Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

PLATE CONDYLAR 10H 230MM RT S

Facility

$7,545.00

Service Code	HCPCS C1713
Hospital Charge Code	270675713
Hospital Revenue Code	278
Min. Negotiated Rate	$1,131.75
Max. Negotiated Rate	$1,825.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,509.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,825.89
Rate for Payer: Qualcare PPO/HMO/WC	$1,131.75

PLATE CONDYLAR 159MM 6H LT STR

Facility

$7,083.00

Service Code	HCPCS C1713
Hospital Charge Code	270675839
Hospital Revenue Code	278
Min. Negotiated Rate	$201.16
Max. Negotiated Rate	$3,541.50
Rate for Payer: Aetna Commercial	$2,691.54
Rate for Payer: Aetna Medicare Advantage	$2,124.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,806.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,806.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,416.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,806.16
Rate for Payer: Cigna Commercial	$3,541.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,714.09
Rate for Payer: Qualcare PPO/HMO/WC	$1,062.45
Rate for Payer: UnitedHealthcare Community & State	$223.82
Rate for Payer: Wellpoint Medicaid Managed Care	$201.16

PLATE CONDYLAR 159MM 6H LT STR

Facility

$7,083.00

Service Code	HCPCS C1713
Hospital Charge Code	270675839
Hospital Revenue Code	278
Min. Negotiated Rate	$1,062.45
Max. Negotiated Rate	$1,714.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,416.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,714.09
Rate for Payer: Qualcare PPO/HMO/WC	$1,062.45

PLATE CONDYLAR 1.5MM 7H LT

Facility

$1,202.00

Service Code	HCPCS C1713
Hospital Charge Code	270654821
Hospital Revenue Code	278
Min. Negotiated Rate	$180.30
Max. Negotiated Rate	$290.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$240.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.88
Rate for Payer: Qualcare PPO/HMO/WC	$180.30

PLATE CONDYLAR 1.5MM 7H LT

Facility

$1,202.00

Service Code	HCPCS C1713
Hospital Charge Code	270654821
Hospital Revenue Code	278
Min. Negotiated Rate	$34.14
Max. Negotiated Rate	$601.00
Rate for Payer: Aetna Commercial	$456.76
Rate for Payer: Aetna Medicare Advantage	$360.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$306.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$306.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$240.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$306.51
Rate for Payer: Cigna Commercial	$601.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.88
Rate for Payer: Qualcare PPO/HMO/WC	$180.30
Rate for Payer: UnitedHealthcare Community & State	$37.98
Rate for Payer: Wellpoint Medicaid Managed Care	$34.14

PLATE CONDYLAR 1.5MM 7H RT

Facility

$1,202.00

Service Code	HCPCS C1713
Hospital Charge Code	270654823
Hospital Revenue Code	278
Min. Negotiated Rate	$180.30
Max. Negotiated Rate	$290.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$240.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.88
Rate for Payer: Qualcare PPO/HMO/WC	$180.30

PLATE CONDYLAR 1.5MM 7H RT

Facility

$1,202.00

Service Code	HCPCS C1713
Hospital Charge Code	270654823
Hospital Revenue Code	278
Min. Negotiated Rate	$34.14
Max. Negotiated Rate	$601.00
Rate for Payer: Aetna Commercial	$456.76
Rate for Payer: Aetna Medicare Advantage	$360.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$306.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$306.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$240.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$306.51
Rate for Payer: Cigna Commercial	$601.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.88
Rate for Payer: Qualcare PPO/HMO/WC	$180.30
Rate for Payer: UnitedHealthcare Community & State	$37.98
Rate for Payer: Wellpoint Medicaid Managed Care	$34.14

PLATE CONDYLAR 2.0MM 7H L

Facility

$1,103.15

Service Code	HCPCS C1713
Hospital Charge Code	270654835
Hospital Revenue Code	278
Min. Negotiated Rate	$165.47
Max. Negotiated Rate	$266.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$220.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$266.96
Rate for Payer: Qualcare PPO/HMO/WC	$165.47

PLATE CONDYLAR 2.0MM 7H L

Facility

$1,103.15

Service Code	HCPCS C1713
Hospital Charge Code	270654835
Hospital Revenue Code	278
Min. Negotiated Rate	$31.33
Max. Negotiated Rate	$551.58
Rate for Payer: Aetna Commercial	$419.20
Rate for Payer: Aetna Medicare Advantage	$330.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$281.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$281.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$220.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$281.30
Rate for Payer: Cigna Commercial	$551.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$266.96
Rate for Payer: Qualcare PPO/HMO/WC	$165.47
Rate for Payer: UnitedHealthcare Community & State	$34.86
Rate for Payer: Wellpoint Medicaid Managed Care	$31.33

PLATE CONDYLAR 2.0MM 7HOLE R

Facility

$1,103.15

Service Code	HCPCS C1713
Hospital Charge Code	270654839
Hospital Revenue Code	278
Min. Negotiated Rate	$165.47
Max. Negotiated Rate	$266.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$220.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$266.96
Rate for Payer: Qualcare PPO/HMO/WC	$165.47

PLATE CONDYLAR 2.0MM 7HOLE R

Facility

$1,103.15

Service Code	HCPCS C1713
Hospital Charge Code	270654839
Hospital Revenue Code	278
Min. Negotiated Rate	$31.33
Max. Negotiated Rate	$551.58
Rate for Payer: Aetna Commercial	$419.20
Rate for Payer: Aetna Medicare Advantage	$330.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$281.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$281.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$220.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$281.30
Rate for Payer: Cigna Commercial	$551.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$266.96
Rate for Payer: Qualcare PPO/HMO/WC	$165.47
Rate for Payer: UnitedHealthcare Community & State	$34.86
Rate for Payer: Wellpoint Medicaid Managed Care	$31.33

PLATE CONDYLAR 2.4MM 8HOLE LT

Facility

$1,171.10

Service Code	HCPCS C1713
Hospital Charge Code	270654866
Hospital Revenue Code	278
Min. Negotiated Rate	$175.66
Max. Negotiated Rate	$283.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$234.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$283.41
Rate for Payer: Qualcare PPO/HMO/WC	$175.66

PLATE CONDYLAR 2.4MM 8HOLE LT

Facility

$1,171.10

Service Code	HCPCS C1713
Hospital Charge Code	270654866
Hospital Revenue Code	278
Min. Negotiated Rate	$33.26
Max. Negotiated Rate	$585.55
Rate for Payer: Aetna Commercial	$445.02
Rate for Payer: Aetna Medicare Advantage	$351.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$298.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$298.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$234.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$298.63
Rate for Payer: Cigna Commercial	$585.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$283.41
Rate for Payer: Qualcare PPO/HMO/WC	$175.66
Rate for Payer: UnitedHealthcare Community & State	$37.01
Rate for Payer: Wellpoint Medicaid Managed Care	$33.26

PLATE CONDYLAR 2.4MM 8HOLE RT

Facility

$1,171.10

Service Code	HCPCS C1713
Hospital Charge Code	270654865
Hospital Revenue Code	278
Min. Negotiated Rate	$33.26
Max. Negotiated Rate	$585.55
Rate for Payer: Aetna Commercial	$445.02
Rate for Payer: Aetna Medicare Advantage	$351.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$298.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$298.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$234.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$298.63
Rate for Payer: Cigna Commercial	$585.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$283.41
Rate for Payer: Qualcare PPO/HMO/WC	$175.66
Rate for Payer: UnitedHealthcare Community & State	$37.01
Rate for Payer: Wellpoint Medicaid Managed Care	$33.26

PLATE CONDYLAR 2.4MM 8HOLE RT

Facility

$1,171.10

Service Code	HCPCS C1713
Hospital Charge Code	270654865
Hospital Revenue Code	278
Min. Negotiated Rate	$175.66
Max. Negotiated Rate	$283.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$234.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$283.41
Rate for Payer: Qualcare PPO/HMO/WC	$175.66

PLATE CONDYLAR 2.7 MM LCP

Facility

$2,733.05

Service Code	HCPCS C1713
Hospital Charge Code	270691488
Hospital Revenue Code	278
Min. Negotiated Rate	$409.96
Max. Negotiated Rate	$661.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$546.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$661.40
Rate for Payer: Qualcare PPO/HMO/WC	$409.96

PLATE CONDYLAR 2.7 MM LCP

Facility

$2,733.05

Service Code	HCPCS C1713
Hospital Charge Code	270691488
Hospital Revenue Code	278
Min. Negotiated Rate	$77.62
Max. Negotiated Rate	$1,366.53
Rate for Payer: Aetna Commercial	$1,038.56
Rate for Payer: Aetna Medicare Advantage	$819.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$696.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$696.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$546.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$696.93
Rate for Payer: Cigna Commercial	$1,366.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$661.40
Rate for Payer: Qualcare PPO/HMO/WC	$409.96
Rate for Payer: UnitedHealthcare Community & State	$86.36
Rate for Payer: Wellpoint Medicaid Managed Care	$77.62

PLATE CONDYLAR 4.5MM 10H RT

Facility

$7,564.30

Hospital Charge Code	270677611
Hospital Revenue Code	278
Min. Negotiated Rate	$214.83
Max. Negotiated Rate	$3,782.15
Rate for Payer: Aetna Commercial	$2,874.43
Rate for Payer: Aetna Medicare Advantage	$2,269.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,928.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,928.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,512.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,928.90
Rate for Payer: Cigna Commercial	$3,782.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,830.56
Rate for Payer: Qualcare PPO/HMO/WC	$1,134.64
Rate for Payer: UnitedHealthcare Community & State	$239.03
Rate for Payer: Wellpoint Medicaid Managed Care	$214.83

PLATE CONDYLAR 4.5MM 10H RT

Facility

$7,564.30

Hospital Charge Code	270677611
Hospital Revenue Code	278
Min. Negotiated Rate	$1,134.64
Max. Negotiated Rate	$1,830.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,512.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,830.56
Rate for Payer: Qualcare PPO/HMO/WC	$1,134.64

PLATE CONDYLAR 4.5MM 12H LT

Facility

$7,721.90

Hospital Charge Code	270677613
Hospital Revenue Code	278
Min. Negotiated Rate	$1,158.29
Max. Negotiated Rate	$1,868.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,544.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,868.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,158.29

PLATE CONDYLAR 4.5MM 12H LT

Facility

$7,721.90

Hospital Charge Code	270677613
Hospital Revenue Code	278
Min. Negotiated Rate	$219.30
Max. Negotiated Rate	$3,860.95
Rate for Payer: Aetna Commercial	$2,934.32
Rate for Payer: Aetna Medicare Advantage	$2,316.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,969.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,969.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,544.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,969.08
Rate for Payer: Cigna Commercial	$3,860.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,868.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,158.29
Rate for Payer: UnitedHealthcare Community & State	$244.01
Rate for Payer: Wellpoint Medicaid Managed Care	$219.30

PLATE CONDYLAR 4.5MM 12H LT ST

Facility

$7,929.30

Service Code	HCPCS C1713
Hospital Charge Code	270649684
Hospital Revenue Code	278
Min. Negotiated Rate	$225.19
Max. Negotiated Rate	$3,964.65
Rate for Payer: Aetna Commercial	$3,013.13
Rate for Payer: Aetna Medicare Advantage	$2,378.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,021.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,021.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,585.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,021.97
Rate for Payer: Cigna Commercial	$3,964.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,918.89
Rate for Payer: Qualcare PPO/HMO/WC	$1,189.39
Rate for Payer: UnitedHealthcare Community & State	$250.57
Rate for Payer: Wellpoint Medicaid Managed Care	$225.19

PLATE CONDYLAR 4.5MM 12H LT ST

Facility

$7,929.30

Service Code	HCPCS C1713
Hospital Charge Code	270649684
Hospital Revenue Code	278
Min. Negotiated Rate	$1,189.39
Max. Negotiated Rate	$1,918.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,585.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,918.89
Rate for Payer: Qualcare PPO/HMO/WC	$1,189.39

PLATE CONDYLAR 4.5MM 12H RT

Facility

$7,721.90

Hospital Charge Code	270677612
Hospital Revenue Code	278
Min. Negotiated Rate	$219.30
Max. Negotiated Rate	$3,860.95
Rate for Payer: Aetna Commercial	$2,934.32
Rate for Payer: Aetna Medicare Advantage	$2,316.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,969.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,969.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,544.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,969.08
Rate for Payer: Cigna Commercial	$3,860.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,868.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,158.29
Rate for Payer: UnitedHealthcare Community & State	$244.01
Rate for Payer: Wellpoint Medicaid Managed Care	$219.30

PLATE CONDYLAR 4.5MM 12H RT

Facility

$7,721.90

Hospital Charge Code	270677612
Hospital Revenue Code	278
Min. Negotiated Rate	$1,158.29
Max. Negotiated Rate	$1,868.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,544.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,868.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,158.29

Know your out-of-pocket cost for care.

All Charges