Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CAYMAN 5.0X 40MM

Facility

$10,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270698867
Hospital Revenue Code	278
Min. Negotiated Rate	$1,631.25
Max. Negotiated Rate	$2,631.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,631.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,631.25

SCREW CAYMAN 5.0X 40MM

Facility

$10,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270698867
Hospital Revenue Code	278
Min. Negotiated Rate	$308.85
Max. Negotiated Rate	$5,437.50
Rate for Payer: Aetna Commercial	$4,132.50
Rate for Payer: Aetna Medicare Advantage	$3,262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,773.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,773.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,773.12
Rate for Payer: Cigna Commercial	$5,437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,631.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,631.25
Rate for Payer: UnitedHealthcare Community & State	$343.65
Rate for Payer: Wellpoint Medicaid Managed Care	$308.85

SCREW CC OFFSET SZ JJ

Facility

$506.50

Service Code	HCPCS C1713
Hospital Charge Code	270674857
Hospital Revenue Code	278
Min. Negotiated Rate	$14.38
Max. Negotiated Rate	$253.25
Rate for Payer: Aetna Commercial	$192.47
Rate for Payer: Aetna Medicare Advantage	$151.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$129.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$129.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$101.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$129.16
Rate for Payer: Cigna Commercial	$253.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$122.57
Rate for Payer: Qualcare PPO/HMO/WC	$75.97
Rate for Payer: UnitedHealthcare Community & State	$16.01
Rate for Payer: Wellpoint Medicaid Managed Care	$14.38

SCREW CC OFFSET SZ JJ

Facility

$506.50

Service Code	HCPCS C1713
Hospital Charge Code	270674857
Hospital Revenue Code	278
Min. Negotiated Rate	$75.97
Max. Negotiated Rate	$122.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$101.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$122.57
Rate for Payer: Qualcare PPO/HMO/WC	$75.97

SCREW CENTER 4.5X30MM

Facility

$583.35

Service Code	HCPCS C1713
Hospital Charge Code	270704900
Hospital Revenue Code	278
Min. Negotiated Rate	$87.50
Max. Negotiated Rate	$141.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$116.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.17
Rate for Payer: Qualcare PPO/HMO/WC	$87.50

SCREW CENTER 4.5X30MM

Facility

$583.35

Service Code	HCPCS C1713
Hospital Charge Code	270704900
Hospital Revenue Code	278
Min. Negotiated Rate	$16.57
Max. Negotiated Rate	$291.68
Rate for Payer: Aetna Commercial	$221.67
Rate for Payer: Aetna Medicare Advantage	$175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$148.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$148.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$116.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$148.75
Rate for Payer: Cigna Commercial	$291.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.17
Rate for Payer: Qualcare PPO/HMO/WC	$87.50
Rate for Payer: UnitedHealthcare Community & State	$18.43
Rate for Payer: Wellpoint Medicaid Managed Care	$16.57

SCREW CENTER 4.5X35MM

Facility

$583.35

Service Code	HCPCS C1713
Hospital Charge Code	270704577
Hospital Revenue Code	278
Min. Negotiated Rate	$87.50
Max. Negotiated Rate	$141.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$116.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.17
Rate for Payer: Qualcare PPO/HMO/WC	$87.50

SCREW CENTER 4.5X35MM

Facility

$583.35

Service Code	HCPCS C1713
Hospital Charge Code	270704577
Hospital Revenue Code	278
Min. Negotiated Rate	$16.57
Max. Negotiated Rate	$291.68
Rate for Payer: Aetna Commercial	$221.67
Rate for Payer: Aetna Medicare Advantage	$175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$148.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$148.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$116.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$148.75
Rate for Payer: Cigna Commercial	$291.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.17
Rate for Payer: Qualcare PPO/HMO/WC	$87.50
Rate for Payer: UnitedHealthcare Community & State	$18.43
Rate for Payer: Wellpoint Medicaid Managed Care	$16.57

SCREW CENTER 6.5x28MM

Facility

$650.00

Service Code	HCPCS C1713
Hospital Charge Code	270672127
Hospital Revenue Code	278
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$157.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.30
Rate for Payer: Qualcare PPO/HMO/WC	$97.50

SCREW CENTER 6.5x28MM

Facility

$650.00

Service Code	HCPCS C1713
Hospital Charge Code	270672127
Hospital Revenue Code	278
Min. Negotiated Rate	$18.46
Max. Negotiated Rate	$325.00
Rate for Payer: Aetna Commercial	$247.00
Rate for Payer: Aetna Medicare Advantage	$195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$165.75
Rate for Payer: Cigna Commercial	$325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.30
Rate for Payer: Qualcare PPO/HMO/WC	$97.50
Rate for Payer: UnitedHealthcare Community & State	$20.54
Rate for Payer: Wellpoint Medicaid Managed Care	$18.46

SCREW CENTER 6.5x44MM

Facility

$1,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270671579
Hospital Revenue Code	278
Min. Negotiated Rate	$35.50
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$475.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Community & State	$39.50
Rate for Payer: Wellpoint Medicaid Managed Care	$35.50

SCREW CENTER 6.5x44MM

Facility

$1,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270671579
Hospital Revenue Code	278
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$302.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

SCREW CENTRAL 15MM

Facility

$850.00

Hospital Charge Code	270672416
Hospital Revenue Code	278
Min. Negotiated Rate	$127.50
Max. Negotiated Rate	$205.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$205.70
Rate for Payer: Qualcare PPO/HMO/WC	$127.50

SCREW CENTRAL 15MM

Facility

$850.00

Hospital Charge Code	270672416
Hospital Revenue Code	278
Min. Negotiated Rate	$24.14
Max. Negotiated Rate	$425.00
Rate for Payer: Aetna Commercial	$323.00
Rate for Payer: Aetna Medicare Advantage	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$170.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$216.75
Rate for Payer: Cigna Commercial	$425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$205.70
Rate for Payer: Qualcare PPO/HMO/WC	$127.50
Rate for Payer: UnitedHealthcare Community & State	$26.86
Rate for Payer: Wellpoint Medicaid Managed Care	$24.14

SCREW CENTRAL 20MM

Facility

$850.00

Hospital Charge Code	270672417
Hospital Revenue Code	278
Min. Negotiated Rate	$127.50
Max. Negotiated Rate	$205.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$205.70
Rate for Payer: Qualcare PPO/HMO/WC	$127.50

SCREW CENTRAL 20MM

Facility

$850.00

Hospital Charge Code	270672417
Hospital Revenue Code	278
Min. Negotiated Rate	$24.14
Max. Negotiated Rate	$425.00
Rate for Payer: Aetna Commercial	$323.00
Rate for Payer: Aetna Medicare Advantage	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$170.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$216.75
Rate for Payer: Cigna Commercial	$425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$205.70
Rate for Payer: Qualcare PPO/HMO/WC	$127.50
Rate for Payer: UnitedHealthcare Community & State	$26.86
Rate for Payer: Wellpoint Medicaid Managed Care	$24.14

SCREW CENTRAL 25MM

Facility

$850.00

Hospital Charge Code	270672418
Hospital Revenue Code	278
Min. Negotiated Rate	$127.50
Max. Negotiated Rate	$205.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$205.70
Rate for Payer: Qualcare PPO/HMO/WC	$127.50

SCREW CENTRAL 25MM

Facility

$850.00

Hospital Charge Code	270672418
Hospital Revenue Code	278
Min. Negotiated Rate	$24.14
Max. Negotiated Rate	$425.00
Rate for Payer: Aetna Commercial	$323.00
Rate for Payer: Aetna Medicare Advantage	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$170.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$216.75
Rate for Payer: Cigna Commercial	$425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$205.70
Rate for Payer: Qualcare PPO/HMO/WC	$127.50
Rate for Payer: UnitedHealthcare Community & State	$26.86
Rate for Payer: Wellpoint Medicaid Managed Care	$24.14

SCREW CENTRAL 6.5MMX25MM

Facility

$890.00

Service Code	HCPCS C1713
Hospital Charge Code	270669243
Hospital Revenue Code	278
Min. Negotiated Rate	$25.28
Max. Negotiated Rate	$445.00
Rate for Payer: Aetna Commercial	$338.20
Rate for Payer: Aetna Medicare Advantage	$267.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$226.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$226.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$178.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$226.95
Rate for Payer: Cigna Commercial	$445.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$215.38
Rate for Payer: Qualcare PPO/HMO/WC	$133.50
Rate for Payer: UnitedHealthcare Community & State	$28.12
Rate for Payer: Wellpoint Medicaid Managed Care	$25.28

SCREW CENTRAL 6.5MMX25MM

Facility

$890.00

Service Code	HCPCS C1713
Hospital Charge Code	270669243
Hospital Revenue Code	278
Min. Negotiated Rate	$133.50
Max. Negotiated Rate	$215.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$178.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$215.38
Rate for Payer: Qualcare PPO/HMO/WC	$133.50

SCREW CENTRAL 6.5MMX30MM

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270668581
Hospital Revenue Code	278
Min. Negotiated Rate	$8.52
Max. Negotiated Rate	$150.00
Rate for Payer: Aetna Commercial	$114.00
Rate for Payer: Aetna Medicare Advantage	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$45.00
Rate for Payer: UnitedHealthcare Community & State	$9.48
Rate for Payer: Wellpoint Medicaid Managed Care	$8.52

SCREW CENTRAL 6.5MMX30MM

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270668581
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$72.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

SCREW CERES-C ACP SELF 4.0X12

Facility

$1,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270693005
Hospital Revenue Code	278
Min. Negotiated Rate	$35.50
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$475.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Community & State	$39.50
Rate for Payer: Wellpoint Medicaid Managed Care	$35.50

SCREW CERES-C ACP SELF 4.0X12

Facility

$1,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270693005
Hospital Revenue Code	278
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$302.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

SCREW CERES-C FIX ST 4.0X14MM

Facility

$1,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270693876
Hospital Revenue Code	278
Min. Negotiated Rate	$35.50
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$475.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Community & State	$39.50
Rate for Payer: Wellpoint Medicaid Managed Care	$35.50

Know your out-of-pocket cost for care.

All Charges