Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

K-WIRE .045X6DBL

Facility

$420.00

Service Code	HCPCS C1713
Hospital Charge Code	270692248
Hospital Revenue Code	278
Min. Negotiated Rate	$63.00
Max. Negotiated Rate	$101.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.64
Rate for Payer: Qualcare PPO/HMO/WC	$63.00

K-WIRE .045X6DBL

Facility

$420.00

Service Code	HCPCS C1713
Hospital Charge Code	270692248
Hospital Revenue Code	278
Min. Negotiated Rate	$11.93
Max. Negotiated Rate	$210.00
Rate for Payer: Aetna Commercial	$159.60
Rate for Payer: Aetna Medicare Advantage	$126.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.10
Rate for Payer: Cigna Commercial	$210.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.64
Rate for Payer: Qualcare PPO/HMO/WC	$63.00
Rate for Payer: UnitedHealthcare Community & State	$13.27
Rate for Payer: Wellpoint Medicaid Managed Care	$11.93

K WIRE .045x6 P/THRD

Facility

$175.00

Service Code	HCPCS C1713
Hospital Charge Code	270677386
Hospital Revenue Code	278
Min. Negotiated Rate	$26.25
Max. Negotiated Rate	$42.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.35
Rate for Payer: Qualcare PPO/HMO/WC	$26.25

K WIRE .045x6 P/THRD

Facility

$175.00

Service Code	HCPCS C1713
Hospital Charge Code	270677386
Hospital Revenue Code	278
Min. Negotiated Rate	$4.97
Max. Negotiated Rate	$87.50
Rate for Payer: Aetna Commercial	$66.50
Rate for Payer: Aetna Medicare Advantage	$52.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.62
Rate for Payer: Cigna Commercial	$87.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.35
Rate for Payer: Qualcare PPO/HMO/WC	$26.25
Rate for Payer: UnitedHealthcare Community & State	$5.53
Rate for Payer: Wellpoint Medicaid Managed Care	$4.97

K-WIRE .045X6 STANDARD

Facility

$75.00

Hospital Charge Code	270666767
Hospital Revenue Code	278
Min. Negotiated Rate	$2.13
Max. Negotiated Rate	$37.50
Rate for Payer: Aetna Commercial	$28.50
Rate for Payer: Aetna Medicare Advantage	$22.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.12
Rate for Payer: Cigna Commercial	$37.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.15
Rate for Payer: Qualcare PPO/HMO/WC	$11.25
Rate for Payer: UnitedHealthcare Community & State	$2.37
Rate for Payer: Wellpoint Medicaid Managed Care	$2.13

K-WIRE .045X6 STANDARD

Facility

$75.00

Hospital Charge Code	270666767
Hospital Revenue Code	278
Min. Negotiated Rate	$11.25
Max. Negotiated Rate	$18.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.15
Rate for Payer: Qualcare PPO/HMO/WC	$11.25

K-WIRE .045X9 SGL TROC

Facility

$22.25

Service Code	HCPCS C1713
Hospital Charge Code	270699387
Hospital Revenue Code	278
Min. Negotiated Rate	$3.34
Max. Negotiated Rate	$5.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.38
Rate for Payer: Qualcare PPO/HMO/WC	$3.34

K-WIRE .045X9 SGL TROC

Facility

$22.25

Service Code	HCPCS C1713
Hospital Charge Code	270699387
Hospital Revenue Code	278
Min. Negotiated Rate	$0.63
Max. Negotiated Rate	$11.12
Rate for Payer: Aetna Commercial	$8.46
Rate for Payer: Aetna Medicare Advantage	$6.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.67
Rate for Payer: Cigna Commercial	$11.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.38
Rate for Payer: Qualcare PPO/HMO/WC	$3.34
Rate for Payer: UnitedHealthcare Community & State	$0.70
Rate for Payer: Wellpoint Medicaid Managed Care	$0.63

K- WIRE 062

Facility

$75.00

Hospital Charge Code	270667010
Hospital Revenue Code	272
Min. Negotiated Rate	$2.13
Max. Negotiated Rate	$37.50
Rate for Payer: Aetna Commercial	$28.50
Rate for Payer: Aetna Medicare Advantage	$22.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.12
Rate for Payer: Cigna Commercial	$37.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.50
Rate for Payer: Oxford Commercial	$15.00
Rate for Payer: Qualcare PPO/HMO/WC	$11.25
Rate for Payer: UnitedHealthcare Commercial	$15.00
Rate for Payer: UnitedHealthcare Community & State	$2.37
Rate for Payer: Wellpoint Medicaid Managed Care	$2.13

K- WIRE 062

Facility

$75.00

Hospital Charge Code	270667010
Hospital Revenue Code	272
Min. Negotiated Rate	$11.25
Max. Negotiated Rate	$11.25
Rate for Payer: Qualcare PPO/HMO/WC	$11.25

K-WIRE .062

Facility

$80.00

Hospital Charge Code	270677146
Hospital Revenue Code	278
Min. Negotiated Rate	$12.00
Max. Negotiated Rate	$19.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.36
Rate for Payer: Qualcare PPO/HMO/WC	$12.00

K-WIRE .062

Facility

$80.00

Hospital Charge Code	270677146
Hospital Revenue Code	278
Min. Negotiated Rate	$2.27
Max. Negotiated Rate	$40.00
Rate for Payer: Aetna Commercial	$30.40
Rate for Payer: Aetna Medicare Advantage	$24.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.40
Rate for Payer: Cigna Commercial	$40.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.36
Rate for Payer: Qualcare PPO/HMO/WC	$12.00
Rate for Payer: UnitedHealthcare Community & State	$2.53
Rate for Payer: Wellpoint Medicaid Managed Care	$2.27

K-WIRE 07-40281

Facility

$133.20

Hospital Charge Code	270640881
Hospital Revenue Code	272
Min. Negotiated Rate	$19.98
Max. Negotiated Rate	$19.98
Rate for Payer: Qualcare PPO/HMO/WC	$19.98

K-WIRE 07-40281

Facility

$133.20

Hospital Charge Code	270640881
Hospital Revenue Code	272
Min. Negotiated Rate	$3.78
Max. Negotiated Rate	$66.60
Rate for Payer: Aetna Commercial	$50.62
Rate for Payer: Aetna Medicare Advantage	$39.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.97
Rate for Payer: Cigna Commercial	$66.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.63
Rate for Payer: Oxford Commercial	$26.64
Rate for Payer: Qualcare PPO/HMO/WC	$19.98
Rate for Payer: UnitedHealthcare Commercial	$26.64
Rate for Payer: UnitedHealthcare Community & State	$4.21
Rate for Payer: Wellpoint Medicaid Managed Care	$3.78

KWIRE 0.7MM .028X4 INCH

Facility

$21.00

Service Code	HCPCS C1713
Hospital Charge Code	270696142
Hospital Revenue Code	278
Min. Negotiated Rate	$3.15
Max. Negotiated Rate	$5.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.08
Rate for Payer: Qualcare PPO/HMO/WC	$3.15

KWIRE 0.7MM .028X4 INCH

Facility

$21.00

Service Code	HCPCS C1713
Hospital Charge Code	270696142
Hospital Revenue Code	278
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$10.50
Rate for Payer: Aetna Commercial	$7.98
Rate for Payer: Aetna Medicare Advantage	$6.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.36
Rate for Payer: Cigna Commercial	$10.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.08
Rate for Payer: Qualcare PPO/HMO/WC	$3.15
Rate for Payer: UnitedHealthcare Community & State	$0.66
Rate for Payer: Wellpoint Medicaid Managed Care	$0.60

K-WIRE 0.86MM X 80MM

Facility

$75.00

Hospital Charge Code	270685926
Hospital Revenue Code	272
Min. Negotiated Rate	$2.13
Max. Negotiated Rate	$37.50
Rate for Payer: Aetna Commercial	$28.50
Rate for Payer: Aetna Medicare Advantage	$22.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.12
Rate for Payer: Cigna Commercial	$37.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.50
Rate for Payer: Oxford Commercial	$15.00
Rate for Payer: Qualcare PPO/HMO/WC	$11.25
Rate for Payer: UnitedHealthcare Commercial	$15.00
Rate for Payer: UnitedHealthcare Community & State	$2.37
Rate for Payer: Wellpoint Medicaid Managed Care	$2.13

K-WIRE 0.86MM X 80MM

Facility

$75.00

Hospital Charge Code	270685926
Hospital Revenue Code	272
Min. Negotiated Rate	$11.25
Max. Negotiated Rate	$11.25
Rate for Payer: Qualcare PPO/HMO/WC	$11.25

KWIRE .086 THREAD

Facility

$100.00

Hospital Charge Code	270681700
Hospital Revenue Code	272
Min. Negotiated Rate	$2.84
Max. Negotiated Rate	$50.00
Rate for Payer: Aetna Commercial	$38.00
Rate for Payer: Aetna Medicare Advantage	$30.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.50
Rate for Payer: Cigna Commercial	$50.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.00
Rate for Payer: Oxford Commercial	$20.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.00
Rate for Payer: UnitedHealthcare Commercial	$20.00
Rate for Payer: UnitedHealthcare Community & State	$3.16
Rate for Payer: Wellpoint Medicaid Managed Care	$2.84

KWIRE .086 THREAD

Facility

$100.00

Hospital Charge Code	270681700
Hospital Revenue Code	272
Min. Negotiated Rate	$15.00
Max. Negotiated Rate	$15.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.00

K-WIRE 0.8MM/70MM

Facility

$448.75

Hospital Charge Code	270603553
Hospital Revenue Code	278
Min. Negotiated Rate	$12.74
Max. Negotiated Rate	$224.38
Rate for Payer: Aetna Commercial	$170.53
Rate for Payer: Aetna Medicare Advantage	$134.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$89.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.43
Rate for Payer: Cigna Commercial	$224.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.60
Rate for Payer: Qualcare PPO/HMO/WC	$67.31
Rate for Payer: UnitedHealthcare Community & State	$14.18
Rate for Payer: Wellpoint Medicaid Managed Care	$12.74

K-WIRE 0.8MM/70MM

Facility

$448.75

Hospital Charge Code	270603553
Hospital Revenue Code	278
Min. Negotiated Rate	$67.31
Max. Negotiated Rate	$108.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$89.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.60
Rate for Payer: Qualcare PPO/HMO/WC	$67.31

K-WIRE 0.9MM/L70MM TIPS TRO

Facility

$245.00

Service Code	HCPCS C1713
Hospital Charge Code	270667210
Hospital Revenue Code	278
Min. Negotiated Rate	$36.75
Max. Negotiated Rate	$59.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.29
Rate for Payer: Qualcare PPO/HMO/WC	$36.75

K-WIRE 0.9MM/L70MM TIPS TRO

Facility

$245.00

Service Code	HCPCS C1713
Hospital Charge Code	270667210
Hospital Revenue Code	278
Min. Negotiated Rate	$6.96
Max. Negotiated Rate	$122.50
Rate for Payer: Aetna Commercial	$93.10
Rate for Payer: Aetna Medicare Advantage	$73.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.48
Rate for Payer: Cigna Commercial	$122.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.29
Rate for Payer: Qualcare PPO/HMO/WC	$36.75
Rate for Payer: UnitedHealthcare Community & State	$7.74
Rate for Payer: Wellpoint Medicaid Managed Care	$6.96

K-WIRE 0.9MM SINGLE END

Facility

$115.50

Service Code	HCPCS C1713
Hospital Charge Code	270700630
Hospital Revenue Code	278
Min. Negotiated Rate	$3.28
Max. Negotiated Rate	$57.75
Rate for Payer: Aetna Commercial	$43.89
Rate for Payer: Aetna Medicare Advantage	$34.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.45
Rate for Payer: Cigna Commercial	$57.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.95
Rate for Payer: Qualcare PPO/HMO/WC	$17.32
Rate for Payer: UnitedHealthcare Community & State	$3.65
Rate for Payer: Wellpoint Medicaid Managed Care	$3.28

Know your out-of-pocket cost for care.

All Charges