Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 3.5MM TI SHAFT 36MM

Facility

$74.25

Hospital Charge Code	270656845
Hospital Revenue Code	278
Min. Negotiated Rate	$11.14
Max. Negotiated Rate	$17.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.97
Rate for Payer: Qualcare PPO/HMO/WC	$11.14

SCREW 3.5MM TI SHAFT 36MM

Facility

$74.25

Hospital Charge Code	270656845
Hospital Revenue Code	278
Min. Negotiated Rate	$2.11
Max. Negotiated Rate	$37.12
Rate for Payer: Aetna Commercial	$28.21
Rate for Payer: Aetna Medicare Advantage	$22.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.93
Rate for Payer: Cigna Commercial	$37.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.97
Rate for Payer: Qualcare PPO/HMO/WC	$11.14
Rate for Payer: UnitedHealthcare Community & State	$2.35
Rate for Payer: Wellpoint Medicaid Managed Care	$2.11

SCREW 3.5MM TI SHAFT 38MM

Facility

$74.25

Hospital Charge Code	270656850
Hospital Revenue Code	278
Min. Negotiated Rate	$2.11
Max. Negotiated Rate	$37.12
Rate for Payer: Aetna Commercial	$28.21
Rate for Payer: Aetna Medicare Advantage	$22.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.93
Rate for Payer: Cigna Commercial	$37.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.97
Rate for Payer: Qualcare PPO/HMO/WC	$11.14
Rate for Payer: UnitedHealthcare Community & State	$2.35
Rate for Payer: Wellpoint Medicaid Managed Care	$2.11

SCREW 3.5MM TI SHAFT 38MM

Facility

$74.25

Hospital Charge Code	270656850
Hospital Revenue Code	278
Min. Negotiated Rate	$11.14
Max. Negotiated Rate	$17.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.97
Rate for Payer: Qualcare PPO/HMO/WC	$11.14

SCREW 3.5MM TI SHAFT 38MM

Facility

$87.75

Hospital Charge Code	270656843
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 TI SHAFT 38MM

Facility

$87.75

Hospital Charge Code	270656843
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 3.5 MMx 20 MM LP NONLOCK

Facility

$370.00

Hospital Charge Code	270701884
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 3.5 MMx 20 MM LP NONLOCK

Facility

$370.00

Hospital Charge Code	270701884
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 3.5MM X 28MM LOCKING

Facility

$1,575.00

Service Code	HCPCS C1713
Hospital Charge Code	270702086
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 3.5MM X 28MM LOCKING

Facility

$1,575.00

Service Code	HCPCS C1713
Hospital Charge Code	270702086
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 X 34MM LOCLING SCR

Facility

$1,575.00

Service Code	HCPCS C1713
Hospital Charge Code	270702087
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 3.5MM X 34MM LOCLING SCR

Facility

$1,575.00

Service Code	HCPCS C1713
Hospital Charge Code	270702087
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 X 36MM LOCKING

Facility

$1,575.00

Service Code	HCPCS C1713
Hospital Charge Code	270702085
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 3.5MM X 36MM LOCKING

Facility

$1,575.00

Service Code	HCPCS C1713
Hospital Charge Code	270702085
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 X 36MM NON-LOCKING

Facility

$950.00

Service Code	HCPCS C1713
Hospital Charge Code	270702084
Hospital Revenue Code	278
Min. Negotiated Rate	$26.98
Max. Negotiated Rate	$475.00
Rate for Payer: Aetna Commercial	$361.00
Rate for Payer: Aetna Medicare Advantage	$285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.25
Rate for Payer: Cigna Commercial	$475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.90
Rate for Payer: Qualcare PPO/HMO/WC	$142.50
Rate for Payer: UnitedHealthcare Community & State	$30.02
Rate for Payer: Wellpoint Medicaid Managed Care	$26.98

SCREW 3.5MM X 36MM NON-LOCKING

Facility

$950.00

Service Code	HCPCS C1713
Hospital Charge Code	270702084
Hospital Revenue Code	278
Min. Negotiated Rate	$142.50
Max. Negotiated Rate	$229.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.90
Rate for Payer: Qualcare PPO/HMO/WC	$142.50

SCREW 3.5X10MM NONLOCKING

Facility

$1,220.00

Service Code	HCPCS C1713
Hospital Charge Code	270705396
Hospital Revenue Code	278
Min. Negotiated Rate	$34.65
Max. Negotiated Rate	$610.00
Rate for Payer: Aetna Commercial	$463.60
Rate for Payer: Aetna Medicare Advantage	$366.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$311.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$311.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$244.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$311.10
Rate for Payer: Cigna Commercial	$610.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$295.24
Rate for Payer: Qualcare PPO/HMO/WC	$183.00
Rate for Payer: UnitedHealthcare Community & State	$38.55
Rate for Payer: Wellpoint Medicaid Managed Care	$34.65

SCREW 3.5X10MM NONLOCKING

Facility

$1,220.00

Service Code	HCPCS C1713
Hospital Charge Code	270705396
Hospital Revenue Code	278
Min. Negotiated Rate	$183.00
Max. Negotiated Rate	$295.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$244.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$295.24
Rate for Payer: Qualcare PPO/HMO/WC	$183.00

SCREW 3.5X12MM

Facility

$3,390.00

Service Code	HCPCS C1713
Hospital Charge Code	270669221
Hospital Revenue Code	278
Min. Negotiated Rate	$96.28
Max. Negotiated Rate	$1,695.00
Rate for Payer: Aetna Commercial	$1,288.20
Rate for Payer: Aetna Medicare Advantage	$1,017.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$864.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$864.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$678.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$864.45
Rate for Payer: Cigna Commercial	$1,695.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$820.38
Rate for Payer: Qualcare PPO/HMO/WC	$508.50
Rate for Payer: UnitedHealthcare Community & State	$107.12
Rate for Payer: Wellpoint Medicaid Managed Care	$96.28

SCREW 3.5X12MM

Facility

$6,740.00

Service Code	HCPCS C1713
Hospital Charge Code	270694820
Hospital Revenue Code	278
Min. Negotiated Rate	$1,011.00
Max. Negotiated Rate	$1,631.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,348.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,631.08
Rate for Payer: Qualcare PPO/HMO/WC	$1,011.00

SCREW 3.5X12MM

Facility

$3,675.00

Service Code	HCPCS C1713
Hospital Charge Code	270704446
Hospital Revenue Code	278
Min. Negotiated Rate	$551.25
Max. Negotiated Rate	$889.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$735.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$889.35
Rate for Payer: Qualcare PPO/HMO/WC	$551.25

SCREW 3.5X12MM

Facility

$6,740.00

Service Code	HCPCS C1713
Hospital Charge Code	270694820
Hospital Revenue Code	278
Min. Negotiated Rate	$191.42
Max. Negotiated Rate	$3,370.00
Rate for Payer: Aetna Commercial	$2,561.20
Rate for Payer: Aetna Medicare Advantage	$2,022.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,718.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,718.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,348.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,718.70
Rate for Payer: Cigna Commercial	$3,370.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,631.08
Rate for Payer: Qualcare PPO/HMO/WC	$1,011.00
Rate for Payer: UnitedHealthcare Community & State	$212.98
Rate for Payer: Wellpoint Medicaid Managed Care	$191.42

SCREW 3.5X12MM

Facility

$6,740.00

Service Code	HCPCS C1713
Hospital Charge Code	270694813
Hospital Revenue Code	278
Min. Negotiated Rate	$191.42
Max. Negotiated Rate	$3,370.00
Rate for Payer: Aetna Commercial	$2,561.20
Rate for Payer: Aetna Medicare Advantage	$2,022.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,718.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,718.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,348.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,718.70
Rate for Payer: Cigna Commercial	$3,370.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,631.08
Rate for Payer: Qualcare PPO/HMO/WC	$1,011.00
Rate for Payer: UnitedHealthcare Community & State	$212.98
Rate for Payer: Wellpoint Medicaid Managed Care	$191.42

SCREW 3.5X12MM

Facility

$3,390.00

Service Code	HCPCS C1713
Hospital Charge Code	270669221
Hospital Revenue Code	278
Min. Negotiated Rate	$508.50
Max. Negotiated Rate	$820.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$678.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$820.38
Rate for Payer: Qualcare PPO/HMO/WC	$508.50

SCREW 3.5X12MM

Facility

$3,675.00

Service Code	HCPCS C1713
Hospital Charge Code	270704446
Hospital Revenue Code	278
Min. Negotiated Rate	$104.37
Max. Negotiated Rate	$1,837.50
Rate for Payer: Aetna Commercial	$1,396.50
Rate for Payer: Aetna Medicare Advantage	$1,102.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$937.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$937.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$735.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$937.12
Rate for Payer: Cigna Commercial	$1,837.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$889.35
Rate for Payer: Qualcare PPO/HMO/WC	$551.25
Rate for Payer: UnitedHealthcare Community & State	$116.13
Rate for Payer: Wellpoint Medicaid Managed Care	$104.37

Know your out-of-pocket cost for care.

All Charges