Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 6.5 CANN 16MM THR 95M

Facility

$1,139.10

Service Code	HCPCS C1713
Hospital Charge Code	270693463
Hospital Revenue Code	278
Min. Negotiated Rate	$32.35
Max. Negotiated Rate	$569.55
Rate for Payer: Aetna Commercial	$432.86
Rate for Payer: Aetna Medicare Advantage	$341.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$290.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$290.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$227.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$290.47
Rate for Payer: Cigna Commercial	$569.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.66
Rate for Payer: Qualcare PPO/HMO/WC	$170.87
Rate for Payer: UnitedHealthcare Community & State	$36.00
Rate for Payer: Wellpoint Medicaid Managed Care	$32.35

SCREW 6.5 CANN FULL THR 55MM

Facility

$1,173.00

Service Code	HCPCS C1713
Hospital Charge Code	270693732
Hospital Revenue Code	278
Min. Negotiated Rate	$33.31
Max. Negotiated Rate	$586.50
Rate for Payer: Aetna Commercial	$445.74
Rate for Payer: Aetna Medicare Advantage	$351.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$299.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$299.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$234.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$299.12
Rate for Payer: Cigna Commercial	$586.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$283.87
Rate for Payer: Qualcare PPO/HMO/WC	$175.95
Rate for Payer: UnitedHealthcare Community & State	$37.07
Rate for Payer: Wellpoint Medicaid Managed Care	$33.31

SCREW 6.5 CANN FULL THR 55MM

Facility

$1,173.00

Service Code	HCPCS C1713
Hospital Charge Code	270693732
Hospital Revenue Code	278
Min. Negotiated Rate	$175.95
Max. Negotiated Rate	$283.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$234.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$283.87
Rate for Payer: Qualcare PPO/HMO/WC	$175.95

SCREW 6.5 CANN FULL THR 85MM

Facility

$1,173.00

Service Code	HCPCS C1713
Hospital Charge Code	270693731
Hospital Revenue Code	278
Min. Negotiated Rate	$175.95
Max. Negotiated Rate	$283.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$234.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$283.87
Rate for Payer: Qualcare PPO/HMO/WC	$175.95

SCREW 6.5 CANN FULL THR 85MM

Facility

$1,173.00

Service Code	HCPCS C1713
Hospital Charge Code	270693731
Hospital Revenue Code	278
Min. Negotiated Rate	$33.31
Max. Negotiated Rate	$586.50
Rate for Payer: Aetna Commercial	$445.74
Rate for Payer: Aetna Medicare Advantage	$351.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$299.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$299.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$234.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$299.12
Rate for Payer: Cigna Commercial	$586.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$283.87
Rate for Payer: Qualcare PPO/HMO/WC	$175.95
Rate for Payer: UnitedHealthcare Community & State	$37.07
Rate for Payer: Wellpoint Medicaid Managed Care	$33.31

SCREW 6.5MM CANC 105MM

Facility

$149.85

Service Code	HCPCS C1713
Hospital Charge Code	270656175
Hospital Revenue Code	278
Min. Negotiated Rate	$4.26
Max. Negotiated Rate	$74.92
Rate for Payer: Aetna Commercial	$56.94
Rate for Payer: Aetna Medicare Advantage	$44.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.21
Rate for Payer: Cigna Commercial	$74.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.26
Rate for Payer: Qualcare PPO/HMO/WC	$22.48
Rate for Payer: UnitedHealthcare Community & State	$4.74
Rate for Payer: Wellpoint Medicaid Managed Care	$4.26

SCREW 6.5MM CANC 105MM

Facility

$149.85

Service Code	HCPCS C1713
Hospital Charge Code	270656175
Hospital Revenue Code	278
Min. Negotiated Rate	$22.48
Max. Negotiated Rate	$36.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.26
Rate for Payer: Qualcare PPO/HMO/WC	$22.48

SCREW 6.5MM CANC 110MM

Facility

$149.85

Service Code	HCPCS C1713
Hospital Charge Code	270656176
Hospital Revenue Code	278
Min. Negotiated Rate	$4.26
Max. Negotiated Rate	$74.92
Rate for Payer: Aetna Commercial	$56.94
Rate for Payer: Aetna Medicare Advantage	$44.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.21
Rate for Payer: Cigna Commercial	$74.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.26
Rate for Payer: Qualcare PPO/HMO/WC	$22.48
Rate for Payer: UnitedHealthcare Community & State	$4.74
Rate for Payer: Wellpoint Medicaid Managed Care	$4.26

SCREW 6.5MM CANC 110MM

Facility

$145.50

Hospital Charge Code	270656192
Hospital Revenue Code	278
Min. Negotiated Rate	$4.13
Max. Negotiated Rate	$72.75
Rate for Payer: Aetna Commercial	$55.29
Rate for Payer: Aetna Medicare Advantage	$43.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.10
Rate for Payer: Cigna Commercial	$72.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.21
Rate for Payer: Qualcare PPO/HMO/WC	$21.82
Rate for Payer: UnitedHealthcare Community & State	$4.60
Rate for Payer: Wellpoint Medicaid Managed Care	$4.13

SCREW 6.5MM CANC 110MM

Facility

$145.50

Hospital Charge Code	270656192
Hospital Revenue Code	278
Min. Negotiated Rate	$21.82
Max. Negotiated Rate	$35.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.21
Rate for Payer: Qualcare PPO/HMO/WC	$21.82

SCREW 6.5MM CANC 110MM

Facility

$149.85

Service Code	HCPCS C1713
Hospital Charge Code	270656176
Hospital Revenue Code	278
Min. Negotiated Rate	$22.48
Max. Negotiated Rate	$36.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.26
Rate for Payer: Qualcare PPO/HMO/WC	$22.48

SCREW 6.5MM CANC 16MM

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270655828
Hospital Revenue Code	278
Min. Negotiated Rate	$20.86
Max. Negotiated Rate	$33.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.65
Rate for Payer: Qualcare PPO/HMO/WC	$20.86

SCREW 6.5MM CANC 16MM

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270655827
Hospital Revenue Code	278
Min. Negotiated Rate	$20.86
Max. Negotiated Rate	$33.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.65
Rate for Payer: Qualcare PPO/HMO/WC	$20.86

SCREW 6.5MM CANC 16MM

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270655830
Hospital Revenue Code	278
Min. Negotiated Rate	$20.86
Max. Negotiated Rate	$33.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.65
Rate for Payer: Qualcare PPO/HMO/WC	$20.86

SCREW 6.5MM CANC 16MM

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270655828
Hospital Revenue Code	278
Min. Negotiated Rate	$3.95
Max. Negotiated Rate	$69.53
Rate for Payer: Aetna Commercial	$52.84
Rate for Payer: Aetna Medicare Advantage	$41.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.46
Rate for Payer: Cigna Commercial	$69.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.65
Rate for Payer: Qualcare PPO/HMO/WC	$20.86
Rate for Payer: UnitedHealthcare Community & State	$4.39
Rate for Payer: Wellpoint Medicaid Managed Care	$3.95

SCREW 6.5MM CANC 16MM

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270655831
Hospital Revenue Code	278
Min. Negotiated Rate	$3.95
Max. Negotiated Rate	$69.53
Rate for Payer: Aetna Commercial	$52.84
Rate for Payer: Aetna Medicare Advantage	$41.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.46
Rate for Payer: Cigna Commercial	$69.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.65
Rate for Payer: Qualcare PPO/HMO/WC	$20.86
Rate for Payer: UnitedHealthcare Community & State	$4.39
Rate for Payer: Wellpoint Medicaid Managed Care	$3.95

SCREW 6.5MM CANC 16MM

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270655831
Hospital Revenue Code	278
Min. Negotiated Rate	$20.86
Max. Negotiated Rate	$33.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.65
Rate for Payer: Qualcare PPO/HMO/WC	$20.86

SCREW 6.5MM CANC 16MM

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270655830
Hospital Revenue Code	278
Min. Negotiated Rate	$3.95
Max. Negotiated Rate	$69.53
Rate for Payer: Aetna Commercial	$52.84
Rate for Payer: Aetna Medicare Advantage	$41.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.46
Rate for Payer: Cigna Commercial	$69.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.65
Rate for Payer: Qualcare PPO/HMO/WC	$20.86
Rate for Payer: UnitedHealthcare Community & State	$4.39
Rate for Payer: Wellpoint Medicaid Managed Care	$3.95

SCREW 6.5MM CANC 16MM

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270655832
Hospital Revenue Code	278
Min. Negotiated Rate	$3.95
Max. Negotiated Rate	$69.53
Rate for Payer: Aetna Commercial	$52.84
Rate for Payer: Aetna Medicare Advantage	$41.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.46
Rate for Payer: Cigna Commercial	$69.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.65
Rate for Payer: Qualcare PPO/HMO/WC	$20.86
Rate for Payer: UnitedHealthcare Community & State	$4.39
Rate for Payer: Wellpoint Medicaid Managed Care	$3.95

SCREW 6.5MM CANC 16MM

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270655834
Hospital Revenue Code	278
Min. Negotiated Rate	$3.95
Max. Negotiated Rate	$69.53
Rate for Payer: Aetna Commercial	$52.84
Rate for Payer: Aetna Medicare Advantage	$41.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.46
Rate for Payer: Cigna Commercial	$69.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.65
Rate for Payer: Qualcare PPO/HMO/WC	$20.86
Rate for Payer: UnitedHealthcare Community & State	$4.39
Rate for Payer: Wellpoint Medicaid Managed Care	$3.95

SCREW 6.5MM CANC 16MM

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270655846
Hospital Revenue Code	278
Min. Negotiated Rate	$20.86
Max. Negotiated Rate	$33.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.65
Rate for Payer: Qualcare PPO/HMO/WC	$20.86

SCREW 6.5MM CANC 16MM

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270655827
Hospital Revenue Code	278
Min. Negotiated Rate	$3.95
Max. Negotiated Rate	$69.53
Rate for Payer: Aetna Commercial	$52.84
Rate for Payer: Aetna Medicare Advantage	$41.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.46
Rate for Payer: Cigna Commercial	$69.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.65
Rate for Payer: Qualcare PPO/HMO/WC	$20.86
Rate for Payer: UnitedHealthcare Community & State	$4.39
Rate for Payer: Wellpoint Medicaid Managed Care	$3.95

SCREW 6.5MM CANC 16MM

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270655834
Hospital Revenue Code	278
Min. Negotiated Rate	$20.86
Max. Negotiated Rate	$33.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.65
Rate for Payer: Qualcare PPO/HMO/WC	$20.86

SCREW 6.5MM CANC 16MM

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270655832
Hospital Revenue Code	278
Min. Negotiated Rate	$20.86
Max. Negotiated Rate	$33.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.65
Rate for Payer: Qualcare PPO/HMO/WC	$20.86

SCREW 6.5MM CANC 16MM

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270655846
Hospital Revenue Code	278
Min. Negotiated Rate	$3.95
Max. Negotiated Rate	$69.53
Rate for Payer: Aetna Commercial	$52.84
Rate for Payer: Aetna Medicare Advantage	$41.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.46
Rate for Payer: Cigna Commercial	$69.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.65
Rate for Payer: Qualcare PPO/HMO/WC	$20.86
Rate for Payer: UnitedHealthcare Community & State	$4.39
Rate for Payer: Wellpoint Medicaid Managed Care	$3.95

Know your out-of-pocket cost for care.

All Charges