Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 3.0X36MM INTERFRAG

Facility

$2,725.00

Service Code	HCPCS C1713
Hospital Charge Code	270690866
Hospital Revenue Code	278
Min. Negotiated Rate	$77.39
Max. Negotiated Rate	$1,362.50
Rate for Payer: Aetna Commercial	$1,035.50
Rate for Payer: Aetna Medicare Advantage	$817.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$694.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$694.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$545.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$694.88
Rate for Payer: Cigna Commercial	$1,362.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$659.45
Rate for Payer: Qualcare PPO/HMO/WC	$408.75
Rate for Payer: UnitedHealthcare Community & State	$86.11
Rate for Payer: Wellpoint Medicaid Managed Care	$77.39

SCREW 3.0X36MM INTERFRAG

Facility

$2,725.00

Service Code	HCPCS C1713
Hospital Charge Code	270690866
Hospital Revenue Code	278
Min. Negotiated Rate	$408.75
Max. Negotiated Rate	$659.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$545.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$659.45
Rate for Payer: Qualcare PPO/HMO/WC	$408.75

SCREW 30x5.5mm

Facility

$3,176.25

Service Code	HCPCS C1713
Hospital Charge Code	270679297
Hospital Revenue Code	278
Min. Negotiated Rate	$476.44
Max. Negotiated Rate	$768.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$635.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$768.65
Rate for Payer: Qualcare PPO/HMO/WC	$476.44

SCREW 30x5.5mm

Facility

$3,176.25

Service Code	HCPCS C1713
Hospital Charge Code	270679297
Hospital Revenue Code	278
Min. Negotiated Rate	$90.21
Max. Negotiated Rate	$1,588.12
Rate for Payer: Aetna Commercial	$1,206.97
Rate for Payer: Aetna Medicare Advantage	$952.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$809.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$809.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$635.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$809.94
Rate for Payer: Cigna Commercial	$1,588.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$768.65
Rate for Payer: Qualcare PPO/HMO/WC	$476.44
Rate for Payer: UnitedHealthcare Community & State	$100.37
Rate for Payer: Wellpoint Medicaid Managed Care	$90.21

SCREW 3.5 CRTX LOW 52 MM

Facility

$665.00

Service Code	HCPCS C1713
Hospital Charge Code	270700833
Hospital Revenue Code	278
Min. Negotiated Rate	$18.89
Max. Negotiated Rate	$332.50
Rate for Payer: Aetna Commercial	$252.70
Rate for Payer: Aetna Medicare Advantage	$199.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$169.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$169.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$133.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$169.57
Rate for Payer: Cigna Commercial	$332.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.93
Rate for Payer: Qualcare PPO/HMO/WC	$99.75
Rate for Payer: UnitedHealthcare Community & State	$21.01
Rate for Payer: Wellpoint Medicaid Managed Care	$18.89

SCREW 3.5 CRTX LOW 52 MM

Facility

$665.00

Service Code	HCPCS C1713
Hospital Charge Code	270700833
Hospital Revenue Code	278
Min. Negotiated Rate	$99.75
Max. Negotiated Rate	$160.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$133.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.93
Rate for Payer: Qualcare PPO/HMO/WC	$99.75

SCREW 3.5 LOCKING W/2.7MM HEAD

Facility

$522.00

Hospital Charge Code	270665202
Hospital Revenue Code	278
Min. Negotiated Rate	$14.82
Max. Negotiated Rate	$261.00
Rate for Payer: Aetna Commercial	$198.36
Rate for Payer: Aetna Medicare Advantage	$156.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.11
Rate for Payer: Cigna Commercial	$261.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.32
Rate for Payer: Qualcare PPO/HMO/WC	$78.30
Rate for Payer: UnitedHealthcare Community & State	$16.50
Rate for Payer: Wellpoint Medicaid Managed Care	$14.82

SCREW 3.5 LOCKING W/2.7MM HEAD

Facility

$522.00

Hospital Charge Code	270665202
Hospital Revenue Code	278
Min. Negotiated Rate	$78.30
Max. Negotiated Rate	$126.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.32
Rate for Payer: Qualcare PPO/HMO/WC	$78.30

SCREW 35MM

Facility

$5,210.00

Hospital Charge Code	270702575
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 35MM

Facility

$5,210.00

Hospital Charge Code	270702575
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 3.5 MM 24 MM ST DRIVER

Facility

$1,495.85

Service Code	HCPCS C1713
Hospital Charge Code	270680967
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 3.5 MM 24 MM ST DRIVER

Facility

$1,495.85

Service Code	HCPCS C1713
Hospital Charge Code	270680967
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 3.5MM 32MM LOCKING

Facility

$1,575.00

Service Code	HCPCS C1713
Hospital Charge Code	270702088
Hospital Revenue Code	278
Min. Negotiated Rate	$44.73
Max. Negotiated Rate	$787.50
Rate for Payer: Aetna Commercial	$598.50
Rate for Payer: Aetna Medicare Advantage	$472.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$401.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$401.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$315.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$401.62
Rate for Payer: Cigna Commercial	$787.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$381.15
Rate for Payer: Qualcare PPO/HMO/WC	$236.25
Rate for Payer: UnitedHealthcare Community & State	$49.77
Rate for Payer: Wellpoint Medicaid Managed Care	$44.73

SCREW 3.5MM 32MM LOCKING

Facility

$1,575.00

Service Code	HCPCS C1713
Hospital Charge Code	270702088
Hospital Revenue Code	278
Min. Negotiated Rate	$236.25
Max. Negotiated Rate	$381.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$315.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$381.15
Rate for Payer: Qualcare PPO/HMO/WC	$236.25

SCREW 3.5 MM 50 CC

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270684027
Hospital Revenue Code	278
Min. Negotiated Rate	$8.52
Max. Negotiated Rate	$150.00
Rate for Payer: Aetna Commercial	$114.00
Rate for Payer: Aetna Medicare Advantage	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$45.00
Rate for Payer: UnitedHealthcare Community & State	$9.48
Rate for Payer: Wellpoint Medicaid Managed Care	$8.52

SCREW 3.5 MM 50 CC

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270684027
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$72.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

SCREW 3.5MM CORT 15MM CS15000

Facility

$540.00

Service Code	HCPCS C1713
Hospital Charge Code	270651368
Hospital Revenue Code	278
Min. Negotiated Rate	$81.00
Max. Negotiated Rate	$130.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.68
Rate for Payer: Qualcare PPO/HMO/WC	$81.00

SCREW 3.5MM CORT 15MM CS15000

Facility

$540.00

Service Code	HCPCS C1713
Hospital Charge Code	270651368
Hospital Revenue Code	278
Min. Negotiated Rate	$15.34
Max. Negotiated Rate	$270.00
Rate for Payer: Aetna Commercial	$205.20
Rate for Payer: Aetna Medicare Advantage	$162.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$137.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$137.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$137.70
Rate for Payer: Cigna Commercial	$270.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.68
Rate for Payer: Qualcare PPO/HMO/WC	$81.00
Rate for Payer: UnitedHealthcare Community & State	$17.06
Rate for Payer: Wellpoint Medicaid Managed Care	$15.34

SCREW 3.5MM CORTEX SELF TAP

Facility

$87.75

Hospital Charge Code	270656840
Hospital Revenue Code	278
Min. Negotiated Rate	$13.16
Max. Negotiated Rate	$21.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.24
Rate for Payer: Qualcare PPO/HMO/WC	$13.16

SCREW 3.5MM CORTEX SELF TAP

Facility

$87.75

Hospital Charge Code	270656842
Hospital Revenue Code	278
Min. Negotiated Rate	$13.16
Max. Negotiated Rate	$21.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.24
Rate for Payer: Qualcare PPO/HMO/WC	$13.16

SCREW 3.5MM CORTEX SELF TAP

Facility

$87.75

Hospital Charge Code	270656829
Hospital Revenue Code	278
Min. Negotiated Rate	$2.49
Max. Negotiated Rate	$43.88
Rate for Payer: Aetna Commercial	$33.34
Rate for Payer: Aetna Medicare Advantage	$26.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.38
Rate for Payer: Cigna Commercial	$43.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.24
Rate for Payer: Qualcare PPO/HMO/WC	$13.16
Rate for Payer: UnitedHealthcare Community & State	$2.77
Rate for Payer: Wellpoint Medicaid Managed Care	$2.49

SCREW 3.5MM CORTEX SELF TAP

Facility

$87.75

Hospital Charge Code	270656921
Hospital Revenue Code	278
Min. Negotiated Rate	$2.49
Max. Negotiated Rate	$43.88
Rate for Payer: Aetna Commercial	$33.34
Rate for Payer: Aetna Medicare Advantage	$26.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.38
Rate for Payer: Cigna Commercial	$43.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.24
Rate for Payer: Qualcare PPO/HMO/WC	$13.16
Rate for Payer: UnitedHealthcare Community & State	$2.77
Rate for Payer: Wellpoint Medicaid Managed Care	$2.49

SCREW 3.5MM CORTEX SELF TAP

Facility

$87.75

Hospital Charge Code	270656831
Hospital Revenue Code	278
Min. Negotiated Rate	$2.49
Max. Negotiated Rate	$43.88
Rate for Payer: Aetna Commercial	$33.34
Rate for Payer: Aetna Medicare Advantage	$26.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.38
Rate for Payer: Cigna Commercial	$43.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.24
Rate for Payer: Qualcare PPO/HMO/WC	$13.16
Rate for Payer: UnitedHealthcare Community & State	$2.77
Rate for Payer: Wellpoint Medicaid Managed Care	$2.49

SCREW 3.5MM CORTEX SELF TAP

Facility

$87.75

Hospital Charge Code	270656920
Hospital Revenue Code	278
Min. Negotiated Rate	$2.49
Max. Negotiated Rate	$43.88
Rate for Payer: Aetna Commercial	$33.34
Rate for Payer: Aetna Medicare Advantage	$26.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.38
Rate for Payer: Cigna Commercial	$43.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.24
Rate for Payer: Qualcare PPO/HMO/WC	$13.16
Rate for Payer: UnitedHealthcare Community & State	$2.77
Rate for Payer: Wellpoint Medicaid Managed Care	$2.49

SCREW 3.5MM CORTEX SELF TAP

Facility

$87.75

Hospital Charge Code	270656835
Hospital Revenue Code	278
Min. Negotiated Rate	$13.16
Max. Negotiated Rate	$21.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.24
Rate for Payer: Qualcare PPO/HMO/WC	$13.16

Know your out-of-pocket cost for care.

All Charges