Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CANN DRILL 4.8X200MM

Facility

$1,800.00

Hospital Charge Code	270680500
Hospital Revenue Code	272
Min. Negotiated Rate	$270.00
Max. Negotiated Rate	$270.00
Rate for Payer: Qualcare PPO/HMO/WC	$270.00

CANN DRILL 4.8X200MM

Facility

$1,800.00

Hospital Charge Code	270680500
Hospital Revenue Code	272
Min. Negotiated Rate	$51.12
Max. Negotiated Rate	$900.00
Rate for Payer: Aetna Commercial	$684.00
Rate for Payer: Aetna Medicare Advantage	$540.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$459.00
Rate for Payer: Cigna Commercial	$900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$468.00
Rate for Payer: Oxford Commercial	$360.00
Rate for Payer: Qualcare PPO/HMO/WC	$270.00
Rate for Payer: UnitedHealthcare Commercial	$360.00
Rate for Payer: UnitedHealthcare Community & State	$56.88
Rate for Payer: Wellpoint Medicaid Managed Care	$51.12

CANN DRILOCK 6.5

Facility

$140.65

Hospital Charge Code	270681377
Hospital Revenue Code	272
Min. Negotiated Rate	$21.10
Max. Negotiated Rate	$21.10
Rate for Payer: Qualcare PPO/HMO/WC	$21.10

CANN DRILOCK 6.5

Facility

$140.65

Hospital Charge Code	270681377
Hospital Revenue Code	272
Min. Negotiated Rate	$3.99
Max. Negotiated Rate	$70.33
Rate for Payer: Aetna Commercial	$53.45
Rate for Payer: Aetna Medicare Advantage	$42.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.87
Rate for Payer: Cigna Commercial	$70.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.57
Rate for Payer: Oxford Commercial	$28.13
Rate for Payer: Qualcare PPO/HMO/WC	$21.10
Rate for Payer: UnitedHealthcare Commercial	$28.13
Rate for Payer: UnitedHealthcare Community & State	$4.44
Rate for Payer: Wellpoint Medicaid Managed Care	$3.99

CANN.DRILOK 6.5mm

Facility

$140.65

Hospital Charge Code	270680691
Hospital Revenue Code	272
Min. Negotiated Rate	$3.99
Max. Negotiated Rate	$70.33
Rate for Payer: Aetna Commercial	$53.45
Rate for Payer: Aetna Medicare Advantage	$42.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.87
Rate for Payer: Cigna Commercial	$70.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.57
Rate for Payer: Oxford Commercial	$28.13
Rate for Payer: Qualcare PPO/HMO/WC	$21.10
Rate for Payer: UnitedHealthcare Commercial	$28.13
Rate for Payer: UnitedHealthcare Community & State	$4.44
Rate for Payer: Wellpoint Medicaid Managed Care	$3.99

CANN.DRILOK 6.5mm

Facility

$140.65

Hospital Charge Code	270680691
Hospital Revenue Code	272
Min. Negotiated Rate	$21.10
Max. Negotiated Rate	$21.10
Rate for Payer: Qualcare PPO/HMO/WC	$21.10

CANN.DRILOK 8mm

Facility

$140.65

Hospital Charge Code	270680692
Hospital Revenue Code	272
Min. Negotiated Rate	$3.99
Max. Negotiated Rate	$70.33
Rate for Payer: Aetna Commercial	$53.45
Rate for Payer: Aetna Medicare Advantage	$42.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.87
Rate for Payer: Cigna Commercial	$70.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.57
Rate for Payer: Oxford Commercial	$28.13
Rate for Payer: Qualcare PPO/HMO/WC	$21.10
Rate for Payer: UnitedHealthcare Commercial	$28.13
Rate for Payer: UnitedHealthcare Community & State	$4.44
Rate for Payer: Wellpoint Medicaid Managed Care	$3.99

CANN.DRILOK 8mm

Facility

$140.65

Hospital Charge Code	270680692
Hospital Revenue Code	272
Min. Negotiated Rate	$21.10
Max. Negotiated Rate	$21.10
Rate for Payer: Qualcare PPO/HMO/WC	$21.10

CANNISTER 150ML

Facility

$130.00

Hospital Charge Code	270684519
Hospital Revenue Code	272
Min. Negotiated Rate	$3.69
Max. Negotiated Rate	$65.00
Rate for Payer: Aetna Commercial	$49.40
Rate for Payer: Aetna Medicare Advantage	$39.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.15
Rate for Payer: Cigna Commercial	$65.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.80
Rate for Payer: Oxford Commercial	$26.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.50
Rate for Payer: UnitedHealthcare Commercial	$26.00
Rate for Payer: UnitedHealthcare Community & State	$4.11
Rate for Payer: Wellpoint Medicaid Managed Care	$3.69

CANNISTER 150ML

Facility

$130.00

Hospital Charge Code	270684519
Hospital Revenue Code	272
Min. Negotiated Rate	$19.50
Max. Negotiated Rate	$19.50
Rate for Payer: Qualcare PPO/HMO/WC	$19.50

CANNISTER PUMP SZ

Facility

$1,825.00

Hospital Charge Code	270688233
Hospital Revenue Code	272
Min. Negotiated Rate	$51.83
Max. Negotiated Rate	$912.50
Rate for Payer: Aetna Commercial	$693.50
Rate for Payer: Aetna Medicare Advantage	$547.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$465.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$465.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$465.38
Rate for Payer: Cigna Commercial	$912.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$474.50
Rate for Payer: Oxford Commercial	$365.00
Rate for Payer: Qualcare PPO/HMO/WC	$273.75
Rate for Payer: UnitedHealthcare Commercial	$365.00
Rate for Payer: UnitedHealthcare Community & State	$57.67
Rate for Payer: Wellpoint Medicaid Managed Care	$51.83

CANNISTER PUMP SZ

Facility

$1,825.00

Hospital Charge Code	270688233
Hospital Revenue Code	272
Min. Negotiated Rate	$273.75
Max. Negotiated Rate	$273.75
Rate for Payer: Qualcare PPO/HMO/WC	$273.75

CANNISTER THIN WALL 1500CC

Facility

$24.00

Hospital Charge Code	270330966
Hospital Revenue Code	272
Min. Negotiated Rate	$3.60
Max. Negotiated Rate	$3.60
Rate for Payer: Qualcare PPO/HMO/WC	$3.60

CANNISTER THIN WALL 1500CC

Facility

$24.00

Hospital Charge Code	270330966
Hospital Revenue Code	272
Min. Negotiated Rate	$0.68
Max. Negotiated Rate	$12.00
Rate for Payer: Aetna Commercial	$9.12
Rate for Payer: Aetna Medicare Advantage	$7.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.12
Rate for Payer: Cigna Commercial	$12.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.24
Rate for Payer: Oxford Commercial	$4.80
Rate for Payer: Qualcare PPO/HMO/WC	$3.60
Rate for Payer: UnitedHealthcare Commercial	$4.80
Rate for Payer: UnitedHealthcare Community & State	$0.76
Rate for Payer: Wellpoint Medicaid Managed Care	$0.68

CANN NAIL SYS NAIL 4X100MM

Facility

$18,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270705014
Hospital Revenue Code	278
Min. Negotiated Rate	$518.30
Max. Negotiated Rate	$9,125.00
Rate for Payer: Aetna Commercial	$6,935.00
Rate for Payer: Aetna Medicare Advantage	$5,475.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,653.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,653.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,653.75
Rate for Payer: Cigna Commercial	$9,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,416.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,737.50
Rate for Payer: UnitedHealthcare Community & State	$576.70
Rate for Payer: Wellpoint Medicaid Managed Care	$518.30

CANN NAIL SYS NAIL 4X100MM

Facility

$18,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270705014
Hospital Revenue Code	278
Min. Negotiated Rate	$2,737.50
Max. Negotiated Rate	$4,416.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,416.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,737.50

CANN PROFILE DRILL 4.0MM

Facility

$1,440.00

Hospital Charge Code	270686587
Hospital Revenue Code	272
Min. Negotiated Rate	$40.90
Max. Negotiated Rate	$720.00
Rate for Payer: Aetna Commercial	$547.20
Rate for Payer: Aetna Medicare Advantage	$432.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$367.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$367.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$367.20
Rate for Payer: Cigna Commercial	$720.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$374.40
Rate for Payer: Oxford Commercial	$288.00
Rate for Payer: Qualcare PPO/HMO/WC	$216.00
Rate for Payer: UnitedHealthcare Commercial	$288.00
Rate for Payer: UnitedHealthcare Community & State	$45.50
Rate for Payer: Wellpoint Medicaid Managed Care	$40.90

CANN PROFILE DRILL 4.0MM

Facility

$1,440.00

Hospital Charge Code	270686587
Hospital Revenue Code	272
Min. Negotiated Rate	$216.00
Max. Negotiated Rate	$216.00
Rate for Payer: Qualcare PPO/HMO/WC	$216.00

CANN SCREW 6.5MM X 85MM X 40MM

Facility

$1,527.50

Service Code	HCPCS C1713
Hospital Charge Code	270688070
Hospital Revenue Code	278
Min. Negotiated Rate	$43.38
Max. Negotiated Rate	$763.75
Rate for Payer: Aetna Commercial	$580.45
Rate for Payer: Aetna Medicare Advantage	$458.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$389.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$389.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$305.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$389.51
Rate for Payer: Cigna Commercial	$763.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$369.65
Rate for Payer: Qualcare PPO/HMO/WC	$229.12
Rate for Payer: UnitedHealthcare Community & State	$48.27
Rate for Payer: Wellpoint Medicaid Managed Care	$43.38

CANN SCREW 6.5MM X 85MM X 40MM

Facility

$1,527.50

Service Code	HCPCS C1713
Hospital Charge Code	270688070
Hospital Revenue Code	278
Min. Negotiated Rate	$229.12
Max. Negotiated Rate	$369.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$305.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$369.65
Rate for Payer: Qualcare PPO/HMO/WC	$229.12

CANN SCREW 6.5MM X 90MM X 16MM

Facility

$1,527.50

Service Code	HCPCS C1713
Hospital Charge Code	270688069
Hospital Revenue Code	278
Min. Negotiated Rate	$43.38
Max. Negotiated Rate	$763.75
Rate for Payer: Aetna Commercial	$580.45
Rate for Payer: Aetna Medicare Advantage	$458.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$389.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$389.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$305.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$389.51
Rate for Payer: Cigna Commercial	$763.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$369.65
Rate for Payer: Qualcare PPO/HMO/WC	$229.12
Rate for Payer: UnitedHealthcare Community & State	$48.27
Rate for Payer: Wellpoint Medicaid Managed Care	$43.38

CANN SCREW 6.5MM X 90MM X 16MM

Facility

$1,527.50

Service Code	HCPCS C1713
Hospital Charge Code	270688069
Hospital Revenue Code	278
Min. Negotiated Rate	$229.12
Max. Negotiated Rate	$369.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$305.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$369.65
Rate for Payer: Qualcare PPO/HMO/WC	$229.12

CANN SCREW 6.5X70X40MM

Facility

$1,527.50

Service Code	HCPCS C1713
Hospital Charge Code	270684881
Hospital Revenue Code	278
Min. Negotiated Rate	$229.12
Max. Negotiated Rate	$369.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$305.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$369.65
Rate for Payer: Qualcare PPO/HMO/WC	$229.12

CANN SCREW 6.5X70X40MM

Facility

$1,527.50

Service Code	HCPCS C1713
Hospital Charge Code	270684881
Hospital Revenue Code	278
Min. Negotiated Rate	$43.38
Max. Negotiated Rate	$763.75
Rate for Payer: Aetna Commercial	$580.45
Rate for Payer: Aetna Medicare Advantage	$458.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$389.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$389.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$305.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$389.51
Rate for Payer: Cigna Commercial	$763.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$369.65
Rate for Payer: Qualcare PPO/HMO/WC	$229.12
Rate for Payer: UnitedHealthcare Community & State	$48.27
Rate for Payer: Wellpoint Medicaid Managed Care	$43.38

CANN SCREW 8.0MMX80MMX 14MM

Facility

$2,509.10

Service Code	HCPCS C1713
Hospital Charge Code	270704917
Hospital Revenue Code	278
Min. Negotiated Rate	$376.37
Max. Negotiated Rate	$607.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$501.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$607.20
Rate for Payer: Qualcare PPO/HMO/WC	$376.37

Know your out-of-pocket cost for care.

All Charges