Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

2.7X3.5X109MM PLATE 6-HOLE

Facility

$8,685.00

Hospital Charge Code	270704198
Hospital Revenue Code	278
Min. Negotiated Rate	$1,302.75
Max. Negotiated Rate	$2,101.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,737.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,101.77
Rate for Payer: Qualcare PPO/HMO/WC	$1,302.75

2.7X3.5X109MM PLATE 6-HOLE

Facility

$8,685.00

Hospital Charge Code	270704198
Hospital Revenue Code	278
Min. Negotiated Rate	$246.65
Max. Negotiated Rate	$4,342.50
Rate for Payer: Aetna Commercial	$3,300.30
Rate for Payer: Aetna Medicare Advantage	$2,605.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,214.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,214.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,737.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,214.68
Rate for Payer: Cigna Commercial	$4,342.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,101.77
Rate for Payer: Qualcare PPO/HMO/WC	$1,302.75
Rate for Payer: UnitedHealthcare Community & State	$274.45
Rate for Payer: Wellpoint Medicaid Managed Care	$246.65

2.7X37MM HOOK PLATE, 3HOLES

Facility

$10,040.00

Service Code	HCPCS C1713
Hospital Charge Code	270704199
Hospital Revenue Code	278
Min. Negotiated Rate	$1,506.00
Max. Negotiated Rate	$2,429.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,008.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,429.68
Rate for Payer: Qualcare PPO/HMO/WC	$1,506.00

2.7X37MM HOOK PLATE, 3HOLES

Facility

$10,040.00

Service Code	HCPCS C1713
Hospital Charge Code	270704199
Hospital Revenue Code	278
Min. Negotiated Rate	$285.14
Max. Negotiated Rate	$5,020.00
Rate for Payer: Aetna Commercial	$3,815.20
Rate for Payer: Aetna Medicare Advantage	$3,012.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,560.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,560.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,008.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,560.20
Rate for Payer: Cigna Commercial	$5,020.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,429.68
Rate for Payer: Qualcare PPO/HMO/WC	$1,506.00
Rate for Payer: UnitedHealthcare Community & State	$317.26
Rate for Payer: Wellpoint Medicaid Managed Care	$285.14

27X40X12MM CAGE

Facility

$31,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270704058
Hospital Revenue Code	278
Min. Negotiated Rate	$4,725.00
Max. Negotiated Rate	$7,623.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,623.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,725.00

27X40X12MM CAGE

Facility

$31,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270704058
Hospital Revenue Code	278
Min. Negotiated Rate	$894.60
Max. Negotiated Rate	$15,750.00
Rate for Payer: Aetna Commercial	$11,970.00
Rate for Payer: Aetna Medicare Advantage	$9,450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,032.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,032.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,032.50
Rate for Payer: Cigna Commercial	$15,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,623.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,725.00
Rate for Payer: UnitedHealthcare Community & State	$995.40
Rate for Payer: Wellpoint Medicaid Managed Care	$894.60

27X40X14MM CAGE

Facility

$31,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270704061
Hospital Revenue Code	278
Min. Negotiated Rate	$4,725.00
Max. Negotiated Rate	$7,623.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,623.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,725.00

27X40X14MM CAGE

Facility

$31,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270704061
Hospital Revenue Code	278
Min. Negotiated Rate	$894.60
Max. Negotiated Rate	$15,750.00
Rate for Payer: Aetna Commercial	$11,970.00
Rate for Payer: Aetna Medicare Advantage	$9,450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,032.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,032.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,032.50
Rate for Payer: Cigna Commercial	$15,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,623.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,725.00
Rate for Payer: UnitedHealthcare Community & State	$995.40
Rate for Payer: Wellpoint Medicaid Managed Care	$894.60

2.8 DRILL

Facility

$543.40

Hospital Charge Code	270656635
Hospital Revenue Code	272
Min. Negotiated Rate	$81.51
Max. Negotiated Rate	$81.51
Rate for Payer: Qualcare PPO/HMO/WC	$81.51

2.8 DRILL

Facility

$543.40

Hospital Charge Code	270656635
Hospital Revenue Code	272
Min. Negotiated Rate	$15.43
Max. Negotiated Rate	$271.70
Rate for Payer: Aetna Commercial	$206.49
Rate for Payer: Aetna Medicare Advantage	$163.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$138.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$138.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$138.57
Rate for Payer: Cigna Commercial	$271.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.28
Rate for Payer: Oxford Commercial	$108.68
Rate for Payer: Qualcare PPO/HMO/WC	$81.51
Rate for Payer: UnitedHealthcare Commercial	$108.68
Rate for Payer: UnitedHealthcare Community & State	$17.17
Rate for Payer: Wellpoint Medicaid Managed Care	$15.43

2.8MM COUNTERSINK

Facility

$1,695.00

Hospital Charge Code	270668755
Hospital Revenue Code	272
Min. Negotiated Rate	$254.25
Max. Negotiated Rate	$254.25
Rate for Payer: Qualcare PPO/HMO/WC	$254.25

2.8MM COUNTERSINK

Facility

$1,695.00

Hospital Charge Code	270668755
Hospital Revenue Code	272
Min. Negotiated Rate	$48.14
Max. Negotiated Rate	$847.50
Rate for Payer: Aetna Commercial	$644.10
Rate for Payer: Aetna Medicare Advantage	$508.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$432.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$432.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$432.23
Rate for Payer: Cigna Commercial	$847.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$440.70
Rate for Payer: Oxford Commercial	$339.00
Rate for Payer: Qualcare PPO/HMO/WC	$254.25
Rate for Payer: UnitedHealthcare Commercial	$339.00
Rate for Payer: UnitedHealthcare Community & State	$53.56
Rate for Payer: Wellpoint Medicaid Managed Care	$48.14

28MM DIA COCR MOD HD-3MMNK

Facility

$2,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270606325
Hospital Revenue Code	278
Min. Negotiated Rate	$71.00
Max. Negotiated Rate	$1,250.00
Rate for Payer: Aetna Commercial	$950.00
Rate for Payer: Aetna Medicare Advantage	$750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$637.50
Rate for Payer: Cigna Commercial	$1,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$605.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00
Rate for Payer: UnitedHealthcare Community & State	$79.00
Rate for Payer: Wellpoint Medicaid Managed Care	$71.00

28MM DIA COCR MOD HD-3MMNK

Facility

$2,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270606325
Hospital Revenue Code	278
Min. Negotiated Rate	$375.00
Max. Negotiated Rate	$605.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$605.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00

2.8MM THREADED GUIDE WIRE-TROC

Facility

$200.50

Service Code	HCPCS C1769
Hospital Charge Code	270605096
Hospital Revenue Code	278
Min. Negotiated Rate	$30.07
Max. Negotiated Rate	$48.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.52
Rate for Payer: Qualcare PPO/HMO/WC	$30.07

2.8MM THREADED GUIDE WIRE-TROC

Facility

$200.50

Service Code	HCPCS C1769
Hospital Charge Code	270605096
Hospital Revenue Code	278
Min. Negotiated Rate	$5.69
Max. Negotiated Rate	$100.25
Rate for Payer: Aetna Commercial	$76.19
Rate for Payer: Aetna Medicare Advantage	$60.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.13
Rate for Payer: Cigna Commercial	$100.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.52
Rate for Payer: Qualcare PPO/HMO/WC	$30.07
Rate for Payer: UnitedHealthcare Community & State	$6.34
Rate for Payer: Wellpoint Medicaid Managed Care	$5.69

2.8 Q-FIX SUTURE ANCHOR

Facility

$3,065.00

Service Code	HCPCS C1713
Hospital Charge Code	270674271
Hospital Revenue Code	278
Min. Negotiated Rate	$459.75
Max. Negotiated Rate	$741.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$613.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$741.73
Rate for Payer: Qualcare PPO/HMO/WC	$459.75

2.8 Q-FIX SUTURE ANCHOR

Facility

$3,065.00

Service Code	HCPCS C1713
Hospital Charge Code	270674271
Hospital Revenue Code	278
Min. Negotiated Rate	$87.05
Max. Negotiated Rate	$1,532.50
Rate for Payer: Aetna Commercial	$1,164.70
Rate for Payer: Aetna Medicare Advantage	$919.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$781.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$781.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$613.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$781.58
Rate for Payer: Cigna Commercial	$1,532.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$741.73
Rate for Payer: Qualcare PPO/HMO/WC	$459.75
Rate for Payer: UnitedHealthcare Community & State	$96.85
Rate for Payer: Wellpoint Medicaid Managed Care	$87.05

2.8 SHOULDER Q-FIX KIT

Facility

$2,550.00

Hospital Charge Code	270674270
Hospital Revenue Code	272
Min. Negotiated Rate	$382.50
Max. Negotiated Rate	$382.50
Rate for Payer: Qualcare PPO/HMO/WC	$382.50

2.8 SHOULDER Q-FIX KIT

Facility

$2,550.00

Hospital Charge Code	270674270
Hospital Revenue Code	272
Min. Negotiated Rate	$72.42
Max. Negotiated Rate	$1,275.00
Rate for Payer: Aetna Commercial	$969.00
Rate for Payer: Aetna Medicare Advantage	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$650.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$650.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$650.25
Rate for Payer: Cigna Commercial	$1,275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$663.00
Rate for Payer: Oxford Commercial	$510.00
Rate for Payer: Qualcare PPO/HMO/WC	$382.50
Rate for Payer: UnitedHealthcare Commercial	$510.00
Rate for Payer: UnitedHealthcare Community & State	$80.58
Rate for Payer: Wellpoint Medicaid Managed Care	$72.42

28X40X17MM CAGE 15DEG

Facility

$32,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270705503
Hospital Revenue Code	278
Min. Negotiated Rate	$923.00
Max. Negotiated Rate	$16,250.00
Rate for Payer: Aetna Commercial	$12,350.00
Rate for Payer: Aetna Medicare Advantage	$9,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,287.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,287.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,287.50
Rate for Payer: Cigna Commercial	$16,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,865.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,875.00
Rate for Payer: UnitedHealthcare Community & State	$1,027.00
Rate for Payer: Wellpoint Medicaid Managed Care	$923.00

28X40X17MM CAGE 15DEG

Facility

$32,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270705503
Hospital Revenue Code	278
Min. Negotiated Rate	$4,875.00
Max. Negotiated Rate	$7,865.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,865.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,875.00

2.9 BC LOOP N TACKTENODESIS IM

Facility

$4,635.00

Service Code	HCPCS C1713
Hospital Charge Code	270704045
Hospital Revenue Code	278
Min. Negotiated Rate	$131.63
Max. Negotiated Rate	$2,317.50
Rate for Payer: Aetna Commercial	$1,761.30
Rate for Payer: Aetna Medicare Advantage	$1,390.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,181.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,181.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$927.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,181.92
Rate for Payer: Cigna Commercial	$2,317.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,121.67
Rate for Payer: Qualcare PPO/HMO/WC	$695.25
Rate for Payer: UnitedHealthcare Community & State	$146.47
Rate for Payer: Wellpoint Medicaid Managed Care	$131.63

2.9 BC LOOP N TACKTENODESIS IM

Facility

$4,635.00

Service Code	HCPCS C1713
Hospital Charge Code	270704045
Hospital Revenue Code	278
Min. Negotiated Rate	$695.25
Max. Negotiated Rate	$1,121.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$927.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,121.67
Rate for Payer: Qualcare PPO/HMO/WC	$695.25

2.9MM BIOCOMP PISHLOCK

Facility

$875.00

Hospital Charge Code	270656434
Hospital Revenue Code	271
Min. Negotiated Rate	$24.85
Max. Negotiated Rate	$437.50
Rate for Payer: Aetna Commercial	$332.50
Rate for Payer: Aetna Medicare Advantage	$262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.12
Rate for Payer: Cigna Commercial	$437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$227.50
Rate for Payer: Oxford Commercial	$175.00
Rate for Payer: Qualcare PPO/HMO/WC	$131.25
Rate for Payer: UnitedHealthcare Commercial	$175.00
Rate for Payer: UnitedHealthcare Community & State	$27.65
Rate for Payer: Wellpoint Medicaid Managed Care	$24.85

Know your out-of-pocket cost for care.

All Charges