Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CANN 6.5-40MM THRD 75MM

Facility

$2,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270680281
Hospital Revenue Code	278
Min. Negotiated Rate	$62.48
Max. Negotiated Rate	$1,100.00
Rate for Payer: Aetna Commercial	$836.00
Rate for Payer: Aetna Medicare Advantage	$660.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$561.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$561.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$440.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$561.00
Rate for Payer: Cigna Commercial	$1,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$532.40
Rate for Payer: Qualcare PPO/HMO/WC	$330.00
Rate for Payer: UnitedHealthcare Community & State	$69.52
Rate for Payer: Wellpoint Medicaid Managed Care	$62.48

SCREW CANN 6.5-40MM THRD 75MM

Facility

$2,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270680281
Hospital Revenue Code	278
Min. Negotiated Rate	$330.00
Max. Negotiated Rate	$532.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$440.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$532.40
Rate for Payer: Qualcare PPO/HMO/WC	$330.00

SCREW CANN 6.5MM X 55MM X 16MM

Facility

$2,415.00

Service Code	HCPCS C1713
Hospital Charge Code	270704166
Hospital Revenue Code	278
Min. Negotiated Rate	$362.25
Max. Negotiated Rate	$584.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$483.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$584.43
Rate for Payer: Qualcare PPO/HMO/WC	$362.25

SCREW CANN 6.5MM X 55MM X 16MM

Facility

$2,415.00

Service Code	HCPCS C1713
Hospital Charge Code	270704166
Hospital Revenue Code	278
Min. Negotiated Rate	$68.59
Max. Negotiated Rate	$1,207.50
Rate for Payer: Aetna Commercial	$917.70
Rate for Payer: Aetna Medicare Advantage	$724.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$615.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$615.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$483.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$615.83
Rate for Payer: Cigna Commercial	$1,207.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$584.43
Rate for Payer: Qualcare PPO/HMO/WC	$362.25
Rate for Payer: UnitedHealthcare Community & State	$76.31
Rate for Payer: Wellpoint Medicaid Managed Care	$68.59

SCREW CANN 6.5X100MM

Facility

$2,258.95

Service Code	HCPCS C1713
Hospital Charge Code	270705720
Hospital Revenue Code	278
Min. Negotiated Rate	$64.15
Max. Negotiated Rate	$1,129.47
Rate for Payer: Aetna Commercial	$858.40
Rate for Payer: Aetna Medicare Advantage	$677.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$576.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$576.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$451.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$576.03
Rate for Payer: Cigna Commercial	$1,129.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$546.67
Rate for Payer: Qualcare PPO/HMO/WC	$338.84
Rate for Payer: UnitedHealthcare Community & State	$71.38
Rate for Payer: Wellpoint Medicaid Managed Care	$64.15

SCREW CANN 6.5X100MM

Facility

$2,258.95

Service Code	HCPCS C1713
Hospital Charge Code	270705720
Hospital Revenue Code	278
Min. Negotiated Rate	$338.84
Max. Negotiated Rate	$546.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$451.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$546.67
Rate for Payer: Qualcare PPO/HMO/WC	$338.84

SCREW CANN 6.5x115MM 32MM THRD

Facility

$1,103.15

Hospital Charge Code	270678285
Hospital Revenue Code	278
Min. Negotiated Rate	$31.33
Max. Negotiated Rate	$551.58
Rate for Payer: Aetna Commercial	$419.20
Rate for Payer: Aetna Medicare Advantage	$330.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$281.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$281.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$220.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$281.30
Rate for Payer: Cigna Commercial	$551.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$266.96
Rate for Payer: Qualcare PPO/HMO/WC	$165.47
Rate for Payer: UnitedHealthcare Community & State	$34.86
Rate for Payer: Wellpoint Medicaid Managed Care	$31.33

SCREW CANN 6.5x115MM 32MM THRD

Facility

$1,103.15

Hospital Charge Code	270678285
Hospital Revenue Code	278
Min. Negotiated Rate	$165.47
Max. Negotiated Rate	$266.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$220.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$266.96
Rate for Payer: Qualcare PPO/HMO/WC	$165.47

SCREW CANN 6.5x120MM

Facility

$1,071.00

Hospital Charge Code	270676292
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 6.5x120MM

Facility

$1,071.00

Hospital Charge Code	270676292
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 6.5x125MM

Facility

$1,071.00

Hospital Charge Code	270676293
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 6.5x125MM

Facility

$1,071.00

Hospital Charge Code	270676293
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 6.5x125MM 32MM THRD

Facility

$1,103.15

Hospital Charge Code	270678286
Hospital Revenue Code	278
Min. Negotiated Rate	$165.47
Max. Negotiated Rate	$266.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$220.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$266.96
Rate for Payer: Qualcare PPO/HMO/WC	$165.47

SCREW CANN 6.5x125MM 32MM THRD

Facility

$1,103.15

Hospital Charge Code	270678286
Hospital Revenue Code	278
Min. Negotiated Rate	$31.33
Max. Negotiated Rate	$551.58
Rate for Payer: Aetna Commercial	$419.20
Rate for Payer: Aetna Medicare Advantage	$330.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$281.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$281.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$220.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$281.30
Rate for Payer: Cigna Commercial	$551.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$266.96
Rate for Payer: Qualcare PPO/HMO/WC	$165.47
Rate for Payer: UnitedHealthcare Community & State	$34.86
Rate for Payer: Wellpoint Medicaid Managed Care	$31.33

SCREW CANN 6.5 X 12MM

Facility

$1,100.00

Service Code	HCPCS C1713
Hospital Charge Code	270688694
Hospital Revenue Code	278
Min. Negotiated Rate	$165.00
Max. Negotiated Rate	$266.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$220.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$266.20
Rate for Payer: Qualcare PPO/HMO/WC	$165.00

SCREW CANN 6.5 X 12MM

Facility

$1,100.00

Service Code	HCPCS C1713
Hospital Charge Code	270688694
Hospital Revenue Code	278
Min. Negotiated Rate	$31.24
Max. Negotiated Rate	$550.00
Rate for Payer: Aetna Commercial	$418.00
Rate for Payer: Aetna Medicare Advantage	$330.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$280.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$280.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$220.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$280.50
Rate for Payer: Cigna Commercial	$550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$266.20
Rate for Payer: Qualcare PPO/HMO/WC	$165.00
Rate for Payer: UnitedHealthcare Community & State	$34.76
Rate for Payer: Wellpoint Medicaid Managed Care	$31.24

SCREW CANN 6.5x130MM 16MM THRD

Facility

$1,103.15

Hospital Charge Code	270678287
Hospital Revenue Code	278
Min. Negotiated Rate	$165.47
Max. Negotiated Rate	$266.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$220.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$266.96
Rate for Payer: Qualcare PPO/HMO/WC	$165.47

SCREW CANN 6.5x130MM 16MM THRD

Facility

$1,103.15

Hospital Charge Code	270678287
Hospital Revenue Code	278
Min. Negotiated Rate	$31.33
Max. Negotiated Rate	$551.58
Rate for Payer: Aetna Commercial	$419.20
Rate for Payer: Aetna Medicare Advantage	$330.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$281.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$281.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$220.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$281.30
Rate for Payer: Cigna Commercial	$551.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$266.96
Rate for Payer: Qualcare PPO/HMO/WC	$165.47
Rate for Payer: UnitedHealthcare Community & State	$34.86
Rate for Payer: Wellpoint Medicaid Managed Care	$31.33

SCREW CANN 6.5x35MM

Facility

$1,071.00

Hospital Charge Code	270676287
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 6.5x35MM

Facility

$1,071.00

Hospital Charge Code	270676287
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 6.5X35MM

Facility

$6,740.00

Service Code	HCPCS C1713
Hospital Charge Code	270699214
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 CANN 6.5X35MM

Facility

$6,740.00

Service Code	HCPCS C1713
Hospital Charge Code	270699214
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 CANN 6.5x50MM

Facility

$1,071.00

Hospital Charge Code	270676289
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 6.5x50MM

Facility

$1,071.00

Hospital Charge Code	270676289
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 6.5X55X16MM THR

Facility

$5,130.00

Service Code	HCPCS C1713
Hospital Charge Code	270692042
Hospital Revenue Code	278
Min. Negotiated Rate	$769.50
Max. Negotiated Rate	$1,241.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,026.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,241.46
Rate for Payer: Qualcare PPO/HMO/WC	$769.50

Know your out-of-pocket cost for care.

All Charges