Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CANNULA STR RF 5CM 2MM 21G

Facility

$77.50

Hospital Charge Code	270657280
Hospital Revenue Code	272
Min. Negotiated Rate	$11.62
Max. Negotiated Rate	$11.62
Rate for Payer: Qualcare PPO/HMO/WC	$11.62

CANNULA SZ 6 INNER NON FEN

Facility

$290.85

Hospital Charge Code	270690813
Hospital Revenue Code	272
Min. Negotiated Rate	$43.63
Max. Negotiated Rate	$43.63
Rate for Payer: Qualcare PPO/HMO/WC	$43.63

CANNULA SZ 6 INNER NON FEN

Facility

$290.85

Hospital Charge Code	270690813
Hospital Revenue Code	272
Min. Negotiated Rate	$8.26
Max. Negotiated Rate	$145.43
Rate for Payer: Aetna Commercial	$110.52
Rate for Payer: Aetna Medicare Advantage	$87.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.17
Rate for Payer: Cigna Commercial	$145.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.62
Rate for Payer: Oxford Commercial	$58.17
Rate for Payer: Qualcare PPO/HMO/WC	$43.63
Rate for Payer: UnitedHealthcare Commercial	$58.17
Rate for Payer: UnitedHealthcare Community & State	$9.19
Rate for Payer: Wellpoint Medicaid Managed Care	$8.26

CANNULA T15 HEXALOBE

Facility

$975.00

Hospital Charge Code	270691764
Hospital Revenue Code	272
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$146.25
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

CANNULA T15 HEXALOBE

Facility

$975.00

Hospital Charge Code	270691764
Hospital Revenue Code	272
Min. Negotiated Rate	$27.69
Max. Negotiated Rate	$487.50
Rate for Payer: Aetna Commercial	$370.50
Rate for Payer: Aetna Medicare Advantage	$292.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.62
Rate for Payer: Cigna Commercial	$487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$253.50
Rate for Payer: Oxford Commercial	$195.00
Rate for Payer: Qualcare PPO/HMO/WC	$146.25
Rate for Payer: UnitedHealthcare Commercial	$195.00
Rate for Payer: UnitedHealthcare Community & State	$30.81
Rate for Payer: Wellpoint Medicaid Managed Care	$27.69

CANNULATED DRIL BIT

Facility

$1,538.00

Hospital Charge Code	270335197
Hospital Revenue Code	272
Min. Negotiated Rate	$230.70
Max. Negotiated Rate	$230.70
Rate for Payer: Qualcare PPO/HMO/WC	$230.70

CANNULATED DRIL BIT

Facility

$1,538.00

Hospital Charge Code	270335197
Hospital Revenue Code	272
Min. Negotiated Rate	$43.68
Max. Negotiated Rate	$769.00
Rate for Payer: Aetna Commercial	$584.44
Rate for Payer: Aetna Medicare Advantage	$461.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$392.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$392.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$392.19
Rate for Payer: Cigna Commercial	$769.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$399.88
Rate for Payer: Oxford Commercial	$307.60
Rate for Payer: Qualcare PPO/HMO/WC	$230.70
Rate for Payer: UnitedHealthcare Commercial	$307.60
Rate for Payer: UnitedHealthcare Community & State	$48.60
Rate for Payer: Wellpoint Medicaid Managed Care	$43.68

CANNULATED DRILL 4.5 MM

Facility

$975.00

Hospital Charge Code	270684324
Hospital Revenue Code	272
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$146.25
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

CANNULATED DRILL 4.5 MM

Facility

$975.00

Hospital Charge Code	270684324
Hospital Revenue Code	272
Min. Negotiated Rate	$27.69
Max. Negotiated Rate	$487.50
Rate for Payer: Aetna Commercial	$370.50
Rate for Payer: Aetna Medicare Advantage	$292.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.62
Rate for Payer: Cigna Commercial	$487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$253.50
Rate for Payer: Oxford Commercial	$195.00
Rate for Payer: Qualcare PPO/HMO/WC	$146.25
Rate for Payer: UnitedHealthcare Commercial	$195.00
Rate for Payer: UnitedHealthcare Community & State	$30.81
Rate for Payer: Wellpoint Medicaid Managed Care	$27.69

CANNULATED DRILL 7MM X 200MM

Facility

$1,180.00

Hospital Charge Code	270659841
Hospital Revenue Code	272
Min. Negotiated Rate	$33.51
Max. Negotiated Rate	$590.00
Rate for Payer: Aetna Commercial	$448.40
Rate for Payer: Aetna Medicare Advantage	$354.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$300.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$300.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$300.90
Rate for Payer: Cigna Commercial	$590.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$306.80
Rate for Payer: Oxford Commercial	$236.00
Rate for Payer: Qualcare PPO/HMO/WC	$177.00
Rate for Payer: UnitedHealthcare Commercial	$236.00
Rate for Payer: UnitedHealthcare Community & State	$37.29
Rate for Payer: Wellpoint Medicaid Managed Care	$33.51

CANNULATED DRILL 7MM X 200MM

Facility

$1,180.00

Hospital Charge Code	270659841
Hospital Revenue Code	272
Min. Negotiated Rate	$177.00
Max. Negotiated Rate	$177.00
Rate for Payer: Qualcare PPO/HMO/WC	$177.00

CANNULATED DRILL BIT 7.0MM

Facility

$2,870.00

Hospital Charge Code	270692838
Hospital Revenue Code	272
Min. Negotiated Rate	$430.50
Max. Negotiated Rate	$430.50
Rate for Payer: Qualcare PPO/HMO/WC	$430.50

CANNULATED DRILL BIT 7.0MM

Facility

$2,870.00

Hospital Charge Code	270692838
Hospital Revenue Code	272
Min. Negotiated Rate	$81.51
Max. Negotiated Rate	$1,435.00
Rate for Payer: Aetna Commercial	$1,090.60
Rate for Payer: Aetna Medicare Advantage	$861.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$731.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$731.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$731.85
Rate for Payer: Cigna Commercial	$1,435.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$746.20
Rate for Payer: Oxford Commercial	$574.00
Rate for Payer: Qualcare PPO/HMO/WC	$430.50
Rate for Payer: UnitedHealthcare Commercial	$574.00
Rate for Payer: UnitedHealthcare Community & State	$90.69
Rate for Payer: Wellpoint Medicaid Managed Care	$81.51

CANNULATED NAIL SYSTEM 4X100M

Facility

$18,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270704014
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

CANNULATED NAIL SYSTEM 4X100M

Facility

$18,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270704014
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

CANNULATED SCREW 2.0MM X 14MM

Facility

$1,074.75

Service Code	HCPCS C1713
Hospital Charge Code	270679141
Hospital Revenue Code	278
Min. Negotiated Rate	$30.52
Max. Negotiated Rate	$537.38
Rate for Payer: Aetna Commercial	$408.40
Rate for Payer: Aetna Medicare Advantage	$322.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$274.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$274.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$274.06
Rate for Payer: Cigna Commercial	$537.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$260.09
Rate for Payer: Qualcare PPO/HMO/WC	$161.21
Rate for Payer: UnitedHealthcare Community & State	$33.96
Rate for Payer: Wellpoint Medicaid Managed Care	$30.52

CANNULATED SCREW 2.0MM X 14MM

Facility

$1,074.75

Service Code	HCPCS C1713
Hospital Charge Code	270679141
Hospital Revenue Code	278
Min. Negotiated Rate	$161.21
Max. Negotiated Rate	$260.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$260.09
Rate for Payer: Qualcare PPO/HMO/WC	$161.21

CANNULATED SCREW 75MM

Facility

$2,114.35

Service Code	HCPCS C1713
Hospital Charge Code	270704741
Hospital Revenue Code	278
Min. Negotiated Rate	$317.15
Max. Negotiated Rate	$511.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$422.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$511.67
Rate for Payer: Qualcare PPO/HMO/WC	$317.15

CANNULATED SCREW 75MM

Facility

$2,114.35

Service Code	HCPCS C1713
Hospital Charge Code	270704741
Hospital Revenue Code	278
Min. Negotiated Rate	$60.05
Max. Negotiated Rate	$1,057.17
Rate for Payer: Aetna Commercial	$803.45
Rate for Payer: Aetna Medicare Advantage	$634.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$539.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$539.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$422.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$539.16
Rate for Payer: Cigna Commercial	$1,057.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$511.67
Rate for Payer: Qualcare PPO/HMO/WC	$317.15
Rate for Payer: UnitedHealthcare Community & State	$66.81
Rate for Payer: Wellpoint Medicaid Managed Care	$60.05

CANNULATED SCREW LARGE

Facility

$1,281.00

Hospital Charge Code	270335015
Hospital Revenue Code	278
Min. Negotiated Rate	$36.38
Max. Negotiated Rate	$640.50
Rate for Payer: Aetna Commercial	$486.78
Rate for Payer: Aetna Medicare Advantage	$384.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$326.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$326.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$256.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$326.65
Rate for Payer: Cigna Commercial	$640.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$310.00
Rate for Payer: Qualcare PPO/HMO/WC	$192.15
Rate for Payer: UnitedHealthcare Community & State	$40.48
Rate for Payer: Wellpoint Medicaid Managed Care	$36.38

CANNULATED SCREW LARGE

Facility

$1,281.00

Hospital Charge Code	270335015
Hospital Revenue Code	278
Min. Negotiated Rate	$192.15
Max. Negotiated Rate	$310.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$256.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$310.00
Rate for Payer: Qualcare PPO/HMO/WC	$192.15

CANNULATED SCREW SMALL

Facility

$910.00

Hospital Charge Code	270335014
Hospital Revenue Code	278
Min. Negotiated Rate	$136.50
Max. Negotiated Rate	$220.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$182.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$220.22
Rate for Payer: Qualcare PPO/HMO/WC	$136.50

CANNULATED SCREW SMALL

Facility

$910.00

Hospital Charge Code	270335014
Hospital Revenue Code	278
Min. Negotiated Rate	$25.84
Max. Negotiated Rate	$455.00
Rate for Payer: Aetna Commercial	$345.80
Rate for Payer: Aetna Medicare Advantage	$273.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$232.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$232.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$182.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$232.05
Rate for Payer: Cigna Commercial	$455.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$220.22
Rate for Payer: Qualcare PPO/HMO/WC	$136.50
Rate for Payer: UnitedHealthcare Community & State	$28.76
Rate for Payer: Wellpoint Medicaid Managed Care	$25.84

CANNULATED TAP

Facility

$1,086.25

Hospital Charge Code	270701686
Hospital Revenue Code	278
Min. Negotiated Rate	$30.85
Max. Negotiated Rate	$543.12
Rate for Payer: Aetna Commercial	$412.77
Rate for Payer: Aetna Medicare Advantage	$325.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$276.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$276.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$217.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$276.99
Rate for Payer: Cigna Commercial	$543.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$262.87
Rate for Payer: Qualcare PPO/HMO/WC	$162.94
Rate for Payer: UnitedHealthcare Community & State	$34.33
Rate for Payer: Wellpoint Medicaid Managed Care	$30.85

CANNULATED TAP

Facility

$1,086.25

Hospital Charge Code	270701686
Hospital Revenue Code	278
Min. Negotiated Rate	$162.94
Max. Negotiated Rate	$262.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$217.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$262.87
Rate for Payer: Qualcare PPO/HMO/WC	$162.94

Know your out-of-pocket cost for care.

All Charges