Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

PLATE BROAD 6 HOLE ALTA

Facility

$713.00

Hospital Charge Code	270335170
Hospital Revenue Code	278
Min. Negotiated Rate	$106.95
Max. Negotiated Rate	$172.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$142.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$172.55
Rate for Payer: Qualcare PPO/HMO/WC	$106.95

PLATE BROAD 6 HOLE ALTA

Facility

$713.00

Hospital Charge Code	270335170
Hospital Revenue Code	278
Min. Negotiated Rate	$20.25
Max. Negotiated Rate	$356.50
Rate for Payer: Aetna Commercial	$270.94
Rate for Payer: Aetna Medicare Advantage	$213.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$181.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$181.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$142.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$181.81
Rate for Payer: Cigna Commercial	$356.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$172.55
Rate for Payer: Qualcare PPO/HMO/WC	$106.95
Rate for Payer: UnitedHealthcare Community & State	$22.53
Rate for Payer: Wellpoint Medicaid Managed Care	$20.25

PLATE BROAD 8 HOLE ALTA

Facility

$911.00

Hospital Charge Code	270335171
Hospital Revenue Code	278
Min. Negotiated Rate	$136.65
Max. Negotiated Rate	$220.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$182.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$220.46
Rate for Payer: Qualcare PPO/HMO/WC	$136.65

PLATE BROAD 8 HOLE ALTA

Facility

$911.00

Hospital Charge Code	270335171
Hospital Revenue Code	278
Min. Negotiated Rate	$25.87
Max. Negotiated Rate	$455.50
Rate for Payer: Aetna Commercial	$346.18
Rate for Payer: Aetna Medicare Advantage	$273.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$232.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$232.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$182.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$232.31
Rate for Payer: Cigna Commercial	$455.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$220.46
Rate for Payer: Qualcare PPO/HMO/WC	$136.65
Rate for Payer: UnitedHealthcare Community & State	$28.79
Rate for Payer: Wellpoint Medicaid Managed Care	$25.87

PLATE BROAD DCP 14H 4.5x286MM

Facility

$1,581.00

Hospital Charge Code	270675502
Hospital Revenue Code	278
Min. Negotiated Rate	$237.15
Max. Negotiated Rate	$382.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$316.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$382.60
Rate for Payer: Qualcare PPO/HMO/WC	$237.15

PLATE BROAD DCP 14H 4.5x286MM

Facility

$1,581.00

Hospital Charge Code	270675502
Hospital Revenue Code	278
Min. Negotiated Rate	$44.90
Max. Negotiated Rate	$790.50
Rate for Payer: Aetna Commercial	$600.78
Rate for Payer: Aetna Medicare Advantage	$474.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$403.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$403.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$316.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$403.15
Rate for Payer: Cigna Commercial	$790.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$382.60
Rate for Payer: Qualcare PPO/HMO/WC	$237.15
Rate for Payer: UnitedHealthcare Community & State	$49.96
Rate for Payer: Wellpoint Medicaid Managed Care	$44.90

PLATE BROAD LKG 4H 39MM

Facility

$6,115.55

Service Code	HCPCS C1713
Hospital Charge Code	270699827
Hospital Revenue Code	278
Min. Negotiated Rate	$917.33
Max. Negotiated Rate	$1,479.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,223.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,479.96
Rate for Payer: Qualcare PPO/HMO/WC	$917.33

PLATE BROAD LKG 4H 39MM

Facility

$6,115.55

Service Code	HCPCS C1713
Hospital Charge Code	270699827
Hospital Revenue Code	278
Min. Negotiated Rate	$173.68
Max. Negotiated Rate	$3,057.78
Rate for Payer: Aetna Commercial	$2,323.91
Rate for Payer: Aetna Medicare Advantage	$1,834.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,559.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,559.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,223.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,559.47
Rate for Payer: Cigna Commercial	$3,057.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,479.96
Rate for Payer: Qualcare PPO/HMO/WC	$917.33
Rate for Payer: UnitedHealthcare Community & State	$193.25
Rate for Payer: Wellpoint Medicaid Managed Care	$173.68

PLATE BUTTON DISTAL CLAVICLE

Facility

$4,925.00

Service Code	HCPCS C1713
Hospital Charge Code	270687594
Hospital Revenue Code	278
Min. Negotiated Rate	$738.75
Max. Negotiated Rate	$1,191.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$985.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,191.85
Rate for Payer: Qualcare PPO/HMO/WC	$738.75

PLATE BUTTON DISTAL CLAVICLE

Facility

$4,925.00

Service Code	HCPCS C1713
Hospital Charge Code	270687594
Hospital Revenue Code	278
Min. Negotiated Rate	$139.87
Max. Negotiated Rate	$2,462.50
Rate for Payer: Aetna Commercial	$1,871.50
Rate for Payer: Aetna Medicare Advantage	$1,477.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,255.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,255.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$985.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,255.88
Rate for Payer: Cigna Commercial	$2,462.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,191.85
Rate for Payer: Qualcare PPO/HMO/WC	$738.75
Rate for Payer: UnitedHealthcare Community & State	$155.63
Rate for Payer: Wellpoint Medicaid Managed Care	$139.87

PLATE BUTTRESS 4 HOLES RIGHT

Facility

$1,710.00

Hospital Charge Code	270656207
Hospital Revenue Code	278
Min. Negotiated Rate	$48.56
Max. Negotiated Rate	$855.00
Rate for Payer: Aetna Commercial	$649.80
Rate for Payer: Aetna Medicare Advantage	$513.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$436.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$436.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$342.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$436.05
Rate for Payer: Cigna Commercial	$855.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$413.82
Rate for Payer: Qualcare PPO/HMO/WC	$256.50
Rate for Payer: UnitedHealthcare Community & State	$54.04
Rate for Payer: Wellpoint Medicaid Managed Care	$48.56

PLATE BUTTRESS 4 HOLES RIGHT

Facility

$1,710.00

Hospital Charge Code	270656207
Hospital Revenue Code	278
Min. Negotiated Rate	$256.50
Max. Negotiated Rate	$413.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$342.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$413.82
Rate for Payer: Qualcare PPO/HMO/WC	$256.50

PLATE CALCANEAL

Facility

$5,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270690198
Hospital Revenue Code	278
Min. Negotiated Rate	$821.25
Max. Negotiated Rate	$1,324.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,095.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,324.95
Rate for Payer: Qualcare PPO/HMO/WC	$821.25

PLATE CALCANEAL

Facility

$5,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270690198
Hospital Revenue Code	278
Min. Negotiated Rate	$155.49
Max. Negotiated Rate	$2,737.50
Rate for Payer: Aetna Commercial	$2,080.50
Rate for Payer: Aetna Medicare Advantage	$1,642.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,396.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,396.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,095.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,396.12
Rate for Payer: Cigna Commercial	$2,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,324.95
Rate for Payer: Qualcare PPO/HMO/WC	$821.25
Rate for Payer: UnitedHealthcare Community & State	$173.01
Rate for Payer: Wellpoint Medicaid Managed Care	$155.49

PLATE CALCANEAL 70MM

Facility

$2,252.60

Service Code	HCPCS C1713
Hospital Charge Code	270651712
Hospital Revenue Code	278
Min. Negotiated Rate	$63.97
Max. Negotiated Rate	$1,126.30
Rate for Payer: Aetna Commercial	$855.99
Rate for Payer: Aetna Medicare Advantage	$675.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$574.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$574.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$450.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$574.41
Rate for Payer: Cigna Commercial	$1,126.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$545.13
Rate for Payer: Qualcare PPO/HMO/WC	$337.89
Rate for Payer: UnitedHealthcare Community & State	$71.18
Rate for Payer: Wellpoint Medicaid Managed Care	$63.97

PLATE CALCANEAL 70MM

Facility

$2,252.60

Service Code	HCPCS C1713
Hospital Charge Code	270651712
Hospital Revenue Code	278
Min. Negotiated Rate	$337.89
Max. Negotiated Rate	$545.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$450.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$545.13
Rate for Payer: Qualcare PPO/HMO/WC	$337.89

PLATE CALCANEAL 8 HOLE LONG L

Facility

$5,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270688013
Hospital Revenue Code	278
Min. Negotiated Rate	$821.25
Max. Negotiated Rate	$1,324.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,095.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,324.95
Rate for Payer: Qualcare PPO/HMO/WC	$821.25

PLATE CALCANEAL 8 HOLE LONG L

Facility

$5,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270688013
Hospital Revenue Code	278
Min. Negotiated Rate	$155.49
Max. Negotiated Rate	$2,737.50
Rate for Payer: Aetna Commercial	$2,080.50
Rate for Payer: Aetna Medicare Advantage	$1,642.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,396.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,396.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,095.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,396.12
Rate for Payer: Cigna Commercial	$2,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,324.95
Rate for Payer: Qualcare PPO/HMO/WC	$821.25
Rate for Payer: UnitedHealthcare Community & State	$173.01
Rate for Payer: Wellpoint Medicaid Managed Care	$155.49

PLATE CALCANEAL 8 HOLE LONG R

Facility

$4,549.85

Service Code	HCPCS C1713
Hospital Charge Code	270681405
Hospital Revenue Code	278
Min. Negotiated Rate	$129.22
Max. Negotiated Rate	$2,274.93
Rate for Payer: Aetna Commercial	$1,728.94
Rate for Payer: Aetna Medicare Advantage	$1,364.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,160.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,160.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$909.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,160.21
Rate for Payer: Cigna Commercial	$2,274.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,101.06
Rate for Payer: Qualcare PPO/HMO/WC	$682.48
Rate for Payer: UnitedHealthcare Community & State	$143.78
Rate for Payer: Wellpoint Medicaid Managed Care	$129.22

PLATE CALCANEAL 8 HOLE LONG R

Facility

$4,549.85

Service Code	HCPCS C1713
Hospital Charge Code	270681405
Hospital Revenue Code	278
Min. Negotiated Rate	$682.48
Max. Negotiated Rate	$1,101.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$909.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,101.06
Rate for Payer: Qualcare PPO/HMO/WC	$682.48

PLATE CALCANEAL 8 HOLE LONG S

Facility

$4,549.85

Service Code	HCPCS C1713
Hospital Charge Code	270688023
Hospital Revenue Code	278
Min. Negotiated Rate	$682.48
Max. Negotiated Rate	$1,101.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$909.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,101.06
Rate for Payer: Qualcare PPO/HMO/WC	$682.48

PLATE CALCANEAL 8 HOLE LONG S

Facility

$4,549.85

Service Code	HCPCS C1713
Hospital Charge Code	270688023
Hospital Revenue Code	278
Min. Negotiated Rate	$129.22
Max. Negotiated Rate	$2,274.93
Rate for Payer: Aetna Commercial	$1,728.94
Rate for Payer: Aetna Medicare Advantage	$1,364.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,160.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,160.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$909.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,160.21
Rate for Payer: Cigna Commercial	$2,274.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,101.06
Rate for Payer: Qualcare PPO/HMO/WC	$682.48
Rate for Payer: UnitedHealthcare Community & State	$143.78
Rate for Payer: Wellpoint Medicaid Managed Care	$129.22

PLATE CALCANEAL FRAC M,LFT

Facility

$5,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270686036
Hospital Revenue Code	278
Min. Negotiated Rate	$821.25
Max. Negotiated Rate	$1,324.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,095.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,324.95
Rate for Payer: Qualcare PPO/HMO/WC	$821.25

PLATE CALCANEAL FRAC M,LFT

Facility

$5,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270686036
Hospital Revenue Code	278
Min. Negotiated Rate	$155.49
Max. Negotiated Rate	$2,737.50
Rate for Payer: Aetna Commercial	$2,080.50
Rate for Payer: Aetna Medicare Advantage	$1,642.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,396.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,396.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,095.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,396.12
Rate for Payer: Cigna Commercial	$2,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,324.95
Rate for Payer: Qualcare PPO/HMO/WC	$821.25
Rate for Payer: UnitedHealthcare Community & State	$173.01
Rate for Payer: Wellpoint Medicaid Managed Care	$155.49

PLATE CALCANEAL LCKG MINI-RT

Facility

$3,411.35

Hospital Charge Code	270668527
Hospital Revenue Code	278
Min. Negotiated Rate	$96.88
Max. Negotiated Rate	$1,705.67
Rate for Payer: Aetna Commercial	$1,296.31
Rate for Payer: Aetna Medicare Advantage	$1,023.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$869.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$869.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$682.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$869.89
Rate for Payer: Cigna Commercial	$1,705.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$825.55
Rate for Payer: Qualcare PPO/HMO/WC	$511.70
Rate for Payer: UnitedHealthcare Community & State	$107.80
Rate for Payer: Wellpoint Medicaid Managed Care	$96.88

Know your out-of-pocket cost for care.

All Charges