Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

LOCKING SCREW 2.5 X 20 MM

Facility

$893.75

Service Code	HCPCS C1713
Hospital Charge Code	270701811
Hospital Revenue Code	278
Min. Negotiated Rate	$134.06
Max. Negotiated Rate	$216.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$178.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$216.29
Rate for Payer: Qualcare PPO/HMO/WC	$134.06

LOCKING SCREW 2.5 X 20 MM

Facility

$893.75

Service Code	HCPCS C1713
Hospital Charge Code	270701811
Hospital Revenue Code	278
Min. Negotiated Rate	$25.38
Max. Negotiated Rate	$446.88
Rate for Payer: Aetna Commercial	$339.62
Rate for Payer: Aetna Medicare Advantage	$268.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$227.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$227.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$178.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$227.91
Rate for Payer: Cigna Commercial	$446.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$216.29
Rate for Payer: Qualcare PPO/HMO/WC	$134.06
Rate for Payer: UnitedHealthcare Community & State	$28.24
Rate for Payer: Wellpoint Medicaid Managed Care	$25.38

LOCKING SCREW 2.7 X 12

Facility

$950.00

Service Code	HCPCS C1713
Hospital Charge Code	270684673
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

LOCKING SCREW 2.7 X 12

Facility

$950.00

Service Code	HCPCS C1713
Hospital Charge Code	270684673
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

LOCKING SCREW 2.7 X 14

Facility

$950.00

Service Code	HCPCS C1713
Hospital Charge Code	270684672
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

LOCKING SCREW 2.7 X 14

Facility

$950.00

Service Code	HCPCS C1713
Hospital Charge Code	270684672
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

LOCKING SCREW 2.7X24MM

Facility

$1,256.25

Service Code	HCPCS C1713
Hospital Charge Code	270679462
Hospital Revenue Code	278
Min. Negotiated Rate	$188.44
Max. Negotiated Rate	$304.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$251.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$304.01
Rate for Payer: Qualcare PPO/HMO/WC	$188.44

LOCKING SCREW 2.7X24MM

Facility

$1,256.25

Service Code	HCPCS C1713
Hospital Charge Code	270679462
Hospital Revenue Code	278
Min. Negotiated Rate	$35.68
Max. Negotiated Rate	$628.12
Rate for Payer: Aetna Commercial	$477.38
Rate for Payer: Aetna Medicare Advantage	$376.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$320.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$320.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$251.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$320.34
Rate for Payer: Cigna Commercial	$628.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$304.01
Rate for Payer: Qualcare PPO/HMO/WC	$188.44
Rate for Payer: UnitedHealthcare Community & State	$39.70
Rate for Payer: Wellpoint Medicaid Managed Care	$35.68

LOCKING SCREW 3.7X12MM

Facility

$1,256.25

Service Code	HCPCS C1713
Hospital Charge Code	270679463
Hospital Revenue Code	278
Min. Negotiated Rate	$35.68
Max. Negotiated Rate	$628.12
Rate for Payer: Aetna Commercial	$477.38
Rate for Payer: Aetna Medicare Advantage	$376.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$320.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$320.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$251.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$320.34
Rate for Payer: Cigna Commercial	$628.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$304.01
Rate for Payer: Qualcare PPO/HMO/WC	$188.44
Rate for Payer: UnitedHealthcare Community & State	$39.70
Rate for Payer: Wellpoint Medicaid Managed Care	$35.68

LOCKING SCREW 3.7X12MM

Facility

$1,256.25

Service Code	HCPCS C1713
Hospital Charge Code	270679463
Hospital Revenue Code	278
Min. Negotiated Rate	$188.44
Max. Negotiated Rate	$304.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$251.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$304.01
Rate for Payer: Qualcare PPO/HMO/WC	$188.44

LOCKING SCREW 5.0 X 26 MM

Facility

$965.85

Service Code	HCPCS C1713
Hospital Charge Code	270687881
Hospital Revenue Code	278
Min. Negotiated Rate	$27.43
Max. Negotiated Rate	$482.93
Rate for Payer: Aetna Commercial	$367.02
Rate for Payer: Aetna Medicare Advantage	$289.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$246.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$246.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$193.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$246.29
Rate for Payer: Cigna Commercial	$482.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$233.74
Rate for Payer: Qualcare PPO/HMO/WC	$144.88
Rate for Payer: UnitedHealthcare Community & State	$30.52
Rate for Payer: Wellpoint Medicaid Managed Care	$27.43

LOCKING SCREW 5.0 X 26 MM

Facility

$965.85

Service Code	HCPCS C1713
Hospital Charge Code	270687881
Hospital Revenue Code	278
Min. Negotiated Rate	$144.88
Max. Negotiated Rate	$233.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$193.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$233.74
Rate for Payer: Qualcare PPO/HMO/WC	$144.88

LOCKING SCREW 5 X 50MM

Facility

$2,450.00

Service Code	HCPCS C1713
Hospital Charge Code	270704117
Hospital Revenue Code	278
Min. Negotiated Rate	$69.58
Max. Negotiated Rate	$1,225.00
Rate for Payer: Aetna Commercial	$931.00
Rate for Payer: Aetna Medicare Advantage	$735.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$624.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$624.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$490.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$624.75
Rate for Payer: Cigna Commercial	$1,225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$592.90
Rate for Payer: Qualcare PPO/HMO/WC	$367.50
Rate for Payer: UnitedHealthcare Community & State	$77.42
Rate for Payer: Wellpoint Medicaid Managed Care	$69.58

LOCKING SCREW 5 X 50MM

Facility

$2,450.00

Service Code	HCPCS C1713
Hospital Charge Code	270704117
Hospital Revenue Code	278
Min. Negotiated Rate	$367.50
Max. Negotiated Rate	$592.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$490.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$592.90
Rate for Payer: Qualcare PPO/HMO/WC	$367.50

LOCKING SCREW 5X60MM

Facility

$1,621.95

Service Code	HCPCS C1713
Hospital Charge Code	270705859
Hospital Revenue Code	278
Min. Negotiated Rate	$46.06
Max. Negotiated Rate	$810.98
Rate for Payer: Aetna Commercial	$616.34
Rate for Payer: Aetna Medicare Advantage	$486.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$413.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$413.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$324.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$413.60
Rate for Payer: Cigna Commercial	$810.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$392.51
Rate for Payer: Qualcare PPO/HMO/WC	$243.29
Rate for Payer: UnitedHealthcare Community & State	$51.25
Rate for Payer: Wellpoint Medicaid Managed Care	$46.06

LOCKING SCREW 5X60MM

Facility

$1,621.95

Service Code	HCPCS C1713
Hospital Charge Code	270705859
Hospital Revenue Code	278
Min. Negotiated Rate	$243.29
Max. Negotiated Rate	$392.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$324.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$392.51
Rate for Payer: Qualcare PPO/HMO/WC	$243.29

LOCKING SCREW 5X75MM

Facility

$1,621.95

Service Code	HCPCS C1713
Hospital Charge Code	270705860
Hospital Revenue Code	278
Min. Negotiated Rate	$243.29
Max. Negotiated Rate	$392.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$324.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$392.51
Rate for Payer: Qualcare PPO/HMO/WC	$243.29

LOCKING SCREW 5X75MM

Facility

$1,621.95

Service Code	HCPCS C1713
Hospital Charge Code	270705860
Hospital Revenue Code	278
Min. Negotiated Rate	$46.06
Max. Negotiated Rate	$810.98
Rate for Payer: Aetna Commercial	$616.34
Rate for Payer: Aetna Medicare Advantage	$486.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$413.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$413.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$324.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$413.60
Rate for Payer: Cigna Commercial	$810.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$392.51
Rate for Payer: Qualcare PPO/HMO/WC	$243.29
Rate for Payer: UnitedHealthcare Community & State	$51.25
Rate for Payer: Wellpoint Medicaid Managed Care	$46.06

LOCKING SCREW 6.0 X 64 MM

Facility

$965.85

Service Code	HCPCS C1713
Hospital Charge Code	270687879
Hospital Revenue Code	278
Min. Negotiated Rate	$144.88
Max. Negotiated Rate	$233.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$193.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$233.74
Rate for Payer: Qualcare PPO/HMO/WC	$144.88

LOCKING SCREW 6.0 X 64 MM

Facility

$965.85

Service Code	HCPCS C1713
Hospital Charge Code	270687879
Hospital Revenue Code	278
Min. Negotiated Rate	$27.43
Max. Negotiated Rate	$482.93
Rate for Payer: Aetna Commercial	$367.02
Rate for Payer: Aetna Medicare Advantage	$289.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$246.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$246.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$193.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$246.29
Rate for Payer: Cigna Commercial	$482.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$233.74
Rate for Payer: Qualcare PPO/HMO/WC	$144.88
Rate for Payer: UnitedHealthcare Community & State	$30.52
Rate for Payer: Wellpoint Medicaid Managed Care	$27.43

LOCKING SCREW 6.0 X 68 MM

Facility

$965.85

Service Code	HCPCS C1713
Hospital Charge Code	270687880
Hospital Revenue Code	278
Min. Negotiated Rate	$144.88
Max. Negotiated Rate	$233.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$193.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$233.74
Rate for Payer: Qualcare PPO/HMO/WC	$144.88

LOCKING SCREW 6.0 X 68 MM

Facility

$965.85

Service Code	HCPCS C1713
Hospital Charge Code	270687880
Hospital Revenue Code	278
Min. Negotiated Rate	$27.43
Max. Negotiated Rate	$482.93
Rate for Payer: Aetna Commercial	$367.02
Rate for Payer: Aetna Medicare Advantage	$289.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$246.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$246.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$193.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$246.29
Rate for Payer: Cigna Commercial	$482.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$233.74
Rate for Payer: Qualcare PPO/HMO/WC	$144.88
Rate for Payer: UnitedHealthcare Community & State	$30.52
Rate for Payer: Wellpoint Medicaid Managed Care	$27.43

LOCKING SCREW 6.0 X 76MM

Facility

$965.85

Service Code	HCPCS C1713
Hospital Charge Code	270687878
Hospital Revenue Code	278
Min. Negotiated Rate	$144.88
Max. Negotiated Rate	$233.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$193.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$233.74
Rate for Payer: Qualcare PPO/HMO/WC	$144.88

LOCKING SCREW 6.0 X 76MM

Facility

$965.85

Service Code	HCPCS C1713
Hospital Charge Code	270687878
Hospital Revenue Code	278
Min. Negotiated Rate	$27.43
Max. Negotiated Rate	$482.93
Rate for Payer: Aetna Commercial	$367.02
Rate for Payer: Aetna Medicare Advantage	$289.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$246.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$246.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$193.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$246.29
Rate for Payer: Cigna Commercial	$482.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$233.74
Rate for Payer: Qualcare PPO/HMO/WC	$144.88
Rate for Payer: UnitedHealthcare Community & State	$30.52
Rate for Payer: Wellpoint Medicaid Managed Care	$27.43

LOCKING SCREW T10 3.5MMXL2.0

Facility

$703.25

Service Code	HCPCS C1713
Hospital Charge Code	270700423
Hospital Revenue Code	278
Min. Negotiated Rate	$19.97
Max. Negotiated Rate	$351.62
Rate for Payer: Aetna Commercial	$267.24
Rate for Payer: Aetna Medicare Advantage	$210.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$179.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$179.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$179.33
Rate for Payer: Cigna Commercial	$351.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.19
Rate for Payer: Qualcare PPO/HMO/WC	$105.49
Rate for Payer: UnitedHealthcare Community & State	$22.22
Rate for Payer: Wellpoint Medicaid Managed Care	$19.97

Know your out-of-pocket cost for care.

All Charges