Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

2.7MM LOCKING SCREW 16MM

Facility

$558.00

Hospital Charge Code	270665471
Hospital Revenue Code	278
Min. Negotiated Rate	$83.70
Max. Negotiated Rate	$135.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$111.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.04
Rate for Payer: Qualcare PPO/HMO/WC	$83.70

2.7MM LOCKING SCREW 18MM

Facility

$558.00

Service Code	HCPCS C1713
Hospital Charge Code	270665472
Hospital Revenue Code	278
Min. Negotiated Rate	$15.85
Max. Negotiated Rate	$279.00
Rate for Payer: Aetna Commercial	$212.04
Rate for Payer: Aetna Medicare Advantage	$167.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$142.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$142.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$111.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$142.29
Rate for Payer: Cigna Commercial	$279.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.04
Rate for Payer: Qualcare PPO/HMO/WC	$83.70
Rate for Payer: UnitedHealthcare Community & State	$17.63
Rate for Payer: Wellpoint Medicaid Managed Care	$15.85

2.7MM LOCKING SCREW 18MM

Facility

$558.00

Service Code	HCPCS C1713
Hospital Charge Code	270665472
Hospital Revenue Code	278
Min. Negotiated Rate	$83.70
Max. Negotiated Rate	$135.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$111.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.04
Rate for Payer: Qualcare PPO/HMO/WC	$83.70

2.7MM LOCKING SCREW 20MM

Facility

$558.00

Hospital Charge Code	270665473
Hospital Revenue Code	278
Min. Negotiated Rate	$15.85
Max. Negotiated Rate	$279.00
Rate for Payer: Aetna Commercial	$212.04
Rate for Payer: Aetna Medicare Advantage	$167.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$142.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$142.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$111.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$142.29
Rate for Payer: Cigna Commercial	$279.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.04
Rate for Payer: Qualcare PPO/HMO/WC	$83.70
Rate for Payer: UnitedHealthcare Community & State	$17.63
Rate for Payer: Wellpoint Medicaid Managed Care	$15.85

2.7MM LOCKING SCREW 20MM

Facility

$558.00

Hospital Charge Code	270665473
Hospital Revenue Code	278
Min. Negotiated Rate	$83.70
Max. Negotiated Rate	$135.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$111.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.04
Rate for Payer: Qualcare PPO/HMO/WC	$83.70

2.7MM LOCKING SCREW L16MM

Facility

$1,465.00

Service Code	HCPCS C1713
Hospital Charge Code	270704200
Hospital Revenue Code	278
Min. Negotiated Rate	$219.75
Max. Negotiated Rate	$354.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$293.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$354.53
Rate for Payer: Qualcare PPO/HMO/WC	$219.75

2.7MM LOCKING SCREW L16MM

Facility

$1,465.00

Service Code	HCPCS C1713
Hospital Charge Code	270704200
Hospital Revenue Code	278
Min. Negotiated Rate	$41.61
Max. Negotiated Rate	$732.50
Rate for Payer: Aetna Commercial	$556.70
Rate for Payer: Aetna Medicare Advantage	$439.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$373.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$373.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$293.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$373.57
Rate for Payer: Cigna Commercial	$732.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$354.53
Rate for Payer: Qualcare PPO/HMO/WC	$219.75
Rate for Payer: UnitedHealthcare Community & State	$46.29
Rate for Payer: Wellpoint Medicaid Managed Care	$41.61

2.7MM MEASURING DRILL SLEEVE

Facility

$550.00

Hospital Charge Code	270680676
Hospital Revenue Code	272
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$82.50
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

2.7MM MEASURING DRILL SLEEVE

Facility

$550.00

Hospital Charge Code	270680676
Hospital Revenue Code	272
Min. Negotiated Rate	$15.62
Max. Negotiated Rate	$275.00
Rate for Payer: Aetna Commercial	$209.00
Rate for Payer: Aetna Medicare Advantage	$165.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.00
Rate for Payer: Oxford Commercial	$110.00
Rate for Payer: Qualcare PPO/HMO/WC	$82.50
Rate for Payer: UnitedHealthcare Commercial	$110.00
Rate for Payer: UnitedHealthcare Community & State	$17.38
Rate for Payer: Wellpoint Medicaid Managed Care	$15.62

2.7MM VA-LOCKING CALCANEAL PLA

Facility

$4,690.00

Service Code	HCPCS C1713
Hospital Charge Code	270689446
Hospital Revenue Code	278
Min. Negotiated Rate	$703.50
Max. Negotiated Rate	$1,134.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$938.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,134.98
Rate for Payer: Qualcare PPO/HMO/WC	$703.50

2.7MM VA-LOCKING CALCANEAL PLA

Facility

$4,690.00

Service Code	HCPCS C1713
Hospital Charge Code	270689446
Hospital Revenue Code	278
Min. Negotiated Rate	$133.20
Max. Negotiated Rate	$2,345.00
Rate for Payer: Aetna Commercial	$1,782.20
Rate for Payer: Aetna Medicare Advantage	$1,407.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,195.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,195.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$938.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,195.95
Rate for Payer: Cigna Commercial	$2,345.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,134.98
Rate for Payer: Qualcare PPO/HMO/WC	$703.50
Rate for Payer: UnitedHealthcare Community & State	$148.20
Rate for Payer: Wellpoint Medicaid Managed Care	$133.20

2.7MM X 18MM CORTICAL SCREW

Facility

$225.00

Service Code	HCPCS C1713
Hospital Charge Code	270671909
Hospital Revenue Code	278
Min. Negotiated Rate	$6.39
Max. Negotiated Rate	$112.50
Rate for Payer: Aetna Commercial	$85.50
Rate for Payer: Aetna Medicare Advantage	$67.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.38
Rate for Payer: Cigna Commercial	$112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.45
Rate for Payer: Qualcare PPO/HMO/WC	$33.75
Rate for Payer: UnitedHealthcare Community & State	$7.11
Rate for Payer: Wellpoint Medicaid Managed Care	$6.39

2.7MM X 18MM CORTICAL SCREW

Facility

$225.00

Service Code	HCPCS C1713
Hospital Charge Code	270671909
Hospital Revenue Code	278
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$54.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.45
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

2.7 SCREW

Facility

$1,050.00

Hospital Charge Code	270339483
Hospital Revenue Code	278
Min. Negotiated Rate	$29.82
Max. Negotiated Rate	$525.00
Rate for Payer: Aetna Commercial	$399.00
Rate for Payer: Aetna Medicare Advantage	$315.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$267.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$267.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$267.75
Rate for Payer: Cigna Commercial	$525.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$254.10
Rate for Payer: Qualcare PPO/HMO/WC	$157.50
Rate for Payer: UnitedHealthcare Community & State	$33.18
Rate for Payer: Wellpoint Medicaid Managed Care	$29.82

2.7 SCREW

Facility

$1,050.00

Hospital Charge Code	270339483
Hospital Revenue Code	278
Min. Negotiated Rate	$157.50
Max. Negotiated Rate	$254.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$210.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$254.10
Rate for Payer: Qualcare PPO/HMO/WC	$157.50

2.7 STANDARD DRILL BIT

Facility

$775.15

Hospital Charge Code	270661358
Hospital Revenue Code	272
Min. Negotiated Rate	$22.01
Max. Negotiated Rate	$387.57
Rate for Payer: Aetna Commercial	$294.56
Rate for Payer: Aetna Medicare Advantage	$232.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.66
Rate for Payer: Cigna Commercial	$387.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$201.54
Rate for Payer: Oxford Commercial	$155.03
Rate for Payer: Qualcare PPO/HMO/WC	$116.27
Rate for Payer: UnitedHealthcare Commercial	$155.03
Rate for Payer: UnitedHealthcare Community & State	$24.49
Rate for Payer: Wellpoint Medicaid Managed Care	$22.01

2.7 STANDARD DRILL BIT

Facility

$775.15

Hospital Charge Code	270661358
Hospital Revenue Code	272
Min. Negotiated Rate	$116.27
Max. Negotiated Rate	$116.27
Rate for Payer: Qualcare PPO/HMO/WC	$116.27

2.7 VA LOCKING ANT PATELLA PL

Facility

$10,419.75

Service Code	HCPCS C1713
Hospital Charge Code	270697039
Hospital Revenue Code	278
Min. Negotiated Rate	$1,562.96
Max. Negotiated Rate	$2,521.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,083.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,521.58
Rate for Payer: Qualcare PPO/HMO/WC	$1,562.96

2.7 VA LOCKING ANT PATELLA PL

Facility

$10,419.75

Service Code	HCPCS C1713
Hospital Charge Code	270697039
Hospital Revenue Code	278
Min. Negotiated Rate	$295.92
Max. Negotiated Rate	$5,209.88
Rate for Payer: Aetna Commercial	$3,959.51
Rate for Payer: Aetna Medicare Advantage	$3,125.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,657.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,657.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,083.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,657.04
Rate for Payer: Cigna Commercial	$5,209.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,521.58
Rate for Payer: Qualcare PPO/HMO/WC	$1,562.96
Rate for Payer: UnitedHealthcare Community & State	$329.26
Rate for Payer: Wellpoint Medicaid Managed Care	$295.92

2.7 X 12MM SNAP OFF SCREW

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270687473
Hospital Revenue Code	278
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$181.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

2.7 X 12MM SNAP OFF SCREW

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270687473
Hospital Revenue Code	278
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Community & State	$23.70
Rate for Payer: Wellpoint Medicaid Managed Care	$21.30

2.7 X 18MM ANGELED TENFUSE

Facility

$5,390.00

Hospital Charge Code	270663811
Hospital Revenue Code	278
Min. Negotiated Rate	$153.08
Max. Negotiated Rate	$2,695.00
Rate for Payer: Aetna Commercial	$2,048.20
Rate for Payer: Aetna Medicare Advantage	$1,617.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,374.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,374.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,078.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,374.45
Rate for Payer: Cigna Commercial	$2,695.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,304.38
Rate for Payer: Qualcare PPO/HMO/WC	$808.50
Rate for Payer: UnitedHealthcare Community & State	$170.32
Rate for Payer: Wellpoint Medicaid Managed Care	$153.08

2.7 X 18MM ANGELED TENFUSE

Facility

$5,390.00

Hospital Charge Code	270663811
Hospital Revenue Code	278
Min. Negotiated Rate	$808.50
Max. Negotiated Rate	$1,304.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,078.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,304.38
Rate for Payer: Qualcare PPO/HMO/WC	$808.50

2.7 X 18MM SCREW

Facility

$1,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270656727
Hospital Revenue Code	278
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$302.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

2.7 X 18MM SCREW

Facility

$1,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270656727
Hospital Revenue Code	278
Min. Negotiated Rate	$35.50
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$475.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Community & State	$39.50
Rate for Payer: Wellpoint Medicaid Managed Care	$35.50

Know your out-of-pocket cost for care.

All Charges