Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

NAFCILLIN 2 G INJ

Facility

$102.04

Service Code	NDC 703910501
Hospital Charge Code	60627303
Hospital Revenue Code	250
Min. Negotiated Rate	$15.31
Max. Negotiated Rate	$15.31
Rate for Payer: Qualcare PPO/HMO/WC	$15.31

NAFCILLIN 2 G INJ

Facility

$102.04

Service Code	NDC 703910501
Hospital Charge Code	60627303
Hospital Revenue Code	250
Min. Negotiated Rate	$2.90
Max. Negotiated Rate	$51.02
Rate for Payer: Aetna Commercial	$38.78
Rate for Payer: Aetna Medicare Advantage	$30.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.02
Rate for Payer: Cigna Commercial	$51.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.53
Rate for Payer: Oxford Commercial	$20.41
Rate for Payer: Qualcare PPO/HMO/WC	$15.31
Rate for Payer: UnitedHealthcare Commercial	$20.41
Rate for Payer: UnitedHealthcare Community & State	$3.22
Rate for Payer: Wellpoint Medicaid Managed Care	$2.90

NAIL 10.5X90MM

Facility

$2,750.00

Hospital Charge Code	270702477
Hospital Revenue Code	278
Min. Negotiated Rate	$412.50
Max. Negotiated Rate	$665.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$665.50
Rate for Payer: Qualcare PPO/HMO/WC	$412.50

NAIL 10.5X90MM

Facility

$2,750.00

Hospital Charge Code	270702477
Hospital Revenue Code	278
Min. Negotiated Rate	$78.10
Max. Negotiated Rate	$1,375.00
Rate for Payer: Aetna Commercial	$1,045.00
Rate for Payer: Aetna Medicare Advantage	$825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$550.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$701.25
Rate for Payer: Cigna Commercial	$1,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$665.50
Rate for Payer: Qualcare PPO/HMO/WC	$412.50
Rate for Payer: UnitedHealthcare Community & State	$86.90
Rate for Payer: Wellpoint Medicaid Managed Care	$78.10

NAIL 5.5X20MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270705777
Hospital Revenue Code	278
Min. Negotiated Rate	$28.40
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$380.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00
Rate for Payer: UnitedHealthcare Community & State	$31.60
Rate for Payer: Wellpoint Medicaid Managed Care	$28.40

NAIL 5.5X20MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270705777
Hospital Revenue Code	278
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$242.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

NAIL ANKLE ARTHRO LF 11X150MM

Facility

$17,815.00

Service Code	HCPCS C1713
Hospital Charge Code	270670466
Hospital Revenue Code	278
Min. Negotiated Rate	$505.95
Max. Negotiated Rate	$8,907.50
Rate for Payer: Aetna Commercial	$6,769.70
Rate for Payer: Aetna Medicare Advantage	$5,344.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,542.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,542.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,563.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,542.82
Rate for Payer: Cigna Commercial	$8,907.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,311.23
Rate for Payer: Qualcare PPO/HMO/WC	$2,672.25
Rate for Payer: UnitedHealthcare Community & State	$562.95
Rate for Payer: Wellpoint Medicaid Managed Care	$505.95

NAIL ANKLE ARTHRO LF 11X150MM

Facility

$17,815.00

Service Code	HCPCS C1713
Hospital Charge Code	270670466
Hospital Revenue Code	278
Min. Negotiated Rate	$2,672.25
Max. Negotiated Rate	$4,311.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,563.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,311.23
Rate for Payer: Qualcare PPO/HMO/WC	$2,672.25

NAIL ANKLE LOCKING 11x180MM

Facility

$13,110.00

Service Code	HCPCS C1713
Hospital Charge Code	270672102
Hospital Revenue Code	278
Min. Negotiated Rate	$372.32
Max. Negotiated Rate	$6,555.00
Rate for Payer: Aetna Commercial	$4,981.80
Rate for Payer: Aetna Medicare Advantage	$3,933.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,343.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,343.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,622.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,343.05
Rate for Payer: Cigna Commercial	$6,555.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,172.62
Rate for Payer: Qualcare PPO/HMO/WC	$1,966.50
Rate for Payer: UnitedHealthcare Community & State	$414.28
Rate for Payer: Wellpoint Medicaid Managed Care	$372.32

NAIL ANKLE LOCKING 11x180MM

Facility

$13,110.00

Service Code	HCPCS C1713
Hospital Charge Code	270672102
Hospital Revenue Code	278
Min. Negotiated Rate	$1,966.50
Max. Negotiated Rate	$3,172.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,622.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,172.62
Rate for Payer: Qualcare PPO/HMO/WC	$1,966.50

NAIL ARTHRODES PANTA211X180MM

Facility

$39,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270699961
Hospital Revenue Code	278
Min. Negotiated Rate	$5,996.25
Max. Negotiated Rate	$9,673.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,995.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,673.95
Rate for Payer: Qualcare PPO/HMO/WC	$5,996.25

NAIL ARTHRODES PANTA211X180MM

Facility

$39,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270699961
Hospital Revenue Code	278
Min. Negotiated Rate	$1,135.29
Max. Negotiated Rate	$19,987.50
Rate for Payer: Aetna Commercial	$15,190.50
Rate for Payer: Aetna Medicare Advantage	$11,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,193.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,193.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,995.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10,193.62
Rate for Payer: Cigna Commercial	$19,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,673.95
Rate for Payer: Qualcare PPO/HMO/WC	$5,996.25
Rate for Payer: UnitedHealthcare Community & State	$1,263.21
Rate for Payer: Wellpoint Medicaid Managed Care	$1,135.29

NAIL CANN PROX HUM 7.0x150mm

Facility

$7,605.00

Hospital Charge Code	270662823
Hospital Revenue Code	278
Min. Negotiated Rate	$215.98
Max. Negotiated Rate	$3,802.50
Rate for Payer: Aetna Commercial	$2,889.90
Rate for Payer: Aetna Medicare Advantage	$2,281.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,939.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,939.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,521.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,939.28
Rate for Payer: Cigna Commercial	$3,802.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,840.41
Rate for Payer: Qualcare PPO/HMO/WC	$1,140.75
Rate for Payer: UnitedHealthcare Community & State	$240.32
Rate for Payer: Wellpoint Medicaid Managed Care	$215.98

NAIL CANN PROX HUM 7.0x150mm

Facility

$7,605.00

Hospital Charge Code	270662823
Hospital Revenue Code	278
Min. Negotiated Rate	$1,140.75
Max. Negotiated Rate	$1,840.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,521.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,840.41
Rate for Payer: Qualcare PPO/HMO/WC	$1,140.75

NAIL ELASTIC TI 4.0MM 440MM

Facility

$1,656.00

Hospital Charge Code	270667308
Hospital Revenue Code	278
Min. Negotiated Rate	$47.03
Max. Negotiated Rate	$828.00
Rate for Payer: Aetna Commercial	$629.28
Rate for Payer: Aetna Medicare Advantage	$496.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$422.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$422.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$331.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$422.28
Rate for Payer: Cigna Commercial	$828.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$400.75
Rate for Payer: Qualcare PPO/HMO/WC	$248.40
Rate for Payer: UnitedHealthcare Community & State	$52.33
Rate for Payer: Wellpoint Medicaid Managed Care	$47.03

NAIL ELASTIC TI 4.0MM 440MM

Facility

$1,656.00

Hospital Charge Code	270667308
Hospital Revenue Code	278
Min. Negotiated Rate	$248.40
Max. Negotiated Rate	$400.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$331.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$400.75
Rate for Payer: Qualcare PPO/HMO/WC	$248.40

NAIL- EX 9MM TI HUMERAL

Facility

$7,836.00

Hospital Charge Code	270660909
Hospital Revenue Code	278
Min. Negotiated Rate	$222.54
Max. Negotiated Rate	$3,918.00
Rate for Payer: Aetna Commercial	$2,977.68
Rate for Payer: Aetna Medicare Advantage	$2,350.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,998.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,998.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,567.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,998.18
Rate for Payer: Cigna Commercial	$3,918.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,896.31
Rate for Payer: Qualcare PPO/HMO/WC	$1,175.40
Rate for Payer: UnitedHealthcare Community & State	$247.62
Rate for Payer: Wellpoint Medicaid Managed Care	$222.54

NAIL- EX 9MM TI HUMERAL

Facility

$7,836.00

Hospital Charge Code	270660909
Hospital Revenue Code	278
Min. Negotiated Rate	$1,175.40
Max. Negotiated Rate	$1,896.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,567.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,896.31
Rate for Payer: Qualcare PPO/HMO/WC	$1,175.40

NAIL EXTRACTOR TAP

Facility

$4,720.00

Hospital Charge Code	270672052
Hospital Revenue Code	272
Min. Negotiated Rate	$134.05
Max. Negotiated Rate	$2,360.00
Rate for Payer: Aetna Commercial	$1,793.60
Rate for Payer: Aetna Medicare Advantage	$1,416.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,203.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,203.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,203.60
Rate for Payer: Cigna Commercial	$2,360.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,227.20
Rate for Payer: Oxford Commercial	$944.00
Rate for Payer: Qualcare PPO/HMO/WC	$708.00
Rate for Payer: UnitedHealthcare Commercial	$944.00
Rate for Payer: UnitedHealthcare Community & State	$149.15
Rate for Payer: Wellpoint Medicaid Managed Care	$134.05

NAIL EXTRACTOR TAP

Facility

$4,720.00

Hospital Charge Code	270672052
Hospital Revenue Code	272
Min. Negotiated Rate	$708.00
Max. Negotiated Rate	$708.00
Rate for Payer: Qualcare PPO/HMO/WC	$708.00

NAIL FEMORAL 11 X 380 MM

Facility

$14,980.00

Hospital Charge Code	270669250
Hospital Revenue Code	278
Min. Negotiated Rate	$2,247.00
Max. Negotiated Rate	$3,625.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,996.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,625.16
Rate for Payer: Qualcare PPO/HMO/WC	$2,247.00

NAIL FEMORAL 11 X 380 MM

Facility

$14,980.00

Hospital Charge Code	270669250
Hospital Revenue Code	278
Min. Negotiated Rate	$425.43
Max. Negotiated Rate	$7,490.00
Rate for Payer: Aetna Commercial	$5,692.40
Rate for Payer: Aetna Medicare Advantage	$4,494.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,819.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,819.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,996.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,819.90
Rate for Payer: Cigna Commercial	$7,490.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,625.16
Rate for Payer: Qualcare PPO/HMO/WC	$2,247.00
Rate for Payer: UnitedHealthcare Community & State	$473.37
Rate for Payer: Wellpoint Medicaid Managed Care	$425.43

NAIL FEMORAL IM 14mm 34cm LT

Facility

$13,400.00

Service Code	HCPCS C1713
Hospital Charge Code	270632851
Hospital Revenue Code	278
Min. Negotiated Rate	$2,010.00
Max. Negotiated Rate	$3,242.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,680.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,242.80
Rate for Payer: Qualcare PPO/HMO/WC	$2,010.00

NAIL FEMORAL IM 14mm 34cm LT

Facility

$13,400.00

Service Code	HCPCS C1713
Hospital Charge Code	270632851
Hospital Revenue Code	278
Min. Negotiated Rate	$380.56
Max. Negotiated Rate	$6,700.00
Rate for Payer: Aetna Commercial	$5,092.00
Rate for Payer: Aetna Medicare Advantage	$4,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,417.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,417.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,680.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,417.00
Rate for Payer: Cigna Commercial	$6,700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,242.80
Rate for Payer: Qualcare PPO/HMO/WC	$2,010.00
Rate for Payer: UnitedHealthcare Community & State	$423.44
Rate for Payer: Wellpoint Medicaid Managed Care	$380.56

NAIL FEMORAL RETRO 9x340MM

Facility

$15,280.00

Service Code	HCPCS C1713
Hospital Charge Code	270677972
Hospital Revenue Code	278
Min. Negotiated Rate	$433.95
Max. Negotiated Rate	$7,640.00
Rate for Payer: Aetna Commercial	$5,806.40
Rate for Payer: Aetna Medicare Advantage	$4,584.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,896.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,896.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,056.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,896.40
Rate for Payer: Cigna Commercial	$7,640.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,697.76
Rate for Payer: Qualcare PPO/HMO/WC	$2,292.00
Rate for Payer: UnitedHealthcare Community & State	$482.85
Rate for Payer: Wellpoint Medicaid Managed Care	$433.95

Know your out-of-pocket cost for care.

All Charges