Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

PIN 2.4MM

Facility

$1,485.00

Hospital Charge Code	270684912
Hospital Revenue Code	272
Min. Negotiated Rate	$222.75
Max. Negotiated Rate	$222.75
Rate for Payer: Qualcare PPO/HMO/WC	$222.75

PIN 3.0MM THREADED 305MM

Facility

$470.00

Hospital Charge Code	270661012
Hospital Revenue Code	278
Min. Negotiated Rate	$13.35
Max. Negotiated Rate	$235.00
Rate for Payer: Aetna Commercial	$178.60
Rate for Payer: Aetna Medicare Advantage	$141.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$94.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$119.85
Rate for Payer: Cigna Commercial	$235.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.74
Rate for Payer: Qualcare PPO/HMO/WC	$70.50
Rate for Payer: UnitedHealthcare Community & State	$14.85
Rate for Payer: Wellpoint Medicaid Managed Care	$13.35

PIN 3.0MM THREADED 305MM

Facility

$470.00

Hospital Charge Code	270661012
Hospital Revenue Code	278
Min. Negotiated Rate	$70.50
Max. Negotiated Rate	$113.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$94.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.74
Rate for Payer: Qualcare PPO/HMO/WC	$70.50

PIN 40 X 110MM

Facility

$676.00

Service Code	HCPCS C1713
Hospital Charge Code	270691972
Hospital Revenue Code	278
Min. Negotiated Rate	$19.20
Max. Negotiated Rate	$338.00
Rate for Payer: Aetna Commercial	$256.88
Rate for Payer: Aetna Medicare Advantage	$202.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$172.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$172.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$135.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$172.38
Rate for Payer: Cigna Commercial	$338.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$163.59
Rate for Payer: Qualcare PPO/HMO/WC	$101.40
Rate for Payer: UnitedHealthcare Community & State	$21.36
Rate for Payer: Wellpoint Medicaid Managed Care	$19.20

PIN 40 X 110MM

Facility

$676.00

Service Code	HCPCS C1713
Hospital Charge Code	270691972
Hospital Revenue Code	278
Min. Negotiated Rate	$101.40
Max. Negotiated Rate	$163.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$135.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$163.59
Rate for Payer: Qualcare PPO/HMO/WC	$101.40

PIN ANKLE 4x150MM

Facility

$650.00

Service Code	HCPCS C1713
Hospital Charge Code	270677300
Hospital Revenue Code	278
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$157.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.30
Rate for Payer: Qualcare PPO/HMO/WC	$97.50

PIN ANKLE 4x150MM

Facility

$650.00

Service Code	HCPCS C1713
Hospital Charge Code	270677300
Hospital Revenue Code	278
Min. Negotiated Rate	$18.46
Max. Negotiated Rate	$325.00
Rate for Payer: Aetna Commercial	$247.00
Rate for Payer: Aetna Medicare Advantage	$195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$165.75
Rate for Payer: Cigna Commercial	$325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.30
Rate for Payer: Qualcare PPO/HMO/WC	$97.50
Rate for Payer: UnitedHealthcare Community & State	$20.54
Rate for Payer: Wellpoint Medicaid Managed Care	$18.46

PIN ANKLE 5x200MM

Facility

$650.00

Service Code	HCPCS C1713
Hospital Charge Code	270677298
Hospital Revenue Code	278
Min. Negotiated Rate	$18.46
Max. Negotiated Rate	$325.00
Rate for Payer: Aetna Commercial	$247.00
Rate for Payer: Aetna Medicare Advantage	$195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$165.75
Rate for Payer: Cigna Commercial	$325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.30
Rate for Payer: Qualcare PPO/HMO/WC	$97.50
Rate for Payer: UnitedHealthcare Community & State	$20.54
Rate for Payer: Wellpoint Medicaid Managed Care	$18.46

PIN ANKLE 5x200MM

Facility

$650.00

Service Code	HCPCS C1713
Hospital Charge Code	270677298
Hospital Revenue Code	278
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$157.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.30
Rate for Payer: Qualcare PPO/HMO/WC	$97.50

PIN ANKLE FIXAT TM 5X200X80MM

Facility

$600.00

Service Code	HCPCS C1713
Hospital Charge Code	270695545
Hospital Revenue Code	278
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$145.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

PIN ANKLE FIXAT TM 5X200X80MM

Facility

$600.00

Service Code	HCPCS C1713
Hospital Charge Code	270695545
Hospital Revenue Code	278
Min. Negotiated Rate	$17.04
Max. Negotiated Rate	$300.00
Rate for Payer: Aetna Commercial	$228.00
Rate for Payer: Aetna Medicare Advantage	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.00
Rate for Payer: Cigna Commercial	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$90.00
Rate for Payer: UnitedHealthcare Community & State	$18.96
Rate for Payer: Wellpoint Medicaid Managed Care	$17.04

PIN APEX 5X150

Facility

$1,075.00

Hospital Charge Code	270664938
Hospital Revenue Code	270
Min. Negotiated Rate	$30.53
Max. Negotiated Rate	$537.50
Rate for Payer: Aetna Commercial	$408.50
Rate for Payer: Aetna Medicare Advantage	$322.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$274.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$274.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$274.12
Rate for Payer: Cigna Commercial	$537.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$279.50
Rate for Payer: Oxford Commercial	$215.00
Rate for Payer: Qualcare PPO/HMO/WC	$161.25
Rate for Payer: UnitedHealthcare Commercial	$215.00
Rate for Payer: UnitedHealthcare Community & State	$33.97
Rate for Payer: Wellpoint Medicaid Managed Care	$30.53

PIN APEX 5X150

Facility

$1,075.00

Hospital Charge Code	270664938
Hospital Revenue Code	270
Min. Negotiated Rate	$161.25
Max. Negotiated Rate	$161.25
Rate for Payer: Qualcare PPO/HMO/WC	$161.25

PIN APEX BLUE 5MM

Facility

$355.00

Service Code	HCPCS C1713
Hospital Charge Code	270669478
Hospital Revenue Code	278
Min. Negotiated Rate	$10.08
Max. Negotiated Rate	$177.50
Rate for Payer: Aetna Commercial	$134.90
Rate for Payer: Aetna Medicare Advantage	$106.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$90.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$90.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$90.53
Rate for Payer: Cigna Commercial	$177.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.91
Rate for Payer: Qualcare PPO/HMO/WC	$53.25
Rate for Payer: UnitedHealthcare Community & State	$11.22
Rate for Payer: Wellpoint Medicaid Managed Care	$10.08

PIN APEX BLUE 5MM

Facility

$355.00

Service Code	HCPCS C1713
Hospital Charge Code	270669478
Hospital Revenue Code	278
Min. Negotiated Rate	$53.25
Max. Negotiated Rate	$85.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.91
Rate for Payer: Qualcare PPO/HMO/WC	$53.25

PIN APEX HALF S/D 4x120 30MM

Facility

$653.40

Service Code	HCPCS C1713
Hospital Charge Code	270647959
Hospital Revenue Code	278
Min. Negotiated Rate	$98.01
Max. Negotiated Rate	$158.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$158.12
Rate for Payer: Qualcare PPO/HMO/WC	$98.01

PIN APEX HALF S/D 4x120 30MM

Facility

$653.40

Service Code	HCPCS C1713
Hospital Charge Code	270647959
Hospital Revenue Code	278
Min. Negotiated Rate	$18.56
Max. Negotiated Rate	$326.70
Rate for Payer: Aetna Commercial	$248.29
Rate for Payer: Aetna Medicare Advantage	$196.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$166.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$166.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$166.62
Rate for Payer: Cigna Commercial	$326.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$158.12
Rate for Payer: Qualcare PPO/HMO/WC	$98.01
Rate for Payer: UnitedHealthcare Community & State	$20.65
Rate for Payer: Wellpoint Medicaid Managed Care	$18.56

PIN APEX HALF S/D 5x120 35MM

Facility

$811.80

Hospital Charge Code	270674577
Hospital Revenue Code	278
Min. Negotiated Rate	$121.77
Max. Negotiated Rate	$196.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.46
Rate for Payer: Qualcare PPO/HMO/WC	$121.77

PIN APEX HALF S/D 5x120 35MM

Facility

$811.80

Hospital Charge Code	270674577
Hospital Revenue Code	278
Min. Negotiated Rate	$23.06
Max. Negotiated Rate	$405.90
Rate for Payer: Aetna Commercial	$308.48
Rate for Payer: Aetna Medicare Advantage	$243.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$207.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$207.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$207.01
Rate for Payer: Cigna Commercial	$405.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.46
Rate for Payer: Qualcare PPO/HMO/WC	$121.77
Rate for Payer: UnitedHealthcare Community & State	$25.65
Rate for Payer: Wellpoint Medicaid Managed Care	$23.06

PIN APEX HALF S/D 5x150 40MM

Facility

$811.80

Service Code	HCPCS C1713
Hospital Charge Code	270647997
Hospital Revenue Code	278
Min. Negotiated Rate	$121.77
Max. Negotiated Rate	$196.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.46
Rate for Payer: Qualcare PPO/HMO/WC	$121.77

PIN APEX HALF S/D 5x150 40MM

Facility

$811.80

Service Code	HCPCS C1713
Hospital Charge Code	270647997
Hospital Revenue Code	278
Min. Negotiated Rate	$23.06
Max. Negotiated Rate	$405.90
Rate for Payer: Aetna Commercial	$308.48
Rate for Payer: Aetna Medicare Advantage	$243.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$207.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$207.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$207.01
Rate for Payer: Cigna Commercial	$405.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.46
Rate for Payer: Qualcare PPO/HMO/WC	$121.77
Rate for Payer: UnitedHealthcare Community & State	$25.65
Rate for Payer: Wellpoint Medicaid Managed Care	$23.06

PIN APEX S/D 3 X 110 25 THR

Facility

$320.10

Hospital Charge Code	270702951
Hospital Revenue Code	278
Min. Negotiated Rate	$9.09
Max. Negotiated Rate	$160.05
Rate for Payer: Aetna Commercial	$121.64
Rate for Payer: Aetna Medicare Advantage	$96.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$64.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.63
Rate for Payer: Cigna Commercial	$160.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.46
Rate for Payer: Qualcare PPO/HMO/WC	$48.02
Rate for Payer: UnitedHealthcare Community & State	$10.12
Rate for Payer: Wellpoint Medicaid Managed Care	$9.09

PIN APEX S/D 3 X 110 25 THR

Facility

$320.10

Hospital Charge Code	270702951
Hospital Revenue Code	278
Min. Negotiated Rate	$48.02
Max. Negotiated Rate	$77.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$64.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.46
Rate for Payer: Qualcare PPO/HMO/WC	$48.02

PIN APEX SELF TAPPING 4X120MM

Facility

$885.00

Hospital Charge Code	270669062
Hospital Revenue Code	278
Min. Negotiated Rate	$132.75
Max. Negotiated Rate	$214.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$177.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.17
Rate for Payer: Qualcare PPO/HMO/WC	$132.75

PIN APEX SELF TAPPING 4X120MM

Facility

$885.00

Hospital Charge Code	270669062
Hospital Revenue Code	278
Min. Negotiated Rate	$25.13
Max. Negotiated Rate	$442.50
Rate for Payer: Aetna Commercial	$336.30
Rate for Payer: Aetna Medicare Advantage	$265.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$225.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$225.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$177.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$225.68
Rate for Payer: Cigna Commercial	$442.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.17
Rate for Payer: Qualcare PPO/HMO/WC	$132.75
Rate for Payer: UnitedHealthcare Community & State	$27.97
Rate for Payer: Wellpoint Medicaid Managed Care	$25.13

Know your out-of-pocket cost for care.

All Charges