Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CANN 2.4x14mm LONG THRD

Facility

$834.30

Service Code	HCPCS C1713
Hospital Charge Code	270634872
Hospital Revenue Code	278
Min. Negotiated Rate	$23.69
Max. Negotiated Rate	$417.15
Rate for Payer: Aetna Commercial	$317.03
Rate for Payer: Aetna Medicare Advantage	$250.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$212.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$212.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$166.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$212.75
Rate for Payer: Cigna Commercial	$417.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$201.90
Rate for Payer: Qualcare PPO/HMO/WC	$125.14
Rate for Payer: UnitedHealthcare Community & State	$26.36
Rate for Payer: Wellpoint Medicaid Managed Care	$23.69

SCREW CANN 2.4x14mm LONG THRD

Facility

$834.30

Service Code	HCPCS C1713
Hospital Charge Code	270634872
Hospital Revenue Code	278
Min. Negotiated Rate	$125.14
Max. Negotiated Rate	$201.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$166.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$201.90
Rate for Payer: Qualcare PPO/HMO/WC	$125.14

SCREW CANN 2.4x16mm LONG THRD

Facility

$810.00

Hospital Charge Code	270676408
Hospital Revenue Code	278
Min. Negotiated Rate	$121.50
Max. Negotiated Rate	$196.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.02
Rate for Payer: Qualcare PPO/HMO/WC	$121.50

SCREW CANN 2.4x16mm LONG THRD

Facility

$810.00

Hospital Charge Code	270676408
Hospital Revenue Code	278
Min. Negotiated Rate	$23.00
Max. Negotiated Rate	$405.00
Rate for Payer: Aetna Commercial	$307.80
Rate for Payer: Aetna Medicare Advantage	$243.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$206.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$206.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$206.55
Rate for Payer: Cigna Commercial	$405.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.02
Rate for Payer: Qualcare PPO/HMO/WC	$121.50
Rate for Payer: UnitedHealthcare Community & State	$25.60
Rate for Payer: Wellpoint Medicaid Managed Care	$23.00

SCREW CANN 2.4x24mm LONG THRD

Facility

$859.35

Service Code	HCPCS C1713
Hospital Charge Code	270684940
Hospital Revenue Code	278
Min. Negotiated Rate	$24.41
Max. Negotiated Rate	$429.68
Rate for Payer: Aetna Commercial	$326.55
Rate for Payer: Aetna Medicare Advantage	$257.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$219.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$219.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$219.13
Rate for Payer: Cigna Commercial	$429.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.96
Rate for Payer: Qualcare PPO/HMO/WC	$128.90
Rate for Payer: UnitedHealthcare Community & State	$27.16
Rate for Payer: Wellpoint Medicaid Managed Care	$24.41

SCREW CANN 2.4x24mm LONG THRD

Facility

$859.35

Service Code	HCPCS C1713
Hospital Charge Code	270684940
Hospital Revenue Code	278
Min. Negotiated Rate	$128.90
Max. Negotiated Rate	$207.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.96
Rate for Payer: Qualcare PPO/HMO/WC	$128.90

SCREW CANN 2.4x30mm LONG THRD

Facility

$810.00

Hospital Charge Code	270677399
Hospital Revenue Code	278
Min. Negotiated Rate	$121.50
Max. Negotiated Rate	$196.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.02
Rate for Payer: Qualcare PPO/HMO/WC	$121.50

SCREW CANN 2.4x30mm LONG THRD

Facility

$810.00

Hospital Charge Code	270677399
Hospital Revenue Code	278
Min. Negotiated Rate	$23.00
Max. Negotiated Rate	$405.00
Rate for Payer: Aetna Commercial	$307.80
Rate for Payer: Aetna Medicare Advantage	$243.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$206.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$206.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$206.55
Rate for Payer: Cigna Commercial	$405.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.02
Rate for Payer: Qualcare PPO/HMO/WC	$121.50
Rate for Payer: UnitedHealthcare Community & State	$25.60
Rate for Payer: Wellpoint Medicaid Managed Care	$23.00

SCREW CANN 2.7x13mm FULL THD

Facility

$575.00

Hospital Charge Code	270668910
Hospital Revenue Code	278
Min. Negotiated Rate	$86.25
Max. Negotiated Rate	$139.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.15
Rate for Payer: Qualcare PPO/HMO/WC	$86.25

SCREW CANN 2.7x13mm FULL THD

Facility

$575.00

Hospital Charge Code	270668910
Hospital Revenue Code	278
Min. Negotiated Rate	$16.33
Max. Negotiated Rate	$287.50
Rate for Payer: Aetna Commercial	$218.50
Rate for Payer: Aetna Medicare Advantage	$172.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$146.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$146.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$146.62
Rate for Payer: Cigna Commercial	$287.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.15
Rate for Payer: Qualcare PPO/HMO/WC	$86.25
Rate for Payer: UnitedHealthcare Community & State	$18.17
Rate for Payer: Wellpoint Medicaid Managed Care	$16.33

SCREW CANN 3.0X15MM PART THD

Facility

$942.50

Service Code	HCPCS C1713
Hospital Charge Code	270692684
Hospital Revenue Code	278
Min. Negotiated Rate	$141.38
Max. Negotiated Rate	$228.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$188.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$228.09
Rate for Payer: Qualcare PPO/HMO/WC	$141.38

SCREW CANN 3.0X15MM PART THD

Facility

$942.50

Service Code	HCPCS C1713
Hospital Charge Code	270692684
Hospital Revenue Code	278
Min. Negotiated Rate	$26.77
Max. Negotiated Rate	$471.25
Rate for Payer: Aetna Commercial	$358.15
Rate for Payer: Aetna Medicare Advantage	$282.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$240.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$240.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$188.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$240.34
Rate for Payer: Cigna Commercial	$471.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$228.09
Rate for Payer: Qualcare PPO/HMO/WC	$141.38
Rate for Payer: UnitedHealthcare Community & State	$29.78
Rate for Payer: Wellpoint Medicaid Managed Care	$26.77

SCREW CANN 3.0X16MM

Facility

$941.50

Service Code	HCPCS C1713
Hospital Charge Code	270692676
Hospital Revenue Code	278
Min. Negotiated Rate	$141.22
Max. Negotiated Rate	$227.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$188.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$227.84
Rate for Payer: Qualcare PPO/HMO/WC	$141.22

SCREW CANN 3.0X16MM

Facility

$941.50

Service Code	HCPCS C1713
Hospital Charge Code	270692676
Hospital Revenue Code	278
Min. Negotiated Rate	$26.74
Max. Negotiated Rate	$470.75
Rate for Payer: Aetna Commercial	$357.77
Rate for Payer: Aetna Medicare Advantage	$282.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$240.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$240.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$188.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$240.08
Rate for Payer: Cigna Commercial	$470.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$227.84
Rate for Payer: Qualcare PPO/HMO/WC	$141.22
Rate for Payer: UnitedHealthcare Community & State	$29.75
Rate for Payer: Wellpoint Medicaid Managed Care	$26.74

SCREW CANN 30X 28MM

Facility

$865.00

Service Code	HCPCS C1713
Hospital Charge Code	270687364
Hospital Revenue Code	278
Min. Negotiated Rate	$129.75
Max. Negotiated Rate	$209.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$173.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$209.33
Rate for Payer: Qualcare PPO/HMO/WC	$129.75

SCREW CANN 30X 28MM

Facility

$865.00

Service Code	HCPCS C1713
Hospital Charge Code	270687364
Hospital Revenue Code	278
Min. Negotiated Rate	$24.57
Max. Negotiated Rate	$432.50
Rate for Payer: Aetna Commercial	$328.70
Rate for Payer: Aetna Medicare Advantage	$259.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$220.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$220.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$173.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$220.57
Rate for Payer: Cigna Commercial	$432.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$209.33
Rate for Payer: Qualcare PPO/HMO/WC	$129.75
Rate for Payer: UnitedHealthcare Community & State	$27.33
Rate for Payer: Wellpoint Medicaid Managed Care	$24.57

SCREW CANN 3.0 X 34mm

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270680165
Hospital Revenue Code	278
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$181.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

SCREW CANN 3.0 X 34mm

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270680165
Hospital Revenue Code	278
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Community & State	$23.70
Rate for Payer: Wellpoint Medicaid Managed Care	$21.30

SCREW CANN 32MM THD 6.5x60MM

Facility

$1,071.00

Service Code	HCPCS C1713
Hospital Charge Code	270675803
Hospital Revenue Code	278
Min. Negotiated Rate	$160.65
Max. Negotiated Rate	$259.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.18
Rate for Payer: Qualcare PPO/HMO/WC	$160.65

SCREW CANN 32MM THD 6.5x60MM

Facility

$1,071.00

Service Code	HCPCS C1713
Hospital Charge Code	270675803
Hospital Revenue Code	278
Min. Negotiated Rate	$30.42
Max. Negotiated Rate	$535.50
Rate for Payer: Aetna Commercial	$406.98
Rate for Payer: Aetna Medicare Advantage	$321.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$273.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$273.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$273.11
Rate for Payer: Cigna Commercial	$535.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.18
Rate for Payer: Qualcare PPO/HMO/WC	$160.65
Rate for Payer: UnitedHealthcare Community & State	$33.84
Rate for Payer: Wellpoint Medicaid Managed Care	$30.42

SCREW CANN 32MM THD 6.5x70MM

Facility

$1,136.25

Service Code	HCPCS C1713
Hospital Charge Code	270675804
Hospital Revenue Code	278
Min. Negotiated Rate	$170.44
Max. Negotiated Rate	$274.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$227.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$274.97
Rate for Payer: Qualcare PPO/HMO/WC	$170.44

SCREW CANN 32MM THD 6.5x70MM

Facility

$1,136.25

Service Code	HCPCS C1713
Hospital Charge Code	270675804
Hospital Revenue Code	278
Min. Negotiated Rate	$32.27
Max. Negotiated Rate	$568.12
Rate for Payer: Aetna Commercial	$431.77
Rate for Payer: Aetna Medicare Advantage	$340.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$289.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$289.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$227.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$289.74
Rate for Payer: Cigna Commercial	$568.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$274.97
Rate for Payer: Qualcare PPO/HMO/WC	$170.44
Rate for Payer: UnitedHealthcare Community & State	$35.91
Rate for Payer: Wellpoint Medicaid Managed Care	$32.27

SCREW CANN 32MM THD 6.5x75MM

Facility

$1,136.25

Service Code	HCPCS C1713
Hospital Charge Code	270675805
Hospital Revenue Code	278
Min. Negotiated Rate	$170.44
Max. Negotiated Rate	$274.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$227.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$274.97
Rate for Payer: Qualcare PPO/HMO/WC	$170.44

SCREW CANN 32MM THD 6.5x75MM

Facility

$1,136.25

Service Code	HCPCS C1713
Hospital Charge Code	270675805
Hospital Revenue Code	278
Min. Negotiated Rate	$32.27
Max. Negotiated Rate	$568.12
Rate for Payer: Aetna Commercial	$431.77
Rate for Payer: Aetna Medicare Advantage	$340.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$289.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$289.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$227.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$289.74
Rate for Payer: Cigna Commercial	$568.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$274.97
Rate for Payer: Qualcare PPO/HMO/WC	$170.44
Rate for Payer: UnitedHealthcare Community & State	$35.91
Rate for Payer: Wellpoint Medicaid Managed Care	$32.27

SCREW CANN 32MM THRD 7.3x100MM

Facility

$1,129.85

Service Code	HCPCS C1713
Hospital Charge Code	270605058
Hospital Revenue Code	278
Min. Negotiated Rate	$32.09
Max. Negotiated Rate	$564.92
Rate for Payer: Aetna Commercial	$429.34
Rate for Payer: Aetna Medicare Advantage	$338.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$288.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$288.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$288.11
Rate for Payer: Cigna Commercial	$564.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$273.42
Rate for Payer: Qualcare PPO/HMO/WC	$169.48
Rate for Payer: UnitedHealthcare Community & State	$35.70
Rate for Payer: Wellpoint Medicaid Managed Care	$32.09

Know your out-of-pocket cost for care.

All Charges