Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CAGE SYSTEM BENGAL 4MM

Facility

$6,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270670996
Hospital Revenue Code	278
Min. Negotiated Rate	$184.60
Max. Negotiated Rate	$3,250.00
Rate for Payer: Aetna Commercial	$2,470.00
Rate for Payer: Aetna Medicare Advantage	$1,950.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,657.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,657.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,657.50
Rate for Payer: Cigna Commercial	$3,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,573.00
Rate for Payer: Qualcare PPO/HMO/WC	$975.00
Rate for Payer: UnitedHealthcare Community & State	$205.40
Rate for Payer: Wellpoint Medicaid Managed Care	$184.60

CAGE SYSTEM BENGAL 4MM

Facility

$6,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270670996
Hospital Revenue Code	278
Min. Negotiated Rate	$975.00
Max. Negotiated Rate	$1,573.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,573.00
Rate for Payer: Qualcare PPO/HMO/WC	$975.00

CAGE SYSTEM BENGAL 6mm

Facility

$6,500.00

Hospital Charge Code	270671113
Hospital Revenue Code	278
Min. Negotiated Rate	$975.00
Max. Negotiated Rate	$1,573.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,573.00
Rate for Payer: Qualcare PPO/HMO/WC	$975.00

CAGE SYSTEM BENGAL 6mm

Facility

$6,500.00

Hospital Charge Code	270671113
Hospital Revenue Code	278
Min. Negotiated Rate	$184.60
Max. Negotiated Rate	$3,250.00
Rate for Payer: Aetna Commercial	$2,470.00
Rate for Payer: Aetna Medicare Advantage	$1,950.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,657.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,657.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,657.50
Rate for Payer: Cigna Commercial	$3,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,573.00
Rate for Payer: Qualcare PPO/HMO/WC	$975.00
Rate for Payer: UnitedHealthcare Community & State	$205.40
Rate for Payer: Wellpoint Medicaid Managed Care	$184.60

CAGE TAPERED STALIF 14MMX5.

Facility

$20,100.00

Hospital Charge Code	270667980
Hospital Revenue Code	278
Min. Negotiated Rate	$570.84
Max. Negotiated Rate	$10,050.00
Rate for Payer: Aetna Commercial	$7,638.00
Rate for Payer: Aetna Medicare Advantage	$6,030.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,125.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,125.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,125.50
Rate for Payer: Cigna Commercial	$10,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,864.20
Rate for Payer: Qualcare PPO/HMO/WC	$3,015.00
Rate for Payer: UnitedHealthcare Community & State	$635.16
Rate for Payer: Wellpoint Medicaid Managed Care	$570.84

CAGE TAPERED STALIF 14MMX5.

Facility

$20,100.00

Hospital Charge Code	270667980
Hospital Revenue Code	278
Min. Negotiated Rate	$3,015.00
Max. Negotiated Rate	$4,864.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,020.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,864.20
Rate for Payer: Qualcare PPO/HMO/WC	$3,015.00

CAGE TAPERED STALIF 14MMX6.

Facility

$20,100.00

Hospital Charge Code	270667979
Hospital Revenue Code	278
Min. Negotiated Rate	$3,015.00
Max. Negotiated Rate	$4,864.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,020.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,864.20
Rate for Payer: Qualcare PPO/HMO/WC	$3,015.00

CAGE TAPERED STALIF 14MMX6.

Facility

$20,100.00

Hospital Charge Code	270667979
Hospital Revenue Code	278
Min. Negotiated Rate	$570.84
Max. Negotiated Rate	$10,050.00
Rate for Payer: Aetna Commercial	$7,638.00
Rate for Payer: Aetna Medicare Advantage	$6,030.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,125.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,125.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,125.50
Rate for Payer: Cigna Commercial	$10,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,864.20
Rate for Payer: Qualcare PPO/HMO/WC	$3,015.00
Rate for Payer: UnitedHealthcare Community & State	$635.16
Rate for Payer: Wellpoint Medicaid Managed Care	$570.84

CAGE TETRA 14X22MM 6D

Facility

$21,500.00

Service Code	HCPCS C1889
Hospital Charge Code	270694041
Hospital Revenue Code	278
Min. Negotiated Rate	$3,225.00
Max. Negotiated Rate	$5,203.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,203.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,225.00

CAGE TETRA 14X22MM 6D

Facility

$21,500.00

Service Code	HCPCS C1889
Hospital Charge Code	270694041
Hospital Revenue Code	278
Min. Negotiated Rate	$610.60
Max. Negotiated Rate	$10,750.00
Rate for Payer: Aetna Commercial	$8,170.00
Rate for Payer: Aetna Medicare Advantage	$6,450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,482.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,482.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,482.50
Rate for Payer: Cigna Commercial	$10,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,203.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,225.00
Rate for Payer: UnitedHealthcare Community & State	$679.40
Rate for Payer: Wellpoint Medicaid Managed Care	$610.60

CAGE TI 8MM XWIDE

Facility

$9,150.00

Hospital Charge Code	270698204
Hospital Revenue Code	278
Min. Negotiated Rate	$259.86
Max. Negotiated Rate	$4,575.00
Rate for Payer: Aetna Commercial	$3,477.00
Rate for Payer: Aetna Medicare Advantage	$2,745.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,333.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,333.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,830.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,333.25
Rate for Payer: Cigna Commercial	$4,575.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,214.30
Rate for Payer: Qualcare PPO/HMO/WC	$1,372.50
Rate for Payer: UnitedHealthcare Community & State	$289.14
Rate for Payer: Wellpoint Medicaid Managed Care	$259.86

CAGE TI 8MM XWIDE

Facility

$9,150.00

Hospital Charge Code	270698204
Hospital Revenue Code	278
Min. Negotiated Rate	$1,372.50
Max. Negotiated Rate	$2,214.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,830.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,214.30
Rate for Payer: Qualcare PPO/HMO/WC	$1,372.50

CAGE TI 8MM XWIDE

Facility

$1,250.00

Hospital Charge Code	270699692
Hospital Revenue Code	278
Min. Negotiated Rate	$35.50
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$475.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Community & State	$39.50
Rate for Payer: Wellpoint Medicaid Managed Care	$35.50

CAGE TI 8MM XWIDE

Facility

$1,250.00

Hospital Charge Code	270699692
Hospital Revenue Code	278
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$302.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

CAGE TIGER LAT 45X17X12D 11H

Facility

$37,250.00

Service Code	HCPCS C1889
Hospital Charge Code	270695207
Hospital Revenue Code	278
Min. Negotiated Rate	$1,057.90
Max. Negotiated Rate	$18,625.00
Rate for Payer: Aetna Commercial	$14,155.00
Rate for Payer: Aetna Medicare Advantage	$11,175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,498.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,498.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,498.75
Rate for Payer: Cigna Commercial	$18,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,014.50
Rate for Payer: Qualcare PPO/HMO/WC	$5,587.50
Rate for Payer: UnitedHealthcare Community & State	$1,177.10
Rate for Payer: Wellpoint Medicaid Managed Care	$1,057.90

CAGE TIGER LAT 45X17X12D 11H

Facility

$37,250.00

Service Code	HCPCS C1889
Hospital Charge Code	270695207
Hospital Revenue Code	278
Min. Negotiated Rate	$5,587.50
Max. Negotiated Rate	$9,014.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,014.50
Rate for Payer: Qualcare PPO/HMO/WC	$5,587.50

CAGE TIGER LAT 50X17X12D 11H

Facility

$37,250.00

Service Code	HCPCS C1889
Hospital Charge Code	270695206
Hospital Revenue Code	278
Min. Negotiated Rate	$1,057.90
Max. Negotiated Rate	$18,625.00
Rate for Payer: Aetna Commercial	$14,155.00
Rate for Payer: Aetna Medicare Advantage	$11,175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,498.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,498.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,498.75
Rate for Payer: Cigna Commercial	$18,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,014.50
Rate for Payer: Qualcare PPO/HMO/WC	$5,587.50
Rate for Payer: UnitedHealthcare Community & State	$1,177.10
Rate for Payer: Wellpoint Medicaid Managed Care	$1,057.90

CAGE TIGER LAT 50X17X12D 11H

Facility

$37,250.00

Service Code	HCPCS C1889
Hospital Charge Code	270695206
Hospital Revenue Code	278
Min. Negotiated Rate	$5,587.50
Max. Negotiated Rate	$9,014.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,014.50
Rate for Payer: Qualcare PPO/HMO/WC	$5,587.50

CAGE TIGER LAT 50X22X12D 11H

Facility

$37,250.00

Service Code	HCPCS C1889
Hospital Charge Code	270695205
Hospital Revenue Code	278
Min. Negotiated Rate	$5,587.50
Max. Negotiated Rate	$9,014.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,014.50
Rate for Payer: Qualcare PPO/HMO/WC	$5,587.50

CAGE TIGER LAT 50X22X12D 11H

Facility

$37,250.00

Service Code	HCPCS C1889
Hospital Charge Code	270695205
Hospital Revenue Code	278
Min. Negotiated Rate	$1,057.90
Max. Negotiated Rate	$18,625.00
Rate for Payer: Aetna Commercial	$14,155.00
Rate for Payer: Aetna Medicare Advantage	$11,175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,498.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,498.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,498.75
Rate for Payer: Cigna Commercial	$18,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,014.50
Rate for Payer: Qualcare PPO/HMO/WC	$5,587.50
Rate for Payer: UnitedHealthcare Community & State	$1,177.10
Rate for Payer: Wellpoint Medicaid Managed Care	$1,057.90

CAGETIGERSHARKLAT50X22X1312D

Facility

$37,250.00

Service Code	HCPCS C1889
Hospital Charge Code	270695253
Hospital Revenue Code	278
Min. Negotiated Rate	$1,057.90
Max. Negotiated Rate	$18,625.00
Rate for Payer: Aetna Commercial	$14,155.00
Rate for Payer: Aetna Medicare Advantage	$11,175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,498.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,498.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,498.75
Rate for Payer: Cigna Commercial	$18,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,014.50
Rate for Payer: Qualcare PPO/HMO/WC	$5,587.50
Rate for Payer: UnitedHealthcare Community & State	$1,177.10
Rate for Payer: Wellpoint Medicaid Managed Care	$1,057.90

CAGETIGERSHARKLAT50X22X1312D

Facility

$37,250.00

Service Code	HCPCS C1889
Hospital Charge Code	270695253
Hospital Revenue Code	278
Min. Negotiated Rate	$5,587.50
Max. Negotiated Rate	$9,014.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,014.50
Rate for Payer: Qualcare PPO/HMO/WC	$5,587.50

CAGETIGERSHARKLAT50X22X1512D

Facility

$37,250.00

Service Code	HCPCS C1889
Hospital Charge Code	270695257
Hospital Revenue Code	278
Min. Negotiated Rate	$5,587.50
Max. Negotiated Rate	$9,014.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,014.50
Rate for Payer: Qualcare PPO/HMO/WC	$5,587.50

CAGETIGERSHARKLAT50X22X1512D

Facility

$37,250.00

Service Code	HCPCS C1889
Hospital Charge Code	270695257
Hospital Revenue Code	278
Min. Negotiated Rate	$1,057.90
Max. Negotiated Rate	$18,625.00
Rate for Payer: Aetna Commercial	$14,155.00
Rate for Payer: Aetna Medicare Advantage	$11,175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,498.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,498.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,498.75
Rate for Payer: Cigna Commercial	$18,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,014.50
Rate for Payer: Qualcare PPO/HMO/WC	$5,587.50
Rate for Payer: UnitedHealthcare Community & State	$1,177.10
Rate for Payer: Wellpoint Medicaid Managed Care	$1,057.90

CAGE TILIF-O 8X10X30MM 4D

Facility

$32,500.00

Service Code	HCPCS C1889
Hospital Charge Code	270698042
Hospital Revenue Code	278
Min. Negotiated Rate	$4,875.00
Max. Negotiated Rate	$7,865.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,865.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,875.00

Know your out-of-pocket cost for care.

All Charges