Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

70 MM ROD

Facility

$1,502.00

Hospital Charge Code	270339024
Hospital Revenue Code	278
Min. Negotiated Rate	$225.30
Max. Negotiated Rate	$363.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.48
Rate for Payer: Qualcare PPO/HMO/WC	$225.30

70 MM ROD

Facility

$1,502.00

Hospital Charge Code	270339024
Hospital Revenue Code	278
Min. Negotiated Rate	$42.66
Max. Negotiated Rate	$751.00
Rate for Payer: Aetna Commercial	$570.76
Rate for Payer: Aetna Medicare Advantage	$450.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$383.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$383.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$383.01
Rate for Payer: Cigna Commercial	$751.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.48
Rate for Payer: Qualcare PPO/HMO/WC	$225.30
Rate for Payer: UnitedHealthcare Community & State	$47.46
Rate for Payer: Wellpoint Medicaid Managed Care	$42.66

70MM ROD

Facility

$875.00

Hospital Charge Code	270702888
Hospital Revenue Code	278
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$211.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.75
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

70MM ROD

Facility

$875.00

Hospital Charge Code	270702888
Hospital Revenue Code	278
Min. Negotiated Rate	$24.85
Max. Negotiated Rate	$437.50
Rate for Payer: Aetna Commercial	$332.50
Rate for Payer: Aetna Medicare Advantage	$262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.12
Rate for Payer: Cigna Commercial	$437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.75
Rate for Payer: Qualcare PPO/HMO/WC	$131.25
Rate for Payer: UnitedHealthcare Community & State	$27.65
Rate for Payer: Wellpoint Medicaid Managed Care	$24.85

7.3CANNULATED LOCKING SCREW 35

Facility

$1,239.10

Service Code	HCPCS C1713
Hospital Charge Code	270679065
Hospital Revenue Code	278
Min. Negotiated Rate	$185.87
Max. Negotiated Rate	$299.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$247.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$299.86
Rate for Payer: Qualcare PPO/HMO/WC	$185.87

7.3CANNULATED LOCKING SCREW 35

Facility

$1,239.10

Service Code	HCPCS C1713
Hospital Charge Code	270679065
Hospital Revenue Code	278
Min. Negotiated Rate	$35.19
Max. Negotiated Rate	$619.55
Rate for Payer: Aetna Commercial	$470.86
Rate for Payer: Aetna Medicare Advantage	$371.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$315.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$315.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$247.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$315.97
Rate for Payer: Cigna Commercial	$619.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$299.86
Rate for Payer: Qualcare PPO/HMO/WC	$185.87
Rate for Payer: UnitedHealthcare Community & State	$39.16
Rate for Payer: Wellpoint Medicaid Managed Care	$35.19

7.3 CANNULATED LOCKING SCREW 7

Facility

$1,239.10

Service Code	HCPCS C1713
Hospital Charge Code	270679066
Hospital Revenue Code	278
Min. Negotiated Rate	$35.19
Max. Negotiated Rate	$619.55
Rate for Payer: Aetna Commercial	$470.86
Rate for Payer: Aetna Medicare Advantage	$371.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$315.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$315.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$247.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$315.97
Rate for Payer: Cigna Commercial	$619.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$299.86
Rate for Payer: Qualcare PPO/HMO/WC	$185.87
Rate for Payer: UnitedHealthcare Community & State	$39.16
Rate for Payer: Wellpoint Medicaid Managed Care	$35.19

7.3 CANNULATED LOCKING SCREW 7

Facility

$1,239.10

Service Code	HCPCS C1713
Hospital Charge Code	270679066
Hospital Revenue Code	278
Min. Negotiated Rate	$185.87
Max. Negotiated Rate	$299.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$247.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$299.86
Rate for Payer: Qualcare PPO/HMO/WC	$185.87

7.5X35MM SCREW

Facility

$1,325.00

Service Code	HCPCS C1713
Hospital Charge Code	270703857
Hospital Revenue Code	278
Min. Negotiated Rate	$37.63
Max. Negotiated Rate	$662.50
Rate for Payer: Aetna Commercial	$503.50
Rate for Payer: Aetna Medicare Advantage	$397.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$337.88
Rate for Payer: Cigna Commercial	$662.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: Qualcare PPO/HMO/WC	$198.75
Rate for Payer: UnitedHealthcare Community & State	$41.87
Rate for Payer: Wellpoint Medicaid Managed Care	$37.63

7.5X35MM SCREW

Facility

$1,325.00

Service Code	HCPCS C1713
Hospital Charge Code	270703857
Hospital Revenue Code	278
Min. Negotiated Rate	$198.75
Max. Negotiated Rate	$320.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: Qualcare PPO/HMO/WC	$198.75

7.5X45MM LUMBAR SCREW

Facility

$4,275.00

Service Code	HCPCS C1713
Hospital Charge Code	270704174
Hospital Revenue Code	278
Min. Negotiated Rate	$641.25
Max. Negotiated Rate	$1,034.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$855.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,034.55
Rate for Payer: Qualcare PPO/HMO/WC	$641.25

7.5X45MM LUMBAR SCREW

Facility

$4,275.00

Service Code	HCPCS C1713
Hospital Charge Code	270704174
Hospital Revenue Code	278
Min. Negotiated Rate	$121.41
Max. Negotiated Rate	$2,137.50
Rate for Payer: Aetna Commercial	$1,624.50
Rate for Payer: Aetna Medicare Advantage	$1,282.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,090.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,090.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$855.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,090.12
Rate for Payer: Cigna Commercial	$2,137.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,034.55
Rate for Payer: Qualcare PPO/HMO/WC	$641.25
Rate for Payer: UnitedHealthcare Community & State	$135.09
Rate for Payer: Wellpoint Medicaid Managed Care	$121.41

7.5X45MM MIS MOD SCREW SHANK

Facility

$2,900.00

Service Code	HCPCS C1713
Hospital Charge Code	270703771
Hospital Revenue Code	278
Min. Negotiated Rate	$435.00
Max. Negotiated Rate	$701.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$580.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$701.80
Rate for Payer: Qualcare PPO/HMO/WC	$435.00

7.5X45MM MIS MOD SCREW SHANK

Facility

$2,900.00

Service Code	HCPCS C1713
Hospital Charge Code	270703771
Hospital Revenue Code	278
Min. Negotiated Rate	$82.36
Max. Negotiated Rate	$1,450.00
Rate for Payer: Aetna Commercial	$1,102.00
Rate for Payer: Aetna Medicare Advantage	$870.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$739.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$739.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$580.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$739.50
Rate for Payer: Cigna Commercial	$1,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$701.80
Rate for Payer: Qualcare PPO/HMO/WC	$435.00
Rate for Payer: UnitedHealthcare Community & State	$91.64
Rate for Payer: Wellpoint Medicaid Managed Care	$82.36

7.5X45MM REDUCTION SCREWS

Facility

$5,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270703564
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

7.5X45MM REDUCTION SCREWS

Facility

$5,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270703564
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

7.5X50MM MIS MOD SCREW SHANK

Facility

$2,900.00

Service Code	HCPCS C1713
Hospital Charge Code	270704082
Hospital Revenue Code	278
Min. Negotiated Rate	$435.00
Max. Negotiated Rate	$701.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$580.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$701.80
Rate for Payer: Qualcare PPO/HMO/WC	$435.00

7.5X50MM MIS MOD SCREW SHANK

Facility

$2,900.00

Service Code	HCPCS C1713
Hospital Charge Code	270704082
Hospital Revenue Code	278
Min. Negotiated Rate	$82.36
Max. Negotiated Rate	$1,450.00
Rate for Payer: Aetna Commercial	$1,102.00
Rate for Payer: Aetna Medicare Advantage	$870.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$739.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$739.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$580.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$739.50
Rate for Payer: Cigna Commercial	$1,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$701.80
Rate for Payer: Qualcare PPO/HMO/WC	$435.00
Rate for Payer: UnitedHealthcare Community & State	$91.64
Rate for Payer: Wellpoint Medicaid Managed Care	$82.36

7.5X50MM MODULAR SCREW

Facility

$3,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270704708
Hospital Revenue Code	278
Min. Negotiated Rate	$106.50
Max. Negotiated Rate	$1,875.00
Rate for Payer: Aetna Commercial	$1,425.00
Rate for Payer: Aetna Medicare Advantage	$1,125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$956.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$956.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$956.25
Rate for Payer: Cigna Commercial	$1,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$907.50
Rate for Payer: Qualcare PPO/HMO/WC	$562.50
Rate for Payer: UnitedHealthcare Community & State	$118.50
Rate for Payer: Wellpoint Medicaid Managed Care	$106.50

7.5X50MM MODULAR SCREW

Facility

$3,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270704708
Hospital Revenue Code	278
Min. Negotiated Rate	$562.50
Max. Negotiated Rate	$907.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$907.50
Rate for Payer: Qualcare PPO/HMO/WC	$562.50

7CC TORNADO BIO COLLAGEN

Facility

$11,695.50

Service Code	HCPCS C1889
Hospital Charge Code	270704245
Hospital Revenue Code	278
Min. Negotiated Rate	$332.15
Max. Negotiated Rate	$5,847.75
Rate for Payer: Aetna Commercial	$4,444.29
Rate for Payer: Aetna Medicare Advantage	$3,508.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,982.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,982.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,339.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,982.35
Rate for Payer: Cigna Commercial	$5,847.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,830.31
Rate for Payer: Qualcare PPO/HMO/WC	$1,754.33
Rate for Payer: UnitedHealthcare Community & State	$369.58
Rate for Payer: Wellpoint Medicaid Managed Care	$332.15

7CC TORNADO BIO COLLAGEN

Facility

$11,695.50

Service Code	HCPCS C1889
Hospital Charge Code	270704245
Hospital Revenue Code	278
Min. Negotiated Rate	$1,754.33
Max. Negotiated Rate	$2,830.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,339.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,830.31
Rate for Payer: Qualcare PPO/HMO/WC	$1,754.33

7 FRENCH 27MM ENSNARE

Facility

$2,200.00

Service Code	HCPCS C1773
Hospital Charge Code	270659155
Hospital Revenue Code	278
Min. Negotiated Rate	$62.48
Max. Negotiated Rate	$1,100.00
Rate for Payer: Aetna Commercial	$836.00
Rate for Payer: Aetna Medicare Advantage	$660.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$561.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$561.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$440.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$561.00
Rate for Payer: Cigna Commercial	$1,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$532.40
Rate for Payer: Qualcare PPO/HMO/WC	$330.00
Rate for Payer: UnitedHealthcare Community & State	$69.52
Rate for Payer: Wellpoint Medicaid Managed Care	$62.48

7 FRENCH 27MM ENSNARE

Facility

$2,200.00

Service Code	HCPCS C1773
Hospital Charge Code	270659155
Hospital Revenue Code	278
Min. Negotiated Rate	$330.00
Max. Negotiated Rate	$532.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$440.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$532.40
Rate for Payer: Qualcare PPO/HMO/WC	$330.00

7 HOLE REINFORCED STRAIGHT PLA

Facility

$2,703.75

Service Code	HCPCS C1713
Hospital Charge Code	270703986
Hospital Revenue Code	278
Min. Negotiated Rate	$405.56
Max. Negotiated Rate	$654.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$540.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$654.31
Rate for Payer: Qualcare PPO/HMO/WC	$405.56

Know your out-of-pocket cost for care.

All Charges