Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 2.7X20MM

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270669677
Hospital Revenue Code	278
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$169.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

SCREW 2.7X22 SCREW

Facility

$1,316.85

Hospital Charge Code	270656322
Hospital Revenue Code	278
Min. Negotiated Rate	$37.40
Max. Negotiated Rate	$658.42
Rate for Payer: Aetna Commercial	$500.40
Rate for Payer: Aetna Medicare Advantage	$395.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$335.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$335.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$263.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$335.80
Rate for Payer: Cigna Commercial	$658.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$318.68
Rate for Payer: Qualcare PPO/HMO/WC	$197.53
Rate for Payer: UnitedHealthcare Community & State	$41.61
Rate for Payer: Wellpoint Medicaid Managed Care	$37.40

SCREW 2.7X22 SCREW

Facility

$1,316.85

Hospital Charge Code	270656322
Hospital Revenue Code	278
Min. Negotiated Rate	$197.53
Max. Negotiated Rate	$318.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$263.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$318.68
Rate for Payer: Qualcare PPO/HMO/WC	$197.53

SCREW 2.7X24MM NL

Facility

$370.00

Hospital Charge Code	270703493
Hospital Revenue Code	278
Min. Negotiated Rate	$55.50
Max. Negotiated Rate	$89.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.54
Rate for Payer: Qualcare PPO/HMO/WC	$55.50

SCREW 2.7X24MM NL

Facility

$370.00

Hospital Charge Code	270703493
Hospital Revenue Code	278
Min. Negotiated Rate	$10.51
Max. Negotiated Rate	$185.00
Rate for Payer: Aetna Commercial	$140.60
Rate for Payer: Aetna Medicare Advantage	$111.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.35
Rate for Payer: Cigna Commercial	$185.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.54
Rate for Payer: Qualcare PPO/HMO/WC	$55.50
Rate for Payer: UnitedHealthcare Community & State	$11.69
Rate for Payer: Wellpoint Medicaid Managed Care	$10.51

SCREW 2.7X26MM L

Facility

$630.00

Hospital Charge Code	270703495
Hospital Revenue Code	278
Min. Negotiated Rate	$94.50
Max. Negotiated Rate	$152.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$126.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$152.46
Rate for Payer: Qualcare PPO/HMO/WC	$94.50

SCREW 2.7X26MM L

Facility

$630.00

Hospital Charge Code	270703495
Hospital Revenue Code	278
Min. Negotiated Rate	$17.89
Max. Negotiated Rate	$315.00
Rate for Payer: Aetna Commercial	$239.40
Rate for Payer: Aetna Medicare Advantage	$189.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$160.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$160.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$126.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$160.65
Rate for Payer: Cigna Commercial	$315.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$152.46
Rate for Payer: Qualcare PPO/HMO/WC	$94.50
Rate for Payer: UnitedHealthcare Community & State	$19.91
Rate for Payer: Wellpoint Medicaid Managed Care	$17.89

SCREW 2.8X8MM

Facility

$2,425.00

Service Code	HCPCS C1713
Hospital Charge Code	270695109
Hospital Revenue Code	278
Min. Negotiated Rate	$68.87
Max. Negotiated Rate	$1,212.50
Rate for Payer: Aetna Commercial	$921.50
Rate for Payer: Aetna Medicare Advantage	$727.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$618.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$618.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$485.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$618.38
Rate for Payer: Cigna Commercial	$1,212.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$586.85
Rate for Payer: Qualcare PPO/HMO/WC	$363.75
Rate for Payer: UnitedHealthcare Community & State	$76.63
Rate for Payer: Wellpoint Medicaid Managed Care	$68.87

SCREW 2.8X8MM

Facility

$2,425.00

Service Code	HCPCS C1713
Hospital Charge Code	270695109
Hospital Revenue Code	278
Min. Negotiated Rate	$363.75
Max. Negotiated Rate	$586.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$485.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$586.85
Rate for Payer: Qualcare PPO/HMO/WC	$363.75

SCREW 3.0 CCHS 26 MM LT

Facility

$1,898.00

Service Code	HCPCS C1713
Hospital Charge Code	270691549
Hospital Revenue Code	278
Min. Negotiated Rate	$53.90
Max. Negotiated Rate	$949.00
Rate for Payer: Aetna Commercial	$721.24
Rate for Payer: Aetna Medicare Advantage	$569.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$483.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$483.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$379.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$483.99
Rate for Payer: Cigna Commercial	$949.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.32
Rate for Payer: Qualcare PPO/HMO/WC	$284.70
Rate for Payer: UnitedHealthcare Community & State	$59.98
Rate for Payer: Wellpoint Medicaid Managed Care	$53.90

SCREW 3.0 CCHS 26 MM LT

Facility

$1,898.00

Service Code	HCPCS C1713
Hospital Charge Code	270691549
Hospital Revenue Code	278
Min. Negotiated Rate	$284.70
Max. Negotiated Rate	$459.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$379.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.32
Rate for Payer: Qualcare PPO/HMO/WC	$284.70

SCREW 3.0 CCHS 32 MM LT

Facility

$1,898.00

Service Code	HCPCS C1713
Hospital Charge Code	270691550
Hospital Revenue Code	278
Min. Negotiated Rate	$284.70
Max. Negotiated Rate	$459.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$379.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.32
Rate for Payer: Qualcare PPO/HMO/WC	$284.70

SCREW 3.0 CCHS 32 MM LT

Facility

$1,898.00

Service Code	HCPCS C1713
Hospital Charge Code	270691550
Hospital Revenue Code	278
Min. Negotiated Rate	$53.90
Max. Negotiated Rate	$949.00
Rate for Payer: Aetna Commercial	$721.24
Rate for Payer: Aetna Medicare Advantage	$569.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$483.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$483.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$379.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$483.99
Rate for Payer: Cigna Commercial	$949.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.32
Rate for Payer: Qualcare PPO/HMO/WC	$284.70
Rate for Payer: UnitedHealthcare Community & State	$59.98
Rate for Payer: Wellpoint Medicaid Managed Care	$53.90

SCREW 3.0 CCHS 32 MMM

Facility

$4,868.60

Service Code	HCPCS C1713
Hospital Charge Code	270691569
Hospital Revenue Code	278
Min. Negotiated Rate	$138.27
Max. Negotiated Rate	$2,434.30
Rate for Payer: Aetna Commercial	$1,850.07
Rate for Payer: Aetna Medicare Advantage	$1,460.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,241.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,241.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$973.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,241.49
Rate for Payer: Cigna Commercial	$2,434.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,178.20
Rate for Payer: Qualcare PPO/HMO/WC	$730.29
Rate for Payer: UnitedHealthcare Community & State	$153.85
Rate for Payer: Wellpoint Medicaid Managed Care	$138.27

SCREW 3.0 CCHS 32 MMM

Facility

$4,868.60

Service Code	HCPCS C1713
Hospital Charge Code	270691569
Hospital Revenue Code	278
Min. Negotiated Rate	$730.29
Max. Negotiated Rate	$1,178.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$973.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,178.20
Rate for Payer: Qualcare PPO/HMO/WC	$730.29

SCREW 3.0MM 32 mm LONG THREAD

Facility

$1,495.85

Service Code	HCPCS C1713
Hospital Charge Code	270680968
Hospital Revenue Code	278
Min. Negotiated Rate	$224.38
Max. Negotiated Rate	$362.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$299.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$362.00
Rate for Payer: Qualcare PPO/HMO/WC	$224.38

SCREW 3.0MM 32 mm LONG THREAD

Facility

$1,495.85

Service Code	HCPCS C1713
Hospital Charge Code	270680968
Hospital Revenue Code	278
Min. Negotiated Rate	$42.48
Max. Negotiated Rate	$747.92
Rate for Payer: Aetna Commercial	$568.42
Rate for Payer: Aetna Medicare Advantage	$448.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$381.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$381.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$299.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$381.44
Rate for Payer: Cigna Commercial	$747.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$362.00
Rate for Payer: Qualcare PPO/HMO/WC	$224.38
Rate for Payer: UnitedHealthcare Community & State	$47.27
Rate for Payer: Wellpoint Medicaid Managed Care	$42.48

SCREW 3.0 X 10 VAR LOCKING

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270683493
Hospital Revenue Code	278
Min. Negotiated Rate	$19.88
Max. Negotiated Rate	$350.00
Rate for Payer: Aetna Commercial	$266.00
Rate for Payer: Aetna Medicare Advantage	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.50
Rate for Payer: Cigna Commercial	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: Qualcare PPO/HMO/WC	$105.00
Rate for Payer: UnitedHealthcare Community & State	$22.12
Rate for Payer: Wellpoint Medicaid Managed Care	$19.88

SCREW 3.0 X 10 VAR LOCKING

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270683493
Hospital Revenue Code	278
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$169.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

SCREW 3.0X14MM

Facility

$700.00

Hospital Charge Code	270669680
Hospital Revenue Code	278
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$169.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

SCREW 3.0X14MM

Facility

$700.00

Hospital Charge Code	270669680
Hospital Revenue Code	278
Min. Negotiated Rate	$19.88
Max. Negotiated Rate	$350.00
Rate for Payer: Aetna Commercial	$266.00
Rate for Payer: Aetna Medicare Advantage	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.50
Rate for Payer: Cigna Commercial	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: Qualcare PPO/HMO/WC	$105.00
Rate for Payer: UnitedHealthcare Community & State	$22.12
Rate for Payer: Wellpoint Medicaid Managed Care	$19.88

SCREW 3.0 X 18 MM HEADLESS

Facility

$2,110.00

Service Code	HCPCS C1713
Hospital Charge Code	270684001
Hospital Revenue Code	278
Min. Negotiated Rate	$59.92
Max. Negotiated Rate	$1,055.00
Rate for Payer: Aetna Commercial	$801.80
Rate for Payer: Aetna Medicare Advantage	$633.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$538.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$538.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$422.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$538.05
Rate for Payer: Cigna Commercial	$1,055.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$510.62
Rate for Payer: Qualcare PPO/HMO/WC	$316.50
Rate for Payer: UnitedHealthcare Community & State	$66.68
Rate for Payer: Wellpoint Medicaid Managed Care	$59.92

SCREW 3.0 X 18 MM HEADLESS

Facility

$2,110.00

Service Code	HCPCS C1713
Hospital Charge Code	270684001
Hospital Revenue Code	278
Min. Negotiated Rate	$316.50
Max. Negotiated Rate	$510.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$422.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$510.62
Rate for Payer: Qualcare PPO/HMO/WC	$316.50

SCREW 3.0 X 28 MM

Facility

$1,898.00

Service Code	HCPCS C1713
Hospital Charge Code	270691653
Hospital Revenue Code	278
Min. Negotiated Rate	$53.90
Max. Negotiated Rate	$949.00
Rate for Payer: Aetna Commercial	$721.24
Rate for Payer: Aetna Medicare Advantage	$569.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$483.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$483.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$379.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$483.99
Rate for Payer: Cigna Commercial	$949.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.32
Rate for Payer: Qualcare PPO/HMO/WC	$284.70
Rate for Payer: UnitedHealthcare Community & State	$59.98
Rate for Payer: Wellpoint Medicaid Managed Care	$53.90

SCREW 3.0 X 28 MM

Facility

$1,898.00

Service Code	HCPCS C1713
Hospital Charge Code	270691653
Hospital Revenue Code	278
Min. Negotiated Rate	$284.70
Max. Negotiated Rate	$459.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$379.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.32
Rate for Payer: Qualcare PPO/HMO/WC	$284.70

Know your out-of-pocket cost for care.

All Charges