Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

KWIRE 1.1X150MM

Facility

$942.50

Service Code	HCPCS C1713
Hospital Charge Code	270692674
Hospital Revenue Code	278
Min. Negotiated Rate	$141.38
Max. Negotiated Rate	$228.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$188.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$228.09
Rate for Payer: Qualcare PPO/HMO/WC	$141.38

KWIRE 1.1X150MM

Facility

$942.50

Service Code	HCPCS C1713
Hospital Charge Code	270692674
Hospital Revenue Code	278
Min. Negotiated Rate	$26.77
Max. Negotiated Rate	$471.25
Rate for Payer: Aetna Commercial	$358.15
Rate for Payer: Aetna Medicare Advantage	$282.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$240.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$240.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$188.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$240.34
Rate for Payer: Cigna Commercial	$471.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$228.09
Rate for Payer: Qualcare PPO/HMO/WC	$141.38
Rate for Payer: UnitedHealthcare Community & State	$29.78
Rate for Payer: Wellpoint Medicaid Managed Care	$26.77

K-WIRE 1.1X150MM TROCAR TIP

Facility

$942.50

Service Code	HCPCS C1713
Hospital Charge Code	270692845
Hospital Revenue Code	278
Min. Negotiated Rate	$26.77
Max. Negotiated Rate	$471.25
Rate for Payer: Aetna Commercial	$358.15
Rate for Payer: Aetna Medicare Advantage	$282.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$240.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$240.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$188.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$240.34
Rate for Payer: Cigna Commercial	$471.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$228.09
Rate for Payer: Qualcare PPO/HMO/WC	$141.38
Rate for Payer: UnitedHealthcare Community & State	$29.78
Rate for Payer: Wellpoint Medicaid Managed Care	$26.77

K-WIRE 1.1X150MM TROCAR TIP

Facility

$942.50

Service Code	HCPCS C1713
Hospital Charge Code	270692845
Hospital Revenue Code	278
Min. Negotiated Rate	$141.38
Max. Negotiated Rate	$228.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$188.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$228.09
Rate for Payer: Qualcare PPO/HMO/WC	$141.38

KWIRE 1.1 X 229MM (9 INCH)

Facility

$196.90

Service Code	HCPCS C1713
Hospital Charge Code	270687076
Hospital Revenue Code	278
Min. Negotiated Rate	$5.59
Max. Negotiated Rate	$98.45
Rate for Payer: Aetna Commercial	$74.82
Rate for Payer: Aetna Medicare Advantage	$59.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.21
Rate for Payer: Cigna Commercial	$98.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.65
Rate for Payer: Qualcare PPO/HMO/WC	$29.54
Rate for Payer: UnitedHealthcare Community & State	$6.22
Rate for Payer: Wellpoint Medicaid Managed Care	$5.59

KWIRE 1.1 X 229MM (9 INCH)

Facility

$196.90

Service Code	HCPCS C1713
Hospital Charge Code	270687076
Hospital Revenue Code	278
Min. Negotiated Rate	$29.54
Max. Negotiated Rate	$47.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.65
Rate for Payer: Qualcare PPO/HMO/WC	$29.54

K-WIRE 1.25

Facility

$7,020.00

Service Code	HCPCS C1713
Hospital Charge Code	270691910
Hospital Revenue Code	278
Min. Negotiated Rate	$199.37
Max. Negotiated Rate	$3,510.00
Rate for Payer: Aetna Commercial	$2,667.60
Rate for Payer: Aetna Medicare Advantage	$2,106.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,790.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,790.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,404.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,790.10
Rate for Payer: Cigna Commercial	$3,510.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,698.84
Rate for Payer: Qualcare PPO/HMO/WC	$1,053.00
Rate for Payer: UnitedHealthcare Community & State	$221.83
Rate for Payer: Wellpoint Medicaid Managed Care	$199.37

K-WIRE 1.25

Facility

$7,020.00

Service Code	HCPCS C1713
Hospital Charge Code	270691910
Hospital Revenue Code	278
Min. Negotiated Rate	$1,053.00
Max. Negotiated Rate	$1,698.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,404.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,698.84
Rate for Payer: Qualcare PPO/HMO/WC	$1,053.00

K WIRE 1.25 MM

Facility

$390.10

Service Code	HCPCS C1713
Hospital Charge Code	270689731
Hospital Revenue Code	278
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) NJ Health	$78.02
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	$94.40
Rate for Payer: Qualcare PPO/HMO/WC	$58.52
Rate for Payer: UnitedHealthcare Community & State	$12.33
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

K WIRE 1.25 MM

Facility

$390.10

Service Code	HCPCS C1713
Hospital Charge Code	270689731
Hospital Revenue Code	278
Min. Negotiated Rate	$58.52
Max. Negotiated Rate	$94.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$78.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.40
Rate for Payer: Qualcare PPO/HMO/WC	$58.52

K-WIRE 1.25 MM

Facility

$937.35

Service Code	HCPCS C1713
Hospital Charge Code	270665342
Hospital Revenue Code	278
Min. Negotiated Rate	$26.62
Max. Negotiated Rate	$468.68
Rate for Payer: Aetna Commercial	$356.19
Rate for Payer: Aetna Medicare Advantage	$281.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$239.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$239.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$187.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$239.02
Rate for Payer: Cigna Commercial	$468.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$226.84
Rate for Payer: Qualcare PPO/HMO/WC	$140.60
Rate for Payer: UnitedHealthcare Community & State	$29.62
Rate for Payer: Wellpoint Medicaid Managed Care	$26.62

K-WIRE 1.25 MM

Facility

$937.35

Service Code	HCPCS C1713
Hospital Charge Code	270665342
Hospital Revenue Code	278
Min. Negotiated Rate	$140.60
Max. Negotiated Rate	$226.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$187.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$226.84
Rate for Payer: Qualcare PPO/HMO/WC	$140.60

K-WIRE 1.25MM/150MM

Facility

$435.70

Hospital Charge Code	270603555
Hospital Revenue Code	278
Min. Negotiated Rate	$65.36
Max. Negotiated Rate	$105.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$87.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.44
Rate for Payer: Qualcare PPO/HMO/WC	$65.36

K-WIRE 1.25MM/150MM

Facility

$435.70

Hospital Charge Code	270603555
Hospital Revenue Code	278
Min. Negotiated Rate	$12.37
Max. Negotiated Rate	$217.85
Rate for Payer: Aetna Commercial	$165.57
Rate for Payer: Aetna Medicare Advantage	$130.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$111.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$111.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$87.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$111.10
Rate for Payer: Cigna Commercial	$217.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.44
Rate for Payer: Qualcare PPO/HMO/WC	$65.36
Rate for Payer: UnitedHealthcare Community & State	$13.77
Rate for Payer: Wellpoint Medicaid Managed Care	$12.37

KWIRE 1.25X150MM

Facility

$100.00

Service Code	HCPCS C1713
Hospital Charge Code	270694737
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

KWIRE 1.25X150MM

Facility

$100.00

Service Code	HCPCS C1713
Hospital Charge Code	270694737
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

K WIRE 1.2 X 150 MM

Facility

$210.00

Service Code	HCPCS C1713
Hospital Charge Code	270690338
Hospital Revenue Code	278
Min. Negotiated Rate	$31.50
Max. Negotiated Rate	$50.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$42.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.82
Rate for Payer: Qualcare PPO/HMO/WC	$31.50

K WIRE 1.2 X 150 MM

Facility

$210.00

Service Code	HCPCS C1713
Hospital Charge Code	270690338
Hospital Revenue Code	278
Min. Negotiated Rate	$5.96
Max. Negotiated Rate	$105.00
Rate for Payer: Aetna Commercial	$79.80
Rate for Payer: Aetna Medicare Advantage	$63.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$42.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.55
Rate for Payer: Cigna Commercial	$105.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.82
Rate for Payer: Qualcare PPO/HMO/WC	$31.50
Rate for Payer: UnitedHealthcare Community & State	$6.64
Rate for Payer: Wellpoint Medicaid Managed Care	$5.96

K-WIRE 1.2 X 150MM

Facility

$151.20

Hospital Charge Code	270667926
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 1.2 X 150MM

Facility

$151.20

Hospital Charge Code	270667926
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 1.2x150MM

Facility

$100.00

Hospital Charge Code	270656774
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

K-WIRE 1.2x150MM

Facility

$100.00

Hospital Charge Code	270656774
Hospital Revenue Code	272
Min. Negotiated Rate	$15.00
Max. Negotiated Rate	$15.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.00

KWIRE 1.2X 150 MM SS

Facility

$65.35

Service Code	HCPCS C1713
Hospital Charge Code	270688785
Hospital Revenue Code	278
Min. Negotiated Rate	$1.86
Max. Negotiated Rate	$32.67
Rate for Payer: Aetna Commercial	$24.83
Rate for Payer: Aetna Medicare Advantage	$19.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.66
Rate for Payer: Cigna Commercial	$32.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.81
Rate for Payer: Qualcare PPO/HMO/WC	$9.80
Rate for Payer: UnitedHealthcare Community & State	$2.07
Rate for Payer: Wellpoint Medicaid Managed Care	$1.86

KWIRE 1.2X 150 MM SS

Facility

$65.35

Service Code	HCPCS C1713
Hospital Charge Code	270688785
Hospital Revenue Code	278
Min. Negotiated Rate	$9.80
Max. Negotiated Rate	$15.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.81
Rate for Payer: Qualcare PPO/HMO/WC	$9.80

K WIRE 1.35 MM

Facility

$107.50

Hospital Charge Code	270684026
Hospital Revenue Code	272
Min. Negotiated Rate	$16.12
Max. Negotiated Rate	$16.12
Rate for Payer: Qualcare PPO/HMO/WC	$16.12

Know your out-of-pocket cost for care.

All Charges