Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

WIRE OLIVE THREADED 2.5MM

Facility

$1,070.00

Hospital Charge Code	270698461
Hospital Revenue Code	272
Min. Negotiated Rate	$160.50
Max. Negotiated Rate	$160.50
Rate for Payer: Qualcare PPO/HMO/WC	$160.50

WIRE OLIVE THREADED 2.5MM

Facility

$1,070.00

Hospital Charge Code	270698461
Hospital Revenue Code	272
Min. Negotiated Rate	$30.39
Max. Negotiated Rate	$535.00
Rate for Payer: Aetna Commercial	$406.60
Rate for Payer: Aetna Medicare Advantage	$321.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$272.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$272.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$272.85
Rate for Payer: Cigna Commercial	$535.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$278.20
Rate for Payer: Oxford Commercial	$214.00
Rate for Payer: Qualcare PPO/HMO/WC	$160.50
Rate for Payer: UnitedHealthcare Commercial	$214.00
Rate for Payer: UnitedHealthcare Community & State	$33.81
Rate for Payer: Wellpoint Medicaid Managed Care	$30.39

WIRE PACING SETROX S 53

Facility

$197.08

Service Code	HCPCS C1898
Hospital Charge Code	270673068
Hospital Revenue Code	278
Min. Negotiated Rate	$5.60
Max. Negotiated Rate	$98.54
Rate for Payer: Aetna Commercial	$74.89
Rate for Payer: Aetna Medicare Advantage	$59.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.26
Rate for Payer: Cigna Commercial	$98.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.69
Rate for Payer: Qualcare PPO/HMO/WC	$29.56
Rate for Payer: UnitedHealthcare Community & State	$6.23
Rate for Payer: Wellpoint Medicaid Managed Care	$5.60

WIRE PACING SETROX S 53

Facility

$197.08

Service Code	HCPCS C1898
Hospital Charge Code	270673068
Hospital Revenue Code	278
Min. Negotiated Rate	$29.56
Max. Negotiated Rate	$47.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.69
Rate for Payer: Qualcare PPO/HMO/WC	$29.56

WIRE PASS DRILL 1.5X19MM MED

Facility

$85.50

Hospital Charge Code	270638986
Hospital Revenue Code	272
Min. Negotiated Rate	$12.82
Max. Negotiated Rate	$12.82
Rate for Payer: Qualcare PPO/HMO/WC	$12.82

WIRE PASS DRILL 1.5X19MM MED

Facility

$85.50

Hospital Charge Code	270638986
Hospital Revenue Code	272
Min. Negotiated Rate	$2.43
Max. Negotiated Rate	$42.75
Rate for Payer: Aetna Commercial	$32.49
Rate for Payer: Aetna Medicare Advantage	$25.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.80
Rate for Payer: Cigna Commercial	$42.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.23
Rate for Payer: Oxford Commercial	$17.10
Rate for Payer: Qualcare PPO/HMO/WC	$12.82
Rate for Payer: UnitedHealthcare Commercial	$17.10
Rate for Payer: UnitedHealthcare Community & State	$2.70
Rate for Payer: Wellpoint Medicaid Managed Care	$2.43

WIRE-PASS M 1.1x5MM

Facility

$490.00

Hospital Charge Code	270674532
Hospital Revenue Code	272
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$73.50
Rate for Payer: Qualcare PPO/HMO/WC	$73.50

WIRE-PASS M 1.1x5MM

Facility

$490.00

Hospital Charge Code	270674532
Hospital Revenue Code	272
Min. Negotiated Rate	$13.92
Max. Negotiated Rate	$245.00
Rate for Payer: Aetna Commercial	$186.20
Rate for Payer: Aetna Medicare Advantage	$147.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.95
Rate for Payer: Cigna Commercial	$245.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.40
Rate for Payer: Oxford Commercial	$98.00
Rate for Payer: Qualcare PPO/HMO/WC	$73.50
Rate for Payer: UnitedHealthcare Commercial	$98.00
Rate for Payer: UnitedHealthcare Community & State	$15.48
Rate for Payer: Wellpoint Medicaid Managed Care	$13.92

WIRE-PASS M 1.5x7MM

Facility

$490.00

Hospital Charge Code	270674534
Hospital Revenue Code	272
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$73.50
Rate for Payer: Qualcare PPO/HMO/WC	$73.50

WIRE-PASS M 1.5x7MM

Facility

$490.00

Hospital Charge Code	270674534
Hospital Revenue Code	272
Min. Negotiated Rate	$13.92
Max. Negotiated Rate	$245.00
Rate for Payer: Aetna Commercial	$186.20
Rate for Payer: Aetna Medicare Advantage	$147.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.95
Rate for Payer: Cigna Commercial	$245.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.40
Rate for Payer: Oxford Commercial	$98.00
Rate for Payer: Qualcare PPO/HMO/WC	$73.50
Rate for Payer: UnitedHealthcare Commercial	$98.00
Rate for Payer: UnitedHealthcare Community & State	$15.48
Rate for Payer: Wellpoint Medicaid Managed Care	$13.92

WIRE-PASS M 2.0x7MM

Facility

$490.00

Hospital Charge Code	270674536
Hospital Revenue Code	272
Min. Negotiated Rate	$13.92
Max. Negotiated Rate	$245.00
Rate for Payer: Aetna Commercial	$186.20
Rate for Payer: Aetna Medicare Advantage	$147.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.95
Rate for Payer: Cigna Commercial	$245.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.40
Rate for Payer: Oxford Commercial	$98.00
Rate for Payer: Qualcare PPO/HMO/WC	$73.50
Rate for Payer: UnitedHealthcare Commercial	$98.00
Rate for Payer: UnitedHealthcare Community & State	$15.48
Rate for Payer: Wellpoint Medicaid Managed Care	$13.92

WIRE-PASS M 2.0x7MM

Facility

$490.00

Hospital Charge Code	270674536
Hospital Revenue Code	272
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$73.50
Rate for Payer: Qualcare PPO/HMO/WC	$73.50

WIRE-PASS S 1.1x5MM

Facility

$490.00

Hospital Charge Code	270674531
Hospital Revenue Code	272
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$73.50
Rate for Payer: Qualcare PPO/HMO/WC	$73.50

WIRE-PASS S 1.1x5MM

Facility

$490.00

Hospital Charge Code	270674531
Hospital Revenue Code	272
Min. Negotiated Rate	$13.92
Max. Negotiated Rate	$245.00
Rate for Payer: Aetna Commercial	$186.20
Rate for Payer: Aetna Medicare Advantage	$147.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.95
Rate for Payer: Cigna Commercial	$245.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.40
Rate for Payer: Oxford Commercial	$98.00
Rate for Payer: Qualcare PPO/HMO/WC	$73.50
Rate for Payer: UnitedHealthcare Commercial	$98.00
Rate for Payer: UnitedHealthcare Community & State	$15.48
Rate for Payer: Wellpoint Medicaid Managed Care	$13.92

WIRE-PASS S 1.5x7MM

Facility

$490.00

Hospital Charge Code	270674533
Hospital Revenue Code	272
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$73.50
Rate for Payer: Qualcare PPO/HMO/WC	$73.50

WIRE-PASS S 1.5x7MM

Facility

$490.00

Hospital Charge Code	270674533
Hospital Revenue Code	272
Min. Negotiated Rate	$13.92
Max. Negotiated Rate	$245.00
Rate for Payer: Aetna Commercial	$186.20
Rate for Payer: Aetna Medicare Advantage	$147.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.95
Rate for Payer: Cigna Commercial	$245.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.40
Rate for Payer: Oxford Commercial	$98.00
Rate for Payer: Qualcare PPO/HMO/WC	$73.50
Rate for Payer: UnitedHealthcare Commercial	$98.00
Rate for Payer: UnitedHealthcare Community & State	$15.48
Rate for Payer: Wellpoint Medicaid Managed Care	$13.92

WIRE-PASS S 2.0x7MM

Facility

$490.00

Hospital Charge Code	270674535
Hospital Revenue Code	272
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$73.50
Rate for Payer: Qualcare PPO/HMO/WC	$73.50

WIRE-PASS S 2.0x7MM

Facility

$490.00

Hospital Charge Code	270674535
Hospital Revenue Code	272
Min. Negotiated Rate	$13.92
Max. Negotiated Rate	$245.00
Rate for Payer: Aetna Commercial	$186.20
Rate for Payer: Aetna Medicare Advantage	$147.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.95
Rate for Payer: Cigna Commercial	$245.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.40
Rate for Payer: Oxford Commercial	$98.00
Rate for Payer: Qualcare PPO/HMO/WC	$73.50
Rate for Payer: UnitedHealthcare Commercial	$98.00
Rate for Payer: UnitedHealthcare Community & State	$15.48
Rate for Payer: Wellpoint Medicaid Managed Care	$13.92

WIRE PEDAL

Facility

$950.00

Hospital Charge Code	270671234
Hospital Revenue Code	272
Min. Negotiated Rate	$26.98
Max. Negotiated Rate	$475.00
Rate for Payer: Aetna Commercial	$361.00
Rate for Payer: Aetna Medicare Advantage	$285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.25
Rate for Payer: Cigna Commercial	$475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.00
Rate for Payer: Oxford Commercial	$190.00
Rate for Payer: Qualcare PPO/HMO/WC	$142.50
Rate for Payer: UnitedHealthcare Commercial	$190.00
Rate for Payer: UnitedHealthcare Community & State	$30.02
Rate for Payer: Wellpoint Medicaid Managed Care	$26.98

WIRE PEDAL

Facility

$950.00

Hospital Charge Code	270671234
Hospital Revenue Code	272
Min. Negotiated Rate	$142.50
Max. Negotiated Rate	$142.50
Rate for Payer: Qualcare PPO/HMO/WC	$142.50

WIRE PILOT

Facility

$200.00

Service Code	HCPCS C1769
Hospital Charge Code	270671577
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 PILOT

Facility

$200.00

Service Code	HCPCS C1769
Hospital Charge Code	270671577
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 PLATE RED SM 1.25mmx150mm

Facility

$729.25

Service Code	HCPCS C1713
Hospital Charge Code	270678591
Hospital Revenue Code	278
Min. Negotiated Rate	$20.71
Max. Negotiated Rate	$364.62
Rate for Payer: Aetna Commercial	$277.12
Rate for Payer: Aetna Medicare Advantage	$218.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$185.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$185.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$145.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$185.96
Rate for Payer: Cigna Commercial	$364.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$176.48
Rate for Payer: Qualcare PPO/HMO/WC	$109.39
Rate for Payer: UnitedHealthcare Community & State	$23.04
Rate for Payer: Wellpoint Medicaid Managed Care	$20.71

WIRE PLATE RED SM 1.25mmx150mm

Facility

$729.25

Service Code	HCPCS C1713
Hospital Charge Code	270678591
Hospital Revenue Code	278
Min. Negotiated Rate	$109.39
Max. Negotiated Rate	$176.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$145.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$176.48
Rate for Payer: Qualcare PPO/HMO/WC	$109.39

WIRE PLATE REDUCTN 1.25x150MM

Facility

$751.15

Service Code	HCPCS C1713
Hospital Charge Code	270645541
Hospital Revenue Code	278
Min. Negotiated Rate	$21.33
Max. Negotiated Rate	$375.57
Rate for Payer: Aetna Commercial	$285.44
Rate for Payer: Aetna Medicare Advantage	$225.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.54
Rate for Payer: Cigna Commercial	$375.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.78
Rate for Payer: Qualcare PPO/HMO/WC	$112.67
Rate for Payer: UnitedHealthcare Community & State	$23.74
Rate for Payer: Wellpoint Medicaid Managed Care	$21.33

Know your out-of-pocket cost for care.

All Charges