Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 2.4mX26m LOCK 212.826

Facility

$1,064.30

Service Code	HCPCS C1713
Hospital Charge Code	270637234
Hospital Revenue Code	278
Min. Negotiated Rate	$159.65
Max. Negotiated Rate	$257.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$212.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$257.56
Rate for Payer: Qualcare PPO/HMO/WC	$159.65

SCREW 2.4mX26m LOCK 212.826

Facility

$1,064.30

Service Code	HCPCS C1713
Hospital Charge Code	270637234
Hospital Revenue Code	278
Min. Negotiated Rate	$30.23
Max. Negotiated Rate	$532.15
Rate for Payer: Aetna Commercial	$404.43
Rate for Payer: Aetna Medicare Advantage	$319.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$271.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$271.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$212.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$271.40
Rate for Payer: Cigna Commercial	$532.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$257.56
Rate for Payer: Qualcare PPO/HMO/WC	$159.65
Rate for Payer: UnitedHealthcare Community & State	$33.63
Rate for Payer: Wellpoint Medicaid Managed Care	$30.23

SCREW 2.4 X 14 MM

Facility

$550.00

Service Code	HCPCS C1713
Hospital Charge Code	270690265
Hospital Revenue Code	278
Min. Negotiated Rate	$15.62
Max. Negotiated Rate	$275.00
Rate for Payer: Aetna Commercial	$209.00
Rate for Payer: Aetna Medicare Advantage	$165.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: Qualcare PPO/HMO/WC	$82.50
Rate for Payer: UnitedHealthcare Community & State	$17.38
Rate for Payer: Wellpoint Medicaid Managed Care	$15.62

SCREW 2.4 X 14 MM

Facility

$550.00

Service Code	HCPCS C1713
Hospital Charge Code	270690265
Hospital Revenue Code	278
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$133.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

SCREW 2.4X16MM

Facility

$550.00

Service Code	HCPCS C1713
Hospital Charge Code	270693608
Hospital Revenue Code	278
Min. Negotiated Rate	$15.62
Max. Negotiated Rate	$275.00
Rate for Payer: Aetna Commercial	$209.00
Rate for Payer: Aetna Medicare Advantage	$165.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: Qualcare PPO/HMO/WC	$82.50
Rate for Payer: UnitedHealthcare Community & State	$17.38
Rate for Payer: Wellpoint Medicaid Managed Care	$15.62

SCREW 2.4X16MM

Facility

$550.00

Service Code	HCPCS C1713
Hospital Charge Code	270693608
Hospital Revenue Code	278
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$133.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

SCREW 2.4x18 LAG CANNULATED

Facility

$23,495.00

Service Code	HCPCS C1713
Hospital Charge Code	270686730
Hospital Revenue Code	278
Min. Negotiated Rate	$3,524.25
Max. Negotiated Rate	$5,685.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,699.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,685.79
Rate for Payer: Qualcare PPO/HMO/WC	$3,524.25

SCREW 2.4x18 LAG CANNULATED

Facility

$23,495.00

Service Code	HCPCS C1713
Hospital Charge Code	270686730
Hospital Revenue Code	278
Min. Negotiated Rate	$667.26
Max. Negotiated Rate	$11,747.50
Rate for Payer: Aetna Commercial	$8,928.10
Rate for Payer: Aetna Medicare Advantage	$7,048.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,991.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,991.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,699.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,991.23
Rate for Payer: Cigna Commercial	$11,747.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,685.79
Rate for Payer: Qualcare PPO/HMO/WC	$3,524.25
Rate for Payer: UnitedHealthcare Community & State	$742.44
Rate for Payer: Wellpoint Medicaid Managed Care	$667.26

SCREW 2.4 X19 HCS LONG THREAD

Facility

$1,709.15

Service Code	HCPCS C1713
Hospital Charge Code	270685081
Hospital Revenue Code	278
Min. Negotiated Rate	$48.54
Max. Negotiated Rate	$854.58
Rate for Payer: Aetna Commercial	$649.48
Rate for Payer: Aetna Medicare Advantage	$512.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$435.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$435.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$341.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$435.83
Rate for Payer: Cigna Commercial	$854.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$413.61
Rate for Payer: Qualcare PPO/HMO/WC	$256.37
Rate for Payer: UnitedHealthcare Community & State	$54.01
Rate for Payer: Wellpoint Medicaid Managed Care	$48.54

SCREW 2.4 X19 HCS LONG THREAD

Facility

$1,709.15

Service Code	HCPCS C1713
Hospital Charge Code	270685081
Hospital Revenue Code	278
Min. Negotiated Rate	$256.37
Max. Negotiated Rate	$413.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$341.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$413.61
Rate for Payer: Qualcare PPO/HMO/WC	$256.37

SCREW 2.4X26MM

Facility

$1,035.00

Hospital Charge Code	270702594
Hospital Revenue Code	278
Min. Negotiated Rate	$29.39
Max. Negotiated Rate	$517.50
Rate for Payer: Aetna Commercial	$393.30
Rate for Payer: Aetna Medicare Advantage	$310.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$263.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$263.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$207.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$263.93
Rate for Payer: Cigna Commercial	$517.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$250.47
Rate for Payer: Qualcare PPO/HMO/WC	$155.25
Rate for Payer: UnitedHealthcare Community & State	$32.71
Rate for Payer: Wellpoint Medicaid Managed Care	$29.39

SCREW 2.4X26MM

Facility

$1,035.00

Hospital Charge Code	270702594
Hospital Revenue Code	278
Min. Negotiated Rate	$155.25
Max. Negotiated Rate	$250.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$207.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$250.47
Rate for Payer: Qualcare PPO/HMO/WC	$155.25

SCREW 2.4 X 26MM HEADLESS LONG

Facility

$1,410.00

Hospital Charge Code	270664493
Hospital Revenue Code	278
Min. Negotiated Rate	$211.50
Max. Negotiated Rate	$341.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$282.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$341.22
Rate for Payer: Qualcare PPO/HMO/WC	$211.50

SCREW 2.4 X 26MM HEADLESS LONG

Facility

$1,410.00

Hospital Charge Code	270664493
Hospital Revenue Code	278
Min. Negotiated Rate	$40.04
Max. Negotiated Rate	$705.00
Rate for Payer: Aetna Commercial	$535.80
Rate for Payer: Aetna Medicare Advantage	$423.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$359.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$359.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$282.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$359.55
Rate for Payer: Cigna Commercial	$705.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$341.22
Rate for Payer: Qualcare PPO/HMO/WC	$211.50
Rate for Payer: UnitedHealthcare Community & State	$44.56
Rate for Payer: Wellpoint Medicaid Managed Care	$40.04

SCREW 2.4 X 30 LOCKING

Facility

$1,035.00

Hospital Charge Code	270702596
Hospital Revenue Code	278
Min. Negotiated Rate	$29.39
Max. Negotiated Rate	$517.50
Rate for Payer: Aetna Commercial	$393.30
Rate for Payer: Aetna Medicare Advantage	$310.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$263.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$263.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$207.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$263.93
Rate for Payer: Cigna Commercial	$517.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$250.47
Rate for Payer: Qualcare PPO/HMO/WC	$155.25
Rate for Payer: UnitedHealthcare Community & State	$32.71
Rate for Payer: Wellpoint Medicaid Managed Care	$29.39

SCREW 2.4 X 30 LOCKING

Facility

$1,035.00

Hospital Charge Code	270702596
Hospital Revenue Code	278
Min. Negotiated Rate	$155.25
Max. Negotiated Rate	$250.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$207.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$250.47
Rate for Payer: Qualcare PPO/HMO/WC	$155.25

SCREW 25MM

Facility

$5,210.00

Hospital Charge Code	270702578
Hospital Revenue Code	278
Min. Negotiated Rate	$147.96
Max. Negotiated Rate	$2,605.00
Rate for Payer: Aetna Commercial	$1,979.80
Rate for Payer: Aetna Medicare Advantage	$1,563.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,328.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,328.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,042.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,328.55
Rate for Payer: Cigna Commercial	$2,605.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,260.82
Rate for Payer: Qualcare PPO/HMO/WC	$781.50
Rate for Payer: UnitedHealthcare Community & State	$164.64
Rate for Payer: Wellpoint Medicaid Managed Care	$147.96

SCREW 25MM

Facility

$5,210.00

Hospital Charge Code	270702578
Hospital Revenue Code	278
Min. Negotiated Rate	$781.50
Max. Negotiated Rate	$1,260.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,042.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,260.82
Rate for Payer: Qualcare PPO/HMO/WC	$781.50

SCREW 2.5MM 3 FLUTED DRILL BIT

Facility

$954.00

Hospital Charge Code	270657061
Hospital Revenue Code	278
Min. Negotiated Rate	$27.09
Max. Negotiated Rate	$477.00
Rate for Payer: Aetna Commercial	$362.52
Rate for Payer: Aetna Medicare Advantage	$286.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$243.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$243.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$243.27
Rate for Payer: Cigna Commercial	$477.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$230.87
Rate for Payer: Qualcare PPO/HMO/WC	$143.10
Rate for Payer: UnitedHealthcare Community & State	$30.15
Rate for Payer: Wellpoint Medicaid Managed Care	$27.09

SCREW 2.5MM 3 FLUTED DRILL BIT

Facility

$954.00

Hospital Charge Code	270657061
Hospital Revenue Code	278
Min. Negotiated Rate	$143.10
Max. Negotiated Rate	$230.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$230.87
Rate for Payer: Qualcare PPO/HMO/WC	$143.10

SCREW 25 MM TRIO VERSAFITCUP

Facility

$250.00

Service Code	HCPCS C1713
Hospital Charge Code	270683286
Hospital Revenue Code	278
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$60.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

SCREW 25 MM TRIO VERSAFITCUP

Facility

$250.00

Service Code	HCPCS C1713
Hospital Charge Code	270683286
Hospital Revenue Code	278
Min. Negotiated Rate	$7.10
Max. Negotiated Rate	$125.00
Rate for Payer: Aetna Commercial	$95.00
Rate for Payer: Aetna Medicare Advantage	$75.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.75
Rate for Payer: Cigna Commercial	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50
Rate for Payer: UnitedHealthcare Community & State	$7.90
Rate for Payer: Wellpoint Medicaid Managed Care	$7.10

SCREW2.5TIHDLSCANCOMPLT20MM

Facility

$2,255.00

Service Code	HCPCS C1713
Hospital Charge Code	270698216
Hospital Revenue Code	278
Min. Negotiated Rate	$64.04
Max. Negotiated Rate	$1,127.50
Rate for Payer: Aetna Commercial	$856.90
Rate for Payer: Aetna Medicare Advantage	$676.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$575.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$575.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$451.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$575.02
Rate for Payer: Cigna Commercial	$1,127.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$545.71
Rate for Payer: Qualcare PPO/HMO/WC	$338.25
Rate for Payer: UnitedHealthcare Community & State	$71.26
Rate for Payer: Wellpoint Medicaid Managed Care	$64.04

SCREW2.5TIHDLSCANCOMPLT20MM

Facility

$2,255.00

Service Code	HCPCS C1713
Hospital Charge Code	270698216
Hospital Revenue Code	278
Min. Negotiated Rate	$338.25
Max. Negotiated Rate	$545.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$451.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$545.71
Rate for Payer: Qualcare PPO/HMO/WC	$338.25

SCREW2.5TIHDLSCANNCOMPLT22MM

Facility

$2,255.00

Service Code	HCPCS C1713
Hospital Charge Code	270698218
Hospital Revenue Code	278
Min. Negotiated Rate	$338.25
Max. Negotiated Rate	$545.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$451.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$545.71
Rate for Payer: Qualcare PPO/HMO/WC	$338.25

Know your out-of-pocket cost for care.

All Charges