Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

END CAPARTHRODESIS NAIL PANTA2

Facility

$8,600.00

Service Code	HCPCS C1713
Hospital Charge Code	270699958
Hospital Revenue Code	278
Min. Negotiated Rate	$1,290.00
Max. Negotiated Rate	$2,081.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,720.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,081.20
Rate for Payer: Qualcare PPO/HMO/WC	$1,290.00

END CAP FOR 4.0mm SCHANZ PIN

Facility

$17.15

Hospital Charge Code	270644920
Hospital Revenue Code	272
Min. Negotiated Rate	$2.57
Max. Negotiated Rate	$2.57
Rate for Payer: Qualcare PPO/HMO/WC	$2.57

END CAP FOR 4.0mm SCHANZ PIN

Facility

$17.15

Hospital Charge Code	270644920
Hospital Revenue Code	272
Min. Negotiated Rate	$0.49
Max. Negotiated Rate	$8.57
Rate for Payer: Aetna Commercial	$6.52
Rate for Payer: Aetna Medicare Advantage	$5.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.37
Rate for Payer: Cigna Commercial	$8.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.46
Rate for Payer: Oxford Commercial	$3.43
Rate for Payer: Qualcare PPO/HMO/WC	$2.57
Rate for Payer: UnitedHealthcare Commercial	$3.43
Rate for Payer: UnitedHealthcare Community & State	$0.54
Rate for Payer: Wellpoint Medicaid Managed Care	$0.49

END CAP FOR RFNA 0MM

Facility

$2,595.00

Service Code	HCPCS C1713
Hospital Charge Code	270699469
Hospital Revenue Code	278
Min. Negotiated Rate	$73.70
Max. Negotiated Rate	$1,297.50
Rate for Payer: Aetna Commercial	$986.10
Rate for Payer: Aetna Medicare Advantage	$778.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$661.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$661.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$519.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$661.73
Rate for Payer: Cigna Commercial	$1,297.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$627.99
Rate for Payer: Qualcare PPO/HMO/WC	$389.25
Rate for Payer: UnitedHealthcare Community & State	$82.00
Rate for Payer: Wellpoint Medicaid Managed Care	$73.70

END CAP FOR RFNA 0MM

Facility

$2,595.00

Service Code	HCPCS C1713
Hospital Charge Code	270699469
Hospital Revenue Code	278
Min. Negotiated Rate	$389.25
Max. Negotiated Rate	$627.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$519.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$627.99
Rate for Payer: Qualcare PPO/HMO/WC	$389.25

ENDCAP LOCK CREO THREAD 5.5MM

Facility

$875.00

Service Code	HCPCS C1713
Hospital Charge Code	270693436
Hospital Revenue Code	278
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$211.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.75
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

ENDCAP LOCK CREO THREAD 5.5MM

Facility

$875.00

Service Code	HCPCS C1713
Hospital Charge Code	270693436
Hospital Revenue Code	278
Min. Negotiated Rate	$24.85
Max. Negotiated Rate	$437.50
Rate for Payer: Aetna Commercial	$332.50
Rate for Payer: Aetna Medicare Advantage	$262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.12
Rate for Payer: Cigna Commercial	$437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.75
Rate for Payer: Qualcare PPO/HMO/WC	$131.25
Rate for Payer: UnitedHealthcare Community & State	$27.65
Rate for Payer: Wellpoint Medicaid Managed Care	$24.85

ENDCAP LOCKING MIS CREO

Facility

$5,150.00

Service Code	HCPCS C1713
Hospital Charge Code	270693233
Hospital Revenue Code	278
Min. Negotiated Rate	$772.50
Max. Negotiated Rate	$1,246.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,030.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,246.30
Rate for Payer: Qualcare PPO/HMO/WC	$772.50

ENDCAP LOCKING MIS CREO

Facility

$5,150.00

Service Code	HCPCS C1713
Hospital Charge Code	270693233
Hospital Revenue Code	278
Min. Negotiated Rate	$146.26
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$1,957.00
Rate for Payer: Aetna Medicare Advantage	$1,545.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,313.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,313.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,030.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,313.25
Rate for Payer: Cigna Commercial	$2,575.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,246.30
Rate for Payer: Qualcare PPO/HMO/WC	$772.50
Rate for Payer: UnitedHealthcare Community & State	$162.74
Rate for Payer: Wellpoint Medicaid Managed Care	$146.26

END CAP OFFSET 11X5MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270699220
Hospital Revenue Code	278
Min. Negotiated Rate	$28.40
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$380.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00
Rate for Payer: UnitedHealthcare Community & State	$31.60
Rate for Payer: Wellpoint Medicaid Managed Care	$28.40

END CAP OFFSET 11X5MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270699220
Hospital Revenue Code	278
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$242.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

END CAP, SCREWS

Facility

$257.50

Hospital Charge Code	270702324
Hospital Revenue Code	278
Min. Negotiated Rate	$38.62
Max. Negotiated Rate	$62.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.31
Rate for Payer: Qualcare PPO/HMO/WC	$38.62

END CAP, SCREWS

Facility

$257.50

Hospital Charge Code	270702324
Hospital Revenue Code	278
Min. Negotiated Rate	$7.31
Max. Negotiated Rate	$128.75
Rate for Payer: Aetna Commercial	$97.85
Rate for Payer: Aetna Medicare Advantage	$77.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.66
Rate for Payer: Cigna Commercial	$128.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.31
Rate for Payer: Qualcare PPO/HMO/WC	$38.62
Rate for Payer: UnitedHealthcare Community & State	$8.14
Rate for Payer: Wellpoint Medicaid Managed Care	$7.31

ENDCAP T25 STAR DRIVE

Facility

$828.00

Hospital Charge Code	270662829
Hospital Revenue Code	278
Min. Negotiated Rate	$124.20
Max. Negotiated Rate	$200.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$165.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$200.38
Rate for Payer: Qualcare PPO/HMO/WC	$124.20

ENDCAP T25 STAR DRIVE

Facility

$828.00

Hospital Charge Code	270662829
Hospital Revenue Code	278
Min. Negotiated Rate	$23.52
Max. Negotiated Rate	$414.00
Rate for Payer: Aetna Commercial	$314.64
Rate for Payer: Aetna Medicare Advantage	$248.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$211.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$211.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$165.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$211.14
Rate for Payer: Cigna Commercial	$414.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$200.38
Rate for Payer: Qualcare PPO/HMO/WC	$124.20
Rate for Payer: UnitedHealthcare Community & State	$26.16
Rate for Payer: Wellpoint Medicaid Managed Care	$23.52

END CAP T2 PROX, 6MM

Facility

$1,460.00

Hospital Charge Code	270671183
Hospital Revenue Code	278
Min. Negotiated Rate	$41.46
Max. Negotiated Rate	$730.00
Rate for Payer: Aetna Commercial	$554.80
Rate for Payer: Aetna Medicare Advantage	$438.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$372.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$372.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$292.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$372.30
Rate for Payer: Cigna Commercial	$730.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$353.32
Rate for Payer: Qualcare PPO/HMO/WC	$219.00
Rate for Payer: UnitedHealthcare Community & State	$46.14
Rate for Payer: Wellpoint Medicaid Managed Care	$41.46

END CAP T2 PROX, 6MM

Facility

$1,460.00

Hospital Charge Code	270671183
Hospital Revenue Code	278
Min. Negotiated Rate	$219.00
Max. Negotiated Rate	$353.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$292.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$353.32
Rate for Payer: Qualcare PPO/HMO/WC	$219.00

ENDCAP T40 STRDRV 0MM GRAY ST

Facility

$905.35

Hospital Charge Code	270677570
Hospital Revenue Code	278
Min. Negotiated Rate	$25.71
Max. Negotiated Rate	$452.68
Rate for Payer: Aetna Commercial	$344.03
Rate for Payer: Aetna Medicare Advantage	$271.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$230.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$230.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$230.86
Rate for Payer: Cigna Commercial	$452.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.09
Rate for Payer: Qualcare PPO/HMO/WC	$135.80
Rate for Payer: UnitedHealthcare Community & State	$28.61
Rate for Payer: Wellpoint Medicaid Managed Care	$25.71

ENDCAP T40 STRDRV 0MM GRAY ST

Facility

$905.35

Hospital Charge Code	270677570
Hospital Revenue Code	278
Min. Negotiated Rate	$135.80
Max. Negotiated Rate	$219.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.09
Rate for Payer: Qualcare PPO/HMO/WC	$135.80

ENDCAP T40 STRDRV 0MM TIBIA ST

Facility

$905.35

Service Code	HCPCS C1713
Hospital Charge Code	270669791
Hospital Revenue Code	278
Min. Negotiated Rate	$25.71
Max. Negotiated Rate	$452.68
Rate for Payer: Aetna Commercial	$344.03
Rate for Payer: Aetna Medicare Advantage	$271.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$230.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$230.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$230.86
Rate for Payer: Cigna Commercial	$452.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.09
Rate for Payer: Qualcare PPO/HMO/WC	$135.80
Rate for Payer: UnitedHealthcare Community & State	$28.61
Rate for Payer: Wellpoint Medicaid Managed Care	$25.71

ENDCAP T40 STRDRV 0MM TIBIA ST

Facility

$905.35

Service Code	HCPCS C1713
Hospital Charge Code	270669791
Hospital Revenue Code	278
Min. Negotiated Rate	$135.80
Max. Negotiated Rate	$219.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.09
Rate for Payer: Qualcare PPO/HMO/WC	$135.80

ENDCAP TI MULTILOC 0MM

Facility

$911.55

Hospital Charge Code	270650156
Hospital Revenue Code	272
Min. Negotiated Rate	$25.89
Max. Negotiated Rate	$455.77
Rate for Payer: Aetna Commercial	$346.39
Rate for Payer: Aetna Medicare Advantage	$273.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$232.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$232.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$232.45
Rate for Payer: Cigna Commercial	$455.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.00
Rate for Payer: Oxford Commercial	$182.31
Rate for Payer: Qualcare PPO/HMO/WC	$136.73
Rate for Payer: UnitedHealthcare Commercial	$182.31
Rate for Payer: UnitedHealthcare Community & State	$28.80
Rate for Payer: Wellpoint Medicaid Managed Care	$25.89

ENDCAP TI MULTILOC 0MM

Facility

$911.55

Hospital Charge Code	270650156
Hospital Revenue Code	272
Min. Negotiated Rate	$136.73
Max. Negotiated Rate	$136.73
Rate for Payer: Qualcare PPO/HMO/WC	$136.73

END CAP TI T40

Facility

$1,212.65

Service Code	HCPCS C1713
Hospital Charge Code	270691607
Hospital Revenue Code	278
Min. Negotiated Rate	$181.90
Max. Negotiated Rate	$293.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$242.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$293.46
Rate for Payer: Qualcare PPO/HMO/WC	$181.90

END CAP TI T40

Facility

$1,212.65

Service Code	HCPCS C1713
Hospital Charge Code	270691607
Hospital Revenue Code	278
Min. Negotiated Rate	$34.44
Max. Negotiated Rate	$606.33
Rate for Payer: Aetna Commercial	$460.81
Rate for Payer: Aetna Medicare Advantage	$363.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$309.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$309.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$242.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$309.23
Rate for Payer: Cigna Commercial	$606.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$293.46
Rate for Payer: Qualcare PPO/HMO/WC	$181.90
Rate for Payer: UnitedHealthcare Community & State	$38.32
Rate for Payer: Wellpoint Medicaid Managed Care	$34.44

Know your out-of-pocket cost for care.

All Charges