Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

MINI BLADE #63

Facility

$677.00

Hospital Charge Code	270330756
Hospital Revenue Code	272
Min. Negotiated Rate	$101.55
Max. Negotiated Rate	$101.55
Rate for Payer: Qualcare PPO/HMO/WC	$101.55

MINI BLADE #63

Facility

$677.00

Hospital Charge Code	270330756
Hospital Revenue Code	272
Min. Negotiated Rate	$19.23
Max. Negotiated Rate	$338.50
Rate for Payer: Aetna Commercial	$257.26
Rate for Payer: Aetna Medicare Advantage	$203.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$172.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$172.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$172.63
Rate for Payer: Cigna Commercial	$338.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$176.02
Rate for Payer: Oxford Commercial	$135.40
Rate for Payer: Qualcare PPO/HMO/WC	$101.55
Rate for Payer: UnitedHealthcare Commercial	$135.40
Rate for Payer: UnitedHealthcare Community & State	$21.39
Rate for Payer: Wellpoint Medicaid Managed Care	$19.23

MINI BUN 2.7X14MM NONLOCK SCR

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270690788
Hospital Revenue Code	278
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$151.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

MINI BUN 2.7X14MM NONLOCK SCR

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270690788
Hospital Revenue Code	278
Min. Negotiated Rate	$17.75
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$237.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Community & State	$19.75
Rate for Payer: Wellpoint Medicaid Managed Care	$17.75

MINI BUN 3.0X18MM LOCK SCREW

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270690789
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

MINI BUN 3.0X18MM LOCK SCREW

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270690789
Hospital Revenue Code	278
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$181.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

MINIBUNION 2.7X18 SCREWNON LK

Facility

$1,230.00

Service Code	HCPCS C1713
Hospital Charge Code	270693367
Hospital Revenue Code	278
Min. Negotiated Rate	$184.50
Max. Negotiated Rate	$297.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$246.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$297.66
Rate for Payer: Qualcare PPO/HMO/WC	$184.50

MINIBUNION 2.7X18 SCREWNON LK

Facility

$1,230.00

Service Code	HCPCS C1713
Hospital Charge Code	270693367
Hospital Revenue Code	278
Min. Negotiated Rate	$34.93
Max. Negotiated Rate	$615.00
Rate for Payer: Aetna Commercial	$467.40
Rate for Payer: Aetna Medicare Advantage	$369.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$313.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$313.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$246.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$313.65
Rate for Payer: Cigna Commercial	$615.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$297.66
Rate for Payer: Qualcare PPO/HMO/WC	$184.50
Rate for Payer: UnitedHealthcare Community & State	$38.87
Rate for Payer: Wellpoint Medicaid Managed Care	$34.93

MINI BUNION 3.0X22MM SCREW LK

Facility

$1,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270693368
Hospital Revenue Code	278
Min. Negotiated Rate	$46.15
Max. Negotiated Rate	$812.50
Rate for Payer: Aetna Commercial	$617.50
Rate for Payer: Aetna Medicare Advantage	$487.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$325.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$414.38
Rate for Payer: Cigna Commercial	$812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$393.25
Rate for Payer: Qualcare PPO/HMO/WC	$243.75
Rate for Payer: UnitedHealthcare Community & State	$51.35
Rate for Payer: Wellpoint Medicaid Managed Care	$46.15

MINI BUNION 3.0X22MM SCREW LK

Facility

$1,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270693368
Hospital Revenue Code	278
Min. Negotiated Rate	$243.75
Max. Negotiated Rate	$393.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$393.25
Rate for Payer: Qualcare PPO/HMO/WC	$243.75

MINI BUNION INSTRUMENT KIT

Facility

$1,475.00

Hospital Charge Code	270693366
Hospital Revenue Code	272
Min. Negotiated Rate	$41.89
Max. Negotiated Rate	$737.50
Rate for Payer: Aetna Commercial	$560.50
Rate for Payer: Aetna Medicare Advantage	$442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$376.12
Rate for Payer: Cigna Commercial	$737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$383.50
Rate for Payer: Oxford Commercial	$295.00
Rate for Payer: Qualcare PPO/HMO/WC	$221.25
Rate for Payer: UnitedHealthcare Commercial	$295.00
Rate for Payer: UnitedHealthcare Community & State	$46.61
Rate for Payer: Wellpoint Medicaid Managed Care	$41.89

MINI BUNION INSTRUMENT KIT

Facility

$1,475.00

Hospital Charge Code	270693366
Hospital Revenue Code	272
Min. Negotiated Rate	$221.25
Max. Negotiated Rate	$221.25
Rate for Payer: Qualcare PPO/HMO/WC	$221.25

MINI BUN NAIL 3.5MM OFFS SHORT

Facility

$9,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270690787
Hospital Revenue Code	278
Min. Negotiated Rate	$269.09
Max. Negotiated Rate	$4,737.50
Rate for Payer: Aetna Commercial	$3,600.50
Rate for Payer: Aetna Medicare Advantage	$2,842.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,416.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,416.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,895.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,416.12
Rate for Payer: Cigna Commercial	$4,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,292.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,421.25
Rate for Payer: UnitedHealthcare Community & State	$299.41
Rate for Payer: Wellpoint Medicaid Managed Care	$269.09

MINI BUN NAIL 3.5MM OFFS SHORT

Facility

$9,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270690787
Hospital Revenue Code	278
Min. Negotiated Rate	$1,421.25
Max. Negotiated Rate	$2,292.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,895.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,292.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,421.25

MINI C-ARM

Facility

$38.00

Hospital Charge Code	270339107
Hospital Revenue Code	272
Min. Negotiated Rate	$5.70
Max. Negotiated Rate	$5.70
Rate for Payer: Qualcare PPO/HMO/WC	$5.70

MINI C-ARM

Facility

$38.00

Hospital Charge Code	270339107
Hospital Revenue Code	272
Min. Negotiated Rate	$1.08
Max. Negotiated Rate	$19.00
Rate for Payer: Aetna Commercial	$14.44
Rate for Payer: Aetna Medicare Advantage	$11.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.69
Rate for Payer: Cigna Commercial	$19.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.88
Rate for Payer: Oxford Commercial	$7.60
Rate for Payer: Qualcare PPO/HMO/WC	$5.70
Rate for Payer: UnitedHealthcare Commercial	$7.60
Rate for Payer: UnitedHealthcare Community & State	$1.20
Rate for Payer: Wellpoint Medicaid Managed Care	$1.08

MINI FRAGMENT PLATES

Facility

$98.00

Hospital Charge Code	270335004
Hospital Revenue Code	278
Min. Negotiated Rate	$2.78
Max. Negotiated Rate	$49.00
Rate for Payer: Aetna Commercial	$37.24
Rate for Payer: Aetna Medicare Advantage	$29.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.99
Rate for Payer: Cigna Commercial	$49.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.72
Rate for Payer: Qualcare PPO/HMO/WC	$14.70
Rate for Payer: UnitedHealthcare Community & State	$3.10
Rate for Payer: Wellpoint Medicaid Managed Care	$2.78

MINI FRAGMENT PLATES

Facility

$98.00

Hospital Charge Code	270335004
Hospital Revenue Code	278
Min. Negotiated Rate	$14.70
Max. Negotiated Rate	$23.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.72
Rate for Payer: Qualcare PPO/HMO/WC	$14.70

MINI FRAGMENT SCREWS

Facility

$170.00

Hospital Charge Code	270335002
Hospital Revenue Code	278
Min. Negotiated Rate	$4.83
Max. Negotiated Rate	$85.00
Rate for Payer: Aetna Commercial	$64.60
Rate for Payer: Aetna Medicare Advantage	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.35
Rate for Payer: Cigna Commercial	$85.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.14
Rate for Payer: Qualcare PPO/HMO/WC	$25.50
Rate for Payer: UnitedHealthcare Community & State	$5.37
Rate for Payer: Wellpoint Medicaid Managed Care	$4.83

MINI FRAGMENT SCREWS

Facility

$170.00

Hospital Charge Code	270335002
Hospital Revenue Code	278
Min. Negotiated Rate	$25.50
Max. Negotiated Rate	$41.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.14
Rate for Payer: Qualcare PPO/HMO/WC	$25.50

MINI MONOKA TUBE

Facility

$183.00

Hospital Charge Code	270335549
Hospital Revenue Code	278
Min. Negotiated Rate	$27.45
Max. Negotiated Rate	$44.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.29
Rate for Payer: Qualcare PPO/HMO/WC	$27.45

MINI MONOKA TUBE

Facility

$183.00

Hospital Charge Code	270335549
Hospital Revenue Code	278
Min. Negotiated Rate	$5.20
Max. Negotiated Rate	$91.50
Rate for Payer: Aetna Commercial	$69.54
Rate for Payer: Aetna Medicare Advantage	$54.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.66
Rate for Payer: Cigna Commercial	$91.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.29
Rate for Payer: Qualcare PPO/HMO/WC	$27.45
Rate for Payer: UnitedHealthcare Community & State	$5.78
Rate for Payer: Wellpoint Medicaid Managed Care	$5.20

MINI STICK MAX 4FX10 CM STD NI

Facility

$800.00

Hospital Charge Code	270652561N
Hospital Revenue Code	272
Min. Negotiated Rate	$22.72
Max. Negotiated Rate	$400.00
Rate for Payer: Aetna Commercial	$304.00
Rate for Payer: Aetna Medicare Advantage	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.00
Rate for Payer: Cigna Commercial	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$208.00
Rate for Payer: Oxford Commercial	$160.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00
Rate for Payer: UnitedHealthcare Commercial	$160.00
Rate for Payer: UnitedHealthcare Community & State	$25.28
Rate for Payer: Wellpoint Medicaid Managed Care	$22.72

MINI STICK MAX 4FX10 CM STD NI

Facility

$800.00

Hospital Charge Code	270652561N
Hospital Revenue Code	272
Min. Negotiated Rate	$120.00
Max. Negotiated Rate	$120.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00

MINI STICK MAX 4FX10 CM STD NI

Facility

$800.00

Hospital Charge Code	270652561
Hospital Revenue Code	272
Min. Negotiated Rate	$22.72
Max. Negotiated Rate	$400.00
Rate for Payer: Aetna Commercial	$304.00
Rate for Payer: Aetna Medicare Advantage	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.00
Rate for Payer: Cigna Commercial	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$208.00
Rate for Payer: Oxford Commercial	$160.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00
Rate for Payer: UnitedHealthcare Commercial	$160.00
Rate for Payer: UnitedHealthcare Community & State	$25.28
Rate for Payer: Wellpoint Medicaid Managed Care	$22.72

Know your out-of-pocket cost for care.

All Charges