Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

PINS 5.0MM FIXATION CAPS

Facility

$176.65

Service Code	HCPCS C1713
Hospital Charge Code	270638105
Hospital Revenue Code	278
Min. Negotiated Rate	$5.02
Max. Negotiated Rate	$88.33
Rate for Payer: Aetna Commercial	$67.13
Rate for Payer: Aetna Medicare Advantage	$52.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.05
Rate for Payer: Cigna Commercial	$88.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.75
Rate for Payer: Qualcare PPO/HMO/WC	$26.50
Rate for Payer: UnitedHealthcare Community & State	$5.58
Rate for Payer: Wellpoint Medicaid Managed Care	$5.02

PIN SACHANZ 4.0MM AO CONNECT

Facility

$536.25

Service Code	HCPCS C1713
Hospital Charge Code	270701296
Hospital Revenue Code	278
Min. Negotiated Rate	$80.44
Max. Negotiated Rate	$129.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$107.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.77
Rate for Payer: Qualcare PPO/HMO/WC	$80.44

PIN SACHANZ 4.0MM AO CONNECT

Facility

$536.25

Service Code	HCPCS C1713
Hospital Charge Code	270701296
Hospital Revenue Code	278
Min. Negotiated Rate	$15.23
Max. Negotiated Rate	$268.12
Rate for Payer: Aetna Commercial	$203.78
Rate for Payer: Aetna Medicare Advantage	$160.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$107.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.74
Rate for Payer: Cigna Commercial	$268.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.77
Rate for Payer: Qualcare PPO/HMO/WC	$80.44
Rate for Payer: UnitedHealthcare Community & State	$16.95
Rate for Payer: Wellpoint Medicaid Managed Care	$15.23

PIN SACHANZ 6.0MM AO CONNECT

Facility

$536.25

Hospital Charge Code	270701709
Hospital Revenue Code	278
Min. Negotiated Rate	$80.44
Max. Negotiated Rate	$129.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$107.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.77
Rate for Payer: Qualcare PPO/HMO/WC	$80.44

PIN SACHANZ 6.0MM AO CONNECT

Facility

$536.25

Hospital Charge Code	270701709
Hospital Revenue Code	278
Min. Negotiated Rate	$15.23
Max. Negotiated Rate	$268.12
Rate for Payer: Aetna Commercial	$203.78
Rate for Payer: Aetna Medicare Advantage	$160.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$107.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.74
Rate for Payer: Cigna Commercial	$268.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.77
Rate for Payer: Qualcare PPO/HMO/WC	$80.44
Rate for Payer: UnitedHealthcare Community & State	$16.95
Rate for Payer: Wellpoint Medicaid Managed Care	$15.23

PIN SCHANZ 4.0x100mm

Facility

$713.80

Service Code	HCPCS C1713
Hospital Charge Code	270644911
Hospital Revenue Code	278
Min. Negotiated Rate	$20.27
Max. Negotiated Rate	$356.90
Rate for Payer: Aetna Commercial	$271.24
Rate for Payer: Aetna Medicare Advantage	$214.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$182.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$182.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$142.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$182.02
Rate for Payer: Cigna Commercial	$356.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$172.74
Rate for Payer: Qualcare PPO/HMO/WC	$107.07
Rate for Payer: UnitedHealthcare Community & State	$22.56
Rate for Payer: Wellpoint Medicaid Managed Care	$20.27

PIN SCHANZ 4.0x100mm

Facility

$713.80

Service Code	HCPCS C1713
Hospital Charge Code	270644911
Hospital Revenue Code	278
Min. Negotiated Rate	$107.07
Max. Negotiated Rate	$172.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$142.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$172.74
Rate for Payer: Qualcare PPO/HMO/WC	$107.07

PIN SCHANZ 4.0x20MM SELF DRILL

Facility

$713.80

Service Code	HCPCS C1713
Hospital Charge Code	270679425
Hospital Revenue Code	278
Min. Negotiated Rate	$20.27
Max. Negotiated Rate	$356.90
Rate for Payer: Aetna Commercial	$271.24
Rate for Payer: Aetna Medicare Advantage	$214.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$182.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$182.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$142.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$182.02
Rate for Payer: Cigna Commercial	$356.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$172.74
Rate for Payer: Qualcare PPO/HMO/WC	$107.07
Rate for Payer: UnitedHealthcare Community & State	$22.56
Rate for Payer: Wellpoint Medicaid Managed Care	$20.27

PIN SCHANZ 4.0x20MM SELF DRILL

Facility

$713.80

Service Code	HCPCS C1713
Hospital Charge Code	270679425
Hospital Revenue Code	278
Min. Negotiated Rate	$107.07
Max. Negotiated Rate	$172.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$142.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$172.74
Rate for Payer: Qualcare PPO/HMO/WC	$107.07

PIN SCHANZ 4.0x80mm SELF DRIL-

Facility

$713.80

Hospital Charge Code	270644915
Hospital Revenue Code	272
Min. Negotiated Rate	$107.07
Max. Negotiated Rate	$107.07
Rate for Payer: Qualcare PPO/HMO/WC	$107.07

PIN SCHANZ 4.0x80mm SELF DRIL-

Facility

$713.80

Hospital Charge Code	270644915
Hospital Revenue Code	272
Min. Negotiated Rate	$20.27
Max. Negotiated Rate	$356.90
Rate for Payer: Aetna Commercial	$271.24
Rate for Payer: Aetna Medicare Advantage	$214.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$182.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$182.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$182.02
Rate for Payer: Cigna Commercial	$356.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$185.59
Rate for Payer: Oxford Commercial	$142.76
Rate for Payer: Qualcare PPO/HMO/WC	$107.07
Rate for Payer: UnitedHealthcare Commercial	$142.76
Rate for Payer: UnitedHealthcare Community & State	$22.56
Rate for Payer: Wellpoint Medicaid Managed Care	$20.27

PIN SCHANZ 5 MM

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270681317
Hospital Revenue Code	278
Min. Negotiated Rate	$42.60
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$570.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00
Rate for Payer: UnitedHealthcare Community & State	$47.40
Rate for Payer: Wellpoint Medicaid Managed Care	$42.60

PIN SCHANZ 5 MM

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270681317
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$363.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

PIN SD HALF PIN 50 THR

Facility

$1,119.35

Service Code	HCPCS A4649
Hospital Charge Code	270699603
Hospital Revenue Code	272
Min. Negotiated Rate	$167.90
Max. Negotiated Rate	$167.90
Rate for Payer: Qualcare PPO/HMO/WC	$167.90

PIN SD HALF PIN 50 THR

Facility

$1,119.35

Service Code	HCPCS A4649
Hospital Charge Code	270699603
Hospital Revenue Code	272
Min. Negotiated Rate	$31.79
Max. Negotiated Rate	$559.67
Rate for Payer: Aetna Commercial	$425.35
Rate for Payer: Aetna Medicare Advantage	$335.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$285.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$285.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$285.43
Rate for Payer: Cigna Commercial	$559.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$291.03
Rate for Payer: Oxford Commercial	$223.87
Rate for Payer: Qualcare PPO/HMO/WC	$167.90
Rate for Payer: UnitedHealthcare Commercial	$223.87
Rate for Payer: UnitedHealthcare Community & State	$35.37
Rate for Payer: Wellpoint Medicaid Managed Care	$31.79

PINS HEADLESS DISP FLUTED 3.5L

Facility

$754.88

Service Code	HCPCS C1713
Hospital Charge Code	270672583
Hospital Revenue Code	278
Min. Negotiated Rate	$113.23
Max. Negotiated Rate	$182.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.68
Rate for Payer: Qualcare PPO/HMO/WC	$113.23

PINS HEADLESS DISP FLUTED 3.5L

Facility

$754.88

Service Code	HCPCS C1713
Hospital Charge Code	270672583
Hospital Revenue Code	278
Min. Negotiated Rate	$21.44
Max. Negotiated Rate	$377.44
Rate for Payer: Aetna Commercial	$286.85
Rate for Payer: Aetna Medicare Advantage	$226.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.49
Rate for Payer: Cigna Commercial	$377.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.68
Rate for Payer: Qualcare PPO/HMO/WC	$113.23
Rate for Payer: UnitedHealthcare Community & State	$23.85
Rate for Payer: Wellpoint Medicaid Managed Care	$21.44

PINS HOLDING VALCP 2.4 2.7MM

Facility

$725.65

Hospital Charge Code	270686028
Hospital Revenue Code	272
Min. Negotiated Rate	$20.61
Max. Negotiated Rate	$362.82
Rate for Payer: Aetna Commercial	$275.75
Rate for Payer: Aetna Medicare Advantage	$217.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$185.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$185.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$185.04
Rate for Payer: Cigna Commercial	$362.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$188.67
Rate for Payer: Oxford Commercial	$145.13
Rate for Payer: Qualcare PPO/HMO/WC	$108.85
Rate for Payer: UnitedHealthcare Commercial	$145.13
Rate for Payer: UnitedHealthcare Community & State	$22.93
Rate for Payer: Wellpoint Medicaid Managed Care	$20.61

PINS HOLDING VALCP 2.4 2.7MM

Facility

$725.65

Hospital Charge Code	270686028
Hospital Revenue Code	272
Min. Negotiated Rate	$108.85
Max. Negotiated Rate	$108.85
Rate for Payer: Qualcare PPO/HMO/WC	$108.85

PIN SKULL ADULT DISP

Facility

$185.40

Hospital Charge Code	270676895
Hospital Revenue Code	272
Min. Negotiated Rate	$5.27
Max. Negotiated Rate	$92.70
Rate for Payer: Aetna Commercial	$70.45
Rate for Payer: Aetna Medicare Advantage	$55.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.28
Rate for Payer: Cigna Commercial	$92.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.20
Rate for Payer: Oxford Commercial	$37.08
Rate for Payer: Qualcare PPO/HMO/WC	$27.81
Rate for Payer: UnitedHealthcare Commercial	$37.08
Rate for Payer: UnitedHealthcare Community & State	$5.86
Rate for Payer: Wellpoint Medicaid Managed Care	$5.27

PIN SKULL ADULT DISP

Facility

$185.40

Hospital Charge Code	270676895
Hospital Revenue Code	272
Min. Negotiated Rate	$27.81
Max. Negotiated Rate	$27.81
Rate for Payer: Qualcare PPO/HMO/WC	$27.81

PIN SKY STRAIGHT TEMP FIX

Facility

$460.00

Service Code	HCPCS C1713
Hospital Charge Code	270670921
Hospital Revenue Code	278
Min. Negotiated Rate	$13.06
Max. Negotiated Rate	$230.00
Rate for Payer: Aetna Commercial	$174.80
Rate for Payer: Aetna Medicare Advantage	$138.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$117.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$117.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$92.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$117.30
Rate for Payer: Cigna Commercial	$230.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.32
Rate for Payer: Qualcare PPO/HMO/WC	$69.00
Rate for Payer: UnitedHealthcare Community & State	$14.54
Rate for Payer: Wellpoint Medicaid Managed Care	$13.06

PIN SKY STRAIGHT TEMP FIX

Facility

$460.00

Service Code	HCPCS C1713
Hospital Charge Code	270670921
Hospital Revenue Code	278
Min. Negotiated Rate	$69.00
Max. Negotiated Rate	$111.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$92.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.32
Rate for Payer: Qualcare PPO/HMO/WC	$69.00

PIN STEINMAN 3.6MM

Facility

$101.40

Hospital Charge Code	270659130
Hospital Revenue Code	278
Min. Negotiated Rate	$2.88
Max. Negotiated Rate	$50.70
Rate for Payer: Aetna Commercial	$38.53
Rate for Payer: Aetna Medicare Advantage	$30.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.86
Rate for Payer: Cigna Commercial	$50.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.54
Rate for Payer: Qualcare PPO/HMO/WC	$15.21
Rate for Payer: UnitedHealthcare Community & State	$3.20
Rate for Payer: Wellpoint Medicaid Managed Care	$2.88

PIN STEINMAN 3.6MM

Facility

$101.40

Hospital Charge Code	270659130
Hospital Revenue Code	278
Min. Negotiated Rate	$15.21
Max. Negotiated Rate	$24.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.54
Rate for Payer: Qualcare PPO/HMO/WC	$15.21

Know your out-of-pocket cost for care.

All Charges