Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

K-WIRE 0.9MM SINGLE END

Facility

$115.50

Service Code	HCPCS C1713
Hospital Charge Code	270700630
Hospital Revenue Code	278
Min. Negotiated Rate	$17.32
Max. Negotiated Rate	$27.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.95
Rate for Payer: Qualcare PPO/HMO/WC	$17.32

K-WIRE 0.9x150MM

Facility

$115.00

Hospital Charge Code	270662465
Hospital Revenue Code	272
Min. Negotiated Rate	$17.25
Max. Negotiated Rate	$17.25
Rate for Payer: Qualcare PPO/HMO/WC	$17.25

K-WIRE 0.9x150MM

Facility

$115.00

Hospital Charge Code	270662465
Hospital Revenue Code	272
Min. Negotiated Rate	$3.27
Max. Negotiated Rate	$57.50
Rate for Payer: Aetna Commercial	$43.70
Rate for Payer: Aetna Medicare Advantage	$34.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.32
Rate for Payer: Cigna Commercial	$57.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.90
Rate for Payer: Oxford Commercial	$23.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.25
Rate for Payer: UnitedHealthcare Commercial	$23.00
Rate for Payer: UnitedHealthcare Community & State	$3.63
Rate for Payer: Wellpoint Medicaid Managed Care	$3.27

K-WIRE 0.9 X 70MM NS

Facility

$200.00

Service Code	HCPCS C1713
Hospital Charge Code	270688621
Hospital Revenue Code	278
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$48.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.40
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

K-WIRE 0.9 X 70MM NS

Facility

$200.00

Service Code	HCPCS C1713
Hospital Charge Code	270688621
Hospital Revenue Code	278
Min. Negotiated Rate	$5.68
Max. Negotiated Rate	$100.00
Rate for Payer: Aetna Commercial	$76.00
Rate for Payer: Aetna Medicare Advantage	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.00
Rate for Payer: Cigna Commercial	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.40
Rate for Payer: Qualcare PPO/HMO/WC	$30.00
Rate for Payer: UnitedHealthcare Community & State	$6.32
Rate for Payer: Wellpoint Medicaid Managed Care	$5.68

K WIRE 1.0

Facility

$390.10

Service Code	HCPCS C1713
Hospital Charge Code	270604412
Hospital Revenue Code	272
Min. Negotiated Rate	$58.52
Max. Negotiated Rate	$58.52
Rate for Payer: Qualcare PPO/HMO/WC	$58.52

K WIRE 1.0

Facility

$390.10

Service Code	HCPCS C1713
Hospital Charge Code	270604412
Hospital Revenue Code	272
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.05
Rate for Payer: Aetna Commercial	$148.24
Rate for Payer: Aetna Medicare Advantage	$117.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.48
Rate for Payer: Cigna Commercial	$195.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.43
Rate for Payer: Oxford Commercial	$78.02
Rate for Payer: Qualcare PPO/HMO/WC	$58.52
Rate for Payer: UnitedHealthcare Commercial	$78.02
Rate for Payer: UnitedHealthcare Community & State	$12.33
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

K-WIRE 10/10 LENGTH 70MM

Facility

$151.20

Hospital Charge Code	270660952
Hospital Revenue Code	272
Min. Negotiated Rate	$22.68
Max. Negotiated Rate	$22.68
Rate for Payer: Qualcare PPO/HMO/WC	$22.68

K-WIRE 10/10 LENGTH 70MM

Facility

$151.20

Hospital Charge Code	270660952
Hospital Revenue Code	272
Min. Negotiated Rate	$4.29
Max. Negotiated Rate	$75.60
Rate for Payer: Aetna Commercial	$57.46
Rate for Payer: Aetna Medicare Advantage	$45.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.56
Rate for Payer: Cigna Commercial	$75.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.31
Rate for Payer: Oxford Commercial	$30.24
Rate for Payer: Qualcare PPO/HMO/WC	$22.68
Rate for Payer: UnitedHealthcare Commercial	$30.24
Rate for Payer: UnitedHealthcare Community & State	$4.78
Rate for Payer: Wellpoint Medicaid Managed Care	$4.29

K WIRE 1.0 MM X 120 MM

Facility

$75.00

Hospital Charge Code	270683544
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 1.0 MM X 120 MM

Facility

$75.00

Hospital Charge Code	270683544
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 1.0X160MM

Facility

$250.00

Hospital Charge Code	270669223
Hospital Revenue Code	278
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$60.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

K-WIRE 1.0X160MM

Facility

$250.00

Hospital Charge Code	270669223
Hospital Revenue Code	278
Min. Negotiated Rate	$7.10
Max. Negotiated Rate	$125.00
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) NJ Health	$50.00
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	$60.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50
Rate for Payer: UnitedHealthcare Community & State	$7.90
Rate for Payer: Wellpoint Medicaid Managed Care	$7.10

K-WIRE 1.1MM

Facility

$100.00

Service Code	HCPCS C1713
Hospital Charge Code	270677435
Hospital Revenue Code	278
Min. Negotiated Rate	$15.00
Max. Negotiated Rate	$24.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.20
Rate for Payer: Qualcare PPO/HMO/WC	$15.00

K-WIRE 1.1MM

Facility

$100.00

Service Code	HCPCS C1713
Hospital Charge Code	270677435
Hospital Revenue Code	278
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) NJ Health	$20.00
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	$24.20
Rate for Payer: Qualcare PPO/HMO/WC	$15.00
Rate for Payer: UnitedHealthcare Community & State	$3.16
Rate for Payer: Wellpoint Medicaid Managed Care	$2.84

KWIRE 1.1MM

Facility

$215.00

Hospital Charge Code	270683201
Hospital Revenue Code	272
Min. Negotiated Rate	$6.11
Max. Negotiated Rate	$107.50
Rate for Payer: Aetna Commercial	$81.70
Rate for Payer: Aetna Medicare Advantage	$64.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.83
Rate for Payer: Cigna Commercial	$107.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.90
Rate for Payer: Oxford Commercial	$43.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.25
Rate for Payer: UnitedHealthcare Commercial	$43.00
Rate for Payer: UnitedHealthcare Community & State	$6.79
Rate for Payer: Wellpoint Medicaid Managed Care	$6.11

KWIRE 1.1MM

Facility

$215.00

Hospital Charge Code	270683201
Hospital Revenue Code	272
Min. Negotiated Rate	$32.25
Max. Negotiated Rate	$32.25
Rate for Payer: Qualcare PPO/HMO/WC	$32.25

K WIRE 1.1MM DOUBLE TIPPED

Facility

$154.50

Service Code	HCPCS C1713
Hospital Charge Code	270703700
Hospital Revenue Code	278
Min. Negotiated Rate	$23.18
Max. Negotiated Rate	$37.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.39
Rate for Payer: Qualcare PPO/HMO/WC	$23.18

K WIRE 1.1MM DOUBLE TIPPED

Facility

$154.50

Service Code	HCPCS C1713
Hospital Charge Code	270703700
Hospital Revenue Code	278
Min. Negotiated Rate	$4.39
Max. Negotiated Rate	$77.25
Rate for Payer: Aetna Commercial	$58.71
Rate for Payer: Aetna Medicare Advantage	$46.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.40
Rate for Payer: Cigna Commercial	$77.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.39
Rate for Payer: Qualcare PPO/HMO/WC	$23.18
Rate for Payer: UnitedHealthcare Community & State	$4.88
Rate for Payer: Wellpoint Medicaid Managed Care	$4.39

K-WIRE 1.1mm NCS-GP11

Facility

$60.00

Service Code	HCPCS C1713
Hospital Charge Code	270643530
Hospital Revenue Code	272
Min. Negotiated Rate	$9.00
Max. Negotiated Rate	$9.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00

K-WIRE 1.1mm NCS-GP11

Facility

$60.00

Service Code	HCPCS C1713
Hospital Charge Code	270643530
Hospital Revenue Code	272
Min. Negotiated Rate	$1.70
Max. Negotiated Rate	$30.00
Rate for Payer: Aetna Commercial	$22.80
Rate for Payer: Aetna Medicare Advantage	$18.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.30
Rate for Payer: Cigna Commercial	$30.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.60
Rate for Payer: Oxford Commercial	$12.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00
Rate for Payer: UnitedHealthcare Commercial	$12.00
Rate for Payer: UnitedHealthcare Community & State	$1.90
Rate for Payer: Wellpoint Medicaid Managed Care	$1.70

K-WIRE 1.1 X 100M OLIVE

Facility

$414.10

Hospital Charge Code	270667921
Hospital Revenue Code	272
Min. Negotiated Rate	$11.76
Max. Negotiated Rate	$207.05
Rate for Payer: Aetna Commercial	$157.36
Rate for Payer: Aetna Medicare Advantage	$124.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$105.60
Rate for Payer: Cigna Commercial	$207.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$107.67
Rate for Payer: Oxford Commercial	$82.82
Rate for Payer: Qualcare PPO/HMO/WC	$62.12
Rate for Payer: UnitedHealthcare Commercial	$82.82
Rate for Payer: UnitedHealthcare Community & State	$13.09
Rate for Payer: Wellpoint Medicaid Managed Care	$11.76

K-WIRE 1.1 X 100M OLIVE

Facility

$414.10

Hospital Charge Code	270667921
Hospital Revenue Code	272
Min. Negotiated Rate	$62.12
Max. Negotiated Rate	$62.12
Rate for Payer: Qualcare PPO/HMO/WC	$62.12

K-WIRE 1.1x150MM

Facility

$115.00

Hospital Charge Code	270662460
Hospital Revenue Code	272
Min. Negotiated Rate	$3.27
Max. Negotiated Rate	$57.50
Rate for Payer: Aetna Commercial	$43.70
Rate for Payer: Aetna Medicare Advantage	$34.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.32
Rate for Payer: Cigna Commercial	$57.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.90
Rate for Payer: Oxford Commercial	$23.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.25
Rate for Payer: UnitedHealthcare Commercial	$23.00
Rate for Payer: UnitedHealthcare Community & State	$3.63
Rate for Payer: Wellpoint Medicaid Managed Care	$3.27

K-WIRE 1.1x150MM

Facility

$115.00

Hospital Charge Code	270662460
Hospital Revenue Code	272
Min. Negotiated Rate	$17.25
Max. Negotiated Rate	$17.25
Rate for Payer: Qualcare PPO/HMO/WC	$17.25

Know your out-of-pocket cost for care.

All Charges