Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

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

2.0 HAND PLATE

Facility

$2,307.45

Service Code	HCPCS C1713
Hospital Charge Code	270685964
Hospital Revenue Code	278
Min. Negotiated Rate	$65.53
Max. Negotiated Rate	$1,153.72
Rate for Payer: Aetna Commercial	$876.83
Rate for Payer: Aetna Medicare Advantage	$692.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$588.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$588.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$461.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$588.40
Rate for Payer: Cigna Commercial	$1,153.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$558.40
Rate for Payer: Qualcare PPO/HMO/WC	$346.12
Rate for Payer: UnitedHealthcare Community & State	$72.92
Rate for Payer: Wellpoint Medicaid Managed Care	$65.53

2.0 HAND PLATE

Facility

$2,307.45

Service Code	HCPCS C1713
Hospital Charge Code	270686112
Hospital Revenue Code	278
Min. Negotiated Rate	$65.53
Max. Negotiated Rate	$1,153.72
Rate for Payer: Aetna Commercial	$876.83
Rate for Payer: Aetna Medicare Advantage	$692.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$588.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$588.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$461.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$588.40
Rate for Payer: Cigna Commercial	$1,153.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$558.40
Rate for Payer: Qualcare PPO/HMO/WC	$346.12
Rate for Payer: UnitedHealthcare Community & State	$72.92
Rate for Payer: Wellpoint Medicaid Managed Care	$65.53

2.0 HAND PLATE

Facility

$2,307.45

Service Code	HCPCS C1713
Hospital Charge Code	270686112
Hospital Revenue Code	278
Min. Negotiated Rate	$346.12
Max. Negotiated Rate	$558.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$461.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$558.40
Rate for Payer: Qualcare PPO/HMO/WC	$346.12

2.0 HAND PLATE

Facility

$2,307.45

Service Code	HCPCS C1713
Hospital Charge Code	270685964
Hospital Revenue Code	278
Min. Negotiated Rate	$346.12
Max. Negotiated Rate	$558.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$461.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$558.40
Rate for Payer: Qualcare PPO/HMO/WC	$346.12

2.0 MM 10 SHORT DIGIFUSE

Facility

$10,220.45

Service Code	HCPCS C1713
Hospital Charge Code	270687127
Hospital Revenue Code	278
Min. Negotiated Rate	$290.26
Max. Negotiated Rate	$5,110.23
Rate for Payer: Aetna Commercial	$3,883.77
Rate for Payer: Aetna Medicare Advantage	$3,066.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,606.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,606.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,044.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,606.21
Rate for Payer: Cigna Commercial	$5,110.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,473.35
Rate for Payer: Qualcare PPO/HMO/WC	$1,533.07
Rate for Payer: UnitedHealthcare Community & State	$322.97
Rate for Payer: Wellpoint Medicaid Managed Care	$290.26

2.0 MM 10 SHORT DIGIFUSE

Facility

$10,220.45

Service Code	HCPCS C1713
Hospital Charge Code	270687127
Hospital Revenue Code	278
Min. Negotiated Rate	$1,533.07
Max. Negotiated Rate	$2,473.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,044.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,473.35
Rate for Payer: Qualcare PPO/HMO/WC	$1,533.07

2.0MM ASNIS MICRO CANN SCREW 1

Facility

$1,421.80

Service Code	HCPCS C1713
Hospital Charge Code	270688924
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

2.0MM ASNIS MICRO CANN SCREW 1

Facility

$1,421.80

Service Code	HCPCS C1713
Hospital Charge Code	270688924
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

2.0MM BALL NOSE GUIDE WIRE

Facility

$950.00

Service Code	HCPCS C1769
Hospital Charge Code	270685088
Hospital Revenue Code	278
Min. Negotiated Rate	$26.98
Max. Negotiated Rate	$475.00
Rate for Payer: Aetna Commercial	$361.00
Rate for Payer: Aetna Medicare Advantage	$285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.25
Rate for Payer: Cigna Commercial	$475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.90
Rate for Payer: Qualcare PPO/HMO/WC	$142.50
Rate for Payer: UnitedHealthcare Community & State	$30.02
Rate for Payer: Wellpoint Medicaid Managed Care	$26.98

2.0MM BALL NOSE GUIDE WIRE

Facility

$950.00

Service Code	HCPCS C1769
Hospital Charge Code	270685088
Hospital Revenue Code	278
Min. Negotiated Rate	$142.50
Max. Negotiated Rate	$229.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.90
Rate for Payer: Qualcare PPO/HMO/WC	$142.50

2.0 MM CANN DRILL BITQC/ 145NN

Facility

$2,028.00

Hospital Charge Code	270688652
Hospital Revenue Code	272
Min. Negotiated Rate	$304.20
Max. Negotiated Rate	$304.20
Rate for Payer: Qualcare PPO/HMO/WC	$304.20

2.0 MM CANN DRILL BITQC/ 145NN

Facility

$2,028.00

Hospital Charge Code	270688652
Hospital Revenue Code	272
Min. Negotiated Rate	$57.60
Max. Negotiated Rate	$1,014.00
Rate for Payer: Aetna Commercial	$770.64
Rate for Payer: Aetna Medicare Advantage	$608.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$517.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$517.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$517.14
Rate for Payer: Cigna Commercial	$1,014.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$527.28
Rate for Payer: Oxford Commercial	$405.60
Rate for Payer: Qualcare PPO/HMO/WC	$304.20
Rate for Payer: UnitedHealthcare Commercial	$405.60
Rate for Payer: UnitedHealthcare Community & State	$64.08
Rate for Payer: Wellpoint Medicaid Managed Care	$57.60

2.0MM CANN DRILL BIT/QC 150MM

Facility

$1,839.85

Hospital Charge Code	270622783
Hospital Revenue Code	272
Min. Negotiated Rate	$275.98
Max. Negotiated Rate	$275.98
Rate for Payer: Qualcare PPO/HMO/WC	$275.98

2.0MM CANN DRILL BIT/QC 150MM

Facility

$1,839.85

Hospital Charge Code	270622783
Hospital Revenue Code	272
Min. Negotiated Rate	$52.25
Max. Negotiated Rate	$919.92
Rate for Payer: Aetna Commercial	$699.14
Rate for Payer: Aetna Medicare Advantage	$551.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$469.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$469.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$469.16
Rate for Payer: Cigna Commercial	$919.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$478.36
Rate for Payer: Oxford Commercial	$367.97
Rate for Payer: Qualcare PPO/HMO/WC	$275.98
Rate for Payer: UnitedHealthcare Commercial	$367.97
Rate for Payer: UnitedHealthcare Community & State	$58.14
Rate for Payer: Wellpoint Medicaid Managed Care	$52.25

2.0MM DRILL BIT/QC/100MM

Facility

$337.40

Hospital Charge Code	270601803
Hospital Revenue Code	272
Min. Negotiated Rate	$9.58
Max. Negotiated Rate	$168.70
Rate for Payer: Aetna Commercial	$128.21
Rate for Payer: Aetna Medicare Advantage	$101.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.04
Rate for Payer: Cigna Commercial	$168.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.72
Rate for Payer: Oxford Commercial	$67.48
Rate for Payer: Qualcare PPO/HMO/WC	$50.61
Rate for Payer: UnitedHealthcare Commercial	$67.48
Rate for Payer: UnitedHealthcare Community & State	$10.66
Rate for Payer: Wellpoint Medicaid Managed Care	$9.58

2.0MM DRILL BIT/QC/100MM

Facility

$337.40

Hospital Charge Code	270601803
Hospital Revenue Code	272
Min. Negotiated Rate	$50.61
Max. Negotiated Rate	$50.61
Rate for Payer: Qualcare PPO/HMO/WC	$50.61

2.0MM K-WIRE W/15MM THREAD

Facility

$751.15

Hospital Charge Code	270682114
Hospital Revenue Code	272
Min. Negotiated Rate	$112.67
Max. Negotiated Rate	$112.67
Rate for Payer: Qualcare PPO/HMO/WC	$112.67

2.0MM K-WIRE W/15MM THREAD

Facility

$751.15

Hospital Charge Code	270682114
Hospital Revenue Code	272
Min. Negotiated Rate	$21.33
Max. Negotiated Rate	$375.57
Rate for Payer: Aetna Commercial	$285.44
Rate for Payer: Aetna Medicare Advantage	$225.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.54
Rate for Payer: Cigna Commercial	$375.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.30
Rate for Payer: Oxford Commercial	$150.23
Rate for Payer: Qualcare PPO/HMO/WC	$112.67
Rate for Payer: UnitedHealthcare Commercial	$150.23
Rate for Payer: UnitedHealthcare Community & State	$23.74
Rate for Payer: Wellpoint Medicaid Managed Care	$21.33

2.0MM LCP TM PLT 6H 45MM

Facility

$1,125.55

Service Code	HCPCS C1713
Hospital Charge Code	270690832
Hospital Revenue Code	278
Min. Negotiated Rate	$168.83
Max. Negotiated Rate	$272.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.38
Rate for Payer: Qualcare PPO/HMO/WC	$168.83

2.0MM LCP TM PLT 6H 45MM

Facility

$1,125.55

Service Code	HCPCS C1713
Hospital Charge Code	270690832
Hospital Revenue Code	278
Min. Negotiated Rate	$31.97
Max. Negotiated Rate	$562.77
Rate for Payer: Aetna Commercial	$427.71
Rate for Payer: Aetna Medicare Advantage	$337.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$287.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$287.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$287.02
Rate for Payer: Cigna Commercial	$562.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.38
Rate for Payer: Qualcare PPO/HMO/WC	$168.83
Rate for Payer: UnitedHealthcare Community & State	$35.57
Rate for Payer: Wellpoint Medicaid Managed Care	$31.97

2.0MMVALOCKSLFTPWT6SDRREC11M

Facility

$597.20

Service Code	HCPCS C1713
Hospital Charge Code	270690830
Hospital Revenue Code	278
Min. Negotiated Rate	$89.58
Max. Negotiated Rate	$144.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.52
Rate for Payer: Qualcare PPO/HMO/WC	$89.58

2.0MMVALOCKSLFTPWT6SDRREC11M

Facility

$597.20

Service Code	HCPCS C1713
Hospital Charge Code	270690830
Hospital Revenue Code	278
Min. Negotiated Rate	$16.96
Max. Negotiated Rate	$298.60
Rate for Payer: Aetna Commercial	$226.94
Rate for Payer: Aetna Medicare Advantage	$179.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$152.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$152.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$152.29
Rate for Payer: Cigna Commercial	$298.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.52
Rate for Payer: Qualcare PPO/HMO/WC	$89.58
Rate for Payer: UnitedHealthcare Community & State	$18.87
Rate for Payer: Wellpoint Medicaid Managed Care	$16.96

2.0MM WRIGHT MEDICAL HEX DRIVE

Facility

$742.50

Service Code	HCPCS C1713
Hospital Charge Code	270702607
Hospital Revenue Code	278
Min. Negotiated Rate	$21.09
Max. Negotiated Rate	$371.25
Rate for Payer: Aetna Commercial	$282.15
Rate for Payer: Aetna Medicare Advantage	$222.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$189.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$189.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$148.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$189.34
Rate for Payer: Cigna Commercial	$371.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$179.69
Rate for Payer: Qualcare PPO/HMO/WC	$111.38
Rate for Payer: UnitedHealthcare Community & State	$23.46
Rate for Payer: Wellpoint Medicaid Managed Care	$21.09

2.0MM WRIGHT MEDICAL HEX DRIVE

Facility

$742.50

Service Code	HCPCS C1713
Hospital Charge Code	270702607
Hospital Revenue Code	278
Min. Negotiated Rate	$111.38
Max. Negotiated Rate	$179.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$148.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$179.69
Rate for Payer: Qualcare PPO/HMO/WC	$111.38

Know your out-of-pocket cost for care.

All Charges