Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

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	$705.75
Max. Negotiated Rate	$1,138.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$941.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,138.61
Rate for Payer: Qualcare PPO/HMO/WC	$705.75

12MM DRILL BIT

Facility

$986.85

Hospital Charge Code	270688891
Hospital Revenue Code	272
Min. Negotiated Rate	$148.03
Max. Negotiated Rate	$148.03
Rate for Payer: Qualcare PPO/HMO/WC	$148.03

12MM DRILL BIT

Facility

$986.85

Hospital Charge Code	270688891
Hospital Revenue Code	272
Min. Negotiated Rate	$28.03
Max. Negotiated Rate	$493.43
Rate for Payer: Aetna Commercial	$375.00
Rate for Payer: Aetna Medicare Advantage	$296.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$251.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$251.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$251.65
Rate for Payer: Cigna Commercial	$493.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$256.58
Rate for Payer: Oxford Commercial	$197.37
Rate for Payer: Qualcare PPO/HMO/WC	$148.03
Rate for Payer: UnitedHealthcare Commercial	$197.37
Rate for Payer: UnitedHealthcare Community & State	$31.18
Rate for Payer: Wellpoint Medicaid Managed Care	$28.03

12MM SELF DRILLING RESCUE SCRW

Facility

$382.50

Service Code	HCPCS C1713
Hospital Charge Code	270704092
Hospital Revenue Code	278
Min. Negotiated Rate	$57.38
Max. Negotiated Rate	$92.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$76.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.56
Rate for Payer: Qualcare PPO/HMO/WC	$57.38

12MM SELF DRILLING RESCUE SCRW

Facility

$382.50

Service Code	HCPCS C1713
Hospital Charge Code	270704092
Hospital Revenue Code	278
Min. Negotiated Rate	$10.86
Max. Negotiated Rate	$191.25
Rate for Payer: Aetna Commercial	$145.35
Rate for Payer: Aetna Medicare Advantage	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.54
Rate for Payer: Cigna Commercial	$191.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.56
Rate for Payer: Qualcare PPO/HMO/WC	$57.38
Rate for Payer: UnitedHealthcare Community & State	$12.09
Rate for Payer: Wellpoint Medicaid Managed Care	$10.86

12x12x7 Spaces Peek

Facility

$13,500.00

Hospital Charge Code	270662553
Hospital Revenue Code	278
Min. Negotiated Rate	$2,025.00
Max. Negotiated Rate	$3,267.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,267.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,025.00

12x12x7 Spaces Peek

Facility

$13,500.00

Hospital Charge Code	270662553
Hospital Revenue Code	278
Min. Negotiated Rate	$383.40
Max. Negotiated Rate	$6,750.00
Rate for Payer: Aetna Commercial	$5,130.00
Rate for Payer: Aetna Medicare Advantage	$4,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,700.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,442.50
Rate for Payer: Cigna Commercial	$6,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,267.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,025.00
Rate for Payer: UnitedHealthcare Community & State	$426.60
Rate for Payer: Wellpoint Medicaid Managed Care	$383.40

12x12x7 Spaces Peek

Facility

$13,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270662533
Hospital Revenue Code	278
Min. Negotiated Rate	$383.40
Max. Negotiated Rate	$6,750.00
Rate for Payer: Aetna Commercial	$5,130.00
Rate for Payer: Aetna Medicare Advantage	$4,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,700.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,442.50
Rate for Payer: Cigna Commercial	$6,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,267.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,025.00
Rate for Payer: UnitedHealthcare Community & State	$426.60
Rate for Payer: Wellpoint Medicaid Managed Care	$383.40

12x12x7 Spaces Peek

Facility

$13,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270662533
Hospital Revenue Code	278
Min. Negotiated Rate	$2,025.00
Max. Negotiated Rate	$3,267.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,267.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,025.00

12X18 ANKLE NAIL

Facility

$12,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270656612
Hospital Revenue Code	278
Min. Negotiated Rate	$347.90
Max. Negotiated Rate	$6,125.00
Rate for Payer: Aetna Commercial	$4,655.00
Rate for Payer: Aetna Medicare Advantage	$3,675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,123.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,123.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,123.75
Rate for Payer: Cigna Commercial	$6,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,964.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,837.50
Rate for Payer: UnitedHealthcare Community & State	$387.10
Rate for Payer: Wellpoint Medicaid Managed Care	$347.90

12X18 ANKLE NAIL

Facility

$12,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270656612
Hospital Revenue Code	278
Min. Negotiated Rate	$1,837.50
Max. Negotiated Rate	$2,964.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,964.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,837.50

12x24 TRAYMAT LINER PLOYPROLEN

Facility

$3.45

Hospital Charge Code	270665052
Hospital Revenue Code	272
Min. Negotiated Rate	$0.10
Max. Negotiated Rate	$1.73
Rate for Payer: Aetna Commercial	$1.31
Rate for Payer: Aetna Medicare Advantage	$1.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.88
Rate for Payer: Cigna Commercial	$1.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.90
Rate for Payer: Oxford Commercial	$0.69
Rate for Payer: Qualcare PPO/HMO/WC	$0.52
Rate for Payer: UnitedHealthcare Commercial	$0.69
Rate for Payer: UnitedHealthcare Community & State	$0.11
Rate for Payer: Wellpoint Medicaid Managed Care	$0.10

12x24 TRAYMAT LINER PLOYPROLEN

Facility

$3.45

Hospital Charge Code	270665052
Hospital Revenue Code	272
Min. Negotiated Rate	$0.52
Max. Negotiated Rate	$0.52
Rate for Payer: Qualcare PPO/HMO/WC	$0.52

132 NECK ANGLE HIP STEM

Facility

$307.85

Service Code	HCPCS C1776
Hospital Charge Code	270686734
Hospital Revenue Code	278
Min. Negotiated Rate	$46.18
Max. Negotiated Rate	$74.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.50
Rate for Payer: Qualcare PPO/HMO/WC	$46.18

132 NECK ANGLE HIP STEM

Facility

$307.85

Service Code	HCPCS C1776
Hospital Charge Code	270686734
Hospital Revenue Code	278
Min. Negotiated Rate	$8.74
Max. Negotiated Rate	$153.93
Rate for Payer: Aetna Commercial	$116.98
Rate for Payer: Aetna Medicare Advantage	$92.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78.50
Rate for Payer: Cigna Commercial	$153.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.50
Rate for Payer: Qualcare PPO/HMO/WC	$46.18
Rate for Payer: UnitedHealthcare Community & State	$9.73
Rate for Payer: Wellpoint Medicaid Managed Care	$8.74

1.35 K WIRE

Facility

$100.00

Service Code	HCPCS C1769
Hospital Charge Code	270659329
Hospital Revenue Code	278
Min. Negotiated Rate	$2.84
Max. Negotiated Rate	$50.00
Rate for Payer: Aetna Commercial	$38.00
Rate for Payer: Aetna Medicare Advantage	$30.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.50
Rate for Payer: Cigna Commercial	$50.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.20
Rate for Payer: Qualcare PPO/HMO/WC	$15.00
Rate for Payer: UnitedHealthcare Community & State	$3.16
Rate for Payer: Wellpoint Medicaid Managed Care	$2.84

1.35 K WIRE

Facility

$100.00

Service Code	HCPCS C1769
Hospital Charge Code	270659329
Hospital Revenue Code	278
Min. Negotiated Rate	$15.00
Max. Negotiated Rate	$24.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.20
Rate for Payer: Qualcare PPO/HMO/WC	$15.00

1.3MM TI CORTEX SCREW SELF-TAP

Facility

$337.40

Service Code	HCPCS C1713
Hospital Charge Code	270682225
Hospital Revenue Code	278
Min. Negotiated Rate	$50.61
Max. Negotiated Rate	$81.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$67.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.65
Rate for Payer: Qualcare PPO/HMO/WC	$50.61

1.3MM TI CORTEX SCREW SELF-TAP

Facility

$337.40

Service Code	HCPCS C1713
Hospital Charge Code	270682225
Hospital Revenue Code	278
Min. Negotiated Rate	$9.58
Max. Negotiated Rate	$168.70
Rate for Payer: Aetna Commercial	$128.21
Rate for Payer: Aetna Medicare Advantage	$101.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$67.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.04
Rate for Payer: Cigna Commercial	$168.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.65
Rate for Payer: Qualcare PPO/HMO/WC	$50.61
Rate for Payer: UnitedHealthcare Community & State	$10.66
Rate for Payer: Wellpoint Medicaid Managed Care	$9.58

1.3MM TI CORTEX SRW SLF-TAP 10

Facility

$337.40

Service Code	HCPCS C1713
Hospital Charge Code	270681697
Hospital Revenue Code	278
Min. Negotiated Rate	$50.61
Max. Negotiated Rate	$81.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$67.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.65
Rate for Payer: Qualcare PPO/HMO/WC	$50.61

1.3MM TI CORTEX SRW SLF-TAP 10

Facility

$337.40

Service Code	HCPCS C1713
Hospital Charge Code	270681697
Hospital Revenue Code	278
Min. Negotiated Rate	$9.58
Max. Negotiated Rate	$168.70
Rate for Payer: Aetna Commercial	$128.21
Rate for Payer: Aetna Medicare Advantage	$101.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$67.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.04
Rate for Payer: Cigna Commercial	$168.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.65
Rate for Payer: Qualcare PPO/HMO/WC	$50.61
Rate for Payer: UnitedHealthcare Community & State	$10.66
Rate for Payer: Wellpoint Medicaid Managed Care	$9.58

1.3MM TI CORTEX SRW SLF-TAP 11

Facility

$337.40

Service Code	HCPCS C1713
Hospital Charge Code	270681698
Hospital Revenue Code	278
Min. Negotiated Rate	$50.61
Max. Negotiated Rate	$81.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$67.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.65
Rate for Payer: Qualcare PPO/HMO/WC	$50.61

1.3MM TI CORTEX SRW SLF-TAP 11

Facility

$337.40

Service Code	HCPCS C1713
Hospital Charge Code	270681698
Hospital Revenue Code	278
Min. Negotiated Rate	$9.58
Max. Negotiated Rate	$168.70
Rate for Payer: Aetna Commercial	$128.21
Rate for Payer: Aetna Medicare Advantage	$101.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$67.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.04
Rate for Payer: Cigna Commercial	$168.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.65
Rate for Payer: Qualcare PPO/HMO/WC	$50.61
Rate for Payer: UnitedHealthcare Community & State	$10.66
Rate for Payer: Wellpoint Medicaid Managed Care	$9.58

1.3MM TI CORTEX SRW SLF-TAP 12

Facility

$337.40

Service Code	HCPCS C1713
Hospital Charge Code	270681699
Hospital Revenue Code	278
Min. Negotiated Rate	$50.61
Max. Negotiated Rate	$81.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$67.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.65
Rate for Payer: Qualcare PPO/HMO/WC	$50.61

1.3MM TI CORTEX SRW SLF-TAP 12

Facility

$337.40

Service Code	HCPCS C1713
Hospital Charge Code	270681699
Hospital Revenue Code	278
Min. Negotiated Rate	$9.58
Max. Negotiated Rate	$168.70
Rate for Payer: Aetna Commercial	$128.21
Rate for Payer: Aetna Medicare Advantage	$101.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$67.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.04
Rate for Payer: Cigna Commercial	$168.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.65
Rate for Payer: Qualcare PPO/HMO/WC	$50.61
Rate for Payer: UnitedHealthcare Community & State	$10.66
Rate for Payer: Wellpoint Medicaid Managed Care	$9.58

Know your out-of-pocket cost for care.

All Charges