Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

11 MM FEMORAL NAIL

Facility

$7,054.45

Service Code	HCPCS C1713
Hospital Charge Code	270678564
Hospital Revenue Code	278
Min. Negotiated Rate	$200.35
Max. Negotiated Rate	$3,527.22
Rate for Payer: Aetna Commercial	$2,680.69
Rate for Payer: Aetna Medicare Advantage	$2,116.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,798.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,798.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,410.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,798.88
Rate for Payer: Cigna Commercial	$3,527.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,707.18
Rate for Payer: Qualcare PPO/HMO/WC	$1,058.17
Rate for Payer: UnitedHealthcare Community & State	$222.92
Rate for Payer: Wellpoint Medicaid Managed Care	$200.35

11 MM FEMORAL NAIL

Facility

$7,054.45

Service Code	HCPCS C1713
Hospital Charge Code	270678564
Hospital Revenue Code	278
Min. Negotiated Rate	$1,058.17
Max. Negotiated Rate	$1,707.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,410.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,707.18
Rate for Payer: Qualcare PPO/HMO/WC	$1,058.17

1.1 MM GUIDE WIRE/ 150MM LENGT

Facility

$936.00

Service Code	HCPCS C1713
Hospital Charge Code	270688651
Hospital Revenue Code	278
Min. Negotiated Rate	$140.40
Max. Negotiated Rate	$226.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$187.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$226.51
Rate for Payer: Qualcare PPO/HMO/WC	$140.40

1.1 MM GUIDE WIRE/ 150MM LENGT

Facility

$936.00

Service Code	HCPCS C1713
Hospital Charge Code	270688651
Hospital Revenue Code	278
Min. Negotiated Rate	$26.58
Max. Negotiated Rate	$468.00
Rate for Payer: Aetna Commercial	$355.68
Rate for Payer: Aetna Medicare Advantage	$280.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$238.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$238.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$187.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$238.68
Rate for Payer: Cigna Commercial	$468.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$226.51
Rate for Payer: Qualcare PPO/HMO/WC	$140.40
Rate for Payer: UnitedHealthcare Community & State	$29.58
Rate for Payer: Wellpoint Medicaid Managed Care	$26.58

1.1MM NON-THREADED GUIDE WIRE

Facility

$122.20

Service Code	HCPCS C1769
Hospital Charge Code	270661769
Hospital Revenue Code	278
Min. Negotiated Rate	$3.47
Max. Negotiated Rate	$61.10
Rate for Payer: Aetna Commercial	$46.44
Rate for Payer: Aetna Medicare Advantage	$36.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.16
Rate for Payer: Cigna Commercial	$61.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.57
Rate for Payer: Qualcare PPO/HMO/WC	$18.33
Rate for Payer: UnitedHealthcare Community & State	$3.86
Rate for Payer: Wellpoint Medicaid Managed Care	$3.47

1.1MM NON-THREADED GUIDE WIRE

Facility

$122.20

Service Code	HCPCS C1769
Hospital Charge Code	270661769
Hospital Revenue Code	278
Min. Negotiated Rate	$18.33
Max. Negotiated Rate	$29.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.57
Rate for Payer: Qualcare PPO/HMO/WC	$18.33

1.1MM THREADED GUIDE WIRE 110M

Facility

$129.70

Service Code	HCPCS C1769
Hospital Charge Code	270663959
Hospital Revenue Code	278
Min. Negotiated Rate	$3.68
Max. Negotiated Rate	$64.85
Rate for Payer: Aetna Commercial	$49.29
Rate for Payer: Aetna Medicare Advantage	$38.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.07
Rate for Payer: Cigna Commercial	$64.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.39
Rate for Payer: Qualcare PPO/HMO/WC	$19.45
Rate for Payer: UnitedHealthcare Community & State	$4.10
Rate for Payer: Wellpoint Medicaid Managed Care	$3.68

1.1MM THREADED GUIDE WIRE 110M

Facility

$129.70

Service Code	HCPCS C1769
Hospital Charge Code	270663959
Hospital Revenue Code	278
Min. Negotiated Rate	$19.45
Max. Negotiated Rate	$31.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.39
Rate for Payer: Qualcare PPO/HMO/WC	$19.45

1.1 TEMP.FIXATION PIN

Facility

$530.00

Service Code	HCPCS C1713
Hospital Charge Code	270656773
Hospital Revenue Code	278
Min. Negotiated Rate	$79.50
Max. Negotiated Rate	$128.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.26
Rate for Payer: Qualcare PPO/HMO/WC	$79.50

1.1 TEMP.FIXATION PIN

Facility

$530.00

Service Code	HCPCS C1713
Hospital Charge Code	270656773
Hospital Revenue Code	278
Min. Negotiated Rate	$15.05
Max. Negotiated Rate	$265.00
Rate for Payer: Aetna Commercial	$201.40
Rate for Payer: Aetna Medicare Advantage	$159.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$135.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$135.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$135.15
Rate for Payer: Cigna Commercial	$265.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.26
Rate for Payer: Qualcare PPO/HMO/WC	$79.50
Rate for Payer: UnitedHealthcare Community & State	$16.75
Rate for Payer: Wellpoint Medicaid Managed Care	$15.05

11X42X30MM 10DEGREE ALIF SPACE

Facility

$33,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270704084
Hospital Revenue Code	278
Min. Negotiated Rate	$940.75
Max. Negotiated Rate	$16,562.50
Rate for Payer: Aetna Commercial	$12,587.50
Rate for Payer: Aetna Medicare Advantage	$9,937.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,446.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,446.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,625.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,446.88
Rate for Payer: Cigna Commercial	$16,562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,016.25
Rate for Payer: Qualcare PPO/HMO/WC	$4,968.75
Rate for Payer: UnitedHealthcare Community & State	$1,046.75
Rate for Payer: Wellpoint Medicaid Managed Care	$940.75

11X42X30MM 10DEGREE ALIF SPACE

Facility

$33,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270704084
Hospital Revenue Code	278
Min. Negotiated Rate	$4,968.75
Max. Negotiated Rate	$8,016.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,016.25
Rate for Payer: Qualcare PPO/HMO/WC	$4,968.75

12/14 COCR FEMORAL HEAD 22MM +

Facility

$2,721.90

Hospital Charge Code	270665071
Hospital Revenue Code	278
Min. Negotiated Rate	$77.30
Max. Negotiated Rate	$1,360.95
Rate for Payer: Aetna Commercial	$1,034.32
Rate for Payer: Aetna Medicare Advantage	$816.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$694.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$694.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$544.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$694.08
Rate for Payer: Cigna Commercial	$1,360.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$658.70
Rate for Payer: Qualcare PPO/HMO/WC	$408.29
Rate for Payer: UnitedHealthcare Community & State	$86.01
Rate for Payer: Wellpoint Medicaid Managed Care	$77.30

12/14 COCR FEMORAL HEAD 22MM +

Facility

$2,721.90

Hospital Charge Code	270665071
Hospital Revenue Code	278
Min. Negotiated Rate	$408.29
Max. Negotiated Rate	$658.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$544.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$658.70
Rate for Payer: Qualcare PPO/HMO/WC	$408.29

1.25MM K-WIRE W/TRO PNT 150MM

Facility

$38.83

Hospital Charge Code	270604111
Hospital Revenue Code	272
Min. Negotiated Rate	$5.82
Max. Negotiated Rate	$5.82
Rate for Payer: Qualcare PPO/HMO/WC	$5.82

1.25MM K-WIRE W/TRO PNT 150MM

Facility

$38.83

Hospital Charge Code	270604111
Hospital Revenue Code	272
Min. Negotiated Rate	$1.10
Max. Negotiated Rate	$19.41
Rate for Payer: Aetna Commercial	$14.76
Rate for Payer: Aetna Medicare Advantage	$11.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.90
Rate for Payer: Cigna Commercial	$19.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.10
Rate for Payer: Oxford Commercial	$7.77
Rate for Payer: Qualcare PPO/HMO/WC	$5.82
Rate for Payer: UnitedHealthcare Commercial	$7.77
Rate for Payer: UnitedHealthcare Community & State	$1.23
Rate for Payer: Wellpoint Medicaid Managed Care	$1.10

12.5MM TAP

Facility

$830.00

Hospital Charge Code	270607102
Hospital Revenue Code	272
Min. Negotiated Rate	$23.57
Max. Negotiated Rate	$415.00
Rate for Payer: Aetna Commercial	$315.40
Rate for Payer: Aetna Medicare Advantage	$249.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$211.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$211.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$211.65
Rate for Payer: Cigna Commercial	$415.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$215.80
Rate for Payer: Oxford Commercial	$166.00
Rate for Payer: Qualcare PPO/HMO/WC	$124.50
Rate for Payer: UnitedHealthcare Commercial	$166.00
Rate for Payer: UnitedHealthcare Community & State	$26.23
Rate for Payer: Wellpoint Medicaid Managed Care	$23.57

12.5MM TAP

Facility

$830.00

Hospital Charge Code	270607102
Hospital Revenue Code	272
Min. Negotiated Rate	$124.50
Max. Negotiated Rate	$124.50
Rate for Payer: Qualcare PPO/HMO/WC	$124.50

1.25 WIRE

Facility

$6,395.00

Hospital Charge Code	270700450
Hospital Revenue Code	272
Min. Negotiated Rate	$959.25
Max. Negotiated Rate	$959.25
Rate for Payer: Qualcare PPO/HMO/WC	$959.25

1.25 WIRE

Facility

$356.50

Hospital Charge Code	270683435
Hospital Revenue Code	272
Min. Negotiated Rate	$53.48
Max. Negotiated Rate	$53.48
Rate for Payer: Qualcare PPO/HMO/WC	$53.48

1.25 WIRE

Facility

$6,395.00

Hospital Charge Code	270700450
Hospital Revenue Code	272
Min. Negotiated Rate	$181.62
Max. Negotiated Rate	$3,197.50
Rate for Payer: Aetna Commercial	$2,430.10
Rate for Payer: Aetna Medicare Advantage	$1,918.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,630.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,630.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,630.72
Rate for Payer: Cigna Commercial	$3,197.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,662.70
Rate for Payer: Oxford Commercial	$1,279.00
Rate for Payer: Qualcare PPO/HMO/WC	$959.25
Rate for Payer: UnitedHealthcare Commercial	$1,279.00
Rate for Payer: UnitedHealthcare Community & State	$202.08
Rate for Payer: Wellpoint Medicaid Managed Care	$181.62

1.25 WIRE

Facility

$356.50

Hospital Charge Code	270683435
Hospital Revenue Code	272
Min. Negotiated Rate	$10.12
Max. Negotiated Rate	$178.25
Rate for Payer: Aetna Commercial	$135.47
Rate for Payer: Aetna Medicare Advantage	$106.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$90.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$90.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$90.91
Rate for Payer: Cigna Commercial	$178.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.69
Rate for Payer: Oxford Commercial	$71.30
Rate for Payer: Qualcare PPO/HMO/WC	$53.48
Rate for Payer: UnitedHealthcare Commercial	$71.30
Rate for Payer: UnitedHealthcare Community & State	$11.27
Rate for Payer: Wellpoint Medicaid Managed Care	$10.12

12 CM CIRCLE

Facility

$2,970.00

Service Code	HCPCS C1781
Hospital Charge Code	270684329
Hospital Revenue Code	278
Min. Negotiated Rate	$445.50
Max. Negotiated Rate	$718.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$594.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$718.74
Rate for Payer: Qualcare PPO/HMO/WC	$445.50

12 CM CIRCLE

Facility

$2,970.00

Service Code	HCPCS C1781
Hospital Charge Code	270684329
Hospital Revenue Code	278
Min. Negotiated Rate	$84.35
Max. Negotiated Rate	$1,485.00
Rate for Payer: Aetna Commercial	$1,128.60
Rate for Payer: Aetna Medicare Advantage	$891.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$757.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$757.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$594.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$757.35
Rate for Payer: Cigna Commercial	$1,485.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$718.74
Rate for Payer: Qualcare PPO/HMO/WC	$445.50
Rate for Payer: UnitedHealthcare Community & State	$93.85
Rate for Payer: Wellpoint Medicaid Managed Care	$84.35

12 CM X 15 CM OVAL

Facility

$4,705.00

Service Code	HCPCS C1781
Hospital Charge Code	270684333
Hospital Revenue Code	278
Min. Negotiated Rate	$133.62
Max. Negotiated Rate	$2,352.50
Rate for Payer: Aetna Commercial	$1,787.90
Rate for Payer: Aetna Medicare Advantage	$1,411.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,199.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,199.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$941.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,199.78
Rate for Payer: Cigna Commercial	$2,352.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,138.61
Rate for Payer: Qualcare PPO/HMO/WC	$705.75
Rate for Payer: UnitedHealthcare Community & State	$148.68
Rate for Payer: Wellpoint Medicaid Managed Care	$133.62

Know your out-of-pocket cost for care.

All Charges