Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

PIN TRANSFIXATION 6x225MM

Facility

$633.35

Service Code	HCPCS C1713
Hospital Charge Code	270635606
Hospital Revenue Code	278
Min. Negotiated Rate	$17.99
Max. Negotiated Rate	$316.68
Rate for Payer: Aetna Commercial	$240.67
Rate for Payer: Aetna Medicare Advantage	$190.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$161.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$161.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$126.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$161.50
Rate for Payer: Cigna Commercial	$316.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$153.27
Rate for Payer: Qualcare PPO/HMO/WC	$95.00
Rate for Payer: UnitedHealthcare Community & State	$20.01
Rate for Payer: Wellpoint Medicaid Managed Care	$17.99

PIN TRANSFIXATION 6x225MM

Facility

$633.35

Service Code	HCPCS C1713
Hospital Charge Code	270635606
Hospital Revenue Code	278
Min. Negotiated Rate	$95.00
Max. Negotiated Rate	$153.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$126.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$153.27
Rate for Payer: Qualcare PPO/HMO/WC	$95.00

PIN TRANSFIXING 4/5x250MM

Facility

$950.00

Service Code	HCPCS C1713
Hospital Charge Code	270648630
Hospital Revenue Code	278
Min. Negotiated Rate	$142.50
Max. Negotiated Rate	$229.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.90
Rate for Payer: Qualcare PPO/HMO/WC	$142.50

PIN TRANSFIXING 4/5x250MM

Facility

$950.00

Service Code	HCPCS C1713
Hospital Charge Code	270648630
Hospital Revenue Code	278
Min. Negotiated Rate	$26.98
Max. Negotiated Rate	$475.00
Rate for Payer: Aetna Commercial	$361.00
Rate for Payer: Aetna Medicare Advantage	$285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.25
Rate for Payer: Cigna Commercial	$475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.90
Rate for Payer: Qualcare PPO/HMO/WC	$142.50
Rate for Payer: UnitedHealthcare Community & State	$30.02
Rate for Payer: Wellpoint Medicaid Managed Care	$26.98

PIN TRANSFIXING 4x300MM TIN

Facility

$1,060.00

Hospital Charge Code	270656799
Hospital Revenue Code	272
Min. Negotiated Rate	$30.10
Max. Negotiated Rate	$530.00
Rate for Payer: Aetna Commercial	$402.80
Rate for Payer: Aetna Medicare Advantage	$318.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$270.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$270.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$270.30
Rate for Payer: Cigna Commercial	$530.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.60
Rate for Payer: Oxford Commercial	$212.00
Rate for Payer: Qualcare PPO/HMO/WC	$159.00
Rate for Payer: UnitedHealthcare Commercial	$212.00
Rate for Payer: UnitedHealthcare Community & State	$33.50
Rate for Payer: Wellpoint Medicaid Managed Care	$30.10

PIN TRANSFIXING 4x300MM TIN

Facility

$1,060.00

Hospital Charge Code	270656799
Hospital Revenue Code	272
Min. Negotiated Rate	$159.00
Max. Negotiated Rate	$159.00
Rate for Payer: Qualcare PPO/HMO/WC	$159.00

PIN TRANSFIXING 50X300MM

Facility

$930.00

Hospital Charge Code	270669875
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 TRANSFIXING 50X300MM

Facility

$930.00

Hospital Charge Code	270669875
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 TRANSFIXING 5/4X200MM 50MM

Facility

$1,050.00

Hospital Charge Code	270669004
Hospital Revenue Code	278
Min. Negotiated Rate	$157.50
Max. Negotiated Rate	$254.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$210.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$254.10
Rate for Payer: Qualcare PPO/HMO/WC	$157.50

PIN TRANSFIXING 5/4X200MM 50MM

Facility

$1,050.00

Hospital Charge Code	270669004
Hospital Revenue Code	278
Min. Negotiated Rate	$29.82
Max. Negotiated Rate	$525.00
Rate for Payer: Aetna Commercial	$399.00
Rate for Payer: Aetna Medicare Advantage	$315.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$267.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$267.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$267.75
Rate for Payer: Cigna Commercial	$525.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$254.10
Rate for Payer: Qualcare PPO/HMO/WC	$157.50
Rate for Payer: UnitedHealthcare Community & State	$33.18
Rate for Payer: Wellpoint Medicaid Managed Care	$29.82

PIN TRANSFIXING 5MM X 275MM

Facility

$887.75

Service Code	HCPCS C1713
Hospital Charge Code	270668715
Hospital Revenue Code	278
Min. Negotiated Rate	$133.16
Max. Negotiated Rate	$214.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$177.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.84
Rate for Payer: Qualcare PPO/HMO/WC	$133.16

PIN TRANSFIXING 5MM X 275MM

Facility

$887.75

Service Code	HCPCS C1713
Hospital Charge Code	270668715
Hospital Revenue Code	278
Min. Negotiated Rate	$25.21
Max. Negotiated Rate	$443.88
Rate for Payer: Aetna Commercial	$337.35
Rate for Payer: Aetna Medicare Advantage	$266.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$226.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$226.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$177.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$226.38
Rate for Payer: Cigna Commercial	$443.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.84
Rate for Payer: Qualcare PPO/HMO/WC	$133.16
Rate for Payer: UnitedHealthcare Community & State	$28.05
Rate for Payer: Wellpoint Medicaid Managed Care	$25.21

PIN TRANSFIXING 5x300MM

Facility

$1,035.00

Hospital Charge Code	270656833
Hospital Revenue Code	272
Min. Negotiated Rate	$155.25
Max. Negotiated Rate	$155.25
Rate for Payer: Qualcare PPO/HMO/WC	$155.25

PIN TRANSFIXING 5x300MM

Facility

$1,035.00

Hospital Charge Code	270656833
Hospital Revenue Code	272
Min. Negotiated Rate	$29.39
Max. Negotiated Rate	$517.50
Rate for Payer: Aetna Commercial	$393.30
Rate for Payer: Aetna Medicare Advantage	$310.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$263.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$263.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$263.93
Rate for Payer: Cigna Commercial	$517.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$269.10
Rate for Payer: Oxford Commercial	$207.00
Rate for Payer: Qualcare PPO/HMO/WC	$155.25
Rate for Payer: UnitedHealthcare Commercial	$207.00
Rate for Payer: UnitedHealthcare Community & State	$32.71
Rate for Payer: Wellpoint Medicaid Managed Care	$29.39

PIN TRANSFIXING APEX 60x250MM

Facility

$752.40

Hospital Charge Code	270673990
Hospital Revenue Code	278
Min. Negotiated Rate	$112.86
Max. Negotiated Rate	$182.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.08
Rate for Payer: Qualcare PPO/HMO/WC	$112.86

PIN TRANSFIXING APEX 60x250MM

Facility

$752.40

Hospital Charge Code	270673990
Hospital Revenue Code	278
Min. Negotiated Rate	$21.37
Max. Negotiated Rate	$376.20
Rate for Payer: Aetna Commercial	$285.91
Rate for Payer: Aetna Medicare Advantage	$225.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.86
Rate for Payer: Cigna Commercial	$376.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.08
Rate for Payer: Qualcare PPO/HMO/WC	$112.86
Rate for Payer: UnitedHealthcare Community & State	$23.78
Rate for Payer: Wellpoint Medicaid Managed Care	$21.37

PIN ULNAR STYLOID FX

Facility

$24,060.80

Service Code	HCPCS 25651
Hospital Charge Code	16000694
Hospital Revenue Code	360
Min. Negotiated Rate	$3,609.12
Max. Negotiated Rate	$3,609.12
Rate for Payer: Qualcare PPO/HMO/WC	$3,609.12

PIN ULNAR STYLOID FX

Facility

$24,060.80

Service Code	HCPCS 25651
Hospital Charge Code	16000694
Hospital Revenue Code	360
Min. Negotiated Rate	$683.33
Max. Negotiated Rate	$14,100.89
Rate for Payer: Aetna Commercial	$10,573.24
Rate for Payer: Aetna Medicare Advantage	$12,594.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,100.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,100.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,887.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14,100.89
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: Cigna Medicare Advantage	$3,887.22
Rate for Payer: Clover Medicare Advantage	$3,692.86
Rate for Payer: EmblemHealth Commercial	$11,661.66
Rate for Payer: Humana Medicare Advantage	$4,003.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,887.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,255.81
Rate for Payer: Oxford Commercial	$7,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,609.12
Rate for Payer: UnitedHealthcare Commercial	$8,192.00
Rate for Payer: UnitedHealthcare Community & State	$760.32
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,887.22
Rate for Payer: Wellcare Medicare Advantage	$3,887.22
Rate for Payer: Wellpoint Medicaid Managed Care	$683.33

PIN UNIPLATE MARKING

Facility

$575.00

Hospital Charge Code	270670922
Hospital Revenue Code	278
Min. Negotiated Rate	$86.25
Max. Negotiated Rate	$139.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.15
Rate for Payer: Qualcare PPO/HMO/WC	$86.25

PIN UNIPLATE MARKING

Facility

$575.00

Hospital Charge Code	270670922
Hospital Revenue Code	278
Min. Negotiated Rate	$16.33
Max. Negotiated Rate	$287.50
Rate for Payer: Aetna Commercial	$218.50
Rate for Payer: Aetna Medicare Advantage	$172.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$146.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$146.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$146.62
Rate for Payer: Cigna Commercial	$287.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.15
Rate for Payer: Qualcare PPO/HMO/WC	$86.25
Rate for Payer: UnitedHealthcare Community & State	$18.17
Rate for Payer: Wellpoint Medicaid Managed Care	$16.33

PIN VA LCKG BUTTRESS 1.8x10MM

Facility

$595.20

Service Code	HCPCS C1713
Hospital Charge Code	270678117
Hospital Revenue Code	278
Min. Negotiated Rate	$16.90
Max. Negotiated Rate	$297.60
Rate for Payer: Aetna Commercial	$226.18
Rate for Payer: Aetna Medicare Advantage	$178.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.78
Rate for Payer: Cigna Commercial	$297.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.04
Rate for Payer: Qualcare PPO/HMO/WC	$89.28
Rate for Payer: UnitedHealthcare Community & State	$18.81
Rate for Payer: Wellpoint Medicaid Managed Care	$16.90

PIN VA LCKG BUTTRESS 1.8x10MM

Facility

$595.20

Service Code	HCPCS C1713
Hospital Charge Code	270678117
Hospital Revenue Code	278
Min. Negotiated Rate	$89.28
Max. Negotiated Rate	$144.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.04
Rate for Payer: Qualcare PPO/HMO/WC	$89.28

PIN VA LCKG BUTTRESS 1.8x12MM

Facility

$577.85

Service Code	HCPCS C1713
Hospital Charge Code	270678116
Hospital Revenue Code	278
Min. Negotiated Rate	$16.41
Max. Negotiated Rate	$288.93
Rate for Payer: Aetna Commercial	$219.58
Rate for Payer: Aetna Medicare Advantage	$173.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$147.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$147.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$147.35
Rate for Payer: Cigna Commercial	$288.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.84
Rate for Payer: Qualcare PPO/HMO/WC	$86.68
Rate for Payer: UnitedHealthcare Community & State	$18.26
Rate for Payer: Wellpoint Medicaid Managed Care	$16.41

PIN VA LCKG BUTTRESS 1.8x12MM

Facility

$577.85

Service Code	HCPCS C1713
Hospital Charge Code	270678116
Hospital Revenue Code	278
Min. Negotiated Rate	$86.68
Max. Negotiated Rate	$139.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.84
Rate for Payer: Qualcare PPO/HMO/WC	$86.68

PIN VA LCKG BUTTRESS 1.8x14MM

Facility

$577.85

Hospital Charge Code	270678115
Hospital Revenue Code	278
Min. Negotiated Rate	$86.68
Max. Negotiated Rate	$139.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.84
Rate for Payer: Qualcare PPO/HMO/WC	$86.68

Know your out-of-pocket cost for care.

All Charges