Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

NAIL FIBULA LEFT 3.0X130MM

Facility

$14,975.00

Service Code	HCPCS C1776
Hospital Charge Code	270694818
Hospital Revenue Code	278
Min. Negotiated Rate	$2,246.25
Max. Negotiated Rate	$3,623.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,995.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,623.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,246.25

NAIL FIBULA LEFT 3.0X130MM

Facility

$14,975.00

Service Code	HCPCS C1776
Hospital Charge Code	270694818
Hospital Revenue Code	278
Min. Negotiated Rate	$425.29
Max. Negotiated Rate	$7,487.50
Rate for Payer: Aetna Commercial	$5,690.50
Rate for Payer: Aetna Medicare Advantage	$4,492.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,818.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,818.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,995.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,818.62
Rate for Payer: Cigna Commercial	$7,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,623.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,246.25
Rate for Payer: UnitedHealthcare Community & State	$473.21
Rate for Payer: Wellpoint Medicaid Managed Care	$425.29

NAIL FIXAT TRIM SYST 2.4X30MM

Facility

$11,685.00

Service Code	HCPCS C1713
Hospital Charge Code	270694442
Hospital Revenue Code	278
Min. Negotiated Rate	$331.85
Max. Negotiated Rate	$5,842.50
Rate for Payer: Aetna Commercial	$4,440.30
Rate for Payer: Aetna Medicare Advantage	$3,505.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,979.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,979.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,337.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,979.68
Rate for Payer: Cigna Commercial	$5,842.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,827.77
Rate for Payer: Qualcare PPO/HMO/WC	$1,752.75
Rate for Payer: UnitedHealthcare Community & State	$369.25
Rate for Payer: Wellpoint Medicaid Managed Care	$331.85

NAIL FIXAT TRIM SYST 2.4X30MM

Facility

$11,685.00

Service Code	HCPCS C1713
Hospital Charge Code	270694442
Hospital Revenue Code	278
Min. Negotiated Rate	$1,752.75
Max. Negotiated Rate	$2,827.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,337.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,827.77
Rate for Payer: Qualcare PPO/HMO/WC	$1,752.75

NAIL FRACTURE HIP 125 DEG 9X18

Facility

$6,750.00

Service Code	HCPCS C1716
Hospital Charge Code	270698453
Hospital Revenue Code	278
Min. Negotiated Rate	$1,012.50
Max. Negotiated Rate	$1,633.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,633.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50

NAIL FRACTURE HIP 125 DEG 9X18

Facility

$6,750.00

Service Code	HCPCS C1716
Hospital Charge Code	270698453
Hospital Revenue Code	278
Min. Negotiated Rate	$191.70
Max. Negotiated Rate	$2,166.34
Rate for Payer: Aetna Commercial	$1,624.38
Rate for Payer: Aetna Medicare Advantage	$1,934.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,166.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,166.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$597.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,166.34
Rate for Payer: Cigna Commercial	$1,197.08
Rate for Payer: Cigna Medicare Advantage	$597.20
Rate for Payer: Clover Medicare Advantage	$567.34
Rate for Payer: EmblemHealth Commercial	$1,791.60
Rate for Payer: Humana Medicare Advantage	$615.12
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$597.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,633.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50
Rate for Payer: UnitedHealthcare Community & State	$213.30
Rate for Payer: UnitedHealthcare Medicare Advantage	$597.20
Rate for Payer: Wellcare Medicare Advantage	$597.20
Rate for Payer: Wellpoint Medicaid Managed Care	$191.70

NAIL GAMMA 11X380MM 125D LT

Facility

$17,730.00

Service Code	HCPCS C1713
Hospital Charge Code	270698912
Hospital Revenue Code	278
Min. Negotiated Rate	$2,659.50
Max. Negotiated Rate	$4,290.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,546.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,290.66
Rate for Payer: Qualcare PPO/HMO/WC	$2,659.50

NAIL GAMMA 11X380MM 125D LT

Facility

$17,730.00

Service Code	HCPCS C1713
Hospital Charge Code	270698912
Hospital Revenue Code	278
Min. Negotiated Rate	$503.53
Max. Negotiated Rate	$8,865.00
Rate for Payer: Aetna Commercial	$6,737.40
Rate for Payer: Aetna Medicare Advantage	$5,319.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,521.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,521.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,546.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,521.15
Rate for Payer: Cigna Commercial	$8,865.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,290.66
Rate for Payer: Qualcare PPO/HMO/WC	$2,659.50
Rate for Payer: UnitedHealthcare Community & State	$560.27
Rate for Payer: Wellpoint Medicaid Managed Care	$503.53

NAIL GAMMA LONG LT11X360MM125D

Facility

$17,730.00

Service Code	HCPCS C1713
Hospital Charge Code	270700390
Hospital Revenue Code	278
Min. Negotiated Rate	$503.53
Max. Negotiated Rate	$8,865.00
Rate for Payer: Aetna Commercial	$6,737.40
Rate for Payer: Aetna Medicare Advantage	$5,319.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,521.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,521.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,546.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,521.15
Rate for Payer: Cigna Commercial	$8,865.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,290.66
Rate for Payer: Qualcare PPO/HMO/WC	$2,659.50
Rate for Payer: UnitedHealthcare Community & State	$560.27
Rate for Payer: Wellpoint Medicaid Managed Care	$503.53

NAIL GAMMA LONG LT11X360MM125D

Facility

$17,730.00

Service Code	HCPCS C1713
Hospital Charge Code	270700390
Hospital Revenue Code	278
Min. Negotiated Rate	$2,659.50
Max. Negotiated Rate	$4,290.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,546.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,290.66
Rate for Payer: Qualcare PPO/HMO/WC	$2,659.50

NAIL HINDFOOT 10X180MM TI RT

Facility

$5,786.75

Service Code	HCPCS C1713
Hospital Charge Code	270693255
Hospital Revenue Code	278
Min. Negotiated Rate	$164.34
Max. Negotiated Rate	$2,893.38
Rate for Payer: Aetna Commercial	$2,198.97
Rate for Payer: Aetna Medicare Advantage	$1,736.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,475.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,475.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,157.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,475.62
Rate for Payer: Cigna Commercial	$2,893.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,400.39
Rate for Payer: Qualcare PPO/HMO/WC	$868.01
Rate for Payer: UnitedHealthcare Community & State	$182.86
Rate for Payer: Wellpoint Medicaid Managed Care	$164.34

NAIL HINDFOOT 10X180MM TI RT

Facility

$5,786.75

Service Code	HCPCS C1713
Hospital Charge Code	270693255
Hospital Revenue Code	278
Min. Negotiated Rate	$868.01
Max. Negotiated Rate	$1,400.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,157.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,400.39
Rate for Payer: Qualcare PPO/HMO/WC	$868.01

NAIL HIP AFFIXUS 125 9MM 180MM

Facility

$6,925.00

Service Code	HCPCS C1713
Hospital Charge Code	270704258
Hospital Revenue Code	278
Min. Negotiated Rate	$196.67
Max. Negotiated Rate	$3,462.50
Rate for Payer: Aetna Commercial	$2,631.50
Rate for Payer: Aetna Medicare Advantage	$2,077.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,765.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,765.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,385.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,765.88
Rate for Payer: Cigna Commercial	$3,462.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,675.85
Rate for Payer: Qualcare PPO/HMO/WC	$1,038.75
Rate for Payer: UnitedHealthcare Community & State	$218.83
Rate for Payer: Wellpoint Medicaid Managed Care	$196.67

NAIL HIP AFFIXUS 125 9MM 180MM

Facility

$6,925.00

Service Code	HCPCS C1713
Hospital Charge Code	270704258
Hospital Revenue Code	278
Min. Negotiated Rate	$1,038.75
Max. Negotiated Rate	$1,675.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,385.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,675.85
Rate for Payer: Qualcare PPO/HMO/WC	$1,038.75

NAIL HIP FRACT 130DEG 11x180mm

Facility

$6,650.00

Service Code	HCPCS C1713
Hospital Charge Code	270673673
Hospital Revenue Code	278
Min. Negotiated Rate	$997.50
Max. Negotiated Rate	$1,609.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,330.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,609.30
Rate for Payer: Qualcare PPO/HMO/WC	$997.50

NAIL HIP FRACT 130DEG 11x180mm

Facility

$6,650.00

Service Code	HCPCS C1713
Hospital Charge Code	270673673
Hospital Revenue Code	278
Min. Negotiated Rate	$188.86
Max. Negotiated Rate	$3,325.00
Rate for Payer: Aetna Commercial	$2,527.00
Rate for Payer: Aetna Medicare Advantage	$1,995.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,695.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,695.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,330.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,695.75
Rate for Payer: Cigna Commercial	$3,325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,609.30
Rate for Payer: Qualcare PPO/HMO/WC	$997.50
Rate for Payer: UnitedHealthcare Community & State	$210.14
Rate for Payer: Wellpoint Medicaid Managed Care	$188.86

NAIL HIP FRACTURE 130 9X 80MM

Facility

$6,925.00

Service Code	HCPCS C1713
Hospital Charge Code	270687111
Hospital Revenue Code	278
Min. Negotiated Rate	$196.67
Max. Negotiated Rate	$3,462.50
Rate for Payer: Aetna Commercial	$2,631.50
Rate for Payer: Aetna Medicare Advantage	$2,077.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,765.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,765.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,385.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,765.88
Rate for Payer: Cigna Commercial	$3,462.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,675.85
Rate for Payer: Qualcare PPO/HMO/WC	$1,038.75
Rate for Payer: UnitedHealthcare Community & State	$218.83
Rate for Payer: Wellpoint Medicaid Managed Care	$196.67

NAIL HIP FRACTURE 130 9X 80MM

Facility

$6,925.00

Service Code	HCPCS C1713
Hospital Charge Code	270687111
Hospital Revenue Code	278
Min. Negotiated Rate	$1,038.75
Max. Negotiated Rate	$1,675.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,385.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,675.85
Rate for Payer: Qualcare PPO/HMO/WC	$1,038.75

NAIL HIP FX LEFT 125D11X360MM

Facility

$9,825.00

Service Code	HCPCS C1713
Hospital Charge Code	270695970
Hospital Revenue Code	278
Min. Negotiated Rate	$279.03
Max. Negotiated Rate	$4,912.50
Rate for Payer: Aetna Commercial	$3,733.50
Rate for Payer: Aetna Medicare Advantage	$2,947.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,505.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,505.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,965.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,505.38
Rate for Payer: Cigna Commercial	$4,912.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,377.65
Rate for Payer: Qualcare PPO/HMO/WC	$1,473.75
Rate for Payer: UnitedHealthcare Community & State	$310.47
Rate for Payer: Wellpoint Medicaid Managed Care	$279.03

NAIL HIP FX LEFT 125D11X360MM

Facility

$9,825.00

Service Code	HCPCS C1713
Hospital Charge Code	270695970
Hospital Revenue Code	278
Min. Negotiated Rate	$1,473.75
Max. Negotiated Rate	$2,377.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,965.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,377.65
Rate for Payer: Qualcare PPO/HMO/WC	$1,473.75

NAIL HUMERAL 7MM X 220 MM

Facility

$7,605.00

Hospital Charge Code	270667567
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 HUMERAL 7MM X 220 MM

Facility

$7,605.00

Hospital Charge Code	270667567
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 HUMERAL 7MM X 230 MM

Facility

$7,605.00

Hospital Charge Code	270667566
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 HUMERAL 7MM X 230 MM

Facility

$7,605.00

Hospital Charge Code	270667566
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 HUMERAL 7TI MULTIOC 240-S

Facility

$11,046.75

Service Code	HCPCS C1713
Hospital Charge Code	270694990
Hospital Revenue Code	278
Min. Negotiated Rate	$1,657.01
Max. Negotiated Rate	$2,673.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,209.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,673.31
Rate for Payer: Qualcare PPO/HMO/WC	$1,657.01

Know your out-of-pocket cost for care.

All Charges