Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CELL SAVER PACK

Facility

$363.75

Hospital Charge Code	270661410
Hospital Revenue Code	272
Min. Negotiated Rate	$54.56
Max. Negotiated Rate	$54.56
Rate for Payer: Qualcare PPO/HMO/WC	$54.56

CELL SAVER PACK

Facility

$363.75

Hospital Charge Code	270661410
Hospital Revenue Code	272
Min. Negotiated Rate	$10.33
Max. Negotiated Rate	$181.88
Rate for Payer: Aetna Commercial	$138.22
Rate for Payer: Aetna Medicare Advantage	$109.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92.76
Rate for Payer: Cigna Commercial	$181.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.58
Rate for Payer: Oxford Commercial	$72.75
Rate for Payer: Qualcare PPO/HMO/WC	$54.56
Rate for Payer: UnitedHealthcare Commercial	$72.75
Rate for Payer: UnitedHealthcare Community & State	$11.49
Rate for Payer: Wellpoint Medicaid Managed Care	$10.33

CELL SAVER SORIN PACK 55ML

Facility

$363.75

Hospital Charge Code	270659421
Hospital Revenue Code	270
Min. Negotiated Rate	$54.56
Max. Negotiated Rate	$54.56
Rate for Payer: Qualcare PPO/HMO/WC	$54.56

CELL SAVER SORIN PACK 55ML

Facility

$363.75

Hospital Charge Code	270659421
Hospital Revenue Code	270
Min. Negotiated Rate	$10.33
Max. Negotiated Rate	$181.88
Rate for Payer: Aetna Commercial	$138.22
Rate for Payer: Aetna Medicare Advantage	$109.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92.76
Rate for Payer: Cigna Commercial	$181.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.58
Rate for Payer: Oxford Commercial	$72.75
Rate for Payer: Qualcare PPO/HMO/WC	$54.56
Rate for Payer: UnitedHealthcare Commercial	$72.75
Rate for Payer: UnitedHealthcare Community & State	$11.49
Rate for Payer: Wellpoint Medicaid Managed Care	$10.33

CELLSERCH CIRC TUMRCELLS COLON

Facility

$1,671.85

Hospital Charge Code	397043303
Hospital Revenue Code	301
Min. Negotiated Rate	$47.48
Max. Negotiated Rate	$835.92
Rate for Payer: Aetna Commercial	$635.30
Rate for Payer: Aetna Medicare Advantage	$501.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$426.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$426.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$426.32
Rate for Payer: Cigna Commercial	$835.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$434.68
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$250.78
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$52.83
Rate for Payer: Wellpoint Medicaid Managed Care	$47.48

CELLSERCH CIRC TUMRCELLS COLON

Facility

$1,671.85

Hospital Charge Code	397043303
Hospital Revenue Code	301
Min. Negotiated Rate	$250.78
Max. Negotiated Rate	$250.78
Rate for Payer: Qualcare PPO/HMO/WC	$250.78

CELLULAR BONE MARTIX MED.

Facility

$15,875.00

Service Code	HCPCS C1762
Hospital Charge Code	270667698
Hospital Revenue Code	278
Min. Negotiated Rate	$450.85
Max. Negotiated Rate	$7,937.50
Rate for Payer: Aetna Commercial	$6,032.50
Rate for Payer: Aetna Medicare Advantage	$4,762.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,048.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,048.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,048.12
Rate for Payer: Cigna Commercial	$7,937.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,841.75
Rate for Payer: Qualcare PPO/HMO/WC	$2,381.25
Rate for Payer: UnitedHealthcare Community & State	$501.65
Rate for Payer: Wellpoint Medicaid Managed Care	$450.85

CELLULAR BONE MARTIX MED.

Facility

$15,875.00

Service Code	HCPCS C1762
Hospital Charge Code	270667698
Hospital Revenue Code	278
Min. Negotiated Rate	$2,381.25
Max. Negotiated Rate	$3,841.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,841.75
Rate for Payer: Qualcare PPO/HMO/WC	$2,381.25

CELLULITIS AND OTHER SKIN INFECTIONS

Facility

$23,554.25

Service Code	APR-DRG 3834
Min. Negotiated Rate	$23,092.40
Max. Negotiated Rate	$23,554.25
Rate for Payer: UnitedHealthcare Community & State	$23,092.40
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$23,554.25
Rate for Payer: Wellpoint Medicaid Managed Care	$23,092.40

CELLULITIS AND OTHER SKIN INFECTIONS

Facility

$12,281.35

Service Code	APR-DRG 3833
Min. Negotiated Rate	$12,040.54
Max. Negotiated Rate	$12,281.35
Rate for Payer: UnitedHealthcare Community & State	$12,040.54
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,281.35
Rate for Payer: Wellpoint Medicaid Managed Care	$12,040.54

CELLULITIS AND OTHER SKIN INFECTIONS

Facility

$8,152.43

Service Code	APR-DRG 3832
Min. Negotiated Rate	$7,992.58
Max. Negotiated Rate	$8,152.43
Rate for Payer: UnitedHealthcare Community & State	$7,992.58
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,152.43
Rate for Payer: Wellpoint Medicaid Managed Care	$7,992.58

CELLULITIS AND OTHER SKIN INFECTIONS

Facility

$5,984.05

Service Code	APR-DRG 3831
Min. Negotiated Rate	$5,866.72
Max. Negotiated Rate	$5,984.05
Rate for Payer: UnitedHealthcare Community & State	$5,866.72
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,984.05
Rate for Payer: Wellpoint Medicaid Managed Care	$5,866.72

CELLULITIS WITH MCC

Facility

$64,368.56

Service Code	MSDRG 602
Min. Negotiated Rate	$19,599.40
Max. Negotiated Rate	$64,368.56
Rate for Payer: Aetna Commercial	$47,702.57
Rate for Payer: Aetna Medicare Advantage	$64,368.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41,280.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41,280.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20,630.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41,280.45
Rate for Payer: Cigna Commercial	$31,685.04
Rate for Payer: Cigna Medicare Advantage	$20,630.95
Rate for Payer: Clover Medicare Advantage	$19,599.40
Rate for Payer: EmblemHealth Commercial	$61,892.85
Rate for Payer: Humana Medicare Advantage	$21,249.88
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$20,630.95
Rate for Payer: Oxford Commercial	$25,043.31
Rate for Payer: UnitedHealthcare Commercial	$33,521.36
Rate for Payer: UnitedHealthcare Medicare Advantage	$20,630.95
Rate for Payer: Wellcare Medicare Advantage	$20,630.95

CELLULITIS WITHOUT MCC

Facility

$46,979.49

Service Code	MSDRG 603
Min. Negotiated Rate	$14,304.65
Max. Negotiated Rate	$46,979.49
Rate for Payer: Aetna Commercial	$35,317.83
Rate for Payer: Aetna Medicare Advantage	$46,979.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24,380.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24,380.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15,057.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24,380.40
Rate for Payer: Cigna Commercial	$19,414.97
Rate for Payer: Cigna Medicare Advantage	$15,057.53
Rate for Payer: Clover Medicare Advantage	$14,304.65
Rate for Payer: EmblemHealth Commercial	$45,172.59
Rate for Payer: Humana Medicare Advantage	$15,509.26
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$15,057.53
Rate for Payer: Oxford Commercial	$15,345.26
Rate for Payer: UnitedHealthcare Commercial	$20,540.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$15,057.53
Rate for Payer: Wellcare Medicare Advantage	$15,057.53

CEMELESS EXT STEM 12MM/ 105 MM

Facility

$8,990.00

Service Code	HCPCS C1776
Hospital Charge Code	270687683
Hospital Revenue Code	278
Min. Negotiated Rate	$255.32
Max. Negotiated Rate	$4,495.00
Rate for Payer: Aetna Commercial	$3,416.20
Rate for Payer: Aetna Medicare Advantage	$2,697.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,292.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,292.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,798.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,292.45
Rate for Payer: Cigna Commercial	$4,495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,175.58
Rate for Payer: Qualcare PPO/HMO/WC	$1,348.50
Rate for Payer: UnitedHealthcare Community & State	$284.08
Rate for Payer: Wellpoint Medicaid Managed Care	$255.32

CEMELESS EXT STEM 12MM/ 105 MM

Facility

$8,990.00

Service Code	HCPCS C1776
Hospital Charge Code	270687683
Hospital Revenue Code	278
Min. Negotiated Rate	$1,348.50
Max. Negotiated Rate	$2,175.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,798.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,175.58
Rate for Payer: Qualcare PPO/HMO/WC	$1,348.50

CEMELESS EXT STEM 13 MM/ 150MM

Facility

$8,990.00

Service Code	HCPCS C1776
Hospital Charge Code	270687962
Hospital Revenue Code	278
Min. Negotiated Rate	$1,348.50
Max. Negotiated Rate	$2,175.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,798.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,175.58
Rate for Payer: Qualcare PPO/HMO/WC	$1,348.50

CEMELESS EXT STEM 13 MM/ 150MM

Facility

$8,990.00

Service Code	HCPCS C1776
Hospital Charge Code	270687962
Hospital Revenue Code	278
Min. Negotiated Rate	$255.32
Max. Negotiated Rate	$4,495.00
Rate for Payer: Aetna Commercial	$3,416.20
Rate for Payer: Aetna Medicare Advantage	$2,697.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,292.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,292.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,798.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,292.45
Rate for Payer: Cigna Commercial	$4,495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,175.58
Rate for Payer: Qualcare PPO/HMO/WC	$1,348.50
Rate for Payer: UnitedHealthcare Community & State	$284.08
Rate for Payer: Wellpoint Medicaid Managed Care	$255.32

CEMELESS EXT STEM 14MM/ 150 MM

Facility

$8,990.00

Service Code	HCPCS C1776
Hospital Charge Code	270687682
Hospital Revenue Code	278
Min. Negotiated Rate	$1,348.50
Max. Negotiated Rate	$2,175.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,798.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,175.58
Rate for Payer: Qualcare PPO/HMO/WC	$1,348.50

CEMELESS EXT STEM 14MM/ 150 MM

Facility

$8,990.00

Service Code	HCPCS C1776
Hospital Charge Code	270687682
Hospital Revenue Code	278
Min. Negotiated Rate	$255.32
Max. Negotiated Rate	$4,495.00
Rate for Payer: Aetna Commercial	$3,416.20
Rate for Payer: Aetna Medicare Advantage	$2,697.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,292.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,292.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,798.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,292.45
Rate for Payer: Cigna Commercial	$4,495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,175.58
Rate for Payer: Qualcare PPO/HMO/WC	$1,348.50
Rate for Payer: UnitedHealthcare Community & State	$284.08
Rate for Payer: Wellpoint Medicaid Managed Care	$255.32

CEMENT BC R 1 X 40 GM

Facility

$310.00

Service Code	HCPCS C1713
Hospital Charge Code	270682311
Hospital Revenue Code	278
Min. Negotiated Rate	$46.50
Max. Negotiated Rate	$75.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$62.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.02
Rate for Payer: Qualcare PPO/HMO/WC	$46.50

CEMENT BC R 1 X 40 GM

Facility

$310.00

Service Code	HCPCS C1713
Hospital Charge Code	270682311
Hospital Revenue Code	278
Min. Negotiated Rate	$8.80
Max. Negotiated Rate	$155.00
Rate for Payer: Aetna Commercial	$117.80
Rate for Payer: Aetna Medicare Advantage	$93.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$79.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$79.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$62.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$79.05
Rate for Payer: Cigna Commercial	$155.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.02
Rate for Payer: Qualcare PPO/HMO/WC	$46.50
Rate for Payer: UnitedHealthcare Community & State	$9.80
Rate for Payer: Wellpoint Medicaid Managed Care	$8.80

CEMENT BONE 40/20

Facility

$4,405.00

Service Code	HCPCS C1776
Hospital Charge Code	270656673
Hospital Revenue Code	278
Min. Negotiated Rate	$660.75
Max. Negotiated Rate	$1,066.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$881.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,066.01
Rate for Payer: Qualcare PPO/HMO/WC	$660.75

CEMENT BONE 40/20

Facility

$4,405.00

Service Code	HCPCS C1776
Hospital Charge Code	270656673
Hospital Revenue Code	278
Min. Negotiated Rate	$125.10
Max. Negotiated Rate	$2,202.50
Rate for Payer: Aetna Commercial	$1,673.90
Rate for Payer: Aetna Medicare Advantage	$1,321.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,123.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,123.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$881.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,123.28
Rate for Payer: Cigna Commercial	$2,202.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,066.01
Rate for Payer: Qualcare PPO/HMO/WC	$660.75
Rate for Payer: UnitedHealthcare Community & State	$139.20
Rate for Payer: Wellpoint Medicaid Managed Care	$125.10

CEMENT BONE ACTIVOS

Facility

$1,342.00

Service Code	HCPCS C1713
Hospital Charge Code	270657326
Hospital Revenue Code	278
Min. Negotiated Rate	$201.30
Max. Negotiated Rate	$324.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$268.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.76
Rate for Payer: Qualcare PPO/HMO/WC	$201.30

Know your out-of-pocket cost for care.

All Charges