Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CANN P/THRD 4.5x46mm

Facility

$855.95

Service Code	HCPCS C1713
Hospital Charge Code	270604889
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 4.5x46mm

Facility

$855.95

Service Code	HCPCS C1713
Hospital Charge Code	270604889
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 4.5x50mm

Facility

$855.95

Service Code	HCPCS C1713
Hospital Charge Code	270604893
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 4.5x50mm

Facility

$855.95

Service Code	HCPCS C1713
Hospital Charge Code	270604893
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 4.5x52mm

Facility

$505.00

Service Code	HCPCS C1713
Hospital Charge Code	270604894
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 4.5x52mm

Facility

$505.00

Service Code	HCPCS C1713
Hospital Charge Code	270604894
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 4.5x54mm

Facility

$855.95

Service Code	HCPCS C1713
Hospital Charge Code	270604895
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 4.5x54mm

Facility

$855.95

Service Code	HCPCS C1713
Hospital Charge Code	270604895
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 4.5x56mm

Facility

$855.95

Service Code	HCPCS C1713
Hospital Charge Code	270604896
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 4.5x56mm

Facility

$855.95

Service Code	HCPCS C1713
Hospital Charge Code	270604896
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 4.5x60mm

Facility

$855.95

Service Code	HCPCS C1713
Hospital Charge Code	270604897
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 4.5x60mm

Facility

$855.95

Service Code	HCPCS C1713
Hospital Charge Code	270604897
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 4.5x68mm

Facility

$505.00

Service Code	HCPCS C1713
Hospital Charge Code	270604891
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 4.5x68mm

Facility

$505.00

Service Code	HCPCS C1713
Hospital Charge Code	270604891
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 4.5x72mm

Facility

$505.00

Service Code	HCPCS C1713
Hospital Charge Code	270604899
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 4.5x72mm

Facility

$505.00

Service Code	HCPCS C1713
Hospital Charge Code	270604899
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/THREADED 4x28MM

Facility

$1,360.00

Service Code	HCPCS C1713
Hospital Charge Code	270667258
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 P/THREADED 4x28MM

Facility

$1,360.00

Service Code	HCPCS C1713
Hospital Charge Code	270667258
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 P/THREADED 4x30MM

Facility

$1,360.00

Service Code	HCPCS C1713
Hospital Charge Code	270667259
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 P/THREADED 4x30MM

Facility

$1,360.00

Service Code	HCPCS C1713
Hospital Charge Code	270667259
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 SH THD 4.0X16MM

Facility

$810.00

Service Code	HCPCS C1713
Hospital Charge Code	270670833
Hospital Revenue Code	278
Min. Negotiated Rate	$121.50
Max. Negotiated Rate	$196.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.02
Rate for Payer: Qualcare PPO/HMO/WC	$121.50

SCREW CANN SH THD 4.0X16MM

Facility

$810.00

Service Code	HCPCS C1713
Hospital Charge Code	270670833
Hospital Revenue Code	278
Min. Negotiated Rate	$23.00
Max. Negotiated Rate	$405.00
Rate for Payer: Aetna Commercial	$307.80
Rate for Payer: Aetna Medicare Advantage	$243.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$206.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$206.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$206.55
Rate for Payer: Cigna Commercial	$405.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.02
Rate for Payer: Qualcare PPO/HMO/WC	$121.50
Rate for Payer: UnitedHealthcare Community & State	$25.60
Rate for Payer: Wellpoint Medicaid Managed Care	$23.00

SCREW CANN SH/THRD 4.0x10MM

Facility

$834.30

Service Code	HCPCS C1713
Hospital Charge Code	270648924
Hospital Revenue Code	278
Min. Negotiated Rate	$23.69
Max. Negotiated Rate	$417.15
Rate for Payer: Aetna Commercial	$317.03
Rate for Payer: Aetna Medicare Advantage	$250.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$212.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$212.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$166.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$212.75
Rate for Payer: Cigna Commercial	$417.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$201.90
Rate for Payer: Qualcare PPO/HMO/WC	$125.14
Rate for Payer: UnitedHealthcare Community & State	$26.36
Rate for Payer: Wellpoint Medicaid Managed Care	$23.69

SCREW CANN SH/THRD 4.0x10MM

Facility

$834.30

Service Code	HCPCS C1713
Hospital Charge Code	270648924
Hospital Revenue Code	278
Min. Negotiated Rate	$125.14
Max. Negotiated Rate	$201.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$166.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$201.90
Rate for Payer: Qualcare PPO/HMO/WC	$125.14

SCREW CANN SH/THRD 4.0x12MM

Facility

$833.40

Service Code	HCPCS C1713
Hospital Charge Code	270652249
Hospital Revenue Code	278
Min. Negotiated Rate	$23.67
Max. Negotiated Rate	$416.70
Rate for Payer: Aetna Commercial	$316.69
Rate for Payer: Aetna Medicare Advantage	$250.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$212.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$212.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$166.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$212.52
Rate for Payer: Cigna Commercial	$416.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$201.68
Rate for Payer: Qualcare PPO/HMO/WC	$125.01
Rate for Payer: UnitedHealthcare Community & State	$26.34
Rate for Payer: Wellpoint Medicaid Managed Care	$23.67

Know your out-of-pocket cost for care.

All Charges