Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

COLLAGENASE OINT 30GM

Facility

$1,493.56

Service Code	NDC 64501090
Hospital Charge Code	60628876
Hospital Revenue Code	250
Min. Negotiated Rate	$224.03
Max. Negotiated Rate	$224.03
Rate for Payer: Qualcare PPO/HMO/WC	$224.03

COLLAGEN CROSS LINKED N-TELO

Facility

$194.00

Service Code	HCPCS 82523
Hospital Charge Code	38472931
Hospital Revenue Code	301
Min. Negotiated Rate	$29.10
Max. Negotiated Rate	$29.10
Rate for Payer: Qualcare PPO/HMO/WC	$29.10

COLLAGEN CROSS LINKED N-TELO

Facility

$194.00

Service Code	HCPCS 82523
Hospital Charge Code	38472931
Hospital Revenue Code	301
Min. Negotiated Rate	$5.51
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$50.81
Rate for Payer: Aetna Medicare Advantage	$60.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.76
Rate for Payer: Cigna Commercial	$97.00
Rate for Payer: Cigna Medicare Advantage	$18.68
Rate for Payer: Clover Medicare Advantage	$17.75
Rate for Payer: EmblemHealth Commercial	$56.04
Rate for Payer: Humana Medicare Advantage	$19.24
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$18.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.44
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$29.10
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$14.94
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.68
Rate for Payer: Wellcare Medicare Advantage	$18.68
Rate for Payer: Wellpoint Medicaid Managed Care	$5.51

COLLAGEN POWDER 1 GRAM

Facility

$45.00

Service Code	HCPCS A6010
Hospital Charge Code	270678861
Hospital Revenue Code	272
Min. Negotiated Rate	$6.75
Max. Negotiated Rate	$6.75
Rate for Payer: Qualcare PPO/HMO/WC	$6.75

COLLAGEN POWDER 1 GRAM

Facility

$45.00

Service Code	HCPCS A6010
Hospital Charge Code	270678861
Hospital Revenue Code	272
Min. Negotiated Rate	$1.28
Max. Negotiated Rate	$22.50
Rate for Payer: Aetna Commercial	$17.10
Rate for Payer: Aetna Medicare Advantage	$13.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.47
Rate for Payer: Cigna Commercial	$22.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.70
Rate for Payer: Oxford Commercial	$9.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.75
Rate for Payer: UnitedHealthcare Commercial	$9.00
Rate for Payer: UnitedHealthcare Community & State	$1.42
Rate for Payer: Wellpoint Medicaid Managed Care	$1.28

COLLAGEN TYPE 1 CTX

Facility

$390.00

Service Code	HCPCS 82523
Hospital Charge Code	397071387
Hospital Revenue Code	301
Min. Negotiated Rate	$10.15
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$50.81
Rate for Payer: Aetna Medicare Advantage	$60.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.76
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$18.68
Rate for Payer: Clover Medicare Advantage	$17.75
Rate for Payer: EmblemHealth Commercial	$56.04
Rate for Payer: Humana Medicare Advantage	$19.24
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$18.68
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	$14.94
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.68
Rate for Payer: Wellcare Medicare Advantage	$18.68
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

COLLAGEN TYPE 1 CTX

Facility

$390.00

Service Code	HCPCS 82523
Hospital Charge Code	397071387
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

COLLAGEN TYPE 1 CTX

Facility

$729.75

Service Code	HCPCS 82523
Hospital Charge Code	401082523
Hospital Revenue Code	301
Min. Negotiated Rate	$10.15
Max. Negotiated Rate	$364.88
Rate for Payer: Aetna Commercial	$50.81
Rate for Payer: Aetna Medicare Advantage	$60.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.76
Rate for Payer: Cigna Commercial	$364.88
Rate for Payer: Cigna Medicare Advantage	$18.68
Rate for Payer: Clover Medicare Advantage	$17.75
Rate for Payer: EmblemHealth Commercial	$56.04
Rate for Payer: Humana Medicare Advantage	$19.24
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$18.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$189.74
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$109.46
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$14.94
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.68
Rate for Payer: Wellcare Medicare Advantage	$18.68
Rate for Payer: Wellpoint Medicaid Managed Care	$20.72

COLLAGEN TYPE 1 CTX

Facility

$729.75

Service Code	HCPCS 82523
Hospital Charge Code	401082523
Hospital Revenue Code	301
Min. Negotiated Rate	$109.46
Max. Negotiated Rate	$109.46
Rate for Payer: Qualcare PPO/HMO/WC	$109.46

COLLAGRAFT BONE MATRIX

Facility

$2,920.00

Hospital Charge Code	270335617
Hospital Revenue Code	278
Min. Negotiated Rate	$82.93
Max. Negotiated Rate	$1,460.00
Rate for Payer: Aetna Commercial	$1,109.60
Rate for Payer: Aetna Medicare Advantage	$876.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$744.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$744.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$584.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$744.60
Rate for Payer: Cigna Commercial	$1,460.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$706.64
Rate for Payer: Qualcare PPO/HMO/WC	$438.00
Rate for Payer: UnitedHealthcare Community & State	$92.27
Rate for Payer: Wellpoint Medicaid Managed Care	$82.93

COLLAGRAFT BONE MATRIX

Facility

$2,920.00

Hospital Charge Code	270335617
Hospital Revenue Code	278
Min. Negotiated Rate	$438.00
Max. Negotiated Rate	$706.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$584.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$706.64
Rate for Payer: Qualcare PPO/HMO/WC	$438.00

COLLAR CERV LGE SERP 737-04

Facility

$31.80

Hospital Charge Code	270302775
Hospital Revenue Code	270
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$15.90
Rate for Payer: Aetna Commercial	$12.08
Rate for Payer: Aetna Medicare Advantage	$9.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.11
Rate for Payer: Cigna Commercial	$15.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.27
Rate for Payer: Oxford Commercial	$6.36
Rate for Payer: Qualcare PPO/HMO/WC	$4.77
Rate for Payer: UnitedHealthcare Commercial	$6.36
Rate for Payer: UnitedHealthcare Community & State	$1.00
Rate for Payer: Wellpoint Medicaid Managed Care	$0.90

COLLAR CERV LGE SERP 737-04

Facility

$31.80

Hospital Charge Code	270302775
Hospital Revenue Code	270
Min. Negotiated Rate	$4.77
Max. Negotiated Rate	$4.77
Rate for Payer: Qualcare PPO/HMO/WC	$4.77

COLLAR CERV LRG SERP 737-04

Facility

$19.25

Hospital Charge Code	270600220
Hospital Revenue Code	272
Min. Negotiated Rate	$0.55
Max. Negotiated Rate	$9.62
Rate for Payer: Aetna Commercial	$7.32
Rate for Payer: Aetna Medicare Advantage	$5.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.91
Rate for Payer: Cigna Commercial	$9.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.00
Rate for Payer: Oxford Commercial	$3.85
Rate for Payer: Qualcare PPO/HMO/WC	$2.89
Rate for Payer: UnitedHealthcare Commercial	$3.85
Rate for Payer: UnitedHealthcare Community & State	$0.61
Rate for Payer: Wellpoint Medicaid Managed Care	$0.55

COLLAR CERV LRG SERP 737-04

Facility

$19.25

Hospital Charge Code	270600220
Hospital Revenue Code	272
Min. Negotiated Rate	$2.89
Max. Negotiated Rate	$2.89
Rate for Payer: Qualcare PPO/HMO/WC	$2.89

COLLAR CERV MED SERP 737-03

Facility

$19.25

Hospital Charge Code	270600219
Hospital Revenue Code	272
Min. Negotiated Rate	$2.89
Max. Negotiated Rate	$2.89
Rate for Payer: Qualcare PPO/HMO/WC	$2.89

COLLAR CERV MED SERP 737-03

Facility

$19.25

Hospital Charge Code	270600219
Hospital Revenue Code	272
Min. Negotiated Rate	$0.55
Max. Negotiated Rate	$9.62
Rate for Payer: Aetna Commercial	$7.32
Rate for Payer: Aetna Medicare Advantage	$5.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.91
Rate for Payer: Cigna Commercial	$9.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.00
Rate for Payer: Oxford Commercial	$3.85
Rate for Payer: Qualcare PPO/HMO/WC	$2.89
Rate for Payer: UnitedHealthcare Commercial	$3.85
Rate for Payer: UnitedHealthcare Community & State	$0.61
Rate for Payer: Wellpoint Medicaid Managed Care	$0.55

COLLAR CERV MED SERP LNG 73705

Facility

$31.80

Hospital Charge Code	270302770
Hospital Revenue Code	270
Min. Negotiated Rate	$4.77
Max. Negotiated Rate	$4.77
Rate for Payer: Qualcare PPO/HMO/WC	$4.77

COLLAR CERV MED SERP LNG 73705

Facility

$31.80

Hospital Charge Code	270302770
Hospital Revenue Code	270
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$15.90
Rate for Payer: Aetna Commercial	$12.08
Rate for Payer: Aetna Medicare Advantage	$9.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.11
Rate for Payer: Cigna Commercial	$15.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.27
Rate for Payer: Oxford Commercial	$6.36
Rate for Payer: Qualcare PPO/HMO/WC	$4.77
Rate for Payer: UnitedHealthcare Commercial	$6.36
Rate for Payer: UnitedHealthcare Community & State	$1.00
Rate for Payer: Wellpoint Medicaid Managed Care	$0.90

COLLAR CERV SML 737-02

Facility

$31.80

Hospital Charge Code	270302765
Hospital Revenue Code	270
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$15.90
Rate for Payer: Aetna Commercial	$12.08
Rate for Payer: Aetna Medicare Advantage	$9.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.11
Rate for Payer: Cigna Commercial	$15.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.27
Rate for Payer: Oxford Commercial	$6.36
Rate for Payer: Qualcare PPO/HMO/WC	$4.77
Rate for Payer: UnitedHealthcare Commercial	$6.36
Rate for Payer: UnitedHealthcare Community & State	$1.00
Rate for Payer: Wellpoint Medicaid Managed Care	$0.90

COLLAR CERV SML 737-02

Facility

$31.80

Hospital Charge Code	270302765
Hospital Revenue Code	270
Min. Negotiated Rate	$4.77
Max. Negotiated Rate	$4.77
Rate for Payer: Qualcare PPO/HMO/WC	$4.77

COLLAR CERV SML XLONG 737-06

Facility

$135.00

Hospital Charge Code	270600224
Hospital Revenue Code	272
Min. Negotiated Rate	$3.83
Max. Negotiated Rate	$67.50
Rate for Payer: Aetna Commercial	$51.30
Rate for Payer: Aetna Medicare Advantage	$40.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.42
Rate for Payer: Cigna Commercial	$67.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.10
Rate for Payer: Oxford Commercial	$27.00
Rate for Payer: Qualcare PPO/HMO/WC	$20.25
Rate for Payer: UnitedHealthcare Commercial	$27.00
Rate for Payer: UnitedHealthcare Community & State	$4.27
Rate for Payer: Wellpoint Medicaid Managed Care	$3.83

COLLAR CERV SML XLONG 737-06

Facility

$135.00

Hospital Charge Code	270600224
Hospital Revenue Code	272
Min. Negotiated Rate	$20.25
Max. Negotiated Rate	$20.25
Rate for Payer: Qualcare PPO/HMO/WC	$20.25

COLLARD INTEGRAL POROUS STEM

Facility

$10,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270683753
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

COLLARD INTEGRAL POROUS STEM

Facility

$10,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270683753
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

Know your out-of-pocket cost for care.

All Charges