Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CANN COMP SD 2.2X20MM

Facility

$2,796.40

Service Code	HCPCS C1713
Hospital Charge Code	270699923
Hospital Revenue Code	278
Min. Negotiated Rate	$419.46
Max. Negotiated Rate	$676.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$559.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$676.73
Rate for Payer: Qualcare PPO/HMO/WC	$419.46

SCREW CANN COMP SD 2.2X20MM

Facility

$2,796.40

Service Code	HCPCS C1713
Hospital Charge Code	270699923
Hospital Revenue Code	278
Min. Negotiated Rate	$79.42
Max. Negotiated Rate	$1,398.20
Rate for Payer: Aetna Commercial	$1,062.63
Rate for Payer: Aetna Medicare Advantage	$838.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$713.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$713.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$559.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$713.08
Rate for Payer: Cigna Commercial	$1,398.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$676.73
Rate for Payer: Qualcare PPO/HMO/WC	$419.46
Rate for Payer: UnitedHealthcare Community & State	$88.37
Rate for Payer: Wellpoint Medicaid Managed Care	$79.42

SCREW CANN CONICAL 5.0X70MM

Facility

$3,050.00

Service Code	HCPCS C1713
Hospital Charge Code	270699951
Hospital Revenue Code	278
Min. Negotiated Rate	$86.62
Max. Negotiated Rate	$1,525.00
Rate for Payer: Aetna Commercial	$1,159.00
Rate for Payer: Aetna Medicare Advantage	$915.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$777.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$777.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$610.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$777.75
Rate for Payer: Cigna Commercial	$1,525.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$738.10
Rate for Payer: Qualcare PPO/HMO/WC	$457.50
Rate for Payer: UnitedHealthcare Community & State	$96.38
Rate for Payer: Wellpoint Medicaid Managed Care	$86.62

SCREW CANN CONICAL 5.0X70MM

Facility

$3,050.00

Service Code	HCPCS C1713
Hospital Charge Code	270699951
Hospital Revenue Code	278
Min. Negotiated Rate	$457.50
Max. Negotiated Rate	$738.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$610.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$738.10
Rate for Payer: Qualcare PPO/HMO/WC	$457.50

SCREW CANN CONI P/THD 7.3x50MM

Facility

$1,074.00

Hospital Charge Code	270657174
Hospital Revenue Code	278
Min. Negotiated Rate	$161.10
Max. Negotiated Rate	$259.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.91
Rate for Payer: Qualcare PPO/HMO/WC	$161.10

SCREW CANN CONI P/THD 7.3x50MM

Facility

$1,074.00

Hospital Charge Code	270657174
Hospital Revenue Code	278
Min. Negotiated Rate	$30.50
Max. Negotiated Rate	$537.00
Rate for Payer: Aetna Commercial	$408.12
Rate for Payer: Aetna Medicare Advantage	$322.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$273.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$273.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$273.87
Rate for Payer: Cigna Commercial	$537.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.91
Rate for Payer: Qualcare PPO/HMO/WC	$161.10
Rate for Payer: UnitedHealthcare Community & State	$33.94
Rate for Payer: Wellpoint Medicaid Managed Care	$30.50

SCREW CANN CONI P/THD 7.3x55MM

Facility

$1,074.00

Hospital Charge Code	270657184
Hospital Revenue Code	278
Min. Negotiated Rate	$30.50
Max. Negotiated Rate	$537.00
Rate for Payer: Aetna Commercial	$408.12
Rate for Payer: Aetna Medicare Advantage	$322.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$273.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$273.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$273.87
Rate for Payer: Cigna Commercial	$537.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.91
Rate for Payer: Qualcare PPO/HMO/WC	$161.10
Rate for Payer: UnitedHealthcare Community & State	$33.94
Rate for Payer: Wellpoint Medicaid Managed Care	$30.50

SCREW CANN CONI P/THD 7.3x55MM

Facility

$1,074.00

Hospital Charge Code	270657184
Hospital Revenue Code	278
Min. Negotiated Rate	$161.10
Max. Negotiated Rate	$259.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.91
Rate for Payer: Qualcare PPO/HMO/WC	$161.10

SCREW CANN CONI P/THD 7.3x60MM

Facility

$1,074.00

Hospital Charge Code	270657180
Hospital Revenue Code	278
Min. Negotiated Rate	$30.50
Max. Negotiated Rate	$537.00
Rate for Payer: Aetna Commercial	$408.12
Rate for Payer: Aetna Medicare Advantage	$322.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$273.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$273.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$273.87
Rate for Payer: Cigna Commercial	$537.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.91
Rate for Payer: Qualcare PPO/HMO/WC	$161.10
Rate for Payer: UnitedHealthcare Community & State	$33.94
Rate for Payer: Wellpoint Medicaid Managed Care	$30.50

SCREW CANN CONI P/THD 7.3x60MM

Facility

$1,074.00

Hospital Charge Code	270657180
Hospital Revenue Code	278
Min. Negotiated Rate	$161.10
Max. Negotiated Rate	$259.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.91
Rate for Payer: Qualcare PPO/HMO/WC	$161.10

SCREW CANN CONI P/THD 7.3x65MM

Facility

$1,074.00

Hospital Charge Code	270657186
Hospital Revenue Code	278
Min. Negotiated Rate	$30.50
Max. Negotiated Rate	$537.00
Rate for Payer: Aetna Commercial	$408.12
Rate for Payer: Aetna Medicare Advantage	$322.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$273.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$273.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$273.87
Rate for Payer: Cigna Commercial	$537.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.91
Rate for Payer: Qualcare PPO/HMO/WC	$161.10
Rate for Payer: UnitedHealthcare Community & State	$33.94
Rate for Payer: Wellpoint Medicaid Managed Care	$30.50

SCREW CANN CONI P/THD 7.3x65MM

Facility

$1,074.00

Hospital Charge Code	270657186
Hospital Revenue Code	278
Min. Negotiated Rate	$161.10
Max. Negotiated Rate	$259.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.91
Rate for Payer: Qualcare PPO/HMO/WC	$161.10

SCREW CANN CONI P/THD 7.3x70MM

Facility

$1,074.00

Hospital Charge Code	270657192
Hospital Revenue Code	278
Min. Negotiated Rate	$161.10
Max. Negotiated Rate	$259.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.91
Rate for Payer: Qualcare PPO/HMO/WC	$161.10

SCREW CANN CONI P/THD 7.3x70MM

Facility

$1,074.00

Hospital Charge Code	270657192
Hospital Revenue Code	278
Min. Negotiated Rate	$30.50
Max. Negotiated Rate	$537.00
Rate for Payer: Aetna Commercial	$408.12
Rate for Payer: Aetna Medicare Advantage	$322.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$273.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$273.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$273.87
Rate for Payer: Cigna Commercial	$537.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.91
Rate for Payer: Qualcare PPO/HMO/WC	$161.10
Rate for Payer: UnitedHealthcare Community & State	$33.94
Rate for Payer: Wellpoint Medicaid Managed Care	$30.50

SCREW CANN CONI P/THD 7.3x75MM

Facility

$1,074.00

Hospital Charge Code	270657189
Hospital Revenue Code	278
Min. Negotiated Rate	$30.50
Max. Negotiated Rate	$537.00
Rate for Payer: Aetna Commercial	$408.12
Rate for Payer: Aetna Medicare Advantage	$322.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$273.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$273.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$273.87
Rate for Payer: Cigna Commercial	$537.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.91
Rate for Payer: Qualcare PPO/HMO/WC	$161.10
Rate for Payer: UnitedHealthcare Community & State	$33.94
Rate for Payer: Wellpoint Medicaid Managed Care	$30.50

SCREW CANN CONI P/THD 7.3x75MM

Facility

$1,074.00

Hospital Charge Code	270657189
Hospital Revenue Code	278
Min. Negotiated Rate	$161.10
Max. Negotiated Rate	$259.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.91
Rate for Payer: Qualcare PPO/HMO/WC	$161.10

SCREW CANN CONI P/THD 7.3x80MM

Facility

$1,074.00

Hospital Charge Code	270657195
Hospital Revenue Code	278
Min. Negotiated Rate	$161.10
Max. Negotiated Rate	$259.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.91
Rate for Payer: Qualcare PPO/HMO/WC	$161.10

SCREW CANN CONI P/THD 7.3x80MM

Facility

$1,074.00

Hospital Charge Code	270657195
Hospital Revenue Code	278
Min. Negotiated Rate	$30.50
Max. Negotiated Rate	$537.00
Rate for Payer: Aetna Commercial	$408.12
Rate for Payer: Aetna Medicare Advantage	$322.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$273.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$273.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$273.87
Rate for Payer: Cigna Commercial	$537.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.91
Rate for Payer: Qualcare PPO/HMO/WC	$161.10
Rate for Payer: UnitedHealthcare Community & State	$33.94
Rate for Payer: Wellpoint Medicaid Managed Care	$30.50

SCREW CANN COUNTERSINK 3.8MM

Facility

$1,570.00

Hospital Charge Code	270661043
Hospital Revenue Code	278
Min. Negotiated Rate	$235.50
Max. Negotiated Rate	$379.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$314.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$379.94
Rate for Payer: Qualcare PPO/HMO/WC	$235.50

SCREW CANN COUNTERSINK 3.8MM

Facility

$1,570.00

Hospital Charge Code	270661043
Hospital Revenue Code	278
Min. Negotiated Rate	$44.59
Max. Negotiated Rate	$785.00
Rate for Payer: Aetna Commercial	$596.60
Rate for Payer: Aetna Medicare Advantage	$471.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$400.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$400.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$314.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$400.35
Rate for Payer: Cigna Commercial	$785.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$379.94
Rate for Payer: Qualcare PPO/HMO/WC	$235.50
Rate for Payer: UnitedHealthcare Community & State	$49.61
Rate for Payer: Wellpoint Medicaid Managed Care	$44.59

SCREW CANN DART FIRE 2.8MM

Facility

$576.00

Service Code	HCPCS C1713
Hospital Charge Code	270699129
Hospital Revenue Code	278
Min. Negotiated Rate	$86.40
Max. Negotiated Rate	$139.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.39
Rate for Payer: Qualcare PPO/HMO/WC	$86.40

SCREW CANN DART FIRE 2.8MM

Facility

$576.00

Service Code	HCPCS C1713
Hospital Charge Code	270699129
Hospital Revenue Code	278
Min. Negotiated Rate	$16.36
Max. Negotiated Rate	$288.00
Rate for Payer: Aetna Commercial	$218.88
Rate for Payer: Aetna Medicare Advantage	$172.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$146.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$146.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$146.88
Rate for Payer: Cigna Commercial	$288.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.39
Rate for Payer: Qualcare PPO/HMO/WC	$86.40
Rate for Payer: UnitedHealthcare Community & State	$18.20
Rate for Payer: Wellpoint Medicaid Managed Care	$16.36

SCREW CANN EXT PEDIC 7.5X40MM

Facility

$10,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270694869
Hospital Revenue Code	278
Min. Negotiated Rate	$305.30
Max. Negotiated Rate	$5,375.00
Rate for Payer: Aetna Commercial	$4,085.00
Rate for Payer: Aetna Medicare Advantage	$3,225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,741.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,741.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,741.25
Rate for Payer: Cigna Commercial	$5,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,601.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,612.50
Rate for Payer: UnitedHealthcare Community & State	$339.70
Rate for Payer: Wellpoint Medicaid Managed Care	$305.30

SCREW CANN EXT PEDIC 7.5X40MM

Facility

$10,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270694869
Hospital Revenue Code	278
Min. Negotiated Rate	$1,612.50
Max. Negotiated Rate	$2,601.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,601.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,612.50

SCREWCANNEXTTABPOLYAX6.5X45MM

Facility

$7,562.50

Service Code	HCPCS C1713
Hospital Charge Code	270698060
Hospital Revenue Code	278
Min. Negotiated Rate	$1,134.38
Max. Negotiated Rate	$1,830.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,512.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,830.12
Rate for Payer: Qualcare PPO/HMO/WC	$1,134.38

Know your out-of-pocket cost for care.

All Charges