Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

COMPRESSION BONE SCREW

Facility

$162.00

Hospital Charge Code	270335082
Hospital Revenue Code	278
Min. Negotiated Rate	$4.60
Max. Negotiated Rate	$81.00
Rate for Payer: Aetna Commercial	$61.56
Rate for Payer: Aetna Medicare Advantage	$48.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$32.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.31
Rate for Payer: Cigna Commercial	$81.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.20
Rate for Payer: Qualcare PPO/HMO/WC	$24.30
Rate for Payer: UnitedHealthcare Community & State	$5.12
Rate for Payer: Wellpoint Medicaid Managed Care	$4.60

COMPRESSION NUT FOR SCREW

Facility

$878.40

Hospital Charge Code	270691500
Hospital Revenue Code	272
Min. Negotiated Rate	$24.95
Max. Negotiated Rate	$439.20
Rate for Payer: Aetna Commercial	$333.79
Rate for Payer: Aetna Medicare Advantage	$263.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.99
Rate for Payer: Cigna Commercial	$439.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$228.38
Rate for Payer: Oxford Commercial	$175.68
Rate for Payer: Qualcare PPO/HMO/WC	$131.76
Rate for Payer: UnitedHealthcare Commercial	$175.68
Rate for Payer: UnitedHealthcare Community & State	$27.76
Rate for Payer: Wellpoint Medicaid Managed Care	$24.95

COMPRESSION NUT FOR SCREW

Facility

$878.40

Hospital Charge Code	270691500
Hospital Revenue Code	272
Min. Negotiated Rate	$131.76
Max. Negotiated Rate	$131.76
Rate for Payer: Qualcare PPO/HMO/WC	$131.76

COMPRESSION ROD

Facility

$2,810.50

Hospital Charge Code	270666231
Hospital Revenue Code	272
Min. Negotiated Rate	$421.57
Max. Negotiated Rate	$421.57
Rate for Payer: Qualcare PPO/HMO/WC	$421.57

COMPRESSION ROD

Facility

$2,810.50

Hospital Charge Code	270666231
Hospital Revenue Code	272
Min. Negotiated Rate	$79.82
Max. Negotiated Rate	$1,405.25
Rate for Payer: Aetna Commercial	$1,067.99
Rate for Payer: Aetna Medicare Advantage	$843.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$716.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$716.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$716.68
Rate for Payer: Cigna Commercial	$1,405.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$730.73
Rate for Payer: Oxford Commercial	$562.10
Rate for Payer: Qualcare PPO/HMO/WC	$421.57
Rate for Payer: UnitedHealthcare Commercial	$562.10
Rate for Payer: UnitedHealthcare Community & State	$88.81
Rate for Payer: Wellpoint Medicaid Managed Care	$79.82

COMPRESSION TUBE PLATE

Facility

$988.00

Hospital Charge Code	270335021
Hospital Revenue Code	278
Min. Negotiated Rate	$28.06
Max. Negotiated Rate	$494.00
Rate for Payer: Aetna Commercial	$375.44
Rate for Payer: Aetna Medicare Advantage	$296.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$251.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$251.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$197.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$251.94
Rate for Payer: Cigna Commercial	$494.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$239.10
Rate for Payer: Qualcare PPO/HMO/WC	$148.20
Rate for Payer: UnitedHealthcare Community & State	$31.22
Rate for Payer: Wellpoint Medicaid Managed Care	$28.06

COMPRESSION TUBE PLATE

Facility

$988.00

Hospital Charge Code	270335021
Hospital Revenue Code	278
Min. Negotiated Rate	$148.20
Max. Negotiated Rate	$239.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$197.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$239.10
Rate for Payer: Qualcare PPO/HMO/WC	$148.20

COMPRESS LAG SCREW (LARGE)

Facility

$1,378.00

Hospital Charge Code	270335012
Hospital Revenue Code	278
Min. Negotiated Rate	$39.14
Max. Negotiated Rate	$689.00
Rate for Payer: Aetna Commercial	$523.64
Rate for Payer: Aetna Medicare Advantage	$413.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$351.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$351.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$275.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$351.39
Rate for Payer: Cigna Commercial	$689.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$333.48
Rate for Payer: Qualcare PPO/HMO/WC	$206.70
Rate for Payer: UnitedHealthcare Community & State	$43.54
Rate for Payer: Wellpoint Medicaid Managed Care	$39.14

COMPRESS LAG SCREW (LARGE)

Facility

$1,378.00

Hospital Charge Code	270335012
Hospital Revenue Code	278
Min. Negotiated Rate	$206.70
Max. Negotiated Rate	$333.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$275.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$333.48
Rate for Payer: Qualcare PPO/HMO/WC	$206.70

COMPRESS LAG SCREW (STANDARD)

Facility

$1,259.00

Hospital Charge Code	270335011
Hospital Revenue Code	278
Min. Negotiated Rate	$35.76
Max. Negotiated Rate	$629.50
Rate for Payer: Aetna Commercial	$478.42
Rate for Payer: Aetna Medicare Advantage	$377.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$321.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$321.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$251.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$321.05
Rate for Payer: Cigna Commercial	$629.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$304.68
Rate for Payer: Qualcare PPO/HMO/WC	$188.85
Rate for Payer: UnitedHealthcare Community & State	$39.78
Rate for Payer: Wellpoint Medicaid Managed Care	$35.76

COMPRESS LAG SCREW (STANDARD)

Facility

$1,259.00

Hospital Charge Code	270335011
Hospital Revenue Code	278
Min. Negotiated Rate	$188.85
Max. Negotiated Rate	$304.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$251.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$304.68
Rate for Payer: Qualcare PPO/HMO/WC	$188.85

COMPRESSOR OPEN

Facility

$2,366.95

Hospital Charge Code	270646750
Hospital Revenue Code	272
Min. Negotiated Rate	$355.04
Max. Negotiated Rate	$355.04
Rate for Payer: Qualcare PPO/HMO/WC	$355.04

COMPRESSOR OPEN

Facility

$2,366.95

Hospital Charge Code	270646750
Hospital Revenue Code	272
Min. Negotiated Rate	$67.22
Max. Negotiated Rate	$1,183.47
Rate for Payer: Aetna Commercial	$899.44
Rate for Payer: Aetna Medicare Advantage	$710.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$603.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$603.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$603.57
Rate for Payer: Cigna Commercial	$1,183.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$615.41
Rate for Payer: Oxford Commercial	$473.39
Rate for Payer: Qualcare PPO/HMO/WC	$355.04
Rate for Payer: UnitedHealthcare Commercial	$473.39
Rate for Payer: UnitedHealthcare Community & State	$74.80
Rate for Payer: Wellpoint Medicaid Managed Care	$67.22

COMPR FT SCREW 4.0 STD 38 MM L

Facility

$1,802.50

Hospital Charge Code	270699696
Hospital Revenue Code	278
Min. Negotiated Rate	$270.38
Max. Negotiated Rate	$436.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$360.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$436.20
Rate for Payer: Qualcare PPO/HMO/WC	$270.38

COMPR FT SCREW 4.0 STD 38 MM L

Facility

$1,802.50

Hospital Charge Code	270699696
Hospital Revenue Code	278
Min. Negotiated Rate	$51.19
Max. Negotiated Rate	$901.25
Rate for Payer: Aetna Commercial	$684.95
Rate for Payer: Aetna Medicare Advantage	$540.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$459.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$459.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$360.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$459.64
Rate for Payer: Cigna Commercial	$901.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$436.20
Rate for Payer: Qualcare PPO/HMO/WC	$270.38
Rate for Payer: UnitedHealthcare Community & State	$56.96
Rate for Payer: Wellpoint Medicaid Managed Care	$51.19

COMPR FT SCRW 7.0XL 65MM

Facility

$3,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270693861
Hospital Revenue Code	278
Min. Negotiated Rate	$98.69
Max. Negotiated Rate	$1,737.50
Rate for Payer: Aetna Commercial	$1,320.50
Rate for Payer: Aetna Medicare Advantage	$1,042.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$886.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$886.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$695.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$886.12
Rate for Payer: Cigna Commercial	$1,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$840.95
Rate for Payer: Qualcare PPO/HMO/WC	$521.25
Rate for Payer: UnitedHealthcare Community & State	$109.81
Rate for Payer: Wellpoint Medicaid Managed Care	$98.69

COMPR FT SCRW 7.0XL 65MM

Facility

$3,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270693861
Hospital Revenue Code	278
Min. Negotiated Rate	$521.25
Max. Negotiated Rate	$840.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$695.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$840.95
Rate for Payer: Qualcare PPO/HMO/WC	$521.25

COMPR FT SCRW 7.0 XL 75MM

Facility

$3,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270693862
Hospital Revenue Code	278
Min. Negotiated Rate	$98.69
Max. Negotiated Rate	$1,737.50
Rate for Payer: Aetna Commercial	$1,320.50
Rate for Payer: Aetna Medicare Advantage	$1,042.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$886.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$886.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$695.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$886.12
Rate for Payer: Cigna Commercial	$1,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$840.95
Rate for Payer: Qualcare PPO/HMO/WC	$521.25
Rate for Payer: UnitedHealthcare Community & State	$109.81
Rate for Payer: Wellpoint Medicaid Managed Care	$98.69

COMPR FT SCRW 7.0 XL 75MM

Facility

$3,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270693862
Hospital Revenue Code	278
Min. Negotiated Rate	$521.25
Max. Negotiated Rate	$840.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$695.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$840.95
Rate for Payer: Qualcare PPO/HMO/WC	$521.25

COMP SERVICE PAT CELL SUPPLIES

Facility

$3,000.00

Hospital Charge Code	270680696
Hospital Revenue Code	272
Min. Negotiated Rate	$85.20
Max. Negotiated Rate	$1,500.00
Rate for Payer: Aetna Commercial	$1,140.00
Rate for Payer: Aetna Medicare Advantage	$900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$765.00
Rate for Payer: Cigna Commercial	$1,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$780.00
Rate for Payer: Oxford Commercial	$600.00
Rate for Payer: Qualcare PPO/HMO/WC	$450.00
Rate for Payer: UnitedHealthcare Commercial	$600.00
Rate for Payer: UnitedHealthcare Community & State	$94.80
Rate for Payer: Wellpoint Medicaid Managed Care	$85.20

COMP SERVICE PAT CELL SUPPLIES

Facility

$3,000.00

Hospital Charge Code	270680696
Hospital Revenue Code	272
Min. Negotiated Rate	$450.00
Max. Negotiated Rate	$450.00
Rate for Payer: Qualcare PPO/HMO/WC	$450.00

COMP TT SHLDR GD AND BN L

Facility

$5,700.00

Service Code	HCPCS C1713
Hospital Charge Code	270692347
Hospital Revenue Code	278
Min. Negotiated Rate	$855.00
Max. Negotiated Rate	$1,379.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,379.40
Rate for Payer: Qualcare PPO/HMO/WC	$855.00

COMP TT SHLDR GD AND BN L

Facility

$5,700.00

Service Code	HCPCS C1713
Hospital Charge Code	270692347
Hospital Revenue Code	278
Min. Negotiated Rate	$161.88
Max. Negotiated Rate	$2,850.00
Rate for Payer: Aetna Commercial	$2,166.00
Rate for Payer: Aetna Medicare Advantage	$1,710.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,453.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,453.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,140.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,453.50
Rate for Payer: Cigna Commercial	$2,850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,379.40
Rate for Payer: Qualcare PPO/HMO/WC	$855.00
Rate for Payer: UnitedHealthcare Community & State	$180.12
Rate for Payer: Wellpoint Medicaid Managed Care	$161.88

CONCELLTRATE 100DBM 10CC JAR

Facility

$7,000.00

Hospital Charge Code	270673664
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

CONCELLTRATE 100DBM 10CC JAR

Facility

$7,000.00

Hospital Charge Code	270673664
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

Know your out-of-pocket cost for care.

All Charges