Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

PIN GUIDE THREAD 3.2mmx444mm

Facility

$895.00

Hospital Charge Code	270650499
Hospital Revenue Code	271
Min. Negotiated Rate	$25.42
Max. Negotiated Rate	$447.50
Rate for Payer: Aetna Commercial	$340.10
Rate for Payer: Aetna Medicare Advantage	$268.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$228.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$228.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$228.22
Rate for Payer: Cigna Commercial	$447.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.70
Rate for Payer: Oxford Commercial	$179.00
Rate for Payer: Qualcare PPO/HMO/WC	$134.25
Rate for Payer: UnitedHealthcare Commercial	$179.00
Rate for Payer: UnitedHealthcare Community & State	$28.28
Rate for Payer: Wellpoint Medicaid Managed Care	$25.42

PIN HALF 3MM

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270685124
Hospital Revenue Code	278
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) NJ Health	$125.00
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	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Community & State	$19.75
Rate for Payer: Wellpoint Medicaid Managed Care	$17.75

PIN HALF 3MM

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270685124
Hospital Revenue Code	278
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$151.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

PIN HALF 3MM X 100MM X 25MM

Facility

$653.25

Hospital Charge Code	270668711
Hospital Revenue Code	278
Min. Negotiated Rate	$97.99
Max. Negotiated Rate	$158.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$158.09
Rate for Payer: Qualcare PPO/HMO/WC	$97.99

PIN HALF 3MM X 100MM X 25MM

Facility

$653.25

Hospital Charge Code	270668711
Hospital Revenue Code	278
Min. Negotiated Rate	$18.55
Max. Negotiated Rate	$326.62
Rate for Payer: Aetna Commercial	$248.24
Rate for Payer: Aetna Medicare Advantage	$195.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$166.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$166.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$166.58
Rate for Payer: Cigna Commercial	$326.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$158.09
Rate for Payer: Qualcare PPO/HMO/WC	$97.99
Rate for Payer: UnitedHealthcare Community & State	$20.64
Rate for Payer: Wellpoint Medicaid Managed Care	$18.55

PIN HALF 4MM X 100MM X 35MM

Facility

$653.25

Hospital Charge Code	270668712
Hospital Revenue Code	278
Min. Negotiated Rate	$97.99
Max. Negotiated Rate	$158.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$158.09
Rate for Payer: Qualcare PPO/HMO/WC	$97.99

PIN HALF 4MM X 100MM X 35MM

Facility

$653.25

Hospital Charge Code	270668712
Hospital Revenue Code	278
Min. Negotiated Rate	$18.55
Max. Negotiated Rate	$326.62
Rate for Payer: Aetna Commercial	$248.24
Rate for Payer: Aetna Medicare Advantage	$195.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$166.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$166.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$166.58
Rate for Payer: Cigna Commercial	$326.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$158.09
Rate for Payer: Qualcare PPO/HMO/WC	$97.99
Rate for Payer: UnitedHealthcare Community & State	$20.64
Rate for Payer: Wellpoint Medicaid Managed Care	$18.55

PIN HALF 5MM X 160MM X35MM

Facility

$960.00

Hospital Charge Code	270668713
Hospital Revenue Code	278
Min. Negotiated Rate	$144.00
Max. Negotiated Rate	$232.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$192.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.32
Rate for Payer: Qualcare PPO/HMO/WC	$144.00

PIN HALF 5MM X 160MM X35MM

Facility

$960.00

Hospital Charge Code	270668713
Hospital Revenue Code	278
Min. Negotiated Rate	$27.26
Max. Negotiated Rate	$480.00
Rate for Payer: Aetna Commercial	$364.80
Rate for Payer: Aetna Medicare Advantage	$288.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$244.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$244.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$192.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$244.80
Rate for Payer: Cigna Commercial	$480.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.32
Rate for Payer: Qualcare PPO/HMO/WC	$144.00
Rate for Payer: UnitedHealthcare Community & State	$30.34
Rate for Payer: Wellpoint Medicaid Managed Care	$27.26

PIN HALF 5MM X 160MM X 55MM

Facility

$720.25

Hospital Charge Code	270668714
Hospital Revenue Code	278
Min. Negotiated Rate	$108.04
Max. Negotiated Rate	$174.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$144.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.30
Rate for Payer: Qualcare PPO/HMO/WC	$108.04

PIN HALF 5MM X 160MM X 55MM

Facility

$720.25

Hospital Charge Code	270668714
Hospital Revenue Code	278
Min. Negotiated Rate	$20.46
Max. Negotiated Rate	$360.12
Rate for Payer: Aetna Commercial	$273.69
Rate for Payer: Aetna Medicare Advantage	$216.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$183.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$183.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$144.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$183.66
Rate for Payer: Cigna Commercial	$360.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.30
Rate for Payer: Qualcare PPO/HMO/WC	$108.04
Rate for Payer: UnitedHealthcare Community & State	$22.76
Rate for Payer: Wellpoint Medicaid Managed Care	$20.46

PIN HALF 5x180MM 40MM THD

Facility

$600.00

Hospital Charge Code	270671028
Hospital Revenue Code	272
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) PPO	$153.00
Rate for Payer: Cigna Commercial	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$156.00
Rate for Payer: Oxford Commercial	$120.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.00
Rate for Payer: UnitedHealthcare Commercial	$120.00
Rate for Payer: UnitedHealthcare Community & State	$18.96
Rate for Payer: Wellpoint Medicaid Managed Care	$17.04

PIN HALF 5x180MM 40MM THD

Facility

$600.00

Hospital Charge Code	270671028
Hospital Revenue Code	272
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$90.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

PIN LOCKING

Facility

$1,005.75

Hospital Charge Code	270681232
Hospital Revenue Code	272
Min. Negotiated Rate	$28.56
Max. Negotiated Rate	$502.88
Rate for Payer: Aetna Commercial	$382.19
Rate for Payer: Aetna Medicare Advantage	$301.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$256.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$256.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$256.47
Rate for Payer: Cigna Commercial	$502.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$261.50
Rate for Payer: Oxford Commercial	$201.15
Rate for Payer: Qualcare PPO/HMO/WC	$150.86
Rate for Payer: UnitedHealthcare Commercial	$201.15
Rate for Payer: UnitedHealthcare Community & State	$31.78
Rate for Payer: Wellpoint Medicaid Managed Care	$28.56

PIN LOCKING

Facility

$1,005.75

Hospital Charge Code	270681232
Hospital Revenue Code	272
Min. Negotiated Rate	$150.86
Max. Negotiated Rate	$150.86
Rate for Payer: Qualcare PPO/HMO/WC	$150.86

PIN LOCKING 40X145X3.0MM

Facility

$345.00

Hospital Charge Code	270668736
Hospital Revenue Code	278
Min. Negotiated Rate	$51.75
Max. Negotiated Rate	$83.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.49
Rate for Payer: Qualcare PPO/HMO/WC	$51.75

PIN LOCKING 40X145X3.0MM

Facility

$345.00

Hospital Charge Code	270668736
Hospital Revenue Code	278
Min. Negotiated Rate	$9.80
Max. Negotiated Rate	$172.50
Rate for Payer: Aetna Commercial	$131.10
Rate for Payer: Aetna Medicare Advantage	$103.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$87.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$87.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$87.97
Rate for Payer: Cigna Commercial	$172.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.49
Rate for Payer: Qualcare PPO/HMO/WC	$51.75
Rate for Payer: UnitedHealthcare Community & State	$10.90
Rate for Payer: Wellpoint Medicaid Managed Care	$9.80

PIN MTP BB-TAK

Facility

$357.50

Service Code	HCPCS C1713
Hospital Charge Code	270693494
Hospital Revenue Code	278
Min. Negotiated Rate	$53.62
Max. Negotiated Rate	$86.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.52
Rate for Payer: Qualcare PPO/HMO/WC	$53.62

PIN MTP BB-TAK

Facility

$357.50

Service Code	HCPCS C1713
Hospital Charge Code	270693494
Hospital Revenue Code	278
Min. Negotiated Rate	$10.15
Max. Negotiated Rate	$178.75
Rate for Payer: Aetna Commercial	$135.85
Rate for Payer: Aetna Medicare Advantage	$107.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.16
Rate for Payer: Cigna Commercial	$178.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.52
Rate for Payer: Qualcare PPO/HMO/WC	$53.62
Rate for Payer: UnitedHealthcare Community & State	$11.30
Rate for Payer: Wellpoint Medicaid Managed Care	$10.15

PINNACLE 8FR 10CM SHEATH

Facility

$56.65

Hospital Charge Code	270683727N
Hospital Revenue Code	272
Min. Negotiated Rate	$1.61
Max. Negotiated Rate	$28.32
Rate for Payer: Aetna Commercial	$21.53
Rate for Payer: Aetna Medicare Advantage	$17.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.45
Rate for Payer: Cigna Commercial	$28.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.73
Rate for Payer: Oxford Commercial	$11.33
Rate for Payer: Qualcare PPO/HMO/WC	$8.50
Rate for Payer: UnitedHealthcare Commercial	$11.33
Rate for Payer: UnitedHealthcare Community & State	$1.79
Rate for Payer: Wellpoint Medicaid Managed Care	$1.61

PINNACLE 8FR 10CM SHEATH

Facility

$56.65

Hospital Charge Code	270683727S
Hospital Revenue Code	272
Min. Negotiated Rate	$8.50
Max. Negotiated Rate	$8.50
Rate for Payer: Qualcare PPO/HMO/WC	$8.50

PINNACLE 8FR 10CM SHEATH

Facility

$56.65

Hospital Charge Code	270683727N
Hospital Revenue Code	272
Min. Negotiated Rate	$8.50
Max. Negotiated Rate	$8.50
Rate for Payer: Qualcare PPO/HMO/WC	$8.50

PINNACLE 8FR 10CM SHEATH

Facility

$56.65

Hospital Charge Code	270683727S
Hospital Revenue Code	272
Min. Negotiated Rate	$1.61
Max. Negotiated Rate	$28.32
Rate for Payer: Aetna Commercial	$21.53
Rate for Payer: Aetna Medicare Advantage	$17.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.45
Rate for Payer: Cigna Commercial	$28.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.73
Rate for Payer: Oxford Commercial	$11.33
Rate for Payer: Qualcare PPO/HMO/WC	$8.50
Rate for Payer: UnitedHealthcare Commercial	$11.33
Rate for Payer: UnitedHealthcare Community & State	$1.79
Rate for Payer: Wellpoint Medicaid Managed Care	$1.61

PINNACLE 9FR 10CM SHEATH

Facility

$56.65

Hospital Charge Code	270683728N
Hospital Revenue Code	272
Min. Negotiated Rate	$8.50
Max. Negotiated Rate	$8.50
Rate for Payer: Qualcare PPO/HMO/WC	$8.50

PINNACLE 9FR 10CM SHEATH

Facility

$56.65

Hospital Charge Code	270683728S
Hospital Revenue Code	272
Min. Negotiated Rate	$1.61
Max. Negotiated Rate	$28.32
Rate for Payer: Aetna Commercial	$21.53
Rate for Payer: Aetna Medicare Advantage	$17.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.45
Rate for Payer: Cigna Commercial	$28.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.73
Rate for Payer: Oxford Commercial	$11.33
Rate for Payer: Qualcare PPO/HMO/WC	$8.50
Rate for Payer: UnitedHealthcare Commercial	$11.33
Rate for Payer: UnitedHealthcare Community & State	$1.79
Rate for Payer: Wellpoint Medicaid Managed Care	$1.61

Know your out-of-pocket cost for care.

All Charges