Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CANN 7.0x80mm

Facility

$1,124.75

Service Code	HCPCS C1713
Hospital Charge Code	270604943
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 7.0x80mm

Facility

$1,124.75

Service Code	HCPCS C1713
Hospital Charge Code	270604943
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 7.0x85mm

Facility

$665.00

Service Code	HCPCS C1713
Hospital Charge Code	270604966
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 7.0x85mm

Facility

$665.00

Service Code	HCPCS C1713
Hospital Charge Code	270604966
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 7.0x90mm

Facility

$1,124.75

Service Code	HCPCS C1713
Hospital Charge Code	270654623
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 7.0x90mm

Facility

$1,124.75

Service Code	HCPCS C1713
Hospital Charge Code	270654623
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 7.0x95mm

Facility

$665.00

Service Code	HCPCS C1713
Hospital Charge Code	270604968
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 7.0x95mm

Facility

$665.00

Service Code	HCPCS C1713
Hospital Charge Code	270604946
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 7.0x95mm

Facility

$665.00

Service Code	HCPCS C1713
Hospital Charge Code	270604946
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 7.0x95mm

Facility

$665.00

Service Code	HCPCS C1713
Hospital Charge Code	270604968
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 7.3x100MM 16MM THRD

Facility

$1,129.85

Service Code	HCPCS C1713
Hospital Charge Code	270605033
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

SCREW CANN 7.3x100MM 16MM THRD

Facility

$1,129.85

Service Code	HCPCS C1713
Hospital Charge Code	270605033
Hospital Revenue Code	278
Min. Negotiated Rate	$169.48
Max. Negotiated Rate	$273.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$273.42
Rate for Payer: Qualcare PPO/HMO/WC	$169.48

SCREW CANN 7.3x100mm FULL THRD

Facility

$665.00

Service Code	HCPCS C1713
Hospital Charge Code	270605086
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 7.3x100mm FULL THRD

Facility

$665.00

Service Code	HCPCS C1713
Hospital Charge Code	270605086
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 7.3x105mm FULL THRD

Facility

$665.00

Service Code	HCPCS C1713
Hospital Charge Code	270605087
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 7.3x105mm FULL THRD

Facility

$665.00

Service Code	HCPCS C1713
Hospital Charge Code	270605087
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 7.3x110MM 16MM THRD

Facility

$665.00

Service Code	HCPCS C1713
Hospital Charge Code	270605035
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 7.3x110MM 16MM THRD

Facility

$665.00

Service Code	HCPCS C1713
Hospital Charge Code	270605035
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 7.3x110mm FULL THRD

Facility

$665.00

Service Code	HCPCS C1713
Hospital Charge Code	270605088
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 7.3x110mm FULL THRD

Facility

$665.00

Service Code	HCPCS C1713
Hospital Charge Code	270605088
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 7.3x115mm FULL THRD

Facility

$665.00

Service Code	HCPCS C1713
Hospital Charge Code	270605089
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 7.3x115mm FULL THRD

Facility

$665.00

Service Code	HCPCS C1713
Hospital Charge Code	270605089
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 7.3x120MM 16MM THRD

Facility

$665.00

Service Code	HCPCS C1713
Hospital Charge Code	270605037
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 7.3x120MM 16MM THRD

Facility

$665.00

Service Code	HCPCS C1713
Hospital Charge Code	270605037
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 7.3x120mm FULL THRD

Facility

$665.00

Service Code	HCPCS C1713
Hospital Charge Code	270605090
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

Know your out-of-pocket cost for care.

All Charges