Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CONE PSN REV TM SM CENTRAL

Facility

$38,280.00

Service Code	HCPCS C1776
Hospital Charge Code	270700042
Hospital Revenue Code	278
Min. Negotiated Rate	$5,742.00
Max. Negotiated Rate	$9,263.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,656.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,263.76
Rate for Payer: Qualcare PPO/HMO/WC	$5,742.00

CONE PSN REV TM SM CENTRAL

Facility

$38,280.00

Service Code	HCPCS C1776
Hospital Charge Code	270700042
Hospital Revenue Code	278
Min. Negotiated Rate	$1,087.15
Max. Negotiated Rate	$19,140.00
Rate for Payer: Aetna Commercial	$14,546.40
Rate for Payer: Aetna Medicare Advantage	$11,484.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,761.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,761.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,656.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,761.40
Rate for Payer: Cigna Commercial	$19,140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,263.76
Rate for Payer: Qualcare PPO/HMO/WC	$5,742.00
Rate for Payer: UnitedHealthcare Community & State	$1,209.65
Rate for Payer: Wellpoint Medicaid Managed Care	$1,087.15

CONE TA6V TAPER HUMELOCK

Facility

$2,750.00

Service Code	HCPCS C1776
Hospital Charge Code	270692132
Hospital Revenue Code	278
Min. Negotiated Rate	$412.50
Max. Negotiated Rate	$665.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$665.50
Rate for Payer: Qualcare PPO/HMO/WC	$412.50

CONE TA6V TAPER HUMELOCK

Facility

$2,750.00

Service Code	HCPCS C1776
Hospital Charge Code	270692132
Hospital Revenue Code	278
Min. Negotiated Rate	$78.10
Max. Negotiated Rate	$1,375.00
Rate for Payer: Aetna Commercial	$1,045.00
Rate for Payer: Aetna Medicare Advantage	$825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$550.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$701.25
Rate for Payer: Cigna Commercial	$1,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$665.50
Rate for Payer: Qualcare PPO/HMO/WC	$412.50
Rate for Payer: UnitedHealthcare Community & State	$86.90
Rate for Payer: Wellpoint Medicaid Managed Care	$78.10

CONE TIP URETHERAL CATHETER

Facility

$1,611.15

Hospital Charge Code	270655923
Hospital Revenue Code	271
Min. Negotiated Rate	$241.67
Max. Negotiated Rate	$241.67
Rate for Payer: Qualcare PPO/HMO/WC	$241.67

CONE TIP URETHERAL CATHETER

Facility

$1,611.15

Hospital Charge Code	270655923
Hospital Revenue Code	271
Min. Negotiated Rate	$45.76
Max. Negotiated Rate	$805.58
Rate for Payer: Aetna Commercial	$612.24
Rate for Payer: Aetna Medicare Advantage	$483.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$410.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$410.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$410.84
Rate for Payer: Cigna Commercial	$805.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$418.90
Rate for Payer: Oxford Commercial	$322.23
Rate for Payer: Qualcare PPO/HMO/WC	$241.67
Rate for Payer: UnitedHealthcare Commercial	$322.23
Rate for Payer: UnitedHealthcare Community & State	$50.91
Rate for Payer: Wellpoint Medicaid Managed Care	$45.76

CONFIDENCE SPINAL CEMENT SYS

Facility

$7,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270675212
Hospital Revenue Code	278
Min. Negotiated Rate	$1,162.50
Max. Negotiated Rate	$1,875.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,875.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,162.50

CONFIDENCE SPINAL CEMENT SYS

Facility

$7,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270675212
Hospital Revenue Code	278
Min. Negotiated Rate	$220.10
Max. Negotiated Rate	$3,875.00
Rate for Payer: Aetna Commercial	$2,945.00
Rate for Payer: Aetna Medicare Advantage	$2,325.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,976.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,976.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,550.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,976.25
Rate for Payer: Cigna Commercial	$3,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,875.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,162.50
Rate for Payer: UnitedHealthcare Community & State	$244.90
Rate for Payer: Wellpoint Medicaid Managed Care	$220.10

CONFIRM ANTI-ER

Facility

$4,211.55

Hospital Charge Code	270655062
Hospital Revenue Code	272
Min. Negotiated Rate	$119.61
Max. Negotiated Rate	$2,105.78
Rate for Payer: Aetna Commercial	$1,600.39
Rate for Payer: Aetna Medicare Advantage	$1,263.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,073.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,073.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,073.95
Rate for Payer: Cigna Commercial	$2,105.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,095.00
Rate for Payer: Oxford Commercial	$842.31
Rate for Payer: Qualcare PPO/HMO/WC	$631.73
Rate for Payer: UnitedHealthcare Commercial	$842.31
Rate for Payer: UnitedHealthcare Community & State	$133.08
Rate for Payer: Wellpoint Medicaid Managed Care	$119.61

CONFIRM ANTI-ER

Facility

$4,211.55

Hospital Charge Code	270655062
Hospital Revenue Code	272
Min. Negotiated Rate	$631.73
Max. Negotiated Rate	$631.73
Rate for Payer: Qualcare PPO/HMO/WC	$631.73

CONFORM CUBE 9MM

Facility

$2,730.00

Service Code	HCPCS C1713
Hospital Charge Code	270663750
Hospital Revenue Code	278
Min. Negotiated Rate	$77.53
Max. Negotiated Rate	$1,365.00
Rate for Payer: Aetna Commercial	$1,037.40
Rate for Payer: Aetna Medicare Advantage	$819.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$696.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$696.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$546.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$696.15
Rate for Payer: Cigna Commercial	$1,365.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$660.66
Rate for Payer: Qualcare PPO/HMO/WC	$409.50
Rate for Payer: UnitedHealthcare Community & State	$86.27
Rate for Payer: Wellpoint Medicaid Managed Care	$77.53

CONFORM CUBE 9MM

Facility

$2,730.00

Service Code	HCPCS C1713
Hospital Charge Code	270663750
Hospital Revenue Code	278
Min. Negotiated Rate	$409.50
Max. Negotiated Rate	$660.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$546.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$660.66
Rate for Payer: Qualcare PPO/HMO/WC	$409.50

CONFORM SHEET 45x20x5mm

Facility

$9,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270673339
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

CONFORM SHEET 45x20x5mm

Facility

$9,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270673339
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

CONICAL BOLT THD 9-12MM NAILS

Facility

$1,104.00

Hospital Charge Code	270676093
Hospital Revenue Code	278
Min. Negotiated Rate	$31.35
Max. Negotiated Rate	$552.00
Rate for Payer: Aetna Commercial	$419.52
Rate for Payer: Aetna Medicare Advantage	$331.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$281.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$281.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$220.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$281.52
Rate for Payer: Cigna Commercial	$552.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$267.17
Rate for Payer: Qualcare PPO/HMO/WC	$165.60
Rate for Payer: UnitedHealthcare Community & State	$34.89
Rate for Payer: Wellpoint Medicaid Managed Care	$31.35

CONICAL BOLT THD 9-12MM NAILS

Facility

$1,104.00

Hospital Charge Code	270676093
Hospital Revenue Code	278
Min. Negotiated Rate	$165.60
Max. Negotiated Rate	$267.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$220.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$267.17
Rate for Payer: Qualcare PPO/HMO/WC	$165.60

CONICAL EXTRACTION DEVICE

Facility

$630.00

Hospital Charge Code	270675870
Hospital Revenue Code	272
Min. Negotiated Rate	$94.50
Max. Negotiated Rate	$94.50
Rate for Payer: Qualcare PPO/HMO/WC	$94.50

CONICAL EXTRACTION DEVICE

Facility

$630.00

Hospital Charge Code	270675870
Hospital Revenue Code	272
Min. Negotiated Rate	$17.89
Max. Negotiated Rate	$315.00
Rate for Payer: Aetna Commercial	$239.40
Rate for Payer: Aetna Medicare Advantage	$189.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$160.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$160.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$160.65
Rate for Payer: Cigna Commercial	$315.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$163.80
Rate for Payer: Oxford Commercial	$126.00
Rate for Payer: Qualcare PPO/HMO/WC	$94.50
Rate for Payer: UnitedHealthcare Commercial	$126.00
Rate for Payer: UnitedHealthcare Community & State	$19.91
Rate for Payer: Wellpoint Medicaid Managed Care	$17.89

CONICAL SUBTALAR IMPLANT 9MM

Facility

$8,350.00

Service Code	HCPCS C1776
Hospital Charge Code	270678241
Hospital Revenue Code	278
Min. Negotiated Rate	$1,252.50
Max. Negotiated Rate	$2,020.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,670.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,020.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,252.50

CONICAL SUBTALAR IMPLANT 9MM

Facility

$8,350.00

Service Code	HCPCS C1776
Hospital Charge Code	270678241
Hospital Revenue Code	278
Min. Negotiated Rate	$237.14
Max. Negotiated Rate	$4,175.00
Rate for Payer: Aetna Commercial	$3,173.00
Rate for Payer: Aetna Medicare Advantage	$2,505.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,129.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,129.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,670.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,129.25
Rate for Payer: Cigna Commercial	$4,175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,020.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,252.50
Rate for Payer: UnitedHealthcare Community & State	$263.86
Rate for Payer: Wellpoint Medicaid Managed Care	$237.14

CONIZATION OF CERVIX

Facility

$29,961.70

Service Code	HCPCS 57520
Hospital Charge Code	1600000654
Hospital Revenue Code	360
Min. Negotiated Rate	$4,494.26
Max. Negotiated Rate	$4,494.26
Rate for Payer: Qualcare PPO/HMO/WC	$4,494.26

CONIZATION OF CERVIX

Facility

$29,961.70

Service Code	HCPCS 57520
Hospital Charge Code	1600000654
Hospital Revenue Code	360
Min. Negotiated Rate	$850.91
Max. Negotiated Rate	$13,950.60
Rate for Payer: Aetna Commercial	$10,460.55
Rate for Payer: Aetna Medicare Advantage	$12,460.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,950.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,950.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,845.79
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	$13,950.60
Rate for Payer: Cigna Commercial	$7,708.87
Rate for Payer: Cigna Medicare Advantage	$3,845.79
Rate for Payer: Clover Medicare Advantage	$3,653.50
Rate for Payer: EmblemHealth Commercial	$11,537.37
Rate for Payer: Humana Medicare Advantage	$3,961.16
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,845.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,790.04
Rate for Payer: Oxford Commercial	$7,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,494.26
Rate for Payer: UnitedHealthcare Commercial	$8,192.00
Rate for Payer: UnitedHealthcare Community & State	$946.79
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,845.79
Rate for Payer: Wellcare Medicare Advantage	$3,845.79
Rate for Payer: Wellpoint Medicaid Managed Care	$850.91

CONIZATION OF CERVIX-LEEP

Facility

$24,422.22

Service Code	HCPCS 57522
Hospital Charge Code	160000217
Hospital Revenue Code	360
Min. Negotiated Rate	$3,663.33
Max. Negotiated Rate	$3,663.33
Rate for Payer: Qualcare PPO/HMO/WC	$3,663.33

CONIZATION OF CERVIX-LEEP

Facility

$24,422.22

Service Code	HCPCS 57522
Hospital Charge Code	160000188
Hospital Revenue Code	360
Min. Negotiated Rate	$693.59
Max. Negotiated Rate	$13,950.60
Rate for Payer: Aetna Commercial	$10,460.55
Rate for Payer: Aetna Medicare Advantage	$12,460.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,950.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,950.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,845.79
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	$13,950.60
Rate for Payer: Cigna Commercial	$7,708.87
Rate for Payer: Cigna Medicare Advantage	$3,845.79
Rate for Payer: Clover Medicare Advantage	$3,653.50
Rate for Payer: EmblemHealth Commercial	$11,537.37
Rate for Payer: Humana Medicare Advantage	$3,961.16
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,845.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,349.78
Rate for Payer: Oxford Commercial	$7,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,663.33
Rate for Payer: UnitedHealthcare Commercial	$8,192.00
Rate for Payer: UnitedHealthcare Community & State	$771.74
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,845.79
Rate for Payer: Wellcare Medicare Advantage	$3,845.79
Rate for Payer: Wellpoint Medicaid Managed Care	$693.59

CONIZATION OF CERVIX-LEEP

Facility

$24,422.22

Service Code	HCPCS 57522
Hospital Charge Code	160000188
Hospital Revenue Code	360
Min. Negotiated Rate	$3,663.33
Max. Negotiated Rate	$3,663.33
Rate for Payer: Qualcare PPO/HMO/WC	$3,663.33

Know your out-of-pocket cost for care.

All Charges