Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SHAFT BIXCUT MOD TRINKLE

Facility

$2,375.00

Hospital Charge Code	270670465
Hospital Revenue Code	272
Min. Negotiated Rate	$67.45
Max. Negotiated Rate	$1,187.50
Rate for Payer: Aetna Commercial	$902.50
Rate for Payer: Aetna Medicare Advantage	$712.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$605.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$605.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$605.62
Rate for Payer: Cigna Commercial	$1,187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$617.50
Rate for Payer: Oxford Commercial	$475.00
Rate for Payer: Qualcare PPO/HMO/WC	$356.25
Rate for Payer: UnitedHealthcare Commercial	$475.00
Rate for Payer: UnitedHealthcare Community & State	$75.05
Rate for Payer: Wellpoint Medicaid Managed Care	$67.45

SHAFT BIXCUT MOD TRINKLE

Facility

$2,375.00

Hospital Charge Code	270670465
Hospital Revenue Code	272
Min. Negotiated Rate	$356.25
Max. Negotiated Rate	$356.25
Rate for Payer: Qualcare PPO/HMO/WC	$356.25

SHAFT FIBULA

Facility

$3,250.00

Hospital Charge Code	270668464
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

SHAFT FIBULA

Facility

$3,250.00

Hospital Charge Code	270668464
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

SHAFT FIBULA 20MM

Facility

$3,965.00

Service Code	HCPCS C1776
Hospital Charge Code	270676631
Hospital Revenue Code	278
Min. Negotiated Rate	$594.75
Max. Negotiated Rate	$959.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$793.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$959.53
Rate for Payer: Qualcare PPO/HMO/WC	$594.75

SHAFT FIBULA 20MM

Facility

$3,965.00

Service Code	HCPCS C1776
Hospital Charge Code	270676631
Hospital Revenue Code	278
Min. Negotiated Rate	$112.61
Max. Negotiated Rate	$1,982.50
Rate for Payer: Aetna Commercial	$1,506.70
Rate for Payer: Aetna Medicare Advantage	$1,189.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,011.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,011.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$793.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,011.08
Rate for Payer: Cigna Commercial	$1,982.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$959.53
Rate for Payer: Qualcare PPO/HMO/WC	$594.75
Rate for Payer: UnitedHealthcare Community & State	$125.29
Rate for Payer: Wellpoint Medicaid Managed Care	$112.61

SHAFT SCREWDRIVER 165MM STARD

Facility

$1,460.85

Hospital Charge Code	270686030
Hospital Revenue Code	272
Min. Negotiated Rate	$41.49
Max. Negotiated Rate	$730.42
Rate for Payer: Aetna Commercial	$555.12
Rate for Payer: Aetna Medicare Advantage	$438.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$372.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$372.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$372.52
Rate for Payer: Cigna Commercial	$730.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$379.82
Rate for Payer: Oxford Commercial	$292.17
Rate for Payer: Qualcare PPO/HMO/WC	$219.13
Rate for Payer: UnitedHealthcare Commercial	$292.17
Rate for Payer: UnitedHealthcare Community & State	$46.16
Rate for Payer: Wellpoint Medicaid Managed Care	$41.49

SHAFT SCREWDRIVER 165MM STARD

Facility

$1,460.85

Hospital Charge Code	270686030
Hospital Revenue Code	272
Min. Negotiated Rate	$219.13
Max. Negotiated Rate	$219.13
Rate for Payer: Qualcare PPO/HMO/WC	$219.13

SHAFT T25 3.5 MM 280 MM

Facility

$2,355.15

Hospital Charge Code	270691506
Hospital Revenue Code	272
Min. Negotiated Rate	$353.27
Max. Negotiated Rate	$353.27
Rate for Payer: Qualcare PPO/HMO/WC	$353.27

SHAFT T25 3.5 MM 280 MM

Facility

$2,355.15

Hospital Charge Code	270691506
Hospital Revenue Code	272
Min. Negotiated Rate	$66.89
Max. Negotiated Rate	$1,177.58
Rate for Payer: Aetna Commercial	$894.96
Rate for Payer: Aetna Medicare Advantage	$706.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$600.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$600.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$600.56
Rate for Payer: Cigna Commercial	$1,177.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$612.34
Rate for Payer: Oxford Commercial	$471.03
Rate for Payer: Qualcare PPO/HMO/WC	$353.27
Rate for Payer: UnitedHealthcare Commercial	$471.03
Rate for Payer: UnitedHealthcare Community & State	$74.42
Rate for Payer: Wellpoint Medicaid Managed Care	$66.89

SHANK 5.5 X 25MM

Facility

$5,060.00

Hospital Charge Code	270667321
Hospital Revenue Code	278
Min. Negotiated Rate	$759.00
Max. Negotiated Rate	$1,224.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,012.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,224.52
Rate for Payer: Qualcare PPO/HMO/WC	$759.00

SHANK 5.5 X 25MM

Facility

$5,060.00

Hospital Charge Code	270667321
Hospital Revenue Code	278
Min. Negotiated Rate	$143.70
Max. Negotiated Rate	$2,530.00
Rate for Payer: Aetna Commercial	$1,922.80
Rate for Payer: Aetna Medicare Advantage	$1,518.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,290.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,290.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,012.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,290.30
Rate for Payer: Cigna Commercial	$2,530.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,224.52
Rate for Payer: Qualcare PPO/HMO/WC	$759.00
Rate for Payer: UnitedHealthcare Community & State	$159.90
Rate for Payer: Wellpoint Medicaid Managed Care	$143.70

SHANK 6.5 X 30MM

Facility

$5,060.00

Hospital Charge Code	270667322
Hospital Revenue Code	278
Min. Negotiated Rate	$759.00
Max. Negotiated Rate	$1,224.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,012.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,224.52
Rate for Payer: Qualcare PPO/HMO/WC	$759.00

SHANK 6.5 X 30MM

Facility

$5,060.00

Hospital Charge Code	270667322
Hospital Revenue Code	278
Min. Negotiated Rate	$143.70
Max. Negotiated Rate	$2,530.00
Rate for Payer: Aetna Commercial	$1,922.80
Rate for Payer: Aetna Medicare Advantage	$1,518.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,290.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,290.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,012.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,290.30
Rate for Payer: Cigna Commercial	$2,530.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,224.52
Rate for Payer: Qualcare PPO/HMO/WC	$759.00
Rate for Payer: UnitedHealthcare Community & State	$159.90
Rate for Payer: Wellpoint Medicaid Managed Care	$143.70

SHANK 6.5X40MM

Facility

$500.00

Hospital Charge Code	270702999
Hospital Revenue Code	278
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$121.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

SHANK 6.5X40MM

Facility

$500.00

Hospital Charge Code	270702999
Hospital Revenue Code	278
Min. Negotiated Rate	$14.20
Max. Negotiated Rate	$250.00
Rate for Payer: Aetna Commercial	$190.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00
Rate for Payer: UnitedHealthcare Community & State	$15.80
Rate for Payer: Wellpoint Medicaid Managed Care	$14.20

SHANK MAS PLIF 5.5X30MM EZ

Facility

$5,060.00

Hospital Charge Code	270663764
Hospital Revenue Code	270
Min. Negotiated Rate	$143.70
Max. Negotiated Rate	$2,530.00
Rate for Payer: Aetna Commercial	$1,922.80
Rate for Payer: Aetna Medicare Advantage	$1,518.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,290.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,290.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,290.30
Rate for Payer: Cigna Commercial	$2,530.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,315.60
Rate for Payer: Oxford Commercial	$1,012.00
Rate for Payer: Qualcare PPO/HMO/WC	$759.00
Rate for Payer: UnitedHealthcare Commercial	$1,012.00
Rate for Payer: UnitedHealthcare Community & State	$159.90
Rate for Payer: Wellpoint Medicaid Managed Care	$143.70

SHANK MAS PLIF 5.5X30MM EZ

Facility

$5,060.00

Hospital Charge Code	270663764
Hospital Revenue Code	270
Min. Negotiated Rate	$759.00
Max. Negotiated Rate	$759.00
Rate for Payer: Qualcare PPO/HMO/WC	$759.00

SHANK MAS PLIF 5.5X35MM EZ

Facility

$2,375.00

Hospital Charge Code	270663765
Hospital Revenue Code	270
Min. Negotiated Rate	$67.45
Max. Negotiated Rate	$1,187.50
Rate for Payer: Aetna Commercial	$902.50
Rate for Payer: Aetna Medicare Advantage	$712.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$605.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$605.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$605.62
Rate for Payer: Cigna Commercial	$1,187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$617.50
Rate for Payer: Oxford Commercial	$475.00
Rate for Payer: Qualcare PPO/HMO/WC	$356.25
Rate for Payer: UnitedHealthcare Commercial	$475.00
Rate for Payer: UnitedHealthcare Community & State	$75.05
Rate for Payer: Wellpoint Medicaid Managed Care	$67.45

SHANK MAS PLIF 5.5X35MM EZ

Facility

$2,375.00

Hospital Charge Code	270663765
Hospital Revenue Code	270
Min. Negotiated Rate	$356.25
Max. Negotiated Rate	$356.25
Rate for Payer: Qualcare PPO/HMO/WC	$356.25

SHANK MODULEX 7.5X50 ATS

Facility

$25,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270698930
Hospital Revenue Code	278
Min. Negotiated Rate	$3,825.00
Max. Negotiated Rate	$6,171.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,171.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,825.00

SHANK MODULEX 7.5X50 ATS

Facility

$25,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270698930
Hospital Revenue Code	278
Min. Negotiated Rate	$724.20
Max. Negotiated Rate	$12,750.00
Rate for Payer: Aetna Commercial	$9,690.00
Rate for Payer: Aetna Medicare Advantage	$7,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,502.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,502.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,502.50
Rate for Payer: Cigna Commercial	$12,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,171.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,825.00
Rate for Payer: UnitedHealthcare Community & State	$805.80
Rate for Payer: Wellpoint Medicaid Managed Care	$724.20

SHARPLAN PRIMARY FILTER

Facility

$2,441.00

Hospital Charge Code	270330533
Hospital Revenue Code	272
Min. Negotiated Rate	$69.32
Max. Negotiated Rate	$1,220.50
Rate for Payer: Aetna Commercial	$927.58
Rate for Payer: Aetna Medicare Advantage	$732.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$622.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$622.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$622.46
Rate for Payer: Cigna Commercial	$1,220.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$634.66
Rate for Payer: Oxford Commercial	$488.20
Rate for Payer: Qualcare PPO/HMO/WC	$366.15
Rate for Payer: UnitedHealthcare Commercial	$488.20
Rate for Payer: UnitedHealthcare Community & State	$77.14
Rate for Payer: Wellpoint Medicaid Managed Care	$69.32

SHARPLAN PRIMARY FILTER

Facility

$2,441.00

Hospital Charge Code	270330533
Hospital Revenue Code	272
Min. Negotiated Rate	$366.15
Max. Negotiated Rate	$366.15
Rate for Payer: Qualcare PPO/HMO/WC	$366.15

SHARPSHOOTER SUTURE TAPE

Facility

$888.40

Hospital Charge Code	270705134
Hospital Revenue Code	279
Min. Negotiated Rate	$133.26
Max. Negotiated Rate	$133.26
Rate for Payer: Qualcare PPO/HMO/WC	$133.26

Know your out-of-pocket cost for care.

All Charges