Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CAGE 9X11X27

Facility

$19,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270685133
Hospital Revenue Code	278
Min. Negotiated Rate	$546.70
Max. Negotiated Rate	$9,625.00
Rate for Payer: Aetna Commercial	$7,315.00
Rate for Payer: Aetna Medicare Advantage	$5,775.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,908.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,908.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,850.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,908.75
Rate for Payer: Cigna Commercial	$9,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,658.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,887.50
Rate for Payer: UnitedHealthcare Community & State	$608.30
Rate for Payer: Wellpoint Medicaid Managed Care	$546.70

CAGE 9X11X27

Facility

$19,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270685133
Hospital Revenue Code	278
Min. Negotiated Rate	$2,887.50
Max. Negotiated Rate	$4,658.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,658.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,887.50

CAGE 9X13

Facility

$23,755.80

Service Code	HCPCS C1889
Hospital Charge Code	270692141
Hospital Revenue Code	278
Min. Negotiated Rate	$674.66
Max. Negotiated Rate	$11,877.90
Rate for Payer: Aetna Commercial	$9,027.20
Rate for Payer: Aetna Medicare Advantage	$7,126.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,057.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,057.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,751.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,057.73
Rate for Payer: Cigna Commercial	$11,877.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,748.90
Rate for Payer: Qualcare PPO/HMO/WC	$3,563.37
Rate for Payer: UnitedHealthcare Community & State	$750.68
Rate for Payer: Wellpoint Medicaid Managed Care	$674.66

CAGE 9X13

Facility

$23,755.80

Service Code	HCPCS C1889
Hospital Charge Code	270692141
Hospital Revenue Code	278
Min. Negotiated Rate	$3,563.37
Max. Negotiated Rate	$5,748.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,751.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,748.90
Rate for Payer: Qualcare PPO/HMO/WC	$3,563.37

CAGE ACDF 16X14X7MM 7D

Facility

$32,250.00

Service Code	HCPCS C1889
Hospital Charge Code	270697641
Hospital Revenue Code	278
Min. Negotiated Rate	$4,837.50
Max. Negotiated Rate	$7,804.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,804.50
Rate for Payer: Qualcare PPO/HMO/WC	$4,837.50

CAGE ACDF 16X14X7MM 7D

Facility

$32,250.00

Service Code	HCPCS C1889
Hospital Charge Code	270697641
Hospital Revenue Code	278
Min. Negotiated Rate	$915.90
Max. Negotiated Rate	$16,125.00
Rate for Payer: Aetna Commercial	$12,255.00
Rate for Payer: Aetna Medicare Advantage	$9,675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,223.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,223.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,223.75
Rate for Payer: Cigna Commercial	$16,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,804.50
Rate for Payer: Qualcare PPO/HMO/WC	$4,837.50
Rate for Payer: UnitedHealthcare Community & State	$1,019.10
Rate for Payer: Wellpoint Medicaid Managed Care	$915.90

CAGE ACDF DAKOTA 16X14X6MM 7D

Facility

$32,250.00

Service Code	HCPCS C1889
Hospital Charge Code	270697644
Hospital Revenue Code	278
Min. Negotiated Rate	$915.90
Max. Negotiated Rate	$16,125.00
Rate for Payer: Aetna Commercial	$12,255.00
Rate for Payer: Aetna Medicare Advantage	$9,675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,223.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,223.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,223.75
Rate for Payer: Cigna Commercial	$16,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,804.50
Rate for Payer: Qualcare PPO/HMO/WC	$4,837.50
Rate for Payer: UnitedHealthcare Community & State	$1,019.10
Rate for Payer: Wellpoint Medicaid Managed Care	$915.90

CAGE ACDF DAKOTA 16X14X6MM 7D

Facility

$32,250.00

Service Code	HCPCS C1889
Hospital Charge Code	270697644
Hospital Revenue Code	278
Min. Negotiated Rate	$4,837.50
Max. Negotiated Rate	$7,804.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,804.50
Rate for Payer: Qualcare PPO/HMO/WC	$4,837.50

CAGE ACIF 2C PEEK 5D 8MM

Facility

$24,250.00

Service Code	HCPCS C1889
Hospital Charge Code	270696038
Hospital Revenue Code	278
Min. Negotiated Rate	$688.70
Max. Negotiated Rate	$12,125.00
Rate for Payer: Aetna Commercial	$9,215.00
Rate for Payer: Aetna Medicare Advantage	$7,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,183.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,183.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,850.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,183.75
Rate for Payer: Cigna Commercial	$12,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,868.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,637.50
Rate for Payer: UnitedHealthcare Community & State	$766.30
Rate for Payer: Wellpoint Medicaid Managed Care	$688.70

CAGE ACIF 2C PEEK 5D 8MM

Facility

$24,250.00

Service Code	HCPCS C1889
Hospital Charge Code	270696038
Hospital Revenue Code	278
Min. Negotiated Rate	$3,637.50
Max. Negotiated Rate	$5,868.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,868.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,637.50

CAGE ACIF 2C PEEK WIDE 5D 8MM

Facility

$24,250.00

Service Code	HCPCS C1889
Hospital Charge Code	270696037
Hospital Revenue Code	278
Min. Negotiated Rate	$688.70
Max. Negotiated Rate	$12,125.00
Rate for Payer: Aetna Commercial	$9,215.00
Rate for Payer: Aetna Medicare Advantage	$7,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,183.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,183.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,850.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,183.75
Rate for Payer: Cigna Commercial	$12,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,868.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,637.50
Rate for Payer: UnitedHealthcare Community & State	$766.30
Rate for Payer: Wellpoint Medicaid Managed Care	$688.70

CAGE ACIF 2C PEEK WIDE 5D 8MM

Facility

$24,250.00

Service Code	HCPCS C1889
Hospital Charge Code	270696037
Hospital Revenue Code	278
Min. Negotiated Rate	$3,637.50
Max. Negotiated Rate	$5,868.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,868.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,637.50

CAGE ACIF PEEK TI HA 5D 9MM

Facility

$24,250.00

Service Code	HCPCS C1889
Hospital Charge Code	270696322
Hospital Revenue Code	278
Min. Negotiated Rate	$688.70
Max. Negotiated Rate	$12,125.00
Rate for Payer: Aetna Commercial	$9,215.00
Rate for Payer: Aetna Medicare Advantage	$7,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,183.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,183.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,850.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,183.75
Rate for Payer: Cigna Commercial	$12,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,868.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,637.50
Rate for Payer: UnitedHealthcare Community & State	$766.30
Rate for Payer: Wellpoint Medicaid Managed Care	$688.70

CAGE ACIF PEEK TI HA 5D 9MM

Facility

$24,250.00

Service Code	HCPCS C1889
Hospital Charge Code	270696322
Hospital Revenue Code	278
Min. Negotiated Rate	$3,637.50
Max. Negotiated Rate	$5,868.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,868.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,637.50

CAGE ACIF PEEK W20X16 6 DEG H8

Facility

$16,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270688702
Hospital Revenue Code	278
Min. Negotiated Rate	$467.89
Max. Negotiated Rate	$8,237.50
Rate for Payer: Aetna Commercial	$6,260.50
Rate for Payer: Aetna Medicare Advantage	$4,942.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,201.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,201.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,295.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,201.12
Rate for Payer: Cigna Commercial	$8,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,986.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,471.25
Rate for Payer: UnitedHealthcare Community & State	$520.61
Rate for Payer: Wellpoint Medicaid Managed Care	$467.89

CAGE ACIF PEEK W20X16 6 DEG H8

Facility

$16,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270688702
Hospital Revenue Code	278
Min. Negotiated Rate	$2,471.25
Max. Negotiated Rate	$3,986.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,295.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,986.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,471.25

CAGE ACIF TI COAT PEEK 10D 8MM

Facility

$24,250.00

Service Code	HCPCS C1889
Hospital Charge Code	270696724
Hospital Revenue Code	278
Min. Negotiated Rate	$3,637.50
Max. Negotiated Rate	$5,868.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,868.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,637.50

CAGE ACIF TI COAT PEEK 10D 8MM

Facility

$24,250.00

Service Code	HCPCS C1889
Hospital Charge Code	270696724
Hospital Revenue Code	278
Min. Negotiated Rate	$688.70
Max. Negotiated Rate	$12,125.00
Rate for Payer: Aetna Commercial	$9,215.00
Rate for Payer: Aetna Medicare Advantage	$7,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,183.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,183.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,850.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,183.75
Rate for Payer: Cigna Commercial	$12,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,868.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,637.50
Rate for Payer: UnitedHealthcare Community & State	$766.30
Rate for Payer: Wellpoint Medicaid Managed Care	$688.70

CAGE ALEUTIAN 7D 11X11X8MM

Facility

$6,535.00

Service Code	HCPCS C1889
Hospital Charge Code	270648858
Hospital Revenue Code	278
Min. Negotiated Rate	$980.25
Max. Negotiated Rate	$1,581.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,307.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,581.47
Rate for Payer: Qualcare PPO/HMO/WC	$980.25

CAGE ALEUTIAN 7D 11X11X8MM

Facility

$6,535.00

Service Code	HCPCS C1889
Hospital Charge Code	270648858
Hospital Revenue Code	278
Min. Negotiated Rate	$185.59
Max. Negotiated Rate	$3,267.50
Rate for Payer: Aetna Commercial	$2,483.30
Rate for Payer: Aetna Medicare Advantage	$1,960.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,666.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,666.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,307.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,666.42
Rate for Payer: Cigna Commercial	$3,267.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,581.47
Rate for Payer: Qualcare PPO/HMO/WC	$980.25
Rate for Payer: UnitedHealthcare Community & State	$206.51
Rate for Payer: Wellpoint Medicaid Managed Care	$185.59

CAGE ALIF PC MAG 30X25X14MM12D

Facility

$20,000.00

Service Code	HCPCS C1889
Hospital Charge Code	270697372
Hospital Revenue Code	278
Min. Negotiated Rate	$568.00
Max. Negotiated Rate	$10,000.00
Rate for Payer: Aetna Commercial	$7,600.00
Rate for Payer: Aetna Medicare Advantage	$6,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,100.00
Rate for Payer: Cigna Commercial	$10,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,840.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,000.00
Rate for Payer: UnitedHealthcare Community & State	$632.00
Rate for Payer: Wellpoint Medicaid Managed Care	$568.00

CAGE ALIF PC MAG 30X25X14MM12D

Facility

$20,000.00

Service Code	HCPCS C1889
Hospital Charge Code	270697372
Hospital Revenue Code	278
Min. Negotiated Rate	$3,000.00
Max. Negotiated Rate	$4,840.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,840.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,000.00

CAGE ALIGN LAT 18X60X11MM 12D

Facility

$40,750.00

Service Code	HCPCS C1889
Hospital Charge Code	270696336
Hospital Revenue Code	278
Min. Negotiated Rate	$1,157.30
Max. Negotiated Rate	$20,375.00
Rate for Payer: Aetna Commercial	$15,485.00
Rate for Payer: Aetna Medicare Advantage	$12,225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,391.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,391.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10,391.25
Rate for Payer: Cigna Commercial	$20,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,861.50
Rate for Payer: Qualcare PPO/HMO/WC	$6,112.50
Rate for Payer: UnitedHealthcare Community & State	$1,287.70
Rate for Payer: Wellpoint Medicaid Managed Care	$1,157.30

CAGE ALIGN LAT 18X60X11MM 12D

Facility

$40,750.00

Service Code	HCPCS C1889
Hospital Charge Code	270696336
Hospital Revenue Code	278
Min. Negotiated Rate	$6,112.50
Max. Negotiated Rate	$9,861.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8,150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,861.50
Rate for Payer: Qualcare PPO/HMO/WC	$6,112.50

CAGE ANT LUMBAR MONTEREY

Facility

$44,975.00

Hospital Charge Code	270702924
Hospital Revenue Code	278
Min. Negotiated Rate	$6,746.25
Max. Negotiated Rate	$10,883.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8,995.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10,883.95
Rate for Payer: Qualcare PPO/HMO/WC	$6,746.25

Know your out-of-pocket cost for care.

All Charges