Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CITREFIX XPRESS SYS 4.5X24MM

Facility

$9,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270700371
Hospital Revenue Code	278
Min. Negotiated Rate	$276.90
Max. Negotiated Rate	$4,875.00
Rate for Payer: Aetna Commercial	$3,705.00
Rate for Payer: Aetna Medicare Advantage	$2,925.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,486.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,486.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,950.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,486.25
Rate for Payer: Cigna Commercial	$4,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,359.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,462.50
Rate for Payer: UnitedHealthcare Community & State	$308.10
Rate for Payer: Wellpoint Medicaid Managed Care	$276.90

CITREFIX XPRESS SYS 4.5X24MM

Facility

$9,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270700371
Hospital Revenue Code	278
Min. Negotiated Rate	$1,462.50
Max. Negotiated Rate	$2,359.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,359.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,462.50

CITREGEN TENDON SIZING SYSTEM

Facility

$994.85

Hospital Charge Code	270701085
Hospital Revenue Code	279
Min. Negotiated Rate	$149.23
Max. Negotiated Rate	$149.23
Rate for Payer: Qualcare PPO/HMO/WC	$149.23

CITREGEN TENDON SIZING SYSTEM

Facility

$994.85

Hospital Charge Code	270701085
Hospital Revenue Code	279
Min. Negotiated Rate	$28.25
Max. Negotiated Rate	$497.43
Rate for Payer: Aetna Commercial	$378.04
Rate for Payer: Aetna Medicare Advantage	$298.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$253.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$253.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$253.69
Rate for Payer: Cigna Commercial	$497.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$258.66
Rate for Payer: Oxford Commercial	$198.97
Rate for Payer: Qualcare PPO/HMO/WC	$149.23
Rate for Payer: UnitedHealthcare Commercial	$198.97
Rate for Payer: UnitedHealthcare Community & State	$31.44
Rate for Payer: Wellpoint Medicaid Managed Care	$28.25

CITRILOCK XPRESS IMPL SYS 5X15

Facility

$7,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270701086
Hospital Revenue Code	278
Min. Negotiated Rate	$198.80
Max. Negotiated Rate	$3,500.00
Rate for Payer: Aetna Commercial	$2,660.00
Rate for Payer: Aetna Medicare Advantage	$2,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,785.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,785.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,785.00
Rate for Payer: Cigna Commercial	$3,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,694.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,050.00
Rate for Payer: UnitedHealthcare Community & State	$221.20
Rate for Payer: Wellpoint Medicaid Managed Care	$198.80

CITRILOCK XPRESS IMPL SYS 5X15

Facility

$7,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270701086
Hospital Revenue Code	278
Min. Negotiated Rate	$1,050.00
Max. Negotiated Rate	$1,694.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,694.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,050.00

CK5/6-IHC

Facility

$2,164.00

Service Code	HCPCS 88342
Hospital Charge Code	4016883424
Hospital Revenue Code	310
Min. Negotiated Rate	$61.46
Max. Negotiated Rate	$734.21
Rate for Payer: Aetna Commercial	$550.53
Rate for Payer: Aetna Medicare Advantage	$655.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$734.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$734.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$202.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$734.21
Rate for Payer: Cigna Commercial	$405.73
Rate for Payer: Cigna Medicare Advantage	$202.40
Rate for Payer: Clover Medicare Advantage	$192.28
Rate for Payer: EmblemHealth Commercial	$607.20
Rate for Payer: Humana Medicare Advantage	$208.47
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$202.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$562.64
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$324.60
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$86.39
Rate for Payer: UnitedHealthcare Medicare Advantage	$202.40
Rate for Payer: Wellcare Medicare Advantage	$202.40
Rate for Payer: Wellpoint Medicaid Managed Care	$61.46

CK5/6-IHC

Facility

$2,164.00

Service Code	HCPCS 88342
Hospital Charge Code	4016883424
Hospital Revenue Code	310
Min. Negotiated Rate	$324.60
Max. Negotiated Rate	$324.60
Rate for Payer: Qualcare PPO/HMO/WC	$324.60

CK ISOENZYMES

Facility

$403.00

Service Code	HCPCS 82552
Hospital Charge Code	38472007
Hospital Revenue Code	301
Min. Negotiated Rate	$60.45
Max. Negotiated Rate	$60.45
Rate for Payer: Qualcare PPO/HMO/WC	$60.45

CK ISOENZYMES

Facility

$403.00

Service Code	HCPCS 82552
Hospital Charge Code	38472007
Hospital Revenue Code	301
Min. Negotiated Rate	$10.71
Max. Negotiated Rate	$201.50
Rate for Payer: Aetna Commercial	$36.42
Rate for Payer: Aetna Medicare Advantage	$43.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.57
Rate for Payer: Cigna Commercial	$201.50
Rate for Payer: Cigna Medicare Advantage	$13.39
Rate for Payer: Clover Medicare Advantage	$12.72
Rate for Payer: EmblemHealth Commercial	$40.17
Rate for Payer: Humana Medicare Advantage	$13.79
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$104.78
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.45
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$10.71
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.39
Rate for Payer: Wellcare Medicare Advantage	$13.39
Rate for Payer: Wellpoint Medicaid Managed Care	$11.45

CK MB

Facility

$807.65

Service Code	HCPCS 82553
Hospital Charge Code	3031432
Hospital Revenue Code	301
Min. Negotiated Rate	$121.15
Max. Negotiated Rate	$121.15
Rate for Payer: Qualcare PPO/HMO/WC	$121.15

CK MB

Facility

$807.65

Service Code	HCPCS 82553
Hospital Charge Code	3031432
Hospital Revenue Code	301
Min. Negotiated Rate	$9.24
Max. Negotiated Rate	$403.82
Rate for Payer: Aetna Commercial	$31.42
Rate for Payer: Aetna Medicare Advantage	$37.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.90
Rate for Payer: Cigna Commercial	$403.82
Rate for Payer: Cigna Medicare Advantage	$11.55
Rate for Payer: Clover Medicare Advantage	$10.97
Rate for Payer: EmblemHealth Commercial	$34.65
Rate for Payer: Humana Medicare Advantage	$11.90
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$11.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$209.99
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$121.15
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$9.24
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.55
Rate for Payer: Wellcare Medicare Advantage	$11.55
Rate for Payer: Wellpoint Medicaid Managed Care	$22.94

CKMB

Facility

$240.00

Service Code	HCPCS 82553
Hospital Charge Code	38479006
Hospital Revenue Code	301
Min. Negotiated Rate	$6.82
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$31.42
Rate for Payer: Aetna Medicare Advantage	$37.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.90
Rate for Payer: Cigna Commercial	$120.00
Rate for Payer: Cigna Medicare Advantage	$11.55
Rate for Payer: Clover Medicare Advantage	$10.97
Rate for Payer: EmblemHealth Commercial	$34.65
Rate for Payer: Humana Medicare Advantage	$11.90
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$11.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.40
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.00
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$9.24
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.55
Rate for Payer: Wellcare Medicare Advantage	$11.55
Rate for Payer: Wellpoint Medicaid Managed Care	$6.82

CKMB

Facility

$240.00

Service Code	HCPCS 82553
Hospital Charge Code	38479006
Hospital Revenue Code	301
Min. Negotiated Rate	$36.00
Max. Negotiated Rate	$36.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.00

CLAM IGE

Facility

$390.00

Service Code	HCPCS 86003
Hospital Charge Code	401186003B
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CLAM IGE

Facility

$390.00

Service Code	HCPCS 86003
Hospital Charge Code	401186003B
Hospital Revenue Code	302
Min. Negotiated Rate	$4.18
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$14.20
Rate for Payer: Aetna Medicare Advantage	$16.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$33.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.94
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$5.22
Rate for Payer: Clover Medicare Advantage	$4.96
Rate for Payer: EmblemHealth Commercial	$15.66
Rate for Payer: Humana Medicare Advantage	$5.38
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.40
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$4.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.22
Rate for Payer: Wellcare Medicare Advantage	$5.22
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

C-LAMINOPLASTY W/GRAFT/PLATE

Facility

$7,680.28

Service Code	HCPCS 63051
Hospital Charge Code	1600000521
Hospital Revenue Code	360
Min. Negotiated Rate	$1,152.04
Max. Negotiated Rate	$1,152.04
Rate for Payer: Qualcare PPO/HMO/WC	$1,152.04

C-LAMINOPLASTY W/GRAFT/PLATE

Facility

$7,680.28

Service Code	HCPCS 63051
Hospital Charge Code	1600000521
Hospital Revenue Code	360
Min. Negotiated Rate	$218.12
Max. Negotiated Rate	$10,269.00
Rate for Payer: Aetna Commercial	$2,918.51
Rate for Payer: Aetna Medicare Advantage	$2,304.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,958.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,958.47
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	$1,958.47
Rate for Payer: Cigna Commercial	$3,840.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,996.87
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,152.04
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$242.70
Rate for Payer: Wellpoint Medicaid Managed Care	$218.12

CLAMP 11MM CRANOFIX 2 TITANIUM

Facility

$654.00

Hospital Charge Code	270654483
Hospital Revenue Code	272
Min. Negotiated Rate	$98.10
Max. Negotiated Rate	$98.10
Rate for Payer: Qualcare PPO/HMO/WC	$98.10

CLAMP 11MM CRANOFIX 2 TITANIUM

Facility

$654.00

Hospital Charge Code	270654483
Hospital Revenue Code	272
Min. Negotiated Rate	$18.57
Max. Negotiated Rate	$327.00
Rate for Payer: Aetna Commercial	$248.52
Rate for Payer: Aetna Medicare Advantage	$196.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$166.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$166.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$166.77
Rate for Payer: Cigna Commercial	$327.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.04
Rate for Payer: Oxford Commercial	$130.80
Rate for Payer: Qualcare PPO/HMO/WC	$98.10
Rate for Payer: UnitedHealthcare Commercial	$130.80
Rate for Payer: UnitedHealthcare Community & State	$20.67
Rate for Payer: Wellpoint Medicaid Managed Care	$18.57

CLAMP 16MM CRANOFIX 2 TITANIUM

Facility

$720.97

Hospital Charge Code	270684901
Hospital Revenue Code	272
Min. Negotiated Rate	$108.15
Max. Negotiated Rate	$108.15
Rate for Payer: Qualcare PPO/HMO/WC	$108.15

CLAMP 16MM CRANOFIX 2 TITANIUM

Facility

$720.97

Hospital Charge Code	270684901
Hospital Revenue Code	272
Min. Negotiated Rate	$20.48
Max. Negotiated Rate	$360.49
Rate for Payer: Aetna Commercial	$273.97
Rate for Payer: Aetna Medicare Advantage	$216.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$183.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$183.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$183.85
Rate for Payer: Cigna Commercial	$360.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.45
Rate for Payer: Oxford Commercial	$144.19
Rate for Payer: Qualcare PPO/HMO/WC	$108.15
Rate for Payer: UnitedHealthcare Commercial	$144.19
Rate for Payer: UnitedHealthcare Community & State	$22.78
Rate for Payer: Wellpoint Medicaid Managed Care	$20.48

CLAMP 20MM CRANOFIX 2 TITANIUM

Facility

$877.69

Hospital Charge Code	270684900
Hospital Revenue Code	272
Min. Negotiated Rate	$131.65
Max. Negotiated Rate	$131.65
Rate for Payer: Qualcare PPO/HMO/WC	$131.65

CLAMP 20MM CRANOFIX 2 TITANIUM

Facility

$877.69

Hospital Charge Code	270684900
Hospital Revenue Code	272
Min. Negotiated Rate	$24.93
Max. Negotiated Rate	$438.85
Rate for Payer: Aetna Commercial	$333.52
Rate for Payer: Aetna Medicare Advantage	$263.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.81
Rate for Payer: Cigna Commercial	$438.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$228.20
Rate for Payer: Oxford Commercial	$175.54
Rate for Payer: Qualcare PPO/HMO/WC	$131.65
Rate for Payer: UnitedHealthcare Commercial	$175.54
Rate for Payer: UnitedHealthcare Community & State	$27.74
Rate for Payer: Wellpoint Medicaid Managed Care	$24.93

CLAMP 2 3/5 POST

Facility

$1,080.00

Hospital Charge Code	270665211
Hospital Revenue Code	278
Min. Negotiated Rate	$30.67
Max. Negotiated Rate	$540.00
Rate for Payer: Aetna Commercial	$410.40
Rate for Payer: Aetna Medicare Advantage	$324.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$275.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$275.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$216.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$275.40
Rate for Payer: Cigna Commercial	$540.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$261.36
Rate for Payer: Qualcare PPO/HMO/WC	$162.00
Rate for Payer: UnitedHealthcare Community & State	$34.13
Rate for Payer: Wellpoint Medicaid Managed Care	$30.67

Know your out-of-pocket cost for care.

All Charges