Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

ACL KNEE RECONSTRUCTION

Facility

$11,100.00

Hospital Charge Code	270335951
Hospital Revenue Code	278
Min. Negotiated Rate	$315.24
Max. Negotiated Rate	$5,550.00
Rate for Payer: Aetna Commercial	$4,218.00
Rate for Payer: Aetna Medicare Advantage	$3,330.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,830.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,830.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,220.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,830.50
Rate for Payer: Cigna Commercial	$5,550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,686.20
Rate for Payer: Qualcare PPO/HMO/WC	$1,665.00
Rate for Payer: UnitedHealthcare Community & State	$350.76
Rate for Payer: Wellpoint Medicaid Managed Care	$315.24

ACL KNEE RECONSTRUCTION

Facility

$11,100.00

Hospital Charge Code	270335951
Hospital Revenue Code	278
Min. Negotiated Rate	$1,665.00
Max. Negotiated Rate	$2,686.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,220.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,686.20
Rate for Payer: Qualcare PPO/HMO/WC	$1,665.00

ACL TENDON-KNEE PER SQ. CM.

Facility

$249.00

Hospital Charge Code	270332705
Hospital Revenue Code	636
Min. Negotiated Rate	$7.07
Max. Negotiated Rate	$124.50
Rate for Payer: Aetna Commercial	$94.62
Rate for Payer: Aetna Medicare Advantage	$74.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.49
Rate for Payer: Cigna Commercial	$124.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.26
Rate for Payer: Qualcare PPO/HMO/WC	$37.35
Rate for Payer: UnitedHealthcare Community & State	$7.87
Rate for Payer: Wellpoint Medicaid Managed Care	$7.07

ACL TENDON-KNEE PER SQ. CM.

Facility

$249.00

Hospital Charge Code	270332705
Hospital Revenue Code	636
Min. Negotiated Rate	$37.35
Max. Negotiated Rate	$60.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.26
Rate for Payer: Qualcare PPO/HMO/WC	$37.35

ACL TIGHT ROPE DRILL PIN

Facility

$895.00

Hospital Charge Code	270656488
Hospital Revenue Code	270
Min. Negotiated Rate	$134.25
Max. Negotiated Rate	$134.25
Rate for Payer: Qualcare PPO/HMO/WC	$134.25

ACL TIGHT ROPE DRILL PIN

Facility

$895.00

Hospital Charge Code	270656488
Hospital Revenue Code	270
Min. Negotiated Rate	$25.42
Max. Negotiated Rate	$447.50
Rate for Payer: Aetna Commercial	$340.10
Rate for Payer: Aetna Medicare Advantage	$268.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$228.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$228.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$228.22
Rate for Payer: Cigna Commercial	$447.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.70
Rate for Payer: Oxford Commercial	$179.00
Rate for Payer: Qualcare PPO/HMO/WC	$134.25
Rate for Payer: UnitedHealthcare Commercial	$179.00
Rate for Payer: UnitedHealthcare Community & State	$28.28
Rate for Payer: Wellpoint Medicaid Managed Care	$25.42

ACL TIGHTROPE II DOUBLE LOADED

Facility

$2,394.75

Service Code	HCPCS C1713
Hospital Charge Code	270704449
Hospital Revenue Code	278
Min. Negotiated Rate	$359.21
Max. Negotiated Rate	$579.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$478.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$579.53
Rate for Payer: Qualcare PPO/HMO/WC	$359.21

ACL TIGHTROPE II DOUBLE LOADED

Facility

$2,394.75

Service Code	HCPCS C1713
Hospital Charge Code	270704449
Hospital Revenue Code	278
Min. Negotiated Rate	$68.01
Max. Negotiated Rate	$1,197.38
Rate for Payer: Aetna Commercial	$910.00
Rate for Payer: Aetna Medicare Advantage	$718.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$610.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$610.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$478.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$610.66
Rate for Payer: Cigna Commercial	$1,197.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$579.53
Rate for Payer: Qualcare PPO/HMO/WC	$359.21
Rate for Payer: UnitedHealthcare Community & State	$75.67
Rate for Payer: Wellpoint Medicaid Managed Care	$68.01

ACL TIGHTROPE RT

Facility

$1,750.00

Hospital Charge Code	270663931
Hospital Revenue Code	270
Min. Negotiated Rate	$49.70
Max. Negotiated Rate	$875.00
Rate for Payer: Aetna Commercial	$665.00
Rate for Payer: Aetna Medicare Advantage	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.25
Rate for Payer: Cigna Commercial	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$455.00
Rate for Payer: Oxford Commercial	$350.00
Rate for Payer: Qualcare PPO/HMO/WC	$262.50
Rate for Payer: UnitedHealthcare Commercial	$350.00
Rate for Payer: UnitedHealthcare Community & State	$55.30
Rate for Payer: Wellpoint Medicaid Managed Care	$49.70

ACL TIGHTROPE RT

Facility

$1,750.00

Hospital Charge Code	270663931
Hospital Revenue Code	270
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$262.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

ACNE SURGERY

Facility

$990.50

Service Code	HCPCS 10040
Hospital Charge Code	412310040
Hospital Revenue Code	361
Min. Negotiated Rate	$28.13
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$648.34
Rate for Payer: Aetna Medicare Advantage	$772.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$864.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$864.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$238.36
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	$864.65
Rate for Payer: Cigna Commercial	$477.79
Rate for Payer: Cigna Medicare Advantage	$238.36
Rate for Payer: Clover Medicare Advantage	$226.44
Rate for Payer: EmblemHealth Commercial	$715.08
Rate for Payer: Humana Medicare Advantage	$245.51
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$238.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$257.53
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$148.57
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$31.30
Rate for Payer: UnitedHealthcare Medicare Advantage	$238.36
Rate for Payer: Wellcare Medicare Advantage	$238.36
Rate for Payer: Wellpoint Medicaid Managed Care	$28.13

ACNE SURGERY

Facility

$990.50

Service Code	HCPCS 10040
Hospital Charge Code	412310040
Hospital Revenue Code	361
Min. Negotiated Rate	$148.57
Max. Negotiated Rate	$148.57
Rate for Payer: Qualcare PPO/HMO/WC	$148.57

ACORN BUR

Facility

$279.00

Hospital Charge Code	270335567
Hospital Revenue Code	272
Min. Negotiated Rate	$41.85
Max. Negotiated Rate	$41.85
Rate for Payer: Qualcare PPO/HMO/WC	$41.85

ACORN BUR

Facility

$279.00

Hospital Charge Code	270335567
Hospital Revenue Code	272
Min. Negotiated Rate	$7.92
Max. Negotiated Rate	$139.50
Rate for Payer: Aetna Commercial	$106.02
Rate for Payer: Aetna Medicare Advantage	$83.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$71.14
Rate for Payer: Cigna Commercial	$139.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.54
Rate for Payer: Oxford Commercial	$55.80
Rate for Payer: Qualcare PPO/HMO/WC	$41.85
Rate for Payer: UnitedHealthcare Commercial	$55.80
Rate for Payer: UnitedHealthcare Community & State	$8.82
Rate for Payer: Wellpoint Medicaid Managed Care	$7.92

ACP 2 LEVEL 40MM

Facility

$5,500.00

Hospital Charge Code	270703572
Hospital Revenue Code	278
Min. Negotiated Rate	$825.00
Max. Negotiated Rate	$1,331.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,331.00
Rate for Payer: Qualcare PPO/HMO/WC	$825.00

ACP 2 LEVEL 40MM

Facility

$5,500.00

Hospital Charge Code	270703572
Hospital Revenue Code	278
Min. Negotiated Rate	$156.20
Max. Negotiated Rate	$2,750.00
Rate for Payer: Aetna Commercial	$2,090.00
Rate for Payer: Aetna Medicare Advantage	$1,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,402.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,402.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,402.50
Rate for Payer: Cigna Commercial	$2,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,331.00
Rate for Payer: Qualcare PPO/HMO/WC	$825.00
Rate for Payer: UnitedHealthcare Community & State	$173.80
Rate for Payer: Wellpoint Medicaid Managed Care	$156.20

ACP 3 LVL 51MM

Facility

$6,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270705057
Hospital Revenue Code	278
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$1,452.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

ACP 3 LVL 51MM

Facility

$6,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270705057
Hospital Revenue Code	278
Min. Negotiated Rate	$170.40
Max. Negotiated Rate	$3,000.00
Rate for Payer: Aetna Commercial	$2,280.00
Rate for Payer: Aetna Medicare Advantage	$1,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,530.00
Rate for Payer: Cigna Commercial	$3,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00
Rate for Payer: UnitedHealthcare Community & State	$189.60
Rate for Payer: Wellpoint Medicaid Managed Care	$170.40

ACP DOUBLE SYRINGE

Facility

$225.00

Hospital Charge Code	270339457
Hospital Revenue Code	272
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$33.75
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

ACP DOUBLE SYRINGE

Facility

$225.00

Hospital Charge Code	270339457
Hospital Revenue Code	272
Min. Negotiated Rate	$6.39
Max. Negotiated Rate	$112.50
Rate for Payer: Aetna Commercial	$85.50
Rate for Payer: Aetna Medicare Advantage	$67.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.38
Rate for Payer: Cigna Commercial	$112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.50
Rate for Payer: Oxford Commercial	$45.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.75
Rate for Payer: UnitedHealthcare Commercial	$45.00
Rate for Payer: UnitedHealthcare Community & State	$7.11
Rate for Payer: Wellpoint Medicaid Managed Care	$6.39

ACPELLA ADULT GREEN

Facility

$205.49

Hospital Charge Code	270664898
Hospital Revenue Code	270
Min. Negotiated Rate	$30.82
Max. Negotiated Rate	$30.82
Rate for Payer: Qualcare PPO/HMO/WC	$30.82

ACPELLA ADULT GREEN

Facility

$205.49

Hospital Charge Code	270664898
Hospital Revenue Code	270
Min. Negotiated Rate	$5.84
Max. Negotiated Rate	$102.75
Rate for Payer: Aetna Commercial	$78.09
Rate for Payer: Aetna Medicare Advantage	$61.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.40
Rate for Payer: Cigna Commercial	$102.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.43
Rate for Payer: Oxford Commercial	$41.10
Rate for Payer: Qualcare PPO/HMO/WC	$30.82
Rate for Payer: UnitedHealthcare Commercial	$41.10
Rate for Payer: UnitedHealthcare Community & State	$6.49
Rate for Payer: Wellpoint Medicaid Managed Care	$5.84

ACROMIBLASTER 5.5 MM ELITE

Facility

$250.00

Hospital Charge Code	270698576
Hospital Revenue Code	272
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$37.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

ACROMIBLASTER 5.5 MM ELITE

Facility

$250.00

Hospital Charge Code	270698576
Hospital Revenue Code	272
Min. Negotiated Rate	$7.10
Max. Negotiated Rate	$125.00
Rate for Payer: Aetna Commercial	$95.00
Rate for Payer: Aetna Medicare Advantage	$75.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.75
Rate for Payer: Cigna Commercial	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.00
Rate for Payer: Oxford Commercial	$50.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.50
Rate for Payer: UnitedHealthcare Commercial	$50.00
Rate for Payer: UnitedHealthcare Community & State	$7.90
Rate for Payer: Wellpoint Medicaid Managed Care	$7.10

ACROMIOCLA JOINTS-BIL

Facility

$5,100.00

Service Code	HCPCS 73050
Hospital Charge Code	94061103
Hospital Revenue Code	320
Min. Negotiated Rate	$29.70
Max. Negotiated Rate	$2,231.00
Rate for Payer: Aetna Commercial	$281.22
Rate for Payer: Aetna Medicare Advantage	$334.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$375.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$375.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$103.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$375.05
Rate for Payer: Cigna Commercial	$207.24
Rate for Payer: Cigna Medicare Advantage	$72.37
Rate for Payer: Clover Medicare Advantage	$98.22
Rate for Payer: EmblemHealth Commercial	$310.17
Rate for Payer: Humana Medicare Advantage	$106.49
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$103.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,326.00
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$161.16
Rate for Payer: UnitedHealthcare Medicare Advantage	$103.39
Rate for Payer: Wellcare Medicare Advantage	$103.39
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$216.59
Rate for Payer: Wellpoint Medicaid Managed Care	$144.84

Know your out-of-pocket cost for care.

All Charges