Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 3 HEADLESS CONVER 34MM

Facility

$1,410.00

Hospital Charge Code	270663958
Hospital Revenue Code	278
Min. Negotiated Rate	$40.04
Max. Negotiated Rate	$705.00
Rate for Payer: Aetna Commercial	$535.80
Rate for Payer: Aetna Medicare Advantage	$423.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$359.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$359.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$282.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$359.55
Rate for Payer: Cigna Commercial	$705.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$341.22
Rate for Payer: Qualcare PPO/HMO/WC	$211.50
Rate for Payer: UnitedHealthcare Community & State	$44.56
Rate for Payer: Wellpoint Medicaid Managed Care	$40.04

SCREW 3 X 46 MM

Facility

$1,000.00

Hospital Charge Code	270703452
Hospital Revenue Code	278
Min. Negotiated Rate	$28.40
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$380.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00
Rate for Payer: UnitedHealthcare Community & State	$31.60
Rate for Payer: Wellpoint Medicaid Managed Care	$28.40

SCREW 3 X 46 MM

Facility

$1,000.00

Hospital Charge Code	270703452
Hospital Revenue Code	278
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$242.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

SCREW 4.00MM CANC FULL THREAD

Facility

$72.00

Hospital Charge Code	270656940
Hospital Revenue Code	278
Min. Negotiated Rate	$2.04
Max. Negotiated Rate	$36.00
Rate for Payer: Aetna Commercial	$27.36
Rate for Payer: Aetna Medicare Advantage	$21.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.36
Rate for Payer: Cigna Commercial	$36.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.42
Rate for Payer: Qualcare PPO/HMO/WC	$10.80
Rate for Payer: UnitedHealthcare Community & State	$2.28
Rate for Payer: Wellpoint Medicaid Managed Care	$2.04

SCREW 4.00MM CANC FULL THREAD

Facility

$72.00

Hospital Charge Code	270656940
Hospital Revenue Code	278
Min. Negotiated Rate	$10.80
Max. Negotiated Rate	$17.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.42
Rate for Payer: Qualcare PPO/HMO/WC	$10.80

SCREW 4.0,28(IN)

Facility

$1,360.45

Service Code	HCPCS C1713
Hospital Charge Code	270656693
Hospital Revenue Code	278
Min. Negotiated Rate	$204.07
Max. Negotiated Rate	$329.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$272.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$329.23
Rate for Payer: Qualcare PPO/HMO/WC	$204.07

SCREW 4.0,28(IN)

Facility

$1,360.45

Service Code	HCPCS C1713
Hospital Charge Code	270656693
Hospital Revenue Code	278
Min. Negotiated Rate	$38.64
Max. Negotiated Rate	$680.23
Rate for Payer: Aetna Commercial	$516.97
Rate for Payer: Aetna Medicare Advantage	$408.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$346.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$346.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$272.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$346.91
Rate for Payer: Cigna Commercial	$680.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$329.23
Rate for Payer: Qualcare PPO/HMO/WC	$204.07
Rate for Payer: UnitedHealthcare Community & State	$42.99
Rate for Payer: Wellpoint Medicaid Managed Care	$38.64

SCREW 4.0, 46 (IN)

Facility

$924.00

Service Code	HCPCS C1713
Hospital Charge Code	270656695
Hospital Revenue Code	278
Min. Negotiated Rate	$138.60
Max. Negotiated Rate	$223.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$184.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$223.61
Rate for Payer: Qualcare PPO/HMO/WC	$138.60

SCREW 4.0, 46 (IN)

Facility

$924.00

Service Code	HCPCS C1713
Hospital Charge Code	270656695
Hospital Revenue Code	278
Min. Negotiated Rate	$26.24
Max. Negotiated Rate	$462.00
Rate for Payer: Aetna Commercial	$351.12
Rate for Payer: Aetna Medicare Advantage	$277.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$235.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$235.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$184.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$235.62
Rate for Payer: Cigna Commercial	$462.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$223.61
Rate for Payer: Qualcare PPO/HMO/WC	$138.60
Rate for Payer: UnitedHealthcare Community & State	$29.20
Rate for Payer: Wellpoint Medicaid Managed Care	$26.24

SCREW 4.0 CANCELLOUS 12mm

Facility

$49.50

Service Code	HCPCS C1713
Hospital Charge Code	270601858
Hospital Revenue Code	278
Min. Negotiated Rate	$7.42
Max. Negotiated Rate	$11.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.98
Rate for Payer: Qualcare PPO/HMO/WC	$7.42

SCREW 4.0 CANCELLOUS 12mm

Facility

$49.50

Service Code	HCPCS C1713
Hospital Charge Code	270601858
Hospital Revenue Code	278
Min. Negotiated Rate	$1.41
Max. Negotiated Rate	$24.75
Rate for Payer: Aetna Commercial	$18.81
Rate for Payer: Aetna Medicare Advantage	$14.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.62
Rate for Payer: Cigna Commercial	$24.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.98
Rate for Payer: Qualcare PPO/HMO/WC	$7.42
Rate for Payer: UnitedHealthcare Community & State	$1.56
Rate for Payer: Wellpoint Medicaid Managed Care	$1.41

SCREW 4.0 CANCELLOUS 26mm

Facility

$49.50

Service Code	HCPCS C1713
Hospital Charge Code	270601865
Hospital Revenue Code	278
Min. Negotiated Rate	$7.42
Max. Negotiated Rate	$11.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.98
Rate for Payer: Qualcare PPO/HMO/WC	$7.42

SCREW 4.0 CANCELLOUS 26mm

Facility

$49.50

Service Code	HCPCS C1713
Hospital Charge Code	270601865
Hospital Revenue Code	278
Min. Negotiated Rate	$1.41
Max. Negotiated Rate	$24.75
Rate for Payer: Aetna Commercial	$18.81
Rate for Payer: Aetna Medicare Advantage	$14.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.62
Rate for Payer: Cigna Commercial	$24.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.98
Rate for Payer: Qualcare PPO/HMO/WC	$7.42
Rate for Payer: UnitedHealthcare Community & State	$1.56
Rate for Payer: Wellpoint Medicaid Managed Care	$1.41

SCREW 4.0 CANCELLOUS 28mm

Facility

$49.50

Service Code	HCPCS C1713
Hospital Charge Code	270601866
Hospital Revenue Code	278
Min. Negotiated Rate	$1.41
Max. Negotiated Rate	$24.75
Rate for Payer: Aetna Commercial	$18.81
Rate for Payer: Aetna Medicare Advantage	$14.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.62
Rate for Payer: Cigna Commercial	$24.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.98
Rate for Payer: Qualcare PPO/HMO/WC	$7.42
Rate for Payer: UnitedHealthcare Community & State	$1.56
Rate for Payer: Wellpoint Medicaid Managed Care	$1.41

SCREW 4.0 CANCELLOUS 28mm

Facility

$49.50

Service Code	HCPCS C1713
Hospital Charge Code	270601866
Hospital Revenue Code	278
Min. Negotiated Rate	$7.42
Max. Negotiated Rate	$11.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.98
Rate for Payer: Qualcare PPO/HMO/WC	$7.42

SCREW 4.0 CANN CANC LAG 40 MM

Facility

$1,450.00

Service Code	HCPCS C1713
Hospital Charge Code	270684091
Hospital Revenue Code	278
Min. Negotiated Rate	$217.50
Max. Negotiated Rate	$350.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$290.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$350.90
Rate for Payer: Qualcare PPO/HMO/WC	$217.50

SCREW 4.0 CANN CANC LAG 40 MM

Facility

$1,450.00

Service Code	HCPCS C1713
Hospital Charge Code	270684091
Hospital Revenue Code	278
Min. Negotiated Rate	$41.18
Max. Negotiated Rate	$725.00
Rate for Payer: Aetna Commercial	$551.00
Rate for Payer: Aetna Medicare Advantage	$435.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$369.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$369.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$290.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$369.75
Rate for Payer: Cigna Commercial	$725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$350.90
Rate for Payer: Qualcare PPO/HMO/WC	$217.50
Rate for Payer: UnitedHealthcare Community & State	$45.82
Rate for Payer: Wellpoint Medicaid Managed Care	$41.18

SCREW 4.0 CAN PT THREAD 12mm

Facility

$49.50

Service Code	HCPCS C1713
Hospital Charge Code	270601879
Hospital Revenue Code	278
Min. Negotiated Rate	$1.41
Max. Negotiated Rate	$24.75
Rate for Payer: Aetna Commercial	$18.81
Rate for Payer: Aetna Medicare Advantage	$14.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.62
Rate for Payer: Cigna Commercial	$24.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.98
Rate for Payer: Qualcare PPO/HMO/WC	$7.42
Rate for Payer: UnitedHealthcare Community & State	$1.56
Rate for Payer: Wellpoint Medicaid Managed Care	$1.41

SCREW 4.0 CAN PT THREAD 12mm

Facility

$49.50

Service Code	HCPCS C1713
Hospital Charge Code	270601879
Hospital Revenue Code	278
Min. Negotiated Rate	$7.42
Max. Negotiated Rate	$11.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.98
Rate for Payer: Qualcare PPO/HMO/WC	$7.42

SCREW 4.0 CAN PT THREAD 22mm

Facility

$49.50

Service Code	HCPCS C1713
Hospital Charge Code	270601885
Hospital Revenue Code	278
Min. Negotiated Rate	$1.41
Max. Negotiated Rate	$24.75
Rate for Payer: Aetna Commercial	$18.81
Rate for Payer: Aetna Medicare Advantage	$14.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.62
Rate for Payer: Cigna Commercial	$24.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.98
Rate for Payer: Qualcare PPO/HMO/WC	$7.42
Rate for Payer: UnitedHealthcare Community & State	$1.56
Rate for Payer: Wellpoint Medicaid Managed Care	$1.41

SCREW 4.0 CAN PT THREAD 22mm

Facility

$49.50

Service Code	HCPCS C1713
Hospital Charge Code	270601885
Hospital Revenue Code	278
Min. Negotiated Rate	$7.42
Max. Negotiated Rate	$11.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.98
Rate for Payer: Qualcare PPO/HMO/WC	$7.42

SCREW 4.0 CAN PT THREAD 45mm

Facility

$49.50

Service Code	HCPCS C1713
Hospital Charge Code	270601893
Hospital Revenue Code	278
Min. Negotiated Rate	$7.42
Max. Negotiated Rate	$11.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.98
Rate for Payer: Qualcare PPO/HMO/WC	$7.42

SCREW 4.0 CAN PT THREAD 45mm

Facility

$49.50

Service Code	HCPCS C1713
Hospital Charge Code	270601893
Hospital Revenue Code	278
Min. Negotiated Rate	$1.41
Max. Negotiated Rate	$24.75
Rate for Payer: Aetna Commercial	$18.81
Rate for Payer: Aetna Medicare Advantage	$14.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.62
Rate for Payer: Cigna Commercial	$24.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.98
Rate for Payer: Qualcare PPO/HMO/WC	$7.42
Rate for Payer: UnitedHealthcare Community & State	$1.56
Rate for Payer: Wellpoint Medicaid Managed Care	$1.41

SCREW 4.0MM CANC FULL

Facility

$57.50

Service Code	HCPCS C1713
Hospital Charge Code	270626693
Hospital Revenue Code	278
Min. Negotiated Rate	$8.62
Max. Negotiated Rate	$13.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.91
Rate for Payer: Qualcare PPO/HMO/WC	$8.62

SCREW 4.0MM CANC FULL

Facility

$57.50

Service Code	HCPCS C1713
Hospital Charge Code	270626693
Hospital Revenue Code	278
Min. Negotiated Rate	$1.63
Max. Negotiated Rate	$28.75
Rate for Payer: Aetna Commercial	$21.85
Rate for Payer: Aetna Medicare Advantage	$17.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.66
Rate for Payer: Cigna Commercial	$28.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.91
Rate for Payer: Qualcare PPO/HMO/WC	$8.62
Rate for Payer: UnitedHealthcare Community & State	$1.82
Rate for Payer: Wellpoint Medicaid Managed Care	$1.63

Know your out-of-pocket cost for care.

All Charges