Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 6.5X50

Facility

$11,205.60

Service Code	HCPCS C1713
Hospital Charge Code	270699238
Hospital Revenue Code	278
Min. Negotiated Rate	$1,680.84
Max. Negotiated Rate	$2,711.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,241.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,711.76
Rate for Payer: Qualcare PPO/HMO/WC	$1,680.84

SCREW 6.5 X 50HDLESS COMP THD

Facility

$1,468.35

Service Code	HCPCS C1713
Hospital Charge Code	270688270
Hospital Revenue Code	278
Min. Negotiated Rate	$41.70
Max. Negotiated Rate	$734.17
Rate for Payer: Aetna Commercial	$557.97
Rate for Payer: Aetna Medicare Advantage	$440.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$374.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$374.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$293.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$374.43
Rate for Payer: Cigna Commercial	$734.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$355.34
Rate for Payer: Qualcare PPO/HMO/WC	$220.25
Rate for Payer: UnitedHealthcare Community & State	$46.40
Rate for Payer: Wellpoint Medicaid Managed Care	$41.70

SCREW 6.5 X 50HDLESS COMP THD

Facility

$1,468.35

Service Code	HCPCS C1713
Hospital Charge Code	270688270
Hospital Revenue Code	278
Min. Negotiated Rate	$220.25
Max. Negotiated Rate	$355.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$293.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$355.34
Rate for Payer: Qualcare PPO/HMO/WC	$220.25

SCREW 6.5X50MM

Facility

$3,625.00

Hospital Charge Code	270702661
Hospital Revenue Code	278
Min. Negotiated Rate	$543.75
Max. Negotiated Rate	$877.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$877.25
Rate for Payer: Qualcare PPO/HMO/WC	$543.75

SCREW 6.5X50MM

Facility

$3,625.00

Hospital Charge Code	270702661
Hospital Revenue Code	278
Min. Negotiated Rate	$102.95
Max. Negotiated Rate	$1,812.50
Rate for Payer: Aetna Commercial	$1,377.50
Rate for Payer: Aetna Medicare Advantage	$1,087.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$924.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$924.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$725.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$924.38
Rate for Payer: Cigna Commercial	$1,812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$877.25
Rate for Payer: Qualcare PPO/HMO/WC	$543.75
Rate for Payer: UnitedHealthcare Community & State	$114.55
Rate for Payer: Wellpoint Medicaid Managed Care	$102.95

SCREW 6.5 X 60MM

Facility

$4,450.00

Service Code	HCPCS C1713
Hospital Charge Code	270690702
Hospital Revenue Code	278
Min. Negotiated Rate	$667.50
Max. Negotiated Rate	$1,076.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$890.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,076.90
Rate for Payer: Qualcare PPO/HMO/WC	$667.50

SCREW 6.5 X 60MM

Facility

$4,450.00

Service Code	HCPCS C1713
Hospital Charge Code	270690702
Hospital Revenue Code	278
Min. Negotiated Rate	$126.38
Max. Negotiated Rate	$2,225.00
Rate for Payer: Aetna Commercial	$1,691.00
Rate for Payer: Aetna Medicare Advantage	$1,335.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,134.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,134.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$890.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,134.75
Rate for Payer: Cigna Commercial	$2,225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,076.90
Rate for Payer: Qualcare PPO/HMO/WC	$667.50
Rate for Payer: UnitedHealthcare Community & State	$140.62
Rate for Payer: Wellpoint Medicaid Managed Care	$126.38

SCREW 6.5X60MM

Facility

$4,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270698967
Hospital Revenue Code	278
Min. Negotiated Rate	$134.90
Max. Negotiated Rate	$2,375.00
Rate for Payer: Aetna Commercial	$1,805.00
Rate for Payer: Aetna Medicare Advantage	$1,425.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$950.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,211.25
Rate for Payer: Cigna Commercial	$2,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,149.50
Rate for Payer: Qualcare PPO/HMO/WC	$712.50
Rate for Payer: UnitedHealthcare Community & State	$150.10
Rate for Payer: Wellpoint Medicaid Managed Care	$134.90

SCREW 6.5X60MM

Facility

$2,301.80

Service Code	HCPCS C1713
Hospital Charge Code	270705663
Hospital Revenue Code	278
Min. Negotiated Rate	$345.27
Max. Negotiated Rate	$557.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$460.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$557.04
Rate for Payer: Qualcare PPO/HMO/WC	$345.27

SCREW 6.5X60MM

Facility

$4,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270698967
Hospital Revenue Code	278
Min. Negotiated Rate	$712.50
Max. Negotiated Rate	$1,149.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,149.50
Rate for Payer: Qualcare PPO/HMO/WC	$712.50

SCREW 6.5X60MM

Facility

$2,301.80

Service Code	HCPCS C1713
Hospital Charge Code	270705663
Hospital Revenue Code	278
Min. Negotiated Rate	$65.37
Max. Negotiated Rate	$1,150.90
Rate for Payer: Aetna Commercial	$874.68
Rate for Payer: Aetna Medicare Advantage	$690.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$586.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$586.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$460.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$586.96
Rate for Payer: Cigna Commercial	$1,150.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$557.04
Rate for Payer: Qualcare PPO/HMO/WC	$345.27
Rate for Payer: UnitedHealthcare Community & State	$72.74
Rate for Payer: Wellpoint Medicaid Managed Care	$65.37

SCREW 6.5 X 65MM

Facility

$3,525.00

Service Code	HCPCS C1713
Hospital Charge Code	270686222
Hospital Revenue Code	278
Min. Negotiated Rate	$100.11
Max. Negotiated Rate	$1,762.50
Rate for Payer: Aetna Commercial	$1,339.50
Rate for Payer: Aetna Medicare Advantage	$1,057.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$898.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$898.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$705.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$898.88
Rate for Payer: Cigna Commercial	$1,762.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$853.05
Rate for Payer: Qualcare PPO/HMO/WC	$528.75
Rate for Payer: UnitedHealthcare Community & State	$111.39
Rate for Payer: Wellpoint Medicaid Managed Care	$100.11

SCREW 6.5 X 65MM

Facility

$3,525.00

Service Code	HCPCS C1713
Hospital Charge Code	270686222
Hospital Revenue Code	278
Min. Negotiated Rate	$528.75
Max. Negotiated Rate	$853.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$705.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$853.05
Rate for Payer: Qualcare PPO/HMO/WC	$528.75

SCREW 6.5X65MM 015.3287

Facility

$4,450.00

Hospital Charge Code	270702564
Hospital Revenue Code	278
Min. Negotiated Rate	$667.50
Max. Negotiated Rate	$1,076.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$890.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,076.90
Rate for Payer: Qualcare PPO/HMO/WC	$667.50

SCREW 6.5X65MM 015.3287

Facility

$4,450.00

Hospital Charge Code	270702564
Hospital Revenue Code	278
Min. Negotiated Rate	$126.38
Max. Negotiated Rate	$2,225.00
Rate for Payer: Aetna Commercial	$1,691.00
Rate for Payer: Aetna Medicare Advantage	$1,335.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,134.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,134.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$890.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,134.75
Rate for Payer: Cigna Commercial	$2,225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,076.90
Rate for Payer: Qualcare PPO/HMO/WC	$667.50
Rate for Payer: UnitedHealthcare Community & State	$140.62
Rate for Payer: Wellpoint Medicaid Managed Care	$126.38

SCREW 6.5 X 80MM

Facility

$3,525.00

Service Code	HCPCS C1713
Hospital Charge Code	270686221
Hospital Revenue Code	278
Min. Negotiated Rate	$528.75
Max. Negotiated Rate	$853.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$705.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$853.05
Rate for Payer: Qualcare PPO/HMO/WC	$528.75

SCREW 6.5 X 80MM

Facility

$3,525.00

Service Code	HCPCS C1713
Hospital Charge Code	270686221
Hospital Revenue Code	278
Min. Negotiated Rate	$100.11
Max. Negotiated Rate	$1,762.50
Rate for Payer: Aetna Commercial	$1,339.50
Rate for Payer: Aetna Medicare Advantage	$1,057.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$898.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$898.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$705.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$898.88
Rate for Payer: Cigna Commercial	$1,762.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$853.05
Rate for Payer: Qualcare PPO/HMO/WC	$528.75
Rate for Payer: UnitedHealthcare Community & State	$111.39
Rate for Payer: Wellpoint Medicaid Managed Care	$100.11

SCREW 6MM

Facility

$415.00

Service Code	HCPCS C1713
Hospital Charge Code	270680773
Hospital Revenue Code	278
Min. Negotiated Rate	$62.25
Max. Negotiated Rate	$100.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$83.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$100.43
Rate for Payer: Qualcare PPO/HMO/WC	$62.25

SCREW 6MM

Facility

$415.00

Service Code	HCPCS C1713
Hospital Charge Code	270680773
Hospital Revenue Code	278
Min. Negotiated Rate	$11.79
Max. Negotiated Rate	$207.50
Rate for Payer: Aetna Commercial	$157.70
Rate for Payer: Aetna Medicare Advantage	$124.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$83.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$105.83
Rate for Payer: Cigna Commercial	$207.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$100.43
Rate for Payer: Qualcare PPO/HMO/WC	$62.25
Rate for Payer: UnitedHealthcare Community & State	$13.11
Rate for Payer: Wellpoint Medicaid Managed Care	$11.79

SCREW 6 X 35 MM

Facility

$8,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270684235
Hospital Revenue Code	278
Min. Negotiated Rate	$248.50
Max. Negotiated Rate	$4,375.00
Rate for Payer: Aetna Commercial	$3,325.00
Rate for Payer: Aetna Medicare Advantage	$2,625.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,231.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,231.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,231.25
Rate for Payer: Cigna Commercial	$4,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,117.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,312.50
Rate for Payer: UnitedHealthcare Community & State	$276.50
Rate for Payer: Wellpoint Medicaid Managed Care	$248.50

SCREW 6 X 35 MM

Facility

$8,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270684235
Hospital Revenue Code	278
Min. Negotiated Rate	$1,312.50
Max. Negotiated Rate	$2,117.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,117.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,312.50

SCREW 7.3 LOCKING CANNUL 45

Facility

$1,203.00

Hospital Charge Code	270661931
Hospital Revenue Code	278
Min. Negotiated Rate	$34.17
Max. Negotiated Rate	$601.50
Rate for Payer: Aetna Commercial	$457.14
Rate for Payer: Aetna Medicare Advantage	$360.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$306.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$306.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$240.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$306.76
Rate for Payer: Cigna Commercial	$601.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$291.13
Rate for Payer: Qualcare PPO/HMO/WC	$180.45
Rate for Payer: UnitedHealthcare Community & State	$38.01
Rate for Payer: Wellpoint Medicaid Managed Care	$34.17

SCREW 7.3 LOCKING CANNUL 45

Facility

$1,203.00

Hospital Charge Code	270661931
Hospital Revenue Code	278
Min. Negotiated Rate	$180.45
Max. Negotiated Rate	$291.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$240.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$291.13
Rate for Payer: Qualcare PPO/HMO/WC	$180.45

SCREW 75 MM ANTIROTATION

Facility

$1,825.00

Service Code	HCPCS C1713
Hospital Charge Code	270687504
Hospital Revenue Code	278
Min. Negotiated Rate	$273.75
Max. Negotiated Rate	$441.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$365.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$441.65
Rate for Payer: Qualcare PPO/HMO/WC	$273.75

SCREW 75 MM ANTIROTATION

Facility

$1,825.00

Service Code	HCPCS C1713
Hospital Charge Code	270687504
Hospital Revenue Code	278
Min. Negotiated Rate	$51.83
Max. Negotiated Rate	$912.50
Rate for Payer: Aetna Commercial	$693.50
Rate for Payer: Aetna Medicare Advantage	$547.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$465.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$465.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$365.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$465.38
Rate for Payer: Cigna Commercial	$912.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$441.65
Rate for Payer: Qualcare PPO/HMO/WC	$273.75
Rate for Payer: UnitedHealthcare Community & State	$57.67
Rate for Payer: Wellpoint Medicaid Managed Care	$51.83

Know your out-of-pocket cost for care.

All Charges