Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CAGE CORPECT MATRIXX14X16X196D

Facility

$39,990.00

Service Code	HCPCS C1889
Hospital Charge Code	270698813
Hospital Revenue Code	278
Min. Negotiated Rate	$1,135.72
Max. Negotiated Rate	$19,995.00
Rate for Payer: Aetna Commercial	$15,196.20
Rate for Payer: Aetna Medicare Advantage	$11,997.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,197.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,197.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,998.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10,197.45
Rate for Payer: Cigna Commercial	$19,995.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,677.58
Rate for Payer: Qualcare PPO/HMO/WC	$5,998.50
Rate for Payer: UnitedHealthcare Community & State	$1,263.68
Rate for Payer: Wellpoint Medicaid Managed Care	$1,135.72

CAGE CORPECT MATRIXX14X16X196D

Facility

$39,990.00

Service Code	HCPCS C1889
Hospital Charge Code	270698813
Hospital Revenue Code	278
Min. Negotiated Rate	$5,998.50
Max. Negotiated Rate	$9,677.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,998.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,677.58
Rate for Payer: Qualcare PPO/HMO/WC	$5,998.50

CAGE CORPECTOMY 12DX14WX34H 6D

Facility

$30,000.00

Service Code	HCPCS C1889
Hospital Charge Code	270696966
Hospital Revenue Code	278
Min. Negotiated Rate	$852.00
Max. Negotiated Rate	$15,000.00
Rate for Payer: Aetna Commercial	$11,400.00
Rate for Payer: Aetna Medicare Advantage	$9,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,650.00
Rate for Payer: Cigna Commercial	$15,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,260.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,500.00
Rate for Payer: UnitedHealthcare Community & State	$948.00
Rate for Payer: Wellpoint Medicaid Managed Care	$852.00

CAGE CORPECTOMY 12DX14WX34H 6D

Facility

$30,000.00

Service Code	HCPCS C1889
Hospital Charge Code	270696966
Hospital Revenue Code	278
Min. Negotiated Rate	$4,500.00
Max. Negotiated Rate	$7,260.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,260.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,500.00

CAGE CORPECTOMY 12X14X21 6D

Facility

$39,975.00

Service Code	HCPCS C1889
Hospital Charge Code	270699208
Hospital Revenue Code	278
Min. Negotiated Rate	$5,996.25
Max. Negotiated Rate	$9,673.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,995.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,673.95
Rate for Payer: Qualcare PPO/HMO/WC	$5,996.25

CAGE CORPECTOMY 12X14X21 6D

Facility

$39,975.00

Service Code	HCPCS C1889
Hospital Charge Code	270699208
Hospital Revenue Code	278
Min. Negotiated Rate	$1,135.29
Max. Negotiated Rate	$19,987.50
Rate for Payer: Aetna Commercial	$15,190.50
Rate for Payer: Aetna Medicare Advantage	$11,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,193.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,193.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,995.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10,193.62
Rate for Payer: Cigna Commercial	$19,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,673.95
Rate for Payer: Qualcare PPO/HMO/WC	$5,996.25
Rate for Payer: UnitedHealthcare Community & State	$1,263.21
Rate for Payer: Wellpoint Medicaid Managed Care	$1,135.29

CAGE CORPECTOMY 12X14X55 6D

Facility

$30,000.00

Service Code	HCPCS C1889
Hospital Charge Code	270694537
Hospital Revenue Code	278
Min. Negotiated Rate	$4,500.00
Max. Negotiated Rate	$7,260.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,260.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,500.00

CAGE CORPECTOMY 12X14X55 6D

Facility

$30,000.00

Service Code	HCPCS C1889
Hospital Charge Code	270694537
Hospital Revenue Code	278
Min. Negotiated Rate	$852.00
Max. Negotiated Rate	$15,000.00
Rate for Payer: Aetna Commercial	$11,400.00
Rate for Payer: Aetna Medicare Advantage	$9,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,650.00
Rate for Payer: Cigna Commercial	$15,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,260.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,500.00
Rate for Payer: UnitedHealthcare Community & State	$948.00
Rate for Payer: Wellpoint Medicaid Managed Care	$852.00

CAGE CRYSTAL 7D 16X13X10MM

Facility

$5,600.00

Service Code	HCPCS C1889
Hospital Charge Code	270694726
Hospital Revenue Code	278
Min. Negotiated Rate	$840.00
Max. Negotiated Rate	$1,355.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,355.20
Rate for Payer: Qualcare PPO/HMO/WC	$840.00

CAGE CRYSTAL 7D 16X13X10MM

Facility

$5,600.00

Service Code	HCPCS C1889
Hospital Charge Code	270694726
Hospital Revenue Code	278
Min. Negotiated Rate	$159.04
Max. Negotiated Rate	$2,800.00
Rate for Payer: Aetna Commercial	$2,128.00
Rate for Payer: Aetna Medicare Advantage	$1,680.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,428.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,428.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,428.00
Rate for Payer: Cigna Commercial	$2,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,355.20
Rate for Payer: Qualcare PPO/HMO/WC	$840.00
Rate for Payer: UnitedHealthcare Community & State	$176.96
Rate for Payer: Wellpoint Medicaid Managed Care	$159.04

CAGE CRYSTAL 7D 16X13X9MM

Facility

$5,600.00

Service Code	HCPCS C1889
Hospital Charge Code	270694725
Hospital Revenue Code	278
Min. Negotiated Rate	$159.04
Max. Negotiated Rate	$2,800.00
Rate for Payer: Aetna Commercial	$2,128.00
Rate for Payer: Aetna Medicare Advantage	$1,680.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,428.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,428.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,428.00
Rate for Payer: Cigna Commercial	$2,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,355.20
Rate for Payer: Qualcare PPO/HMO/WC	$840.00
Rate for Payer: UnitedHealthcare Community & State	$176.96
Rate for Payer: Wellpoint Medicaid Managed Care	$159.04

CAGE CRYSTAL 7D 16X13X9MM

Facility

$5,600.00

Service Code	HCPCS C1889
Hospital Charge Code	270694725
Hospital Revenue Code	278
Min. Negotiated Rate	$840.00
Max. Negotiated Rate	$1,355.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,355.20
Rate for Payer: Qualcare PPO/HMO/WC	$840.00

CAGE DAKOTA 14X12X8MM 7D

Facility

$32,555.00

Service Code	HCPCS C1889
Hospital Charge Code	270698150
Hospital Revenue Code	278
Min. Negotiated Rate	$4,883.25
Max. Negotiated Rate	$7,878.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,511.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,878.31
Rate for Payer: Qualcare PPO/HMO/WC	$4,883.25

CAGE DAKOTA 14X12X8MM 7D

Facility

$32,555.00

Service Code	HCPCS C1889
Hospital Charge Code	270698150
Hospital Revenue Code	278
Min. Negotiated Rate	$924.56
Max. Negotiated Rate	$16,277.50
Rate for Payer: Aetna Commercial	$12,370.90
Rate for Payer: Aetna Medicare Advantage	$9,766.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,301.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,301.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,511.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,301.52
Rate for Payer: Cigna Commercial	$16,277.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,878.31
Rate for Payer: Qualcare PPO/HMO/WC	$4,883.25
Rate for Payer: UnitedHealthcare Community & State	$1,028.74
Rate for Payer: Wellpoint Medicaid Managed Care	$924.56

CAGE DISC DEEP MED 14X15X6MM

Facility

$29,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270693150
Hospital Revenue Code	278
Min. Negotiated Rate	$844.90
Max. Negotiated Rate	$14,875.00
Rate for Payer: Aetna Commercial	$11,305.00
Rate for Payer: Aetna Medicare Advantage	$8,925.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,586.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,586.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,950.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,586.25
Rate for Payer: Cigna Commercial	$14,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,199.50
Rate for Payer: Qualcare PPO/HMO/WC	$4,462.50
Rate for Payer: UnitedHealthcare Community & State	$940.10
Rate for Payer: Wellpoint Medicaid Managed Care	$844.90

CAGE DISC DEEP MED 14X15X6MM

Facility

$29,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270693150
Hospital Revenue Code	278
Min. Negotiated Rate	$4,462.50
Max. Negotiated Rate	$7,199.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,199.50
Rate for Payer: Qualcare PPO/HMO/WC	$4,462.50

CAGE ELSA 20X60MM 5-20D

Facility

$53,750.00

Service Code	HCPCS C1889
Hospital Charge Code	270694590
Hospital Revenue Code	278
Min. Negotiated Rate	$1,526.50
Max. Negotiated Rate	$26,875.00
Rate for Payer: Aetna Commercial	$20,425.00
Rate for Payer: Aetna Medicare Advantage	$16,125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,706.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,706.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,706.25
Rate for Payer: Cigna Commercial	$26,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13,007.50
Rate for Payer: Qualcare PPO/HMO/WC	$8,062.50
Rate for Payer: UnitedHealthcare Community & State	$1,698.50
Rate for Payer: Wellpoint Medicaid Managed Care	$1,526.50

CAGE ELSA 20X60MM 5-20D

Facility

$53,750.00

Service Code	HCPCS C1889
Hospital Charge Code	270694590
Hospital Revenue Code	278
Min. Negotiated Rate	$8,062.50
Max. Negotiated Rate	$13,007.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13,007.50
Rate for Payer: Qualcare PPO/HMO/WC	$8,062.50

CAGE EXPAND 11X23X10 MM

Facility

$80,000.00

Service Code	HCPCS C1889
Hospital Charge Code	270697758
Hospital Revenue Code	278
Min. Negotiated Rate	$2,272.00
Max. Negotiated Rate	$40,000.00
Rate for Payer: Aetna Commercial	$30,400.00
Rate for Payer: Aetna Medicare Advantage	$24,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20,400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20,400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20,400.00
Rate for Payer: Cigna Commercial	$40,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19,360.00
Rate for Payer: Qualcare PPO/HMO/WC	$12,000.00
Rate for Payer: UnitedHealthcare Community & State	$2,528.00
Rate for Payer: Wellpoint Medicaid Managed Care	$2,272.00

CAGE EXPAND 11X23X10 MM

Facility

$80,000.00

Service Code	HCPCS C1889
Hospital Charge Code	270697758
Hospital Revenue Code	278
Min. Negotiated Rate	$12,000.00
Max. Negotiated Rate	$19,360.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19,360.00
Rate for Payer: Qualcare PPO/HMO/WC	$12,000.00

CAGEEXPANDLUCE10X27X10MM10-15D

Facility

$17,600.00

Service Code	HCPCS C1889
Hospital Charge Code	270698872
Hospital Revenue Code	278
Min. Negotiated Rate	$499.84
Max. Negotiated Rate	$8,800.00
Rate for Payer: Aetna Commercial	$6,688.00
Rate for Payer: Aetna Medicare Advantage	$5,280.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,488.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,488.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,520.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,488.00
Rate for Payer: Cigna Commercial	$8,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,259.20
Rate for Payer: Qualcare PPO/HMO/WC	$2,640.00
Rate for Payer: UnitedHealthcare Community & State	$556.16
Rate for Payer: Wellpoint Medicaid Managed Care	$499.84

CAGEEXPANDLUCE10X27X10MM10-15D

Facility

$17,600.00

Service Code	HCPCS C1889
Hospital Charge Code	270698872
Hospital Revenue Code	278
Min. Negotiated Rate	$2,640.00
Max. Negotiated Rate	$4,259.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,520.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,259.20
Rate for Payer: Qualcare PPO/HMO/WC	$2,640.00

CAGE FLREHWK SHELL LORDOT 29MM

Facility

$19,750.00

Service Code	HCPCS C1889
Hospital Charge Code	270693872
Hospital Revenue Code	278
Min. Negotiated Rate	$2,962.50
Max. Negotiated Rate	$4,779.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,779.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,962.50

CAGE FLREHWK SHELL LORDOT 29MM

Facility

$19,750.00

Service Code	HCPCS C1889
Hospital Charge Code	270693872
Hospital Revenue Code	278
Min. Negotiated Rate	$560.90
Max. Negotiated Rate	$9,875.00
Rate for Payer: Aetna Commercial	$7,505.00
Rate for Payer: Aetna Medicare Advantage	$5,925.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,036.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,036.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,950.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,036.25
Rate for Payer: Cigna Commercial	$9,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,779.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,962.50
Rate for Payer: UnitedHealthcare Community & State	$624.10
Rate for Payer: Wellpoint Medicaid Managed Care	$560.90

CAGE FLREHWK SHIM 14MMX29MM

Facility

$18,925.00

Service Code	HCPCS C1889
Hospital Charge Code	270693873
Hospital Revenue Code	278
Min. Negotiated Rate	$2,838.75
Max. Negotiated Rate	$4,579.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,785.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,579.85
Rate for Payer: Qualcare PPO/HMO/WC	$2,838.75

Know your out-of-pocket cost for care.

All Charges