Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 2.0X4MM

Facility

$1,750.00

Hospital Charge Code	270702376
Hospital Revenue Code	278
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$423.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

SCREW 2.0X6MM

Facility

$1,750.00

Hospital Charge Code	270702377
Hospital Revenue Code	278
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$423.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

SCREW 2.0X6MM

Facility

$1,750.00

Hospital Charge Code	270702377
Hospital Revenue Code	278
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) NJ Health	$350.00
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	$423.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50
Rate for Payer: UnitedHealthcare Community & State	$55.30
Rate for Payer: Wellpoint Medicaid Managed Care	$49.70

SCREW 2.2 12X3.0X5MM

Facility

$2,796.40

Service Code	HCPCS C1713
Hospital Charge Code	270698347
Hospital Revenue Code	278
Min. Negotiated Rate	$79.42
Max. Negotiated Rate	$1,398.20
Rate for Payer: Aetna Commercial	$1,062.63
Rate for Payer: Aetna Medicare Advantage	$838.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$713.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$713.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$559.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$713.08
Rate for Payer: Cigna Commercial	$1,398.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$676.73
Rate for Payer: Qualcare PPO/HMO/WC	$419.46
Rate for Payer: UnitedHealthcare Community & State	$88.37
Rate for Payer: Wellpoint Medicaid Managed Care	$79.42

SCREW 2.2 12X3.0X5MM

Facility

$2,796.40

Service Code	HCPCS C1713
Hospital Charge Code	698349
Hospital Revenue Code	278
Min. Negotiated Rate	$419.46
Max. Negotiated Rate	$676.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$559.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$676.73
Rate for Payer: Qualcare PPO/HMO/WC	$419.46

SCREW 2.2 12X3.0X5MM

Facility

$2,796.40

Service Code	HCPCS C1713
Hospital Charge Code	698347
Hospital Revenue Code	278
Min. Negotiated Rate	$79.42
Max. Negotiated Rate	$1,398.20
Rate for Payer: Aetna Commercial	$1,062.63
Rate for Payer: Aetna Medicare Advantage	$838.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$713.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$713.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$559.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$713.08
Rate for Payer: Cigna Commercial	$1,398.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$676.73
Rate for Payer: Qualcare PPO/HMO/WC	$419.46
Rate for Payer: UnitedHealthcare Community & State	$88.37
Rate for Payer: Wellpoint Medicaid Managed Care	$79.42

SCREW 2.2 12X3.0X5MM

Facility

$2,796.40

Service Code	HCPCS C1713
Hospital Charge Code	270698349
Hospital Revenue Code	278
Min. Negotiated Rate	$419.46
Max. Negotiated Rate	$676.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$559.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$676.73
Rate for Payer: Qualcare PPO/HMO/WC	$419.46

SCREW 2.2 12X3.0X5MM

Facility

$2,796.40

Service Code	HCPCS C1713
Hospital Charge Code	698347
Hospital Revenue Code	278
Min. Negotiated Rate	$419.46
Max. Negotiated Rate	$676.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$559.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$676.73
Rate for Payer: Qualcare PPO/HMO/WC	$419.46

SCREW 2.2 12X3.0X5MM

Facility

$2,796.40

Service Code	HCPCS C1713
Hospital Charge Code	270698347
Hospital Revenue Code	278
Min. Negotiated Rate	$419.46
Max. Negotiated Rate	$676.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$559.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$676.73
Rate for Payer: Qualcare PPO/HMO/WC	$419.46

SCREW 2.2 12X3.0X5MM

Facility

$2,796.40

Service Code	HCPCS C1713
Hospital Charge Code	698349
Hospital Revenue Code	278
Min. Negotiated Rate	$79.42
Max. Negotiated Rate	$1,398.20
Rate for Payer: Aetna Commercial	$1,062.63
Rate for Payer: Aetna Medicare Advantage	$838.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$713.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$713.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$559.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$713.08
Rate for Payer: Cigna Commercial	$1,398.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$676.73
Rate for Payer: Qualcare PPO/HMO/WC	$419.46
Rate for Payer: UnitedHealthcare Community & State	$88.37
Rate for Payer: Wellpoint Medicaid Managed Care	$79.42

SCREW 2.2 12X3.0X5MM

Facility

$2,796.40

Service Code	HCPCS C1713
Hospital Charge Code	270698349
Hospital Revenue Code	278
Min. Negotiated Rate	$79.42
Max. Negotiated Rate	$1,398.20
Rate for Payer: Aetna Commercial	$1,062.63
Rate for Payer: Aetna Medicare Advantage	$838.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$713.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$713.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$559.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$713.08
Rate for Payer: Cigna Commercial	$1,398.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$676.73
Rate for Payer: Qualcare PPO/HMO/WC	$419.46
Rate for Payer: UnitedHealthcare Community & State	$88.37
Rate for Payer: Wellpoint Medicaid Managed Care	$79.42

SCREW 2.2 14X3.0X5MM

Facility

$2,796.40

Service Code	HCPCS C1713
Hospital Charge Code	270698348
Hospital Revenue Code	278
Min. Negotiated Rate	$79.42
Max. Negotiated Rate	$1,398.20
Rate for Payer: Aetna Commercial	$1,062.63
Rate for Payer: Aetna Medicare Advantage	$838.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$713.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$713.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$559.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$713.08
Rate for Payer: Cigna Commercial	$1,398.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$676.73
Rate for Payer: Qualcare PPO/HMO/WC	$419.46
Rate for Payer: UnitedHealthcare Community & State	$88.37
Rate for Payer: Wellpoint Medicaid Managed Care	$79.42

SCREW 2.2 14X3.0X5MM

Facility

$2,796.40

Service Code	HCPCS C1713
Hospital Charge Code	698348
Hospital Revenue Code	278
Min. Negotiated Rate	$79.42
Max. Negotiated Rate	$1,398.20
Rate for Payer: Aetna Commercial	$1,062.63
Rate for Payer: Aetna Medicare Advantage	$838.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$713.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$713.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$559.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$713.08
Rate for Payer: Cigna Commercial	$1,398.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$676.73
Rate for Payer: Qualcare PPO/HMO/WC	$419.46
Rate for Payer: UnitedHealthcare Community & State	$88.37
Rate for Payer: Wellpoint Medicaid Managed Care	$79.42

SCREW 2.2 14X3.0X5MM

Facility

$2,796.40

Service Code	HCPCS C1713
Hospital Charge Code	698348
Hospital Revenue Code	278
Min. Negotiated Rate	$419.46
Max. Negotiated Rate	$676.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$559.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$676.73
Rate for Payer: Qualcare PPO/HMO/WC	$419.46

SCREW 2.2 14X3.0X5MM

Facility

$2,796.40

Service Code	HCPCS C1713
Hospital Charge Code	270698348
Hospital Revenue Code	278
Min. Negotiated Rate	$419.46
Max. Negotiated Rate	$676.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$559.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$676.73
Rate for Payer: Qualcare PPO/HMO/WC	$419.46

SCREW 2.4 CORTE 14 MM

Facility

$1,050.00

Hospital Charge Code	270700836
Hospital Revenue Code	278
Min. Negotiated Rate	$157.50
Max. Negotiated Rate	$254.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$210.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$254.10
Rate for Payer: Qualcare PPO/HMO/WC	$157.50

SCREW 2.4 CORTE 14 MM

Facility

$1,050.00

Hospital Charge Code	270700836
Hospital Revenue Code	278
Min. Negotiated Rate	$29.82
Max. Negotiated Rate	$525.00
Rate for Payer: Aetna Commercial	$399.00
Rate for Payer: Aetna Medicare Advantage	$315.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$267.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$267.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$267.75
Rate for Payer: Cigna Commercial	$525.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$254.10
Rate for Payer: Qualcare PPO/HMO/WC	$157.50
Rate for Payer: UnitedHealthcare Community & State	$33.18
Rate for Payer: Wellpoint Medicaid Managed Care	$29.82

SCREW 2.4MM CORTEX SELF TAP

Facility

$204.00

Hospital Charge Code	270657071
Hospital Revenue Code	278
Min. Negotiated Rate	$30.60
Max. Negotiated Rate	$49.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.37
Rate for Payer: Qualcare PPO/HMO/WC	$30.60

SCREW 2.4MM CORTEX SELF TAP

Facility

$204.00

Hospital Charge Code	270657071
Hospital Revenue Code	278
Min. Negotiated Rate	$5.79
Max. Negotiated Rate	$102.00
Rate for Payer: Aetna Commercial	$77.52
Rate for Payer: Aetna Medicare Advantage	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.02
Rate for Payer: Cigna Commercial	$102.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.37
Rate for Payer: Qualcare PPO/HMO/WC	$30.60
Rate for Payer: UnitedHealthcare Community & State	$6.45
Rate for Payer: Wellpoint Medicaid Managed Care	$5.79

SCREW 2.4MM CORTEX SELF TAPPIN

Facility

$198.00

Hospital Charge Code	270657135
Hospital Revenue Code	278
Min. Negotiated Rate	$5.62
Max. Negotiated Rate	$99.00
Rate for Payer: Aetna Commercial	$75.24
Rate for Payer: Aetna Medicare Advantage	$59.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.49
Rate for Payer: Cigna Commercial	$99.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.92
Rate for Payer: Qualcare PPO/HMO/WC	$29.70
Rate for Payer: UnitedHealthcare Community & State	$6.26
Rate for Payer: Wellpoint Medicaid Managed Care	$5.62

SCREW 2.4MM CORTEX SELF TAPPIN

Facility

$198.00

Hospital Charge Code	270657135
Hospital Revenue Code	278
Min. Negotiated Rate	$29.70
Max. Negotiated Rate	$47.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.92
Rate for Payer: Qualcare PPO/HMO/WC	$29.70

SCREW 2.4 MM STARDRIVE 30MM VA

Facility

$595.20

Service Code	HCPCS C1713
Hospital Charge Code	270681057
Hospital Revenue Code	278
Min. Negotiated Rate	$16.90
Max. Negotiated Rate	$297.60
Rate for Payer: Aetna Commercial	$226.18
Rate for Payer: Aetna Medicare Advantage	$178.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.78
Rate for Payer: Cigna Commercial	$297.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.04
Rate for Payer: Qualcare PPO/HMO/WC	$89.28
Rate for Payer: UnitedHealthcare Community & State	$18.81
Rate for Payer: Wellpoint Medicaid Managed Care	$16.90

SCREW 2.4 MM STARDRIVE 30MM VA

Facility

$595.20

Service Code	HCPCS C1713
Hospital Charge Code	270681057
Hospital Revenue Code	278
Min. Negotiated Rate	$89.28
Max. Negotiated Rate	$144.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.04
Rate for Payer: Qualcare PPO/HMO/WC	$89.28

SCREW 2.4 MM T8 SD REC 32

Facility

$246.90

Service Code	HCPCS C1713
Hospital Charge Code	270693067
Hospital Revenue Code	278
Min. Negotiated Rate	$37.03
Max. Negotiated Rate	$59.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.75
Rate for Payer: Qualcare PPO/HMO/WC	$37.03

SCREW 2.4 MM T8 SD REC 32

Facility

$246.90

Service Code	HCPCS C1713
Hospital Charge Code	270693067
Hospital Revenue Code	278
Min. Negotiated Rate	$7.01
Max. Negotiated Rate	$123.45
Rate for Payer: Aetna Commercial	$93.82
Rate for Payer: Aetna Medicare Advantage	$74.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.96
Rate for Payer: Cigna Commercial	$123.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.75
Rate for Payer: Qualcare PPO/HMO/WC	$37.03
Rate for Payer: UnitedHealthcare Community & State	$7.80
Rate for Payer: Wellpoint Medicaid Managed Care	$7.01

Know your out-of-pocket cost for care.

All Charges