Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CERVICAL DISC M6 6X15X12.5MM

Facility

$31,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270697929
Hospital Revenue Code	278
Min. Negotiated Rate	$880.40
Max. Negotiated Rate	$15,500.00
Rate for Payer: Aetna Commercial	$11,780.00
Rate for Payer: Aetna Medicare Advantage	$9,300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,905.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,905.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,905.00
Rate for Payer: Cigna Commercial	$15,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,502.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,650.00
Rate for Payer: UnitedHealthcare Community & State	$979.60
Rate for Payer: Wellpoint Medicaid Managed Care	$880.40

CERVICAL DISC M6 6X15X12.5MM

Facility

$31,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270697929
Hospital Revenue Code	278
Min. Negotiated Rate	$4,650.00
Max. Negotiated Rate	$7,502.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,502.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,650.00

CERVICAL DISC MOBI-C 7X17X19MM

Facility

$37,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270695829
Hospital Revenue Code	278
Min. Negotiated Rate	$5,625.00
Max. Negotiated Rate	$9,075.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,075.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,625.00

CERVICAL DISC MOBI-C 7X17X19MM

Facility

$37,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270695829
Hospital Revenue Code	278
Min. Negotiated Rate	$1,065.00
Max. Negotiated Rate	$18,750.00
Rate for Payer: Aetna Commercial	$14,250.00
Rate for Payer: Aetna Medicare Advantage	$11,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,562.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,562.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,562.50
Rate for Payer: Cigna Commercial	$18,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,075.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,625.00
Rate for Payer: UnitedHealthcare Community & State	$1,185.00
Rate for Payer: Wellpoint Medicaid Managed Care	$1,065.00

CERVICAL PLATE 14MM

Facility

$4,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270704155
Hospital Revenue Code	278
Min. Negotiated Rate	$134.90
Max. Negotiated Rate	$2,375.00
Rate for Payer: Aetna Commercial	$1,805.00
Rate for Payer: Aetna Medicare Advantage	$1,425.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$950.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,211.25
Rate for Payer: Cigna Commercial	$2,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,149.50
Rate for Payer: Qualcare PPO/HMO/WC	$712.50
Rate for Payer: UnitedHealthcare Community & State	$150.10
Rate for Payer: Wellpoint Medicaid Managed Care	$134.90

CERVICAL PLATE 14MM

Facility

$4,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270704155
Hospital Revenue Code	278
Min. Negotiated Rate	$712.50
Max. Negotiated Rate	$1,149.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,149.50
Rate for Payer: Qualcare PPO/HMO/WC	$712.50

CERVICAL PLATE26MM

Facility

$3,126.00

Hospital Charge Code	270335945
Hospital Revenue Code	278
Min. Negotiated Rate	$468.90
Max. Negotiated Rate	$756.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$625.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$756.49
Rate for Payer: Qualcare PPO/HMO/WC	$468.90

CERVICAL PLATE26MM

Facility

$3,126.00

Hospital Charge Code	270335945
Hospital Revenue Code	278
Min. Negotiated Rate	$88.78
Max. Negotiated Rate	$1,563.00
Rate for Payer: Aetna Commercial	$1,187.88
Rate for Payer: Aetna Medicare Advantage	$937.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$797.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$797.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$625.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$797.13
Rate for Payer: Cigna Commercial	$1,563.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$756.49
Rate for Payer: Qualcare PPO/HMO/WC	$468.90
Rate for Payer: UnitedHealthcare Community & State	$98.78
Rate for Payer: Wellpoint Medicaid Managed Care	$88.78

CERVICAL PLATE 2 LEVEL 30MM

Facility

$5,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270704643
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 PLATE 2 LEVEL 30MM

Facility

$5,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270704643
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 PLATE 2 LEVEL 33MM

Facility

$6,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270704641
Hospital Revenue Code	278
Min. Negotiated Rate	$170.40
Max. Negotiated Rate	$3,000.00
Rate for Payer: Aetna Commercial	$2,280.00
Rate for Payer: Aetna Medicare Advantage	$1,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,530.00
Rate for Payer: Cigna Commercial	$3,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00
Rate for Payer: UnitedHealthcare Community & State	$189.60
Rate for Payer: Wellpoint Medicaid Managed Care	$170.40

CERVICAL PLATE 2 LEVEL 33MM

Facility

$6,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270704641
Hospital Revenue Code	278
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$1,452.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

CERVICAL PLATE 30MM

Facility

$3,120.00

Hospital Charge Code	270335965
Hospital Revenue Code	278
Min. Negotiated Rate	$468.00
Max. Negotiated Rate	$755.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$624.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$755.04
Rate for Payer: Qualcare PPO/HMO/WC	$468.00

CERVICAL PLATE 30MM

Facility

$3,120.00

Hospital Charge Code	270335965
Hospital Revenue Code	278
Min. Negotiated Rate	$88.61
Max. Negotiated Rate	$1,560.00
Rate for Payer: Aetna Commercial	$1,185.60
Rate for Payer: Aetna Medicare Advantage	$936.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$795.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$795.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$624.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$795.60
Rate for Payer: Cigna Commercial	$1,560.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$755.04
Rate for Payer: Qualcare PPO/HMO/WC	$468.00
Rate for Payer: UnitedHealthcare Community & State	$98.59
Rate for Payer: Wellpoint Medicaid Managed Care	$88.61

CERVICAL PLATE 46MM

Facility

$16,747.50

Service Code	HCPCS C1713
Hospital Charge Code	270699209
Hospital Revenue Code	278
Min. Negotiated Rate	$475.63
Max. Negotiated Rate	$8,373.75
Rate for Payer: Aetna Commercial	$6,364.05
Rate for Payer: Aetna Medicare Advantage	$5,024.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,270.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,270.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,349.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,270.61
Rate for Payer: Cigna Commercial	$8,373.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,052.89
Rate for Payer: Qualcare PPO/HMO/WC	$2,512.12
Rate for Payer: UnitedHealthcare Community & State	$529.22
Rate for Payer: Wellpoint Medicaid Managed Care	$475.63

CERVICAL PLATE 46MM

Facility

$16,747.50

Service Code	HCPCS C1713
Hospital Charge Code	270699209
Hospital Revenue Code	278
Min. Negotiated Rate	$2,512.12
Max. Negotiated Rate	$4,052.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,349.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,052.89
Rate for Payer: Qualcare PPO/HMO/WC	$2,512.12

CERVICAL PLATE 7MM MEDIUM

Facility

$9,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270705434
Hospital Revenue Code	278
Min. Negotiated Rate	$269.80
Max. Negotiated Rate	$4,750.00
Rate for Payer: Aetna Commercial	$3,610.00
Rate for Payer: Aetna Medicare Advantage	$2,850.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,422.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,422.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,422.50
Rate for Payer: Cigna Commercial	$4,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,299.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00
Rate for Payer: UnitedHealthcare Community & State	$300.20
Rate for Payer: Wellpoint Medicaid Managed Care	$269.80

CERVICAL PLATE 7MM MEDIUM

Facility

$9,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270705434
Hospital Revenue Code	278
Min. Negotiated Rate	$1,425.00
Max. Negotiated Rate	$2,299.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,299.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00

CERVICAL SCREW, VARIABLE 4X12M

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270704644
Hospital Revenue Code	278
Min. Negotiated Rate	$17.75
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$237.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Community & State	$19.75
Rate for Payer: Wellpoint Medicaid Managed Care	$17.75

CERVICAL SCREW, VARIABLE 4X12M

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270704644
Hospital Revenue Code	278
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$151.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

CERVICAL SPINAL FUSION WITH CC

Facility

$112,542.42

Service Code	MSDRG 472
Min. Negotiated Rate	$34,267.73
Max. Negotiated Rate	$112,542.42
Rate for Payer: Aetna Commercial	$82,012.52
Rate for Payer: Aetna Medicare Advantage	$112,542.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82,006.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82,006.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$36,071.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82,006.80
Rate for Payer: Cigna Commercial	$65,677.41
Rate for Payer: Cigna Medicare Advantage	$36,071.29
Rate for Payer: Clover Medicare Advantage	$34,267.73
Rate for Payer: EmblemHealth Commercial	$108,213.87
Rate for Payer: Humana Medicare Advantage	$37,153.43
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$36,071.29
Rate for Payer: Oxford Commercial	$51,910.28
Rate for Payer: UnitedHealthcare Commercial	$69,483.77
Rate for Payer: UnitedHealthcare Medicare Advantage	$36,071.29
Rate for Payer: Wellcare Medicare Advantage	$36,071.29

CERVICAL SPINAL FUSION WITH MCC

Facility

$172,020.48

Service Code	MSDRG 471
Min. Negotiated Rate	$52,378.03
Max. Negotiated Rate	$172,020.48
Rate for Payer: Aetna Commercial	$124,373.49
Rate for Payer: Aetna Medicare Advantage	$172,020.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136,308.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136,308.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$55,134.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136,308.60
Rate for Payer: Cigna Commercial	$107,646.21
Rate for Payer: Cigna Medicare Advantage	$55,134.77
Rate for Payer: Clover Medicare Advantage	$52,378.03
Rate for Payer: EmblemHealth Commercial	$165,404.31
Rate for Payer: Humana Medicare Advantage	$56,788.81
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$55,134.77
Rate for Payer: Oxford Commercial	$85,081.69
Rate for Payer: UnitedHealthcare Commercial	$113,884.89
Rate for Payer: UnitedHealthcare Medicare Advantage	$55,134.77
Rate for Payer: Wellcare Medicare Advantage	$55,134.77

CERVICAL SPINAL FUSION WITHOUT CC/MCC

Facility

$96,593.98

Service Code	MSDRG 473
Min. Negotiated Rate	$29,411.63
Max. Negotiated Rate	$96,593.98
Rate for Payer: Aetna Commercial	$70,653.84
Rate for Payer: Aetna Medicare Advantage	$96,593.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68,154.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68,154.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$30,959.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68,154.30
Rate for Payer: Cigna Commercial	$54,423.90
Rate for Payer: Cigna Medicare Advantage	$30,959.61
Rate for Payer: Clover Medicare Advantage	$29,411.63
Rate for Payer: EmblemHealth Commercial	$92,878.83
Rate for Payer: Humana Medicare Advantage	$31,888.40
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$30,959.61
Rate for Payer: Oxford Commercial	$43,015.71
Rate for Payer: UnitedHealthcare Commercial	$57,578.06
Rate for Payer: UnitedHealthcare Medicare Advantage	$30,959.61
Rate for Payer: Wellcare Medicare Advantage	$30,959.61

CERVICAL SPINE 2-3 VW

Facility

$5,100.00

Service Code	HCPCS 72040
Hospital Charge Code	94061055
Hospital Revenue Code	320
Min. Negotiated Rate	$29.29
Max. Negotiated Rate	$2,231.00
Rate for Payer: Aetna Commercial	$281.22
Rate for Payer: Aetna Medicare Advantage	$334.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$375.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$375.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$103.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$375.05
Rate for Payer: Cigna Commercial	$207.24
Rate for Payer: Cigna Medicare Advantage	$72.37
Rate for Payer: Clover Medicare Advantage	$98.22
Rate for Payer: EmblemHealth Commercial	$310.17
Rate for Payer: Humana Medicare Advantage	$106.49
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$103.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,326.00
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$161.16
Rate for Payer: UnitedHealthcare Medicare Advantage	$103.39
Rate for Payer: Wellcare Medicare Advantage	$103.39
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$247.19
Rate for Payer: Wellpoint Medicaid Managed Care	$144.84

CERVICAL SPINE 2-3 VW

Facility

$5,100.00

Service Code	HCPCS 72040
Hospital Charge Code	94061055
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

Know your out-of-pocket cost for care.

All Charges