Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

PIN APEX STERILE 5MMx200MM

Facility

$930.00

Service Code	HCPCS C1713
Hospital Charge Code	270650708
Hospital Revenue Code	278
Min. Negotiated Rate	$139.50
Max. Negotiated Rate	$225.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$186.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.06
Rate for Payer: Qualcare PPO/HMO/WC	$139.50

PIN APEX STERILE 5MMx200MM

Facility

$930.00

Service Code	HCPCS C1713
Hospital Charge Code	270650708
Hospital Revenue Code	278
Min. Negotiated Rate	$26.41
Max. Negotiated Rate	$465.00
Rate for Payer: Aetna Commercial	$353.40
Rate for Payer: Aetna Medicare Advantage	$279.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$237.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$237.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$186.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$237.15
Rate for Payer: Cigna Commercial	$465.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.06
Rate for Payer: Qualcare PPO/HMO/WC	$139.50
Rate for Payer: UnitedHealthcare Community & State	$29.39
Rate for Payer: Wellpoint Medicaid Managed Care	$26.41

PIN APEX TRANSFIXING

Facility

$1,000.00

Hospital Charge Code	270664939
Hospital Revenue Code	270
Min. Negotiated Rate	$28.40
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$380.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$260.00
Rate for Payer: Oxford Commercial	$200.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00
Rate for Payer: UnitedHealthcare Commercial	$200.00
Rate for Payer: UnitedHealthcare Community & State	$31.60
Rate for Payer: Wellpoint Medicaid Managed Care	$28.40

PIN APEX TRANSFIXING

Facility

$1,000.00

Hospital Charge Code	270664939
Hospital Revenue Code	270
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

PINBALL JURGAN REF .045

Facility

$31.67

Hospital Charge Code	270601214
Hospital Revenue Code	272
Min. Negotiated Rate	$4.75
Max. Negotiated Rate	$4.75
Rate for Payer: Qualcare PPO/HMO/WC	$4.75

PINBALL JURGAN REF .045

Facility

$31.67

Hospital Charge Code	270601214
Hospital Revenue Code	272
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$15.84
Rate for Payer: Aetna Commercial	$12.03
Rate for Payer: Aetna Medicare Advantage	$9.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.08
Rate for Payer: Cigna Commercial	$15.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.23
Rate for Payer: Oxford Commercial	$6.33
Rate for Payer: Qualcare PPO/HMO/WC	$4.75
Rate for Payer: UnitedHealthcare Commercial	$6.33
Rate for Payer: UnitedHealthcare Community & State	$1.00
Rate for Payer: Wellpoint Medicaid Managed Care	$0.90

PINBALL JURGAN REF .062

Facility

$31.67

Hospital Charge Code	270601215
Hospital Revenue Code	272
Min. Negotiated Rate	$4.75
Max. Negotiated Rate	$4.75
Rate for Payer: Qualcare PPO/HMO/WC	$4.75

PINBALL JURGAN REF .062

Facility

$31.67

Hospital Charge Code	270601215
Hospital Revenue Code	272
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$15.84
Rate for Payer: Aetna Commercial	$12.03
Rate for Payer: Aetna Medicare Advantage	$9.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.08
Rate for Payer: Cigna Commercial	$15.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.23
Rate for Payer: Oxford Commercial	$6.33
Rate for Payer: Qualcare PPO/HMO/WC	$4.75
Rate for Payer: UnitedHealthcare Commercial	$6.33
Rate for Payer: UnitedHealthcare Community & State	$1.00
Rate for Payer: Wellpoint Medicaid Managed Care	$0.90

PIN BENDING 2.0MM LCP PLATE

Facility

$732.00

Hospital Charge Code	270676859
Hospital Revenue Code	272
Min. Negotiated Rate	$20.79
Max. Negotiated Rate	$366.00
Rate for Payer: Aetna Commercial	$278.16
Rate for Payer: Aetna Medicare Advantage	$219.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$186.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$186.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$186.66
Rate for Payer: Cigna Commercial	$366.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$190.32
Rate for Payer: Oxford Commercial	$146.40
Rate for Payer: Qualcare PPO/HMO/WC	$109.80
Rate for Payer: UnitedHealthcare Commercial	$146.40
Rate for Payer: UnitedHealthcare Community & State	$23.13
Rate for Payer: Wellpoint Medicaid Managed Care	$20.79

PIN BENDING 2.0MM LCP PLATE

Facility

$732.00

Hospital Charge Code	270676859
Hospital Revenue Code	272
Min. Negotiated Rate	$109.80
Max. Negotiated Rate	$109.80
Rate for Payer: Qualcare PPO/HMO/WC	$109.80

PIN BENDING 2.4MM LCKNG PLATE

Facility

$483.00

Hospital Charge Code	270676856
Hospital Revenue Code	272
Min. Negotiated Rate	$72.45
Max. Negotiated Rate	$72.45
Rate for Payer: Qualcare PPO/HMO/WC	$72.45

PIN BENDING 2.4MM LCKNG PLATE

Facility

$483.00

Hospital Charge Code	270676856
Hospital Revenue Code	272
Min. Negotiated Rate	$13.72
Max. Negotiated Rate	$241.50
Rate for Payer: Aetna Commercial	$183.54
Rate for Payer: Aetna Medicare Advantage	$144.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$123.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$123.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$123.17
Rate for Payer: Cigna Commercial	$241.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.58
Rate for Payer: Oxford Commercial	$96.60
Rate for Payer: Qualcare PPO/HMO/WC	$72.45
Rate for Payer: UnitedHealthcare Commercial	$96.60
Rate for Payer: UnitedHealthcare Community & State	$15.26
Rate for Payer: Wellpoint Medicaid Managed Care	$13.72

PIN BONE 3.2MM X 140MM

Facility

$340.00

Hospital Charge Code	270669172
Hospital Revenue Code	278
Min. Negotiated Rate	$51.00
Max. Negotiated Rate	$82.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$68.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.28
Rate for Payer: Qualcare PPO/HMO/WC	$51.00

PIN BONE 3.2MM X 140MM

Facility

$340.00

Hospital Charge Code	270669172
Hospital Revenue Code	278
Min. Negotiated Rate	$9.66
Max. Negotiated Rate	$170.00
Rate for Payer: Aetna Commercial	$129.20
Rate for Payer: Aetna Medicare Advantage	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$68.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.70
Rate for Payer: Cigna Commercial	$170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.28
Rate for Payer: Qualcare PPO/HMO/WC	$51.00
Rate for Payer: UnitedHealthcare Community & State	$10.74
Rate for Payer: Wellpoint Medicaid Managed Care	$9.66

PIN BONE 3.2MMX80MM

Facility

$340.00

Hospital Charge Code	270669173
Hospital Revenue Code	278
Min. Negotiated Rate	$51.00
Max. Negotiated Rate	$82.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$68.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.28
Rate for Payer: Qualcare PPO/HMO/WC	$51.00

PIN BONE 3.2MMX80MM

Facility

$340.00

Hospital Charge Code	270669173
Hospital Revenue Code	278
Min. Negotiated Rate	$9.66
Max. Negotiated Rate	$170.00
Rate for Payer: Aetna Commercial	$129.20
Rate for Payer: Aetna Medicare Advantage	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$68.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.70
Rate for Payer: Cigna Commercial	$170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.28
Rate for Payer: Qualcare PPO/HMO/WC	$51.00
Rate for Payer: UnitedHealthcare Community & State	$10.74
Rate for Payer: Wellpoint Medicaid Managed Care	$9.66

PIN BONE 4x140MM

Facility

$1,010.00

Service Code	HCPCS C1713
Hospital Charge Code	270676364
Hospital Revenue Code	278
Min. Negotiated Rate	$151.50
Max. Negotiated Rate	$244.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$202.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$244.42
Rate for Payer: Qualcare PPO/HMO/WC	$151.50

PIN BONE 4x140MM

Facility

$1,010.00

Service Code	HCPCS C1713
Hospital Charge Code	270676364
Hospital Revenue Code	278
Min. Negotiated Rate	$28.68
Max. Negotiated Rate	$505.00
Rate for Payer: Aetna Commercial	$383.80
Rate for Payer: Aetna Medicare Advantage	$303.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$257.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$257.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$202.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$257.55
Rate for Payer: Cigna Commercial	$505.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$244.42
Rate for Payer: Qualcare PPO/HMO/WC	$151.50
Rate for Payer: UnitedHealthcare Community & State	$31.92
Rate for Payer: Wellpoint Medicaid Managed Care	$28.68

PIN BONE 4X140MM

Facility

$340.00

Service Code	HCPCS C1713
Hospital Charge Code	270668481
Hospital Revenue Code	278
Min. Negotiated Rate	$9.66
Max. Negotiated Rate	$170.00
Rate for Payer: Aetna Commercial	$129.20
Rate for Payer: Aetna Medicare Advantage	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$68.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.70
Rate for Payer: Cigna Commercial	$170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.28
Rate for Payer: Qualcare PPO/HMO/WC	$51.00
Rate for Payer: UnitedHealthcare Community & State	$10.74
Rate for Payer: Wellpoint Medicaid Managed Care	$9.66

PIN BONE 4X140MM

Facility

$340.00

Service Code	HCPCS C1713
Hospital Charge Code	270668481
Hospital Revenue Code	278
Min. Negotiated Rate	$51.00
Max. Negotiated Rate	$82.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$68.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.28
Rate for Payer: Qualcare PPO/HMO/WC	$51.00

PIN BONE 4x170MM

Facility

$1,010.00

Service Code	HCPCS C1713
Hospital Charge Code	270668611
Hospital Revenue Code	278
Min. Negotiated Rate	$151.50
Max. Negotiated Rate	$244.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$202.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$244.42
Rate for Payer: Qualcare PPO/HMO/WC	$151.50

PIN BONE 4x170MM

Facility

$1,010.00

Service Code	HCPCS C1713
Hospital Charge Code	270668611
Hospital Revenue Code	278
Min. Negotiated Rate	$28.68
Max. Negotiated Rate	$505.00
Rate for Payer: Aetna Commercial	$383.80
Rate for Payer: Aetna Medicare Advantage	$303.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$257.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$257.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$202.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$257.55
Rate for Payer: Cigna Commercial	$505.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$244.42
Rate for Payer: Qualcare PPO/HMO/WC	$151.50
Rate for Payer: UnitedHealthcare Community & State	$31.92
Rate for Payer: Wellpoint Medicaid Managed Care	$28.68

PIN BONE 4x80MM

Facility

$1,010.00

Hospital Charge Code	270676363
Hospital Revenue Code	278
Min. Negotiated Rate	$28.68
Max. Negotiated Rate	$505.00
Rate for Payer: Aetna Commercial	$383.80
Rate for Payer: Aetna Medicare Advantage	$303.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$257.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$257.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$202.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$257.55
Rate for Payer: Cigna Commercial	$505.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$244.42
Rate for Payer: Qualcare PPO/HMO/WC	$151.50
Rate for Payer: UnitedHealthcare Community & State	$31.92
Rate for Payer: Wellpoint Medicaid Managed Care	$28.68

PIN BONE 4x80MM

Facility

$1,010.00

Hospital Charge Code	270676363
Hospital Revenue Code	278
Min. Negotiated Rate	$151.50
Max. Negotiated Rate	$244.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$202.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$244.42
Rate for Payer: Qualcare PPO/HMO/WC	$151.50

PIN BONE 4X80MM

Facility

$340.00

Service Code	HCPCS C1713
Hospital Charge Code	270668480
Hospital Revenue Code	278
Min. Negotiated Rate	$9.66
Max. Negotiated Rate	$170.00
Rate for Payer: Aetna Commercial	$129.20
Rate for Payer: Aetna Medicare Advantage	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$68.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.70
Rate for Payer: Cigna Commercial	$170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.28
Rate for Payer: Qualcare PPO/HMO/WC	$51.00
Rate for Payer: UnitedHealthcare Community & State	$10.74
Rate for Payer: Wellpoint Medicaid Managed Care	$9.66

Know your out-of-pocket cost for care.

All Charges