Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 3.5MM LOCKING SELF TAP

Facility

$534.55

Service Code	HCPCS C1713
Hospital Charge Code	270656222
Hospital Revenue Code	278
Min. Negotiated Rate	$80.18
Max. Negotiated Rate	$129.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.36
Rate for Payer: Qualcare PPO/HMO/WC	$80.18

SCREW 3.5MM LOCKING SELF TAP

Facility

$534.55

Service Code	HCPCS C1713
Hospital Charge Code	270656221
Hospital Revenue Code	278
Min. Negotiated Rate	$15.18
Max. Negotiated Rate	$267.27
Rate for Payer: Aetna Commercial	$203.13
Rate for Payer: Aetna Medicare Advantage	$160.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.31
Rate for Payer: Cigna Commercial	$267.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.36
Rate for Payer: Qualcare PPO/HMO/WC	$80.18
Rate for Payer: UnitedHealthcare Community & State	$16.89
Rate for Payer: Wellpoint Medicaid Managed Care	$15.18

SCREW 3.5MM LOCKING SELF TAP

Facility

$534.55

Service Code	HCPCS C1713
Hospital Charge Code	270656217
Hospital Revenue Code	278
Min. Negotiated Rate	$80.18
Max. Negotiated Rate	$129.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.36
Rate for Payer: Qualcare PPO/HMO/WC	$80.18

SCREW 3.5MM LOCKING SELF TAP

Facility

$519.00

Hospital Charge Code	270656814
Hospital Revenue Code	278
Min. Negotiated Rate	$14.74
Max. Negotiated Rate	$259.50
Rate for Payer: Aetna Commercial	$197.22
Rate for Payer: Aetna Medicare Advantage	$155.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.34
Rate for Payer: Cigna Commercial	$259.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.60
Rate for Payer: Qualcare PPO/HMO/WC	$77.85
Rate for Payer: UnitedHealthcare Community & State	$16.40
Rate for Payer: Wellpoint Medicaid Managed Care	$14.74

SCREW 3.5MM LOCKING SELF TAP

Facility

$534.55

Service Code	HCPCS C1713
Hospital Charge Code	270656209
Hospital Revenue Code	278
Min. Negotiated Rate	$15.18
Max. Negotiated Rate	$267.27
Rate for Payer: Aetna Commercial	$203.13
Rate for Payer: Aetna Medicare Advantage	$160.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.31
Rate for Payer: Cigna Commercial	$267.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.36
Rate for Payer: Qualcare PPO/HMO/WC	$80.18
Rate for Payer: UnitedHealthcare Community & State	$16.89
Rate for Payer: Wellpoint Medicaid Managed Care	$15.18

SCREW 3.5MM LOCKING SELF TAP

Facility

$519.00

Hospital Charge Code	270656811
Hospital Revenue Code	278
Min. Negotiated Rate	$14.74
Max. Negotiated Rate	$259.50
Rate for Payer: Aetna Commercial	$197.22
Rate for Payer: Aetna Medicare Advantage	$155.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.34
Rate for Payer: Cigna Commercial	$259.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.60
Rate for Payer: Qualcare PPO/HMO/WC	$77.85
Rate for Payer: UnitedHealthcare Community & State	$16.40
Rate for Payer: Wellpoint Medicaid Managed Care	$14.74

SCREW 3.5MM LOCKING SELF TAP

Facility

$519.00

Hospital Charge Code	270656811
Hospital Revenue Code	278
Min. Negotiated Rate	$77.85
Max. Negotiated Rate	$125.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.60
Rate for Payer: Qualcare PPO/HMO/WC	$77.85

SCREW 3.5MM LOCKING SELF TAP

Facility

$519.00

Hospital Charge Code	270656224
Hospital Revenue Code	278
Min. Negotiated Rate	$77.85
Max. Negotiated Rate	$125.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.60
Rate for Payer: Qualcare PPO/HMO/WC	$77.85

SCREW 3.5MM LOCKING SELF TAP

Facility

$519.00

Hospital Charge Code	270656223
Hospital Revenue Code	278
Min. Negotiated Rate	$77.85
Max. Negotiated Rate	$125.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.60
Rate for Payer: Qualcare PPO/HMO/WC	$77.85

SCREW 3.5MM LOCKING SELF TAP

Facility

$534.55

Service Code	HCPCS C1713
Hospital Charge Code	270656211
Hospital Revenue Code	278
Min. Negotiated Rate	$80.18
Max. Negotiated Rate	$129.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.36
Rate for Payer: Qualcare PPO/HMO/WC	$80.18

SCREW 3.5MM LOCKING SELF TAP

Facility

$534.55

Service Code	HCPCS C1713
Hospital Charge Code	270656217
Hospital Revenue Code	278
Min. Negotiated Rate	$15.18
Max. Negotiated Rate	$267.27
Rate for Payer: Aetna Commercial	$203.13
Rate for Payer: Aetna Medicare Advantage	$160.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.31
Rate for Payer: Cigna Commercial	$267.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.36
Rate for Payer: Qualcare PPO/HMO/WC	$80.18
Rate for Payer: UnitedHealthcare Community & State	$16.89
Rate for Payer: Wellpoint Medicaid Managed Care	$15.18

SCREW 3.5MM LOCKING SELF TAP

Facility

$534.55

Service Code	HCPCS C1713
Hospital Charge Code	270656209
Hospital Revenue Code	278
Min. Negotiated Rate	$80.18
Max. Negotiated Rate	$129.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.36
Rate for Payer: Qualcare PPO/HMO/WC	$80.18

SCREW 3.5MM LOCKING SELF TAP

Facility

$519.00

Hospital Charge Code	270656224
Hospital Revenue Code	278
Min. Negotiated Rate	$14.74
Max. Negotiated Rate	$259.50
Rate for Payer: Aetna Commercial	$197.22
Rate for Payer: Aetna Medicare Advantage	$155.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.34
Rate for Payer: Cigna Commercial	$259.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.60
Rate for Payer: Qualcare PPO/HMO/WC	$77.85
Rate for Payer: UnitedHealthcare Community & State	$16.40
Rate for Payer: Wellpoint Medicaid Managed Care	$14.74

SCREW 3.5MM LOCKING SELFTAP

Facility

$519.00

Hospital Charge Code	270656218
Hospital Revenue Code	278
Min. Negotiated Rate	$14.74
Max. Negotiated Rate	$259.50
Rate for Payer: Aetna Commercial	$197.22
Rate for Payer: Aetna Medicare Advantage	$155.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.34
Rate for Payer: Cigna Commercial	$259.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.60
Rate for Payer: Qualcare PPO/HMO/WC	$77.85
Rate for Payer: UnitedHealthcare Community & State	$16.40
Rate for Payer: Wellpoint Medicaid Managed Care	$14.74

SCREW 3.5MM LOCKING SELFTAP

Facility

$519.00

Hospital Charge Code	270656213
Hospital Revenue Code	278
Min. Negotiated Rate	$14.74
Max. Negotiated Rate	$259.50
Rate for Payer: Aetna Commercial	$197.22
Rate for Payer: Aetna Medicare Advantage	$155.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.34
Rate for Payer: Cigna Commercial	$259.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.60
Rate for Payer: Qualcare PPO/HMO/WC	$77.85
Rate for Payer: UnitedHealthcare Community & State	$16.40
Rate for Payer: Wellpoint Medicaid Managed Care	$14.74

SCREW 3.5MM LOCKING SELFTAP

Facility

$519.00

Hospital Charge Code	270656213
Hospital Revenue Code	278
Min. Negotiated Rate	$77.85
Max. Negotiated Rate	$125.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.60
Rate for Payer: Qualcare PPO/HMO/WC	$77.85

SCREW 3.5MM LOCKING SELFTAP

Facility

$519.00

Hospital Charge Code	270656214
Hospital Revenue Code	278
Min. Negotiated Rate	$77.85
Max. Negotiated Rate	$125.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.60
Rate for Payer: Qualcare PPO/HMO/WC	$77.85

SCREW 3.5MM LOCKING SELFTAP

Facility

$519.00

Hospital Charge Code	270656216
Hospital Revenue Code	278
Min. Negotiated Rate	$14.74
Max. Negotiated Rate	$259.50
Rate for Payer: Aetna Commercial	$197.22
Rate for Payer: Aetna Medicare Advantage	$155.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.34
Rate for Payer: Cigna Commercial	$259.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.60
Rate for Payer: Qualcare PPO/HMO/WC	$77.85
Rate for Payer: UnitedHealthcare Community & State	$16.40
Rate for Payer: Wellpoint Medicaid Managed Care	$14.74

SCREW 3.5MM LOCKING SELFTAP

Facility

$519.00

Hospital Charge Code	270656214
Hospital Revenue Code	278
Min. Negotiated Rate	$14.74
Max. Negotiated Rate	$259.50
Rate for Payer: Aetna Commercial	$197.22
Rate for Payer: Aetna Medicare Advantage	$155.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.34
Rate for Payer: Cigna Commercial	$259.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.60
Rate for Payer: Qualcare PPO/HMO/WC	$77.85
Rate for Payer: UnitedHealthcare Community & State	$16.40
Rate for Payer: Wellpoint Medicaid Managed Care	$14.74

SCREW 3.5MM LOCKING SELFTAP

Facility

$519.00

Hospital Charge Code	270656225
Hospital Revenue Code	278
Min. Negotiated Rate	$14.74
Max. Negotiated Rate	$259.50
Rate for Payer: Aetna Commercial	$197.22
Rate for Payer: Aetna Medicare Advantage	$155.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.34
Rate for Payer: Cigna Commercial	$259.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.60
Rate for Payer: Qualcare PPO/HMO/WC	$77.85
Rate for Payer: UnitedHealthcare Community & State	$16.40
Rate for Payer: Wellpoint Medicaid Managed Care	$14.74

SCREW 3.5MM LOCKING SELFTAP

Facility

$519.00

Hospital Charge Code	270656225
Hospital Revenue Code	278
Min. Negotiated Rate	$77.85
Max. Negotiated Rate	$125.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.60
Rate for Payer: Qualcare PPO/HMO/WC	$77.85

SCREW 3.5MM LOCKING SELFTAP

Facility

$519.00

Hospital Charge Code	270656218
Hospital Revenue Code	278
Min. Negotiated Rate	$77.85
Max. Negotiated Rate	$125.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.60
Rate for Payer: Qualcare PPO/HMO/WC	$77.85

SCREW 3.5MM LOCKING SELFTAP

Facility

$519.00

Hospital Charge Code	270656216
Hospital Revenue Code	278
Min. Negotiated Rate	$77.85
Max. Negotiated Rate	$125.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.60
Rate for Payer: Qualcare PPO/HMO/WC	$77.85

SCREW 3.5MM TI 34MM

Facility

$87.75

Hospital Charge Code	270656817
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 TI 34MM

Facility

$87.75

Hospital Charge Code	270656817
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