Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW2.5TIHDLSCANNCOMPLT22MM

Facility

$2,255.00

Service Code	HCPCS C1713
Hospital Charge Code	270698218
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

SCREW2.5TIHDLSCANNCOMPLT26MM

Facility

$2,255.00

Service Code	HCPCS C1713
Hospital Charge Code	270698217
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

SCREW2.5TIHDLSCANNCOMPLT26MM

Facility

$2,255.00

Service Code	HCPCS C1713
Hospital Charge Code	270698217
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

SCREW 2.5 X 11 MM

Facility

$925.50

Service Code	HCPCS C1713
Hospital Charge Code	270701815
Hospital Revenue Code	278
Min. Negotiated Rate	$26.28
Max. Negotiated Rate	$462.75
Rate for Payer: Aetna Commercial	$351.69
Rate for Payer: Aetna Medicare Advantage	$277.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$236.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$236.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$185.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$236.00
Rate for Payer: Cigna Commercial	$462.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$223.97
Rate for Payer: Qualcare PPO/HMO/WC	$138.82
Rate for Payer: UnitedHealthcare Community & State	$29.25
Rate for Payer: Wellpoint Medicaid Managed Care	$26.28

SCREW 2.5 X 11 MM

Facility

$925.50

Service Code	HCPCS C1713
Hospital Charge Code	270701815
Hospital Revenue Code	278
Min. Negotiated Rate	$138.82
Max. Negotiated Rate	$223.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$185.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$223.97
Rate for Payer: Qualcare PPO/HMO/WC	$138.82

SCREW 2.5 X 14MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270690539
Hospital Revenue Code	278
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$242.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

SCREW 2.5 X 14MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270690539
Hospital Revenue Code	278
Min. Negotiated Rate	$28.40
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$380.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00
Rate for Payer: UnitedHealthcare Community & State	$31.60
Rate for Payer: Wellpoint Medicaid Managed Care	$28.40

SCREW 2.5 X 19 MM

Facility

$1,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270701810
Hospital Revenue Code	278
Min. Negotiated Rate	$35.50
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$475.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Community & State	$39.50
Rate for Payer: Wellpoint Medicaid Managed Care	$35.50

SCREW 2.5 X 19 MM

Facility

$1,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270701810
Hospital Revenue Code	278
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$302.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

SCREW 2.5 X 8 MM HEADLESS

Facility

$1,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270690629
Hospital Revenue Code	278
Min. Negotiated Rate	$41.89
Max. Negotiated Rate	$737.50
Rate for Payer: Aetna Commercial	$560.50
Rate for Payer: Aetna Medicare Advantage	$442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$295.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$376.12
Rate for Payer: Cigna Commercial	$737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.95
Rate for Payer: Qualcare PPO/HMO/WC	$221.25
Rate for Payer: UnitedHealthcare Community & State	$46.61
Rate for Payer: Wellpoint Medicaid Managed Care	$41.89

SCREW 2.5 X 8 MM HEADLESS

Facility

$1,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270690629
Hospital Revenue Code	278
Min. Negotiated Rate	$221.25
Max. Negotiated Rate	$356.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$295.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.95
Rate for Payer: Qualcare PPO/HMO/WC	$221.25

SCREW 2.7 CORTEX SELF TAPPING

Facility

$135.75

Hospital Charge Code	270656723
Hospital Revenue Code	278
Min. Negotiated Rate	$20.36
Max. Negotiated Rate	$32.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.85
Rate for Payer: Qualcare PPO/HMO/WC	$20.36

SCREW 2.7 CORTEX SELF TAPPING

Facility

$135.75

Hospital Charge Code	270656725
Hospital Revenue Code	278
Min. Negotiated Rate	$20.36
Max. Negotiated Rate	$32.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.85
Rate for Payer: Qualcare PPO/HMO/WC	$20.36

SCREW 2.7 CORTEX SELF TAPPING

Facility

$135.75

Hospital Charge Code	270657221
Hospital Revenue Code	278
Min. Negotiated Rate	$3.86
Max. Negotiated Rate	$67.88
Rate for Payer: Aetna Commercial	$51.59
Rate for Payer: Aetna Medicare Advantage	$40.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.62
Rate for Payer: Cigna Commercial	$67.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.85
Rate for Payer: Qualcare PPO/HMO/WC	$20.36
Rate for Payer: UnitedHealthcare Community & State	$4.29
Rate for Payer: Wellpoint Medicaid Managed Care	$3.86

SCREW 2.7 CORTEX SELF TAPPING

Facility

$135.75

Hospital Charge Code	270656725
Hospital Revenue Code	278
Min. Negotiated Rate	$3.86
Max. Negotiated Rate	$67.88
Rate for Payer: Aetna Commercial	$51.59
Rate for Payer: Aetna Medicare Advantage	$40.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.62
Rate for Payer: Cigna Commercial	$67.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.85
Rate for Payer: Qualcare PPO/HMO/WC	$20.36
Rate for Payer: UnitedHealthcare Community & State	$4.29
Rate for Payer: Wellpoint Medicaid Managed Care	$3.86

SCREW 2.7 CORTEX SELF TAPPING

Facility

$135.75

Hospital Charge Code	270656719
Hospital Revenue Code	278
Min. Negotiated Rate	$20.36
Max. Negotiated Rate	$32.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.85
Rate for Payer: Qualcare PPO/HMO/WC	$20.36

SCREW 2.7 CORTEX SELF TAPPING

Facility

$135.75

Hospital Charge Code	270656724
Hospital Revenue Code	278
Min. Negotiated Rate	$20.36
Max. Negotiated Rate	$32.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.85
Rate for Payer: Qualcare PPO/HMO/WC	$20.36

SCREW 2.7 CORTEX SELF TAPPING

Facility

$135.75

Hospital Charge Code	270656719
Hospital Revenue Code	278
Min. Negotiated Rate	$3.86
Max. Negotiated Rate	$67.88
Rate for Payer: Aetna Commercial	$51.59
Rate for Payer: Aetna Medicare Advantage	$40.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.62
Rate for Payer: Cigna Commercial	$67.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.85
Rate for Payer: Qualcare PPO/HMO/WC	$20.36
Rate for Payer: UnitedHealthcare Community & State	$4.29
Rate for Payer: Wellpoint Medicaid Managed Care	$3.86

SCREW 2.7 CORTEX SELF TAPPING

Facility

$135.75

Hospital Charge Code	270656724
Hospital Revenue Code	278
Min. Negotiated Rate	$3.86
Max. Negotiated Rate	$67.88
Rate for Payer: Aetna Commercial	$51.59
Rate for Payer: Aetna Medicare Advantage	$40.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.62
Rate for Payer: Cigna Commercial	$67.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.85
Rate for Payer: Qualcare PPO/HMO/WC	$20.36
Rate for Payer: UnitedHealthcare Community & State	$4.29
Rate for Payer: Wellpoint Medicaid Managed Care	$3.86

SCREW 2.7 CORTEX SELF TAPPING

Facility

$135.75

Hospital Charge Code	270656721
Hospital Revenue Code	278
Min. Negotiated Rate	$20.36
Max. Negotiated Rate	$32.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.85
Rate for Payer: Qualcare PPO/HMO/WC	$20.36

SCREW 2.7 CORTEX SELF TAPPING

Facility

$135.75

Hospital Charge Code	270656721
Hospital Revenue Code	278
Min. Negotiated Rate	$3.86
Max. Negotiated Rate	$67.88
Rate for Payer: Aetna Commercial	$51.59
Rate for Payer: Aetna Medicare Advantage	$40.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.62
Rate for Payer: Cigna Commercial	$67.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.85
Rate for Payer: Qualcare PPO/HMO/WC	$20.36
Rate for Payer: UnitedHealthcare Community & State	$4.29
Rate for Payer: Wellpoint Medicaid Managed Care	$3.86

SCREW 2.7 CORTEX SELF TAPPING

Facility

$135.75

Hospital Charge Code	270656723
Hospital Revenue Code	278
Min. Negotiated Rate	$3.86
Max. Negotiated Rate	$67.88
Rate for Payer: Aetna Commercial	$51.59
Rate for Payer: Aetna Medicare Advantage	$40.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.62
Rate for Payer: Cigna Commercial	$67.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.85
Rate for Payer: Qualcare PPO/HMO/WC	$20.36
Rate for Payer: UnitedHealthcare Community & State	$4.29
Rate for Payer: Wellpoint Medicaid Managed Care	$3.86

SCREW 2.7 CORTEX SELF TAPPING

Facility

$135.75

Hospital Charge Code	270656722
Hospital Revenue Code	278
Min. Negotiated Rate	$20.36
Max. Negotiated Rate	$32.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.85
Rate for Payer: Qualcare PPO/HMO/WC	$20.36

SCREW 2.7 CORTEX SELF TAPPING

Facility

$135.75

Hospital Charge Code	270657221
Hospital Revenue Code	278
Min. Negotiated Rate	$20.36
Max. Negotiated Rate	$32.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.85
Rate for Payer: Qualcare PPO/HMO/WC	$20.36

SCREW 2.7 CORTEX SELF TAPPING

Facility

$135.75

Hospital Charge Code	270656722
Hospital Revenue Code	278
Min. Negotiated Rate	$3.86
Max. Negotiated Rate	$67.88
Rate for Payer: Aetna Commercial	$51.59
Rate for Payer: Aetna Medicare Advantage	$40.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.62
Rate for Payer: Cigna Commercial	$67.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.85
Rate for Payer: Qualcare PPO/HMO/WC	$20.36
Rate for Payer: UnitedHealthcare Community & State	$4.29
Rate for Payer: Wellpoint Medicaid Managed Care	$3.86

Know your out-of-pocket cost for care.

All Charges