Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CANN 6.5X55X16MM THR

Facility

$5,130.00

Service Code	HCPCS C1713
Hospital Charge Code	270692042
Hospital Revenue Code	278
Min. Negotiated Rate	$145.69
Max. Negotiated Rate	$2,565.00
Rate for Payer: Aetna Commercial	$1,949.40
Rate for Payer: Aetna Medicare Advantage	$1,539.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,308.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,308.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,026.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,308.15
Rate for Payer: Cigna Commercial	$2,565.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,241.46
Rate for Payer: Qualcare PPO/HMO/WC	$769.50
Rate for Payer: UnitedHealthcare Community & State	$162.11
Rate for Payer: Wellpoint Medicaid Managed Care	$145.69

SCREW CANN 6.5x60MM 16MM THRD

Facility

$1,103.15

Service Code	HCPCS C1713
Hospital Charge Code	270678282
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 6.5x60MM 16MM THRD

Facility

$1,103.15

Service Code	HCPCS C1713
Hospital Charge Code	270678282
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 6.5x65MM 16MM THRD

Facility

$1,136.25

Service Code	HCPCS C1713
Hospital Charge Code	270676290
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 6.5x65MM 16MM THRD

Facility

$1,136.25

Service Code	HCPCS C1713
Hospital Charge Code	270676290
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 6.5x70MM 16MM THRD

Facility

$1,136.25

Service Code	HCPCS C1713
Hospital Charge Code	270676291
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 6.5x70MM 16MM THRD

Facility

$1,136.25

Service Code	HCPCS C1713
Hospital Charge Code	270676291
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 6.5x75MM 16MM THRD

Facility

$1,136.25

Service Code	HCPCS C1713
Hospital Charge Code	270680580
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 6.5x75MM 16MM THRD

Facility

$1,136.25

Service Code	HCPCS C1713
Hospital Charge Code	270680580
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 6.5x75mm SHORT THRD

Facility

$1,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270673681
Hospital Revenue Code	278
Min. Negotiated Rate	$281.25
Max. Negotiated Rate	$453.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$453.75
Rate for Payer: Qualcare PPO/HMO/WC	$281.25

SCREW CANN 6.5x75mm SHORT THRD

Facility

$1,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270673681
Hospital Revenue Code	278
Min. Negotiated Rate	$53.25
Max. Negotiated Rate	$937.50
Rate for Payer: Aetna Commercial	$712.50
Rate for Payer: Aetna Medicare Advantage	$562.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$478.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$478.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$478.12
Rate for Payer: Cigna Commercial	$937.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$453.75
Rate for Payer: Qualcare PPO/HMO/WC	$281.25
Rate for Payer: UnitedHealthcare Community & State	$59.25
Rate for Payer: Wellpoint Medicaid Managed Care	$53.25

SCREW CANN 6.5x80MM 16MM THRD

Facility

$1,136.25

Service Code	HCPCS C1713
Hospital Charge Code	270678283
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 6.5x80MM 16MM THRD

Facility

$1,136.25

Service Code	HCPCS C1713
Hospital Charge Code	270678283
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 6.5x80mm Short Thrd

Facility

$1,875.00

Hospital Charge Code	270673713
Hospital Revenue Code	278
Min. Negotiated Rate	$281.25
Max. Negotiated Rate	$453.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$453.75
Rate for Payer: Qualcare PPO/HMO/WC	$281.25

Screw Cann 6.5x80mm Short Thrd

Facility

$1,875.00

Hospital Charge Code	270673713
Hospital Revenue Code	278
Min. Negotiated Rate	$53.25
Max. Negotiated Rate	$937.50
Rate for Payer: Aetna Commercial	$712.50
Rate for Payer: Aetna Medicare Advantage	$562.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$478.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$478.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$478.12
Rate for Payer: Cigna Commercial	$937.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$453.75
Rate for Payer: Qualcare PPO/HMO/WC	$281.25
Rate for Payer: UnitedHealthcare Community & State	$59.25
Rate for Payer: Wellpoint Medicaid Managed Care	$53.25

SCREW CANN 6.5x85mm SHORT THRD

Facility

$1,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270673682
Hospital Revenue Code	278
Min. Negotiated Rate	$53.25
Max. Negotiated Rate	$937.50
Rate for Payer: Aetna Commercial	$712.50
Rate for Payer: Aetna Medicare Advantage	$562.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$478.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$478.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$478.12
Rate for Payer: Cigna Commercial	$937.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$453.75
Rate for Payer: Qualcare PPO/HMO/WC	$281.25
Rate for Payer: UnitedHealthcare Community & State	$59.25
Rate for Payer: Wellpoint Medicaid Managed Care	$53.25

SCREW CANN 6.5x85mm SHORT THRD

Facility

$1,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270673682
Hospital Revenue Code	278
Min. Negotiated Rate	$281.25
Max. Negotiated Rate	$453.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$453.75
Rate for Payer: Qualcare PPO/HMO/WC	$281.25

SCREW CANN 6.5X90MM

Facility

$2,258.95

Service Code	HCPCS 2258.95
Hospital Charge Code	270705718
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 6.5X90MM

Facility

$2,258.95

Service Code	HCPCS 2258.95
Hospital Charge Code	270705718
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 6.5x90MM 32MM THRD

Facility

$1,103.15

Service Code	HCPCS C1713
Hospital Charge Code	270678284
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 6.5x90MM 32MM THRD

Facility

$1,103.15

Service Code	HCPCS C1713
Hospital Charge Code	270678284
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 6.5X95MM

Facility

$2,258.95

Service Code	HCPCS C1713
Hospital Charge Code	270705719
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 6.5X95MM

Facility

$2,258.95

Service Code	HCPCS C1713
Hospital Charge Code	270705719
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 6.9-16mm THRD 70MM

Facility

$2,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270680282
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 6.9-16mm THRD 70MM

Facility

$2,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270680282
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

Know your out-of-pocket cost for care.

All Charges