Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

WASHER 7.0MM

Facility

$105.00

Hospital Charge Code	270656907
Hospital Revenue Code	272
Min. Negotiated Rate	$2.98
Max. Negotiated Rate	$52.50
Rate for Payer: Aetna Commercial	$39.90
Rate for Payer: Aetna Medicare Advantage	$31.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.77
Rate for Payer: Cigna Commercial	$52.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.30
Rate for Payer: Oxford Commercial	$21.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.75
Rate for Payer: UnitedHealthcare Commercial	$21.00
Rate for Payer: UnitedHealthcare Community & State	$3.32
Rate for Payer: Wellpoint Medicaid Managed Care	$2.98

WASHER 7.5MM

Facility

$420.00

Service Code	HCPCS C1713
Hospital Charge Code	270700708
Hospital Revenue Code	278
Min. Negotiated Rate	$11.93
Max. Negotiated Rate	$210.00
Rate for Payer: Aetna Commercial	$159.60
Rate for Payer: Aetna Medicare Advantage	$126.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.10
Rate for Payer: Cigna Commercial	$210.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.64
Rate for Payer: Qualcare PPO/HMO/WC	$63.00
Rate for Payer: UnitedHealthcare Community & State	$13.27
Rate for Payer: Wellpoint Medicaid Managed Care	$11.93

WASHER 7.5MM

Facility

$420.00

Service Code	HCPCS C1713
Hospital Charge Code	270700708
Hospital Revenue Code	278
Min. Negotiated Rate	$63.00
Max. Negotiated Rate	$101.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.64
Rate for Payer: Qualcare PPO/HMO/WC	$63.00

WASHER 7MM

Facility

$160.50

Hospital Charge Code	270663087
Hospital Revenue Code	278
Min. Negotiated Rate	$24.07
Max. Negotiated Rate	$38.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$32.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.84
Rate for Payer: Qualcare PPO/HMO/WC	$24.07

WASHER 7MM

Facility

$160.50

Hospital Charge Code	270663087
Hospital Revenue Code	278
Min. Negotiated Rate	$4.56
Max. Negotiated Rate	$80.25
Rate for Payer: Aetna Commercial	$60.99
Rate for Payer: Aetna Medicare Advantage	$48.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$32.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.93
Rate for Payer: Cigna Commercial	$80.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.84
Rate for Payer: Qualcare PPO/HMO/WC	$24.07
Rate for Payer: UnitedHealthcare Community & State	$5.07
Rate for Payer: Wellpoint Medicaid Managed Care	$4.56

WASHER 7MM 219.98

Facility

$2,490.00

Service Code	HCPCS C1713
Hospital Charge Code	270691945
Hospital Revenue Code	278
Min. Negotiated Rate	$70.72
Max. Negotiated Rate	$1,245.00
Rate for Payer: Aetna Commercial	$946.20
Rate for Payer: Aetna Medicare Advantage	$747.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$634.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$634.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$498.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$634.95
Rate for Payer: Cigna Commercial	$1,245.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$602.58
Rate for Payer: Qualcare PPO/HMO/WC	$373.50
Rate for Payer: UnitedHealthcare Community & State	$78.68
Rate for Payer: Wellpoint Medicaid Managed Care	$70.72

WASHER 7MM 219.98

Facility

$2,490.00

Service Code	HCPCS C1713
Hospital Charge Code	270691945
Hospital Revenue Code	278
Min. Negotiated Rate	$373.50
Max. Negotiated Rate	$602.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$498.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$602.58
Rate for Payer: Qualcare PPO/HMO/WC	$373.50

WASHER 7MM RED

Facility

$280.00

Hospital Charge Code	270674293
Hospital Revenue Code	272
Min. Negotiated Rate	$42.00
Max. Negotiated Rate	$42.00
Rate for Payer: Qualcare PPO/HMO/WC	$42.00

WASHER 7MM RED

Facility

$280.00

Hospital Charge Code	270674293
Hospital Revenue Code	272
Min. Negotiated Rate	$7.95
Max. Negotiated Rate	$140.00
Rate for Payer: Aetna Commercial	$106.40
Rate for Payer: Aetna Medicare Advantage	$84.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$71.40
Rate for Payer: Cigna Commercial	$140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.80
Rate for Payer: Oxford Commercial	$56.00
Rate for Payer: Qualcare PPO/HMO/WC	$42.00
Rate for Payer: UnitedHealthcare Commercial	$56.00
Rate for Payer: UnitedHealthcare Community & State	$8.85
Rate for Payer: Wellpoint Medicaid Managed Care	$7.95

WASHER ASNIS FOR 5MM SCREWS

Facility

$245.00

Hospital Charge Code	270668346
Hospital Revenue Code	278
Min. Negotiated Rate	$36.75
Max. Negotiated Rate	$59.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.29
Rate for Payer: Qualcare PPO/HMO/WC	$36.75

WASHER ASNIS FOR 5MM SCREWS

Facility

$245.00

Hospital Charge Code	270668346
Hospital Revenue Code	278
Min. Negotiated Rate	$6.96
Max. Negotiated Rate	$122.50
Rate for Payer: Aetna Commercial	$93.10
Rate for Payer: Aetna Medicare Advantage	$73.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.48
Rate for Payer: Cigna Commercial	$122.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.29
Rate for Payer: Qualcare PPO/HMO/WC	$36.75
Rate for Payer: UnitedHealthcare Community & State	$7.74
Rate for Payer: Wellpoint Medicaid Managed Care	$6.96

WASHER BUTTRESS 15MM

Facility

$1,465.00

Hospital Charge Code	270671020
Hospital Revenue Code	278
Min. Negotiated Rate	$41.61
Max. Negotiated Rate	$732.50
Rate for Payer: Aetna Commercial	$556.70
Rate for Payer: Aetna Medicare Advantage	$439.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$373.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$373.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$293.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$373.57
Rate for Payer: Cigna Commercial	$732.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$354.53
Rate for Payer: Qualcare PPO/HMO/WC	$219.75
Rate for Payer: UnitedHealthcare Community & State	$46.29
Rate for Payer: Wellpoint Medicaid Managed Care	$41.61

WASHER BUTTRESS 15MM

Facility

$1,465.00

Hospital Charge Code	270671020
Hospital Revenue Code	278
Min. Negotiated Rate	$219.75
Max. Negotiated Rate	$354.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$293.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$354.53
Rate for Payer: Qualcare PPO/HMO/WC	$219.75

WASHER CANCELLOUS ALTA

Facility

$150.00

Hospital Charge Code	270335175
Hospital Revenue Code	278
Min. Negotiated Rate	$22.50
Max. Negotiated Rate	$36.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.30
Rate for Payer: Qualcare PPO/HMO/WC	$22.50

WASHER CANCELLOUS ALTA

Facility

$150.00

Hospital Charge Code	270335175
Hospital Revenue Code	278
Min. Negotiated Rate	$4.26
Max. Negotiated Rate	$75.00
Rate for Payer: Aetna Commercial	$57.00
Rate for Payer: Aetna Medicare Advantage	$45.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.25
Rate for Payer: Cigna Commercial	$75.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.30
Rate for Payer: Qualcare PPO/HMO/WC	$22.50
Rate for Payer: UnitedHealthcare Community & State	$4.74
Rate for Payer: Wellpoint Medicaid Managed Care	$4.26

WASHER FOR BONE SCREW

Facility

$52.00

Hospital Charge Code	270335046
Hospital Revenue Code	278
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$12.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.58
Rate for Payer: Qualcare PPO/HMO/WC	$7.80

WASHER FOR BONE SCREW

Facility

$52.00

Hospital Charge Code	270335046
Hospital Revenue Code	278
Min. Negotiated Rate	$1.48
Max. Negotiated Rate	$26.00
Rate for Payer: Aetna Commercial	$19.76
Rate for Payer: Aetna Medicare Advantage	$15.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.26
Rate for Payer: Cigna Commercial	$26.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.58
Rate for Payer: Qualcare PPO/HMO/WC	$7.80
Rate for Payer: UnitedHealthcare Community & State	$1.64
Rate for Payer: Wellpoint Medicaid Managed Care	$1.48

WASHER LAG SCREW STOP 3.5MM

Facility

$1,015.00

Hospital Charge Code	270698536
Hospital Revenue Code	272
Min. Negotiated Rate	$28.83
Max. Negotiated Rate	$507.50
Rate for Payer: Aetna Commercial	$385.70
Rate for Payer: Aetna Medicare Advantage	$304.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$258.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$258.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$258.82
Rate for Payer: Cigna Commercial	$507.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$263.90
Rate for Payer: Oxford Commercial	$203.00
Rate for Payer: Qualcare PPO/HMO/WC	$152.25
Rate for Payer: UnitedHealthcare Commercial	$203.00
Rate for Payer: UnitedHealthcare Community & State	$32.07
Rate for Payer: Wellpoint Medicaid Managed Care	$28.83

WASHER LAG SCREW STOP 3.5MM

Facility

$1,015.00

Hospital Charge Code	270698536
Hospital Revenue Code	272
Min. Negotiated Rate	$152.25
Max. Negotiated Rate	$152.25
Rate for Payer: Qualcare PPO/HMO/WC	$152.25

WASHER LAG SCREW STOP 4.5MM

Facility

$1,565.00

Hospital Charge Code	270698551
Hospital Revenue Code	272
Min. Negotiated Rate	$234.75
Max. Negotiated Rate	$234.75
Rate for Payer: Qualcare PPO/HMO/WC	$234.75

WASHER LAG SCREW STOP 4.5MM

Facility

$1,565.00

Hospital Charge Code	270698551
Hospital Revenue Code	272
Min. Negotiated Rate	$44.45
Max. Negotiated Rate	$782.50
Rate for Payer: Aetna Commercial	$594.70
Rate for Payer: Aetna Medicare Advantage	$469.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$399.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$399.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$399.07
Rate for Payer: Cigna Commercial	$782.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$406.90
Rate for Payer: Oxford Commercial	$313.00
Rate for Payer: Qualcare PPO/HMO/WC	$234.75
Rate for Payer: UnitedHealthcare Commercial	$313.00
Rate for Payer: UnitedHealthcare Community & State	$49.45
Rate for Payer: Wellpoint Medicaid Managed Care	$44.45

WASHER LOCKING RFNA 5DEG RT

Facility

$5,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270695064
Hospital Revenue Code	278
Min. Negotiated Rate	$156.20
Max. Negotiated Rate	$2,750.00
Rate for Payer: Aetna Commercial	$2,090.00
Rate for Payer: Aetna Medicare Advantage	$1,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,402.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,402.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,402.50
Rate for Payer: Cigna Commercial	$2,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,331.00
Rate for Payer: Qualcare PPO/HMO/WC	$825.00
Rate for Payer: UnitedHealthcare Community & State	$173.80
Rate for Payer: Wellpoint Medicaid Managed Care	$156.20

WASHER LOCKING RFNA 5DEG RT

Facility

$5,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270695064
Hospital Revenue Code	278
Min. Negotiated Rate	$825.00
Max. Negotiated Rate	$1,331.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,331.00
Rate for Payer: Qualcare PPO/HMO/WC	$825.00

WASHER ORTHOLOC 3DI 3.5X4.0MM

Facility

$918.00

Service Code	HCPCS C1713
Hospital Charge Code	270700514
Hospital Revenue Code	278
Min. Negotiated Rate	$137.70
Max. Negotiated Rate	$222.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$183.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$222.16
Rate for Payer: Qualcare PPO/HMO/WC	$137.70

WASHER ORTHOLOC 3DI 3.5X4.0MM

Facility

$918.00

Service Code	HCPCS C1713
Hospital Charge Code	270700514
Hospital Revenue Code	278
Min. Negotiated Rate	$26.07
Max. Negotiated Rate	$459.00
Rate for Payer: Aetna Commercial	$348.84
Rate for Payer: Aetna Medicare Advantage	$275.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$234.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$234.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$183.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$234.09
Rate for Payer: Cigna Commercial	$459.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$222.16
Rate for Payer: Qualcare PPO/HMO/WC	$137.70
Rate for Payer: UnitedHealthcare Community & State	$29.01
Rate for Payer: Wellpoint Medicaid Managed Care	$26.07

Know your out-of-pocket cost for care.

All Charges