Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 3.7mm CANN LOCKING 58mm

Facility

$812.65

Service Code	HCPCS C1713
Hospital Charge Code	270645821
Hospital Revenue Code	278
Min. Negotiated Rate	$23.08
Max. Negotiated Rate	$406.32
Rate for Payer: Aetna Commercial	$308.81
Rate for Payer: Aetna Medicare Advantage	$243.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$207.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$207.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$207.23
Rate for Payer: Cigna Commercial	$406.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.66
Rate for Payer: Qualcare PPO/HMO/WC	$121.90
Rate for Payer: UnitedHealthcare Community & State	$25.68
Rate for Payer: Wellpoint Medicaid Managed Care	$23.08

SCREW 3.7mm CANN LOCKING 58mm

Facility

$812.65

Service Code	HCPCS C1713
Hospital Charge Code	270645821
Hospital Revenue Code	278
Min. Negotiated Rate	$121.90
Max. Negotiated Rate	$196.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.66
Rate for Payer: Qualcare PPO/HMO/WC	$121.90

SCREW 3.7mm CANN LOCKING 60mm

Facility

$812.65

Service Code	HCPCS C1713
Hospital Charge Code	270645729
Hospital Revenue Code	278
Min. Negotiated Rate	$23.08
Max. Negotiated Rate	$406.32
Rate for Payer: Aetna Commercial	$308.81
Rate for Payer: Aetna Medicare Advantage	$243.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$207.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$207.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$207.23
Rate for Payer: Cigna Commercial	$406.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.66
Rate for Payer: Qualcare PPO/HMO/WC	$121.90
Rate for Payer: UnitedHealthcare Community & State	$25.68
Rate for Payer: Wellpoint Medicaid Managed Care	$23.08

SCREW 3.7mm CANN LOCKING 60mm

Facility

$812.65

Service Code	HCPCS C1713
Hospital Charge Code	270645729
Hospital Revenue Code	278
Min. Negotiated Rate	$121.90
Max. Negotiated Rate	$196.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.66
Rate for Payer: Qualcare PPO/HMO/WC	$121.90

SCREW 3.7mm CANN LOCKING 65mm

Facility

$812.65

Service Code	HCPCS C1713
Hospital Charge Code	270645726
Hospital Revenue Code	278
Min. Negotiated Rate	$121.90
Max. Negotiated Rate	$196.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.66
Rate for Payer: Qualcare PPO/HMO/WC	$121.90

SCREW 3.7mm CANN LOCKING 65mm

Facility

$812.65

Service Code	HCPCS C1713
Hospital Charge Code	270645726
Hospital Revenue Code	278
Min. Negotiated Rate	$23.08
Max. Negotiated Rate	$406.32
Rate for Payer: Aetna Commercial	$308.81
Rate for Payer: Aetna Medicare Advantage	$243.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$207.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$207.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$207.23
Rate for Payer: Cigna Commercial	$406.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.66
Rate for Payer: Qualcare PPO/HMO/WC	$121.90
Rate for Payer: UnitedHealthcare Community & State	$25.68
Rate for Payer: Wellpoint Medicaid Managed Care	$23.08

SCREW 3.7mm CANN LOCKING 70mm

Facility

$812.65

Service Code	HCPCS C1713
Hospital Charge Code	270645727
Hospital Revenue Code	278
Min. Negotiated Rate	$23.08
Max. Negotiated Rate	$406.32
Rate for Payer: Aetna Commercial	$308.81
Rate for Payer: Aetna Medicare Advantage	$243.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$207.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$207.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$207.23
Rate for Payer: Cigna Commercial	$406.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.66
Rate for Payer: Qualcare PPO/HMO/WC	$121.90
Rate for Payer: UnitedHealthcare Community & State	$25.68
Rate for Payer: Wellpoint Medicaid Managed Care	$23.08

SCREW 3.7mm CANN LOCKING 70mm

Facility

$812.65

Service Code	HCPCS C1713
Hospital Charge Code	270645727
Hospital Revenue Code	278
Min. Negotiated Rate	$121.90
Max. Negotiated Rate	$196.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.66
Rate for Payer: Qualcare PPO/HMO/WC	$121.90

SCREW 3.7MM CANN LOCKING 75MM

Facility

$1,009.45

Service Code	HCPCS C1713
Hospital Charge Code	270696102
Hospital Revenue Code	278
Min. Negotiated Rate	$151.42
Max. Negotiated Rate	$244.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$201.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$244.29
Rate for Payer: Qualcare PPO/HMO/WC	$151.42

SCREW 3.7MM CANN LOCKING 75MM

Facility

$1,009.45

Service Code	HCPCS C1713
Hospital Charge Code	270696102
Hospital Revenue Code	278
Min. Negotiated Rate	$28.67
Max. Negotiated Rate	$504.73
Rate for Payer: Aetna Commercial	$383.59
Rate for Payer: Aetna Medicare Advantage	$302.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$257.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$257.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$201.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$257.41
Rate for Payer: Cigna Commercial	$504.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$244.29
Rate for Payer: Qualcare PPO/HMO/WC	$151.42
Rate for Payer: UnitedHealthcare Community & State	$31.90
Rate for Payer: Wellpoint Medicaid Managed Care	$28.67

SCREW 3.7 X 28 MM

Facility

$5,460.00

Service Code	HCPCS C1713
Hospital Charge Code	270686305
Hospital Revenue Code	278
Min. Negotiated Rate	$155.06
Max. Negotiated Rate	$2,730.00
Rate for Payer: Aetna Commercial	$2,074.80
Rate for Payer: Aetna Medicare Advantage	$1,638.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,392.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,392.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,092.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,392.30
Rate for Payer: Cigna Commercial	$2,730.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,321.32
Rate for Payer: Qualcare PPO/HMO/WC	$819.00
Rate for Payer: UnitedHealthcare Community & State	$172.54
Rate for Payer: Wellpoint Medicaid Managed Care	$155.06

SCREW 3.7 X 28 MM

Facility

$5,460.00

Service Code	HCPCS C1713
Hospital Charge Code	270686298
Hospital Revenue Code	278
Min. Negotiated Rate	$819.00
Max. Negotiated Rate	$1,321.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,092.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,321.32
Rate for Payer: Qualcare PPO/HMO/WC	$819.00

SCREW 3.7 X 28 MM

Facility

$5,460.00

Service Code	HCPCS C1713
Hospital Charge Code	270686298
Hospital Revenue Code	278
Min. Negotiated Rate	$155.06
Max. Negotiated Rate	$2,730.00
Rate for Payer: Aetna Commercial	$2,074.80
Rate for Payer: Aetna Medicare Advantage	$1,638.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,392.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,392.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,092.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,392.30
Rate for Payer: Cigna Commercial	$2,730.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,321.32
Rate for Payer: Qualcare PPO/HMO/WC	$819.00
Rate for Payer: UnitedHealthcare Community & State	$172.54
Rate for Payer: Wellpoint Medicaid Managed Care	$155.06

SCREW 3.7 X 28 MM

Facility

$5,460.00

Service Code	HCPCS C1713
Hospital Charge Code	270686305
Hospital Revenue Code	278
Min. Negotiated Rate	$819.00
Max. Negotiated Rate	$1,321.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,092.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,321.32
Rate for Payer: Qualcare PPO/HMO/WC	$819.00

SCREW 3.8X10MM

Facility

$4,275.00

Service Code	HCPCS C1713
Hospital Charge Code	270704792
Hospital Revenue Code	278
Min. Negotiated Rate	$641.25
Max. Negotiated Rate	$1,034.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$855.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,034.55
Rate for Payer: Qualcare PPO/HMO/WC	$641.25

SCREW 3.8X10MM

Facility

$4,275.00

Service Code	HCPCS C1713
Hospital Charge Code	270704792
Hospital Revenue Code	278
Min. Negotiated Rate	$121.41
Max. Negotiated Rate	$2,137.50
Rate for Payer: Aetna Commercial	$1,624.50
Rate for Payer: Aetna Medicare Advantage	$1,282.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,090.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,090.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$855.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,090.12
Rate for Payer: Cigna Commercial	$2,137.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,034.55
Rate for Payer: Qualcare PPO/HMO/WC	$641.25
Rate for Payer: UnitedHealthcare Community & State	$135.09
Rate for Payer: Wellpoint Medicaid Managed Care	$121.41

SCREW 3.8X20MM

Facility

$4,275.00

Service Code	HCPCS C1713
Hospital Charge Code	270704790
Hospital Revenue Code	278
Min. Negotiated Rate	$641.25
Max. Negotiated Rate	$1,034.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$855.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,034.55
Rate for Payer: Qualcare PPO/HMO/WC	$641.25

SCREW 3.8X20MM

Facility

$4,275.00

Service Code	HCPCS C1713
Hospital Charge Code	270704790
Hospital Revenue Code	278
Min. Negotiated Rate	$121.41
Max. Negotiated Rate	$2,137.50
Rate for Payer: Aetna Commercial	$1,624.50
Rate for Payer: Aetna Medicare Advantage	$1,282.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,090.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,090.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$855.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,090.12
Rate for Payer: Cigna Commercial	$2,137.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,034.55
Rate for Payer: Qualcare PPO/HMO/WC	$641.25
Rate for Payer: UnitedHealthcare Community & State	$135.09
Rate for Payer: Wellpoint Medicaid Managed Care	$121.41

SCREW 3DI LKG 3.5X12MM

Facility

$1,050.60

Service Code	HCPCS C1713
Hospital Charge Code	270700368
Hospital Revenue Code	278
Min. Negotiated Rate	$29.84
Max. Negotiated Rate	$525.30
Rate for Payer: Aetna Commercial	$399.23
Rate for Payer: Aetna Medicare Advantage	$315.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$267.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$267.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$210.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$267.90
Rate for Payer: Cigna Commercial	$525.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$254.25
Rate for Payer: Qualcare PPO/HMO/WC	$157.59
Rate for Payer: UnitedHealthcare Community & State	$33.20
Rate for Payer: Wellpoint Medicaid Managed Care	$29.84

SCREW 3DI LKG 3.5X12MM

Facility

$1,050.60

Service Code	HCPCS C1713
Hospital Charge Code	270700368
Hospital Revenue Code	278
Min. Negotiated Rate	$157.59
Max. Negotiated Rate	$254.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$210.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$254.25
Rate for Payer: Qualcare PPO/HMO/WC	$157.59

SCREW 3DI NL FT 3.5X14MM

Facility

$535.60

Service Code	HCPCS C1713
Hospital Charge Code	270699442
Hospital Revenue Code	278
Min. Negotiated Rate	$15.21
Max. Negotiated Rate	$267.80
Rate for Payer: Aetna Commercial	$203.53
Rate for Payer: Aetna Medicare Advantage	$160.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$107.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.58
Rate for Payer: Cigna Commercial	$267.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.62
Rate for Payer: Qualcare PPO/HMO/WC	$80.34
Rate for Payer: UnitedHealthcare Community & State	$16.92
Rate for Payer: Wellpoint Medicaid Managed Care	$15.21

SCREW 3DI NL FT 3.5X14MM

Facility

$535.60

Service Code	HCPCS C1713
Hospital Charge Code	270699442
Hospital Revenue Code	278
Min. Negotiated Rate	$80.34
Max. Negotiated Rate	$129.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$107.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.62
Rate for Payer: Qualcare PPO/HMO/WC	$80.34

SCREW 3DI NL LP ST 3.5X12MM

Facility

$535.60

Service Code	HCPCS C1713
Hospital Charge Code	270700369
Hospital Revenue Code	278
Min. Negotiated Rate	$15.21
Max. Negotiated Rate	$267.80
Rate for Payer: Aetna Commercial	$203.53
Rate for Payer: Aetna Medicare Advantage	$160.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$107.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.58
Rate for Payer: Cigna Commercial	$267.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.62
Rate for Payer: Qualcare PPO/HMO/WC	$80.34
Rate for Payer: UnitedHealthcare Community & State	$16.92
Rate for Payer: Wellpoint Medicaid Managed Care	$15.21

SCREW 3DI NL LP ST 3.5X12MM

Facility

$535.60

Service Code	HCPCS C1713
Hospital Charge Code	270700369
Hospital Revenue Code	278
Min. Negotiated Rate	$80.34
Max. Negotiated Rate	$129.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$107.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.62
Rate for Payer: Qualcare PPO/HMO/WC	$80.34

SCREW 3 HEADLESS CONVER 34MM

Facility

$1,410.00

Hospital Charge Code	270663958
Hospital Revenue Code	278
Min. Negotiated Rate	$211.50
Max. Negotiated Rate	$341.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$282.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$341.22
Rate for Payer: Qualcare PPO/HMO/WC	$211.50

Know your out-of-pocket cost for care.

All Charges