Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CANC NON LOCK 4x55MM

Facility

$340.00

Service Code	HCPCS C1713
Hospital Charge Code	270673654
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 CAN COMP HDLS 6.5TIX85MM

Facility

$1,066.00

Service Code	HCPCS C1713
Hospital Charge Code	270692295
Hospital Revenue Code	278
Min. Negotiated Rate	$30.27
Max. Negotiated Rate	$533.00
Rate for Payer: Aetna Commercial	$405.08
Rate for Payer: Aetna Medicare Advantage	$319.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$271.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$271.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$213.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$271.83
Rate for Payer: Cigna Commercial	$533.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$257.97
Rate for Payer: Qualcare PPO/HMO/WC	$159.90
Rate for Payer: UnitedHealthcare Community & State	$33.69
Rate for Payer: Wellpoint Medicaid Managed Care	$30.27

SCREW CAN COMP HDLS 6.5TIX85MM

Facility

$1,066.00

Service Code	HCPCS C1713
Hospital Charge Code	270692295
Hospital Revenue Code	278
Min. Negotiated Rate	$159.90
Max. Negotiated Rate	$257.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$213.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$257.97
Rate for Payer: Qualcare PPO/HMO/WC	$159.90

SCREW CAN COMP HDLS 6.5TIX90MM

Facility

$1,066.00

Service Code	HCPCS C1713
Hospital Charge Code	270692296
Hospital Revenue Code	278
Min. Negotiated Rate	$159.90
Max. Negotiated Rate	$257.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$213.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$257.97
Rate for Payer: Qualcare PPO/HMO/WC	$159.90

SCREW CAN COMP HDLS 6.5TIX90MM

Facility

$1,066.00

Service Code	HCPCS C1713
Hospital Charge Code	270692296
Hospital Revenue Code	278
Min. Negotiated Rate	$30.27
Max. Negotiated Rate	$533.00
Rate for Payer: Aetna Commercial	$405.08
Rate for Payer: Aetna Medicare Advantage	$319.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$271.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$271.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$213.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$271.83
Rate for Payer: Cigna Commercial	$533.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$257.97
Rate for Payer: Qualcare PPO/HMO/WC	$159.90
Rate for Payer: UnitedHealthcare Community & State	$33.69
Rate for Payer: Wellpoint Medicaid Managed Care	$30.27

SCREW CAN COMP HDLS 6.5TIX95MM

Facility

$1,066.00

Service Code	HCPCS C1713
Hospital Charge Code	270692297
Hospital Revenue Code	278
Min. Negotiated Rate	$159.90
Max. Negotiated Rate	$257.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$213.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$257.97
Rate for Payer: Qualcare PPO/HMO/WC	$159.90

SCREW CAN COMP HDLS 6.5TIX95MM

Facility

$1,066.00

Service Code	HCPCS C1713
Hospital Charge Code	270692297
Hospital Revenue Code	278
Min. Negotiated Rate	$30.27
Max. Negotiated Rate	$533.00
Rate for Payer: Aetna Commercial	$405.08
Rate for Payer: Aetna Medicare Advantage	$319.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$271.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$271.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$213.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$271.83
Rate for Payer: Cigna Commercial	$533.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$257.97
Rate for Payer: Qualcare PPO/HMO/WC	$159.90
Rate for Payer: UnitedHealthcare Community & State	$33.69
Rate for Payer: Wellpoint Medicaid Managed Care	$30.27

SCREW CAN COMP HDLS TI4.5 40MM

Facility

$5,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270700658
Hospital Revenue Code	278
Min. Negotiated Rate	$152.65
Max. Negotiated Rate	$2,687.50
Rate for Payer: Aetna Commercial	$2,042.50
Rate for Payer: Aetna Medicare Advantage	$1,612.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,370.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,370.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,075.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,370.62
Rate for Payer: Cigna Commercial	$2,687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,300.75
Rate for Payer: Qualcare PPO/HMO/WC	$806.25
Rate for Payer: UnitedHealthcare Community & State	$169.85
Rate for Payer: Wellpoint Medicaid Managed Care	$152.65

SCREW CAN COMP HDLS TI4.5 40MM

Facility

$5,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270700658
Hospital Revenue Code	278
Min. Negotiated Rate	$806.25
Max. Negotiated Rate	$1,300.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,075.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,300.75
Rate for Payer: Qualcare PPO/HMO/WC	$806.25

SCREW CAN COMP HDLS TI4.5 44MM

Facility

$5,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270700657
Hospital Revenue Code	278
Min. Negotiated Rate	$806.25
Max. Negotiated Rate	$1,300.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,075.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,300.75
Rate for Payer: Qualcare PPO/HMO/WC	$806.25

SCREW CAN COMP HDLS TI4.5 44MM

Facility

$5,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270700657
Hospital Revenue Code	278
Min. Negotiated Rate	$152.65
Max. Negotiated Rate	$2,687.50
Rate for Payer: Aetna Commercial	$2,042.50
Rate for Payer: Aetna Medicare Advantage	$1,612.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,370.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,370.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,075.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,370.62
Rate for Payer: Cigna Commercial	$2,687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,300.75
Rate for Payer: Qualcare PPO/HMO/WC	$806.25
Rate for Payer: UnitedHealthcare Community & State	$169.85
Rate for Payer: Wellpoint Medicaid Managed Care	$152.65

SCREW CANC P/THRD 3.5x10MM

Facility

$803.40

Service Code	HCPCS C1713
Hospital Charge Code	270648934
Hospital Revenue Code	278
Min. Negotiated Rate	$22.82
Max. Negotiated Rate	$401.70
Rate for Payer: Aetna Commercial	$305.29
Rate for Payer: Aetna Medicare Advantage	$241.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.87
Rate for Payer: Cigna Commercial	$401.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.42
Rate for Payer: Qualcare PPO/HMO/WC	$120.51
Rate for Payer: UnitedHealthcare Community & State	$25.39
Rate for Payer: Wellpoint Medicaid Managed Care	$22.82

SCREW CANC P/THRD 3.5x10MM

Facility

$803.40

Service Code	HCPCS C1713
Hospital Charge Code	270648934
Hospital Revenue Code	278
Min. Negotiated Rate	$120.51
Max. Negotiated Rate	$194.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.42
Rate for Payer: Qualcare PPO/HMO/WC	$120.51

SCREW CANC P/THRD 3.5x12MM

Facility

$803.40

Service Code	HCPCS C1713
Hospital Charge Code	270655857
Hospital Revenue Code	278
Min. Negotiated Rate	$120.51
Max. Negotiated Rate	$194.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.42
Rate for Payer: Qualcare PPO/HMO/WC	$120.51

SCREW CANC P/THRD 3.5x12MM

Facility

$803.40

Service Code	HCPCS C1713
Hospital Charge Code	270655857
Hospital Revenue Code	278
Min. Negotiated Rate	$22.82
Max. Negotiated Rate	$401.70
Rate for Payer: Aetna Commercial	$305.29
Rate for Payer: Aetna Medicare Advantage	$241.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.87
Rate for Payer: Cigna Commercial	$401.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.42
Rate for Payer: Qualcare PPO/HMO/WC	$120.51
Rate for Payer: UnitedHealthcare Community & State	$25.39
Rate for Payer: Wellpoint Medicaid Managed Care	$22.82

SCREW CANC P/THRD 3.5x14MM

Facility

$803.40

Service Code	HCPCS C1713
Hospital Charge Code	270655858
Hospital Revenue Code	278
Min. Negotiated Rate	$120.51
Max. Negotiated Rate	$194.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.42
Rate for Payer: Qualcare PPO/HMO/WC	$120.51

SCREW CANC P/THRD 3.5x14MM

Facility

$803.40

Service Code	HCPCS C1713
Hospital Charge Code	270655858
Hospital Revenue Code	278
Min. Negotiated Rate	$22.82
Max. Negotiated Rate	$401.70
Rate for Payer: Aetna Commercial	$305.29
Rate for Payer: Aetna Medicare Advantage	$241.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.87
Rate for Payer: Cigna Commercial	$401.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.42
Rate for Payer: Qualcare PPO/HMO/WC	$120.51
Rate for Payer: UnitedHealthcare Community & State	$25.39
Rate for Payer: Wellpoint Medicaid Managed Care	$22.82

SCREW CANC P/THRD 3.5x16MM

Facility

$803.40

Service Code	HCPCS C1713
Hospital Charge Code	270655859
Hospital Revenue Code	278
Min. Negotiated Rate	$120.51
Max. Negotiated Rate	$194.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.42
Rate for Payer: Qualcare PPO/HMO/WC	$120.51

SCREW CANC P/THRD 3.5x16MM

Facility

$803.40

Service Code	HCPCS C1713
Hospital Charge Code	270655859
Hospital Revenue Code	278
Min. Negotiated Rate	$22.82
Max. Negotiated Rate	$401.70
Rate for Payer: Aetna Commercial	$305.29
Rate for Payer: Aetna Medicare Advantage	$241.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.87
Rate for Payer: Cigna Commercial	$401.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.42
Rate for Payer: Qualcare PPO/HMO/WC	$120.51
Rate for Payer: UnitedHealthcare Community & State	$25.39
Rate for Payer: Wellpoint Medicaid Managed Care	$22.82

SCREW CANC P/THRD 3.5x20MM

Facility

$803.40

Service Code	HCPCS C1713
Hospital Charge Code	270655860
Hospital Revenue Code	278
Min. Negotiated Rate	$120.51
Max. Negotiated Rate	$194.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.42
Rate for Payer: Qualcare PPO/HMO/WC	$120.51

SCREW CANC P/THRD 3.5x20MM

Facility

$803.40

Service Code	HCPCS C1713
Hospital Charge Code	270655860
Hospital Revenue Code	278
Min. Negotiated Rate	$22.82
Max. Negotiated Rate	$401.70
Rate for Payer: Aetna Commercial	$305.29
Rate for Payer: Aetna Medicare Advantage	$241.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.87
Rate for Payer: Cigna Commercial	$401.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.42
Rate for Payer: Qualcare PPO/HMO/WC	$120.51
Rate for Payer: UnitedHealthcare Community & State	$25.39
Rate for Payer: Wellpoint Medicaid Managed Care	$22.82

SCREW CANC P/THRD 3.5x22MM

Facility

$803.40

Service Code	HCPCS C1713
Hospital Charge Code	270655861
Hospital Revenue Code	278
Min. Negotiated Rate	$22.82
Max. Negotiated Rate	$401.70
Rate for Payer: Aetna Commercial	$305.29
Rate for Payer: Aetna Medicare Advantage	$241.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.87
Rate for Payer: Cigna Commercial	$401.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.42
Rate for Payer: Qualcare PPO/HMO/WC	$120.51
Rate for Payer: UnitedHealthcare Community & State	$25.39
Rate for Payer: Wellpoint Medicaid Managed Care	$22.82

SCREW CANC P/THRD 3.5x22MM

Facility

$803.40

Service Code	HCPCS C1713
Hospital Charge Code	270655861
Hospital Revenue Code	278
Min. Negotiated Rate	$120.51
Max. Negotiated Rate	$194.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.42
Rate for Payer: Qualcare PPO/HMO/WC	$120.51

SCREW CANC P/THRD 3.5x24MM

Facility

$803.40

Service Code	HCPCS C1713
Hospital Charge Code	270652238
Hospital Revenue Code	278
Min. Negotiated Rate	$120.51
Max. Negotiated Rate	$194.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.42
Rate for Payer: Qualcare PPO/HMO/WC	$120.51

SCREW CANC P/THRD 3.5x24MM

Facility

$803.40

Service Code	HCPCS C1713
Hospital Charge Code	270652238
Hospital Revenue Code	278
Min. Negotiated Rate	$22.82
Max. Negotiated Rate	$401.70
Rate for Payer: Aetna Commercial	$305.29
Rate for Payer: Aetna Medicare Advantage	$241.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.87
Rate for Payer: Cigna Commercial	$401.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.42
Rate for Payer: Qualcare PPO/HMO/WC	$120.51
Rate for Payer: UnitedHealthcare Community & State	$25.39
Rate for Payer: Wellpoint Medicaid Managed Care	$22.82

Know your out-of-pocket cost for care.

All Charges