Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW6.5MM CANC 16MM

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270655850
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

SCREW6.5MM CANC 16MM

Facility

$149.85

Service Code	HCPCS C1713
Hospital Charge Code	270655855
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

SCREW6.5MM CANC 16MM

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270655850
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

SCREW6.5MM CANC 16MM

Facility

$149.85

Service Code	HCPCS C1713
Hospital Charge Code	270655855
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

SCREW6.5MM CANC 16MM

Facility

$145.50

Hospital Charge Code	270655856
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

SCREW6.5MM CANC 16MM

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270655848
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

SCREW6.5MM CANC 16MM

Facility

$149.85

Service Code	HCPCS C1713
Hospital Charge Code	270655852
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

SCREW6.5MM CANC 16MM

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270655844
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

SCREW6.5MM CANC 16MM

Facility

$149.85

Service Code	HCPCS C1713
Hospital Charge Code	270655852
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

SCREW6.5MM CANC 16MM

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270655845
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

SCREW6.5MM CANC 16MM

Facility

$145.50

Hospital Charge Code	270655856
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

SCREW6.5MM CANC 16MM

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270655845
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

SCREW6.5MM CANC 16MM

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270655844
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

SCREW6.5MM CANC 16MM

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270655848
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 16 THRD 65MM

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270687941
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 16 THRD 65MM

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270687941
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 16X50 2332051

Facility

$79.45

Service Code	HCPCS C1713
Hospital Charge Code	270610371
Hospital Revenue Code	278
Min. Negotiated Rate	$2.26
Max. Negotiated Rate	$39.73
Rate for Payer: Aetna Commercial	$30.19
Rate for Payer: Aetna Medicare Advantage	$23.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.26
Rate for Payer: Cigna Commercial	$39.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.23
Rate for Payer: Qualcare PPO/HMO/WC	$11.92
Rate for Payer: UnitedHealthcare Community & State	$2.51
Rate for Payer: Wellpoint Medicaid Managed Care	$2.26

SCREW 6.5mm CANC 16X50 2332051

Facility

$79.45

Service Code	HCPCS C1713
Hospital Charge Code	270610371
Hospital Revenue Code	278
Min. Negotiated Rate	$11.92
Max. Negotiated Rate	$19.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.23
Rate for Payer: Qualcare PPO/HMO/WC	$11.92

SCREW 6.5MM CANCELLOUS 100MM

Facility

$145.50

Hospital Charge Code	270656190
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 CANCELLOUS 100MM

Facility

$145.50

Hospital Charge Code	270656190
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 CANCELLOUS 105MM

Facility

$145.50

Hospital Charge Code	270656191
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 CANCELLOUS 105MM

Facility

$145.50

Hospital Charge Code	270656191
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 CANCELLOUS 115MM

Facility

$186.95

Service Code	HCPCS C1713
Hospital Charge Code	270656177
Hospital Revenue Code	278
Min. Negotiated Rate	$5.31
Max. Negotiated Rate	$93.47
Rate for Payer: Aetna Commercial	$71.04
Rate for Payer: Aetna Medicare Advantage	$56.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.67
Rate for Payer: Cigna Commercial	$93.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.24
Rate for Payer: Qualcare PPO/HMO/WC	$28.04
Rate for Payer: UnitedHealthcare Community & State	$5.91
Rate for Payer: Wellpoint Medicaid Managed Care	$5.31

SCREW 6.5MM CANCELLOUS 115MM

Facility

$186.95

Service Code	HCPCS C1713
Hospital Charge Code	270656177
Hospital Revenue Code	278
Min. Negotiated Rate	$28.04
Max. Negotiated Rate	$45.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.24
Rate for Payer: Qualcare PPO/HMO/WC	$28.04

SCREW 6.5MM CANCELLOUS 120MM

Facility

$186.95

Service Code	HCPCS C1713
Hospital Charge Code	270656178
Hospital Revenue Code	278
Min. Negotiated Rate	$5.31
Max. Negotiated Rate	$93.47
Rate for Payer: Aetna Commercial	$71.04
Rate for Payer: Aetna Medicare Advantage	$56.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.67
Rate for Payer: Cigna Commercial	$93.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.24
Rate for Payer: Qualcare PPO/HMO/WC	$28.04
Rate for Payer: UnitedHealthcare Community & State	$5.91
Rate for Payer: Wellpoint Medicaid Managed Care	$5.31

Know your out-of-pocket cost for care.

All Charges