Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

BRACE KNEE POST-OP LG 19

Facility

$74.90

Hospital Charge Code	270649581N
Hospital Revenue Code	272
Min. Negotiated Rate	$11.23
Max. Negotiated Rate	$11.23
Rate for Payer: Qualcare PPO/HMO/WC	$11.23

BRACE KNEE POST-OP LG 19

Facility

$74.70

Hospital Charge Code	270649581
Hospital Revenue Code	272
Min. Negotiated Rate	$11.21
Max. Negotiated Rate	$11.21
Rate for Payer: Qualcare PPO/HMO/WC	$11.21

BRACE KNEE POST-OP LG 19

Facility

$74.90

Hospital Charge Code	270649581N
Hospital Revenue Code	272
Min. Negotiated Rate	$2.13
Max. Negotiated Rate	$37.45
Rate for Payer: Aetna Commercial	$28.46
Rate for Payer: Aetna Medicare Advantage	$22.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.10
Rate for Payer: Cigna Commercial	$37.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.47
Rate for Payer: Oxford Commercial	$14.98
Rate for Payer: Qualcare PPO/HMO/WC	$11.23
Rate for Payer: UnitedHealthcare Commercial	$14.98
Rate for Payer: UnitedHealthcare Community & State	$2.37
Rate for Payer: Wellpoint Medicaid Managed Care	$2.13

BRACE KNEE POST-OP MED 19

Facility

$74.00

Hospital Charge Code	270649582
Hospital Revenue Code	272
Min. Negotiated Rate	$11.10
Max. Negotiated Rate	$11.10
Rate for Payer: Qualcare PPO/HMO/WC	$11.10

BRACE KNEE POST-OP MED 19

Facility

$74.00

Hospital Charge Code	270649582
Hospital Revenue Code	272
Min. Negotiated Rate	$2.10
Max. Negotiated Rate	$37.00
Rate for Payer: Aetna Commercial	$28.12
Rate for Payer: Aetna Medicare Advantage	$22.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.87
Rate for Payer: Cigna Commercial	$37.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.24
Rate for Payer: Oxford Commercial	$14.80
Rate for Payer: Qualcare PPO/HMO/WC	$11.10
Rate for Payer: UnitedHealthcare Commercial	$14.80
Rate for Payer: UnitedHealthcare Community & State	$2.34
Rate for Payer: Wellpoint Medicaid Managed Care	$2.10

BRACE KNEE POST-OP SM 19

Facility

$74.70

Hospital Charge Code	270649583
Hospital Revenue Code	272
Min. Negotiated Rate	$2.12
Max. Negotiated Rate	$37.35
Rate for Payer: Aetna Commercial	$28.39
Rate for Payer: Aetna Medicare Advantage	$22.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.05
Rate for Payer: Cigna Commercial	$37.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.42
Rate for Payer: Oxford Commercial	$14.94
Rate for Payer: Qualcare PPO/HMO/WC	$11.21
Rate for Payer: UnitedHealthcare Commercial	$14.94
Rate for Payer: UnitedHealthcare Community & State	$2.36
Rate for Payer: Wellpoint Medicaid Managed Care	$2.12

BRACE KNEE POST-OP SM 19

Facility

$74.70

Hospital Charge Code	270649583
Hospital Revenue Code	272
Min. Negotiated Rate	$11.21
Max. Negotiated Rate	$11.21
Rate for Payer: Qualcare PPO/HMO/WC	$11.21

BRACE KNEE POST-OP XL 19

Facility

$74.70

Hospital Charge Code	270649584
Hospital Revenue Code	272
Min. Negotiated Rate	$2.12
Max. Negotiated Rate	$37.35
Rate for Payer: Aetna Commercial	$28.39
Rate for Payer: Aetna Medicare Advantage	$22.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.05
Rate for Payer: Cigna Commercial	$37.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.42
Rate for Payer: Oxford Commercial	$14.94
Rate for Payer: Qualcare PPO/HMO/WC	$11.21
Rate for Payer: UnitedHealthcare Commercial	$14.94
Rate for Payer: UnitedHealthcare Community & State	$2.36
Rate for Payer: Wellpoint Medicaid Managed Care	$2.12

BRACE KNEE POST-OP XL 19

Facility

$74.70

Hospital Charge Code	270649584
Hospital Revenue Code	272
Min. Negotiated Rate	$11.21
Max. Negotiated Rate	$11.21
Rate for Payer: Qualcare PPO/HMO/WC	$11.21

BRACE KNEE XL

Facility

$49.55

Hospital Charge Code	270649578
Hospital Revenue Code	272
Min. Negotiated Rate	$1.41
Max. Negotiated Rate	$24.77
Rate for Payer: Aetna Commercial	$18.83
Rate for Payer: Aetna Medicare Advantage	$14.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.64
Rate for Payer: Cigna Commercial	$24.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.88
Rate for Payer: Oxford Commercial	$9.91
Rate for Payer: Qualcare PPO/HMO/WC	$7.43
Rate for Payer: UnitedHealthcare Commercial	$9.91
Rate for Payer: UnitedHealthcare Community & State	$1.57
Rate for Payer: Wellpoint Medicaid Managed Care	$1.41

BRACE KNEE XL

Facility

$49.55

Hospital Charge Code	270649578
Hospital Revenue Code	272
Min. Negotiated Rate	$7.43
Max. Negotiated Rate	$7.43
Rate for Payer: Qualcare PPO/HMO/WC	$7.43

BRACE KNEE XXL 19

Facility

$74.90

Hospital Charge Code	270649580
Hospital Revenue Code	272
Min. Negotiated Rate	$2.13
Max. Negotiated Rate	$37.45
Rate for Payer: Aetna Commercial	$28.46
Rate for Payer: Aetna Medicare Advantage	$22.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.10
Rate for Payer: Cigna Commercial	$37.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.47
Rate for Payer: Oxford Commercial	$14.98
Rate for Payer: Qualcare PPO/HMO/WC	$11.23
Rate for Payer: UnitedHealthcare Commercial	$14.98
Rate for Payer: UnitedHealthcare Community & State	$2.37
Rate for Payer: Wellpoint Medicaid Managed Care	$2.13

BRACE KNEE XXL 19

Facility

$74.90

Hospital Charge Code	270649580
Hospital Revenue Code	272
Min. Negotiated Rate	$11.23
Max. Negotiated Rate	$11.23
Rate for Payer: Qualcare PPO/HMO/WC	$11.23

BRACE L/S W/FITTING FEE

Facility

$1,577.65

Hospital Charge Code	270607056
Hospital Revenue Code	270
Min. Negotiated Rate	$44.81
Max. Negotiated Rate	$788.83
Rate for Payer: Aetna Commercial	$599.51
Rate for Payer: Aetna Medicare Advantage	$473.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$402.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$402.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$402.30
Rate for Payer: Cigna Commercial	$788.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$410.19
Rate for Payer: Oxford Commercial	$315.53
Rate for Payer: Qualcare PPO/HMO/WC	$236.65
Rate for Payer: UnitedHealthcare Commercial	$315.53
Rate for Payer: UnitedHealthcare Community & State	$49.85
Rate for Payer: Wellpoint Medicaid Managed Care	$44.81

BRACE L/S W/FITTING FEE

Facility

$1,577.65

Hospital Charge Code	270607056
Hospital Revenue Code	270
Min. Negotiated Rate	$236.65
Max. Negotiated Rate	$236.65
Rate for Payer: Qualcare PPO/HMO/WC	$236.65

BRACE L/S W/FITTING FEE

Facility

$718.45

Hospital Charge Code	270606584
Hospital Revenue Code	270
Min. Negotiated Rate	$107.77
Max. Negotiated Rate	$107.77
Rate for Payer: Qualcare PPO/HMO/WC	$107.77

BRACE L/S W/FITTING FEE

Facility

$718.45

Hospital Charge Code	270606584
Hospital Revenue Code	270
Min. Negotiated Rate	$20.40
Max. Negotiated Rate	$359.23
Rate for Payer: Aetna Commercial	$273.01
Rate for Payer: Aetna Medicare Advantage	$215.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$183.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$183.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$183.20
Rate for Payer: Cigna Commercial	$359.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$186.80
Rate for Payer: Oxford Commercial	$143.69
Rate for Payer: Qualcare PPO/HMO/WC	$107.77
Rate for Payer: UnitedHealthcare Commercial	$143.69
Rate for Payer: UnitedHealthcare Community & State	$22.70
Rate for Payer: Wellpoint Medicaid Managed Care	$20.40

BRACE ORTHO 16

Facility

$695.25

Hospital Charge Code	270674929
Hospital Revenue Code	271
Min. Negotiated Rate	$104.29
Max. Negotiated Rate	$104.29
Rate for Payer: Qualcare PPO/HMO/WC	$104.29

BRACE ORTHO 16

Facility

$695.25

Hospital Charge Code	270674929
Hospital Revenue Code	271
Min. Negotiated Rate	$19.75
Max. Negotiated Rate	$347.62
Rate for Payer: Aetna Commercial	$264.19
Rate for Payer: Aetna Medicare Advantage	$208.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$177.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$177.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$177.29
Rate for Payer: Cigna Commercial	$347.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$180.76
Rate for Payer: Oxford Commercial	$139.05
Rate for Payer: Qualcare PPO/HMO/WC	$104.29
Rate for Payer: UnitedHealthcare Commercial	$139.05
Rate for Payer: UnitedHealthcare Community & State	$21.97
Rate for Payer: Wellpoint Medicaid Managed Care	$19.75

BRACE SHOULDER ARC 2.0

Facility

$895.00

Hospital Charge Code	270678204
Hospital Revenue Code	270
Min. Negotiated Rate	$134.25
Max. Negotiated Rate	$134.25
Rate for Payer: Qualcare PPO/HMO/WC	$134.25

BRACE SHOULDER ARC 2.0

Facility

$895.00

Hospital Charge Code	270678204
Hospital Revenue Code	270
Min. Negotiated Rate	$25.42
Max. Negotiated Rate	$447.50
Rate for Payer: Aetna Commercial	$340.10
Rate for Payer: Aetna Medicare Advantage	$268.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$228.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$228.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$228.22
Rate for Payer: Cigna Commercial	$447.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.70
Rate for Payer: Oxford Commercial	$179.00
Rate for Payer: Qualcare PPO/HMO/WC	$134.25
Rate for Payer: UnitedHealthcare Commercial	$179.00
Rate for Payer: UnitedHealthcare Community & State	$28.28
Rate for Payer: Wellpoint Medicaid Managed Care	$25.42

BRACE SHOULDER SLINGSHOT

Facility

$8.61

Hospital Charge Code	270655443
Hospital Revenue Code	270
Min. Negotiated Rate	$1.29
Max. Negotiated Rate	$1.29
Rate for Payer: Qualcare PPO/HMO/WC	$1.29

BRACE SHOULDER SLINGSHOT

Facility

$8.61

Hospital Charge Code	270655443
Hospital Revenue Code	270
Min. Negotiated Rate	$0.24
Max. Negotiated Rate	$4.30
Rate for Payer: Aetna Commercial	$3.27
Rate for Payer: Aetna Medicare Advantage	$2.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.20
Rate for Payer: Cigna Commercial	$4.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.24
Rate for Payer: Oxford Commercial	$1.72
Rate for Payer: Qualcare PPO/HMO/WC	$1.29
Rate for Payer: UnitedHealthcare Commercial	$1.72
Rate for Payer: UnitedHealthcare Community & State	$0.27
Rate for Payer: Wellpoint Medicaid Managed Care	$0.24

BRACHYTX ISODOSE COMPLEX

Facility

$1,867.31

Service Code	HCPCS 77318
Hospital Charge Code	85000895
Hospital Revenue Code	333
Min. Negotiated Rate	$280.10
Max. Negotiated Rate	$280.10
Rate for Payer: Qualcare PPO/HMO/WC	$280.10

BRACHYTX ISODOSE COMPLEX

Facility

$1,867.31

Service Code	HCPCS 77318
Hospital Charge Code	85000895
Hospital Revenue Code	333
Min. Negotiated Rate	$53.03
Max. Negotiated Rate	$6,851.00
Rate for Payer: Aetna Commercial	$1,209.94
Rate for Payer: Aetna Medicare Advantage	$1,441.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,613.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,613.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$444.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,613.62
Rate for Payer: Cigna Commercial	$891.65
Rate for Payer: Cigna Medicare Advantage	$311.38
Rate for Payer: Clover Medicare Advantage	$422.59
Rate for Payer: EmblemHealth Commercial	$1,334.49
Rate for Payer: Humana Medicare Advantage	$458.17
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$444.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$485.50
Rate for Payer: Oxford Commercial	$6,034.00
Rate for Payer: Qualcare PPO/HMO/WC	$280.10
Rate for Payer: UnitedHealthcare Commercial	$6,851.00
Rate for Payer: UnitedHealthcare Community & State	$59.01
Rate for Payer: UnitedHealthcare Medicare Advantage	$444.83
Rate for Payer: Wellcare Medicare Advantage	$444.83
Rate for Payer: Wellpoint Medicaid Managed Care	$53.03

Know your out-of-pocket cost for care.

All Charges