Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

NAIL TIBIA 7.5MM X 280MM

Facility

$20,600.00

Service Code	HCPCS C1713
Hospital Charge Code	270705499
Hospital Revenue Code	278
Min. Negotiated Rate	$585.04
Max. Negotiated Rate	$10,300.00
Rate for Payer: Aetna Commercial	$7,828.00
Rate for Payer: Aetna Medicare Advantage	$6,180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,253.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,253.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,253.00
Rate for Payer: Cigna Commercial	$10,300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,985.20
Rate for Payer: Qualcare PPO/HMO/WC	$3,090.00
Rate for Payer: UnitedHealthcare Community & State	$650.96
Rate for Payer: Wellpoint Medicaid Managed Care	$585.04

NAIL TIBIA 7.5MM X 280MM

Facility

$20,600.00

Service Code	HCPCS C1713
Hospital Charge Code	270705499
Hospital Revenue Code	278
Min. Negotiated Rate	$3,090.00
Max. Negotiated Rate	$4,985.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,985.20
Rate for Payer: Qualcare PPO/HMO/WC	$3,090.00

NAIL TIBIAL 10x330mm

Facility

$5,586.00

Hospital Charge Code	270652816
Hospital Revenue Code	278
Min. Negotiated Rate	$158.64
Max. Negotiated Rate	$2,793.00
Rate for Payer: Aetna Commercial	$2,122.68
Rate for Payer: Aetna Medicare Advantage	$1,675.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,424.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,424.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,117.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,424.43
Rate for Payer: Cigna Commercial	$2,793.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,351.81
Rate for Payer: Qualcare PPO/HMO/WC	$837.90
Rate for Payer: UnitedHealthcare Community & State	$176.52
Rate for Payer: Wellpoint Medicaid Managed Care	$158.64

NAIL TIBIAL 10x330mm

Facility

$5,586.00

Hospital Charge Code	270652816
Hospital Revenue Code	278
Min. Negotiated Rate	$837.90
Max. Negotiated Rate	$1,351.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,117.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,351.81
Rate for Payer: Qualcare PPO/HMO/WC	$837.90

NAIL TIBIAL 10X330 MM

Facility

$13,580.00

Service Code	HCPCS C1713
Hospital Charge Code	270703692
Hospital Revenue Code	278
Min. Negotiated Rate	$2,037.00
Max. Negotiated Rate	$3,286.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,716.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,286.36
Rate for Payer: Qualcare PPO/HMO/WC	$2,037.00

NAIL TIBIAL 10X330 MM

Facility

$13,580.00

Service Code	HCPCS C1713
Hospital Charge Code	270703692
Hospital Revenue Code	278
Min. Negotiated Rate	$385.67
Max. Negotiated Rate	$6,790.00
Rate for Payer: Aetna Commercial	$5,160.40
Rate for Payer: Aetna Medicare Advantage	$4,074.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,462.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,462.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,716.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,462.90
Rate for Payer: Cigna Commercial	$6,790.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,286.36
Rate for Payer: Qualcare PPO/HMO/WC	$2,037.00
Rate for Payer: UnitedHealthcare Community & State	$429.13
Rate for Payer: Wellpoint Medicaid Managed Care	$385.67

NAIL TIBIAL 10X345MM

Facility

$8,297.00

Service Code	HCPCS C1713
Hospital Charge Code	270696024
Hospital Revenue Code	278
Min. Negotiated Rate	$235.63
Max. Negotiated Rate	$4,148.50
Rate for Payer: Aetna Commercial	$3,152.86
Rate for Payer: Aetna Medicare Advantage	$2,489.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,115.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,115.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,659.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,115.74
Rate for Payer: Cigna Commercial	$4,148.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,007.87
Rate for Payer: Qualcare PPO/HMO/WC	$1,244.55
Rate for Payer: UnitedHealthcare Community & State	$262.19
Rate for Payer: Wellpoint Medicaid Managed Care	$235.63

NAIL TIBIAL 10X345MM

Facility

$8,297.00

Service Code	HCPCS C1713
Hospital Charge Code	270696024
Hospital Revenue Code	278
Min. Negotiated Rate	$1,244.55
Max. Negotiated Rate	$2,007.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,659.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,007.87
Rate for Payer: Qualcare PPO/HMO/WC	$1,244.55

NAIL TIBIAL 9X300MM

Facility

$20,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270700305
Hospital Revenue Code	278
Min. Negotiated Rate	$3,000.00
Max. Negotiated Rate	$4,840.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,840.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,000.00

NAIL TIBIAL 9X300MM

Facility

$20,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270700305
Hospital Revenue Code	278
Min. Negotiated Rate	$568.00
Max. Negotiated Rate	$10,000.00
Rate for Payer: Aetna Commercial	$7,600.00
Rate for Payer: Aetna Medicare Advantage	$6,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,100.00
Rate for Payer: Cigna Commercial	$10,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,840.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,000.00
Rate for Payer: UnitedHealthcare Community & State	$632.00
Rate for Payer: Wellpoint Medicaid Managed Care	$568.00

NAIL TIBIAL 9X390

Facility

$8,240.00

Service Code	HCPCS C1713
Hospital Charge Code	270672757
Hospital Revenue Code	278
Min. Negotiated Rate	$1,236.00
Max. Negotiated Rate	$1,994.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,648.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,994.08
Rate for Payer: Qualcare PPO/HMO/WC	$1,236.00

NAIL TIBIAL 9X390

Facility

$8,240.00

Service Code	HCPCS C1713
Hospital Charge Code	270672757
Hospital Revenue Code	278
Min. Negotiated Rate	$234.02
Max. Negotiated Rate	$4,120.00
Rate for Payer: Aetna Commercial	$3,131.20
Rate for Payer: Aetna Medicare Advantage	$2,472.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,101.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,101.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,648.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,101.20
Rate for Payer: Cigna Commercial	$4,120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,994.08
Rate for Payer: Qualcare PPO/HMO/WC	$1,236.00
Rate for Payer: UnitedHealthcare Community & State	$260.38
Rate for Payer: Wellpoint Medicaid Managed Care	$234.02

NAIL TIBIAL IM LKG TI 9X330MM

Facility

$6,950.00

Service Code	HCPCS C1713
Hospital Charge Code	270697855
Hospital Revenue Code	278
Min. Negotiated Rate	$1,042.50
Max. Negotiated Rate	$1,681.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,390.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,681.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,042.50

NAIL TIBIAL IM LKG TI 9X330MM

Facility

$6,950.00

Service Code	HCPCS C1713
Hospital Charge Code	270697855
Hospital Revenue Code	278
Min. Negotiated Rate	$197.38
Max. Negotiated Rate	$3,475.00
Rate for Payer: Aetna Commercial	$2,641.00
Rate for Payer: Aetna Medicare Advantage	$2,085.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,772.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,772.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,390.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,772.25
Rate for Payer: Cigna Commercial	$3,475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,681.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,042.50
Rate for Payer: UnitedHealthcare Community & State	$219.62
Rate for Payer: Wellpoint Medicaid Managed Care	$197.38

NAIL TIBIAL LOCKING 10.5X360MM

Facility

$8,225.00

Service Code	HCPCS C1713
Hospital Charge Code	270646651
Hospital Revenue Code	278
Min. Negotiated Rate	$233.59
Max. Negotiated Rate	$4,112.50
Rate for Payer: Aetna Commercial	$3,125.50
Rate for Payer: Aetna Medicare Advantage	$2,467.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,097.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,097.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,645.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,097.38
Rate for Payer: Cigna Commercial	$4,112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,990.45
Rate for Payer: Qualcare PPO/HMO/WC	$1,233.75
Rate for Payer: UnitedHealthcare Community & State	$259.91
Rate for Payer: Wellpoint Medicaid Managed Care	$233.59

NAIL TIBIAL LOCKING 10.5X360MM

Facility

$8,225.00

Service Code	HCPCS C1713
Hospital Charge Code	270646651
Hospital Revenue Code	278
Min. Negotiated Rate	$1,233.75
Max. Negotiated Rate	$1,990.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,645.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,990.45
Rate for Payer: Qualcare PPO/HMO/WC	$1,233.75

NAIL TIBIAL PHOENIX 9X350MM

Facility

$6,950.00

Service Code	HCPCS C1713
Hospital Charge Code	270697752
Hospital Revenue Code	278
Min. Negotiated Rate	$197.38
Max. Negotiated Rate	$3,475.00
Rate for Payer: Aetna Commercial	$2,641.00
Rate for Payer: Aetna Medicare Advantage	$2,085.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,772.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,772.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,390.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,772.25
Rate for Payer: Cigna Commercial	$3,475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,681.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,042.50
Rate for Payer: UnitedHealthcare Community & State	$219.62
Rate for Payer: Wellpoint Medicaid Managed Care	$197.38

NAIL TIBIAL PHOENIX 9X350MM

Facility

$6,950.00

Service Code	HCPCS C1713
Hospital Charge Code	270697752
Hospital Revenue Code	278
Min. Negotiated Rate	$1,042.50
Max. Negotiated Rate	$1,681.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,390.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,681.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,042.50

NAIL TIBIAL PROX BEND 9x315mm

Facility

$6,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270671293
Hospital Revenue Code	278
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$1,452.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

NAIL TIBIAL PROX BEND 9x315mm

Facility

$6,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270671293
Hospital Revenue Code	278
Min. Negotiated Rate	$170.40
Max. Negotiated Rate	$3,000.00
Rate for Payer: Aetna Commercial	$2,280.00
Rate for Payer: Aetna Medicare Advantage	$1,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,530.00
Rate for Payer: Cigna Commercial	$3,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00
Rate for Payer: UnitedHealthcare Community & State	$189.60
Rate for Payer: Wellpoint Medicaid Managed Care	$170.40

NAIL TIBIAL PROX BEND 9x330mm

Facility

$6,180.00

Service Code	HCPCS C1713
Hospital Charge Code	270671305
Hospital Revenue Code	278
Min. Negotiated Rate	$927.00
Max. Negotiated Rate	$1,495.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,236.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,495.56
Rate for Payer: Qualcare PPO/HMO/WC	$927.00

NAIL TIBIAL PROX BEND 9x330mm

Facility

$6,180.00

Service Code	HCPCS C1713
Hospital Charge Code	270671305
Hospital Revenue Code	278
Min. Negotiated Rate	$175.51
Max. Negotiated Rate	$3,090.00
Rate for Payer: Aetna Commercial	$2,348.40
Rate for Payer: Aetna Medicare Advantage	$1,854.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,575.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,575.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,236.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,575.90
Rate for Payer: Cigna Commercial	$3,090.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,495.56
Rate for Payer: Qualcare PPO/HMO/WC	$927.00
Rate for Payer: UnitedHealthcare Community & State	$195.29
Rate for Payer: Wellpoint Medicaid Managed Care	$175.51

NAIL TIBIAL STANDARD 9X345MM

Facility

$11,410.00

Hospital Charge Code	270668416
Hospital Revenue Code	278
Min. Negotiated Rate	$324.04
Max. Negotiated Rate	$5,705.00
Rate for Payer: Aetna Commercial	$4,335.80
Rate for Payer: Aetna Medicare Advantage	$3,423.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,909.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,909.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,282.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,909.55
Rate for Payer: Cigna Commercial	$5,705.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,761.22
Rate for Payer: Qualcare PPO/HMO/WC	$1,711.50
Rate for Payer: UnitedHealthcare Community & State	$360.56
Rate for Payer: Wellpoint Medicaid Managed Care	$324.04

NAIL TIBIAL STANDARD 9X345MM

Facility

$11,410.00

Hospital Charge Code	270668416
Hospital Revenue Code	278
Min. Negotiated Rate	$1,711.50
Max. Negotiated Rate	$2,761.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,282.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,761.22
Rate for Payer: Qualcare PPO/HMO/WC	$1,711.50

NAIL TIBIAL STRD 9x285mm

Facility

$7,913.50

Hospital Charge Code	270671681
Hospital Revenue Code	278
Min. Negotiated Rate	$1,187.03
Max. Negotiated Rate	$1,915.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,582.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,915.07
Rate for Payer: Qualcare PPO/HMO/WC	$1,187.03

Know your out-of-pocket cost for care.

All Charges