Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

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

7MM 6DEG ZAVATION CAGE

Facility

$4,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270705534
Hospital Revenue Code	278
Min. Negotiated Rate	$712.50
Max. Negotiated Rate	$1,149.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,149.50
Rate for Payer: Qualcare PPO/HMO/WC	$712.50

7MM 6DEG ZAVATION CAGE

Facility

$4,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270705534
Hospital Revenue Code	278
Min. Negotiated Rate	$134.90
Max. Negotiated Rate	$2,375.00
Rate for Payer: Aetna Commercial	$1,805.00
Rate for Payer: Aetna Medicare Advantage	$1,425.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$950.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,211.25
Rate for Payer: Cigna Commercial	$2,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,149.50
Rate for Payer: Qualcare PPO/HMO/WC	$712.50
Rate for Payer: UnitedHealthcare Community & State	$150.10
Rate for Payer: Wellpoint Medicaid Managed Care	$134.90

7MM-8MM CERVEX GRAFT

Facility

$2,639.00

Hospital Charge Code	270339029
Hospital Revenue Code	278
Min. Negotiated Rate	$395.85
Max. Negotiated Rate	$638.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$527.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$638.64
Rate for Payer: Qualcare PPO/HMO/WC	$395.85

7MM-8MM CERVEX GRAFT

Facility

$2,639.00

Hospital Charge Code	270339029
Hospital Revenue Code	278
Min. Negotiated Rate	$74.95
Max. Negotiated Rate	$1,319.50
Rate for Payer: Aetna Commercial	$1,002.82
Rate for Payer: Aetna Medicare Advantage	$791.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$672.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$672.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$527.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$672.95
Rate for Payer: Cigna Commercial	$1,319.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$638.64
Rate for Payer: Qualcare PPO/HMO/WC	$395.85
Rate for Payer: UnitedHealthcare Community & State	$83.39
Rate for Payer: Wellpoint Medicaid Managed Care	$74.95

7mm FULLY PERFORATED FLAT DRIV

Facility

$66.23

Hospital Charge Code	270655688
Hospital Revenue Code	271
Min. Negotiated Rate	$1.88
Max. Negotiated Rate	$33.12
Rate for Payer: Aetna Commercial	$25.17
Rate for Payer: Aetna Medicare Advantage	$19.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.89
Rate for Payer: Cigna Commercial	$33.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.22
Rate for Payer: Oxford Commercial	$13.25
Rate for Payer: Qualcare PPO/HMO/WC	$9.93
Rate for Payer: UnitedHealthcare Commercial	$13.25
Rate for Payer: UnitedHealthcare Community & State	$2.09
Rate for Payer: Wellpoint Medicaid Managed Care	$1.88

7mm FULLY PERFORATED FLAT DRIV

Facility

$66.23

Hospital Charge Code	270655688
Hospital Revenue Code	271
Min. Negotiated Rate	$9.93
Max. Negotiated Rate	$9.93
Rate for Payer: Qualcare PPO/HMO/WC	$9.93

7MM SMALL SPIRA C

Facility

$8,750.00

Service Code	HCPCS C1889
Hospital Charge Code	270703917
Hospital Revenue Code	278
Min. Negotiated Rate	$1,312.50
Max. Negotiated Rate	$2,117.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,117.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,312.50

7MM SMALL SPIRA C

Facility

$8,750.00

Service Code	HCPCS C1889
Hospital Charge Code	270703917
Hospital Revenue Code	278
Min. Negotiated Rate	$248.50
Max. Negotiated Rate	$4,375.00
Rate for Payer: Aetna Commercial	$3,325.00
Rate for Payer: Aetna Medicare Advantage	$2,625.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,231.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,231.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,231.25
Rate for Payer: Cigna Commercial	$4,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,117.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,312.50
Rate for Payer: UnitedHealthcare Community & State	$276.50
Rate for Payer: Wellpoint Medicaid Managed Care	$248.50

7MM TI MULTILOC HUMERAL NAIL 7

Facility

$17,873.75

Service Code	HCPCS C1713
Hospital Charge Code	270705547
Hospital Revenue Code	278
Min. Negotiated Rate	$507.61
Max. Negotiated Rate	$8,936.88
Rate for Payer: Aetna Commercial	$6,792.02
Rate for Payer: Aetna Medicare Advantage	$5,362.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,557.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,557.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,574.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,557.81
Rate for Payer: Cigna Commercial	$8,936.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,325.45
Rate for Payer: Qualcare PPO/HMO/WC	$2,681.06
Rate for Payer: UnitedHealthcare Community & State	$564.81
Rate for Payer: Wellpoint Medicaid Managed Care	$507.61

7MM TI MULTILOC HUMERAL NAIL 7

Facility

$17,873.75

Service Code	HCPCS C1713
Hospital Charge Code	270705547
Hospital Revenue Code	278
Min. Negotiated Rate	$2,681.06
Max. Negotiated Rate	$4,325.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,574.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,325.45
Rate for Payer: Qualcare PPO/HMO/WC	$2,681.06

7MM TTNIUM CANLTD PRXML NLS150

Facility

$11,429.95

Hospital Charge Code	270662650
Hospital Revenue Code	278
Min. Negotiated Rate	$324.61
Max. Negotiated Rate	$5,714.98
Rate for Payer: Aetna Commercial	$4,343.38
Rate for Payer: Aetna Medicare Advantage	$3,428.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,914.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,914.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,285.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,914.64
Rate for Payer: Cigna Commercial	$5,714.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,766.05
Rate for Payer: Qualcare PPO/HMO/WC	$1,714.49
Rate for Payer: UnitedHealthcare Community & State	$361.19
Rate for Payer: Wellpoint Medicaid Managed Care	$324.61

7MM TTNIUM CANLTD PRXML NLS150

Facility

$11,429.95

Hospital Charge Code	270662650
Hospital Revenue Code	278
Min. Negotiated Rate	$1,714.49
Max. Negotiated Rate	$2,766.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,285.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,766.05
Rate for Payer: Qualcare PPO/HMO/WC	$1,714.49

7 X 12 PROSTOP

Facility

$6,075.00

Hospital Charge Code	270656480
Hospital Revenue Code	272
Min. Negotiated Rate	$172.53
Max. Negotiated Rate	$3,037.50
Rate for Payer: Aetna Commercial	$2,308.50
Rate for Payer: Aetna Medicare Advantage	$1,822.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,549.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,549.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,549.12
Rate for Payer: Cigna Commercial	$3,037.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,579.50
Rate for Payer: Oxford Commercial	$1,215.00
Rate for Payer: Qualcare PPO/HMO/WC	$911.25
Rate for Payer: UnitedHealthcare Commercial	$1,215.00
Rate for Payer: UnitedHealthcare Community & State	$191.97
Rate for Payer: Wellpoint Medicaid Managed Care	$172.53

7 X 12 PROSTOP

Facility

$6,075.00

Hospital Charge Code	270656480
Hospital Revenue Code	272
Min. Negotiated Rate	$911.25
Max. Negotiated Rate	$911.25
Rate for Payer: Qualcare PPO/HMO/WC	$911.25

7X80MM HEADLESS SCREW

Facility

$3,450.00

Service Code	HCPCS C1713
Hospital Charge Code	270704191
Hospital Revenue Code	278
Min. Negotiated Rate	$517.50
Max. Negotiated Rate	$834.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$690.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$834.90
Rate for Payer: Qualcare PPO/HMO/WC	$517.50

7X80MM HEADLESS SCREW

Facility

$3,450.00

Service Code	HCPCS C1713
Hospital Charge Code	270704191
Hospital Revenue Code	278
Min. Negotiated Rate	$97.98
Max. Negotiated Rate	$1,725.00
Rate for Payer: Aetna Commercial	$1,311.00
Rate for Payer: Aetna Medicare Advantage	$1,035.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$879.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$879.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$690.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$879.75
Rate for Payer: Cigna Commercial	$1,725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$834.90
Rate for Payer: Qualcare PPO/HMO/WC	$517.50
Rate for Payer: UnitedHealthcare Community & State	$109.02
Rate for Payer: Wellpoint Medicaid Managed Care	$97.98

7X90MM HEADLESS SCREW

Facility

$3,450.00

Service Code	HCPCS C1713
Hospital Charge Code	270704192
Hospital Revenue Code	278
Min. Negotiated Rate	$517.50
Max. Negotiated Rate	$834.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$690.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$834.90
Rate for Payer: Qualcare PPO/HMO/WC	$517.50

7X90MM HEADLESS SCREW

Facility

$3,450.00

Service Code	HCPCS C1713
Hospital Charge Code	270704192
Hospital Revenue Code	278
Min. Negotiated Rate	$97.98
Max. Negotiated Rate	$1,725.00
Rate for Payer: Aetna Commercial	$1,311.00
Rate for Payer: Aetna Medicare Advantage	$1,035.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$879.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$879.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$690.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$879.75
Rate for Payer: Cigna Commercial	$1,725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$834.90
Rate for Payer: Qualcare PPO/HMO/WC	$517.50
Rate for Payer: UnitedHealthcare Community & State	$109.02
Rate for Payer: Wellpoint Medicaid Managed Care	$97.98

80 - 7.3 CANN.SAW

Facility

$1,203.00

Hospital Charge Code	270656668
Hospital Revenue Code	272
Min. Negotiated Rate	$34.17
Max. Negotiated Rate	$601.50
Rate for Payer: Aetna Commercial	$457.14
Rate for Payer: Aetna Medicare Advantage	$360.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$306.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$306.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$306.76
Rate for Payer: Cigna Commercial	$601.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$312.78
Rate for Payer: Oxford Commercial	$240.60
Rate for Payer: Qualcare PPO/HMO/WC	$180.45
Rate for Payer: UnitedHealthcare Commercial	$240.60
Rate for Payer: UnitedHealthcare Community & State	$38.01
Rate for Payer: Wellpoint Medicaid Managed Care	$34.17

80 - 7.3 CANN.SAW

Facility

$1,203.00

Hospital Charge Code	270656668
Hospital Revenue Code	272
Min. Negotiated Rate	$180.45
Max. Negotiated Rate	$180.45
Rate for Payer: Qualcare PPO/HMO/WC	$180.45

8.0MM CARBON FIBER ROD 200MM

Facility

$719.30

Service Code	HCPCS C1713
Hospital Charge Code	270632239
Hospital Revenue Code	278
Min. Negotiated Rate	$20.43
Max. Negotiated Rate	$359.65
Rate for Payer: Aetna Commercial	$273.33
Rate for Payer: Aetna Medicare Advantage	$215.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$183.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$183.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$143.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$183.42
Rate for Payer: Cigna Commercial	$359.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.07
Rate for Payer: Qualcare PPO/HMO/WC	$107.89
Rate for Payer: UnitedHealthcare Community & State	$22.73
Rate for Payer: Wellpoint Medicaid Managed Care	$20.43

8.0MM CARBON FIBER ROD 200MM

Facility

$719.30

Service Code	HCPCS C1713
Hospital Charge Code	270632239
Hospital Revenue Code	278
Min. Negotiated Rate	$107.89
Max. Negotiated Rate	$174.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$143.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.07
Rate for Payer: Qualcare PPO/HMO/WC	$107.89

8.23MM BIOCOMPOSITE SCREW

Facility

$1,175.00

Service Code	HCPCS C1713
Hospital Charge Code	270656483
Hospital Revenue Code	278
Min. Negotiated Rate	$33.37
Max. Negotiated Rate	$587.50
Rate for Payer: Aetna Commercial	$446.50
Rate for Payer: Aetna Medicare Advantage	$352.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$299.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$299.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$235.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$299.62
Rate for Payer: Cigna Commercial	$587.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$284.35
Rate for Payer: Qualcare PPO/HMO/WC	$176.25
Rate for Payer: UnitedHealthcare Community & State	$37.13
Rate for Payer: Wellpoint Medicaid Managed Care	$33.37

8.23MM BIOCOMPOSITE SCREW

Facility

$1,175.00

Service Code	HCPCS C1713
Hospital Charge Code	270656483
Hospital Revenue Code	278
Min. Negotiated Rate	$176.25
Max. Negotiated Rate	$284.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$235.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$284.35
Rate for Payer: Qualcare PPO/HMO/WC	$176.25

Know your out-of-pocket cost for care.

All Charges