Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

WIRE GUIDE MARK SPG AD AW04432

Facility

$87.31

Service Code	HCPCS C1769
Hospital Charge Code	270629902
Hospital Revenue Code	278
Min. Negotiated Rate	$13.10
Max. Negotiated Rate	$21.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.13
Rate for Payer: Qualcare PPO/HMO/WC	$13.10

Wire Guides

Facility

$1,135.00

Service Code	HCPCS C1769
Hospital Charge Code	270685512
Hospital Revenue Code	278
Min. Negotiated Rate	$170.25
Max. Negotiated Rate	$274.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$227.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$274.67
Rate for Payer: Qualcare PPO/HMO/WC	$170.25

Wire Guides

Facility

$1,135.00

Service Code	HCPCS C1769
Hospital Charge Code	270685513
Hospital Revenue Code	278
Min. Negotiated Rate	$170.25
Max. Negotiated Rate	$274.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$227.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$274.67
Rate for Payer: Qualcare PPO/HMO/WC	$170.25

Wire Guides

Facility

$1,135.00

Service Code	HCPCS C1769
Hospital Charge Code	270685512
Hospital Revenue Code	278
Min. Negotiated Rate	$32.23
Max. Negotiated Rate	$567.50
Rate for Payer: Aetna Commercial	$431.30
Rate for Payer: Aetna Medicare Advantage	$340.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$289.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$289.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$227.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$289.43
Rate for Payer: Cigna Commercial	$567.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$274.67
Rate for Payer: Qualcare PPO/HMO/WC	$170.25
Rate for Payer: UnitedHealthcare Community & State	$35.87
Rate for Payer: Wellpoint Medicaid Managed Care	$32.23

Wire Guides

Facility

$1,135.00

Service Code	HCPCS C1769
Hospital Charge Code	270685513
Hospital Revenue Code	278
Min. Negotiated Rate	$32.23
Max. Negotiated Rate	$567.50
Rate for Payer: Aetna Commercial	$431.30
Rate for Payer: Aetna Medicare Advantage	$340.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$289.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$289.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$227.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$289.43
Rate for Payer: Cigna Commercial	$567.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$274.67
Rate for Payer: Qualcare PPO/HMO/WC	$170.25
Rate for Payer: UnitedHealthcare Community & State	$35.87
Rate for Payer: Wellpoint Medicaid Managed Care	$32.23

WIRE GUIDE THREADED 3.2x300MM

Facility

$1,020.00

Hospital Charge Code	270648949
Hospital Revenue Code	272
Min. Negotiated Rate	$153.00
Max. Negotiated Rate	$153.00
Rate for Payer: Qualcare PPO/HMO/WC	$153.00

WIRE GUIDE THREADED 3.2x300MM

Facility

$1,020.00

Hospital Charge Code	270648949
Hospital Revenue Code	272
Min. Negotiated Rate	$28.97
Max. Negotiated Rate	$510.00
Rate for Payer: Aetna Commercial	$387.60
Rate for Payer: Aetna Medicare Advantage	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$260.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$260.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$260.10
Rate for Payer: Cigna Commercial	$510.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$265.20
Rate for Payer: Oxford Commercial	$204.00
Rate for Payer: Qualcare PPO/HMO/WC	$153.00
Rate for Payer: UnitedHealthcare Commercial	$204.00
Rate for Payer: UnitedHealthcare Community & State	$32.23
Rate for Payer: Wellpoint Medicaid Managed Care	$28.97

WIRE G W/ DBL TRCR TIP .45

Facility

$145.00

Hospital Charge Code	270688769
Hospital Revenue Code	272
Min. Negotiated Rate	$21.75
Max. Negotiated Rate	$21.75
Rate for Payer: Qualcare PPO/HMO/WC	$21.75

WIRE G W/ DBL TRCR TIP .45

Facility

$145.00

Hospital Charge Code	270688769
Hospital Revenue Code	272
Min. Negotiated Rate	$4.12
Max. Negotiated Rate	$72.50
Rate for Payer: Aetna Commercial	$55.10
Rate for Payer: Aetna Medicare Advantage	$43.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.98
Rate for Payer: Cigna Commercial	$72.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.70
Rate for Payer: Oxford Commercial	$29.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.75
Rate for Payer: UnitedHealthcare Commercial	$29.00
Rate for Payer: UnitedHealthcare Community & State	$4.58
Rate for Payer: Wellpoint Medicaid Managed Care	$4.12

WIRE K .062 KW062

Facility

$70.00

Service Code	HCPCS C1769
Hospital Charge Code	270635657
Hospital Revenue Code	278
Min. Negotiated Rate	$10.50
Max. Negotiated Rate	$16.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.94
Rate for Payer: Qualcare PPO/HMO/WC	$10.50

WIRE K .062 KW062

Facility

$70.00

Service Code	HCPCS C1769
Hospital Charge Code	270635657
Hospital Revenue Code	278
Min. Negotiated Rate	$1.99
Max. Negotiated Rate	$35.00
Rate for Payer: Aetna Commercial	$26.60
Rate for Payer: Aetna Medicare Advantage	$21.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.85
Rate for Payer: Cigna Commercial	$35.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.94
Rate for Payer: Qualcare PPO/HMO/WC	$10.50
Rate for Payer: UnitedHealthcare Community & State	$2.21
Rate for Payer: Wellpoint Medicaid Managed Care	$1.99

WIRE K 0.8

Facility

$250.00

Hospital Charge Code	270665992
Hospital Revenue Code	272
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$37.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

WIRE K 0.8

Facility

$250.00

Hospital Charge Code	270665992
Hospital Revenue Code	272
Min. Negotiated Rate	$7.10
Max. Negotiated Rate	$125.00
Rate for Payer: Aetna Commercial	$95.00
Rate for Payer: Aetna Medicare Advantage	$75.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.75
Rate for Payer: Cigna Commercial	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.00
Rate for Payer: Oxford Commercial	$50.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.50
Rate for Payer: UnitedHealthcare Commercial	$50.00
Rate for Payer: UnitedHealthcare Community & State	$7.90
Rate for Payer: Wellpoint Medicaid Managed Care	$7.10

WIRE K 1.6mm X 152mm 186-090

Facility

$23.70

Service Code	HCPCS C1769
Hospital Charge Code	270610158
Hospital Revenue Code	278
Min. Negotiated Rate	$0.67
Max. Negotiated Rate	$11.85
Rate for Payer: Aetna Commercial	$9.01
Rate for Payer: Aetna Medicare Advantage	$7.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.04
Rate for Payer: Cigna Commercial	$11.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.74
Rate for Payer: Qualcare PPO/HMO/WC	$3.56
Rate for Payer: UnitedHealthcare Community & State	$0.75
Rate for Payer: Wellpoint Medicaid Managed Care	$0.67

WIRE K 1.6mm X 152mm 186-090

Facility

$23.70

Service Code	HCPCS C1769
Hospital Charge Code	270610158
Hospital Revenue Code	278
Min. Negotiated Rate	$3.56
Max. Negotiated Rate	$5.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.74
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.74
Rate for Payer: Qualcare PPO/HMO/WC	$3.56

WIRE K 2.0

Facility

$311.60

Hospital Charge Code	270673789
Hospital Revenue Code	272
Min. Negotiated Rate	$46.74
Max. Negotiated Rate	$46.74
Rate for Payer: Qualcare PPO/HMO/WC	$46.74

WIRE K 2.0

Facility

$311.60

Hospital Charge Code	270673789
Hospital Revenue Code	272
Min. Negotiated Rate	$8.85
Max. Negotiated Rate	$155.80
Rate for Payer: Aetna Commercial	$118.41
Rate for Payer: Aetna Medicare Advantage	$93.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$79.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$79.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$79.46
Rate for Payer: Cigna Commercial	$155.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.02
Rate for Payer: Oxford Commercial	$62.32
Rate for Payer: Qualcare PPO/HMO/WC	$46.74
Rate for Payer: UnitedHealthcare Commercial	$62.32
Rate for Payer: UnitedHealthcare Community & State	$9.85
Rate for Payer: Wellpoint Medicaid Managed Care	$8.85

WIRE K 2.0mm

Facility

$200.00

Service Code	HCPCS C1713
Hospital Charge Code	270669277
Hospital Revenue Code	278
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$48.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.40
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

WIRE K 2.0mm

Facility

$200.00

Service Code	HCPCS C1713
Hospital Charge Code	270669277
Hospital Revenue Code	278
Min. Negotiated Rate	$5.68
Max. Negotiated Rate	$100.00
Rate for Payer: Aetna Commercial	$76.00
Rate for Payer: Aetna Medicare Advantage	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.00
Rate for Payer: Cigna Commercial	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.40
Rate for Payer: Qualcare PPO/HMO/WC	$30.00
Rate for Payer: UnitedHealthcare Community & State	$6.32
Rate for Payer: Wellpoint Medicaid Managed Care	$5.68

WIRE KATZEN INFUSION 12x180CM

Facility

$900.00

Hospital Charge Code	270626087
Hospital Revenue Code	278
Min. Negotiated Rate	$135.00
Max. Negotiated Rate	$217.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$180.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.80
Rate for Payer: Qualcare PPO/HMO/WC	$135.00

WIRE KATZEN INFUSION 12x180CM

Facility

$900.00

Hospital Charge Code	270626087
Hospital Revenue Code	278
Min. Negotiated Rate	$25.56
Max. Negotiated Rate	$450.00
Rate for Payer: Aetna Commercial	$342.00
Rate for Payer: Aetna Medicare Advantage	$270.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$229.50
Rate for Payer: Cigna Commercial	$450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.80
Rate for Payer: Qualcare PPO/HMO/WC	$135.00
Rate for Payer: UnitedHealthcare Community & State	$28.44
Rate for Payer: Wellpoint Medicaid Managed Care	$25.56

WIRE KIRSCHNER .062

Facility

$357.50

Service Code	HCPCS C1713
Hospital Charge Code	270653119
Hospital Revenue Code	278
Min. Negotiated Rate	$53.62
Max. Negotiated Rate	$86.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.52
Rate for Payer: Qualcare PPO/HMO/WC	$53.62

WIRE KIRSCHNER .062

Facility

$357.50

Service Code	HCPCS C1713
Hospital Charge Code	270653119
Hospital Revenue Code	278
Min. Negotiated Rate	$10.15
Max. Negotiated Rate	$178.75
Rate for Payer: Aetna Commercial	$135.85
Rate for Payer: Aetna Medicare Advantage	$107.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.16
Rate for Payer: Cigna Commercial	$178.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.52
Rate for Payer: Qualcare PPO/HMO/WC	$53.62
Rate for Payer: UnitedHealthcare Community & State	$11.30
Rate for Payer: Wellpoint Medicaid Managed Care	$10.15

WIRE KIRSCHNER 1.6x150mm

Facility

$183.85

Hospital Charge Code	270645730
Hospital Revenue Code	272
Min. Negotiated Rate	$5.22
Max. Negotiated Rate	$91.92
Rate for Payer: Aetna Commercial	$69.86
Rate for Payer: Aetna Medicare Advantage	$55.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.88
Rate for Payer: Cigna Commercial	$91.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.80
Rate for Payer: Oxford Commercial	$36.77
Rate for Payer: Qualcare PPO/HMO/WC	$27.58
Rate for Payer: UnitedHealthcare Commercial	$36.77
Rate for Payer: UnitedHealthcare Community & State	$5.81
Rate for Payer: Wellpoint Medicaid Managed Care	$5.22

WIRE KIRSCHNER 1.6x150mm

Facility

$183.85

Hospital Charge Code	270645730
Hospital Revenue Code	272
Min. Negotiated Rate	$27.58
Max. Negotiated Rate	$27.58
Rate for Payer: Qualcare PPO/HMO/WC	$27.58

Know your out-of-pocket cost for care.

All Charges