Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

3.5 DRILL

Facility

$1,515.00

Service Code	HCPCS C1713
Hospital Charge Code	270702953
Hospital Revenue Code	278
Min. Negotiated Rate	$227.25
Max. Negotiated Rate	$366.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$366.63
Rate for Payer: Qualcare PPO/HMO/WC	$227.25

3.5 DRILL BIT

Facility

$395.00

Hospital Charge Code	270656448
Hospital Revenue Code	272
Min. Negotiated Rate	$11.22
Max. Negotiated Rate	$197.50
Rate for Payer: Aetna Commercial	$150.10
Rate for Payer: Aetna Medicare Advantage	$118.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100.72
Rate for Payer: Cigna Commercial	$197.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.70
Rate for Payer: Oxford Commercial	$79.00
Rate for Payer: Qualcare PPO/HMO/WC	$59.25
Rate for Payer: UnitedHealthcare Commercial	$79.00
Rate for Payer: UnitedHealthcare Community & State	$12.48
Rate for Payer: Wellpoint Medicaid Managed Care	$11.22

3.5 DRILL BIT

Facility

$395.00

Hospital Charge Code	270656448
Hospital Revenue Code	272
Min. Negotiated Rate	$59.25
Max. Negotiated Rate	$59.25
Rate for Payer: Qualcare PPO/HMO/WC	$59.25

3.5 LCP 7 HOLE PLATE

Facility

$3,870.45

Service Code	HCPCS C1713
Hospital Charge Code	270656665
Hospital Revenue Code	278
Min. Negotiated Rate	$580.57
Max. Negotiated Rate	$936.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$774.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$936.65
Rate for Payer: Qualcare PPO/HMO/WC	$580.57

3.5 LCP 7 HOLE PLATE

Facility

$3,870.45

Service Code	HCPCS C1713
Hospital Charge Code	270656665
Hospital Revenue Code	278
Min. Negotiated Rate	$109.92
Max. Negotiated Rate	$1,935.22
Rate for Payer: Aetna Commercial	$1,470.77
Rate for Payer: Aetna Medicare Advantage	$1,161.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$986.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$986.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$774.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$986.96
Rate for Payer: Cigna Commercial	$1,935.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$936.65
Rate for Payer: Qualcare PPO/HMO/WC	$580.57
Rate for Payer: UnitedHealthcare Community & State	$122.31
Rate for Payer: Wellpoint Medicaid Managed Care	$109.92

3.5 LCP RECON PLATE 8 HOLE

Facility

$2,320.60

Service Code	HCPCS C1713
Hospital Charge Code	270645928
Hospital Revenue Code	278
Min. Negotiated Rate	$65.91
Max. Negotiated Rate	$1,160.30
Rate for Payer: Aetna Commercial	$881.83
Rate for Payer: Aetna Medicare Advantage	$696.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$591.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$591.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$464.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$591.75
Rate for Payer: Cigna Commercial	$1,160.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$561.59
Rate for Payer: Qualcare PPO/HMO/WC	$348.09
Rate for Payer: UnitedHealthcare Community & State	$73.33
Rate for Payer: Wellpoint Medicaid Managed Care	$65.91

3.5 LCP RECON PLATE 8 HOLE

Facility

$2,320.60

Service Code	HCPCS C1713
Hospital Charge Code	270645928
Hospital Revenue Code	278
Min. Negotiated Rate	$348.09
Max. Negotiated Rate	$561.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$464.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$561.59
Rate for Payer: Qualcare PPO/HMO/WC	$348.09

3.5 LCP REC. PLATE

Facility

$1,890.50

Service Code	HCPCS C1713
Hospital Charge Code	270680935
Hospital Revenue Code	278
Min. Negotiated Rate	$53.69
Max. Negotiated Rate	$945.25
Rate for Payer: Aetna Commercial	$718.39
Rate for Payer: Aetna Medicare Advantage	$567.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$482.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$482.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$378.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$482.08
Rate for Payer: Cigna Commercial	$945.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$457.50
Rate for Payer: Qualcare PPO/HMO/WC	$283.57
Rate for Payer: UnitedHealthcare Community & State	$59.74
Rate for Payer: Wellpoint Medicaid Managed Care	$53.69

3.5 LCP REC. PLATE

Facility

$1,890.50

Service Code	HCPCS C1713
Hospital Charge Code	270680935
Hospital Revenue Code	278
Min. Negotiated Rate	$283.57
Max. Negotiated Rate	$457.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$378.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$457.50
Rate for Payer: Qualcare PPO/HMO/WC	$283.57

3.5 LCP VA PROXIMAL TIBIA PLAT

Facility

$7,687.90

Service Code	HCPCS C1713
Hospital Charge Code	270679036
Hospital Revenue Code	278
Min. Negotiated Rate	$218.34
Max. Negotiated Rate	$3,843.95
Rate for Payer: Aetna Commercial	$2,921.40
Rate for Payer: Aetna Medicare Advantage	$2,306.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,960.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,960.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,537.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,960.41
Rate for Payer: Cigna Commercial	$3,843.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,860.47
Rate for Payer: Qualcare PPO/HMO/WC	$1,153.18
Rate for Payer: UnitedHealthcare Community & State	$242.94
Rate for Payer: Wellpoint Medicaid Managed Care	$218.34

3.5 LCP VA PROXIMAL TIBIA PLAT

Facility

$7,687.90

Service Code	HCPCS C1713
Hospital Charge Code	270679036
Hospital Revenue Code	278
Min. Negotiated Rate	$1,153.18
Max. Negotiated Rate	$1,860.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,537.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,860.47
Rate for Payer: Qualcare PPO/HMO/WC	$1,153.18

3.5 LOCKING 18MM

Facility

$480.25

Service Code	HCPCS C1713
Hospital Charge Code	270656872
Hospital Revenue Code	278
Min. Negotiated Rate	$13.64
Max. Negotiated Rate	$240.12
Rate for Payer: Aetna Commercial	$182.50
Rate for Payer: Aetna Medicare Advantage	$144.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$122.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$122.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$96.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$122.46
Rate for Payer: Cigna Commercial	$240.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.22
Rate for Payer: Qualcare PPO/HMO/WC	$72.04
Rate for Payer: UnitedHealthcare Community & State	$15.18
Rate for Payer: Wellpoint Medicaid Managed Care	$13.64

3.5 LOCKING 18MM

Facility

$480.25

Service Code	HCPCS C1713
Hospital Charge Code	270656872
Hospital Revenue Code	278
Min. Negotiated Rate	$72.04
Max. Negotiated Rate	$116.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$96.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.22
Rate for Payer: Qualcare PPO/HMO/WC	$72.04

3.5 LOCKING SCREW 50MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270676134
Hospital Revenue Code	278
Min. Negotiated Rate	$18.80
Max. Negotiated Rate	$331.00
Rate for Payer: Aetna Commercial	$251.56
Rate for Payer: Aetna Medicare Advantage	$198.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.81
Rate for Payer: Cigna Commercial	$331.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.30
Rate for Payer: UnitedHealthcare Community & State	$20.92
Rate for Payer: Wellpoint Medicaid Managed Care	$18.80

3.5 LOCKING SCREW 50MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270676134
Hospital Revenue Code	278
Min. Negotiated Rate	$99.30
Max. Negotiated Rate	$160.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.30

3.5 LOCKING SCREW 56MM

Facility

$519.00

Service Code	HCPCS C1713
Hospital Charge Code	270676430
Hospital Revenue Code	278
Min. Negotiated Rate	$77.85
Max. Negotiated Rate	$125.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.60
Rate for Payer: Qualcare PPO/HMO/WC	$77.85

3.5 LOCKING SCREW 56MM

Facility

$519.00

Service Code	HCPCS C1713
Hospital Charge Code	270676430
Hospital Revenue Code	278
Min. Negotiated Rate	$14.74
Max. Negotiated Rate	$259.50
Rate for Payer: Aetna Commercial	$197.22
Rate for Payer: Aetna Medicare Advantage	$155.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.34
Rate for Payer: Cigna Commercial	$259.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.60
Rate for Payer: Qualcare PPO/HMO/WC	$77.85
Rate for Payer: UnitedHealthcare Community & State	$16.40
Rate for Payer: Wellpoint Medicaid Managed Care	$14.74

3.5MM CNNLTD SCRW FUL THD 18MM

Facility

$909.95

Hospital Charge Code	270663173
Hospital Revenue Code	278
Min. Negotiated Rate	$25.84
Max. Negotiated Rate	$454.98
Rate for Payer: Aetna Commercial	$345.78
Rate for Payer: Aetna Medicare Advantage	$272.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$232.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$232.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$232.04
Rate for Payer: Cigna Commercial	$454.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$220.21
Rate for Payer: Qualcare PPO/HMO/WC	$136.49
Rate for Payer: UnitedHealthcare Community & State	$28.75
Rate for Payer: Wellpoint Medicaid Managed Care	$25.84

3.5MM CNNLTD SCRW FUL THD 18MM

Facility

$909.95

Hospital Charge Code	270663173
Hospital Revenue Code	278
Min. Negotiated Rate	$136.49
Max. Negotiated Rate	$220.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$220.21
Rate for Payer: Qualcare PPO/HMO/WC	$136.49

3.5MM CNNLTD SCRW FUL THD 36MM

Facility

$909.95

Hospital Charge Code	270663174
Hospital Revenue Code	278
Min. Negotiated Rate	$25.84
Max. Negotiated Rate	$454.98
Rate for Payer: Aetna Commercial	$345.78
Rate for Payer: Aetna Medicare Advantage	$272.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$232.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$232.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$232.04
Rate for Payer: Cigna Commercial	$454.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$220.21
Rate for Payer: Qualcare PPO/HMO/WC	$136.49
Rate for Payer: UnitedHealthcare Community & State	$28.75
Rate for Payer: Wellpoint Medicaid Managed Care	$25.84

3.5MM CNNLTD SCRW FUL THD 36MM

Facility

$909.95

Hospital Charge Code	270663174
Hospital Revenue Code	278
Min. Negotiated Rate	$136.49
Max. Negotiated Rate	$220.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$220.21
Rate for Payer: Qualcare PPO/HMO/WC	$136.49

3.5MM CNNLTD SCRW FUL THD 40MM

Facility

$909.95

Hospital Charge Code	270663175
Hospital Revenue Code	278
Min. Negotiated Rate	$25.84
Max. Negotiated Rate	$454.98
Rate for Payer: Aetna Commercial	$345.78
Rate for Payer: Aetna Medicare Advantage	$272.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$232.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$232.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$232.04
Rate for Payer: Cigna Commercial	$454.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$220.21
Rate for Payer: Qualcare PPO/HMO/WC	$136.49
Rate for Payer: UnitedHealthcare Community & State	$28.75
Rate for Payer: Wellpoint Medicaid Managed Care	$25.84

3.5MM CNNLTD SCRW FUL THD 40MM

Facility

$909.95

Hospital Charge Code	270663175
Hospital Revenue Code	278
Min. Negotiated Rate	$136.49
Max. Negotiated Rate	$220.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$220.21
Rate for Payer: Qualcare PPO/HMO/WC	$136.49

3.5MM CNNLTD SCRW FUL THD 50MM

Facility

$909.95

Hospital Charge Code	270663176
Hospital Revenue Code	278
Min. Negotiated Rate	$25.84
Max. Negotiated Rate	$454.98
Rate for Payer: Aetna Commercial	$345.78
Rate for Payer: Aetna Medicare Advantage	$272.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$232.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$232.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$232.04
Rate for Payer: Cigna Commercial	$454.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$220.21
Rate for Payer: Qualcare PPO/HMO/WC	$136.49
Rate for Payer: UnitedHealthcare Community & State	$28.75
Rate for Payer: Wellpoint Medicaid Managed Care	$25.84

3.5MM CNNLTD SCRW FUL THD 50MM

Facility

$909.95

Hospital Charge Code	270663176
Hospital Revenue Code	278
Min. Negotiated Rate	$136.49
Max. Negotiated Rate	$220.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$220.21
Rate for Payer: Qualcare PPO/HMO/WC	$136.49

Know your out-of-pocket cost for care.

All Charges