Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

DISTAL BICEPS REPAIR IMPLANT

Facility

$4,250.00

Hospital Charge Code	270656505
Hospital Revenue Code	278
Min. Negotiated Rate	$120.70
Max. Negotiated Rate	$2,125.00
Rate for Payer: Aetna Commercial	$1,615.00
Rate for Payer: Aetna Medicare Advantage	$1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,083.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,083.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$850.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,083.75
Rate for Payer: Cigna Commercial	$2,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,028.50
Rate for Payer: Qualcare PPO/HMO/WC	$637.50
Rate for Payer: UnitedHealthcare Community & State	$134.30
Rate for Payer: Wellpoint Medicaid Managed Care	$120.70

DISTAL FINGER TUMOR

Facility

$9,636.95

Service Code	HCPCS 26262
Hospital Charge Code	1600000810
Hospital Revenue Code	360
Min. Negotiated Rate	$273.69
Max. Negotiated Rate	$6,929.76
Rate for Payer: Aetna Commercial	$5,196.12
Rate for Payer: Aetna Medicare Advantage	$6,189.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,929.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,929.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,910.34
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	$6,929.76
Rate for Payer: Cigna Commercial	$3,829.26
Rate for Payer: Cigna Medicare Advantage	$1,910.34
Rate for Payer: Clover Medicare Advantage	$1,814.82
Rate for Payer: EmblemHealth Commercial	$5,731.02
Rate for Payer: Humana Medicare Advantage	$1,967.65
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,910.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,505.61
Rate for Payer: Oxford Commercial	$5,018.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,445.54
Rate for Payer: UnitedHealthcare Commercial	$5,347.00
Rate for Payer: UnitedHealthcare Community & State	$304.53
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,910.34
Rate for Payer: Wellcare Medicare Advantage	$1,910.34
Rate for Payer: Wellpoint Medicaid Managed Care	$273.69

DISTAL FINGER TUMOR

Facility

$9,636.95

Service Code	HCPCS 26262
Hospital Charge Code	1600000810
Hospital Revenue Code	360
Min. Negotiated Rate	$1,445.54
Max. Negotiated Rate	$1,445.54
Rate for Payer: Qualcare PPO/HMO/WC	$1,445.54

DISTAL FIXATION RING 22.5mm

Facility

$8,575.00

Service Code	HCPCS C1713
Hospital Charge Code	270679732
Hospital Revenue Code	278
Min. Negotiated Rate	$1,286.25
Max. Negotiated Rate	$2,075.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,715.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,075.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,286.25

DISTAL FIXATION RING 22.5mm

Facility

$8,575.00

Service Code	HCPCS C1713
Hospital Charge Code	270679732
Hospital Revenue Code	278
Min. Negotiated Rate	$243.53
Max. Negotiated Rate	$4,287.50
Rate for Payer: Aetna Commercial	$3,258.50
Rate for Payer: Aetna Medicare Advantage	$2,572.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,186.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,186.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,715.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,186.62
Rate for Payer: Cigna Commercial	$4,287.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,075.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,286.25
Rate for Payer: UnitedHealthcare Community & State	$270.97
Rate for Payer: Wellpoint Medicaid Managed Care	$243.53

DISTAL LAT. FIBULAR LOCKING PL

Facility

$3,600.00

Service Code	HCPCS C1713
Hospital Charge Code	270665201
Hospital Revenue Code	278
Min. Negotiated Rate	$102.24
Max. Negotiated Rate	$1,800.00
Rate for Payer: Aetna Commercial	$1,368.00
Rate for Payer: Aetna Medicare Advantage	$1,080.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$918.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$918.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$720.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$918.00
Rate for Payer: Cigna Commercial	$1,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$871.20
Rate for Payer: Qualcare PPO/HMO/WC	$540.00
Rate for Payer: UnitedHealthcare Community & State	$113.76
Rate for Payer: Wellpoint Medicaid Managed Care	$102.24

DISTAL LAT. FIBULAR LOCKING PL

Facility

$3,600.00

Service Code	HCPCS C1713
Hospital Charge Code	270665201
Hospital Revenue Code	278
Min. Negotiated Rate	$540.00
Max. Negotiated Rate	$871.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$720.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$871.20
Rate for Payer: Qualcare PPO/HMO/WC	$540.00

DISTAL LTRAL FIBULR PLT 4H LT

Facility

$2,156.95

Hospital Charge Code	270663179
Hospital Revenue Code	270
Min. Negotiated Rate	$61.26
Max. Negotiated Rate	$1,078.47
Rate for Payer: Aetna Commercial	$819.64
Rate for Payer: Aetna Medicare Advantage	$647.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$550.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$550.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$550.02
Rate for Payer: Cigna Commercial	$1,078.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$560.81
Rate for Payer: Oxford Commercial	$431.39
Rate for Payer: Qualcare PPO/HMO/WC	$323.54
Rate for Payer: UnitedHealthcare Commercial	$431.39
Rate for Payer: UnitedHealthcare Community & State	$68.16
Rate for Payer: Wellpoint Medicaid Managed Care	$61.26

DISTAL LTRAL FIBULR PLT 4H LT

Facility

$2,156.95

Hospital Charge Code	270663179
Hospital Revenue Code	270
Min. Negotiated Rate	$323.54
Max. Negotiated Rate	$323.54
Rate for Payer: Qualcare PPO/HMO/WC	$323.54

DISTAL PLATE

Facility

$2,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270687654
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

DISTAL PLATE

Facility

$2,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270687654
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

DISTAL RADIAL PLATE 3 HOLE

Facility

$8,224.30

Service Code	HCPCS C1713
Hospital Charge Code	270704349
Hospital Revenue Code	278
Min. Negotiated Rate	$1,233.64
Max. Negotiated Rate	$1,990.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,644.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,990.28
Rate for Payer: Qualcare PPO/HMO/WC	$1,233.64

DISTAL RADIAL PLATE 3 HOLE

Facility

$8,224.30

Service Code	HCPCS C1713
Hospital Charge Code	270704349
Hospital Revenue Code	278
Min. Negotiated Rate	$233.57
Max. Negotiated Rate	$4,112.15
Rate for Payer: Aetna Commercial	$3,125.23
Rate for Payer: Aetna Medicare Advantage	$2,467.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,097.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,097.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,644.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,097.20
Rate for Payer: Cigna Commercial	$4,112.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,990.28
Rate for Payer: Qualcare PPO/HMO/WC	$1,233.64
Rate for Payer: UnitedHealthcare Community & State	$259.89
Rate for Payer: Wellpoint Medicaid Managed Care	$233.57

DISTAL RADIUS FIXATOR

Facility

$3,668.00

Hospital Charge Code	270335680
Hospital Revenue Code	278
Min. Negotiated Rate	$550.20
Max. Negotiated Rate	$887.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$733.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$887.66
Rate for Payer: Qualcare PPO/HMO/WC	$550.20

DISTAL RADIUS FIXATOR

Facility

$3,668.00

Hospital Charge Code	270335680
Hospital Revenue Code	278
Min. Negotiated Rate	$104.17
Max. Negotiated Rate	$1,834.00
Rate for Payer: Aetna Commercial	$1,393.84
Rate for Payer: Aetna Medicare Advantage	$1,100.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$935.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$935.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$733.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$935.34
Rate for Payer: Cigna Commercial	$1,834.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$887.66
Rate for Payer: Qualcare PPO/HMO/WC	$550.20
Rate for Payer: UnitedHealthcare Community & State	$115.91
Rate for Payer: Wellpoint Medicaid Managed Care	$104.17

DISTAL TIPS AMS DURA II

Facility

$2,125.00

Hospital Charge Code	270654485
Hospital Revenue Code	272
Min. Negotiated Rate	$318.75
Max. Negotiated Rate	$318.75
Rate for Payer: Qualcare PPO/HMO/WC	$318.75

DISTAL TIPS AMS DURA II

Facility

$2,125.00

Hospital Charge Code	270654485
Hospital Revenue Code	272
Min. Negotiated Rate	$60.35
Max. Negotiated Rate	$1,062.50
Rate for Payer: Aetna Commercial	$807.50
Rate for Payer: Aetna Medicare Advantage	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$541.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$541.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$541.88
Rate for Payer: Cigna Commercial	$1,062.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$552.50
Rate for Payer: Oxford Commercial	$425.00
Rate for Payer: Qualcare PPO/HMO/WC	$318.75
Rate for Payer: UnitedHealthcare Commercial	$425.00
Rate for Payer: UnitedHealthcare Community & State	$67.15
Rate for Payer: Wellpoint Medicaid Managed Care	$60.35

DISTAL TRIATHLON PEG

Facility

$1,057.10

Service Code	HCPCS C1776
Hospital Charge Code	270691402
Hospital Revenue Code	278
Min. Negotiated Rate	$30.02
Max. Negotiated Rate	$528.55
Rate for Payer: Aetna Commercial	$401.70
Rate for Payer: Aetna Medicare Advantage	$317.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$269.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$269.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$211.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$269.56
Rate for Payer: Cigna Commercial	$528.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$255.82
Rate for Payer: Qualcare PPO/HMO/WC	$158.56
Rate for Payer: UnitedHealthcare Community & State	$33.40
Rate for Payer: Wellpoint Medicaid Managed Care	$30.02

DISTAL TRIATHLON PEG

Facility

$1,057.10

Service Code	HCPCS C1776
Hospital Charge Code	270691402
Hospital Revenue Code	278
Min. Negotiated Rate	$158.56
Max. Negotiated Rate	$255.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$211.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$255.82
Rate for Payer: Qualcare PPO/HMO/WC	$158.56

DISTANCE TENDON GRAFT

Facility

$30,595.00

Service Code	HCPCS 20924
Hospital Charge Code	16000796
Hospital Revenue Code	360
Min. Negotiated Rate	$868.90
Max. Negotiated Rate	$31,271.12
Rate for Payer: Aetna Commercial	$23,447.95
Rate for Payer: Aetna Medicare Advantage	$27,930.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31,271.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31,271.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8,620.57
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	$31,271.12
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: Cigna Medicare Advantage	$8,620.57
Rate for Payer: Clover Medicare Advantage	$8,189.54
Rate for Payer: EmblemHealth Commercial	$25,861.71
Rate for Payer: Humana Medicare Advantage	$8,879.19
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$8,620.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,954.70
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,589.25
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$966.80
Rate for Payer: UnitedHealthcare Medicare Advantage	$8,620.57
Rate for Payer: Wellcare Medicare Advantage	$8,620.57
Rate for Payer: Wellpoint Medicaid Managed Care	$868.90

DISTANCE TENDON GRAFT

Facility

$30,595.00

Service Code	HCPCS 20924
Hospital Charge Code	16000796
Hospital Revenue Code	360
Min. Negotiated Rate	$4,589.25
Max. Negotiated Rate	$4,589.25
Rate for Payer: Qualcare PPO/HMO/WC	$4,589.25

DIST HUM LAT LT 11H 103MM

Facility

$12,900.00

Service Code	HCPCS C1713
Hospital Charge Code	270704927
Hospital Revenue Code	278
Min. Negotiated Rate	$366.36
Max. Negotiated Rate	$6,450.00
Rate for Payer: Aetna Commercial	$4,902.00
Rate for Payer: Aetna Medicare Advantage	$3,870.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,289.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,289.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,580.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,289.50
Rate for Payer: Cigna Commercial	$6,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,121.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,935.00
Rate for Payer: UnitedHealthcare Community & State	$407.64
Rate for Payer: Wellpoint Medicaid Managed Care	$366.36

DIST HUM LAT LT 11H 103MM

Facility

$12,900.00

Service Code	HCPCS C1713
Hospital Charge Code	270704927
Hospital Revenue Code	278
Min. Negotiated Rate	$1,935.00
Max. Negotiated Rate	$3,121.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,580.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,121.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,935.00

DIST HUM MED LT 13H 127MM

Facility

$12,900.00

Service Code	HCPCS C1713
Hospital Charge Code	270704928
Hospital Revenue Code	278
Min. Negotiated Rate	$366.36
Max. Negotiated Rate	$6,450.00
Rate for Payer: Aetna Commercial	$4,902.00
Rate for Payer: Aetna Medicare Advantage	$3,870.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,289.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,289.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,580.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,289.50
Rate for Payer: Cigna Commercial	$6,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,121.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,935.00
Rate for Payer: UnitedHealthcare Community & State	$407.64
Rate for Payer: Wellpoint Medicaid Managed Care	$366.36

DIST HUM MED LT 13H 127MM

Facility

$12,900.00

Service Code	HCPCS C1713
Hospital Charge Code	270704928
Hospital Revenue Code	278
Min. Negotiated Rate	$1,935.00
Max. Negotiated Rate	$3,121.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,580.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,121.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,935.00

Know your out-of-pocket cost for care.

All Charges