Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CANCELLOUS LO PRO 4x46MM

Facility

$175.00

Hospital Charge Code	270671972
Hospital Revenue Code	278
Min. Negotiated Rate	$4.97
Max. Negotiated Rate	$87.50
Rate for Payer: Aetna Commercial	$66.50
Rate for Payer: Aetna Medicare Advantage	$52.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.62
Rate for Payer: Cigna Commercial	$87.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.35
Rate for Payer: Qualcare PPO/HMO/WC	$26.25
Rate for Payer: UnitedHealthcare Community & State	$5.53
Rate for Payer: Wellpoint Medicaid Managed Care	$4.97

SCREW CANCELLOUS LO PRO 4x46MM

Facility

$175.00

Hospital Charge Code	270671972
Hospital Revenue Code	278
Min. Negotiated Rate	$26.25
Max. Negotiated Rate	$42.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.35
Rate for Payer: Qualcare PPO/HMO/WC	$26.25

SCREW CANCELLOUS LO PRO 4x48MM

Facility

$175.00

Service Code	HCPCS C1713
Hospital Charge Code	270671973
Hospital Revenue Code	278
Min. Negotiated Rate	$26.25
Max. Negotiated Rate	$42.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.35
Rate for Payer: Qualcare PPO/HMO/WC	$26.25

SCREW CANCELLOUS LO PRO 4x48MM

Facility

$175.00

Service Code	HCPCS C1713
Hospital Charge Code	270671973
Hospital Revenue Code	278
Min. Negotiated Rate	$4.97
Max. Negotiated Rate	$87.50
Rate for Payer: Aetna Commercial	$66.50
Rate for Payer: Aetna Medicare Advantage	$52.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.62
Rate for Payer: Cigna Commercial	$87.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.35
Rate for Payer: Qualcare PPO/HMO/WC	$26.25
Rate for Payer: UnitedHealthcare Community & State	$5.53
Rate for Payer: Wellpoint Medicaid Managed Care	$4.97

SCREW CANCELLOUS LO PRO 4x50MM

Facility

$175.00

Hospital Charge Code	270669460
Hospital Revenue Code	278
Min. Negotiated Rate	$26.25
Max. Negotiated Rate	$42.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.35
Rate for Payer: Qualcare PPO/HMO/WC	$26.25

SCREW CANCELLOUS LO PRO 4x50MM

Facility

$175.00

Hospital Charge Code	270669460
Hospital Revenue Code	278
Min. Negotiated Rate	$4.97
Max. Negotiated Rate	$87.50
Rate for Payer: Aetna Commercial	$66.50
Rate for Payer: Aetna Medicare Advantage	$52.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.62
Rate for Payer: Cigna Commercial	$87.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.35
Rate for Payer: Qualcare PPO/HMO/WC	$26.25
Rate for Payer: UnitedHealthcare Community & State	$5.53
Rate for Payer: Wellpoint Medicaid Managed Care	$4.97

SCREW CANCELLOUS LO PRO 4x55MM

Facility

$175.00

Hospital Charge Code	270671974
Hospital Revenue Code	278
Min. Negotiated Rate	$4.97
Max. Negotiated Rate	$87.50
Rate for Payer: Aetna Commercial	$66.50
Rate for Payer: Aetna Medicare Advantage	$52.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.62
Rate for Payer: Cigna Commercial	$87.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.35
Rate for Payer: Qualcare PPO/HMO/WC	$26.25
Rate for Payer: UnitedHealthcare Community & State	$5.53
Rate for Payer: Wellpoint Medicaid Managed Care	$4.97

SCREW CANCELLOUS LO PRO 4x55MM

Facility

$175.00

Hospital Charge Code	270671974
Hospital Revenue Code	278
Min. Negotiated Rate	$26.25
Max. Negotiated Rate	$42.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.35
Rate for Payer: Qualcare PPO/HMO/WC	$26.25

SCREW CANCELLOUS LO PRO 4x60MM

Facility

$175.00

Hospital Charge Code	270671975
Hospital Revenue Code	278
Min. Negotiated Rate	$26.25
Max. Negotiated Rate	$42.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.35
Rate for Payer: Qualcare PPO/HMO/WC	$26.25

SCREW CANCELLOUS LO PRO 4x60MM

Facility

$175.00

Hospital Charge Code	270671975
Hospital Revenue Code	278
Min. Negotiated Rate	$4.97
Max. Negotiated Rate	$87.50
Rate for Payer: Aetna Commercial	$66.50
Rate for Payer: Aetna Medicare Advantage	$52.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.62
Rate for Payer: Cigna Commercial	$87.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.35
Rate for Payer: Qualcare PPO/HMO/WC	$26.25
Rate for Payer: UnitedHealthcare Community & State	$5.53
Rate for Payer: Wellpoint Medicaid Managed Care	$4.97

SCREW CANCELLOUS THD HEX 36MM

Facility

$205.00

Hospital Charge Code	270670935
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 CANCELLOUS THD HEX 36MM

Facility

$205.00

Hospital Charge Code	270670935
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 CANCELLOUS TI 4X65MM

Facility

$258.40

Service Code	HCPCS C1713
Hospital Charge Code	270692169
Hospital Revenue Code	278
Min. Negotiated Rate	$38.76
Max. Negotiated Rate	$62.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.53
Rate for Payer: Qualcare PPO/HMO/WC	$38.76

SCREW CANCELLOUS TI 4X65MM

Facility

$258.40

Service Code	HCPCS C1713
Hospital Charge Code	270692169
Hospital Revenue Code	278
Min. Negotiated Rate	$7.34
Max. Negotiated Rate	$129.20
Rate for Payer: Aetna Commercial	$98.19
Rate for Payer: Aetna Medicare Advantage	$77.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.89
Rate for Payer: Cigna Commercial	$129.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.53
Rate for Payer: Qualcare PPO/HMO/WC	$38.76
Rate for Payer: UnitedHealthcare Community & State	$8.17
Rate for Payer: Wellpoint Medicaid Managed Care	$7.34

SCREW CANCELLOUS TI 4X70MM

Facility

$258.40

Service Code	HCPCS C1713
Hospital Charge Code	270692170
Hospital Revenue Code	278
Min. Negotiated Rate	$7.34
Max. Negotiated Rate	$129.20
Rate for Payer: Aetna Commercial	$98.19
Rate for Payer: Aetna Medicare Advantage	$77.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.89
Rate for Payer: Cigna Commercial	$129.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.53
Rate for Payer: Qualcare PPO/HMO/WC	$38.76
Rate for Payer: UnitedHealthcare Community & State	$8.17
Rate for Payer: Wellpoint Medicaid Managed Care	$7.34

SCREW CANCELLOUS TI 4X70MM

Facility

$258.40

Service Code	HCPCS C1713
Hospital Charge Code	270692170
Hospital Revenue Code	278
Min. Negotiated Rate	$38.76
Max. Negotiated Rate	$62.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.53
Rate for Payer: Qualcare PPO/HMO/WC	$38.76

SCREW CANC FT 12 NN 4 MM

Facility

$247.50

Service Code	HCPCS C1713
Hospital Charge Code	270684093
Hospital Revenue Code	278
Min. Negotiated Rate	$7.03
Max. Negotiated Rate	$123.75
Rate for Payer: Aetna Commercial	$94.05
Rate for Payer: Aetna Medicare Advantage	$74.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.11
Rate for Payer: Cigna Commercial	$123.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.90
Rate for Payer: Qualcare PPO/HMO/WC	$37.12
Rate for Payer: UnitedHealthcare Community & State	$7.82
Rate for Payer: Wellpoint Medicaid Managed Care	$7.03

SCREW CANC FT 12 NN 4 MM

Facility

$247.50

Service Code	HCPCS C1713
Hospital Charge Code	270684093
Hospital Revenue Code	278
Min. Negotiated Rate	$37.12
Max. Negotiated Rate	$59.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.90
Rate for Payer: Qualcare PPO/HMO/WC	$37.12

SCREW CANC F/THRD 3.5x10MM

Facility

$825.05

Service Code	HCPCS C1713
Hospital Charge Code	270655871
Hospital Revenue Code	278
Min. Negotiated Rate	$123.76
Max. Negotiated Rate	$199.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$165.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$199.66
Rate for Payer: Qualcare PPO/HMO/WC	$123.76

SCREW CANC F/THRD 3.5x10MM

Facility

$825.05

Service Code	HCPCS C1713
Hospital Charge Code	270655871
Hospital Revenue Code	278
Min. Negotiated Rate	$23.43
Max. Negotiated Rate	$412.52
Rate for Payer: Aetna Commercial	$313.52
Rate for Payer: Aetna Medicare Advantage	$247.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$210.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$210.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$165.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$210.39
Rate for Payer: Cigna Commercial	$412.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$199.66
Rate for Payer: Qualcare PPO/HMO/WC	$123.76
Rate for Payer: UnitedHealthcare Community & State	$26.07
Rate for Payer: Wellpoint Medicaid Managed Care	$23.43

SCREW CANC F/THRD 3.5x12MM

Facility

$825.05

Service Code	HCPCS C1713
Hospital Charge Code	270655873
Hospital Revenue Code	278
Min. Negotiated Rate	$123.76
Max. Negotiated Rate	$199.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$165.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$199.66
Rate for Payer: Qualcare PPO/HMO/WC	$123.76

SCREW CANC F/THRD 3.5x12MM

Facility

$825.05

Service Code	HCPCS C1713
Hospital Charge Code	270655873
Hospital Revenue Code	278
Min. Negotiated Rate	$23.43
Max. Negotiated Rate	$412.52
Rate for Payer: Aetna Commercial	$313.52
Rate for Payer: Aetna Medicare Advantage	$247.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$210.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$210.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$165.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$210.39
Rate for Payer: Cigna Commercial	$412.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$199.66
Rate for Payer: Qualcare PPO/HMO/WC	$123.76
Rate for Payer: UnitedHealthcare Community & State	$26.07
Rate for Payer: Wellpoint Medicaid Managed Care	$23.43

SCREW CANC F/THRD 3.5x14MM

Facility

$825.05

Service Code	HCPCS C1713
Hospital Charge Code	270655875
Hospital Revenue Code	278
Min. Negotiated Rate	$23.43
Max. Negotiated Rate	$412.52
Rate for Payer: Aetna Commercial	$313.52
Rate for Payer: Aetna Medicare Advantage	$247.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$210.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$210.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$165.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$210.39
Rate for Payer: Cigna Commercial	$412.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$199.66
Rate for Payer: Qualcare PPO/HMO/WC	$123.76
Rate for Payer: UnitedHealthcare Community & State	$26.07
Rate for Payer: Wellpoint Medicaid Managed Care	$23.43

SCREW CANC F/THRD 3.5x14MM

Facility

$825.05

Service Code	HCPCS C1713
Hospital Charge Code	270655875
Hospital Revenue Code	278
Min. Negotiated Rate	$123.76
Max. Negotiated Rate	$199.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$165.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$199.66
Rate for Payer: Qualcare PPO/HMO/WC	$123.76

SCREW CANC F/THRD 3.5x16MM

Facility

$825.05

Service Code	HCPCS C1713
Hospital Charge Code	270655876
Hospital Revenue Code	278
Min. Negotiated Rate	$123.76
Max. Negotiated Rate	$199.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$165.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$199.66
Rate for Payer: Qualcare PPO/HMO/WC	$123.76

Know your out-of-pocket cost for care.

All Charges