Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

K WIRE DOUBLE TROCA 6 IN 1.6MM

Facility

$31.25

Service Code	HCPCS C1713
Hospital Charge Code	270687109
Hospital Revenue Code	278
Min. Negotiated Rate	$0.89
Max. Negotiated Rate	$15.62
Rate for Payer: Aetna Commercial	$11.88
Rate for Payer: Aetna Medicare Advantage	$9.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.97
Rate for Payer: Cigna Commercial	$15.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.56
Rate for Payer: Qualcare PPO/HMO/WC	$4.69
Rate for Payer: UnitedHealthcare Community & State	$0.99
Rate for Payer: Wellpoint Medicaid Managed Care	$0.89

K WIRE DOUBLE TROCA 6 IN 1.6MM

Facility

$31.25

Service Code	HCPCS C1713
Hospital Charge Code	270687109
Hospital Revenue Code	278
Min. Negotiated Rate	$4.69
Max. Negotiated Rate	$7.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.56
Rate for Payer: Qualcare PPO/HMO/WC	$4.69

K-WIRE DOUBLE TROCAR .035x6

Facility

$175.00

Hospital Charge Code	270677347
Hospital Revenue Code	272
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) PPO	$44.62
Rate for Payer: Cigna Commercial	$87.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.50
Rate for Payer: Oxford Commercial	$35.00
Rate for Payer: Qualcare PPO/HMO/WC	$26.25
Rate for Payer: UnitedHealthcare Commercial	$35.00
Rate for Payer: UnitedHealthcare Community & State	$5.53
Rate for Payer: Wellpoint Medicaid Managed Care	$4.97

K-WIRE DOUBLE TROCAR .035x6

Facility

$175.00

Hospital Charge Code	270677347
Hospital Revenue Code	272
Min. Negotiated Rate	$26.25
Max. Negotiated Rate	$26.25
Rate for Payer: Qualcare PPO/HMO/WC	$26.25

K-WIRE FIXATION

Facility

$1,027.80

Service Code	HCPCS C1713
Hospital Charge Code	270703689
Hospital Revenue Code	278
Min. Negotiated Rate	$154.17
Max. Negotiated Rate	$248.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$205.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$248.73
Rate for Payer: Qualcare PPO/HMO/WC	$154.17

K-WIRE FIXATION

Facility

$1,027.80

Service Code	HCPCS C1713
Hospital Charge Code	270703689
Hospital Revenue Code	278
Min. Negotiated Rate	$29.19
Max. Negotiated Rate	$513.90
Rate for Payer: Aetna Commercial	$390.56
Rate for Payer: Aetna Medicare Advantage	$308.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$262.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$262.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$205.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$262.09
Rate for Payer: Cigna Commercial	$513.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$248.73
Rate for Payer: Qualcare PPO/HMO/WC	$154.17
Rate for Payer: UnitedHealthcare Community & State	$32.48
Rate for Payer: Wellpoint Medicaid Managed Care	$29.19

KWIRE FIXATION 1.1MM 4 INCH DI

Facility

$21.00

Service Code	HCPCS C1713
Hospital Charge Code	270693652
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

KWIRE FIXATION 1.1MM 4 INCH DI

Facility

$21.00

Service Code	HCPCS C1713
Hospital Charge Code	270693652
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

K WIRE FULLY THD 1.6MMX200MM

Facility

$370.00

Service Code	HCPCS C1713
Hospital Charge Code	270670011
Hospital Revenue Code	278
Min. Negotiated Rate	$55.50
Max. Negotiated Rate	$89.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.54
Rate for Payer: Qualcare PPO/HMO/WC	$55.50

K WIRE FULLY THD 1.6MMX200MM

Facility

$370.00

Service Code	HCPCS C1713
Hospital Charge Code	270670011
Hospital Revenue Code	278
Min. Negotiated Rate	$10.51
Max. Negotiated Rate	$185.00
Rate for Payer: Aetna Commercial	$140.60
Rate for Payer: Aetna Medicare Advantage	$111.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.35
Rate for Payer: Cigna Commercial	$185.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.54
Rate for Payer: Qualcare PPO/HMO/WC	$55.50
Rate for Payer: UnitedHealthcare Community & State	$11.69
Rate for Payer: Wellpoint Medicaid Managed Care	$10.51

K WIRE ISGL END SMOOTH 1.6

Facility

$115.50

Service Code	HCPCS C1713
Hospital Charge Code	270700689
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 ISGL END SMOOTH 1.6

Facility

$115.50

Service Code	HCPCS C1713
Hospital Charge Code	270700689
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

K-WIRE LENGTH 100MM BLUNT TIP

Facility

$151.20

Hospital Charge Code	270668722
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 LENGTH 100MM BLUNT TIP

Facility

$151.20

Hospital Charge Code	270668722
Hospital Revenue Code	272
Min. Negotiated Rate	$22.68
Max. Negotiated Rate	$22.68
Rate for Payer: Qualcare PPO/HMO/WC	$22.68

KWIRE MONSTER SS SM 0.9MM

Facility

$115.50

Service Code	HCPCS C1713
Hospital Charge Code	270700250
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

KWIRE MONSTER SS SM 0.9MM

Facility

$115.50

Service Code	HCPCS C1713
Hospital Charge Code	2707002502
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

KWIRE MONSTER SS SM 0.9MM

Facility

$115.50

Service Code	HCPCS C1713
Hospital Charge Code	270700250
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

KWIRE MONSTER SS SM 0.9MM

Facility

$115.50

Service Code	HCPCS C1713
Hospital Charge Code	2707002502
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

KWIRE NITINOL 149-646

Facility

$500.00

Service Code	HCPCS C1713
Hospital Charge Code	270697676
Hospital Revenue Code	278
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$121.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

KWIRE NITINOL 149-646

Facility

$500.00

Service Code	HCPCS C1713
Hospital Charge Code	270697676
Hospital Revenue Code	278
Min. Negotiated Rate	$14.20
Max. Negotiated Rate	$250.00
Rate for Payer: Aetna Commercial	$190.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00
Rate for Payer: UnitedHealthcare Community & State	$15.80
Rate for Payer: Wellpoint Medicaid Managed Care	$14.20

KWIRE NITINOL 480MM

Facility

$225.00

Service Code	HCPCS C1713
Hospital Charge Code	270695259
Hospital Revenue Code	278
Min. Negotiated Rate	$6.39
Max. Negotiated Rate	$112.50
Rate for Payer: Aetna Commercial	$85.50
Rate for Payer: Aetna Medicare Advantage	$67.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.38
Rate for Payer: Cigna Commercial	$112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.45
Rate for Payer: Qualcare PPO/HMO/WC	$33.75
Rate for Payer: UnitedHealthcare Community & State	$7.11
Rate for Payer: Wellpoint Medicaid Managed Care	$6.39

KWIRE NITINOL 480MM

Facility

$225.00

Service Code	HCPCS C1713
Hospital Charge Code	270695259
Hospital Revenue Code	278
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$54.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.45
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

KWIRE NITINOL BLUNT 1.4X500MM

Facility

$600.00

Service Code	HCPCS C1713
Hospital Charge Code	270695742
Hospital Revenue Code	278
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$145.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

KWIRE NITINOL BLUNT 1.4X500MM

Facility

$600.00

Service Code	HCPCS C1713
Hospital Charge Code	270695742
Hospital Revenue Code	278
Min. Negotiated Rate	$17.04
Max. Negotiated Rate	$300.00
Rate for Payer: Aetna Commercial	$228.00
Rate for Payer: Aetna Medicare Advantage	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.00
Rate for Payer: Cigna Commercial	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$90.00
Rate for Payer: UnitedHealthcare Community & State	$18.96
Rate for Payer: Wellpoint Medicaid Managed Care	$17.04

KWIRE NITINOL BLUNT 1.6X500MM

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270695218
Hospital Revenue Code	278
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Community & State	$23.70
Rate for Payer: Wellpoint Medicaid Managed Care	$21.30

Know your out-of-pocket cost for care.

All Charges