Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

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

NAIL HUMERAL 7 X 270MM

Facility

$9,120.35

Service Code	HCPCS C1713
Hospital Charge Code	270688208
Hospital Revenue Code	278
Min. Negotiated Rate	$259.02
Max. Negotiated Rate	$4,560.18
Rate for Payer: Aetna Commercial	$3,465.73
Rate for Payer: Aetna Medicare Advantage	$2,736.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,325.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,325.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,824.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,325.69
Rate for Payer: Cigna Commercial	$4,560.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,207.12
Rate for Payer: Qualcare PPO/HMO/WC	$1,368.05
Rate for Payer: UnitedHealthcare Community & State	$288.20
Rate for Payer: Wellpoint Medicaid Managed Care	$259.02

NAIL HUMERAL 7 X 270MM

Facility

$9,120.35

Service Code	HCPCS C1713
Hospital Charge Code	270688208
Hospital Revenue Code	278
Min. Negotiated Rate	$1,368.05
Max. Negotiated Rate	$2,207.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,824.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,207.12
Rate for Payer: Qualcare PPO/HMO/WC	$1,368.05

NAIL HUMERAL 8.5 MM LEFT 225 M

Facility

$975.00

Service Code	HCPCS C1713
Hospital Charge Code	270689085
Hospital Revenue Code	278
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$235.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.95
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

NAIL HUMERAL 8.5 MM LEFT 225 M

Facility

$975.00

Service Code	HCPCS C1713
Hospital Charge Code	270689085
Hospital Revenue Code	278
Min. Negotiated Rate	$27.69
Max. Negotiated Rate	$487.50
Rate for Payer: Aetna Commercial	$370.50
Rate for Payer: Aetna Medicare Advantage	$292.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.62
Rate for Payer: Cigna Commercial	$487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.95
Rate for Payer: Qualcare PPO/HMO/WC	$146.25
Rate for Payer: UnitedHealthcare Community & State	$30.81
Rate for Payer: Wellpoint Medicaid Managed Care	$27.69

NAIL HUMERAL PROX 8 .0

Facility

$8,003.10

Service Code	HCPCS C1713
Hospital Charge Code	270687425
Hospital Revenue Code	278
Min. Negotiated Rate	$1,200.46
Max. Negotiated Rate	$1,936.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,600.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,936.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,200.46

NAIL HUMERAL PROX 8 .0

Facility

$8,003.10

Service Code	HCPCS C1713
Hospital Charge Code	270687425
Hospital Revenue Code	278
Min. Negotiated Rate	$227.29
Max. Negotiated Rate	$4,001.55
Rate for Payer: Aetna Commercial	$3,041.18
Rate for Payer: Aetna Medicare Advantage	$2,400.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,040.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,040.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,600.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,040.79
Rate for Payer: Cigna Commercial	$4,001.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,936.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,200.46
Rate for Payer: UnitedHealthcare Community & State	$252.90
Rate for Payer: Wellpoint Medicaid Managed Care	$227.29

NAIL HUMERAL PROX RT 9.5x180MM

Facility

$8,003.10

Service Code	HCPCS C1713
Hospital Charge Code	270651079
Hospital Revenue Code	278
Min. Negotiated Rate	$227.29
Max. Negotiated Rate	$4,001.55
Rate for Payer: Aetna Commercial	$3,041.18
Rate for Payer: Aetna Medicare Advantage	$2,400.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,040.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,040.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,600.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,040.79
Rate for Payer: Cigna Commercial	$4,001.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,936.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,200.46
Rate for Payer: UnitedHealthcare Community & State	$252.90
Rate for Payer: Wellpoint Medicaid Managed Care	$227.29

NAIL HUMERAL PROX RT 9.5x180MM

Facility

$8,003.10

Service Code	HCPCS C1713
Hospital Charge Code	270651079
Hospital Revenue Code	278
Min. Negotiated Rate	$1,200.46
Max. Negotiated Rate	$1,936.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,600.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,936.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,200.46

NAIL HUMERAL RIGHT TI 8.5 MM 2

Facility

$9,120.20

Service Code	HCPCS C1713
Hospital Charge Code	270688995
Hospital Revenue Code	278
Min. Negotiated Rate	$1,368.03
Max. Negotiated Rate	$2,207.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,824.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,207.09
Rate for Payer: Qualcare PPO/HMO/WC	$1,368.03

NAIL HUMERAL RIGHT TI 8.5 MM 2

Facility

$9,120.20

Service Code	HCPCS C1713
Hospital Charge Code	270688995
Hospital Revenue Code	278
Min. Negotiated Rate	$259.01
Max. Negotiated Rate	$4,560.10
Rate for Payer: Aetna Commercial	$3,465.68
Rate for Payer: Aetna Medicare Advantage	$2,736.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,325.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,325.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,824.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,325.65
Rate for Payer: Cigna Commercial	$4,560.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,207.09
Rate for Payer: Qualcare PPO/HMO/WC	$1,368.03
Rate for Payer: UnitedHealthcare Community & State	$288.20
Rate for Payer: Wellpoint Medicaid Managed Care	$259.01

NAIL HUMERAL TI 7X180MM RT

Facility

$27,020.00

Service Code	HCPCS C1713
Hospital Charge Code	270700668
Hospital Revenue Code	278
Min. Negotiated Rate	$4,053.00
Max. Negotiated Rate	$6,538.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,404.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,538.84
Rate for Payer: Qualcare PPO/HMO/WC	$4,053.00

NAIL HUMERAL TI 7X180MM RT

Facility

$27,020.00

Service Code	HCPCS C1713
Hospital Charge Code	270700668
Hospital Revenue Code	278
Min. Negotiated Rate	$767.37
Max. Negotiated Rate	$13,510.00
Rate for Payer: Aetna Commercial	$10,267.60
Rate for Payer: Aetna Medicare Advantage	$8,106.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,890.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,890.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,404.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,890.10
Rate for Payer: Cigna Commercial	$13,510.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,538.84
Rate for Payer: Qualcare PPO/HMO/WC	$4,053.00
Rate for Payer: UnitedHealthcare Community & State	$853.83
Rate for Payer: Wellpoint Medicaid Managed Care	$767.37

NAIL HUMERUS UNIVERSAL 9X240MM

Facility

$6,525.00

Service Code	HCPCS C1713
Hospital Charge Code	270694627
Hospital Revenue Code	278
Min. Negotiated Rate	$978.75
Max. Negotiated Rate	$1,579.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,305.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,579.05
Rate for Payer: Qualcare PPO/HMO/WC	$978.75

NAIL HUMERUS UNIVERSAL 9X240MM

Facility

$6,525.00

Service Code	HCPCS C1713
Hospital Charge Code	270694627
Hospital Revenue Code	278
Min. Negotiated Rate	$185.31
Max. Negotiated Rate	$3,262.50
Rate for Payer: Aetna Commercial	$2,479.50
Rate for Payer: Aetna Medicare Advantage	$1,957.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,663.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,663.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,305.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,663.88
Rate for Payer: Cigna Commercial	$3,262.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,579.05
Rate for Payer: Qualcare PPO/HMO/WC	$978.75
Rate for Payer: UnitedHealthcare Community & State	$206.19
Rate for Payer: Wellpoint Medicaid Managed Care	$185.31

NAIL IM HIP RT 11X180MM 125D

Facility

$6,925.00

Service Code	HCPCS C1713
Hospital Charge Code	270650498
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 IM HIP RT 11X180MM 125D

Facility

$6,925.00

Service Code	HCPCS C1713
Hospital Charge Code	270650498
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 INSERT SLEEVE

Facility

$1,081.30

Hospital Charge Code	270703688
Hospital Revenue Code	272
Min. Negotiated Rate	$162.19
Max. Negotiated Rate	$162.19
Rate for Payer: Qualcare PPO/HMO/WC	$162.19

NAIL INSERT SLEEVE

Facility

$1,081.30

Hospital Charge Code	270703688
Hospital Revenue Code	272
Min. Negotiated Rate	$30.71
Max. Negotiated Rate	$540.65
Rate for Payer: Aetna Commercial	$410.89
Rate for Payer: Aetna Medicare Advantage	$324.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$275.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$275.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$275.73
Rate for Payer: Cigna Commercial	$540.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$281.14
Rate for Payer: Oxford Commercial	$216.26
Rate for Payer: Qualcare PPO/HMO/WC	$162.19
Rate for Payer: UnitedHealthcare Commercial	$216.26
Rate for Payer: UnitedHealthcare Community & State	$34.17
Rate for Payer: Wellpoint Medicaid Managed Care	$30.71

NAIL KIT LG R1.5 RT 10x360x125

Facility

$13,061.10

Service Code	HCPCS C1713
Hospital Charge Code	270671675
Hospital Revenue Code	278
Min. Negotiated Rate	$1,959.16
Max. Negotiated Rate	$3,160.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,612.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,160.79
Rate for Payer: Qualcare PPO/HMO/WC	$1,959.16

NAIL KIT LG R1.5 RT 10x360x125

Facility

$13,061.10

Service Code	HCPCS C1713
Hospital Charge Code	270671675
Hospital Revenue Code	278
Min. Negotiated Rate	$370.94
Max. Negotiated Rate	$6,530.55
Rate for Payer: Aetna Commercial	$4,963.22
Rate for Payer: Aetna Medicare Advantage	$3,918.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,330.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,330.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,612.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,330.58
Rate for Payer: Cigna Commercial	$6,530.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,160.79
Rate for Payer: Qualcare PPO/HMO/WC	$1,959.16
Rate for Payer: UnitedHealthcare Community & State	$412.73
Rate for Payer: Wellpoint Medicaid Managed Care	$370.94

NAIL KIT LONG R1.5 LF 10x340MM

Facility

$18,460.00

Service Code	HCPCS C1713
Hospital Charge Code	270672890
Hospital Revenue Code	278
Min. Negotiated Rate	$524.26
Max. Negotiated Rate	$9,230.00
Rate for Payer: Aetna Commercial	$7,014.80
Rate for Payer: Aetna Medicare Advantage	$5,538.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,707.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,707.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,692.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,707.30
Rate for Payer: Cigna Commercial	$9,230.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,467.32
Rate for Payer: Qualcare PPO/HMO/WC	$2,769.00
Rate for Payer: UnitedHealthcare Community & State	$583.34
Rate for Payer: Wellpoint Medicaid Managed Care	$524.26

NAIL KIT LONG R1.5 LF 10x340MM

Facility

$18,460.00

Service Code	HCPCS C1713
Hospital Charge Code	270672890
Hospital Revenue Code	278
Min. Negotiated Rate	$2,769.00
Max. Negotiated Rate	$4,467.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,692.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,467.32
Rate for Payer: Qualcare PPO/HMO/WC	$2,769.00

NAIL KIT R1.5 10X340MMX130

Facility

$18,460.00

Hospital Charge Code	270671000
Hospital Revenue Code	278
Min. Negotiated Rate	$2,769.00
Max. Negotiated Rate	$4,467.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,692.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,467.32
Rate for Payer: Qualcare PPO/HMO/WC	$2,769.00

NAIL KIT R1.5 10X340MMX130

Facility

$18,460.00

Hospital Charge Code	270671000
Hospital Revenue Code	278
Min. Negotiated Rate	$524.26
Max. Negotiated Rate	$9,230.00
Rate for Payer: Aetna Commercial	$7,014.80
Rate for Payer: Aetna Medicare Advantage	$5,538.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,707.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,707.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,692.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,707.30
Rate for Payer: Cigna Commercial	$9,230.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,467.32
Rate for Payer: Qualcare PPO/HMO/WC	$2,769.00
Rate for Payer: UnitedHealthcare Community & State	$583.34
Rate for Payer: Wellpoint Medicaid Managed Care	$524.26

Know your out-of-pocket cost for care.

All Charges