Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

ZIPTIGHT SS REF# 909857

Facility

$1,380.00

Hospital Charge Code	270335953
Hospital Revenue Code	278
Min. Negotiated Rate	$207.00
Max. Negotiated Rate	$333.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$276.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$333.96
Rate for Payer: Qualcare PPO/HMO/WC	$207.00

ZIPTIGHT SS REF# 909857

Facility

$1,380.00

Hospital Charge Code	270335953
Hospital Revenue Code	278
Min. Negotiated Rate	$39.19
Max. Negotiated Rate	$690.00
Rate for Payer: Aetna Commercial	$524.40
Rate for Payer: Aetna Medicare Advantage	$414.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$351.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$351.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$276.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$351.90
Rate for Payer: Cigna Commercial	$690.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$333.96
Rate for Payer: Qualcare PPO/HMO/WC	$207.00
Rate for Payer: UnitedHealthcare Community & State	$43.61
Rate for Payer: Wellpoint Medicaid Managed Care	$39.19

ZIPWIRE .035 150cm ANGLED

Facility

$165.00

Service Code	HCPCS C1769
Hospital Charge Code	270605415
Hospital Revenue Code	278
Min. Negotiated Rate	$4.69
Max. Negotiated Rate	$82.50
Rate for Payer: Aetna Commercial	$62.70
Rate for Payer: Aetna Medicare Advantage	$49.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$33.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.08
Rate for Payer: Cigna Commercial	$82.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.93
Rate for Payer: Qualcare PPO/HMO/WC	$24.75
Rate for Payer: UnitedHealthcare Community & State	$5.21
Rate for Payer: Wellpoint Medicaid Managed Care	$4.69

ZIPWIRE .035 150cm ANGLED

Facility

$165.00

Service Code	HCPCS C1769
Hospital Charge Code	270605415
Hospital Revenue Code	278
Min. Negotiated Rate	$24.75
Max. Negotiated Rate	$39.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$33.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.93
Rate for Payer: Qualcare PPO/HMO/WC	$24.75

ZIPWIRE .035 150CM STIFF WIRE

Facility

$234.00

Service Code	HCPCS C1769
Hospital Charge Code	270664147
Hospital Revenue Code	278
Min. Negotiated Rate	$35.10
Max. Negotiated Rate	$56.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.63
Rate for Payer: Qualcare PPO/HMO/WC	$35.10

ZIPWIRE .035 150CM STIFF WIRE

Facility

$234.00

Service Code	HCPCS C1769
Hospital Charge Code	270664147
Hospital Revenue Code	278
Min. Negotiated Rate	$6.65
Max. Negotiated Rate	$117.00
Rate for Payer: Aetna Commercial	$88.92
Rate for Payer: Aetna Medicare Advantage	$70.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.67
Rate for Payer: Cigna Commercial	$117.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.63
Rate for Payer: Qualcare PPO/HMO/WC	$35.10
Rate for Payer: UnitedHealthcare Community & State	$7.39
Rate for Payer: Wellpoint Medicaid Managed Care	$6.65

ZIPWIRE .035 150cm STRAIGHT

Facility

$165.00

Service Code	HCPCS C1769
Hospital Charge Code	270601266
Hospital Revenue Code	278
Min. Negotiated Rate	$24.75
Max. Negotiated Rate	$39.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$33.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.93
Rate for Payer: Qualcare PPO/HMO/WC	$24.75

ZIPWIRE .035 150cm STRAIGHT

Facility

$165.00

Service Code	HCPCS C1769
Hospital Charge Code	270601266
Hospital Revenue Code	278
Min. Negotiated Rate	$4.69
Max. Negotiated Rate	$82.50
Rate for Payer: Aetna Commercial	$62.70
Rate for Payer: Aetna Medicare Advantage	$49.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$33.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.08
Rate for Payer: Cigna Commercial	$82.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.93
Rate for Payer: Qualcare PPO/HMO/WC	$24.75
Rate for Payer: UnitedHealthcare Community & State	$5.21
Rate for Payer: Wellpoint Medicaid Managed Care	$4.69

ZIPWIRE .035 180cm STFF ANGL

Facility

$234.00

Service Code	HCPCS C1769
Hospital Charge Code	270623261
Hospital Revenue Code	278
Min. Negotiated Rate	$35.10
Max. Negotiated Rate	$56.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.63
Rate for Payer: Qualcare PPO/HMO/WC	$35.10

ZIPWIRE .035 180cm STFF ANGL

Facility

$234.00

Service Code	HCPCS C1769
Hospital Charge Code	270623261
Hospital Revenue Code	278
Min. Negotiated Rate	$6.65
Max. Negotiated Rate	$117.00
Rate for Payer: Aetna Commercial	$88.92
Rate for Payer: Aetna Medicare Advantage	$70.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.67
Rate for Payer: Cigna Commercial	$117.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.63
Rate for Payer: Qualcare PPO/HMO/WC	$35.10
Rate for Payer: UnitedHealthcare Community & State	$7.39
Rate for Payer: Wellpoint Medicaid Managed Care	$6.65

ZIPWIRE .035 260cm ANGLED

Facility

$219.58

Service Code	HCPCS C1769
Hospital Charge Code	270623295
Hospital Revenue Code	278
Min. Negotiated Rate	$6.24
Max. Negotiated Rate	$109.79
Rate for Payer: Aetna Commercial	$83.44
Rate for Payer: Aetna Medicare Advantage	$65.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$43.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55.99
Rate for Payer: Cigna Commercial	$109.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.14
Rate for Payer: Qualcare PPO/HMO/WC	$32.94
Rate for Payer: UnitedHealthcare Community & State	$6.94
Rate for Payer: Wellpoint Medicaid Managed Care	$6.24

ZIPWIRE .035 260cm ANGLED

Facility

$219.58

Service Code	HCPCS C1769
Hospital Charge Code	270623295
Hospital Revenue Code	278
Min. Negotiated Rate	$32.94
Max. Negotiated Rate	$53.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$43.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.14
Rate for Payer: Qualcare PPO/HMO/WC	$32.94

ZIPWIRE .035 260cm STIFF ANGLD

Facility

$271.44

Service Code	HCPCS C1769
Hospital Charge Code	270624371
Hospital Revenue Code	278
Min. Negotiated Rate	$40.72
Max. Negotiated Rate	$65.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.69
Rate for Payer: Qualcare PPO/HMO/WC	$40.72

ZIPWIRE .035 260cm STIFF ANGLD

Facility

$271.44

Service Code	HCPCS C1769
Hospital Charge Code	270624371
Hospital Revenue Code	278
Min. Negotiated Rate	$7.71
Max. Negotiated Rate	$135.72
Rate for Payer: Aetna Commercial	$103.15
Rate for Payer: Aetna Medicare Advantage	$81.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$69.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$69.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$69.22
Rate for Payer: Cigna Commercial	$135.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.69
Rate for Payer: Qualcare PPO/HMO/WC	$40.72
Rate for Payer: UnitedHealthcare Community & State	$8.58
Rate for Payer: Wellpoint Medicaid Managed Care	$7.71

ZIPWIRE .038 150cm ANGLED

Facility

$165.00

Service Code	HCPCS C1769
Hospital Charge Code	270617878
Hospital Revenue Code	278
Min. Negotiated Rate	$4.69
Max. Negotiated Rate	$82.50
Rate for Payer: Aetna Commercial	$62.70
Rate for Payer: Aetna Medicare Advantage	$49.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$33.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.08
Rate for Payer: Cigna Commercial	$82.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.93
Rate for Payer: Qualcare PPO/HMO/WC	$24.75
Rate for Payer: UnitedHealthcare Community & State	$5.21
Rate for Payer: Wellpoint Medicaid Managed Care	$4.69

ZIPWIRE .038 150cm ANGLED

Facility

$165.00

Service Code	HCPCS C1769
Hospital Charge Code	270617878
Hospital Revenue Code	278
Min. Negotiated Rate	$24.75
Max. Negotiated Rate	$39.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$33.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.93
Rate for Payer: Qualcare PPO/HMO/WC	$24.75

ZIPWIRE ANGLED 0.018 150CM

Facility

$2,125.00

Hospital Charge Code	270669873
Hospital Revenue Code	278
Min. Negotiated Rate	$318.75
Max. Negotiated Rate	$514.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$514.25
Rate for Payer: Qualcare PPO/HMO/WC	$318.75

ZIPWIRE ANGLED 0.018 150CM

Facility

$2,125.00

Hospital Charge Code	270669873
Hospital Revenue Code	278
Min. Negotiated Rate	$60.35
Max. Negotiated Rate	$1,062.50
Rate for Payer: Aetna Commercial	$807.50
Rate for Payer: Aetna Medicare Advantage	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$541.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$541.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$425.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$541.88
Rate for Payer: Cigna Commercial	$1,062.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$514.25
Rate for Payer: Qualcare PPO/HMO/WC	$318.75
Rate for Payer: UnitedHealthcare Community & State	$67.15
Rate for Payer: Wellpoint Medicaid Managed Care	$60.35

ZIPWIRE STRAIGHT 260CM

Facility

$109.79

Hospital Charge Code	270672307
Hospital Revenue Code	278
Min. Negotiated Rate	$3.12
Max. Negotiated Rate	$54.90
Rate for Payer: Aetna Commercial	$41.72
Rate for Payer: Aetna Medicare Advantage	$32.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.00
Rate for Payer: Cigna Commercial	$54.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.57
Rate for Payer: Qualcare PPO/HMO/WC	$16.47
Rate for Payer: UnitedHealthcare Community & State	$3.47
Rate for Payer: Wellpoint Medicaid Managed Care	$3.12

ZIPWIRE STRAIGHT 260CM

Facility

$109.79

Hospital Charge Code	270672307
Hospital Revenue Code	278
Min. Negotiated Rate	$16.47
Max. Negotiated Rate	$26.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.57
Rate for Payer: Qualcare PPO/HMO/WC	$16.47

ZITHROMAX 500MG TAB

Facility

$104.19

Service Code	NDC 59762307002
Hospital Charge Code	60635615
Hospital Revenue Code	250
Min. Negotiated Rate	$15.63
Max. Negotiated Rate	$15.63
Rate for Payer: Qualcare PPO/HMO/WC	$15.63

ZITHROMAX 500MG TAB

Facility

$104.19

Service Code	NDC 59762307002
Hospital Charge Code	60635615
Hospital Revenue Code	250
Min. Negotiated Rate	$2.96
Max. Negotiated Rate	$52.09
Rate for Payer: Aetna Commercial	$39.59
Rate for Payer: Aetna Medicare Advantage	$31.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.57
Rate for Payer: Cigna Commercial	$52.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.09
Rate for Payer: Oxford Commercial	$20.84
Rate for Payer: Qualcare PPO/HMO/WC	$15.63
Rate for Payer: UnitedHealthcare Commercial	$20.84
Rate for Payer: UnitedHealthcare Community & State	$3.29
Rate for Payer: Wellpoint Medicaid Managed Care	$2.96

Z NAIL 10.5X95 LAG SCREW

Facility

$3,121.65

Hospital Charge Code	270663172
Hospital Revenue Code	278
Min. Negotiated Rate	$468.25
Max. Negotiated Rate	$755.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$624.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$755.44
Rate for Payer: Qualcare PPO/HMO/WC	$468.25

Z NAIL 10.5X95 LAG SCREW

Facility

$3,121.65

Hospital Charge Code	270663172
Hospital Revenue Code	278
Min. Negotiated Rate	$88.65
Max. Negotiated Rate	$1,560.83
Rate for Payer: Aetna Commercial	$1,186.23
Rate for Payer: Aetna Medicare Advantage	$936.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$796.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$796.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$624.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$796.02
Rate for Payer: Cigna Commercial	$1,560.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$755.44
Rate for Payer: Qualcare PPO/HMO/WC	$468.25
Rate for Payer: UnitedHealthcare Community & State	$98.64
Rate for Payer: Wellpoint Medicaid Managed Care	$88.65

Z NAIL 5.0X35 CORT SCREW FA

Facility

$1,008.00

Hospital Charge Code	270665474
Hospital Revenue Code	278
Min. Negotiated Rate	$28.63
Max. Negotiated Rate	$504.00
Rate for Payer: Aetna Commercial	$383.04
Rate for Payer: Aetna Medicare Advantage	$302.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$257.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$257.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$201.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$257.04
Rate for Payer: Cigna Commercial	$504.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$243.94
Rate for Payer: Qualcare PPO/HMO/WC	$151.20
Rate for Payer: UnitedHealthcare Community & State	$31.85
Rate for Payer: Wellpoint Medicaid Managed Care	$28.63

Know your out-of-pocket cost for care.

All Charges