Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CANN P/THRD 3.5x32MM

Facility

$803.40

Service Code	HCPCS C1713
Hospital Charge Code	270608217
Hospital Revenue Code	278
Min. Negotiated Rate	$22.82
Max. Negotiated Rate	$401.70
Rate for Payer: Aetna Commercial	$305.29
Rate for Payer: Aetna Medicare Advantage	$241.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.87
Rate for Payer: Cigna Commercial	$401.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.42
Rate for Payer: Qualcare PPO/HMO/WC	$120.51
Rate for Payer: UnitedHealthcare Community & State	$25.39
Rate for Payer: Wellpoint Medicaid Managed Care	$22.82

SCREW CANN P/THRD 3.5x34MM

Facility

$803.40

Service Code	HCPCS C1713
Hospital Charge Code	270632481
Hospital Revenue Code	278
Min. Negotiated Rate	$22.82
Max. Negotiated Rate	$401.70
Rate for Payer: Aetna Commercial	$305.29
Rate for Payer: Aetna Medicare Advantage	$241.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.87
Rate for Payer: Cigna Commercial	$401.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.42
Rate for Payer: Qualcare PPO/HMO/WC	$120.51
Rate for Payer: UnitedHealthcare Community & State	$25.39
Rate for Payer: Wellpoint Medicaid Managed Care	$22.82

SCREW CANN P/THRD 3.5x34MM

Facility

$803.40

Service Code	HCPCS C1713
Hospital Charge Code	270632481
Hospital Revenue Code	278
Min. Negotiated Rate	$120.51
Max. Negotiated Rate	$194.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.42
Rate for Payer: Qualcare PPO/HMO/WC	$120.51

SCREW CANN P/THRD 4.5x20MM

Facility

$855.95

Service Code	HCPCS C1713
Hospital Charge Code	270604876
Hospital Revenue Code	278
Min. Negotiated Rate	$128.39
Max. Negotiated Rate	$207.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.14
Rate for Payer: Qualcare PPO/HMO/WC	$128.39

SCREW CANN P/THRD 4.5x20MM

Facility

$855.95

Service Code	HCPCS C1713
Hospital Charge Code	270604876
Hospital Revenue Code	278
Min. Negotiated Rate	$24.31
Max. Negotiated Rate	$427.98
Rate for Payer: Aetna Commercial	$325.26
Rate for Payer: Aetna Medicare Advantage	$256.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$218.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$218.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$218.27
Rate for Payer: Cigna Commercial	$427.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.14
Rate for Payer: Qualcare PPO/HMO/WC	$128.39
Rate for Payer: UnitedHealthcare Community & State	$27.05
Rate for Payer: Wellpoint Medicaid Managed Care	$24.31

SCREW CANN P/THRD 4.5x22mm

Facility

$855.95

Hospital Charge Code	270604877
Hospital Revenue Code	278
Min. Negotiated Rate	$128.39
Max. Negotiated Rate	$207.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.14
Rate for Payer: Qualcare PPO/HMO/WC	$128.39

SCREW CANN P/THRD 4.5x22mm

Facility

$855.95

Hospital Charge Code	270604877
Hospital Revenue Code	278
Min. Negotiated Rate	$24.31
Max. Negotiated Rate	$427.98
Rate for Payer: Aetna Commercial	$325.26
Rate for Payer: Aetna Medicare Advantage	$256.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$218.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$218.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$218.27
Rate for Payer: Cigna Commercial	$427.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.14
Rate for Payer: Qualcare PPO/HMO/WC	$128.39
Rate for Payer: UnitedHealthcare Community & State	$27.05
Rate for Payer: Wellpoint Medicaid Managed Care	$24.31

SCREW CANN P/THRD 4.5x26mm

Facility

$505.00

Service Code	HCPCS C1713
Hospital Charge Code	270604879
Hospital Revenue Code	278
Min. Negotiated Rate	$75.75
Max. Negotiated Rate	$122.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$101.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$122.21
Rate for Payer: Qualcare PPO/HMO/WC	$75.75

SCREW CANN P/THRD 4.5x26mm

Facility

$505.00

Service Code	HCPCS C1713
Hospital Charge Code	270604879
Hospital Revenue Code	278
Min. Negotiated Rate	$14.34
Max. Negotiated Rate	$252.50
Rate for Payer: Aetna Commercial	$191.90
Rate for Payer: Aetna Medicare Advantage	$151.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$128.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$128.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$101.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$128.78
Rate for Payer: Cigna Commercial	$252.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$122.21
Rate for Payer: Qualcare PPO/HMO/WC	$75.75
Rate for Payer: UnitedHealthcare Community & State	$15.96
Rate for Payer: Wellpoint Medicaid Managed Care	$14.34

SCREW CANN P/THRD 4.5x30mm

Facility

$855.95

Service Code	HCPCS C1713
Hospital Charge Code	270604881
Hospital Revenue Code	278
Min. Negotiated Rate	$128.39
Max. Negotiated Rate	$207.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.14
Rate for Payer: Qualcare PPO/HMO/WC	$128.39

SCREW CANN P/THRD 4.5x30mm

Facility

$855.95

Service Code	HCPCS C1713
Hospital Charge Code	270604881
Hospital Revenue Code	278
Min. Negotiated Rate	$24.31
Max. Negotiated Rate	$427.98
Rate for Payer: Aetna Commercial	$325.26
Rate for Payer: Aetna Medicare Advantage	$256.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$218.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$218.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$218.27
Rate for Payer: Cigna Commercial	$427.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.14
Rate for Payer: Qualcare PPO/HMO/WC	$128.39
Rate for Payer: UnitedHealthcare Community & State	$27.05
Rate for Payer: Wellpoint Medicaid Managed Care	$24.31

SCREW CANN P/THRD 4.5x32mm

Facility

$855.95

Service Code	HCPCS C1713
Hospital Charge Code	270604882
Hospital Revenue Code	278
Min. Negotiated Rate	$128.39
Max. Negotiated Rate	$207.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.14
Rate for Payer: Qualcare PPO/HMO/WC	$128.39

SCREW CANN P/THRD 4.5x32mm

Facility

$855.95

Service Code	HCPCS C1713
Hospital Charge Code	270604882
Hospital Revenue Code	278
Min. Negotiated Rate	$24.31
Max. Negotiated Rate	$427.98
Rate for Payer: Aetna Commercial	$325.26
Rate for Payer: Aetna Medicare Advantage	$256.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$218.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$218.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$218.27
Rate for Payer: Cigna Commercial	$427.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.14
Rate for Payer: Qualcare PPO/HMO/WC	$128.39
Rate for Payer: UnitedHealthcare Community & State	$27.05
Rate for Payer: Wellpoint Medicaid Managed Care	$24.31

SCREW CANN P/THRD 4.5x34mm

Facility

$831.00

Service Code	HCPCS C1713
Hospital Charge Code	270604883
Hospital Revenue Code	278
Min. Negotiated Rate	$23.60
Max. Negotiated Rate	$415.50
Rate for Payer: Aetna Commercial	$315.78
Rate for Payer: Aetna Medicare Advantage	$249.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$211.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$211.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$166.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$211.91
Rate for Payer: Cigna Commercial	$415.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$201.10
Rate for Payer: Qualcare PPO/HMO/WC	$124.65
Rate for Payer: UnitedHealthcare Community & State	$26.26
Rate for Payer: Wellpoint Medicaid Managed Care	$23.60

SCREW CANN P/THRD 4.5x34mm

Facility

$831.00

Service Code	HCPCS C1713
Hospital Charge Code	270604883
Hospital Revenue Code	278
Min. Negotiated Rate	$124.65
Max. Negotiated Rate	$201.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$166.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$201.10
Rate for Payer: Qualcare PPO/HMO/WC	$124.65

SCREW CANN P/THRD 4.5x36mm

Facility

$855.95

Service Code	HCPCS C1713
Hospital Charge Code	270604884
Hospital Revenue Code	278
Min. Negotiated Rate	$128.39
Max. Negotiated Rate	$207.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.14
Rate for Payer: Qualcare PPO/HMO/WC	$128.39

SCREW CANN P/THRD 4.5x36mm

Facility

$855.95

Service Code	HCPCS C1713
Hospital Charge Code	270604884
Hospital Revenue Code	278
Min. Negotiated Rate	$24.31
Max. Negotiated Rate	$427.98
Rate for Payer: Aetna Commercial	$325.26
Rate for Payer: Aetna Medicare Advantage	$256.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$218.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$218.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$218.27
Rate for Payer: Cigna Commercial	$427.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.14
Rate for Payer: Qualcare PPO/HMO/WC	$128.39
Rate for Payer: UnitedHealthcare Community & State	$27.05
Rate for Payer: Wellpoint Medicaid Managed Care	$24.31

SCREW CANN P/THRD 4.5x38mm

Facility

$881.65

Service Code	HCPCS C1713
Hospital Charge Code	270604886
Hospital Revenue Code	278
Min. Negotiated Rate	$132.25
Max. Negotiated Rate	$213.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$176.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$213.36
Rate for Payer: Qualcare PPO/HMO/WC	$132.25

SCREW CANN P/THRD 4.5x38mm

Facility

$881.65

Service Code	HCPCS C1713
Hospital Charge Code	270604886
Hospital Revenue Code	278
Min. Negotiated Rate	$25.04
Max. Negotiated Rate	$440.82
Rate for Payer: Aetna Commercial	$335.03
Rate for Payer: Aetna Medicare Advantage	$264.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$224.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$224.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$176.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$224.82
Rate for Payer: Cigna Commercial	$440.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$213.36
Rate for Payer: Qualcare PPO/HMO/WC	$132.25
Rate for Payer: UnitedHealthcare Community & State	$27.86
Rate for Payer: Wellpoint Medicaid Managed Care	$25.04

SCREW CANN P/THRD 4.5x40mm

Facility

$881.65

Service Code	HCPCS C1713
Hospital Charge Code	270604887
Hospital Revenue Code	278
Min. Negotiated Rate	$132.25
Max. Negotiated Rate	$213.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$176.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$213.36
Rate for Payer: Qualcare PPO/HMO/WC	$132.25

SCREW CANN P/THRD 4.5x40mm

Facility

$881.65

Service Code	HCPCS C1713
Hospital Charge Code	270604887
Hospital Revenue Code	278
Min. Negotiated Rate	$25.04
Max. Negotiated Rate	$440.82
Rate for Payer: Aetna Commercial	$335.03
Rate for Payer: Aetna Medicare Advantage	$264.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$224.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$224.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$176.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$224.82
Rate for Payer: Cigna Commercial	$440.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$213.36
Rate for Payer: Qualcare PPO/HMO/WC	$132.25
Rate for Payer: UnitedHealthcare Community & State	$27.86
Rate for Payer: Wellpoint Medicaid Managed Care	$25.04

SCREW CANN P/THRD 4.5x42mm

Facility

$881.65

Service Code	HCPCS C1713
Hospital Charge Code	270604888
Hospital Revenue Code	278
Min. Negotiated Rate	$25.04
Max. Negotiated Rate	$440.82
Rate for Payer: Aetna Commercial	$335.03
Rate for Payer: Aetna Medicare Advantage	$264.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$224.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$224.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$176.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$224.82
Rate for Payer: Cigna Commercial	$440.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$213.36
Rate for Payer: Qualcare PPO/HMO/WC	$132.25
Rate for Payer: UnitedHealthcare Community & State	$27.86
Rate for Payer: Wellpoint Medicaid Managed Care	$25.04

SCREW CANN P/THRD 4.5x42mm

Facility

$881.65

Service Code	HCPCS C1713
Hospital Charge Code	270604888
Hospital Revenue Code	278
Min. Negotiated Rate	$132.25
Max. Negotiated Rate	$213.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$176.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$213.36
Rate for Payer: Qualcare PPO/HMO/WC	$132.25

SCREW CANN P/THRD 4.5x44mm

Facility

$881.65

Service Code	HCPCS C1713
Hospital Charge Code	270655922
Hospital Revenue Code	278
Min. Negotiated Rate	$132.25
Max. Negotiated Rate	$213.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$176.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$213.36
Rate for Payer: Qualcare PPO/HMO/WC	$132.25

SCREW CANN P/THRD 4.5x44mm

Facility

$881.65

Service Code	HCPCS C1713
Hospital Charge Code	270655922
Hospital Revenue Code	278
Min. Negotiated Rate	$25.04
Max. Negotiated Rate	$440.82
Rate for Payer: Aetna Commercial	$335.03
Rate for Payer: Aetna Medicare Advantage	$264.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$224.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$224.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$176.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$224.82
Rate for Payer: Cigna Commercial	$440.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$213.36
Rate for Payer: Qualcare PPO/HMO/WC	$132.25
Rate for Payer: UnitedHealthcare Community & State	$27.86
Rate for Payer: Wellpoint Medicaid Managed Care	$25.04

Know your out-of-pocket cost for care.

All Charges