Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 4.0MM CANC FULL THREAD

Facility

$72.00

Hospital Charge Code	270656947
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 4.0MM CANC FULL THREAD

Facility

$72.00

Hospital Charge Code	270656936
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 4.0MM CANC FULL THREAD

Facility

$72.00

Hospital Charge Code	270656936
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 4.0MM CANC FULL THREAD

Facility

$72.00

Hospital Charge Code	270656953
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 4.0MM CANC FULL THREAD

Facility

$72.00

Hospital Charge Code	270656927
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 4.0MM CANC FULL THREAD

Facility

$72.00

Hospital Charge Code	270656953
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 4.0MM CANC FULL THREAD

Facility

$72.00

Hospital Charge Code	270656947
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 4.0MM CANC FULL THREAD

Facility

$72.00

Hospital Charge Code	270656927
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 4.0MM CANC PART THREAD

Facility

$49.50

Service Code	HCPCS C1713
Hospital Charge Code	270601892
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 PART THREAD

Facility

$49.50

Service Code	HCPCS C1713
Hospital Charge Code	270601892
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 4.0MM CANC PART THREAD

Facility

$68.25

Service Code	HCPCS C1713
Hospital Charge Code	270658328
Hospital Revenue Code	278
Min. Negotiated Rate	$1.94
Max. Negotiated Rate	$34.12
Rate for Payer: Aetna Commercial	$25.93
Rate for Payer: Aetna Medicare Advantage	$20.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.40
Rate for Payer: Cigna Commercial	$34.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.52
Rate for Payer: Qualcare PPO/HMO/WC	$10.24
Rate for Payer: UnitedHealthcare Community & State	$2.16
Rate for Payer: Wellpoint Medicaid Managed Care	$1.94

SCREW 4.0MM CANC PART THREAD

Facility

$68.25

Service Code	HCPCS C1713
Hospital Charge Code	270658328
Hospital Revenue Code	278
Min. Negotiated Rate	$10.24
Max. Negotiated Rate	$16.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.52
Rate for Payer: Qualcare PPO/HMO/WC	$10.24

SCREW 4.0mm CANN 50mm

Facility

$70.30

Service Code	HCPCS C1713
Hospital Charge Code	270603325
Hospital Revenue Code	278
Min. Negotiated Rate	$10.54
Max. Negotiated Rate	$17.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.01
Rate for Payer: Qualcare PPO/HMO/WC	$10.54

SCREW 4.0mm CANN 50mm

Facility

$70.30

Service Code	HCPCS C1713
Hospital Charge Code	270603325
Hospital Revenue Code	278
Min. Negotiated Rate	$2.00
Max. Negotiated Rate	$35.15
Rate for Payer: Aetna Commercial	$26.71
Rate for Payer: Aetna Medicare Advantage	$21.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.93
Rate for Payer: Cigna Commercial	$35.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.01
Rate for Payer: Qualcare PPO/HMO/WC	$10.54
Rate for Payer: UnitedHealthcare Community & State	$2.22
Rate for Payer: Wellpoint Medicaid Managed Care	$2.00

SCREW 4.0mm TITAN CANCEL 14mm

Facility

$70.30

Service Code	HCPCS C1713
Hospital Charge Code	270603313
Hospital Revenue Code	278
Min. Negotiated Rate	$10.54
Max. Negotiated Rate	$17.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.01
Rate for Payer: Qualcare PPO/HMO/WC	$10.54

SCREW 4.0mm TITAN CANCEL 14mm

Facility

$70.30

Service Code	HCPCS C1713
Hospital Charge Code	270603313
Hospital Revenue Code	278
Min. Negotiated Rate	$2.00
Max. Negotiated Rate	$35.15
Rate for Payer: Aetna Commercial	$26.71
Rate for Payer: Aetna Medicare Advantage	$21.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.93
Rate for Payer: Cigna Commercial	$35.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.01
Rate for Payer: Qualcare PPO/HMO/WC	$10.54
Rate for Payer: UnitedHealthcare Community & State	$2.22
Rate for Payer: Wellpoint Medicaid Managed Care	$2.00

SCREW 4.0mm TITAN CANCEL 16mm

Facility

$70.30

Service Code	HCPCS C1713
Hospital Charge Code	270603314
Hospital Revenue Code	278
Min. Negotiated Rate	$2.00
Max. Negotiated Rate	$35.15
Rate for Payer: Aetna Commercial	$26.71
Rate for Payer: Aetna Medicare Advantage	$21.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.93
Rate for Payer: Cigna Commercial	$35.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.01
Rate for Payer: Qualcare PPO/HMO/WC	$10.54
Rate for Payer: UnitedHealthcare Community & State	$2.22
Rate for Payer: Wellpoint Medicaid Managed Care	$2.00

SCREW 4.0mm TITAN CANCEL 16mm

Facility

$70.30

Service Code	HCPCS C1713
Hospital Charge Code	270603314
Hospital Revenue Code	278
Min. Negotiated Rate	$10.54
Max. Negotiated Rate	$17.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.01
Rate for Payer: Qualcare PPO/HMO/WC	$10.54

SCREW 4.0mm TITAN CANCEL 16mm

Facility

$93.10

Service Code	HCPCS C1713
Hospital Charge Code	270603199
Hospital Revenue Code	278
Min. Negotiated Rate	$13.96
Max. Negotiated Rate	$22.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.53
Rate for Payer: Qualcare PPO/HMO/WC	$13.96

SCREW 4.0mm TITAN CANCEL 16mm

Facility

$93.10

Service Code	HCPCS C1713
Hospital Charge Code	270603199
Hospital Revenue Code	278
Min. Negotiated Rate	$2.64
Max. Negotiated Rate	$46.55
Rate for Payer: Aetna Commercial	$35.38
Rate for Payer: Aetna Medicare Advantage	$27.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.74
Rate for Payer: Cigna Commercial	$46.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.53
Rate for Payer: Qualcare PPO/HMO/WC	$13.96
Rate for Payer: UnitedHealthcare Community & State	$2.94
Rate for Payer: Wellpoint Medicaid Managed Care	$2.64

SCREW 4.0mm TITAN CANCEL 18mm

Facility

$70.30

Service Code	HCPCS C1713
Hospital Charge Code	270603315
Hospital Revenue Code	278
Min. Negotiated Rate	$10.54
Max. Negotiated Rate	$17.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.01
Rate for Payer: Qualcare PPO/HMO/WC	$10.54

SCREW 4.0mm TITAN CANCEL 18mm

Facility

$70.30

Service Code	HCPCS C1713
Hospital Charge Code	270603315
Hospital Revenue Code	278
Min. Negotiated Rate	$2.00
Max. Negotiated Rate	$35.15
Rate for Payer: Aetna Commercial	$26.71
Rate for Payer: Aetna Medicare Advantage	$21.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.93
Rate for Payer: Cigna Commercial	$35.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.01
Rate for Payer: Qualcare PPO/HMO/WC	$10.54
Rate for Payer: UnitedHealthcare Community & State	$2.22
Rate for Payer: Wellpoint Medicaid Managed Care	$2.00

SCREW 4.0mm TITAN CANCEL 18mm

Facility

$74.15

Service Code	HCPCS C1713
Hospital Charge Code	270603205
Hospital Revenue Code	278
Min. Negotiated Rate	$2.11
Max. Negotiated Rate	$37.08
Rate for Payer: Aetna Commercial	$28.18
Rate for Payer: Aetna Medicare Advantage	$22.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.91
Rate for Payer: Cigna Commercial	$37.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.94
Rate for Payer: Qualcare PPO/HMO/WC	$11.12
Rate for Payer: UnitedHealthcare Community & State	$2.34
Rate for Payer: Wellpoint Medicaid Managed Care	$2.11

SCREW 4.0mm TITAN CANCEL 18mm

Facility

$74.15

Service Code	HCPCS C1713
Hospital Charge Code	270603205
Hospital Revenue Code	278
Min. Negotiated Rate	$11.12
Max. Negotiated Rate	$17.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.94
Rate for Payer: Qualcare PPO/HMO/WC	$11.12

SCREW 4.0mm TITAN CANCEL 20mm

Facility

$47.50

Service Code	HCPCS C1713
Hospital Charge Code	270603200
Hospital Revenue Code	278
Min. Negotiated Rate	$7.12
Max. Negotiated Rate	$11.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.49
Rate for Payer: Qualcare PPO/HMO/WC	$7.12

Know your out-of-pocket cost for care.

All Charges