Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 14MM ST VARIABLE CURE

Facility

$1,827.00

Service Code	HCPCS C1713
Hospital Charge Code	270698842
Hospital Revenue Code	278
Min. Negotiated Rate	$274.05
Max. Negotiated Rate	$442.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$365.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$442.13
Rate for Payer: Qualcare PPO/HMO/WC	$274.05

SCREW 14 MM X 4 MM

Facility

$1,895.00

Service Code	HCPCS C1713
Hospital Charge Code	270691459
Hospital Revenue Code	278
Min. Negotiated Rate	$284.25
Max. Negotiated Rate	$458.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$379.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$458.59
Rate for Payer: Qualcare PPO/HMO/WC	$284.25

SCREW 14 MM X 4 MM

Facility

$1,895.00

Service Code	HCPCS C1713
Hospital Charge Code	270691459
Hospital Revenue Code	278
Min. Negotiated Rate	$53.82
Max. Negotiated Rate	$947.50
Rate for Payer: Aetna Commercial	$720.10
Rate for Payer: Aetna Medicare Advantage	$568.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$483.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$483.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$379.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$483.23
Rate for Payer: Cigna Commercial	$947.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$458.59
Rate for Payer: Qualcare PPO/HMO/WC	$284.25
Rate for Payer: UnitedHealthcare Community & State	$59.88
Rate for Payer: Wellpoint Medicaid Managed Care	$53.82

SCREW 1.5mm 16MM ST CORTEX

Facility

$152.75

Service Code	HCPCS C1713
Hospital Charge Code	270680930
Hospital Revenue Code	278
Min. Negotiated Rate	$22.91
Max. Negotiated Rate	$36.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.97
Rate for Payer: Qualcare PPO/HMO/WC	$22.91

SCREW 1.5mm 16MM ST CORTEX

Facility

$152.75

Service Code	HCPCS C1713
Hospital Charge Code	270680930
Hospital Revenue Code	278
Min. Negotiated Rate	$4.34
Max. Negotiated Rate	$76.38
Rate for Payer: Aetna Commercial	$58.05
Rate for Payer: Aetna Medicare Advantage	$45.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.95
Rate for Payer: Cigna Commercial	$76.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.97
Rate for Payer: Qualcare PPO/HMO/WC	$22.91
Rate for Payer: UnitedHealthcare Community & State	$4.83
Rate for Payer: Wellpoint Medicaid Managed Care	$4.34

SCREW 1.5MM TI CORTEX SELF TAP

Facility

$144.00

Hospital Charge Code	270656857
Hospital Revenue Code	278
Min. Negotiated Rate	$4.09
Max. Negotiated Rate	$72.00
Rate for Payer: Aetna Commercial	$54.72
Rate for Payer: Aetna Medicare Advantage	$43.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.72
Rate for Payer: Cigna Commercial	$72.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.85
Rate for Payer: Qualcare PPO/HMO/WC	$21.60
Rate for Payer: UnitedHealthcare Community & State	$4.55
Rate for Payer: Wellpoint Medicaid Managed Care	$4.09

SCREW 1.5MM TI CORTEX SELF TAP

Facility

$152.75

Service Code	HCPCS C1713
Hospital Charge Code	270656822
Hospital Revenue Code	278
Min. Negotiated Rate	$4.34
Max. Negotiated Rate	$76.38
Rate for Payer: Aetna Commercial	$58.05
Rate for Payer: Aetna Medicare Advantage	$45.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.95
Rate for Payer: Cigna Commercial	$76.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.97
Rate for Payer: Qualcare PPO/HMO/WC	$22.91
Rate for Payer: UnitedHealthcare Community & State	$4.83
Rate for Payer: Wellpoint Medicaid Managed Care	$4.34

SCREW 1.5MM TI CORTEX SELF TAP

Facility

$144.00

Hospital Charge Code	270656857
Hospital Revenue Code	278
Min. Negotiated Rate	$21.60
Max. Negotiated Rate	$34.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.85
Rate for Payer: Qualcare PPO/HMO/WC	$21.60

SCREW 1.5MM TI CORTEX SELF TAP

Facility

$148.30

Service Code	HCPCS C1713
Hospital Charge Code	270656852
Hospital Revenue Code	278
Min. Negotiated Rate	$22.25
Max. Negotiated Rate	$35.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.89
Rate for Payer: Qualcare PPO/HMO/WC	$22.25

SCREW 1.5MM TI CORTEX SELF TAP

Facility

$148.30

Service Code	HCPCS C1713
Hospital Charge Code	270656852
Hospital Revenue Code	278
Min. Negotiated Rate	$4.21
Max. Negotiated Rate	$74.15
Rate for Payer: Aetna Commercial	$56.35
Rate for Payer: Aetna Medicare Advantage	$44.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.82
Rate for Payer: Cigna Commercial	$74.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.89
Rate for Payer: Qualcare PPO/HMO/WC	$22.25
Rate for Payer: UnitedHealthcare Community & State	$4.69
Rate for Payer: Wellpoint Medicaid Managed Care	$4.21

SCREW 1.5MM TI CORTEX SELF TAP

Facility

$152.75

Service Code	HCPCS C1713
Hospital Charge Code	270656822
Hospital Revenue Code	278
Min. Negotiated Rate	$22.91
Max. Negotiated Rate	$36.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.97
Rate for Payer: Qualcare PPO/HMO/WC	$22.91

SCREW 1.5 X 4MM

Facility

$490.00

Service Code	HCPCS C1713
Hospital Charge Code	270662164
Hospital Revenue Code	278
Min. Negotiated Rate	$13.92
Max. Negotiated Rate	$245.00
Rate for Payer: Aetna Commercial	$186.20
Rate for Payer: Aetna Medicare Advantage	$147.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$98.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.95
Rate for Payer: Cigna Commercial	$245.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.58
Rate for Payer: Qualcare PPO/HMO/WC	$73.50
Rate for Payer: UnitedHealthcare Community & State	$15.48
Rate for Payer: Wellpoint Medicaid Managed Care	$13.92

SCREW 1.5 X 4MM

Facility

$490.00

Service Code	HCPCS C1713
Hospital Charge Code	270662164
Hospital Revenue Code	278
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$118.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$98.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.58
Rate for Payer: Qualcare PPO/HMO/WC	$73.50

SCREW 16 MM 1.5

Facility

$1,980.00

Hospital Charge Code	270702799
Hospital Revenue Code	278
Min. Negotiated Rate	$56.23
Max. Negotiated Rate	$990.00
Rate for Payer: Aetna Commercial	$752.40
Rate for Payer: Aetna Medicare Advantage	$594.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$504.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$504.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$396.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$504.90
Rate for Payer: Cigna Commercial	$990.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$479.16
Rate for Payer: Qualcare PPO/HMO/WC	$297.00
Rate for Payer: UnitedHealthcare Community & State	$62.57
Rate for Payer: Wellpoint Medicaid Managed Care	$56.23

SCREW 16 MM 1.5

Facility

$1,980.00

Hospital Charge Code	270702799
Hospital Revenue Code	278
Min. Negotiated Rate	$297.00
Max. Negotiated Rate	$479.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$396.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$479.16
Rate for Payer: Qualcare PPO/HMO/WC	$297.00

SCREW 16MM 2.0

Facility

$2,132.00

Service Code	HCPCS C1713
Hospital Charge Code	270692336
Hospital Revenue Code	278
Min. Negotiated Rate	$60.55
Max. Negotiated Rate	$1,066.00
Rate for Payer: Aetna Commercial	$810.16
Rate for Payer: Aetna Medicare Advantage	$639.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$543.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$543.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$426.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$543.66
Rate for Payer: Cigna Commercial	$1,066.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$515.94
Rate for Payer: Qualcare PPO/HMO/WC	$319.80
Rate for Payer: UnitedHealthcare Community & State	$67.37
Rate for Payer: Wellpoint Medicaid Managed Care	$60.55

SCREW 16MM 2.0

Facility

$2,132.00

Service Code	HCPCS C1713
Hospital Charge Code	270692336
Hospital Revenue Code	278
Min. Negotiated Rate	$319.80
Max. Negotiated Rate	$515.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$426.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$515.94
Rate for Payer: Qualcare PPO/HMO/WC	$319.80

SCREW 16 MM 2.4 MM LOCKING

Facility

$800.00

Service Code	HCPCS C1713
Hospital Charge Code	270688564
Hospital Revenue Code	278
Min. Negotiated Rate	$22.72
Max. Negotiated Rate	$400.00
Rate for Payer: Aetna Commercial	$304.00
Rate for Payer: Aetna Medicare Advantage	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.00
Rate for Payer: Cigna Commercial	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.60
Rate for Payer: Qualcare PPO/HMO/WC	$120.00
Rate for Payer: UnitedHealthcare Community & State	$25.28
Rate for Payer: Wellpoint Medicaid Managed Care	$22.72

SCREW 16 MM 2.4 MM LOCKING

Facility

$800.00

Service Code	HCPCS C1713
Hospital Charge Code	270688564
Hospital Revenue Code	278
Min. Negotiated Rate	$120.00
Max. Negotiated Rate	$193.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.60
Rate for Payer: Qualcare PPO/HMO/WC	$120.00

SCREW 16MM 24MM NON LOCK

Facility

$455.00

Service Code	HCPCS C1713
Hospital Charge Code	270680993
Hospital Revenue Code	278
Min. Negotiated Rate	$12.92
Max. Negotiated Rate	$227.50
Rate for Payer: Aetna Commercial	$172.90
Rate for Payer: Aetna Medicare Advantage	$136.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$116.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$116.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$116.03
Rate for Payer: Cigna Commercial	$227.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.11
Rate for Payer: Qualcare PPO/HMO/WC	$68.25
Rate for Payer: UnitedHealthcare Community & State	$14.38
Rate for Payer: Wellpoint Medicaid Managed Care	$12.92

SCREW 16MM 24MM NON LOCK

Facility

$455.00

Service Code	HCPCS C1713
Hospital Charge Code	270680993
Hospital Revenue Code	278
Min. Negotiated Rate	$68.25
Max. Negotiated Rate	$110.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.11
Rate for Payer: Qualcare PPO/HMO/WC	$68.25

SCREW 16MM FIXED

Facility

$0.01

Service Code	HCPCS C1713
Hospital Charge Code	270689966
Hospital Revenue Code	278
Max. Negotiated Rate	$0.01
Rate for Payer: Aetna Commercial	$0.00
Rate for Payer: Aetna Medicare Advantage	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.00
Rate for Payer: Cigna Commercial	$0.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00
Rate for Payer: UnitedHealthcare Community & State	$0.00
Rate for Payer: Wellpoint Medicaid Managed Care	$0.00

SCREW 16MM FIXED

Facility

$0.01

Service Code	HCPCS C1713
Hospital Charge Code	270689966
Hospital Revenue Code	278
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$0.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

SCREW 16MM ST VARIABLE CURE

Facility

$1,827.00

Service Code	HCPCS C1713
Hospital Charge Code	270698844
Hospital Revenue Code	278
Min. Negotiated Rate	$274.05
Max. Negotiated Rate	$442.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$365.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$442.13
Rate for Payer: Qualcare PPO/HMO/WC	$274.05

SCREW 16MM ST VARIABLE CURE

Facility

$1,827.00

Service Code	HCPCS C1713
Hospital Charge Code	270698844
Hospital Revenue Code	278
Min. Negotiated Rate	$51.89
Max. Negotiated Rate	$913.50
Rate for Payer: Aetna Commercial	$694.26
Rate for Payer: Aetna Medicare Advantage	$548.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$465.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$465.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$365.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$465.88
Rate for Payer: Cigna Commercial	$913.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$442.13
Rate for Payer: Qualcare PPO/HMO/WC	$274.05
Rate for Payer: UnitedHealthcare Community & State	$57.73
Rate for Payer: Wellpoint Medicaid Managed Care	$51.89

Know your out-of-pocket cost for care.

All Charges