Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SNAP-OFF FT PIN 1.9MMX12MM

Facility

$1,802.50

Hospital Charge Code	270703050
Hospital Revenue Code	278
Min. Negotiated Rate	$51.19
Max. Negotiated Rate	$901.25
Rate for Payer: Aetna Commercial	$684.95
Rate for Payer: Aetna Medicare Advantage	$540.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$459.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$459.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$360.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$459.64
Rate for Payer: Cigna Commercial	$901.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$436.20
Rate for Payer: Qualcare PPO/HMO/WC	$270.38
Rate for Payer: UnitedHealthcare Community & State	$56.96
Rate for Payer: Wellpoint Medicaid Managed Care	$51.19

SNAP-OFF FT PIN 1.9MMX12MM

Facility

$1,802.50

Hospital Charge Code	270703050
Hospital Revenue Code	278
Min. Negotiated Rate	$270.38
Max. Negotiated Rate	$436.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$360.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$436.20
Rate for Payer: Qualcare PPO/HMO/WC	$270.38

SNAP-OFF PIN 1.9MMX14MM

Facility

$1,802.50

Hospital Charge Code	270703051
Hospital Revenue Code	278
Min. Negotiated Rate	$270.38
Max. Negotiated Rate	$436.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$360.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$436.20
Rate for Payer: Qualcare PPO/HMO/WC	$270.38

SNAP-OFF PIN 1.9MMX14MM

Facility

$1,802.50

Hospital Charge Code	270703051
Hospital Revenue Code	278
Min. Negotiated Rate	$51.19
Max. Negotiated Rate	$901.25
Rate for Payer: Aetna Commercial	$684.95
Rate for Payer: Aetna Medicare Advantage	$540.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$459.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$459.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$360.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$459.64
Rate for Payer: Cigna Commercial	$901.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$436.20
Rate for Payer: Qualcare PPO/HMO/WC	$270.38
Rate for Payer: UnitedHealthcare Community & State	$56.96
Rate for Payer: Wellpoint Medicaid Managed Care	$51.19

SNAP OFF SCREW 2.MM X 11M

Facility

$382.50

Hospital Charge Code	270339452
Hospital Revenue Code	278
Min. Negotiated Rate	$57.38
Max. Negotiated Rate	$92.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$76.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.56
Rate for Payer: Qualcare PPO/HMO/WC	$57.38

SNAP OFF SCREW 2.MM X 11M

Facility

$382.50

Hospital Charge Code	270339452
Hospital Revenue Code	278
Min. Negotiated Rate	$10.86
Max. Negotiated Rate	$191.25
Rate for Payer: Aetna Commercial	$145.35
Rate for Payer: Aetna Medicare Advantage	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.54
Rate for Payer: Cigna Commercial	$191.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.56
Rate for Payer: Qualcare PPO/HMO/WC	$57.38
Rate for Payer: UnitedHealthcare Community & State	$12.09
Rate for Payer: Wellpoint Medicaid Managed Care	$10.86

SNAPP OFF SCREW 2.0MM X 13MM C

Facility

$3,707.00

Service Code	HCPCS C1713
Hospital Charge Code	270704138
Hospital Revenue Code	278
Min. Negotiated Rate	$105.28
Max. Negotiated Rate	$1,853.50
Rate for Payer: Aetna Commercial	$1,408.66
Rate for Payer: Aetna Medicare Advantage	$1,112.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$945.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$945.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$741.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$945.28
Rate for Payer: Cigna Commercial	$1,853.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$897.09
Rate for Payer: Qualcare PPO/HMO/WC	$556.05
Rate for Payer: UnitedHealthcare Community & State	$117.14
Rate for Payer: Wellpoint Medicaid Managed Care	$105.28

SNAPP OFF SCREW 2.0MM X 13MM C

Facility

$3,707.00

Service Code	HCPCS C1713
Hospital Charge Code	270704138
Hospital Revenue Code	278
Min. Negotiated Rate	$556.05
Max. Negotiated Rate	$897.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$741.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$897.09
Rate for Payer: Qualcare PPO/HMO/WC	$556.05

SNARE 10MM 4FR x 120CM

Facility

$1,450.00

Hospital Charge Code	270668886
Hospital Revenue Code	272
Min. Negotiated Rate	$217.50
Max. Negotiated Rate	$217.50
Rate for Payer: Qualcare PPO/HMO/WC	$217.50

SNARE 10MM 4FR x 120CM

Facility

$1,450.00

Hospital Charge Code	270668886S
Hospital Revenue Code	272
Min. Negotiated Rate	$217.50
Max. Negotiated Rate	$217.50
Rate for Payer: Qualcare PPO/HMO/WC	$217.50

SNARE 10MM 4FR x 120CM

Facility

$1,450.00

Hospital Charge Code	270668886
Hospital Revenue Code	272
Min. Negotiated Rate	$41.18
Max. Negotiated Rate	$725.00
Rate for Payer: Aetna Commercial	$551.00
Rate for Payer: Aetna Medicare Advantage	$435.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$369.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$369.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$369.75
Rate for Payer: Cigna Commercial	$725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$377.00
Rate for Payer: Oxford Commercial	$290.00
Rate for Payer: Qualcare PPO/HMO/WC	$217.50
Rate for Payer: UnitedHealthcare Commercial	$290.00
Rate for Payer: UnitedHealthcare Community & State	$45.82
Rate for Payer: Wellpoint Medicaid Managed Care	$41.18

SNARE 10MM 4FR x 120CM

Facility

$1,800.00

Hospital Charge Code	270668886N
Hospital Revenue Code	272
Min. Negotiated Rate	$270.00
Max. Negotiated Rate	$270.00
Rate for Payer: Qualcare PPO/HMO/WC	$270.00

SNARE 10MM 4FR x 120CM

Facility

$1,800.00

Hospital Charge Code	270668886N
Hospital Revenue Code	272
Min. Negotiated Rate	$51.12
Max. Negotiated Rate	$900.00
Rate for Payer: Aetna Commercial	$684.00
Rate for Payer: Aetna Medicare Advantage	$540.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$459.00
Rate for Payer: Cigna Commercial	$900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$468.00
Rate for Payer: Oxford Commercial	$360.00
Rate for Payer: Qualcare PPO/HMO/WC	$270.00
Rate for Payer: UnitedHealthcare Commercial	$360.00
Rate for Payer: UnitedHealthcare Community & State	$56.88
Rate for Payer: Wellpoint Medicaid Managed Care	$51.12

SNARE 10MM 4FR x 120CM

Facility

$1,450.00

Hospital Charge Code	270668886S
Hospital Revenue Code	272
Min. Negotiated Rate	$41.18
Max. Negotiated Rate	$725.00
Rate for Payer: Aetna Commercial	$551.00
Rate for Payer: Aetna Medicare Advantage	$435.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$369.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$369.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$369.75
Rate for Payer: Cigna Commercial	$725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$377.00
Rate for Payer: Oxford Commercial	$290.00
Rate for Payer: Qualcare PPO/HMO/WC	$217.50
Rate for Payer: UnitedHealthcare Commercial	$290.00
Rate for Payer: UnitedHealthcare Community & State	$45.82
Rate for Payer: Wellpoint Medicaid Managed Care	$41.18

SNARE 12-20MM FRr X 120CM

Facility

$1,648.00

Hospital Charge Code	270658295
Hospital Revenue Code	272
Min. Negotiated Rate	$247.20
Max. Negotiated Rate	$247.20
Rate for Payer: Qualcare PPO/HMO/WC	$247.20

SNARE 12-20MM FRr X 120CM

Facility

$1,800.00

Hospital Charge Code	270658295N
Hospital Revenue Code	272
Min. Negotiated Rate	$51.12
Max. Negotiated Rate	$900.00
Rate for Payer: Aetna Commercial	$684.00
Rate for Payer: Aetna Medicare Advantage	$540.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$459.00
Rate for Payer: Cigna Commercial	$900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$468.00
Rate for Payer: Oxford Commercial	$360.00
Rate for Payer: Qualcare PPO/HMO/WC	$270.00
Rate for Payer: UnitedHealthcare Commercial	$360.00
Rate for Payer: UnitedHealthcare Community & State	$56.88
Rate for Payer: Wellpoint Medicaid Managed Care	$51.12

SNARE 12-20MM FRr X 120CM

Facility

$1,648.00

Hospital Charge Code	270658295S
Hospital Revenue Code	272
Min. Negotiated Rate	$247.20
Max. Negotiated Rate	$247.20
Rate for Payer: Qualcare PPO/HMO/WC	$247.20

SNARE 12-20MM FRr X 120CM

Facility

$1,800.00

Hospital Charge Code	270658295N
Hospital Revenue Code	272
Min. Negotiated Rate	$270.00
Max. Negotiated Rate	$270.00
Rate for Payer: Qualcare PPO/HMO/WC	$270.00

SNARE 12-20MM FRr X 120CM

Facility

$1,648.00

Hospital Charge Code	270658295
Hospital Revenue Code	272
Min. Negotiated Rate	$46.80
Max. Negotiated Rate	$824.00
Rate for Payer: Aetna Commercial	$626.24
Rate for Payer: Aetna Medicare Advantage	$494.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$420.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$420.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$420.24
Rate for Payer: Cigna Commercial	$824.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$428.48
Rate for Payer: Oxford Commercial	$329.60
Rate for Payer: Qualcare PPO/HMO/WC	$247.20
Rate for Payer: UnitedHealthcare Commercial	$329.60
Rate for Payer: UnitedHealthcare Community & State	$52.08
Rate for Payer: Wellpoint Medicaid Managed Care	$46.80

SNARE 12-20MM FRr X 120CM

Facility

$1,648.00

Hospital Charge Code	270658295S
Hospital Revenue Code	272
Min. Negotiated Rate	$46.80
Max. Negotiated Rate	$824.00
Rate for Payer: Aetna Commercial	$626.24
Rate for Payer: Aetna Medicare Advantage	$494.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$420.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$420.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$420.24
Rate for Payer: Cigna Commercial	$824.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$428.48
Rate for Payer: Oxford Commercial	$329.60
Rate for Payer: Qualcare PPO/HMO/WC	$247.20
Rate for Payer: UnitedHealthcare Commercial	$329.60
Rate for Payer: UnitedHealthcare Community & State	$52.08
Rate for Payer: Wellpoint Medicaid Managed Care	$46.80

SNARE 2-4MM 3.2RR X 175CM

Facility

$3,300.00

Hospital Charge Code	270668887N
Hospital Revenue Code	272
Min. Negotiated Rate	$93.72
Max. Negotiated Rate	$1,650.00
Rate for Payer: Aetna Commercial	$1,254.00
Rate for Payer: Aetna Medicare Advantage	$990.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$841.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$841.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$841.50
Rate for Payer: Cigna Commercial	$1,650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$858.00
Rate for Payer: Oxford Commercial	$660.00
Rate for Payer: Qualcare PPO/HMO/WC	$495.00
Rate for Payer: UnitedHealthcare Commercial	$660.00
Rate for Payer: UnitedHealthcare Community & State	$104.28
Rate for Payer: Wellpoint Medicaid Managed Care	$93.72

SNARE 2-4MM 3.2RR X 175CM

Facility

$3,300.00

Hospital Charge Code	270668887A
Hospital Revenue Code	272
Min. Negotiated Rate	$495.00
Max. Negotiated Rate	$495.00
Rate for Payer: Qualcare PPO/HMO/WC	$495.00

SNARE 2-4MM 3.2RR X 175CM

Facility

$3,300.00

Hospital Charge Code	270668887
Hospital Revenue Code	272
Min. Negotiated Rate	$93.72
Max. Negotiated Rate	$1,650.00
Rate for Payer: Aetna Commercial	$1,254.00
Rate for Payer: Aetna Medicare Advantage	$990.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$841.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$841.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$841.50
Rate for Payer: Cigna Commercial	$1,650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$858.00
Rate for Payer: Oxford Commercial	$660.00
Rate for Payer: Qualcare PPO/HMO/WC	$495.00
Rate for Payer: UnitedHealthcare Commercial	$660.00
Rate for Payer: UnitedHealthcare Community & State	$104.28
Rate for Payer: Wellpoint Medicaid Managed Care	$93.72

SNARE 2-4MM 3.2RR X 175CM

Facility

$3,300.00

Hospital Charge Code	270668887S
Hospital Revenue Code	272
Min. Negotiated Rate	$93.72
Max. Negotiated Rate	$1,650.00
Rate for Payer: Aetna Commercial	$1,254.00
Rate for Payer: Aetna Medicare Advantage	$990.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$841.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$841.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$841.50
Rate for Payer: Cigna Commercial	$1,650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$858.00
Rate for Payer: Oxford Commercial	$660.00
Rate for Payer: Qualcare PPO/HMO/WC	$495.00
Rate for Payer: UnitedHealthcare Commercial	$660.00
Rate for Payer: UnitedHealthcare Community & State	$104.28
Rate for Payer: Wellpoint Medicaid Managed Care	$93.72

SNARE 2-4MM 3.2RR X 175CM

Facility

$3,300.00

Hospital Charge Code	270668887
Hospital Revenue Code	272
Min. Negotiated Rate	$495.00
Max. Negotiated Rate	$495.00
Rate for Payer: Qualcare PPO/HMO/WC	$495.00

Know your out-of-pocket cost for care.

All Charges