Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

PIN BONE 4X80MM

Facility

$340.00

Service Code	HCPCS C1713
Hospital Charge Code	270668480
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 FIXAT HEX 2.7X70MM

Facility

$1,284.40

Service Code	HCPCS C1713
Hospital Charge Code	270700198
Hospital Revenue Code	278
Min. Negotiated Rate	$192.66
Max. Negotiated Rate	$310.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$256.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$310.82
Rate for Payer: Qualcare PPO/HMO/WC	$192.66

PIN BONE FIXAT HEX 2.7X70MM

Facility

$1,284.40

Service Code	HCPCS C1713
Hospital Charge Code	270700198
Hospital Revenue Code	278
Min. Negotiated Rate	$36.48
Max. Negotiated Rate	$642.20
Rate for Payer: Aetna Commercial	$488.07
Rate for Payer: Aetna Medicare Advantage	$385.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$327.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$327.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$256.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$327.52
Rate for Payer: Cigna Commercial	$642.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$310.82
Rate for Payer: Qualcare PPO/HMO/WC	$192.66
Rate for Payer: UnitedHealthcare Community & State	$40.59
Rate for Payer: Wellpoint Medicaid Managed Care	$36.48

PIN BUTTRESS 1.8x18MM

Facility

$181.25

Hospital Charge Code	270654795
Hospital Revenue Code	272
Min. Negotiated Rate	$5.15
Max. Negotiated Rate	$90.62
Rate for Payer: Aetna Commercial	$68.88
Rate for Payer: Aetna Medicare Advantage	$54.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.22
Rate for Payer: Cigna Commercial	$90.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.12
Rate for Payer: Oxford Commercial	$36.25
Rate for Payer: Qualcare PPO/HMO/WC	$27.19
Rate for Payer: UnitedHealthcare Commercial	$36.25
Rate for Payer: UnitedHealthcare Community & State	$5.73
Rate for Payer: Wellpoint Medicaid Managed Care	$5.15

PIN BUTTRESS 1.8x18MM

Facility

$181.25

Hospital Charge Code	270654795
Hospital Revenue Code	272
Min. Negotiated Rate	$27.19
Max. Negotiated Rate	$27.19
Rate for Payer: Qualcare PPO/HMO/WC	$27.19

PIN CALCANEUS

Facility

$1,127.75

Service Code	HCPCS C1713
Hospital Charge Code	270677299
Hospital Revenue Code	278
Min. Negotiated Rate	$32.03
Max. Negotiated Rate	$563.88
Rate for Payer: Aetna Commercial	$428.55
Rate for Payer: Aetna Medicare Advantage	$338.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$287.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$287.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$287.58
Rate for Payer: Cigna Commercial	$563.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.92
Rate for Payer: Qualcare PPO/HMO/WC	$169.16
Rate for Payer: UnitedHealthcare Community & State	$35.64
Rate for Payer: Wellpoint Medicaid Managed Care	$32.03

PIN CALCANEUS

Facility

$1,127.75

Service Code	HCPCS C1713
Hospital Charge Code	270677299
Hospital Revenue Code	278
Min. Negotiated Rate	$169.16
Max. Negotiated Rate	$272.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.92
Rate for Payer: Qualcare PPO/HMO/WC	$169.16

PIN CERCLAGE 3.5MM STER

Facility

$756.00

Hospital Charge Code	270676773
Hospital Revenue Code	278
Min. Negotiated Rate	$21.47
Max. Negotiated Rate	$378.00
Rate for Payer: Aetna Commercial	$287.28
Rate for Payer: Aetna Medicare Advantage	$226.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$151.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.78
Rate for Payer: Cigna Commercial	$378.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.95
Rate for Payer: Qualcare PPO/HMO/WC	$113.40
Rate for Payer: UnitedHealthcare Community & State	$23.89
Rate for Payer: Wellpoint Medicaid Managed Care	$21.47

PIN CERCLAGE 3.5MM STER

Facility

$756.00

Hospital Charge Code	270676773
Hospital Revenue Code	278
Min. Negotiated Rate	$113.40
Max. Negotiated Rate	$182.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$151.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.95
Rate for Payer: Qualcare PPO/HMO/WC	$113.40

PIN CERCLAGE 4.5MM

Facility

$778.70

Service Code	HCPCS C1713
Hospital Charge Code	270645546
Hospital Revenue Code	278
Min. Negotiated Rate	$22.12
Max. Negotiated Rate	$389.35
Rate for Payer: Aetna Commercial	$295.91
Rate for Payer: Aetna Medicare Advantage	$233.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$198.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$198.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$155.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$198.57
Rate for Payer: Cigna Commercial	$389.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$188.45
Rate for Payer: Qualcare PPO/HMO/WC	$116.81
Rate for Payer: UnitedHealthcare Community & State	$24.61
Rate for Payer: Wellpoint Medicaid Managed Care	$22.12

PIN CERCLAGE 4.5MM

Facility

$778.70

Service Code	HCPCS C1713
Hospital Charge Code	270645546
Hospital Revenue Code	278
Min. Negotiated Rate	$116.81
Max. Negotiated Rate	$188.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$155.74
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$188.45
Rate for Payer: Qualcare PPO/HMO/WC	$116.81

PIN CERV RETAIN CASPAR 14MM

Facility

$125.00

Service Code	HCPCS C1713
Hospital Charge Code	270697849
Hospital Revenue Code	278
Min. Negotiated Rate	$3.55
Max. Negotiated Rate	$62.50
Rate for Payer: Aetna Commercial	$47.50
Rate for Payer: Aetna Medicare Advantage	$37.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.88
Rate for Payer: Cigna Commercial	$62.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.25
Rate for Payer: Qualcare PPO/HMO/WC	$18.75
Rate for Payer: UnitedHealthcare Community & State	$3.95
Rate for Payer: Wellpoint Medicaid Managed Care	$3.55

PIN CERV RETAIN CASPAR 14MM

Facility

$125.00

Service Code	HCPCS C1713
Hospital Charge Code	270697849
Hospital Revenue Code	278
Min. Negotiated Rate	$18.75
Max. Negotiated Rate	$30.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.25
Rate for Payer: Qualcare PPO/HMO/WC	$18.75

PIN CUTTER DIAMON

Facility

$610.00

Hospital Charge Code	270667640
Hospital Revenue Code	278
Min. Negotiated Rate	$91.50
Max. Negotiated Rate	$147.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$122.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$147.62
Rate for Payer: Qualcare PPO/HMO/WC	$91.50

PIN CUTTER DIAMON

Facility

$610.00

Hospital Charge Code	270667640
Hospital Revenue Code	278
Min. Negotiated Rate	$17.32
Max. Negotiated Rate	$305.00
Rate for Payer: Aetna Commercial	$231.80
Rate for Payer: Aetna Medicare Advantage	$183.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$155.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$155.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$122.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$155.55
Rate for Payer: Cigna Commercial	$305.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$147.62
Rate for Payer: Qualcare PPO/HMO/WC	$91.50
Rate for Payer: UnitedHealthcare Community & State	$19.28
Rate for Payer: Wellpoint Medicaid Managed Care	$17.32

PIN DISTRACTION SCREW 12MM

Facility

$128.24

Hospital Charge Code	270688300
Hospital Revenue Code	272
Min. Negotiated Rate	$3.64
Max. Negotiated Rate	$64.12
Rate for Payer: Aetna Commercial	$48.73
Rate for Payer: Aetna Medicare Advantage	$38.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.70
Rate for Payer: Cigna Commercial	$64.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.34
Rate for Payer: Oxford Commercial	$25.65
Rate for Payer: Qualcare PPO/HMO/WC	$19.24
Rate for Payer: UnitedHealthcare Commercial	$25.65
Rate for Payer: UnitedHealthcare Community & State	$4.05
Rate for Payer: Wellpoint Medicaid Managed Care	$3.64

PIN DISTRACTION SCREW 12MM

Facility

$128.24

Hospital Charge Code	270688300
Hospital Revenue Code	272
Min. Negotiated Rate	$19.24
Max. Negotiated Rate	$19.24
Rate for Payer: Qualcare PPO/HMO/WC	$19.24

PIN DISTRACTOR 14 MM

Facility

$2,500.00

Hospital Charge Code	270692225
Hospital Revenue Code	272
Min. Negotiated Rate	$71.00
Max. Negotiated Rate	$1,250.00
Rate for Payer: Aetna Commercial	$950.00
Rate for Payer: Aetna Medicare Advantage	$750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$637.50
Rate for Payer: Cigna Commercial	$1,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$650.00
Rate for Payer: Oxford Commercial	$500.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00
Rate for Payer: UnitedHealthcare Commercial	$500.00
Rate for Payer: UnitedHealthcare Community & State	$79.00
Rate for Payer: Wellpoint Medicaid Managed Care	$71.00

PIN DISTRACTOR 14 MM

Facility

$2,500.00

Hospital Charge Code	270692225
Hospital Revenue Code	272
Min. Negotiated Rate	$375.00
Max. Negotiated Rate	$375.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00

PIN DISTRACTOR CERVICAL 12MM

Facility

$930.00

Service Code	HCPCS C1713
Hospital Charge Code	270697852
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 DISTRACTOR CERVICAL 12MM

Facility

$930.00

Service Code	HCPCS C1713
Hospital Charge Code	270697852
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 DRIVER DIAMOND 8GX15CM

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270692233
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

PIN DRIVER DIAMOND 8GX15CM

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270692233
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

PIN DRL ,ACL T-ROPE CLSD. 4MM

Facility

$625.00

Hospital Charge Code	270681330
Hospital Revenue Code	272
Min. Negotiated Rate	$17.75
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$237.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.50
Rate for Payer: Oxford Commercial	$125.00
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Commercial	$125.00
Rate for Payer: UnitedHealthcare Community & State	$19.75
Rate for Payer: Wellpoint Medicaid Managed Care	$17.75

PIN DRL ,ACL T-ROPE CLSD. 4MM

Facility

$625.00

Hospital Charge Code	270681330
Hospital Revenue Code	272
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$93.75
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

Know your out-of-pocket cost for care.

All Charges