Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CERV ARTIFIC DISKECTOMY

Facility

$47,548.90

Service Code	HCPCS 22856
Hospital Charge Code	1600000278
Hospital Revenue Code	360
Min. Negotiated Rate	$1,350.39
Max. Negotiated Rate	$75,563.15
Rate for Payer: Aetna Commercial	$56,659.34
Rate for Payer: Aetna Medicare Advantage	$67,491.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$75,563.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$75,563.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20,830.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$75,563.15
Rate for Payer: Cigna Commercial	$41,754.94
Rate for Payer: Cigna Medicare Advantage	$20,830.64
Rate for Payer: Clover Medicare Advantage	$19,789.11
Rate for Payer: EmblemHealth Commercial	$62,491.92
Rate for Payer: Humana Medicare Advantage	$21,455.56
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$20,830.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12,362.71
Rate for Payer: Oxford Commercial	$13,407.00
Rate for Payer: Qualcare PPO/HMO/WC	$7,132.34
Rate for Payer: UnitedHealthcare Commercial	$14,869.00
Rate for Payer: UnitedHealthcare Community & State	$1,502.55
Rate for Payer: UnitedHealthcare Medicare Advantage	$20,830.64
Rate for Payer: Wellcare Medicare Advantage	$20,830.64
Rate for Payer: Wellpoint Medicaid Managed Care	$1,350.39

CERV ARTIFIC DISKECTOMY

Facility

$47,548.90

Service Code	HCPCS 22856
Hospital Charge Code	1600000305
Hospital Revenue Code	360
Min. Negotiated Rate	$7,132.34
Max. Negotiated Rate	$7,132.34
Rate for Payer: Qualcare PPO/HMO/WC	$7,132.34

CERV ARTIFIC DISKECTOMY

Facility

$47,548.90

Service Code	HCPCS 22856
Hospital Charge Code	1600000305
Hospital Revenue Code	360
Min. Negotiated Rate	$1,350.39
Max. Negotiated Rate	$75,563.15
Rate for Payer: Aetna Commercial	$56,659.34
Rate for Payer: Aetna Medicare Advantage	$67,491.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$75,563.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$75,563.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20,830.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$75,563.15
Rate for Payer: Cigna Commercial	$41,754.94
Rate for Payer: Cigna Medicare Advantage	$20,830.64
Rate for Payer: Clover Medicare Advantage	$19,789.11
Rate for Payer: EmblemHealth Commercial	$62,491.92
Rate for Payer: Humana Medicare Advantage	$21,455.56
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$20,830.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12,362.71
Rate for Payer: Oxford Commercial	$13,407.00
Rate for Payer: Qualcare PPO/HMO/WC	$7,132.34
Rate for Payer: UnitedHealthcare Commercial	$14,869.00
Rate for Payer: UnitedHealthcare Community & State	$1,502.55
Rate for Payer: UnitedHealthcare Medicare Advantage	$20,830.64
Rate for Payer: Wellcare Medicare Advantage	$20,830.64
Rate for Payer: Wellpoint Medicaid Managed Care	$1,350.39

CERV CAGE 17.5X14X8MM 7DEG

Facility

$15,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270705400
Hospital Revenue Code	278
Min. Negotiated Rate	$2,325.00
Max. Negotiated Rate	$3,751.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,751.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,325.00

CERV CAGE 17.5X14X8MM 7DEG

Facility

$15,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270705400
Hospital Revenue Code	278
Min. Negotiated Rate	$440.20
Max. Negotiated Rate	$7,750.00
Rate for Payer: Aetna Commercial	$5,890.00
Rate for Payer: Aetna Medicare Advantage	$4,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,952.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,952.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,952.50
Rate for Payer: Cigna Commercial	$7,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,751.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,325.00
Rate for Payer: UnitedHealthcare Community & State	$489.80
Rate for Payer: Wellpoint Medicaid Managed Care	$440.20

CERVCAL PLATE 34MM-50MM-53MM

Facility

$3,419.00

Hospital Charge Code	270335966
Hospital Revenue Code	278
Min. Negotiated Rate	$97.10
Max. Negotiated Rate	$1,709.50
Rate for Payer: Aetna Commercial	$1,299.22
Rate for Payer: Aetna Medicare Advantage	$1,025.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$871.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$871.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$683.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$871.85
Rate for Payer: Cigna Commercial	$1,709.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$827.40
Rate for Payer: Qualcare PPO/HMO/WC	$512.85
Rate for Payer: UnitedHealthcare Community & State	$108.04
Rate for Payer: Wellpoint Medicaid Managed Care	$97.10

CERVCAL PLATE 34MM-50MM-53MM

Facility

$3,419.00

Hospital Charge Code	270335966
Hospital Revenue Code	278
Min. Negotiated Rate	$512.85
Max. Negotiated Rate	$827.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$683.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$827.40
Rate for Payer: Qualcare PPO/HMO/WC	$512.85

CERVICAL 3DR RIGEL 16X14X7MM

Facility

$5,000.00

Service Code	HCPCS C1889
Hospital Charge Code	270698897
Hospital Revenue Code	278
Min. Negotiated Rate	$142.00
Max. Negotiated Rate	$2,500.00
Rate for Payer: Aetna Commercial	$1,900.00
Rate for Payer: Aetna Medicare Advantage	$1,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,275.00
Rate for Payer: Cigna Commercial	$2,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,210.00
Rate for Payer: Qualcare PPO/HMO/WC	$750.00
Rate for Payer: UnitedHealthcare Community & State	$158.00
Rate for Payer: Wellpoint Medicaid Managed Care	$142.00

CERVICAL 3DR RIGEL 16X14X7MM

Facility

$5,000.00

Service Code	HCPCS C1889
Hospital Charge Code	270698897
Hospital Revenue Code	278
Min. Negotiated Rate	$750.00
Max. Negotiated Rate	$1,210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,210.00
Rate for Payer: Qualcare PPO/HMO/WC	$750.00

CERVICAL BONE

Facility

$1,484.00

Hospital Charge Code	270335688
Hospital Revenue Code	278
Min. Negotiated Rate	$222.60
Max. Negotiated Rate	$359.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$296.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$359.13
Rate for Payer: Qualcare PPO/HMO/WC	$222.60

CERVICAL BONE

Facility

$1,484.00

Hospital Charge Code	270335688
Hospital Revenue Code	278
Min. Negotiated Rate	$42.15
Max. Negotiated Rate	$742.00
Rate for Payer: Aetna Commercial	$563.92
Rate for Payer: Aetna Medicare Advantage	$445.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$378.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$378.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$296.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$378.42
Rate for Payer: Cigna Commercial	$742.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$359.13
Rate for Payer: Qualcare PPO/HMO/WC	$222.60
Rate for Payer: UnitedHealthcare Community & State	$46.89
Rate for Payer: Wellpoint Medicaid Managed Care	$42.15

CERVICAL CAGE 7MM MEDIUM

Facility

$15,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270705435
Hospital Revenue Code	278
Min. Negotiated Rate	$2,250.00
Max. Negotiated Rate	$3,630.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,630.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,250.00

CERVICAL CAGE 7MM MEDIUM

Facility

$15,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270705435
Hospital Revenue Code	278
Min. Negotiated Rate	$426.00
Max. Negotiated Rate	$7,500.00
Rate for Payer: Aetna Commercial	$5,700.00
Rate for Payer: Aetna Medicare Advantage	$4,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,825.00
Rate for Payer: Cigna Commercial	$7,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,630.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,250.00
Rate for Payer: UnitedHealthcare Community & State	$474.00
Rate for Payer: Wellpoint Medicaid Managed Care	$426.00

CERVICAL CAGE LORDOTIC 7MM

Facility

$10,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270705761
Hospital Revenue Code	278
Min. Negotiated Rate	$1,575.00
Max. Negotiated Rate	$2,541.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,541.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,575.00

CERVICAL CAGE LORDOTIC 7MM

Facility

$10,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270705761
Hospital Revenue Code	278
Min. Negotiated Rate	$298.20
Max. Negotiated Rate	$5,250.00
Rate for Payer: Aetna Commercial	$3,990.00
Rate for Payer: Aetna Medicare Advantage	$3,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,677.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,677.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,677.50
Rate for Payer: Cigna Commercial	$5,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,541.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,575.00
Rate for Payer: UnitedHealthcare Community & State	$331.80
Rate for Payer: Wellpoint Medicaid Managed Care	$298.20

CERVICAL CAGE LORDOTIC 8MM

Facility

$10,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270705760
Hospital Revenue Code	278
Min. Negotiated Rate	$298.20
Max. Negotiated Rate	$5,250.00
Rate for Payer: Aetna Commercial	$3,990.00
Rate for Payer: Aetna Medicare Advantage	$3,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,677.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,677.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,677.50
Rate for Payer: Cigna Commercial	$5,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,541.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,575.00
Rate for Payer: UnitedHealthcare Community & State	$331.80
Rate for Payer: Wellpoint Medicaid Managed Care	$298.20

CERVICAL CAGE LORDOTIC 8MM

Facility

$10,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270705760
Hospital Revenue Code	278
Min. Negotiated Rate	$1,575.00
Max. Negotiated Rate	$2,541.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,541.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,575.00

CERVICAL COLLAR LG. 4-1/4X22

Facility

$23.80

Hospital Charge Code	270649878
Hospital Revenue Code	270
Min. Negotiated Rate	$3.57
Max. Negotiated Rate	$3.57
Rate for Payer: Qualcare PPO/HMO/WC	$3.57

CERVICAL COLLAR LG. 4-1/4X22

Facility

$23.80

Hospital Charge Code	270649878
Hospital Revenue Code	270
Min. Negotiated Rate	$0.68
Max. Negotiated Rate	$11.90
Rate for Payer: Aetna Commercial	$9.04
Rate for Payer: Aetna Medicare Advantage	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.07
Rate for Payer: Cigna Commercial	$11.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.19
Rate for Payer: Oxford Commercial	$4.76
Rate for Payer: Qualcare PPO/HMO/WC	$3.57
Rate for Payer: UnitedHealthcare Commercial	$4.76
Rate for Payer: UnitedHealthcare Community & State	$0.75
Rate for Payer: Wellpoint Medicaid Managed Care	$0.68

CERVICAL COLLAR SMALL

Facility

$31.00

Hospital Charge Code	270331643
Hospital Revenue Code	272
Min. Negotiated Rate	$0.88
Max. Negotiated Rate	$15.50
Rate for Payer: Aetna Commercial	$11.78
Rate for Payer: Aetna Medicare Advantage	$9.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.91
Rate for Payer: Cigna Commercial	$15.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.06
Rate for Payer: Oxford Commercial	$6.20
Rate for Payer: Qualcare PPO/HMO/WC	$4.65
Rate for Payer: UnitedHealthcare Commercial	$6.20
Rate for Payer: UnitedHealthcare Community & State	$0.98
Rate for Payer: Wellpoint Medicaid Managed Care	$0.88

CERVICAL COLLAR SMALL

Facility

$31.00

Hospital Charge Code	270331643
Hospital Revenue Code	272
Min. Negotiated Rate	$4.65
Max. Negotiated Rate	$4.65
Rate for Payer: Qualcare PPO/HMO/WC	$4.65

CERVICAL COLLAR VISTA RIGID TR

Facility

$333.05

Service Code	HCPCS C1713
Hospital Charge Code	270690430
Hospital Revenue Code	278
Min. Negotiated Rate	$49.96
Max. Negotiated Rate	$80.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$66.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.60
Rate for Payer: Qualcare PPO/HMO/WC	$49.96

CERVICAL COLLAR VISTA RIGID TR

Facility

$333.05

Service Code	HCPCS C1713
Hospital Charge Code	270690430
Hospital Revenue Code	278
Min. Negotiated Rate	$9.46
Max. Negotiated Rate	$166.53
Rate for Payer: Aetna Commercial	$126.56
Rate for Payer: Aetna Medicare Advantage	$99.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$66.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.93
Rate for Payer: Cigna Commercial	$166.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.60
Rate for Payer: Qualcare PPO/HMO/WC	$49.96
Rate for Payer: UnitedHealthcare Community & State	$10.52
Rate for Payer: Wellpoint Medicaid Managed Care	$9.46

CERVICAL CONSTRUX 12x12x8MM

Facility

$12,000.00

Hospital Charge Code	270675885
Hospital Revenue Code	278
Min. Negotiated Rate	$1,800.00
Max. Negotiated Rate	$2,904.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,904.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,800.00

CERVICAL CONSTRUX 12x12x8MM

Facility

$12,000.00

Hospital Charge Code	270675885
Hospital Revenue Code	278
Min. Negotiated Rate	$340.80
Max. Negotiated Rate	$6,000.00
Rate for Payer: Aetna Commercial	$4,560.00
Rate for Payer: Aetna Medicare Advantage	$3,600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,060.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,060.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,060.00
Rate for Payer: Cigna Commercial	$6,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,904.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,800.00
Rate for Payer: UnitedHealthcare Community & State	$379.20
Rate for Payer: Wellpoint Medicaid Managed Care	$340.80

Know your out-of-pocket cost for care.

All Charges