Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 5.0MM X 22MM VAL OPTILIN

Facility

$907.85

Service Code	HCPCS C1713
Hospital Charge Code	270690757
Hospital Revenue Code	278
Min. Negotiated Rate	$136.18
Max. Negotiated Rate	$219.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.70
Rate for Payer: Qualcare PPO/HMO/WC	$136.18

SCREW 5.0MM X 22MM VAL OPTILIN

Facility

$907.85

Service Code	HCPCS C1713
Hospital Charge Code	270690757
Hospital Revenue Code	278
Min. Negotiated Rate	$25.78
Max. Negotiated Rate	$453.93
Rate for Payer: Aetna Commercial	$344.98
Rate for Payer: Aetna Medicare Advantage	$272.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$231.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$231.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$231.50
Rate for Payer: Cigna Commercial	$453.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.70
Rate for Payer: Qualcare PPO/HMO/WC	$136.18
Rate for Payer: UnitedHealthcare Community & State	$28.69
Rate for Payer: Wellpoint Medicaid Managed Care	$25.78

SCREW 5.0MM X 26MM VAL OPTILIN

Facility

$907.85

Service Code	HCPCS C1713
Hospital Charge Code	270690756
Hospital Revenue Code	278
Min. Negotiated Rate	$136.18
Max. Negotiated Rate	$219.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.70
Rate for Payer: Qualcare PPO/HMO/WC	$136.18

SCREW 5.0MM X 26MM VAL OPTILIN

Facility

$907.85

Service Code	HCPCS C1713
Hospital Charge Code	270690756
Hospital Revenue Code	278
Min. Negotiated Rate	$25.78
Max. Negotiated Rate	$453.93
Rate for Payer: Aetna Commercial	$344.98
Rate for Payer: Aetna Medicare Advantage	$272.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$231.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$231.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$231.50
Rate for Payer: Cigna Commercial	$453.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.70
Rate for Payer: Qualcare PPO/HMO/WC	$136.18
Rate for Payer: UnitedHealthcare Community & State	$28.69
Rate for Payer: Wellpoint Medicaid Managed Care	$25.78

SCREW 5.0mm x 80mm THRD/250mm

Facility

$806.50

Service Code	HCPCS C1713
Hospital Charge Code	270646749
Hospital Revenue Code	278
Min. Negotiated Rate	$22.90
Max. Negotiated Rate	$403.25
Rate for Payer: Aetna Commercial	$306.47
Rate for Payer: Aetna Medicare Advantage	$241.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$205.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$205.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$161.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$205.66
Rate for Payer: Cigna Commercial	$403.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.17
Rate for Payer: Qualcare PPO/HMO/WC	$120.97
Rate for Payer: UnitedHealthcare Community & State	$25.49
Rate for Payer: Wellpoint Medicaid Managed Care	$22.90

SCREW 5.0mm x 80mm THRD/250mm

Facility

$806.50

Service Code	HCPCS C1713
Hospital Charge Code	270646749
Hospital Revenue Code	278
Min. Negotiated Rate	$120.97
Max. Negotiated Rate	$195.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$161.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.17
Rate for Payer: Qualcare PPO/HMO/WC	$120.97

SCREW 5.0 TI LOCKING T25 38 MM

Facility

$868.95

Service Code	HCPCS C1713
Hospital Charge Code	270691074
Hospital Revenue Code	278
Min. Negotiated Rate	$24.68
Max. Negotiated Rate	$434.48
Rate for Payer: Aetna Commercial	$330.20
Rate for Payer: Aetna Medicare Advantage	$260.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$221.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$221.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$173.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$221.58
Rate for Payer: Cigna Commercial	$434.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$210.29
Rate for Payer: Qualcare PPO/HMO/WC	$130.34
Rate for Payer: UnitedHealthcare Community & State	$27.46
Rate for Payer: Wellpoint Medicaid Managed Care	$24.68

SCREW 5.0 TI LOCKING T25 38 MM

Facility

$868.95

Service Code	HCPCS C1713
Hospital Charge Code	270691074
Hospital Revenue Code	278
Min. Negotiated Rate	$130.34
Max. Negotiated Rate	$210.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$173.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$210.29
Rate for Payer: Qualcare PPO/HMO/WC	$130.34

SCREW 5.0 X 14 MM

Facility

$875.00

Hospital Charge Code	270701857
Hospital Revenue Code	278
Min. Negotiated Rate	$24.85
Max. Negotiated Rate	$437.50
Rate for Payer: Aetna Commercial	$332.50
Rate for Payer: Aetna Medicare Advantage	$262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.12
Rate for Payer: Cigna Commercial	$437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.75
Rate for Payer: Qualcare PPO/HMO/WC	$131.25
Rate for Payer: UnitedHealthcare Community & State	$27.65
Rate for Payer: Wellpoint Medicaid Managed Care	$24.85

SCREW 5.0 X 14 MM

Facility

$875.00

Hospital Charge Code	270701857
Hospital Revenue Code	278
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$211.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.75
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

SCREW 5.0 X 45 MM

Facility

$9,232.75

Service Code	HCPCS C1713
Hospital Charge Code	270691006
Hospital Revenue Code	278
Min. Negotiated Rate	$262.21
Max. Negotiated Rate	$4,616.38
Rate for Payer: Aetna Commercial	$3,508.45
Rate for Payer: Aetna Medicare Advantage	$2,769.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,354.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,354.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,846.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,354.35
Rate for Payer: Cigna Commercial	$4,616.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,234.33
Rate for Payer: Qualcare PPO/HMO/WC	$1,384.91
Rate for Payer: UnitedHealthcare Community & State	$291.75
Rate for Payer: Wellpoint Medicaid Managed Care	$262.21

SCREW 5.0 X 45 MM

Facility

$9,232.75

Service Code	HCPCS C1713
Hospital Charge Code	270691006
Hospital Revenue Code	278
Min. Negotiated Rate	$1,384.91
Max. Negotiated Rate	$2,234.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,846.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,234.33
Rate for Payer: Qualcare PPO/HMO/WC	$1,384.91

SCREW 5.0 X 50 MM

Facility

$9,232.78

Service Code	HCPCS C1713
Hospital Charge Code	270691007
Hospital Revenue Code	278
Min. Negotiated Rate	$262.21
Max. Negotiated Rate	$4,616.39
Rate for Payer: Aetna Commercial	$3,508.46
Rate for Payer: Aetna Medicare Advantage	$2,769.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,354.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,354.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,846.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,354.36
Rate for Payer: Cigna Commercial	$4,616.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,234.33
Rate for Payer: Qualcare PPO/HMO/WC	$1,384.92
Rate for Payer: UnitedHealthcare Community & State	$291.76
Rate for Payer: Wellpoint Medicaid Managed Care	$262.21

SCREW 5.0 X 50 MM

Facility

$9,232.78

Service Code	HCPCS C1713
Hospital Charge Code	270691007
Hospital Revenue Code	278
Min. Negotiated Rate	$1,384.92
Max. Negotiated Rate	$2,234.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,846.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,234.33
Rate for Payer: Qualcare PPO/HMO/WC	$1,384.92

SCREW 5.5X25MM

Facility

$2,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270704100
Hospital Revenue Code	278
Min. Negotiated Rate	$56.80
Max. Negotiated Rate	$1,000.00
Rate for Payer: Aetna Commercial	$760.00
Rate for Payer: Aetna Medicare Advantage	$600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$510.00
Rate for Payer: Cigna Commercial	$1,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$484.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00
Rate for Payer: UnitedHealthcare Community & State	$63.20
Rate for Payer: Wellpoint Medicaid Managed Care	$56.80

SCREW 5.5X25MM

Facility

$2,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270704100
Hospital Revenue Code	278
Min. Negotiated Rate	$300.00
Max. Negotiated Rate	$484.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$484.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00

SCREW 5.5 X 30MM

Facility

$1,834.00

Hospital Charge Code	270702311
Hospital Revenue Code	278
Min. Negotiated Rate	$52.09
Max. Negotiated Rate	$917.00
Rate for Payer: Aetna Commercial	$696.92
Rate for Payer: Aetna Medicare Advantage	$550.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$467.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$467.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$366.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$467.67
Rate for Payer: Cigna Commercial	$917.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$443.83
Rate for Payer: Qualcare PPO/HMO/WC	$275.10
Rate for Payer: UnitedHealthcare Community & State	$57.95
Rate for Payer: Wellpoint Medicaid Managed Care	$52.09

SCREW 5.5 X 30MM

Facility

$1,834.00

Hospital Charge Code	270702311
Hospital Revenue Code	278
Min. Negotiated Rate	$275.10
Max. Negotiated Rate	$443.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$366.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$443.83
Rate for Payer: Qualcare PPO/HMO/WC	$275.10

SCREW 5.5X30MM

Facility

$2,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270704875
Hospital Revenue Code	278
Min. Negotiated Rate	$62.48
Max. Negotiated Rate	$1,100.00
Rate for Payer: Aetna Commercial	$836.00
Rate for Payer: Aetna Medicare Advantage	$660.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$561.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$561.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$440.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$561.00
Rate for Payer: Cigna Commercial	$1,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$532.40
Rate for Payer: Qualcare PPO/HMO/WC	$330.00
Rate for Payer: UnitedHealthcare Community & State	$69.52
Rate for Payer: Wellpoint Medicaid Managed Care	$62.48

SCREW 5.5X30MM

Facility

$1,174.50

Service Code	HCPCS C1713
Hospital Charge Code	270705148
Hospital Revenue Code	278
Min. Negotiated Rate	$176.18
Max. Negotiated Rate	$284.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$234.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$284.23
Rate for Payer: Qualcare PPO/HMO/WC	$176.18

SCREW 5.5X30MM

Facility

$1,174.50

Service Code	HCPCS C1713
Hospital Charge Code	270705148
Hospital Revenue Code	278
Min. Negotiated Rate	$33.36
Max. Negotiated Rate	$587.25
Rate for Payer: Aetna Commercial	$446.31
Rate for Payer: Aetna Medicare Advantage	$352.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$299.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$299.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$234.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$299.50
Rate for Payer: Cigna Commercial	$587.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$284.23
Rate for Payer: Qualcare PPO/HMO/WC	$176.18
Rate for Payer: UnitedHealthcare Community & State	$37.11
Rate for Payer: Wellpoint Medicaid Managed Care	$33.36

SCREW 5.5X30MM

Facility

$2,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270704875
Hospital Revenue Code	278
Min. Negotiated Rate	$330.00
Max. Negotiated Rate	$532.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$440.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$532.40
Rate for Payer: Qualcare PPO/HMO/WC	$330.00

SCREW 5.5X35 MM

Facility

$2,200.00

Hospital Charge Code	270702851
Hospital Revenue Code	278
Min. Negotiated Rate	$62.48
Max. Negotiated Rate	$1,100.00
Rate for Payer: Aetna Commercial	$836.00
Rate for Payer: Aetna Medicare Advantage	$660.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$561.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$561.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$440.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$561.00
Rate for Payer: Cigna Commercial	$1,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$532.40
Rate for Payer: Qualcare PPO/HMO/WC	$330.00
Rate for Payer: UnitedHealthcare Community & State	$69.52
Rate for Payer: Wellpoint Medicaid Managed Care	$62.48

SCREW 5.5X35 MM

Facility

$2,200.00

Hospital Charge Code	270702851
Hospital Revenue Code	278
Min. Negotiated Rate	$330.00
Max. Negotiated Rate	$532.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$440.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$532.40
Rate for Payer: Qualcare PPO/HMO/WC	$330.00

SCREW 5.5X35MM

Facility

$1,834.25

Service Code	HCPCS C1713
Hospital Charge Code	270703867
Hospital Revenue Code	278
Min. Negotiated Rate	$52.09
Max. Negotiated Rate	$917.12
Rate for Payer: Aetna Commercial	$697.01
Rate for Payer: Aetna Medicare Advantage	$550.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$467.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$467.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$366.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$467.73
Rate for Payer: Cigna Commercial	$917.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$443.89
Rate for Payer: Qualcare PPO/HMO/WC	$275.14
Rate for Payer: UnitedHealthcare Community & State	$57.96
Rate for Payer: Wellpoint Medicaid Managed Care	$52.09

Know your out-of-pocket cost for care.

All Charges