Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CANN 7DX95mmZIM 11469532

Facility

$1,025.00

Service Code	HCPCS C1713
Hospital Charge Code	270606328
Hospital Revenue Code	278
Min. Negotiated Rate	$153.75
Max. Negotiated Rate	$248.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$205.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$248.05
Rate for Payer: Qualcare PPO/HMO/WC	$153.75

SCREW CANN 7DX95mmZIM 11469532

Facility

$1,025.00

Service Code	HCPCS C1713
Hospital Charge Code	270606328
Hospital Revenue Code	278
Min. Negotiated Rate	$29.11
Max. Negotiated Rate	$512.50
Rate for Payer: Aetna Commercial	$389.50
Rate for Payer: Aetna Medicare Advantage	$307.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$205.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$261.38
Rate for Payer: Cigna Commercial	$512.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$248.05
Rate for Payer: Qualcare PPO/HMO/WC	$153.75
Rate for Payer: UnitedHealthcare Community & State	$32.39
Rate for Payer: Wellpoint Medicaid Managed Care	$29.11

SCREW CANN ASNIS 4x36MM STER

Facility

$931.20

Hospital Charge Code	270675647
Hospital Revenue Code	278
Min. Negotiated Rate	$139.68
Max. Negotiated Rate	$225.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$186.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.35
Rate for Payer: Qualcare PPO/HMO/WC	$139.68

SCREW CANN ASNIS 4x36MM STER

Facility

$931.20

Hospital Charge Code	270675647
Hospital Revenue Code	278
Min. Negotiated Rate	$26.45
Max. Negotiated Rate	$465.60
Rate for Payer: Aetna Commercial	$353.86
Rate for Payer: Aetna Medicare Advantage	$279.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$237.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$237.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$186.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$237.46
Rate for Payer: Cigna Commercial	$465.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.35
Rate for Payer: Qualcare PPO/HMO/WC	$139.68
Rate for Payer: UnitedHealthcare Community & State	$29.43
Rate for Payer: Wellpoint Medicaid Managed Care	$26.45

SCREW CANN ASNIS 4x40MM STER

Facility

$931.20

Service Code	HCPCS C1713
Hospital Charge Code	270674239
Hospital Revenue Code	278
Min. Negotiated Rate	$26.45
Max. Negotiated Rate	$465.60
Rate for Payer: Aetna Commercial	$353.86
Rate for Payer: Aetna Medicare Advantage	$279.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$237.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$237.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$186.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$237.46
Rate for Payer: Cigna Commercial	$465.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.35
Rate for Payer: Qualcare PPO/HMO/WC	$139.68
Rate for Payer: UnitedHealthcare Community & State	$29.43
Rate for Payer: Wellpoint Medicaid Managed Care	$26.45

SCREW CANN ASNIS 4x40MM STER

Facility

$931.20

Service Code	HCPCS C1713
Hospital Charge Code	270674239
Hospital Revenue Code	278
Min. Negotiated Rate	$139.68
Max. Negotiated Rate	$225.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$186.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.35
Rate for Payer: Qualcare PPO/HMO/WC	$139.68

SCREW CANN ASNIS F/THD 4x40MM

Facility

$931.20

Hospital Charge Code	270675786
Hospital Revenue Code	278
Min. Negotiated Rate	$26.45
Max. Negotiated Rate	$465.60
Rate for Payer: Aetna Commercial	$353.86
Rate for Payer: Aetna Medicare Advantage	$279.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$237.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$237.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$186.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$237.46
Rate for Payer: Cigna Commercial	$465.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.35
Rate for Payer: Qualcare PPO/HMO/WC	$139.68
Rate for Payer: UnitedHealthcare Community & State	$29.43
Rate for Payer: Wellpoint Medicaid Managed Care	$26.45

SCREW CANN ASNIS F/THD 4x40MM

Facility

$931.20

Hospital Charge Code	270675786
Hospital Revenue Code	278
Min. Negotiated Rate	$139.68
Max. Negotiated Rate	$225.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$186.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.35
Rate for Payer: Qualcare PPO/HMO/WC	$139.68

SCREW CANN ASNIS III 4X14MM

Facility

$1,360.00

Hospital Charge Code	270670570
Hospital Revenue Code	278
Min. Negotiated Rate	$38.62
Max. Negotiated Rate	$680.00
Rate for Payer: Aetna Commercial	$516.80
Rate for Payer: Aetna Medicare Advantage	$408.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$346.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$346.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$272.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$346.80
Rate for Payer: Cigna Commercial	$680.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$329.12
Rate for Payer: Qualcare PPO/HMO/WC	$204.00
Rate for Payer: UnitedHealthcare Community & State	$42.98
Rate for Payer: Wellpoint Medicaid Managed Care	$38.62

SCREW CANN ASNIS III 4X14MM

Facility

$1,360.00

Hospital Charge Code	270670570
Hospital Revenue Code	278
Min. Negotiated Rate	$204.00
Max. Negotiated Rate	$329.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$272.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$329.12
Rate for Payer: Qualcare PPO/HMO/WC	$204.00

SCREW CANN ASNIS III 4x22MM

Facility

$1,360.00

Service Code	HCPCS C1713
Hospital Charge Code	270673831
Hospital Revenue Code	278
Min. Negotiated Rate	$38.62
Max. Negotiated Rate	$680.00
Rate for Payer: Aetna Commercial	$516.80
Rate for Payer: Aetna Medicare Advantage	$408.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$346.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$346.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$272.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$346.80
Rate for Payer: Cigna Commercial	$680.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$329.12
Rate for Payer: Qualcare PPO/HMO/WC	$204.00
Rate for Payer: UnitedHealthcare Community & State	$42.98
Rate for Payer: Wellpoint Medicaid Managed Care	$38.62

SCREW CANN ASNIS III 4x22MM

Facility

$1,360.00

Service Code	HCPCS C1713
Hospital Charge Code	270673831
Hospital Revenue Code	278
Min. Negotiated Rate	$204.00
Max. Negotiated Rate	$329.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$272.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$329.12
Rate for Payer: Qualcare PPO/HMO/WC	$204.00

SCREW CANN ASNIS III 4x44MM

Facility

$931.20

Service Code	HCPCS C1713
Hospital Charge Code	270674890
Hospital Revenue Code	278
Min. Negotiated Rate	$139.68
Max. Negotiated Rate	$225.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$186.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.35
Rate for Payer: Qualcare PPO/HMO/WC	$139.68

SCREW CANN ASNIS III 4x44MM

Facility

$931.20

Service Code	HCPCS C1713
Hospital Charge Code	270674890
Hospital Revenue Code	278
Min. Negotiated Rate	$26.45
Max. Negotiated Rate	$465.60
Rate for Payer: Aetna Commercial	$353.86
Rate for Payer: Aetna Medicare Advantage	$279.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$237.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$237.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$186.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$237.46
Rate for Payer: Cigna Commercial	$465.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.35
Rate for Payer: Qualcare PPO/HMO/WC	$139.68
Rate for Payer: UnitedHealthcare Community & State	$29.43
Rate for Payer: Wellpoint Medicaid Managed Care	$26.45

SCREW CANN ASNIS III 4x46MM

Facility

$931.20

Hospital Charge Code	270674891
Hospital Revenue Code	278
Min. Negotiated Rate	$26.45
Max. Negotiated Rate	$465.60
Rate for Payer: Aetna Commercial	$353.86
Rate for Payer: Aetna Medicare Advantage	$279.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$237.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$237.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$186.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$237.46
Rate for Payer: Cigna Commercial	$465.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.35
Rate for Payer: Qualcare PPO/HMO/WC	$139.68
Rate for Payer: UnitedHealthcare Community & State	$29.43
Rate for Payer: Wellpoint Medicaid Managed Care	$26.45

SCREW CANN ASNIS III 4x46MM

Facility

$931.20

Hospital Charge Code	270674891
Hospital Revenue Code	278
Min. Negotiated Rate	$139.68
Max. Negotiated Rate	$225.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$186.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.35
Rate for Payer: Qualcare PPO/HMO/WC	$139.68

SCREW CANN ASNIS III 4X60MM

Facility

$1,360.00

Hospital Charge Code	270670725
Hospital Revenue Code	278
Min. Negotiated Rate	$38.62
Max. Negotiated Rate	$680.00
Rate for Payer: Aetna Commercial	$516.80
Rate for Payer: Aetna Medicare Advantage	$408.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$346.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$346.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$272.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$346.80
Rate for Payer: Cigna Commercial	$680.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$329.12
Rate for Payer: Qualcare PPO/HMO/WC	$204.00
Rate for Payer: UnitedHealthcare Community & State	$42.98
Rate for Payer: Wellpoint Medicaid Managed Care	$38.62

SCREW CANN ASNIS III 4X60MM

Facility

$1,360.00

Hospital Charge Code	270670725
Hospital Revenue Code	278
Min. Negotiated Rate	$204.00
Max. Negotiated Rate	$329.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$272.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$329.12
Rate for Payer: Qualcare PPO/HMO/WC	$204.00

SCREW CANN ASNIS III 6.5X90MM

Facility

$2,120.00

Hospital Charge Code	270670024
Hospital Revenue Code	278
Min. Negotiated Rate	$318.00
Max. Negotiated Rate	$513.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$424.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$513.04
Rate for Payer: Qualcare PPO/HMO/WC	$318.00

SCREW CANN ASNIS III 6.5X90MM

Facility

$2,120.00

Hospital Charge Code	270670024
Hospital Revenue Code	278
Min. Negotiated Rate	$60.21
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$805.60
Rate for Payer: Aetna Medicare Advantage	$636.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$540.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$540.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$424.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$540.60
Rate for Payer: Cigna Commercial	$1,060.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$513.04
Rate for Payer: Qualcare PPO/HMO/WC	$318.00
Rate for Payer: UnitedHealthcare Community & State	$66.99
Rate for Payer: Wellpoint Medicaid Managed Care	$60.21

SCREW CANN BONE SCREW 16MM

Facility

$143.20

Service Code	HCPCS C1713
Hospital Charge Code	270688164
Hospital Revenue Code	278
Min. Negotiated Rate	$4.07
Max. Negotiated Rate	$71.60
Rate for Payer: Aetna Commercial	$54.42
Rate for Payer: Aetna Medicare Advantage	$42.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.52
Rate for Payer: Cigna Commercial	$71.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.65
Rate for Payer: Qualcare PPO/HMO/WC	$21.48
Rate for Payer: UnitedHealthcare Community & State	$4.53
Rate for Payer: Wellpoint Medicaid Managed Care	$4.07

SCREW CANN BONE SCREW 16MM

Facility

$143.20

Service Code	HCPCS C1713
Hospital Charge Code	270688164
Hospital Revenue Code	278
Min. Negotiated Rate	$21.48
Max. Negotiated Rate	$34.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.65
Rate for Payer: Qualcare PPO/HMO/WC	$21.48

SCREW CANN CAN 40 6.5x70mm

Facility

$1,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270673601
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 CAN 40 6.5x70mm

Facility

$1,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270673601
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 CAN 40 6.5x75mm

Facility

$1,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270673602
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

Know your out-of-pocket cost for care.

All Charges