Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CAN 8.0MM X 80MM X 16MM

Facility

$2,509.10

Service Code	HCPCS C1713
Hospital Charge Code	270704915
Hospital Revenue Code	278
Min. Negotiated Rate	$376.37
Max. Negotiated Rate	$607.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$501.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$607.20
Rate for Payer: Qualcare PPO/HMO/WC	$376.37

SCREW CAN 8.0MM X 80MM X 16MM

Facility

$2,509.10

Service Code	HCPCS C1713
Hospital Charge Code	270704915
Hospital Revenue Code	278
Min. Negotiated Rate	$71.26
Max. Negotiated Rate	$1,254.55
Rate for Payer: Aetna Commercial	$953.46
Rate for Payer: Aetna Medicare Advantage	$752.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$639.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$639.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$501.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$639.82
Rate for Payer: Cigna Commercial	$1,254.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$607.20
Rate for Payer: Qualcare PPO/HMO/WC	$376.37
Rate for Payer: UnitedHealthcare Community & State	$79.29
Rate for Payer: Wellpoint Medicaid Managed Care	$71.26

SCREW CANC 16MM THD 6.5X60MM

Facility

$335.00

Hospital Charge Code	270670997
Hospital Revenue Code	278
Min. Negotiated Rate	$50.25
Max. Negotiated Rate	$81.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$67.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.07
Rate for Payer: Qualcare PPO/HMO/WC	$50.25

SCREW CANC 16MM THD 6.5X60MM

Facility

$335.00

Hospital Charge Code	270670997
Hospital Revenue Code	278
Min. Negotiated Rate	$9.51
Max. Negotiated Rate	$167.50
Rate for Payer: Aetna Commercial	$127.30
Rate for Payer: Aetna Medicare Advantage	$100.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$85.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$85.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$67.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$85.42
Rate for Payer: Cigna Commercial	$167.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.07
Rate for Payer: Qualcare PPO/HMO/WC	$50.25
Rate for Payer: UnitedHealthcare Community & State	$10.59
Rate for Payer: Wellpoint Medicaid Managed Care	$9.51

SCREW CANC 16MM THD 6.5X70MM

Facility

$335.00

Hospital Charge Code	270670998
Hospital Revenue Code	278
Min. Negotiated Rate	$9.51
Max. Negotiated Rate	$167.50
Rate for Payer: Aetna Commercial	$127.30
Rate for Payer: Aetna Medicare Advantage	$100.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$85.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$85.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$67.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$85.42
Rate for Payer: Cigna Commercial	$167.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.07
Rate for Payer: Qualcare PPO/HMO/WC	$50.25
Rate for Payer: UnitedHealthcare Community & State	$10.59
Rate for Payer: Wellpoint Medicaid Managed Care	$9.51

SCREW CANC 16MM THD 6.5X70MM

Facility

$335.00

Hospital Charge Code	270670998
Hospital Revenue Code	278
Min. Negotiated Rate	$50.25
Max. Negotiated Rate	$81.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$67.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.07
Rate for Payer: Qualcare PPO/HMO/WC	$50.25

SCREW CANC 2.5 HEX 4x22MM

Facility

$205.00

Service Code	HCPCS C1713
Hospital Charge Code	270673717
Hospital Revenue Code	278
Min. Negotiated Rate	$30.75
Max. Negotiated Rate	$49.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$41.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.61
Rate for Payer: Qualcare PPO/HMO/WC	$30.75

SCREW CANC 2.5 HEX 4x22MM

Facility

$205.00

Service Code	HCPCS C1713
Hospital Charge Code	270673717
Hospital Revenue Code	278
Min. Negotiated Rate	$5.82
Max. Negotiated Rate	$102.50
Rate for Payer: Aetna Commercial	$77.90
Rate for Payer: Aetna Medicare Advantage	$61.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$41.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.27
Rate for Payer: Cigna Commercial	$102.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.61
Rate for Payer: Qualcare PPO/HMO/WC	$30.75
Rate for Payer: UnitedHealthcare Community & State	$6.48
Rate for Payer: Wellpoint Medicaid Managed Care	$5.82

SCREW CANC 32MM THD 6.5x65MM

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270627314
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 CANC 32MM THD 6.5x65MM

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270627314
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 CANC 4.0MM, SM HEX, 4

Facility

$108.00

Hospital Charge Code	270667690
Hospital Revenue Code	278
Min. Negotiated Rate	$3.07
Max. Negotiated Rate	$54.00
Rate for Payer: Aetna Commercial	$41.04
Rate for Payer: Aetna Medicare Advantage	$32.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.54
Rate for Payer: Cigna Commercial	$54.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.14
Rate for Payer: Qualcare PPO/HMO/WC	$16.20
Rate for Payer: UnitedHealthcare Community & State	$3.41
Rate for Payer: Wellpoint Medicaid Managed Care	$3.07

SCREW CANC 4.0MM, SM HEX, 4

Facility

$108.00

Hospital Charge Code	270667690
Hospital Revenue Code	278
Min. Negotiated Rate	$16.20
Max. Negotiated Rate	$26.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.14
Rate for Payer: Qualcare PPO/HMO/WC	$16.20

SCREW CANC 4.0mmX40mm 24804041

Facility

$191.35

Service Code	HCPCS C1713
Hospital Charge Code	270634828
Hospital Revenue Code	278
Min. Negotiated Rate	$28.70
Max. Negotiated Rate	$46.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.31
Rate for Payer: Qualcare PPO/HMO/WC	$28.70

SCREW CANC 4.0mmX40mm 24804041

Facility

$191.35

Service Code	HCPCS C1713
Hospital Charge Code	270634828
Hospital Revenue Code	278
Min. Negotiated Rate	$5.43
Max. Negotiated Rate	$95.67
Rate for Payer: Aetna Commercial	$72.71
Rate for Payer: Aetna Medicare Advantage	$57.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.79
Rate for Payer: Cigna Commercial	$95.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.31
Rate for Payer: Qualcare PPO/HMO/WC	$28.70
Rate for Payer: UnitedHealthcare Community & State	$6.05
Rate for Payer: Wellpoint Medicaid Managed Care	$5.43

SCREW CANC 4.0x14mm

Facility

$340.00

Hospital Charge Code	270673023
Hospital Revenue Code	278
Min. Negotiated Rate	$51.00
Max. Negotiated Rate	$82.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$68.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.28
Rate for Payer: Qualcare PPO/HMO/WC	$51.00

SCREW CANC 4.0x14mm

Facility

$340.00

Hospital Charge Code	270673023
Hospital Revenue Code	278
Min. Negotiated Rate	$9.66
Max. Negotiated Rate	$170.00
Rate for Payer: Aetna Commercial	$129.20
Rate for Payer: Aetna Medicare Advantage	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$68.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.70
Rate for Payer: Cigna Commercial	$170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.28
Rate for Payer: Qualcare PPO/HMO/WC	$51.00
Rate for Payer: UnitedHealthcare Community & State	$10.74
Rate for Payer: Wellpoint Medicaid Managed Care	$9.66

SCREW CANC 4.0x18mm F/THREAD

Facility

$74.15

Service Code	HCPCS C1713
Hospital Charge Code	270604236
Hospital Revenue Code	278
Min. Negotiated Rate	$11.12
Max. Negotiated Rate	$17.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.94
Rate for Payer: Qualcare PPO/HMO/WC	$11.12

SCREW CANC 4.0x18mm F/THREAD

Facility

$74.15

Service Code	HCPCS C1713
Hospital Charge Code	270604236
Hospital Revenue Code	278
Min. Negotiated Rate	$2.11
Max. Negotiated Rate	$37.08
Rate for Payer: Aetna Commercial	$28.18
Rate for Payer: Aetna Medicare Advantage	$22.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.91
Rate for Payer: Cigna Commercial	$37.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.94
Rate for Payer: Qualcare PPO/HMO/WC	$11.12
Rate for Payer: UnitedHealthcare Community & State	$2.34
Rate for Payer: Wellpoint Medicaid Managed Care	$2.11

SCREW CANC 4.0x24mm

Facility

$340.00

Hospital Charge Code	270673024
Hospital Revenue Code	278
Min. Negotiated Rate	$9.66
Max. Negotiated Rate	$170.00
Rate for Payer: Aetna Commercial	$129.20
Rate for Payer: Aetna Medicare Advantage	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$68.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.70
Rate for Payer: Cigna Commercial	$170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.28
Rate for Payer: Qualcare PPO/HMO/WC	$51.00
Rate for Payer: UnitedHealthcare Community & State	$10.74
Rate for Payer: Wellpoint Medicaid Managed Care	$9.66

SCREW CANC 4.0x24mm

Facility

$340.00

Hospital Charge Code	270673024
Hospital Revenue Code	278
Min. Negotiated Rate	$51.00
Max. Negotiated Rate	$82.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$68.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.28
Rate for Payer: Qualcare PPO/HMO/WC	$51.00

SCREW CANC 4.0x28mm

Facility

$340.00

Hospital Charge Code	270673025
Hospital Revenue Code	278
Min. Negotiated Rate	$51.00
Max. Negotiated Rate	$82.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$68.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.28
Rate for Payer: Qualcare PPO/HMO/WC	$51.00

SCREW CANC 4.0x28mm

Facility

$340.00

Hospital Charge Code	270673025
Hospital Revenue Code	278
Min. Negotiated Rate	$9.66
Max. Negotiated Rate	$170.00
Rate for Payer: Aetna Commercial	$129.20
Rate for Payer: Aetna Medicare Advantage	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$68.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.70
Rate for Payer: Cigna Commercial	$170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.28
Rate for Payer: Qualcare PPO/HMO/WC	$51.00
Rate for Payer: UnitedHealthcare Community & State	$10.74
Rate for Payer: Wellpoint Medicaid Managed Care	$9.66

SCREW CANC 4.0X36 FT 815341036

Facility

$153.85

Service Code	HCPCS C1713
Hospital Charge Code	270632802
Hospital Revenue Code	278
Min. Negotiated Rate	$4.37
Max. Negotiated Rate	$76.92
Rate for Payer: Aetna Commercial	$58.46
Rate for Payer: Aetna Medicare Advantage	$46.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.23
Rate for Payer: Cigna Commercial	$76.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.23
Rate for Payer: Qualcare PPO/HMO/WC	$23.08
Rate for Payer: UnitedHealthcare Community & State	$4.86
Rate for Payer: Wellpoint Medicaid Managed Care	$4.37

SCREW CANC 4.0X36 FT 815341036

Facility

$153.85

Service Code	HCPCS C1713
Hospital Charge Code	270632802
Hospital Revenue Code	278
Min. Negotiated Rate	$23.08
Max. Negotiated Rate	$37.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.23
Rate for Payer: Qualcare PPO/HMO/WC	$23.08

SCREW CANC 4.0x38mm

Facility

$340.00

Hospital Charge Code	270673026
Hospital Revenue Code	278
Min. Negotiated Rate	$51.00
Max. Negotiated Rate	$82.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$68.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.28
Rate for Payer: Qualcare PPO/HMO/WC	$51.00

Know your out-of-pocket cost for care.

All Charges