Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CANN 7.0x32x45mm

Facility

$1,124.75

Service Code	HCPCS C1713
Hospital Charge Code	270654645
Hospital Revenue Code	278
Min. Negotiated Rate	$168.71
Max. Negotiated Rate	$272.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.19
Rate for Payer: Qualcare PPO/HMO/WC	$168.71

SCREW CANN 7.0x32x50mm

Facility

$1,124.75

Service Code	HCPCS C1713
Hospital Charge Code	270654646
Hospital Revenue Code	278
Min. Negotiated Rate	$31.94
Max. Negotiated Rate	$562.38
Rate for Payer: Aetna Commercial	$427.40
Rate for Payer: Aetna Medicare Advantage	$337.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.81
Rate for Payer: Cigna Commercial	$562.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.19
Rate for Payer: Qualcare PPO/HMO/WC	$168.71
Rate for Payer: UnitedHealthcare Community & State	$35.54
Rate for Payer: Wellpoint Medicaid Managed Care	$31.94

SCREW CANN 7.0x32x50mm

Facility

$1,124.75

Service Code	HCPCS C1713
Hospital Charge Code	270654646
Hospital Revenue Code	278
Min. Negotiated Rate	$168.71
Max. Negotiated Rate	$272.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.19
Rate for Payer: Qualcare PPO/HMO/WC	$168.71

SCREW CANN 7.0x32x60mm

Facility

$1,124.75

Service Code	HCPCS C1713
Hospital Charge Code	270654648
Hospital Revenue Code	278
Min. Negotiated Rate	$168.71
Max. Negotiated Rate	$272.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.19
Rate for Payer: Qualcare PPO/HMO/WC	$168.71

SCREW CANN 7.0x32x60mm

Facility

$1,124.75

Service Code	HCPCS C1713
Hospital Charge Code	270654648
Hospital Revenue Code	278
Min. Negotiated Rate	$31.94
Max. Negotiated Rate	$562.38
Rate for Payer: Aetna Commercial	$427.40
Rate for Payer: Aetna Medicare Advantage	$337.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.81
Rate for Payer: Cigna Commercial	$562.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.19
Rate for Payer: Qualcare PPO/HMO/WC	$168.71
Rate for Payer: UnitedHealthcare Community & State	$35.54
Rate for Payer: Wellpoint Medicaid Managed Care	$31.94

SCREW CANN 7.0x32x80mm

Facility

$1,124.75

Service Code	HCPCS C1713
Hospital Charge Code	270654650
Hospital Revenue Code	278
Min. Negotiated Rate	$168.71
Max. Negotiated Rate	$272.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.19
Rate for Payer: Qualcare PPO/HMO/WC	$168.71

SCREW CANN 7.0x32x80mm

Facility

$1,124.75

Service Code	HCPCS C1713
Hospital Charge Code	270654650
Hospital Revenue Code	278
Min. Negotiated Rate	$31.94
Max. Negotiated Rate	$562.38
Rate for Payer: Aetna Commercial	$427.40
Rate for Payer: Aetna Medicare Advantage	$337.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.81
Rate for Payer: Cigna Commercial	$562.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.19
Rate for Payer: Qualcare PPO/HMO/WC	$168.71
Rate for Payer: UnitedHealthcare Community & State	$35.54
Rate for Payer: Wellpoint Medicaid Managed Care	$31.94

SCREW CANN 7.0x32x90mm

Facility

$1,124.75

Service Code	HCPCS C1713
Hospital Charge Code	270654657
Hospital Revenue Code	278
Min. Negotiated Rate	$168.71
Max. Negotiated Rate	$272.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.19
Rate for Payer: Qualcare PPO/HMO/WC	$168.71

SCREW CANN 7.0x32x90mm

Facility

$1,124.75

Service Code	HCPCS C1713
Hospital Charge Code	270654657
Hospital Revenue Code	278
Min. Negotiated Rate	$31.94
Max. Negotiated Rate	$562.38
Rate for Payer: Aetna Commercial	$427.40
Rate for Payer: Aetna Medicare Advantage	$337.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.81
Rate for Payer: Cigna Commercial	$562.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.19
Rate for Payer: Qualcare PPO/HMO/WC	$168.71
Rate for Payer: UnitedHealthcare Community & State	$35.54
Rate for Payer: Wellpoint Medicaid Managed Care	$31.94

SCREW CANN 7.0x32xx100mm

Facility

$1,124.75

Service Code	HCPCS C1713
Hospital Charge Code	270654661
Hospital Revenue Code	278
Min. Negotiated Rate	$31.94
Max. Negotiated Rate	$562.38
Rate for Payer: Aetna Commercial	$427.40
Rate for Payer: Aetna Medicare Advantage	$337.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.81
Rate for Payer: Cigna Commercial	$562.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.19
Rate for Payer: Qualcare PPO/HMO/WC	$168.71
Rate for Payer: UnitedHealthcare Community & State	$35.54
Rate for Payer: Wellpoint Medicaid Managed Care	$31.94

SCREW CANN 7.0x32xx100mm

Facility

$1,124.75

Service Code	HCPCS C1713
Hospital Charge Code	270654661
Hospital Revenue Code	278
Min. Negotiated Rate	$168.71
Max. Negotiated Rate	$272.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.19
Rate for Payer: Qualcare PPO/HMO/WC	$168.71

SCREW CANN 7.0x35MM

Facility

$1,124.75

Service Code	HCPCS C1713
Hospital Charge Code	270654616
Hospital Revenue Code	278
Min. Negotiated Rate	$31.94
Max. Negotiated Rate	$562.38
Rate for Payer: Aetna Commercial	$427.40
Rate for Payer: Aetna Medicare Advantage	$337.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.81
Rate for Payer: Cigna Commercial	$562.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.19
Rate for Payer: Qualcare PPO/HMO/WC	$168.71
Rate for Payer: UnitedHealthcare Community & State	$35.54
Rate for Payer: Wellpoint Medicaid Managed Care	$31.94

SCREW CANN 7.0x35MM

Facility

$1,124.75

Service Code	HCPCS C1713
Hospital Charge Code	270654616
Hospital Revenue Code	278
Min. Negotiated Rate	$168.71
Max. Negotiated Rate	$272.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.19
Rate for Payer: Qualcare PPO/HMO/WC	$168.71

SCREW CANN 7.0x40mm

Facility

$665.00

Service Code	HCPCS C1713
Hospital Charge Code	270604935
Hospital Revenue Code	278
Min. Negotiated Rate	$99.75
Max. Negotiated Rate	$160.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$133.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.93
Rate for Payer: Qualcare PPO/HMO/WC	$99.75

SCREW CANN 7.0x40mm

Facility

$665.00

Service Code	HCPCS C1713
Hospital Charge Code	270604935
Hospital Revenue Code	278
Min. Negotiated Rate	$18.89
Max. Negotiated Rate	$332.50
Rate for Payer: Aetna Commercial	$252.70
Rate for Payer: Aetna Medicare Advantage	$199.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$169.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$169.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$133.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$169.57
Rate for Payer: Cigna Commercial	$332.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.93
Rate for Payer: Qualcare PPO/HMO/WC	$99.75
Rate for Payer: UnitedHealthcare Community & State	$21.01
Rate for Payer: Wellpoint Medicaid Managed Care	$18.89

SCREW CANN 7.0x45mm

Facility

$665.00

Service Code	HCPCS C1713
Hospital Charge Code	270604936
Hospital Revenue Code	278
Min. Negotiated Rate	$18.89
Max. Negotiated Rate	$332.50
Rate for Payer: Aetna Commercial	$252.70
Rate for Payer: Aetna Medicare Advantage	$199.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$169.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$169.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$133.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$169.57
Rate for Payer: Cigna Commercial	$332.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.93
Rate for Payer: Qualcare PPO/HMO/WC	$99.75
Rate for Payer: UnitedHealthcare Community & State	$21.01
Rate for Payer: Wellpoint Medicaid Managed Care	$18.89

SCREW CANN 7.0x45mm

Facility

$665.00

Service Code	HCPCS C1713
Hospital Charge Code	270604936
Hospital Revenue Code	278
Min. Negotiated Rate	$99.75
Max. Negotiated Rate	$160.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$133.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.93
Rate for Payer: Qualcare PPO/HMO/WC	$99.75

SCREW CANN 7.0x50mm

Facility

$1,124.75

Service Code	HCPCS C1713
Hospital Charge Code	270604937
Hospital Revenue Code	278
Min. Negotiated Rate	$31.94
Max. Negotiated Rate	$562.38
Rate for Payer: Aetna Commercial	$427.40
Rate for Payer: Aetna Medicare Advantage	$337.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.81
Rate for Payer: Cigna Commercial	$562.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.19
Rate for Payer: Qualcare PPO/HMO/WC	$168.71
Rate for Payer: UnitedHealthcare Community & State	$35.54
Rate for Payer: Wellpoint Medicaid Managed Care	$31.94

SCREW CANN 7.0x50mm

Facility

$1,124.75

Service Code	HCPCS C1713
Hospital Charge Code	270604937
Hospital Revenue Code	278
Min. Negotiated Rate	$168.71
Max. Negotiated Rate	$272.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.19
Rate for Payer: Qualcare PPO/HMO/WC	$168.71

SCREW CANN 7.0x60mm

Facility

$665.00

Service Code	HCPCS C1713
Hospital Charge Code	270604939
Hospital Revenue Code	278
Min. Negotiated Rate	$18.89
Max. Negotiated Rate	$332.50
Rate for Payer: Aetna Commercial	$252.70
Rate for Payer: Aetna Medicare Advantage	$199.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$169.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$169.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$133.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$169.57
Rate for Payer: Cigna Commercial	$332.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.93
Rate for Payer: Qualcare PPO/HMO/WC	$99.75
Rate for Payer: UnitedHealthcare Community & State	$21.01
Rate for Payer: Wellpoint Medicaid Managed Care	$18.89

SCREW CANN 7.0x60mm

Facility

$665.00

Service Code	HCPCS C1713
Hospital Charge Code	270604939
Hospital Revenue Code	278
Min. Negotiated Rate	$99.75
Max. Negotiated Rate	$160.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$133.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.93
Rate for Payer: Qualcare PPO/HMO/WC	$99.75

SCREW CANN 7.0x65mm

Facility

$665.00

Service Code	HCPCS C1713
Hospital Charge Code	270604940
Hospital Revenue Code	278
Min. Negotiated Rate	$99.75
Max. Negotiated Rate	$160.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$133.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.93
Rate for Payer: Qualcare PPO/HMO/WC	$99.75

SCREW CANN 7.0x65mm

Facility

$665.00

Service Code	HCPCS C1713
Hospital Charge Code	270604940
Hospital Revenue Code	278
Min. Negotiated Rate	$18.89
Max. Negotiated Rate	$332.50
Rate for Payer: Aetna Commercial	$252.70
Rate for Payer: Aetna Medicare Advantage	$199.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$169.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$169.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$133.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$169.57
Rate for Payer: Cigna Commercial	$332.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.93
Rate for Payer: Qualcare PPO/HMO/WC	$99.75
Rate for Payer: UnitedHealthcare Community & State	$21.01
Rate for Payer: Wellpoint Medicaid Managed Care	$18.89

SCREW CANN 7.0x70mm

Facility

$1,124.75

Service Code	HCPCS C1713
Hospital Charge Code	270604941
Hospital Revenue Code	278
Min. Negotiated Rate	$31.94
Max. Negotiated Rate	$562.38
Rate for Payer: Aetna Commercial	$427.40
Rate for Payer: Aetna Medicare Advantage	$337.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.81
Rate for Payer: Cigna Commercial	$562.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.19
Rate for Payer: Qualcare PPO/HMO/WC	$168.71
Rate for Payer: UnitedHealthcare Community & State	$35.54
Rate for Payer: Wellpoint Medicaid Managed Care	$31.94

SCREW CANN 7.0x70mm

Facility

$1,124.75

Service Code	HCPCS C1713
Hospital Charge Code	270604941
Hospital Revenue Code	278
Min. Negotiated Rate	$168.71
Max. Negotiated Rate	$272.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.19
Rate for Payer: Qualcare PPO/HMO/WC	$168.71

Know your out-of-pocket cost for care.

All Charges