Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CORRECTION OF BUNION RT

Facility

$46,489.60

Service Code	HCPCS 28297
Hospital Charge Code	16000244
Hospital Revenue Code	360
Min. Negotiated Rate	$6,973.44
Max. Negotiated Rate	$6,973.44
Rate for Payer: Qualcare PPO/HMO/WC	$6,973.44

CORRECTION OF BUNION RT

Facility

$46,489.60

Service Code	HCPCS 28297
Hospital Charge Code	16000244
Hospital Revenue Code	360
Min. Negotiated Rate	$1,320.30
Max. Negotiated Rate	$55,329.13
Rate for Payer: Aetna Commercial	$41,487.32
Rate for Payer: Aetna Medicare Advantage	$49,418.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55,329.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55,329.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15,252.69
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	$55,329.13
Rate for Payer: Cigna Commercial	$30,573.98
Rate for Payer: Cigna Medicare Advantage	$15,252.69
Rate for Payer: Clover Medicare Advantage	$14,490.06
Rate for Payer: EmblemHealth Commercial	$45,758.07
Rate for Payer: Humana Medicare Advantage	$15,710.27
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$15,252.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12,087.30
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,973.44
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$1,469.07
Rate for Payer: UnitedHealthcare Medicare Advantage	$15,252.69
Rate for Payer: Wellcare Medicare Advantage	$15,252.69
Rate for Payer: Wellpoint Medicaid Managed Care	$1,320.30

CORT ALLOGRAFT 2 PK FC-0100-2

Facility

$19,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270691879
Hospital Revenue Code	278
Min. Negotiated Rate	$2,962.50
Max. Negotiated Rate	$4,779.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,779.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,962.50

CORT ALLOGRAFT 2 PK FC-0100-2

Facility

$19,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270691879
Hospital Revenue Code	278
Min. Negotiated Rate	$560.90
Max. Negotiated Rate	$9,875.00
Rate for Payer: Aetna Commercial	$7,505.00
Rate for Payer: Aetna Medicare Advantage	$5,925.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,036.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,036.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,950.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,036.25
Rate for Payer: Cigna Commercial	$9,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,779.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,962.50
Rate for Payer: UnitedHealthcare Community & State	$624.10
Rate for Payer: Wellpoint Medicaid Managed Care	$560.90

CORT ALLOGRAFT EA FC-0100-1

Facility

$9,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270693877
Hospital Revenue Code	278
Min. Negotiated Rate	$280.45
Max. Negotiated Rate	$4,937.50
Rate for Payer: Aetna Commercial	$3,752.50
Rate for Payer: Aetna Medicare Advantage	$2,962.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,518.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,518.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,975.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,518.12
Rate for Payer: Cigna Commercial	$4,937.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,389.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,481.25
Rate for Payer: UnitedHealthcare Community & State	$312.05
Rate for Payer: Wellpoint Medicaid Managed Care	$280.45

CORT ALLOGRAFT EA FC-0100-1

Facility

$9,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270693877
Hospital Revenue Code	278
Min. Negotiated Rate	$1,481.25
Max. Negotiated Rate	$2,389.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,975.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,389.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,481.25

CORTEX SCREW 2.4X18MM

Facility

$568.40

Service Code	HCPCS C1713
Hospital Charge Code	270704716
Hospital Revenue Code	278
Min. Negotiated Rate	$85.26
Max. Negotiated Rate	$137.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.55
Rate for Payer: Qualcare PPO/HMO/WC	$85.26

CORTEX SCREW 2.4X18MM

Facility

$568.40

Service Code	HCPCS C1713
Hospital Charge Code	270704716
Hospital Revenue Code	278
Min. Negotiated Rate	$16.14
Max. Negotiated Rate	$284.20
Rate for Payer: Aetna Commercial	$215.99
Rate for Payer: Aetna Medicare Advantage	$170.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.94
Rate for Payer: Cigna Commercial	$284.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.55
Rate for Payer: Qualcare PPO/HMO/WC	$85.26
Rate for Payer: UnitedHealthcare Community & State	$17.96
Rate for Payer: Wellpoint Medicaid Managed Care	$16.14

CORTEX SCREW 2.4X24MM

Facility

$568.40

Service Code	HCPCS C1713
Hospital Charge Code	270704717
Hospital Revenue Code	278
Min. Negotiated Rate	$16.14
Max. Negotiated Rate	$284.20
Rate for Payer: Aetna Commercial	$215.99
Rate for Payer: Aetna Medicare Advantage	$170.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.94
Rate for Payer: Cigna Commercial	$284.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.55
Rate for Payer: Qualcare PPO/HMO/WC	$85.26
Rate for Payer: UnitedHealthcare Community & State	$17.96
Rate for Payer: Wellpoint Medicaid Managed Care	$16.14

CORTEX SCREW 2.4X24MM

Facility

$568.40

Service Code	HCPCS C1713
Hospital Charge Code	270704717
Hospital Revenue Code	278
Min. Negotiated Rate	$85.26
Max. Negotiated Rate	$137.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.55
Rate for Payer: Qualcare PPO/HMO/WC	$85.26

CORTEX SCREW 3.5 X 28

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270675955
Hospital Revenue Code	278
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Community & State	$23.70
Rate for Payer: Wellpoint Medicaid Managed Care	$21.30

CORTEX SCREW 3.5 X 28

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270675955
Hospital Revenue Code	278
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$181.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

CORTEX SCREW 3.5X30MM

Facility

$629.00

Service Code	HCPCS C1713
Hospital Charge Code	270705121
Hospital Revenue Code	278
Min. Negotiated Rate	$17.86
Max. Negotiated Rate	$314.50
Rate for Payer: Aetna Commercial	$239.02
Rate for Payer: Aetna Medicare Advantage	$188.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$160.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$160.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$160.40
Rate for Payer: Cigna Commercial	$314.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$152.22
Rate for Payer: Qualcare PPO/HMO/WC	$94.35
Rate for Payer: UnitedHealthcare Community & State	$19.88
Rate for Payer: Wellpoint Medicaid Managed Care	$17.86

CORTEX SCREW 3.5X30MM

Facility

$629.00

Service Code	HCPCS C1713
Hospital Charge Code	270705121
Hospital Revenue Code	278
Min. Negotiated Rate	$94.35
Max. Negotiated Rate	$152.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$152.22
Rate for Payer: Qualcare PPO/HMO/WC	$94.35

CORTEX SCREW 3.5 X 32

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270681376
Hospital Revenue Code	278
Min. Negotiated Rate	$8.52
Max. Negotiated Rate	$150.00
Rate for Payer: Aetna Commercial	$114.00
Rate for Payer: Aetna Medicare Advantage	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$45.00
Rate for Payer: UnitedHealthcare Community & State	$9.48
Rate for Payer: Wellpoint Medicaid Managed Care	$8.52

CORTEX SCREW 3.5 X 32

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270681376
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$72.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

CORTEX SCREW 3.5X34MM

Facility

$455.15

Service Code	HCPCS C1713
Hospital Charge Code	270699289
Hospital Revenue Code	278
Min. Negotiated Rate	$12.93
Max. Negotiated Rate	$227.57
Rate for Payer: Aetna Commercial	$172.96
Rate for Payer: Aetna Medicare Advantage	$136.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$116.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$116.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$116.06
Rate for Payer: Cigna Commercial	$227.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.15
Rate for Payer: Qualcare PPO/HMO/WC	$68.27
Rate for Payer: UnitedHealthcare Community & State	$14.38
Rate for Payer: Wellpoint Medicaid Managed Care	$12.93

CORTEX SCREW 3.5X34MM

Facility

$455.15

Service Code	HCPCS C1713
Hospital Charge Code	270699289
Hospital Revenue Code	278
Min. Negotiated Rate	$68.27
Max. Negotiated Rate	$110.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.15
Rate for Payer: Qualcare PPO/HMO/WC	$68.27

CORTEX SCREW 3.5 X 38

Facility

$249.30

Service Code	HCPCS C1713
Hospital Charge Code	270681320
Hospital Revenue Code	278
Min. Negotiated Rate	$7.08
Max. Negotiated Rate	$124.65
Rate for Payer: Aetna Commercial	$94.73
Rate for Payer: Aetna Medicare Advantage	$74.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.57
Rate for Payer: Cigna Commercial	$124.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.33
Rate for Payer: Qualcare PPO/HMO/WC	$37.40
Rate for Payer: UnitedHealthcare Community & State	$7.88
Rate for Payer: Wellpoint Medicaid Managed Care	$7.08

CORTEX SCREW 3.5 X 38

Facility

$249.30

Service Code	HCPCS C1713
Hospital Charge Code	270681320
Hospital Revenue Code	278
Min. Negotiated Rate	$37.40
Max. Negotiated Rate	$60.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.33
Rate for Payer: Qualcare PPO/HMO/WC	$37.40

CORTEX SCREW 3.5 X 40

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270681400
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$72.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

CORTEX SCREW 3.5 X 40

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270681400
Hospital Revenue Code	278
Min. Negotiated Rate	$8.52
Max. Negotiated Rate	$150.00
Rate for Payer: Aetna Commercial	$114.00
Rate for Payer: Aetna Medicare Advantage	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$45.00
Rate for Payer: UnitedHealthcare Community & State	$9.48
Rate for Payer: Wellpoint Medicaid Managed Care	$8.52

CORTEX SCREW 3.5X46MM

Facility

$260.00

Service Code	HCPCS C1713
Hospital Charge Code	270693014
Hospital Revenue Code	278
Min. Negotiated Rate	$39.00
Max. Negotiated Rate	$62.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$52.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.92
Rate for Payer: Qualcare PPO/HMO/WC	$39.00

CORTEX SCREW 3.5X46MM

Facility

$260.00

Service Code	HCPCS C1713
Hospital Charge Code	270693014
Hospital Revenue Code	278
Min. Negotiated Rate	$7.38
Max. Negotiated Rate	$130.00
Rate for Payer: Aetna Commercial	$98.80
Rate for Payer: Aetna Medicare Advantage	$78.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$52.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.30
Rate for Payer: Cigna Commercial	$130.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.92
Rate for Payer: Qualcare PPO/HMO/WC	$39.00
Rate for Payer: UnitedHealthcare Community & State	$8.22
Rate for Payer: Wellpoint Medicaid Managed Care	$7.38

CORTEX SCREW 3.5X48MM

Facility

$260.40

Service Code	HCPCS C1713
Hospital Charge Code	270704453
Hospital Revenue Code	278
Min. Negotiated Rate	$39.06
Max. Negotiated Rate	$63.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$52.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.02
Rate for Payer: Qualcare PPO/HMO/WC	$39.06

Know your out-of-pocket cost for care.

All Charges