Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

PLATE 12HOLE 1.5mm

Facility

$1,023.00

Hospital Charge Code	270656590
Hospital Revenue Code	278
Min. Negotiated Rate	$153.45
Max. Negotiated Rate	$247.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$204.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.57
Rate for Payer: Qualcare PPO/HMO/WC	$153.45

PLATE 12HOLE 1.5mm

Facility

$1,023.00

Hospital Charge Code	270656590
Hospital Revenue Code	278
Min. Negotiated Rate	$29.05
Max. Negotiated Rate	$511.50
Rate for Payer: Aetna Commercial	$388.74
Rate for Payer: Aetna Medicare Advantage	$306.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$260.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$260.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$204.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$260.87
Rate for Payer: Cigna Commercial	$511.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.57
Rate for Payer: Qualcare PPO/HMO/WC	$153.45
Rate for Payer: UnitedHealthcare Community & State	$32.33
Rate for Payer: Wellpoint Medicaid Managed Care	$29.05

PLATE 12 HOLE STR 2.0MM

Facility

$2,542.95

Service Code	HCPCS C1713
Hospital Charge Code	270686760
Hospital Revenue Code	278
Min. Negotiated Rate	$381.44
Max. Negotiated Rate	$615.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$508.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$615.39
Rate for Payer: Qualcare PPO/HMO/WC	$381.44

PLATE 12 HOLE STR 2.0MM

Facility

$2,542.95

Service Code	HCPCS C1713
Hospital Charge Code	270686760
Hospital Revenue Code	278
Min. Negotiated Rate	$72.22
Max. Negotiated Rate	$1,271.47
Rate for Payer: Aetna Commercial	$966.32
Rate for Payer: Aetna Medicare Advantage	$762.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$648.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$648.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$508.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$648.45
Rate for Payer: Cigna Commercial	$1,271.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$615.39
Rate for Payer: Qualcare PPO/HMO/WC	$381.44
Rate for Payer: UnitedHealthcare Community & State	$80.36
Rate for Payer: Wellpoint Medicaid Managed Care	$72.22

PLATE 12 MM

Facility

$5,000.00

Service Code	HCPCS C1716
Hospital Charge Code	270701785
Hospital Revenue Code	278
Min. Negotiated Rate	$750.00
Max. Negotiated Rate	$1,210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,210.00
Rate for Payer: Qualcare PPO/HMO/WC	$750.00

PLATE 12 MM

Facility

$5,000.00

Service Code	HCPCS C1716
Hospital Charge Code	270701785
Hospital Revenue Code	278
Min. Negotiated Rate	$142.00
Max. Negotiated Rate	$2,166.34
Rate for Payer: Aetna Commercial	$1,624.38
Rate for Payer: Aetna Medicare Advantage	$1,934.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,166.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,166.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$597.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,166.34
Rate for Payer: Cigna Commercial	$1,197.08
Rate for Payer: Cigna Medicare Advantage	$597.20
Rate for Payer: Clover Medicare Advantage	$567.34
Rate for Payer: EmblemHealth Commercial	$1,791.60
Rate for Payer: Humana Medicare Advantage	$615.12
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$597.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,210.00
Rate for Payer: Qualcare PPO/HMO/WC	$750.00
Rate for Payer: UnitedHealthcare Community & State	$158.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$597.20
Rate for Payer: Wellcare Medicare Advantage	$597.20
Rate for Payer: Wellpoint Medicaid Managed Care	$142.00

PLATE 12MM

Facility

$4,750.00

Hospital Charge Code	270703037
Hospital Revenue Code	278
Min. Negotiated Rate	$134.90
Max. Negotiated Rate	$2,375.00
Rate for Payer: Aetna Commercial	$1,805.00
Rate for Payer: Aetna Medicare Advantage	$1,425.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$950.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,211.25
Rate for Payer: Cigna Commercial	$2,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,149.50
Rate for Payer: Qualcare PPO/HMO/WC	$712.50
Rate for Payer: UnitedHealthcare Community & State	$150.10
Rate for Payer: Wellpoint Medicaid Managed Care	$134.90

PLATE 12MM

Facility

$4,750.00

Hospital Charge Code	270703037
Hospital Revenue Code	278
Min. Negotiated Rate	$712.50
Max. Negotiated Rate	$1,149.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,149.50
Rate for Payer: Qualcare PPO/HMO/WC	$712.50

PLATE 1/3 TUB 10 HOLES/121MM

Facility

$318.25

Service Code	HCPCS C1713
Hospital Charge Code	270655690
Hospital Revenue Code	278
Min. Negotiated Rate	$9.04
Max. Negotiated Rate	$159.12
Rate for Payer: Aetna Commercial	$120.94
Rate for Payer: Aetna Medicare Advantage	$95.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.15
Rate for Payer: Cigna Commercial	$159.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.02
Rate for Payer: Qualcare PPO/HMO/WC	$47.74
Rate for Payer: UnitedHealthcare Community & State	$10.06
Rate for Payer: Wellpoint Medicaid Managed Care	$9.04

PLATE 1/3 TUB 10 HOLES/121MM

Facility

$318.25

Service Code	HCPCS C1713
Hospital Charge Code	270655690
Hospital Revenue Code	278
Min. Negotiated Rate	$47.74
Max. Negotiated Rate	$77.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.02
Rate for Payer: Qualcare PPO/HMO/WC	$47.74

PLATE 1/3 TUB 2HOLES/25MM

Facility

$245.65

Service Code	HCPCS C1713
Hospital Charge Code	270655674
Hospital Revenue Code	278
Min. Negotiated Rate	$36.85
Max. Negotiated Rate	$59.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.45
Rate for Payer: Qualcare PPO/HMO/WC	$36.85

PLATE 1/3 TUB 2HOLES/25MM

Facility

$245.65

Service Code	HCPCS C1713
Hospital Charge Code	270655674
Hospital Revenue Code	278
Min. Negotiated Rate	$6.98
Max. Negotiated Rate	$122.83
Rate for Payer: Aetna Commercial	$93.35
Rate for Payer: Aetna Medicare Advantage	$73.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.64
Rate for Payer: Cigna Commercial	$122.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.45
Rate for Payer: Qualcare PPO/HMO/WC	$36.85
Rate for Payer: UnitedHealthcare Community & State	$7.76
Rate for Payer: Wellpoint Medicaid Managed Care	$6.98

PLATE 1/3 TUB 3HOLES/37MM

Facility

$251.85

Service Code	HCPCS C1713
Hospital Charge Code	270655676
Hospital Revenue Code	278
Min. Negotiated Rate	$37.78
Max. Negotiated Rate	$60.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.95
Rate for Payer: Qualcare PPO/HMO/WC	$37.78

PLATE 1/3 TUB 3HOLES/37MM

Facility

$251.85

Service Code	HCPCS C1713
Hospital Charge Code	270655676
Hospital Revenue Code	278
Min. Negotiated Rate	$7.15
Max. Negotiated Rate	$125.92
Rate for Payer: Aetna Commercial	$95.70
Rate for Payer: Aetna Medicare Advantage	$75.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$64.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$64.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$64.22
Rate for Payer: Cigna Commercial	$125.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.95
Rate for Payer: Qualcare PPO/HMO/WC	$37.78
Rate for Payer: UnitedHealthcare Community & State	$7.96
Rate for Payer: Wellpoint Medicaid Managed Care	$7.15

PLATE 1/3 TUB 4HOLES/49MM

Facility

$318.25

Service Code	HCPCS C1713
Hospital Charge Code	270655678
Hospital Revenue Code	278
Min. Negotiated Rate	$47.74
Max. Negotiated Rate	$77.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.02
Rate for Payer: Qualcare PPO/HMO/WC	$47.74

PLATE 1/3 TUB 4HOLES/49MM

Facility

$318.25

Service Code	HCPCS C1713
Hospital Charge Code	270655678
Hospital Revenue Code	278
Min. Negotiated Rate	$9.04
Max. Negotiated Rate	$159.12
Rate for Payer: Aetna Commercial	$120.94
Rate for Payer: Aetna Medicare Advantage	$95.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.15
Rate for Payer: Cigna Commercial	$159.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.02
Rate for Payer: Qualcare PPO/HMO/WC	$47.74
Rate for Payer: UnitedHealthcare Community & State	$10.06
Rate for Payer: Wellpoint Medicaid Managed Care	$9.04

PLATE 1/3 TUB 6 HOLES/73MM

Facility

$307.45

Service Code	HCPCS C1713
Hospital Charge Code	270655682
Hospital Revenue Code	278
Min. Negotiated Rate	$46.12
Max. Negotiated Rate	$74.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.40
Rate for Payer: Qualcare PPO/HMO/WC	$46.12

PLATE 1/3 TUB 6 HOLES/73MM

Facility

$307.45

Service Code	HCPCS C1713
Hospital Charge Code	270655682
Hospital Revenue Code	278
Min. Negotiated Rate	$8.73
Max. Negotiated Rate	$153.72
Rate for Payer: Aetna Commercial	$116.83
Rate for Payer: Aetna Medicare Advantage	$92.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78.40
Rate for Payer: Cigna Commercial	$153.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.40
Rate for Payer: Qualcare PPO/HMO/WC	$46.12
Rate for Payer: UnitedHealthcare Community & State	$9.72
Rate for Payer: Wellpoint Medicaid Managed Care	$8.73

PLATE 1/3 TUBULAR 10HOLE 121MM

Facility

$312.10

Service Code	HCPCS C1713
Hospital Charge Code	270603385
Hospital Revenue Code	278
Min. Negotiated Rate	$46.81
Max. Negotiated Rate	$75.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$62.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.53
Rate for Payer: Qualcare PPO/HMO/WC	$46.81

PLATE 1/3 TUBULAR 10HOLE 121MM

Facility

$312.10

Service Code	HCPCS C1713
Hospital Charge Code	270603385
Hospital Revenue Code	278
Min. Negotiated Rate	$8.86
Max. Negotiated Rate	$156.05
Rate for Payer: Aetna Commercial	$118.60
Rate for Payer: Aetna Medicare Advantage	$93.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$79.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$79.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$62.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$79.59
Rate for Payer: Cigna Commercial	$156.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.53
Rate for Payer: Qualcare PPO/HMO/WC	$46.81
Rate for Payer: UnitedHealthcare Community & State	$9.86
Rate for Payer: Wellpoint Medicaid Managed Care	$8.86

PLATE 1/3 TUBULAR 12H 145MM

Facility

$327.55

Service Code	HCPCS C1713
Hospital Charge Code	270604308
Hospital Revenue Code	278
Min. Negotiated Rate	$9.30
Max. Negotiated Rate	$163.78
Rate for Payer: Aetna Commercial	$124.47
Rate for Payer: Aetna Medicare Advantage	$98.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$65.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.53
Rate for Payer: Cigna Commercial	$163.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.27
Rate for Payer: Qualcare PPO/HMO/WC	$49.13
Rate for Payer: UnitedHealthcare Community & State	$10.35
Rate for Payer: Wellpoint Medicaid Managed Care	$9.30

PLATE 1/3 TUBULAR 12H 145MM

Facility

$327.55

Service Code	HCPCS C1713
Hospital Charge Code	270604308
Hospital Revenue Code	278
Min. Negotiated Rate	$49.13
Max. Negotiated Rate	$79.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$65.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.27
Rate for Payer: Qualcare PPO/HMO/WC	$49.13

PLATE 1/3 TUBULAR 2HOLE 25MM

Facility

$237.95

Service Code	HCPCS C1713
Hospital Charge Code	270603362
Hospital Revenue Code	278
Min. Negotiated Rate	$6.76
Max. Negotiated Rate	$118.97
Rate for Payer: Aetna Commercial	$90.42
Rate for Payer: Aetna Medicare Advantage	$71.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.68
Rate for Payer: Cigna Commercial	$118.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.58
Rate for Payer: Qualcare PPO/HMO/WC	$35.69
Rate for Payer: UnitedHealthcare Community & State	$7.52
Rate for Payer: Wellpoint Medicaid Managed Care	$6.76

PLATE 1/3 TUBULAR 2HOLE 25MM

Facility

$237.95

Service Code	HCPCS C1713
Hospital Charge Code	270603362
Hospital Revenue Code	278
Min. Negotiated Rate	$35.69
Max. Negotiated Rate	$57.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.58
Rate for Payer: Qualcare PPO/HMO/WC	$35.69

PLATE 1/3 TUBULAR 3HOLE 37MM

Facility

$244.10

Service Code	HCPCS C1713
Hospital Charge Code	270603363
Hospital Revenue Code	278
Min. Negotiated Rate	$36.62
Max. Negotiated Rate	$59.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.07
Rate for Payer: Qualcare PPO/HMO/WC	$36.62

Know your out-of-pocket cost for care.

All Charges