Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

10MM INSTRUMENTATION SRT

Facility

$1,250.00

Hospital Charge Code	270686577
Hospital Revenue Code	272
Min. Negotiated Rate	$35.50
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$475.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$325.00
Rate for Payer: Oxford Commercial	$250.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Commercial	$250.00
Rate for Payer: UnitedHealthcare Community & State	$39.50
Rate for Payer: Wellpoint Medicaid Managed Care	$35.50

10MM INSTRUMENTATION SRT

Facility

$1,250.00

Hospital Charge Code	270686577
Hospital Revenue Code	272
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

10MM R 3-5+ CD PSN REV CCK VE

Facility

$19,975.55

Service Code	HCPCS 19975.55
Hospital Charge Code	270704151
Hospital Revenue Code	278
Min. Negotiated Rate	$2,996.33
Max. Negotiated Rate	$4,834.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,995.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,834.08
Rate for Payer: Qualcare PPO/HMO/WC	$2,996.33

10MM R 3-5+ CD PSN REV CCK VE

Facility

$19,975.55

Service Code	HCPCS 19975.55
Hospital Charge Code	270704151
Hospital Revenue Code	278
Min. Negotiated Rate	$567.31
Max. Negotiated Rate	$9,987.77
Rate for Payer: Aetna Commercial	$7,590.71
Rate for Payer: Aetna Medicare Advantage	$5,992.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,093.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,093.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,995.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,093.77
Rate for Payer: Cigna Commercial	$9,987.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,834.08
Rate for Payer: Qualcare PPO/HMO/WC	$2,996.33
Rate for Payer: UnitedHealthcare Community & State	$631.23
Rate for Payer: Wellpoint Medicaid Managed Care	$567.31

10MM TI CANN RETRO/ANTEGRADE N

Facility

$7,266.10

Service Code	HCPCS C1713
Hospital Charge Code	270686849
Hospital Revenue Code	278
Min. Negotiated Rate	$206.36
Max. Negotiated Rate	$3,633.05
Rate for Payer: Aetna Commercial	$2,761.12
Rate for Payer: Aetna Medicare Advantage	$2,179.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,852.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,852.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,453.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,852.86
Rate for Payer: Cigna Commercial	$3,633.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,758.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,089.91
Rate for Payer: UnitedHealthcare Community & State	$229.61
Rate for Payer: Wellpoint Medicaid Managed Care	$206.36

10MM TI CANN RETRO/ANTEGRADE N

Facility

$7,266.10

Service Code	HCPCS C1713
Hospital Charge Code	270686849
Hospital Revenue Code	278
Min. Negotiated Rate	$1,089.91
Max. Negotiated Rate	$1,758.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,453.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,758.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,089.91

10MM TI CANN RETRO/ANTE NAIL 4

Facility

$7,266.10

Service Code	HCPCS C1713
Hospital Charge Code	270686941
Hospital Revenue Code	278
Min. Negotiated Rate	$1,089.91
Max. Negotiated Rate	$1,758.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,453.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,758.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,089.91

10MM TI CANN RETRO/ANTE NAIL 4

Facility

$7,266.10

Service Code	HCPCS C1713
Hospital Charge Code	270686941
Hospital Revenue Code	278
Min. Negotiated Rate	$206.36
Max. Negotiated Rate	$3,633.05
Rate for Payer: Aetna Commercial	$2,761.12
Rate for Payer: Aetna Medicare Advantage	$2,179.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,852.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,852.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,453.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,852.86
Rate for Payer: Cigna Commercial	$3,633.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,758.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,089.91
Rate for Payer: UnitedHealthcare Community & State	$229.61
Rate for Payer: Wellpoint Medicaid Managed Care	$206.36

1.0MM TI CORTEX SCREW SELF-TAP

Facility

$321.45

Service Code	HCPCS C1713
Hospital Charge Code	270682224
Hospital Revenue Code	278
Min. Negotiated Rate	$48.22
Max. Negotiated Rate	$77.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$64.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.79
Rate for Payer: Qualcare PPO/HMO/WC	$48.22

1.0MM TI CORTEX SCREW SELF-TAP

Facility

$321.45

Service Code	HCPCS C1713
Hospital Charge Code	270682224
Hospital Revenue Code	278
Min. Negotiated Rate	$9.13
Max. Negotiated Rate	$160.72
Rate for Payer: Aetna Commercial	$122.15
Rate for Payer: Aetna Medicare Advantage	$96.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$64.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.97
Rate for Payer: Cigna Commercial	$160.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.79
Rate for Payer: Qualcare PPO/HMO/WC	$48.22
Rate for Payer: UnitedHealthcare Community & State	$10.16
Rate for Payer: Wellpoint Medicaid Managed Care	$9.13

1.0MM TI CORTEX SRW SELF-TAP 6

Facility

$321.45

Service Code	HCPCS C1713
Hospital Charge Code	270680932
Hospital Revenue Code	278
Min. Negotiated Rate	$48.22
Max. Negotiated Rate	$77.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$64.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.79
Rate for Payer: Qualcare PPO/HMO/WC	$48.22

1.0MM TI CORTEX SRW SELF-TAP 6

Facility

$321.45

Service Code	HCPCS C1713
Hospital Charge Code	270680932
Hospital Revenue Code	278
Min. Negotiated Rate	$9.13
Max. Negotiated Rate	$160.72
Rate for Payer: Aetna Commercial	$122.15
Rate for Payer: Aetna Medicare Advantage	$96.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$64.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.97
Rate for Payer: Cigna Commercial	$160.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.79
Rate for Payer: Qualcare PPO/HMO/WC	$48.22
Rate for Payer: UnitedHealthcare Community & State	$10.16
Rate for Payer: Wellpoint Medicaid Managed Care	$9.13

1.0MM TI CORTEX SRW SELF-TAP 7

Facility

$321.45

Service Code	HCPCS C1713
Hospital Charge Code	270681695
Hospital Revenue Code	278
Min. Negotiated Rate	$9.13
Max. Negotiated Rate	$160.72
Rate for Payer: Aetna Commercial	$122.15
Rate for Payer: Aetna Medicare Advantage	$96.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$64.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.97
Rate for Payer: Cigna Commercial	$160.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.79
Rate for Payer: Qualcare PPO/HMO/WC	$48.22
Rate for Payer: UnitedHealthcare Community & State	$10.16
Rate for Payer: Wellpoint Medicaid Managed Care	$9.13

1.0MM TI CORTEX SRW SELF-TAP 7

Facility

$321.45

Service Code	HCPCS C1713
Hospital Charge Code	270681695
Hospital Revenue Code	278
Min. Negotiated Rate	$48.22
Max. Negotiated Rate	$77.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$64.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.79
Rate for Payer: Qualcare PPO/HMO/WC	$48.22

1.0MM TI CORTEX SRW SELF-TAP 8

Facility

$321.45

Service Code	HCPCS C1713
Hospital Charge Code	270681696
Hospital Revenue Code	278
Min. Negotiated Rate	$48.22
Max. Negotiated Rate	$77.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$64.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.79
Rate for Payer: Qualcare PPO/HMO/WC	$48.22

1.0MM TI CORTEX SRW SELF-TAP 8

Facility

$321.45

Service Code	HCPCS C1713
Hospital Charge Code	270681696
Hospital Revenue Code	278
Min. Negotiated Rate	$9.13
Max. Negotiated Rate	$160.72
Rate for Payer: Aetna Commercial	$122.15
Rate for Payer: Aetna Medicare Advantage	$96.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$64.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.97
Rate for Payer: Cigna Commercial	$160.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.79
Rate for Payer: Qualcare PPO/HMO/WC	$48.22
Rate for Payer: UnitedHealthcare Community & State	$10.16
Rate for Payer: Wellpoint Medicaid Managed Care	$9.13

1.0 TITINIUM 750MM

Facility

$5,055.00

Service Code	HCPCS C1713
Hospital Charge Code	270687781
Hospital Revenue Code	278
Min. Negotiated Rate	$758.25
Max. Negotiated Rate	$1,223.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,011.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,223.31
Rate for Payer: Qualcare PPO/HMO/WC	$758.25

1.0 TITINIUM 750MM

Facility

$5,055.00

Service Code	HCPCS C1713
Hospital Charge Code	270687781
Hospital Revenue Code	278
Min. Negotiated Rate	$143.56
Max. Negotiated Rate	$2,527.50
Rate for Payer: Aetna Commercial	$1,920.90
Rate for Payer: Aetna Medicare Advantage	$1,516.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,289.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,289.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,011.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,289.03
Rate for Payer: Cigna Commercial	$2,527.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,223.31
Rate for Payer: Qualcare PPO/HMO/WC	$758.25
Rate for Payer: UnitedHealthcare Community & State	$159.74
Rate for Payer: Wellpoint Medicaid Managed Care	$143.56

10X135 PSN REV STR SPLN STEM

Facility

$13,808.35

Service Code	HCPCS C1713
Hospital Charge Code	270704150
Hospital Revenue Code	278
Min. Negotiated Rate	$392.16
Max. Negotiated Rate	$6,904.18
Rate for Payer: Aetna Commercial	$5,247.17
Rate for Payer: Aetna Medicare Advantage	$4,142.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,521.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,521.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,761.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,521.13
Rate for Payer: Cigna Commercial	$6,904.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,341.62
Rate for Payer: Qualcare PPO/HMO/WC	$2,071.25
Rate for Payer: UnitedHealthcare Community & State	$436.34
Rate for Payer: Wellpoint Medicaid Managed Care	$392.16

10X135 PSN REV STR SPLN STEM

Facility

$13,808.35

Service Code	HCPCS C1713
Hospital Charge Code	270704150
Hospital Revenue Code	278
Min. Negotiated Rate	$2,071.25
Max. Negotiated Rate	$3,341.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,761.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,341.62
Rate for Payer: Qualcare PPO/HMO/WC	$2,071.25

10X29MM AFFIXUS TIBIA NL

Facility

$14,300.00

Service Code	HCPCS C1713
Hospital Charge Code	270703331
Hospital Revenue Code	278
Min. Negotiated Rate	$406.12
Max. Negotiated Rate	$7,150.00
Rate for Payer: Aetna Commercial	$5,434.00
Rate for Payer: Aetna Medicare Advantage	$4,290.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,646.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,646.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,860.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,646.50
Rate for Payer: Cigna Commercial	$7,150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,460.60
Rate for Payer: Qualcare PPO/HMO/WC	$2,145.00
Rate for Payer: UnitedHealthcare Community & State	$451.88
Rate for Payer: Wellpoint Medicaid Managed Care	$406.12

10X29MM AFFIXUS TIBIA NL

Facility

$14,300.00

Service Code	HCPCS C1713
Hospital Charge Code	270703331
Hospital Revenue Code	278
Min. Negotiated Rate	$2,145.00
Max. Negotiated Rate	$3,460.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,860.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,460.60
Rate for Payer: Qualcare PPO/HMO/WC	$2,145.00

10 X 315MM TIBIAL NAIL

Facility

$8,955.45

Hospital Charge Code	270665468
Hospital Revenue Code	278
Min. Negotiated Rate	$254.33
Max. Negotiated Rate	$4,477.73
Rate for Payer: Aetna Commercial	$3,403.07
Rate for Payer: Aetna Medicare Advantage	$2,686.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,283.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,283.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,791.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,283.64
Rate for Payer: Cigna Commercial	$4,477.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,167.22
Rate for Payer: Qualcare PPO/HMO/WC	$1,343.32
Rate for Payer: UnitedHealthcare Community & State	$282.99
Rate for Payer: Wellpoint Medicaid Managed Care	$254.33

10 X 315MM TIBIAL NAIL

Facility

$8,955.45

Hospital Charge Code	270665468
Hospital Revenue Code	278
Min. Negotiated Rate	$1,343.32
Max. Negotiated Rate	$2,167.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,791.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,167.22
Rate for Payer: Qualcare PPO/HMO/WC	$1,343.32

10X360MM LONG NAIL RT, 125DEG

Facility

$18,793.80

Service Code	HCPCS C1713
Hospital Charge Code	270705665
Hospital Revenue Code	278
Min. Negotiated Rate	$2,819.07
Max. Negotiated Rate	$4,548.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,758.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,548.10
Rate for Payer: Qualcare PPO/HMO/WC	$2,819.07

Know your out-of-pocket cost for care.

All Charges