Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

HFN 130 DEG 13MM X 180MM

Facility

$6,362.40

Service Code	HCPCS C1713
Hospital Charge Code	270679319
Hospital Revenue Code	278
Min. Negotiated Rate	$954.36
Max. Negotiated Rate	$1,539.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,272.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,539.70
Rate for Payer: Qualcare PPO/HMO/WC	$954.36

HFN 130 DEG 9MM X 180MM

Facility

$6,925.00

Service Code	HCPCS C1713
Hospital Charge Code	270687401
Hospital Revenue Code	278
Min. Negotiated Rate	$1,038.75
Max. Negotiated Rate	$1,675.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,385.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,675.85
Rate for Payer: Qualcare PPO/HMO/WC	$1,038.75

HFN 130 DEG 9MM X 180MM

Facility

$6,925.00

Service Code	HCPCS C1713
Hospital Charge Code	270687401
Hospital Revenue Code	278
Min. Negotiated Rate	$196.67
Max. Negotiated Rate	$3,462.50
Rate for Payer: Aetna Commercial	$2,631.50
Rate for Payer: Aetna Medicare Advantage	$2,077.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,765.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,765.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,385.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,765.88
Rate for Payer: Cigna Commercial	$3,462.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,675.85
Rate for Payer: Qualcare PPO/HMO/WC	$1,038.75
Rate for Payer: UnitedHealthcare Community & State	$218.83
Rate for Payer: Wellpoint Medicaid Managed Care	$196.67

HFN A/R SCREW 65MM

Facility

$1,032.00

Service Code	HCPCS C1713
Hospital Charge Code	270681533
Hospital Revenue Code	278
Min. Negotiated Rate	$154.80
Max. Negotiated Rate	$249.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$206.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$249.74
Rate for Payer: Qualcare PPO/HMO/WC	$154.80

HFN A/R SCREW 65MM

Facility

$1,032.00

Service Code	HCPCS C1713
Hospital Charge Code	270681533
Hospital Revenue Code	278
Min. Negotiated Rate	$29.31
Max. Negotiated Rate	$516.00
Rate for Payer: Aetna Commercial	$392.16
Rate for Payer: Aetna Medicare Advantage	$309.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$263.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$263.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$206.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$263.16
Rate for Payer: Cigna Commercial	$516.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$249.74
Rate for Payer: Qualcare PPO/HMO/WC	$154.80
Rate for Payer: UnitedHealthcare Community & State	$32.61
Rate for Payer: Wellpoint Medicaid Managed Care	$29.31

HFN A/R SCREW 75MM

Facility

$1,032.00

Service Code	HCPCS C1713
Hospital Charge Code	270680792
Hospital Revenue Code	278
Min. Negotiated Rate	$29.31
Max. Negotiated Rate	$516.00
Rate for Payer: Aetna Commercial	$392.16
Rate for Payer: Aetna Medicare Advantage	$309.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$263.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$263.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$206.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$263.16
Rate for Payer: Cigna Commercial	$516.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$249.74
Rate for Payer: Qualcare PPO/HMO/WC	$154.80
Rate for Payer: UnitedHealthcare Community & State	$32.61
Rate for Payer: Wellpoint Medicaid Managed Care	$29.31

HFN A/R SCREW 75MM

Facility

$1,032.00

Service Code	HCPCS C1713
Hospital Charge Code	270680792
Hospital Revenue Code	278
Min. Negotiated Rate	$154.80
Max. Negotiated Rate	$249.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$206.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$249.74
Rate for Payer: Qualcare PPO/HMO/WC	$154.80

HFN AR SCREW 80MM

Facility

$1,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270679371
Hospital Revenue Code	278
Min. Negotiated Rate	$31.95
Max. Negotiated Rate	$562.50
Rate for Payer: Aetna Commercial	$427.50
Rate for Payer: Aetna Medicare Advantage	$337.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.88
Rate for Payer: Cigna Commercial	$562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.25
Rate for Payer: Qualcare PPO/HMO/WC	$168.75
Rate for Payer: UnitedHealthcare Community & State	$35.55
Rate for Payer: Wellpoint Medicaid Managed Care	$31.95

HFN AR SCREW 80MM

Facility

$1,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270679371
Hospital Revenue Code	278
Min. Negotiated Rate	$168.75
Max. Negotiated Rate	$272.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.25
Rate for Payer: Qualcare PPO/HMO/WC	$168.75

HFN A/R SCREW 85MM

Facility

$1,047.00

Service Code	HCPCS C1713
Hospital Charge Code	270681529
Hospital Revenue Code	278
Min. Negotiated Rate	$29.73
Max. Negotiated Rate	$523.50
Rate for Payer: Aetna Commercial	$397.86
Rate for Payer: Aetna Medicare Advantage	$314.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$266.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$266.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$209.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$266.99
Rate for Payer: Cigna Commercial	$523.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$253.37
Rate for Payer: Qualcare PPO/HMO/WC	$157.05
Rate for Payer: UnitedHealthcare Community & State	$33.09
Rate for Payer: Wellpoint Medicaid Managed Care	$29.73

HFN A/R SCREW 85MM

Facility

$1,047.00

Service Code	HCPCS C1713
Hospital Charge Code	270681529
Hospital Revenue Code	278
Min. Negotiated Rate	$157.05
Max. Negotiated Rate	$253.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$209.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$253.37
Rate for Payer: Qualcare PPO/HMO/WC	$157.05

HFN LAG SCREW 10.5MMX100MM

Facility

$2,517.60

Service Code	HCPCS C1713
Hospital Charge Code	270678400
Hospital Revenue Code	278
Min. Negotiated Rate	$377.64
Max. Negotiated Rate	$609.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$503.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$609.26
Rate for Payer: Qualcare PPO/HMO/WC	$377.64

HFN LAG SCREW 10.5MMX100MM

Facility

$2,517.60

Service Code	HCPCS C1713
Hospital Charge Code	270678400
Hospital Revenue Code	278
Min. Negotiated Rate	$71.50
Max. Negotiated Rate	$1,258.80
Rate for Payer: Aetna Commercial	$956.69
Rate for Payer: Aetna Medicare Advantage	$755.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$641.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$641.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$503.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$641.99
Rate for Payer: Cigna Commercial	$1,258.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$609.26
Rate for Payer: Qualcare PPO/HMO/WC	$377.64
Rate for Payer: UnitedHealthcare Community & State	$79.56
Rate for Payer: Wellpoint Medicaid Managed Care	$71.50

HFN LAG SCREW 10.5MMX105MM

Facility

$2,517.60

Service Code	HCPCS C1713
Hospital Charge Code	270679318
Hospital Revenue Code	278
Min. Negotiated Rate	$71.50
Max. Negotiated Rate	$1,258.80
Rate for Payer: Aetna Commercial	$956.69
Rate for Payer: Aetna Medicare Advantage	$755.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$641.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$641.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$503.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$641.99
Rate for Payer: Cigna Commercial	$1,258.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$609.26
Rate for Payer: Qualcare PPO/HMO/WC	$377.64
Rate for Payer: UnitedHealthcare Community & State	$79.56
Rate for Payer: Wellpoint Medicaid Managed Care	$71.50

HFN LAG SCREW 10.5MMX105MM

Facility

$2,517.60

Service Code	HCPCS C1713
Hospital Charge Code	270679318
Hospital Revenue Code	278
Min. Negotiated Rate	$377.64
Max. Negotiated Rate	$609.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$503.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$609.26
Rate for Payer: Qualcare PPO/HMO/WC	$377.64

HFN LAG SCREW 10.5MM X 120MM

Facility

$2,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270684351
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

HFN LAG SCREW 10.5MM X 120MM

Facility

$2,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270684351
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

HFN LAG SCREW 10.5MM X 85MM

Facility

$2,544.00

Service Code	HCPCS C1713
Hospital Charge Code	270681532
Hospital Revenue Code	278
Min. Negotiated Rate	$72.25
Max. Negotiated Rate	$1,272.00
Rate for Payer: Aetna Commercial	$966.72
Rate for Payer: Aetna Medicare Advantage	$763.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$648.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$648.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$508.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$648.72
Rate for Payer: Cigna Commercial	$1,272.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$615.65
Rate for Payer: Qualcare PPO/HMO/WC	$381.60
Rate for Payer: UnitedHealthcare Community & State	$80.39
Rate for Payer: Wellpoint Medicaid Managed Care	$72.25

HFN LAG SCREW 10.5MM X 85MM

Facility

$2,544.00

Service Code	HCPCS C1713
Hospital Charge Code	270681532
Hospital Revenue Code	278
Min. Negotiated Rate	$381.60
Max. Negotiated Rate	$615.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$508.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$615.65
Rate for Payer: Qualcare PPO/HMO/WC	$381.60

HFN LAG SCREW 10.5MM X 90 MM

Facility

$5,110.00

Service Code	HCPCS C1713
Hospital Charge Code	270681528
Hospital Revenue Code	278
Min. Negotiated Rate	$145.12
Max. Negotiated Rate	$2,555.00
Rate for Payer: Aetna Commercial	$1,941.80
Rate for Payer: Aetna Medicare Advantage	$1,533.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,303.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,303.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,022.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,303.05
Rate for Payer: Cigna Commercial	$2,555.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,236.62
Rate for Payer: Qualcare PPO/HMO/WC	$766.50
Rate for Payer: UnitedHealthcare Community & State	$161.48
Rate for Payer: Wellpoint Medicaid Managed Care	$145.12

HFN LAG SCREW 10.5MM X 90 MM

Facility

$5,110.00

Service Code	HCPCS C1713
Hospital Charge Code	270681528
Hospital Revenue Code	278
Min. Negotiated Rate	$766.50
Max. Negotiated Rate	$1,236.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,022.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,236.62
Rate for Payer: Qualcare PPO/HMO/WC	$766.50

HFN LH 125 DEG 11MM X 340MM

Facility

$12,770.00

Service Code	HCPCS C1713
Hospital Charge Code	270683436
Hospital Revenue Code	278
Min. Negotiated Rate	$1,915.50
Max. Negotiated Rate	$3,090.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,554.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,090.34
Rate for Payer: Qualcare PPO/HMO/WC	$1,915.50

HFN LH 125 DEG 11MM X 340MM

Facility

$12,770.00

Service Code	HCPCS C1713
Hospital Charge Code	270683436
Hospital Revenue Code	278
Min. Negotiated Rate	$362.67
Max. Negotiated Rate	$6,385.00
Rate for Payer: Aetna Commercial	$4,852.60
Rate for Payer: Aetna Medicare Advantage	$3,831.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,256.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,256.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,554.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,256.35
Rate for Payer: Cigna Commercial	$6,385.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,090.34
Rate for Payer: Qualcare PPO/HMO/WC	$1,915.50
Rate for Payer: UnitedHealthcare Community & State	$403.53
Rate for Payer: Wellpoint Medicaid Managed Care	$362.67

HFN LH 125 DEG 11MM X 40MM

Facility

$9,144.00

Service Code	HCPCS C1713
Hospital Charge Code	270680793
Hospital Revenue Code	278
Min. Negotiated Rate	$1,371.60
Max. Negotiated Rate	$2,212.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,828.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,212.85
Rate for Payer: Qualcare PPO/HMO/WC	$1,371.60

HFN LH 125 DEG 11MM X 40MM

Facility

$9,144.00

Service Code	HCPCS C1713
Hospital Charge Code	270680793
Hospital Revenue Code	278
Min. Negotiated Rate	$259.69
Max. Negotiated Rate	$4,572.00
Rate for Payer: Aetna Commercial	$3,474.72
Rate for Payer: Aetna Medicare Advantage	$2,743.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,331.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,331.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,828.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,331.72
Rate for Payer: Cigna Commercial	$4,572.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,212.85
Rate for Payer: Qualcare PPO/HMO/WC	$1,371.60
Rate for Payer: UnitedHealthcare Community & State	$288.95
Rate for Payer: Wellpoint Medicaid Managed Care	$259.69

Know your out-of-pocket cost for care.

All Charges