Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

LAG SCREW 10.5X90MM

Facility

$4,478.50

Service Code	HCPCS C1713
Hospital Charge Code	270705681
Hospital Revenue Code	278
Min. Negotiated Rate	$127.19
Max. Negotiated Rate	$2,239.25
Rate for Payer: Aetna Commercial	$1,701.83
Rate for Payer: Aetna Medicare Advantage	$1,343.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,142.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,142.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$895.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,142.02
Rate for Payer: Cigna Commercial	$2,239.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,083.80
Rate for Payer: Qualcare PPO/HMO/WC	$671.77
Rate for Payer: UnitedHealthcare Community & State	$141.52
Rate for Payer: Wellpoint Medicaid Managed Care	$127.19

LAG SCREW CANN 2x12MM

Facility

$950.00

Service Code	HCPCS C1713
Hospital Charge Code	270675635
Hospital Revenue Code	278
Min. Negotiated Rate	$26.98
Max. Negotiated Rate	$475.00
Rate for Payer: Aetna Commercial	$361.00
Rate for Payer: Aetna Medicare Advantage	$285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.25
Rate for Payer: Cigna Commercial	$475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.90
Rate for Payer: Qualcare PPO/HMO/WC	$142.50
Rate for Payer: UnitedHealthcare Community & State	$30.02
Rate for Payer: Wellpoint Medicaid Managed Care	$26.98

LAG SCREW CANN 2x12MM

Facility

$950.00

Service Code	HCPCS C1713
Hospital Charge Code	270675635
Hospital Revenue Code	278
Min. Negotiated Rate	$142.50
Max. Negotiated Rate	$229.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.90
Rate for Payer: Qualcare PPO/HMO/WC	$142.50

LAG SCREW CANN CANC 4x24MM

Facility

$1,175.00

Service Code	HCPCS C1713
Hospital Charge Code	270673714
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

LAG SCREW CANN CANC 4x24MM

Facility

$1,175.00

Service Code	HCPCS C1713
Hospital Charge Code	270673714
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

LAG SCREW CANN CANC 4x32MM

Facility

$1,175.00

Service Code	HCPCS C1713
Hospital Charge Code	270673655
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

LAG SCREW CANN CANC 4x32MM

Facility

$1,175.00

Service Code	HCPCS C1713
Hospital Charge Code	270673655
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

LAG SCREW CANN CANC 4x34MM

Facility

$1,175.00

Service Code	HCPCS C1713
Hospital Charge Code	270673656
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

LAG SCREW CANN CANC 4x34MM

Facility

$1,175.00

Service Code	HCPCS C1713
Hospital Charge Code	270673656
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

LAG SCREW CANN CANC 4x36MM

Facility

$1,175.00

Service Code	HCPCS C1713
Hospital Charge Code	270673657
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

LAG SCREW CANN CANC 4x36MM

Facility

$1,175.00

Service Code	HCPCS C1713
Hospital Charge Code	270673657
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

LAG SCREW CANN CANC 4x38MM

Facility

$1,175.00

Service Code	HCPCS C1713
Hospital Charge Code	270673658
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

LAG SCREW CANN CANC 4x38MM

Facility

$1,175.00

Service Code	HCPCS C1713
Hospital Charge Code	270673658
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

LAG SCREW CANN CANC 4x42MM

Facility

$797.50

Service Code	HCPCS C1713
Hospital Charge Code	270673659
Hospital Revenue Code	278
Min. Negotiated Rate	$22.65
Max. Negotiated Rate	$398.75
Rate for Payer: Aetna Commercial	$303.05
Rate for Payer: Aetna Medicare Advantage	$239.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$203.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$203.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$159.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$203.36
Rate for Payer: Cigna Commercial	$398.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.00
Rate for Payer: Qualcare PPO/HMO/WC	$119.62
Rate for Payer: UnitedHealthcare Community & State	$25.20
Rate for Payer: Wellpoint Medicaid Managed Care	$22.65

LAG SCREW CANN CANC 4x42MM

Facility

$797.50

Service Code	HCPCS C1713
Hospital Charge Code	270673659
Hospital Revenue Code	278
Min. Negotiated Rate	$119.62
Max. Negotiated Rate	$193.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$159.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.00
Rate for Payer: Qualcare PPO/HMO/WC	$119.62

LAG SCREW CANN CANC 4x42MM

Facility

$1,175.00

Service Code	HCPCS C1713
Hospital Charge Code	270663214
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

LAG SCREW CANN CANC 4x42MM

Facility

$1,175.00

Service Code	HCPCS C1713
Hospital Charge Code	270663214
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

LAG SCREW CANN CANC 4x46MM

Facility

$1,175.00

Service Code	HCPCS C1713
Hospital Charge Code	270673660
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

LAG SCREW CANN CANC 4x46MM

Facility

$1,175.00

Service Code	HCPCS C1713
Hospital Charge Code	270673660
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

LAG SCREW NAIL SYSTEM

Facility

$1,243.00

Hospital Charge Code	270335018
Hospital Revenue Code	278
Min. Negotiated Rate	$186.45
Max. Negotiated Rate	$300.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$248.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$300.81
Rate for Payer: Qualcare PPO/HMO/WC	$186.45

LAG SCREW NAIL SYSTEM

Facility

$1,243.00

Hospital Charge Code	270335018
Hospital Revenue Code	278
Min. Negotiated Rate	$35.30
Max. Negotiated Rate	$621.50
Rate for Payer: Aetna Commercial	$472.34
Rate for Payer: Aetna Medicare Advantage	$372.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$316.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$316.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$248.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$316.96
Rate for Payer: Cigna Commercial	$621.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$300.81
Rate for Payer: Qualcare PPO/HMO/WC	$186.45
Rate for Payer: UnitedHealthcare Community & State	$39.28
Rate for Payer: Wellpoint Medicaid Managed Care	$35.30

LAG SCREW SOLID FIXED 85mm

Facility

$2,725.00

Hospital Charge Code	270644154
Hospital Revenue Code	278
Min. Negotiated Rate	$77.39
Max. Negotiated Rate	$1,362.50
Rate for Payer: Aetna Commercial	$1,035.50
Rate for Payer: Aetna Medicare Advantage	$817.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$694.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$694.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$545.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$694.88
Rate for Payer: Cigna Commercial	$1,362.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$659.45
Rate for Payer: Qualcare PPO/HMO/WC	$408.75
Rate for Payer: UnitedHealthcare Community & State	$86.11
Rate for Payer: Wellpoint Medicaid Managed Care	$77.39

LAG SCREW SOLID FIXED 85mm

Facility

$2,725.00

Hospital Charge Code	270644154
Hospital Revenue Code	278
Min. Negotiated Rate	$408.75
Max. Negotiated Rate	$659.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$545.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$659.45
Rate for Payer: Qualcare PPO/HMO/WC	$408.75

LAG SCREW SOLID SLIDING 115 MM

Facility

$2,230.00

Service Code	HCPCS C1713
Hospital Charge Code	270681679
Hospital Revenue Code	278
Min. Negotiated Rate	$63.33
Max. Negotiated Rate	$1,115.00
Rate for Payer: Aetna Commercial	$847.40
Rate for Payer: Aetna Medicare Advantage	$669.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$568.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$568.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$446.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$568.65
Rate for Payer: Cigna Commercial	$1,115.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$539.66
Rate for Payer: Qualcare PPO/HMO/WC	$334.50
Rate for Payer: UnitedHealthcare Community & State	$70.47
Rate for Payer: Wellpoint Medicaid Managed Care	$63.33

LAG SCREW SOLID SLIDING 115 MM

Facility

$2,230.00

Service Code	HCPCS C1713
Hospital Charge Code	270681679
Hospital Revenue Code	278
Min. Negotiated Rate	$334.50
Max. Negotiated Rate	$539.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$446.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$539.66
Rate for Payer: Qualcare PPO/HMO/WC	$334.50

Know your out-of-pocket cost for care.

All Charges