Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

NAIL TIBIAL STRD 9x285mm

Facility

$7,913.50

Hospital Charge Code	270671681
Hospital Revenue Code	278
Min. Negotiated Rate	$224.74
Max. Negotiated Rate	$3,956.75
Rate for Payer: Aetna Commercial	$3,007.13
Rate for Payer: Aetna Medicare Advantage	$2,374.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,017.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,017.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,582.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,017.94
Rate for Payer: Cigna Commercial	$3,956.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,915.07
Rate for Payer: Qualcare PPO/HMO/WC	$1,187.03
Rate for Payer: UnitedHealthcare Community & State	$250.07
Rate for Payer: Wellpoint Medicaid Managed Care	$224.74

NAIL TIBIAL TI CANN 10x330mm

Facility

$6,000.00

Hospital Charge Code	270656596
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 TI CANN 10x330mm

Facility

$6,000.00

Hospital Charge Code	270656596
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 TI CANN 11x315mm

Facility

$6,000.00

Hospital Charge Code	270656598
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 TI CANN 11x315mm

Facility

$6,000.00

Hospital Charge Code	270656598
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 TI CANN 11x405mm

Facility

$6,000.00

Hospital Charge Code	270665479
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 TI CANN 11x405mm

Facility

$6,000.00

Hospital Charge Code	270665479
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 TI CANN 8X300mm

Facility

$6,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270669790
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 TI CANN 8X300mm

Facility

$6,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270669790
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 TI CANN 9x270mm

Facility

$6,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270659947
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 TI CANN 9x270mm

Facility

$6,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270659947
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

NAILTIBIALWPROXBEND9MM345MM

Facility

$6,180.00

Service Code	HCPCS C1713
Hospital Charge Code	270679275
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

NAILTIBIALWPROXBEND9MM345MM

Facility

$6,180.00

Service Code	HCPCS C1713
Hospital Charge Code	270679275
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 W/PROX BND 8x285MM

Facility

$6,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270673609
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 W/PROX BND 8x285MM

Facility

$6,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270673609
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 W/PROX BND 9x285MM

Facility

$6,180.00

Service Code	HCPCS C1713
Hospital Charge Code	270678604
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 W/PROX BND 9x285MM

Facility

$6,180.00

Service Code	HCPCS C1713
Hospital Charge Code	270678604
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 W/PROX BND 9x360MM

Facility

$6,180.00

Service Code	HCPCS C1713
Hospital Charge Code	270647420
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 W/PROX BND 9x360MM

Facility

$6,180.00

Service Code	HCPCS C1713
Hospital Charge Code	270647420
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 W/PRX BND 10x300MM

Facility

$6,180.00

Service Code	HCPCS C1713
Hospital Charge Code	270646674
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 W/PRX BND 10x300MM

Facility

$6,180.00

Service Code	HCPCS C1713
Hospital Charge Code	270646674
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 W/PRX BND 10x345MM

Facility

$6,365.40

Service Code	HCPCS C1713
Hospital Charge Code	270674374
Hospital Revenue Code	278
Min. Negotiated Rate	$954.81
Max. Negotiated Rate	$1,540.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,273.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,540.43
Rate for Payer: Qualcare PPO/HMO/WC	$954.81

NAIL TIBIAL W/PRX BND 10x345MM

Facility

$6,365.40

Service Code	HCPCS C1713
Hospital Charge Code	270674374
Hospital Revenue Code	278
Min. Negotiated Rate	$180.78
Max. Negotiated Rate	$3,182.70
Rate for Payer: Aetna Commercial	$2,418.85
Rate for Payer: Aetna Medicare Advantage	$1,909.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,623.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,623.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,273.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,623.18
Rate for Payer: Cigna Commercial	$3,182.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,540.43
Rate for Payer: Qualcare PPO/HMO/WC	$954.81
Rate for Payer: UnitedHealthcare Community & State	$201.15
Rate for Payer: Wellpoint Medicaid Managed Care	$180.78

NAIL TIBIAL W/PRX BND 10x360MM

Facility

$6,180.00

Service Code	HCPCS C1713
Hospital Charge Code	270672774
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 W/PRX BND 10x360MM

Facility

$6,180.00

Service Code	HCPCS C1713
Hospital Charge Code	270672774
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

Know your out-of-pocket cost for care.

All Charges