medicare Advantage	$1,895.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,611.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,611.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,263.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,611.28
Rate for Payer: Cigna Commercial	$3,159.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,529.14
Rate for Payer: Qualcare PPO/HMO/WC	$947.81
Rate for Payer: UnitedHealthcare Community & State	$199.67
Rate for Payer: Wellpoint Medicaid Managed Care	$179.45

BONE MATRIX GEL 10CC

Facility

$9,375.00

Hospital Charge Code	270672815
Hospital Revenue Code	278
Min. Negotiated Rate	$266.25
Max. Negotiated Rate	$4,687.50
Rate for Payer: Aetna Commercial	$3,562.50
Rate for Payer: Aetna Medicare Advantage	$2,812.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,390.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,390.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,875.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,390.62
Rate for Payer: Cigna Commercial	$4,687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,268.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,406.25
Rate for Payer: UnitedHealthcare Community & State	$296.25
Rate for Payer: Wellpoint Medicaid Managed Care	$266.25

BONE MATRIX GEL 10CC

Facility

$9,375.00

Hospital Charge Code	270672815
Hospital Revenue Code	278
Min. Negotiated Rate	$1,406.25
Max. Negotiated Rate	$2,268.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,268.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,406.25

BONE MILL BLADES MEDIUM

Facility

$2,000.00

Hospital Charge Code	270673057
Hospital Revenue Code	270
Min. Negotiated Rate	$300.00
Max. Negotiated Rate	$300.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00

BONE MILL BLADES MEDIUM

Facility

$2,000.00

Hospital Charge Code	270673057
Hospital Revenue Code	270
Min. Negotiated Rate	$56.80
Max. Negotiated Rate	$1,000.00
Rate for Payer: Aetna Commercial	$760.00
Rate for Payer: Aetna Medicare Advantage	$600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$510.00
Rate for Payer: Cigna Commercial	$1,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$520.00
Rate for Payer: Oxford Commercial	$400.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00
Rate for Payer: UnitedHealthcare Commercial	$400.00
Rate for Payer: UnitedHealthcare Community & State	$63.20
Rate for Payer: Wellpoint Medicaid Managed Care	$56.80

BONE NUT EXTERNAL FIXAT

Facility

$416.35

Hospital Charge Code	270693745
Hospital Revenue Code	272
Min. Negotiated Rate	$62.45
Max. Negotiated Rate	$62.45
Rate for Payer: Qualcare PPO/HMO/WC	$62.45

BONE NUT EXTERNAL FIXAT

Facility

$416.35

Hospital Charge Code	270693745
Hospital Revenue Code	272
Min. Negotiated Rate	$11.82
Max. Negotiated Rate	$208.18
Rate for Payer: Aetna Commercial	$158.21
Rate for Payer: Aetna Medicare Advantage	$124.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$106.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$106.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$106.17
Rate for Payer: Cigna Commercial	$208.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.25
Rate for Payer: Oxford Commercial	$83.27
Rate for Payer: Qualcare PPO/HMO/WC	$62.45
Rate for Payer: UnitedHealthcare Commercial	$83.27
Rate for Payer: UnitedHealthcare Community & State	$13.16
Rate for Payer: Wellpoint Medicaid Managed Care	$11.82

BONE OSTEO-LINK CUBE 12MM

Facility

$7,775.00

Service Code	HCPCS C1713
Hospital Charge Code	270699215
Hospital Revenue Code	278
Min. Negotiated Rate	$1,166.25
Max. Negotiated Rate	$1,881.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,555.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,881.55
Rate for Payer: Qualcare PPO/HMO/WC	$1,166.25

BONE OSTEO-LINK CUBE 12MM

Facility

$7,775.00

Service Code	HCPCS C1713
Hospital Charge Code	270699215
Hospital Revenue Code	278
Min. Negotiated Rate	$220.81
Max. Negotiated Rate	$3,887.50
Rate for Payer: Aetna Commercial	$2,954.50
Rate for Payer: Aetna Medicare Advantage	$2,332.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,982.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,982.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,555.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,982.62
Rate for Payer: Cigna Commercial	$3,887.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,881.55
Rate for Payer: Qualcare PPO/HMO/WC	$1,166.25
Rate for Payer: UnitedHealthcare Community & State	$245.69
Rate for Payer: Wellpoint Medicaid Managed Care	$220.81

BONE OSTEO-LINK MATRIX 5CC

Facility

$5,670.00

Service Code	HCPCS C1713
Hospital Charge Code	270699237
Hospital Revenue Code	278
Min. Negotiated Rate	$850.50
Max. Negotiated Rate	$1,372.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,134.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,372.14
Rate for Payer: Qualcare PPO/HMO/WC	$850.50

BONE OSTEO-LINK MATRIX 5CC

Facility

$5,670.00

Service Code	HCPCS C1713
Hospital Charge Code	270699237
Hospital Revenue Code	278
Min. Negotiated Rate	$161.03
Max. Negotiated Rate	$2,835.00
Rate for Payer: Aetna Commercial	$2,154.60
Rate for Payer: Aetna Medicare Advantage	$1,701.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,445.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,445.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,134.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,445.85
Rate for Payer: Cigna Commercial	$2,835.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,372.14
Rate for Payer: Qualcare PPO/HMO/WC	$850.50
Rate for Payer: UnitedHealthcare Community & State	$179.17
Rate for Payer: Wellpoint Medicaid Managed Care	$161.03

BONE PINS 3.2X140MM

Facility

$1,140.75

Service Code	HCPCS C1713
Hospital Charge Code	270690847
Hospital Revenue Code	278
Min. Negotiated Rate	$32.40
Max. Negotiated Rate	$570.38
Rate for Payer: Aetna Commercial	$433.49
Rate for Payer: Aetna Medicare Advantage	$342.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$290.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$290.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$228.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$290.89
Rate for Payer: Cigna Commercial	$570.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$276.06
Rate for Payer: Qualcare PPO/HMO/WC	$171.11
Rate for Payer: UnitedHealthcare Community & State	$36.05
Rate for Payer: Wellpoint Medicaid Managed Care	$32.40

BONE PINS 3.2X140MM

Facility

$1,140.75

Service Code	HCPCS C1713
Hospital Charge Code	270690847
Hospital Revenue Code	278
Min. Negotiated Rate	$171.11
Max. Negotiated Rate	$276.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$228.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$276.06
Rate for Payer: Qualcare PPO/HMO/WC	$171.11

BONE PLUG SUTURE

Facility

$633.75

Hospital Charge Code	270673444
Hospital Revenue Code	272
Min. Negotiated Rate	$95.06
Max. Negotiated Rate	$95.06
Rate for Payer: Qualcare PPO/HMO/WC	$95.06

BONE PLUG SUTURE

Facility

$633.75

Hospital Charge Code	270673444
Hospital Revenue Code	272
Min. Negotiated Rate	$18.00
Max. Negotiated Rate	$316.88
Rate for Payer: Aetna Commercial	$240.82
Rate for Payer: Aetna Medicare Advantage	$190.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$161.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$161.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$161.61
Rate for Payer: Cigna Commercial	$316.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$164.78
Rate for Payer: Oxford Commercial	$126.75
Rate for Payer: Qualcare PPO/HMO/WC	$95.06
Rate for Payer: UnitedHealthcare Commercial	$126.75
Rate for Payer: UnitedHealthcare Community & State	$20.03
Rate for Payer: Wellpoint Medicaid Managed Care	$18.00

BONE PUTTY 2.5CC

Facility

$10,402.50

Service Code	HCPCS C1713
Hospital Charge Code	270696527
Hospital Revenue Code	278
Min. Negotiated Rate	$1,560.38
Max. Negotiated Rate	$2,517.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,080.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,517.41
Rate for Payer: Qualcare PPO/HMO/WC	$1,560.38

BONE PUTTY 2.5CC

Facility

$10,402.50

Service Code	HCPCS C1713
Hospital Charge Code	270696527
Hospital Revenue Code	278
Min. Negotiated Rate	$295.43
Max. Negotiated Rate	$5,201.25
Rate for Payer: Aetna Commercial	$3,952.95
Rate for Payer: Aetna Medicare Advantage	$3,120.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,652.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,652.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,080.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,652.64
Rate for Payer: Cigna Commercial	$5,201.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,517.41
Rate for Payer: Qualcare PPO/HMO/WC	$1,560.38
Rate for Payer: UnitedHealthcare Community & State	$328.72
Rate for Payer: Wellpoint Medicaid Managed Care	$295.43

BONE REVISION DOWLS 14

Facility

$6,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270680643
Hospital Revenue Code	278
Min. Negotiated Rate	$191.70
Max. Negotiated Rate	$3,375.00
Rate for Payer: Aetna Commercial	$2,565.00
Rate for Payer: Aetna Medicare Advantage	$2,025.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,721.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,721.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,721.25
Rate for Payer: Cigna Commercial	$3,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,633.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50
Rate for Payer: UnitedHealthcare Community & State	$213.30
Rate for Payer: Wellpoint Medicaid Managed Care	$191.70

BONE REVISION DOWLS 14

Facility

$6,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270680643
Hospital Revenue Code	278
Min. Negotiated Rate	$1,012.50
Max. Negotiated Rate	$1,633.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,633.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50

BONE REVISION DOWLS 16

Facility

$6,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270680644
Hospital Revenue Code	278
Min. Negotiated Rate	$1,012.50
Max. Negotiated Rate	$1,633.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,633.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50

BONE REVISION DOWLS 16

Facility

$6,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270680644
Hospital Revenue Code	278
Min. Negotiated Rate	$191.70
Max. Negotiated Rate	$3,375.00
Rate for Payer: Aetna Commercial	$2,565.00
Rate for Payer: Aetna Medicare Advantage	$2,025.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,721.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,721.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,721.25
Rate for Payer: Cigna Commercial	$3,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,633.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50
Rate for Payer: UnitedHealthcare Community & State	$213.30
Rate for Payer: Wellpoint Medicaid Managed Care	$191.70

BONE REVISION DOWLS 18

Facility

$6,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270680645
Hospital Revenue Code	278
Min. Negotiated Rate	$191.70
Max. Negotiated Rate	$3,375.00
Rate for Payer: Aetna Commercial	$2,565.00
Rate for Payer: Aetna Medicare Advantage	$2,025.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,721.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,721.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,721.25
Rate for Payer: Cigna Commercial	$3,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,633.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50
Rate for Payer: UnitedHealthcare Community & State	$213.30
Rate for Payer: Wellpoint Medicaid Managed Care	$191.70

Know your out-of-pocket cost for care.

All Charges