Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 7.5X45MM

Facility

$4,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270695597
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 7.5X45MM

Facility

$4,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270695597
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 7.5X45MM

Facility

$4,500.00

Hospital Charge Code	270703137
Hospital Revenue Code	278
Min. Negotiated Rate	$127.80
Max. Negotiated Rate	$2,250.00
Rate for Payer: Aetna Commercial	$1,710.00
Rate for Payer: Aetna Medicare Advantage	$1,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,147.50
Rate for Payer: Cigna Commercial	$2,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,089.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00
Rate for Payer: UnitedHealthcare Community & State	$142.20
Rate for Payer: Wellpoint Medicaid Managed Care	$127.80

SCREW 7.5X60MM

Facility

$4,450.00

Service Code	HCPCS C1713
Hospital Charge Code	270702588
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 7.5X60MM

Facility

$4,450.00

Service Code	HCPCS C1713
Hospital Charge Code	270702588
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 8.5X40MM

Facility

$6,740.00

Service Code	HCPCS C1713
Hospital Charge Code	270691937
Hospital Revenue Code	278
Min. Negotiated Rate	$191.42
Max. Negotiated Rate	$3,370.00
Rate for Payer: Aetna Commercial	$2,561.20
Rate for Payer: Aetna Medicare Advantage	$2,022.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,718.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,718.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,348.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,718.70
Rate for Payer: Cigna Commercial	$3,370.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,631.08
Rate for Payer: Qualcare PPO/HMO/WC	$1,011.00
Rate for Payer: UnitedHealthcare Community & State	$212.98
Rate for Payer: Wellpoint Medicaid Managed Care	$191.42

SCREW 8.5X40MM

Facility

$6,740.00

Service Code	HCPCS C1713
Hospital Charge Code	270691937
Hospital Revenue Code	278
Min. Negotiated Rate	$1,011.00
Max. Negotiated Rate	$1,631.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,348.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,631.08
Rate for Payer: Qualcare PPO/HMO/WC	$1,011.00

SCREW ACETABULAR 6.5x40MM

Facility

$400.00

Hospital Charge Code	270612169
Hospital Revenue Code	278
Min. Negotiated Rate	$60.00
Max. Negotiated Rate	$96.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$80.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.80
Rate for Payer: Qualcare PPO/HMO/WC	$60.00

SCREW ACETABULAR 6.5x40MM

Facility

$400.00

Hospital Charge Code	270612169
Hospital Revenue Code	278
Min. Negotiated Rate	$11.36
Max. Negotiated Rate	$200.00
Rate for Payer: Aetna Commercial	$152.00
Rate for Payer: Aetna Medicare Advantage	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$80.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$102.00
Rate for Payer: Cigna Commercial	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.80
Rate for Payer: Qualcare PPO/HMO/WC	$60.00
Rate for Payer: UnitedHealthcare Community & State	$12.64
Rate for Payer: Wellpoint Medicaid Managed Care	$11.36

SCREW ACP 3.5X13MM SDV

Facility

$3,865.00

Service Code	HCPCS C1713
Hospital Charge Code	270693081
Hospital Revenue Code	278
Min. Negotiated Rate	$109.77
Max. Negotiated Rate	$1,932.50
Rate for Payer: Aetna Commercial	$1,468.70
Rate for Payer: Aetna Medicare Advantage	$1,159.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$985.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$985.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$773.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$985.58
Rate for Payer: Cigna Commercial	$1,932.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$935.33
Rate for Payer: Qualcare PPO/HMO/WC	$579.75
Rate for Payer: UnitedHealthcare Community & State	$122.13
Rate for Payer: Wellpoint Medicaid Managed Care	$109.77

SCREW ACP 3.5X13MM SDV

Facility

$3,865.00

Service Code	HCPCS C1713
Hospital Charge Code	270693081
Hospital Revenue Code	278
Min. Negotiated Rate	$579.75
Max. Negotiated Rate	$935.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$773.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$935.33
Rate for Payer: Qualcare PPO/HMO/WC	$579.75

SCREW ACP 3.5X13MM SELF TAP

Facility

$12,144.00

Service Code	HCPCS C1713
Hospital Charge Code	270693941
Hospital Revenue Code	278
Min. Negotiated Rate	$344.89
Max. Negotiated Rate	$6,072.00
Rate for Payer: Aetna Commercial	$4,614.72
Rate for Payer: Aetna Medicare Advantage	$3,643.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,096.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,096.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,428.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,096.72
Rate for Payer: Cigna Commercial	$6,072.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,938.85
Rate for Payer: Qualcare PPO/HMO/WC	$1,821.60
Rate for Payer: UnitedHealthcare Community & State	$383.75
Rate for Payer: Wellpoint Medicaid Managed Care	$344.89

SCREW ACP 3.5X13MM SELF TAP

Facility

$12,144.00

Service Code	HCPCS C1713
Hospital Charge Code	270693941
Hospital Revenue Code	278
Min. Negotiated Rate	$1,821.60
Max. Negotiated Rate	$2,938.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,428.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,938.85
Rate for Payer: Qualcare PPO/HMO/WC	$1,821.60

SCREW ACP SD FIXED 3.5X15MM

Facility

$1,515.00

Service Code	HCPCS C1713
Hospital Charge Code	270698446
Hospital Revenue Code	278
Min. Negotiated Rate	$227.25
Max. Negotiated Rate	$366.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$366.63
Rate for Payer: Qualcare PPO/HMO/WC	$227.25

SCREW ACP SD FIXED 3.5X15MM

Facility

$1,515.00

Service Code	HCPCS C1713
Hospital Charge Code	270698446
Hospital Revenue Code	278
Min. Negotiated Rate	$43.03
Max. Negotiated Rate	$757.50
Rate for Payer: Aetna Commercial	$575.70
Rate for Payer: Aetna Medicare Advantage	$454.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$386.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$386.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$386.32
Rate for Payer: Cigna Commercial	$757.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$366.63
Rate for Payer: Qualcare PPO/HMO/WC	$227.25
Rate for Payer: UnitedHealthcare Community & State	$47.87
Rate for Payer: Wellpoint Medicaid Managed Care	$43.03

SCREW ACP SDV 3.5X11MM

Facility

$1,515.00

Service Code	HCPCS C1713
Hospital Charge Code	270695818
Hospital Revenue Code	278
Min. Negotiated Rate	$43.03
Max. Negotiated Rate	$757.50
Rate for Payer: Aetna Commercial	$575.70
Rate for Payer: Aetna Medicare Advantage	$454.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$386.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$386.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$386.32
Rate for Payer: Cigna Commercial	$757.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$366.63
Rate for Payer: Qualcare PPO/HMO/WC	$227.25
Rate for Payer: UnitedHealthcare Community & State	$47.87
Rate for Payer: Wellpoint Medicaid Managed Care	$43.03

SCREW ACP SDV 3.5X11MM

Facility

$1,515.00

Service Code	HCPCS C1713
Hospital Charge Code	270695818
Hospital Revenue Code	278
Min. Negotiated Rate	$227.25
Max. Negotiated Rate	$366.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$366.63
Rate for Payer: Qualcare PPO/HMO/WC	$227.25

SCREW ACP SDV 3.5X15MM

Facility

$30,932.00

Service Code	HCPCS C1713
Hospital Charge Code	270695129
Hospital Revenue Code	278
Min. Negotiated Rate	$4,639.80
Max. Negotiated Rate	$7,485.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,186.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,485.54
Rate for Payer: Qualcare PPO/HMO/WC	$4,639.80

SCREW ACP SDV 3.5X15MM

Facility

$30,932.00

Service Code	HCPCS C1713
Hospital Charge Code	270695129
Hospital Revenue Code	278
Min. Negotiated Rate	$878.47
Max. Negotiated Rate	$15,466.00
Rate for Payer: Aetna Commercial	$11,754.16
Rate for Payer: Aetna Medicare Advantage	$9,279.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,887.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,887.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,186.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,887.66
Rate for Payer: Cigna Commercial	$15,466.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,485.54
Rate for Payer: Qualcare PPO/HMO/WC	$4,639.80
Rate for Payer: UnitedHealthcare Community & State	$977.45
Rate for Payer: Wellpoint Medicaid Managed Care	$878.47

SCREW ACP SELF TAP VA 3.5X11MM

Facility

$3,866.50

Service Code	HCPCS C1713
Hospital Charge Code	270695382
Hospital Revenue Code	278
Min. Negotiated Rate	$109.81
Max. Negotiated Rate	$1,933.25
Rate for Payer: Aetna Commercial	$1,469.27
Rate for Payer: Aetna Medicare Advantage	$1,159.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$985.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$985.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$773.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$985.96
Rate for Payer: Cigna Commercial	$1,933.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$935.69
Rate for Payer: Qualcare PPO/HMO/WC	$579.98
Rate for Payer: UnitedHealthcare Community & State	$122.18
Rate for Payer: Wellpoint Medicaid Managed Care	$109.81

SCREW ACP SELF TAP VA 3.5X11MM

Facility

$3,866.50

Service Code	HCPCS C1713
Hospital Charge Code	270695382
Hospital Revenue Code	278
Min. Negotiated Rate	$579.98
Max. Negotiated Rate	$935.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$773.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$935.69
Rate for Payer: Qualcare PPO/HMO/WC	$579.98

SCREW ACP SELF TAP VAR 4X15MM

Facility

$720.00

Service Code	HCPCS C1713
Hospital Charge Code	270696624
Hospital Revenue Code	278
Min. Negotiated Rate	$108.00
Max. Negotiated Rate	$174.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$144.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.24
Rate for Payer: Qualcare PPO/HMO/WC	$108.00

SCREW ACP SELF TAP VAR 4X15MM

Facility

$720.00

Service Code	HCPCS C1713
Hospital Charge Code	270696624
Hospital Revenue Code	278
Min. Negotiated Rate	$20.45
Max. Negotiated Rate	$360.00
Rate for Payer: Aetna Commercial	$273.60
Rate for Payer: Aetna Medicare Advantage	$216.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$183.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$183.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$144.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$183.60
Rate for Payer: Cigna Commercial	$360.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.24
Rate for Payer: Qualcare PPO/HMO/WC	$108.00
Rate for Payer: UnitedHealthcare Community & State	$22.75
Rate for Payer: Wellpoint Medicaid Managed Care	$20.45

SCREW ACP SLF TAP VAR 3.5X11MM

Facility

$3,866.50

Service Code	HCPCS C1713
Hospital Charge Code	270695409
Hospital Revenue Code	278
Min. Negotiated Rate	$109.81
Max. Negotiated Rate	$1,933.25
Rate for Payer: Aetna Commercial	$1,469.27
Rate for Payer: Aetna Medicare Advantage	$1,159.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$985.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$985.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$773.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$985.96
Rate for Payer: Cigna Commercial	$1,933.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$935.69
Rate for Payer: Qualcare PPO/HMO/WC	$579.98
Rate for Payer: UnitedHealthcare Community & State	$122.18
Rate for Payer: Wellpoint Medicaid Managed Care	$109.81

SCREW ACP SLF TAP VAR 3.5X11MM

Facility

$3,866.50

Service Code	HCPCS C1713
Hospital Charge Code	270695409
Hospital Revenue Code	278
Min. Negotiated Rate	$579.98
Max. Negotiated Rate	$935.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$773.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$935.69
Rate for Payer: Qualcare PPO/HMO/WC	$579.98

Know your out-of-pocket cost for care.

All Charges