Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

COUNTERSINK

Facility

$624.20

Hospital Charge Code	270665618
Hospital Revenue Code	278
Min. Negotiated Rate	$17.73
Max. Negotiated Rate	$312.10
Rate for Payer: Aetna Commercial	$237.20
Rate for Payer: Aetna Medicare Advantage	$187.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.17
Rate for Payer: Cigna Commercial	$312.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.06
Rate for Payer: Qualcare PPO/HMO/WC	$93.63
Rate for Payer: UnitedHealthcare Community & State	$19.72
Rate for Payer: Wellpoint Medicaid Managed Care	$17.73

COUNTERSINK

Facility

$624.20

Hospital Charge Code	270665618
Hospital Revenue Code	278
Min. Negotiated Rate	$93.63
Max. Negotiated Rate	$151.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.06
Rate for Payer: Qualcare PPO/HMO/WC	$93.63

COUNTERSINK

Facility

$1,700.00

Service Code	HCPCS C1713
Hospital Charge Code	270669670
Hospital Revenue Code	278
Min. Negotiated Rate	$255.00
Max. Negotiated Rate	$411.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$340.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$411.40
Rate for Payer: Qualcare PPO/HMO/WC	$255.00

COUNTERSINK

Facility

$1,545.00

Hospital Charge Code	270688016
Hospital Revenue Code	272
Min. Negotiated Rate	$231.75
Max. Negotiated Rate	$231.75
Rate for Payer: Qualcare PPO/HMO/WC	$231.75

COUNTERSINK

Facility

$1,700.00

Service Code	HCPCS C1713
Hospital Charge Code	270669670
Hospital Revenue Code	278
Min. Negotiated Rate	$48.28
Max. Negotiated Rate	$850.00
Rate for Payer: Aetna Commercial	$646.00
Rate for Payer: Aetna Medicare Advantage	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$433.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$433.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$340.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$433.50
Rate for Payer: Cigna Commercial	$850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$411.40
Rate for Payer: Qualcare PPO/HMO/WC	$255.00
Rate for Payer: UnitedHealthcare Community & State	$53.72
Rate for Payer: Wellpoint Medicaid Managed Care	$48.28

COUNTERSINK 2.5

Facility

$680.00

Hospital Charge Code	270692677
Hospital Revenue Code	272
Min. Negotiated Rate	$19.31
Max. Negotiated Rate	$340.00
Rate for Payer: Aetna Commercial	$258.40
Rate for Payer: Aetna Medicare Advantage	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$173.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$173.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$173.40
Rate for Payer: Cigna Commercial	$340.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$176.80
Rate for Payer: Oxford Commercial	$136.00
Rate for Payer: Qualcare PPO/HMO/WC	$102.00
Rate for Payer: UnitedHealthcare Commercial	$136.00
Rate for Payer: UnitedHealthcare Community & State	$21.49
Rate for Payer: Wellpoint Medicaid Managed Care	$19.31

COUNTERSINK 2.5

Facility

$680.00

Hospital Charge Code	270692677
Hospital Revenue Code	272
Min. Negotiated Rate	$102.00
Max. Negotiated Rate	$102.00
Rate for Payer: Qualcare PPO/HMO/WC	$102.00

COUNTERSINK 2.7/3.5MM

Facility

$940.00

Service Code	HCPCS C1713
Hospital Charge Code	270667254
Hospital Revenue Code	278
Min. Negotiated Rate	$141.00
Max. Negotiated Rate	$227.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$188.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$227.48
Rate for Payer: Qualcare PPO/HMO/WC	$141.00

COUNTERSINK 2.7/3.5MM

Facility

$940.00

Service Code	HCPCS C1713
Hospital Charge Code	270667254
Hospital Revenue Code	278
Min. Negotiated Rate	$26.70
Max. Negotiated Rate	$470.00
Rate for Payer: Aetna Commercial	$357.20
Rate for Payer: Aetna Medicare Advantage	$282.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$239.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$239.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$188.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$239.70
Rate for Payer: Cigna Commercial	$470.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$227.48
Rate for Payer: Qualcare PPO/HMO/WC	$141.00
Rate for Payer: UnitedHealthcare Community & State	$29.70
Rate for Payer: Wellpoint Medicaid Managed Care	$26.70

COUNTERSINK 4.00 HEADLESS

Facility

$1,550.00

Hospital Charge Code	270690337
Hospital Revenue Code	272
Min. Negotiated Rate	$44.02
Max. Negotiated Rate	$775.00
Rate for Payer: Aetna Commercial	$589.00
Rate for Payer: Aetna Medicare Advantage	$465.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$395.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$395.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$395.25
Rate for Payer: Cigna Commercial	$775.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$403.00
Rate for Payer: Oxford Commercial	$310.00
Rate for Payer: Qualcare PPO/HMO/WC	$232.50
Rate for Payer: UnitedHealthcare Commercial	$310.00
Rate for Payer: UnitedHealthcare Community & State	$48.98
Rate for Payer: Wellpoint Medicaid Managed Care	$44.02

COUNTERSINK 4.00 HEADLESS

Facility

$1,550.00

Hospital Charge Code	270690337
Hospital Revenue Code	272
Min. Negotiated Rate	$232.50
Max. Negotiated Rate	$232.50
Rate for Payer: Qualcare PPO/HMO/WC	$232.50

COUNTERSINK 4 5MM

Facility

$1,000.00

Hospital Charge Code	270680218
Hospital Revenue Code	272
Min. Negotiated Rate	$28.40
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$380.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$260.00
Rate for Payer: Oxford Commercial	$200.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00
Rate for Payer: UnitedHealthcare Commercial	$200.00
Rate for Payer: UnitedHealthcare Community & State	$31.60
Rate for Payer: Wellpoint Medicaid Managed Care	$28.40

COUNTERSINK 4 5MM

Facility

$1,000.00

Hospital Charge Code	270680218
Hospital Revenue Code	272
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

COUNTERSINK 4MM CANN HD DRVR

Facility

$660.00

Hospital Charge Code	270700812
Hospital Revenue Code	272
Min. Negotiated Rate	$18.74
Max. Negotiated Rate	$330.00
Rate for Payer: Aetna Commercial	$250.80
Rate for Payer: Aetna Medicare Advantage	$198.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.30
Rate for Payer: Cigna Commercial	$330.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$171.60
Rate for Payer: Oxford Commercial	$132.00
Rate for Payer: Qualcare PPO/HMO/WC	$99.00
Rate for Payer: UnitedHealthcare Commercial	$132.00
Rate for Payer: UnitedHealthcare Community & State	$20.86
Rate for Payer: Wellpoint Medicaid Managed Care	$18.74

COUNTERSINK 4MM CANN HD DRVR

Facility

$660.00

Hospital Charge Code	270700812
Hospital Revenue Code	272
Min. Negotiated Rate	$99.00
Max. Negotiated Rate	$99.00
Rate for Payer: Qualcare PPO/HMO/WC	$99.00

COUNTERSINK5.0MMCANN DARTFIRE

Facility

$1,750.00

Hospital Charge Code	270700384
Hospital Revenue Code	272
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$262.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

COUNTERSINK5.0MMCANN DARTFIRE

Facility

$1,750.00

Hospital Charge Code	270700384
Hospital Revenue Code	272
Min. Negotiated Rate	$49.70
Max. Negotiated Rate	$875.00
Rate for Payer: Aetna Commercial	$665.00
Rate for Payer: Aetna Medicare Advantage	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.25
Rate for Payer: Cigna Commercial	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$455.00
Rate for Payer: Oxford Commercial	$350.00
Rate for Payer: Qualcare PPO/HMO/WC	$262.50
Rate for Payer: UnitedHealthcare Commercial	$350.00
Rate for Payer: UnitedHealthcare Community & State	$55.30
Rate for Payer: Wellpoint Medicaid Managed Care	$49.70

COUNTERSINK 6MM SOLID

Facility

$650.00

Service Code	HCPCS C1713
Hospital Charge Code	270701058
Hospital Revenue Code	278
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$157.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.30
Rate for Payer: Qualcare PPO/HMO/WC	$97.50

COUNTERSINK 6MM SOLID

Facility

$650.00

Service Code	HCPCS C1713
Hospital Charge Code	270701058
Hospital Revenue Code	278
Min. Negotiated Rate	$18.46
Max. Negotiated Rate	$325.00
Rate for Payer: Aetna Commercial	$247.00
Rate for Payer: Aetna Medicare Advantage	$195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$165.75
Rate for Payer: Cigna Commercial	$325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.30
Rate for Payer: Qualcare PPO/HMO/WC	$97.50
Rate for Payer: UnitedHealthcare Community & State	$20.54
Rate for Payer: Wellpoint Medicaid Managed Care	$18.46

COUNTERSINK CANN 6.5/8MM SCREW

Facility

$1,830.00

Hospital Charge Code	270674054
Hospital Revenue Code	278
Min. Negotiated Rate	$274.50
Max. Negotiated Rate	$442.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$366.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$442.86
Rate for Payer: Qualcare PPO/HMO/WC	$274.50

COUNTERSINK CANN 6.5/8MM SCREW

Facility

$1,830.00

Hospital Charge Code	270674054
Hospital Revenue Code	278
Min. Negotiated Rate	$51.97
Max. Negotiated Rate	$915.00
Rate for Payer: Aetna Commercial	$695.40
Rate for Payer: Aetna Medicare Advantage	$549.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$466.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$466.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$366.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$466.65
Rate for Payer: Cigna Commercial	$915.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$442.86
Rate for Payer: Qualcare PPO/HMO/WC	$274.50
Rate for Payer: UnitedHealthcare Community & State	$57.83
Rate for Payer: Wellpoint Medicaid Managed Care	$51.97

COUNTERSINK CANN F/4.5MM SCREW

Facility

$1,517.20

Service Code	HCPCS C1713
Hospital Charge Code	270656226
Hospital Revenue Code	278
Min. Negotiated Rate	$43.09
Max. Negotiated Rate	$758.60
Rate for Payer: Aetna Commercial	$576.54
Rate for Payer: Aetna Medicare Advantage	$455.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$386.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$386.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$386.89
Rate for Payer: Cigna Commercial	$758.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.16
Rate for Payer: Qualcare PPO/HMO/WC	$227.58
Rate for Payer: UnitedHealthcare Community & State	$47.94
Rate for Payer: Wellpoint Medicaid Managed Care	$43.09

COUNTERSINK CANN F/4.5MM SCREW

Facility

$1,517.20

Service Code	HCPCS C1713
Hospital Charge Code	270656226
Hospital Revenue Code	278
Min. Negotiated Rate	$227.58
Max. Negotiated Rate	$367.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.16
Rate for Payer: Qualcare PPO/HMO/WC	$227.58

COUNTERSINK CANN F/6.5 & 7.3MM

Facility

$1,875.65

Hospital Charge Code	270667083
Hospital Revenue Code	278
Min. Negotiated Rate	$53.27
Max. Negotiated Rate	$937.83
Rate for Payer: Aetna Commercial	$712.75
Rate for Payer: Aetna Medicare Advantage	$562.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$478.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$478.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$375.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$478.29
Rate for Payer: Cigna Commercial	$937.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$453.91
Rate for Payer: Qualcare PPO/HMO/WC	$281.35
Rate for Payer: UnitedHealthcare Community & State	$59.27
Rate for Payer: Wellpoint Medicaid Managed Care	$53.27

COUNTERSINK CANN F/6.5 & 7.3MM

Facility

$1,875.65

Hospital Charge Code	270667083
Hospital Revenue Code	278
Min. Negotiated Rate	$281.35
Max. Negotiated Rate	$453.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$375.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$453.91
Rate for Payer: Qualcare PPO/HMO/WC	$281.35

Know your out-of-pocket cost for care.

All Charges