Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

1 STRATAFIX 1

Facility

$141.70

Hospital Charge Code	270686133
Hospital Revenue Code	272
Min. Negotiated Rate	$21.25
Max. Negotiated Rate	$21.25
Rate for Payer: Qualcare PPO/HMO/WC	$21.25

1 STRATAFIX 1

Facility

$141.70

Hospital Charge Code	270686133
Hospital Revenue Code	272
Min. Negotiated Rate	$4.02
Max. Negotiated Rate	$70.85
Rate for Payer: Aetna Commercial	$53.85
Rate for Payer: Aetna Medicare Advantage	$42.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.13
Rate for Payer: Cigna Commercial	$70.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.84
Rate for Payer: Oxford Commercial	$28.34
Rate for Payer: Qualcare PPO/HMO/WC	$21.25
Rate for Payer: UnitedHealthcare Commercial	$28.34
Rate for Payer: UnitedHealthcare Community & State	$4.48
Rate for Payer: Wellpoint Medicaid Managed Care	$4.02

1' SUTR BTH RPTR ANKLE CRL LIG

Facility

$30,651.00

Service Code	HCPCS 27696
Hospital Charge Code	16000626
Hospital Revenue Code	360
Min. Negotiated Rate	$4,597.65
Max. Negotiated Rate	$4,597.65
Rate for Payer: Qualcare PPO/HMO/WC	$4,597.65

1' SUTR BTH RPTR ANKLE CRL LIG

Facility

$30,651.00

Service Code	HCPCS 27696
Hospital Charge Code	16000626
Hospital Revenue Code	360
Min. Negotiated Rate	$968.57
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	$7,969.26
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,597.65
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$968.57
Rate for Payer: UnitedHealthcare Medicare Advantage	$8,620.57
Rate for Payer: Wellcare Medicare Advantage	$8,620.57
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$15,880.57
Rate for Payer: Wellpoint Medicaid Managed Care	$15,569.19

200MM CARBON ROD

Facility

$775.00

Hospital Charge Code	270339507
Hospital Revenue Code	278
Min. Negotiated Rate	$22.01
Max. Negotiated Rate	$387.50
Rate for Payer: Aetna Commercial	$294.50
Rate for Payer: Aetna Medicare Advantage	$232.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$155.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.62
Rate for Payer: Cigna Commercial	$387.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.55
Rate for Payer: Qualcare PPO/HMO/WC	$116.25
Rate for Payer: UnitedHealthcare Community & State	$24.49
Rate for Payer: Wellpoint Medicaid Managed Care	$22.01

200MM CARBON ROD

Facility

$775.00

Hospital Charge Code	270339507
Hospital Revenue Code	278
Min. Negotiated Rate	$116.25
Max. Negotiated Rate	$187.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$155.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.55
Rate for Payer: Qualcare PPO/HMO/WC	$116.25

200MM RODS

Facility

$5,287.00

Service Code	HCPCS C1713
Hospital Charge Code	270688890
Hospital Revenue Code	278
Min. Negotiated Rate	$150.15
Max. Negotiated Rate	$2,643.50
Rate for Payer: Aetna Commercial	$2,009.06
Rate for Payer: Aetna Medicare Advantage	$1,586.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,348.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,348.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,057.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,348.18
Rate for Payer: Cigna Commercial	$2,643.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,279.45
Rate for Payer: Qualcare PPO/HMO/WC	$793.05
Rate for Payer: UnitedHealthcare Community & State	$167.07
Rate for Payer: Wellpoint Medicaid Managed Care	$150.15

200MM RODS

Facility

$5,287.00

Service Code	HCPCS C1713
Hospital Charge Code	270688890
Hospital Revenue Code	278
Min. Negotiated Rate	$793.05
Max. Negotiated Rate	$1,279.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,057.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,279.45
Rate for Payer: Qualcare PPO/HMO/WC	$793.05

2019-COVID19 (LABCORP)

Facility

$387.00

Service Code	HCPCS U0002
Hospital Charge Code	4013U0002
Hospital Revenue Code	306
Min. Negotiated Rate	$58.05
Max. Negotiated Rate	$58.05
Rate for Payer: Qualcare PPO/HMO/WC	$58.05

2019-COVID19 (LABCORP)

Facility

$387.00

Service Code	HCPCS U0002
Hospital Charge Code	4013U0002
Hospital Revenue Code	306
Min. Negotiated Rate	$10.99
Max. Negotiated Rate	$193.50
Rate for Payer: Aetna Commercial	$139.56
Rate for Payer: Aetna Medicare Advantage	$166.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$186.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$186.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$51.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$186.13
Rate for Payer: Cigna Commercial	$193.50
Rate for Payer: Cigna Medicare Advantage	$51.31
Rate for Payer: Clover Medicare Advantage	$48.74
Rate for Payer: EmblemHealth Commercial	$153.93
Rate for Payer: Humana Medicare Advantage	$52.85
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$51.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$100.62
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.05
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$41.05
Rate for Payer: UnitedHealthcare Medicare Advantage	$51.31
Rate for Payer: Wellcare Medicare Advantage	$51.31
Rate for Payer: Wellpoint Medicaid Managed Care	$10.99

20.427

Facility

$250.00

Service Code	HCPCS 7363050
Hospital Charge Code	94270109
Hospital Revenue Code	320
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$37.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

20.427

Facility

$250.00

Service Code	HCPCS 7363050
Hospital Charge Code	94270109
Hospital Revenue Code	320
Min. Negotiated Rate	$7.10
Max. Negotiated Rate	$2,231.00
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	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.50
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$7.90
Rate for Payer: Wellpoint Medicaid Managed Care	$7.10

2.0 ASNIS MICRO CANN SCREW 18/

Facility

$1,421.80

Service Code	HCPCS C1713
Hospital Charge Code	270687827
Hospital Revenue Code	278
Min. Negotiated Rate	$40.38
Max. Negotiated Rate	$710.90
Rate for Payer: Aetna Commercial	$540.28
Rate for Payer: Aetna Medicare Advantage	$426.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$362.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$362.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$284.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$362.56
Rate for Payer: Cigna Commercial	$710.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$344.08
Rate for Payer: Qualcare PPO/HMO/WC	$213.27
Rate for Payer: UnitedHealthcare Community & State	$44.93
Rate for Payer: Wellpoint Medicaid Managed Care	$40.38

2.0 ASNIS MICRO CANN SCREW 18/

Facility

$1,421.80

Service Code	HCPCS C1713
Hospital Charge Code	270687827
Hospital Revenue Code	278
Min. Negotiated Rate	$213.27
Max. Negotiated Rate	$344.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$284.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$344.08
Rate for Payer: Qualcare PPO/HMO/WC	$213.27

2.0 ASNIS MICRO CANN SCREW 19/

Facility

$1,421.80

Service Code	HCPCS C1713
Hospital Charge Code	270687826
Hospital Revenue Code	278
Min. Negotiated Rate	$213.27
Max. Negotiated Rate	$344.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$284.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$344.08
Rate for Payer: Qualcare PPO/HMO/WC	$213.27

2.0 ASNIS MICRO CANN SCREW 19/

Facility

$1,421.80

Service Code	HCPCS C1713
Hospital Charge Code	270687826
Hospital Revenue Code	278
Min. Negotiated Rate	$40.38
Max. Negotiated Rate	$710.90
Rate for Payer: Aetna Commercial	$540.28
Rate for Payer: Aetna Medicare Advantage	$426.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$362.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$362.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$284.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$362.56
Rate for Payer: Cigna Commercial	$710.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$344.08
Rate for Payer: Qualcare PPO/HMO/WC	$213.27
Rate for Payer: UnitedHealthcare Community & State	$44.93
Rate for Payer: Wellpoint Medicaid Managed Care	$40.38

2.0 ASNIS MICRO CANN SCREW 20/

Facility

$1,421.80

Service Code	HCPCS C1713
Hospital Charge Code	270687825
Hospital Revenue Code	278
Min. Negotiated Rate	$40.38
Max. Negotiated Rate	$710.90
Rate for Payer: Aetna Commercial	$540.28
Rate for Payer: Aetna Medicare Advantage	$426.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$362.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$362.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$284.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$362.56
Rate for Payer: Cigna Commercial	$710.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$344.08
Rate for Payer: Qualcare PPO/HMO/WC	$213.27
Rate for Payer: UnitedHealthcare Community & State	$44.93
Rate for Payer: Wellpoint Medicaid Managed Care	$40.38

2.0 ASNIS MICRO CANN SCREW 20/

Facility

$1,421.80

Service Code	HCPCS C1713
Hospital Charge Code	270687825
Hospital Revenue Code	278
Min. Negotiated Rate	$213.27
Max. Negotiated Rate	$344.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$284.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$344.08
Rate for Payer: Qualcare PPO/HMO/WC	$213.27

2.0 CORTEX SCREW 16MM

Facility

$155.15

Service Code	HCPCS C1713
Hospital Charge Code	270671212
Hospital Revenue Code	278
Min. Negotiated Rate	$23.27
Max. Negotiated Rate	$37.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.55
Rate for Payer: Qualcare PPO/HMO/WC	$23.27

2.0 CORTEX SCREW 16MM

Facility

$155.15

Service Code	HCPCS C1713
Hospital Charge Code	270671212
Hospital Revenue Code	278
Min. Negotiated Rate	$4.41
Max. Negotiated Rate	$77.58
Rate for Payer: Aetna Commercial	$58.96
Rate for Payer: Aetna Medicare Advantage	$46.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.56
Rate for Payer: Cigna Commercial	$77.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.55
Rate for Payer: Qualcare PPO/HMO/WC	$23.27
Rate for Payer: UnitedHealthcare Community & State	$4.90
Rate for Payer: Wellpoint Medicaid Managed Care	$4.41

2.0 CORTEX SCREW 40MM

Facility

$430.00

Service Code	HCPCS C1713
Hospital Charge Code	270687537
Hospital Revenue Code	278
Min. Negotiated Rate	$64.50
Max. Negotiated Rate	$104.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$86.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$104.06
Rate for Payer: Qualcare PPO/HMO/WC	$64.50

2.0 CORTEX SCREW 40MM

Facility

$430.00

Service Code	HCPCS C1713
Hospital Charge Code	270687537
Hospital Revenue Code	278
Min. Negotiated Rate	$12.21
Max. Negotiated Rate	$215.00
Rate for Payer: Aetna Commercial	$163.40
Rate for Payer: Aetna Medicare Advantage	$129.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$86.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.65
Rate for Payer: Cigna Commercial	$215.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$104.06
Rate for Payer: Qualcare PPO/HMO/WC	$64.50
Rate for Payer: UnitedHealthcare Community & State	$13.59
Rate for Payer: Wellpoint Medicaid Managed Care	$12.21

2.0 DRILL BIT

Facility

$475.00

Hospital Charge Code	270656444
Hospital Revenue Code	272
Min. Negotiated Rate	$13.49
Max. Negotiated Rate	$237.50
Rate for Payer: Aetna Commercial	$180.50
Rate for Payer: Aetna Medicare Advantage	$142.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$121.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$121.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$121.12
Rate for Payer: Cigna Commercial	$237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$123.50
Rate for Payer: Oxford Commercial	$95.00
Rate for Payer: Qualcare PPO/HMO/WC	$71.25
Rate for Payer: UnitedHealthcare Commercial	$95.00
Rate for Payer: UnitedHealthcare Community & State	$15.01
Rate for Payer: Wellpoint Medicaid Managed Care	$13.49

2.0 DRILL BIT

Facility

$475.00

Hospital Charge Code	270656444
Hospital Revenue Code	272
Min. Negotiated Rate	$71.25
Max. Negotiated Rate	$71.25
Rate for Payer: Qualcare PPO/HMO/WC	$71.25

2.0 DRILL BIT W QC 200 MM

Facility

$1,620.00

Hospital Charge Code	270688027
Hospital Revenue Code	272
Min. Negotiated Rate	$46.01
Max. Negotiated Rate	$810.00
Rate for Payer: Aetna Commercial	$615.60
Rate for Payer: Aetna Medicare Advantage	$486.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$413.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$413.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$413.10
Rate for Payer: Cigna Commercial	$810.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$421.20
Rate for Payer: Oxford Commercial	$324.00
Rate for Payer: Qualcare PPO/HMO/WC	$243.00
Rate for Payer: UnitedHealthcare Commercial	$324.00
Rate for Payer: UnitedHealthcare Community & State	$51.19
Rate for Payer: Wellpoint Medicaid Managed Care	$46.01

Know your out-of-pocket cost for care.

All Charges