Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

PLATE LAPIDUS 0MM

Facility

$9,965.00

Service Code	HCPCS C1713
Hospital Charge Code	270683199
Hospital Revenue Code	278
Min. Negotiated Rate	$283.01
Max. Negotiated Rate	$4,982.50
Rate for Payer: Aetna Commercial	$3,786.70
Rate for Payer: Aetna Medicare Advantage	$2,989.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,541.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,541.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,993.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,541.07
Rate for Payer: Cigna Commercial	$4,982.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,411.53
Rate for Payer: Qualcare PPO/HMO/WC	$1,494.75
Rate for Payer: UnitedHealthcare Community & State	$314.89
Rate for Payer: Wellpoint Medicaid Managed Care	$283.01

PLATE LAPIDUS 0MM STEP

Facility

$5,300.00

Hospital Charge Code	270676763
Hospital Revenue Code	278
Min. Negotiated Rate	$795.00
Max. Negotiated Rate	$1,282.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,060.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,282.60
Rate for Payer: Qualcare PPO/HMO/WC	$795.00

PLATE LAPIDUS 0MM STEP

Facility

$5,300.00

Hospital Charge Code	270676763
Hospital Revenue Code	278
Min. Negotiated Rate	$150.52
Max. Negotiated Rate	$2,650.00
Rate for Payer: Aetna Commercial	$2,014.00
Rate for Payer: Aetna Medicare Advantage	$1,590.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,351.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,351.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,060.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,351.50
Rate for Payer: Cigna Commercial	$2,650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,282.60
Rate for Payer: Qualcare PPO/HMO/WC	$795.00
Rate for Payer: UnitedHealthcare Community & State	$167.48
Rate for Payer: Wellpoint Medicaid Managed Care	$150.52

PLATE LAPIDUS 1MM

Facility

$7,680.00

Service Code	HCPCS C1713
Hospital Charge Code	270675123
Hospital Revenue Code	278
Min. Negotiated Rate	$1,152.00
Max. Negotiated Rate	$1,858.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,536.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,858.56
Rate for Payer: Qualcare PPO/HMO/WC	$1,152.00

PLATE LAPIDUS 1MM

Facility

$7,680.00

Service Code	HCPCS C1713
Hospital Charge Code	270675123
Hospital Revenue Code	278
Min. Negotiated Rate	$218.11
Max. Negotiated Rate	$3,840.00
Rate for Payer: Aetna Commercial	$2,918.40
Rate for Payer: Aetna Medicare Advantage	$2,304.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,958.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,958.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,958.40
Rate for Payer: Cigna Commercial	$3,840.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,858.56
Rate for Payer: Qualcare PPO/HMO/WC	$1,152.00
Rate for Payer: UnitedHealthcare Community & State	$242.69
Rate for Payer: Wellpoint Medicaid Managed Care	$218.11

PLATE LAPIDUS 4H MED WALL LT

Facility

$7,136.25

Service Code	HCPCS C1713
Hospital Charge Code	270700173
Hospital Revenue Code	278
Min. Negotiated Rate	$202.67
Max. Negotiated Rate	$3,568.12
Rate for Payer: Aetna Commercial	$2,711.78
Rate for Payer: Aetna Medicare Advantage	$2,140.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,819.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,819.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,427.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,819.74
Rate for Payer: Cigna Commercial	$3,568.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,726.97
Rate for Payer: Qualcare PPO/HMO/WC	$1,070.44
Rate for Payer: UnitedHealthcare Community & State	$225.51
Rate for Payer: Wellpoint Medicaid Managed Care	$202.67

PLATE LAPIDUS 4H MED WALL LT

Facility

$7,136.25

Service Code	HCPCS C1713
Hospital Charge Code	270700173
Hospital Revenue Code	278
Min. Negotiated Rate	$1,070.44
Max. Negotiated Rate	$1,726.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,427.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,726.97
Rate for Payer: Qualcare PPO/HMO/WC	$1,070.44

PLATE LAPIDUS CP 1MM LEFT

Facility

$6,771.25

Hospital Charge Code	270676860
Hospital Revenue Code	278
Min. Negotiated Rate	$192.30
Max. Negotiated Rate	$3,385.62
Rate for Payer: Aetna Commercial	$2,573.07
Rate for Payer: Aetna Medicare Advantage	$2,031.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,726.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,726.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,354.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,726.67
Rate for Payer: Cigna Commercial	$3,385.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,638.64
Rate for Payer: Qualcare PPO/HMO/WC	$1,015.69
Rate for Payer: UnitedHealthcare Community & State	$213.97
Rate for Payer: Wellpoint Medicaid Managed Care	$192.30

PLATE LAPIDUS CP 1MM LEFT

Facility

$6,771.25

Hospital Charge Code	270676860
Hospital Revenue Code	278
Min. Negotiated Rate	$1,015.69
Max. Negotiated Rate	$1,638.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,354.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,638.64
Rate for Payer: Qualcare PPO/HMO/WC	$1,015.69

PLATE LAPIDUS CROSSCHECK

Facility

$9,865.00

Service Code	HCPCS C1713
Hospital Charge Code	270685334
Hospital Revenue Code	278
Min. Negotiated Rate	$280.17
Max. Negotiated Rate	$4,932.50
Rate for Payer: Aetna Commercial	$3,748.70
Rate for Payer: Aetna Medicare Advantage	$2,959.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,515.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,515.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,973.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,515.57
Rate for Payer: Cigna Commercial	$4,932.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,387.33
Rate for Payer: Qualcare PPO/HMO/WC	$1,479.75
Rate for Payer: UnitedHealthcare Community & State	$311.73
Rate for Payer: Wellpoint Medicaid Managed Care	$280.17

PLATE LAPIDUS CROSSCHECK

Facility

$9,865.00

Service Code	HCPCS C1713
Hospital Charge Code	270685334
Hospital Revenue Code	278
Min. Negotiated Rate	$1,479.75
Max. Negotiated Rate	$2,387.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,973.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,387.33
Rate for Payer: Qualcare PPO/HMO/WC	$1,479.75

PLATE LAPIDUS FLAT

Facility

$7,680.00

Hospital Charge Code	270662453
Hospital Revenue Code	278
Min. Negotiated Rate	$1,152.00
Max. Negotiated Rate	$1,858.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,536.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,858.56
Rate for Payer: Qualcare PPO/HMO/WC	$1,152.00

PLATE LAPIDUS FLAT

Facility

$7,680.00

Hospital Charge Code	270662453
Hospital Revenue Code	278
Min. Negotiated Rate	$218.11
Max. Negotiated Rate	$3,840.00
Rate for Payer: Aetna Commercial	$2,918.40
Rate for Payer: Aetna Medicare Advantage	$2,304.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,958.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,958.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,958.40
Rate for Payer: Cigna Commercial	$3,840.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,858.56
Rate for Payer: Qualcare PPO/HMO/WC	$1,152.00
Rate for Payer: UnitedHealthcare Community & State	$242.69
Rate for Payer: Wellpoint Medicaid Managed Care	$218.11

PLATE LAPIDUS LONG

Facility

$3,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270679306
Hospital Revenue Code	278
Min. Negotiated Rate	$92.30
Max. Negotiated Rate	$1,625.00
Rate for Payer: Aetna Commercial	$1,235.00
Rate for Payer: Aetna Medicare Advantage	$975.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$828.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$828.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$828.75
Rate for Payer: Cigna Commercial	$1,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$786.50
Rate for Payer: Qualcare PPO/HMO/WC	$487.50
Rate for Payer: UnitedHealthcare Community & State	$102.70
Rate for Payer: Wellpoint Medicaid Managed Care	$92.30

PLATE LAPIDUS LONG

Facility

$3,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270679306
Hospital Revenue Code	278
Min. Negotiated Rate	$487.50
Max. Negotiated Rate	$786.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$786.50
Rate for Payer: Qualcare PPO/HMO/WC	$487.50

PLATE LAPIDUS STD LAPIFUSE5HRT

Facility

$12,985.00

Service Code	HCPCS C1713
Hospital Charge Code	270700665
Hospital Revenue Code	278
Min. Negotiated Rate	$368.77
Max. Negotiated Rate	$6,492.50
Rate for Payer: Aetna Commercial	$4,934.30
Rate for Payer: Aetna Medicare Advantage	$3,895.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,311.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,311.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,597.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,311.18
Rate for Payer: Cigna Commercial	$6,492.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,142.37
Rate for Payer: Qualcare PPO/HMO/WC	$1,947.75
Rate for Payer: UnitedHealthcare Community & State	$410.33
Rate for Payer: Wellpoint Medicaid Managed Care	$368.77

PLATE LAPIDUS STD LAPIFUSE5HRT

Facility

$12,985.00

Service Code	HCPCS C1713
Hospital Charge Code	270700665
Hospital Revenue Code	278
Min. Negotiated Rate	$1,947.75
Max. Negotiated Rate	$3,142.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,597.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,142.37
Rate for Payer: Qualcare PPO/HMO/WC	$1,947.75

PLATE LAPIDUS W/O STEP

Facility

$8,347.60

Hospital Charge Code	270667922
Hospital Revenue Code	278
Min. Negotiated Rate	$1,252.14
Max. Negotiated Rate	$2,020.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,669.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,020.12
Rate for Payer: Qualcare PPO/HMO/WC	$1,252.14

PLATE LAPIDUS W/O STEP

Facility

$8,347.60

Hospital Charge Code	270667922
Hospital Revenue Code	278
Min. Negotiated Rate	$237.07
Max. Negotiated Rate	$4,173.80
Rate for Payer: Aetna Commercial	$3,172.09
Rate for Payer: Aetna Medicare Advantage	$2,504.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,128.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,128.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,669.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,128.64
Rate for Payer: Cigna Commercial	$4,173.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,020.12
Rate for Payer: Qualcare PPO/HMO/WC	$1,252.14
Rate for Payer: UnitedHealthcare Community & State	$263.78
Rate for Payer: Wellpoint Medicaid Managed Care	$237.07

PLATE LAPIPLASTY 28 SYST 4H

Facility

$2,725.00

Service Code	HCPCS C1713
Hospital Charge Code	270696747
Hospital Revenue Code	278
Min. Negotiated Rate	$77.39
Max. Negotiated Rate	$1,362.50
Rate for Payer: Aetna Commercial	$1,035.50
Rate for Payer: Aetna Medicare Advantage	$817.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$694.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$694.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$545.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$694.88
Rate for Payer: Cigna Commercial	$1,362.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$659.45
Rate for Payer: Qualcare PPO/HMO/WC	$408.75
Rate for Payer: UnitedHealthcare Community & State	$86.11
Rate for Payer: Wellpoint Medicaid Managed Care	$77.39

PLATE LAPIPLASTY 28 SYST 4H

Facility

$2,725.00

Service Code	HCPCS C1713
Hospital Charge Code	270696747
Hospital Revenue Code	278
Min. Negotiated Rate	$408.75
Max. Negotiated Rate	$659.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$545.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$659.45
Rate for Payer: Qualcare PPO/HMO/WC	$408.75

PLATE LARGE 0 DEGREEE MTP

Facility

$6,503.75

Service Code	HCPCS C1713
Hospital Charge Code	270701523
Hospital Revenue Code	278
Min. Negotiated Rate	$184.71
Max. Negotiated Rate	$3,251.88
Rate for Payer: Aetna Commercial	$2,471.43
Rate for Payer: Aetna Medicare Advantage	$1,951.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,658.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,658.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,300.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,658.46
Rate for Payer: Cigna Commercial	$3,251.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,573.91
Rate for Payer: Qualcare PPO/HMO/WC	$975.56
Rate for Payer: UnitedHealthcare Community & State	$205.52
Rate for Payer: Wellpoint Medicaid Managed Care	$184.71

PLATE LARGE 0 DEGREEE MTP

Facility

$6,503.75

Service Code	HCPCS C1713
Hospital Charge Code	270701523
Hospital Revenue Code	278
Min. Negotiated Rate	$975.56
Max. Negotiated Rate	$1,573.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,300.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,573.91
Rate for Payer: Qualcare PPO/HMO/WC	$975.56

PLATE LAT 17.25X33.5MM 2HS Z14

Facility

$19,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270693847
Hospital Revenue Code	278
Min. Negotiated Rate	$567.29
Max. Negotiated Rate	$9,987.50
Rate for Payer: Aetna Commercial	$7,590.50
Rate for Payer: Aetna Medicare Advantage	$5,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,093.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,093.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,995.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,093.62
Rate for Payer: Cigna Commercial	$9,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,833.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,996.25
Rate for Payer: UnitedHealthcare Community & State	$631.21
Rate for Payer: Wellpoint Medicaid Managed Care	$567.29

PLATE LAT 17.25X33.5MM 2HS Z14

Facility

$19,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270693847
Hospital Revenue Code	278
Min. Negotiated Rate	$2,996.25
Max. Negotiated Rate	$4,833.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,995.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,833.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,996.25

Know your out-of-pocket cost for care.

All Charges