Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW COMP FT STD 4.0X40MM

Facility

$1,898.00

Service Code	HCPCS C1713
Hospital Charge Code	270690977
Hospital Revenue Code	278
Min. Negotiated Rate	$284.70
Max. Negotiated Rate	$459.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$379.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.32
Rate for Payer: Qualcare PPO/HMO/WC	$284.70

SCREW COMP FT STD 4.0X46MM

Facility

$1,898.00

Service Code	HCPCS C1713
Hospital Charge Code	270698525
Hospital Revenue Code	278
Min. Negotiated Rate	$53.90
Max. Negotiated Rate	$949.00
Rate for Payer: Aetna Commercial	$721.24
Rate for Payer: Aetna Medicare Advantage	$569.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$483.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$483.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$379.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$483.99
Rate for Payer: Cigna Commercial	$949.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.32
Rate for Payer: Qualcare PPO/HMO/WC	$284.70
Rate for Payer: UnitedHealthcare Community & State	$59.98
Rate for Payer: Wellpoint Medicaid Managed Care	$53.90

SCREW COMP FT STD 4.0X46MM

Facility

$1,898.00

Service Code	HCPCS C1713
Hospital Charge Code	270698525
Hospital Revenue Code	278
Min. Negotiated Rate	$284.70
Max. Negotiated Rate	$459.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$379.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.32
Rate for Payer: Qualcare PPO/HMO/WC	$284.70

SCREW COMP KREULK SS 2.7X30MM

Facility

$1,599.00

Service Code	HCPCS C1713
Hospital Charge Code	270699397
Hospital Revenue Code	278
Min. Negotiated Rate	$45.41
Max. Negotiated Rate	$799.50
Rate for Payer: Aetna Commercial	$607.62
Rate for Payer: Aetna Medicare Advantage	$479.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$407.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$407.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$319.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$407.75
Rate for Payer: Cigna Commercial	$799.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$386.96
Rate for Payer: Qualcare PPO/HMO/WC	$239.85
Rate for Payer: UnitedHealthcare Community & State	$50.53
Rate for Payer: Wellpoint Medicaid Managed Care	$45.41

SCREW COMP KREULK SS 2.7X30MM

Facility

$1,599.00

Service Code	HCPCS C1713
Hospital Charge Code	270699397
Hospital Revenue Code	278
Min. Negotiated Rate	$239.85
Max. Negotiated Rate	$386.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$319.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$386.96
Rate for Payer: Qualcare PPO/HMO/WC	$239.85

SCREW COMP KREULK SS 3.5X22MM

Facility

$1,599.00

Service Code	HCPCS C1713
Hospital Charge Code	270699400
Hospital Revenue Code	278
Min. Negotiated Rate	$45.41
Max. Negotiated Rate	$799.50
Rate for Payer: Aetna Commercial	$607.62
Rate for Payer: Aetna Medicare Advantage	$479.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$407.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$407.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$319.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$407.75
Rate for Payer: Cigna Commercial	$799.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$386.96
Rate for Payer: Qualcare PPO/HMO/WC	$239.85
Rate for Payer: UnitedHealthcare Community & State	$50.53
Rate for Payer: Wellpoint Medicaid Managed Care	$45.41

SCREW COMP KREULK SS 3.5X22MM

Facility

$1,599.00

Service Code	HCPCS C1713
Hospital Charge Code	270699400
Hospital Revenue Code	278
Min. Negotiated Rate	$239.85
Max. Negotiated Rate	$386.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$319.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$386.96
Rate for Payer: Qualcare PPO/HMO/WC	$239.85

SCREW COMP NL 4.75X15MM 3.5HEX

Facility

$350.00

Service Code	HCPCS C1713
Hospital Charge Code	270700197
Hospital Revenue Code	278
Min. Negotiated Rate	$52.50
Max. Negotiated Rate	$84.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$70.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.70
Rate for Payer: Qualcare PPO/HMO/WC	$52.50

SCREW COMP NL 4.75X15MM 3.5HEX

Facility

$350.00

Service Code	HCPCS C1713
Hospital Charge Code	270700197
Hospital Revenue Code	278
Min. Negotiated Rate	$9.94
Max. Negotiated Rate	$175.00
Rate for Payer: Aetna Commercial	$133.00
Rate for Payer: Aetna Medicare Advantage	$105.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$70.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.25
Rate for Payer: Cigna Commercial	$175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.70
Rate for Payer: Qualcare PPO/HMO/WC	$52.50
Rate for Payer: UnitedHealthcare Community & State	$11.06
Rate for Payer: Wellpoint Medicaid Managed Care	$9.94

SCREW COMPOSITE 7X23 MM

Facility

$1,175.00

Service Code	HCPCS C1713
Hospital Charge Code	270659658
Hospital Revenue Code	278
Min. Negotiated Rate	$33.37
Max. Negotiated Rate	$587.50
Rate for Payer: Aetna Commercial	$446.50
Rate for Payer: Aetna Medicare Advantage	$352.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$299.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$299.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$235.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$299.62
Rate for Payer: Cigna Commercial	$587.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$284.35
Rate for Payer: Qualcare PPO/HMO/WC	$176.25
Rate for Payer: UnitedHealthcare Community & State	$37.13
Rate for Payer: Wellpoint Medicaid Managed Care	$33.37

SCREW COMPOSITE 7X23 MM

Facility

$1,175.00

Service Code	HCPCS C1713
Hospital Charge Code	270659658
Hospital Revenue Code	278
Min. Negotiated Rate	$176.25
Max. Negotiated Rate	$284.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$235.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$284.35
Rate for Payer: Qualcare PPO/HMO/WC	$176.25

SCREW COMPR 2.5X22MM

Facility

$1,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270692041
Hospital Revenue Code	278
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$423.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

SCREW COMPR 2.5X22MM

Facility

$1,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270692041
Hospital Revenue Code	278
Min. Negotiated Rate	$49.70
Max. Negotiated Rate	$875.00
Rate for Payer: Aetna Commercial	$665.00
Rate for Payer: Aetna Medicare Advantage	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.25
Rate for Payer: Cigna Commercial	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50
Rate for Payer: UnitedHealthcare Community & State	$55.30
Rate for Payer: Wellpoint Medicaid Managed Care	$49.70

SCREW COMPR 3.0x16MM

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270684788
Hospital Revenue Code	278
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$181.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

SCREW COMPR 3.0x16MM

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270684788
Hospital Revenue Code	278
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Community & State	$23.70
Rate for Payer: Wellpoint Medicaid Managed Care	$21.30

SCREW COMPR 7x16x70MM

Facility

$3,700.00

Hospital Charge Code	270671022
Hospital Revenue Code	278
Min. Negotiated Rate	$555.00
Max. Negotiated Rate	$895.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$740.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$895.40
Rate for Payer: Qualcare PPO/HMO/WC	$555.00

SCREW COMPR 7x16x70MM

Facility

$3,700.00

Hospital Charge Code	270671022
Hospital Revenue Code	278
Min. Negotiated Rate	$105.08
Max. Negotiated Rate	$1,850.00
Rate for Payer: Aetna Commercial	$1,406.00
Rate for Payer: Aetna Medicare Advantage	$1,110.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$943.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$943.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$740.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$943.50
Rate for Payer: Cigna Commercial	$1,850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$895.40
Rate for Payer: Qualcare PPO/HMO/WC	$555.00
Rate for Payer: UnitedHealthcare Community & State	$116.92
Rate for Payer: Wellpoint Medicaid Managed Care	$105.08

SCREW COMPR 7x16x80MM

Facility

$3,700.00

Service Code	HCPCS C1713
Hospital Charge Code	270665917
Hospital Revenue Code	278
Min. Negotiated Rate	$555.00
Max. Negotiated Rate	$895.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$740.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$895.40
Rate for Payer: Qualcare PPO/HMO/WC	$555.00

SCREW COMPR 7x16x80MM

Facility

$3,700.00

Service Code	HCPCS C1713
Hospital Charge Code	270665917
Hospital Revenue Code	278
Min. Negotiated Rate	$105.08
Max. Negotiated Rate	$1,850.00
Rate for Payer: Aetna Commercial	$1,406.00
Rate for Payer: Aetna Medicare Advantage	$1,110.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$943.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$943.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$740.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$943.50
Rate for Payer: Cigna Commercial	$1,850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$895.40
Rate for Payer: Qualcare PPO/HMO/WC	$555.00
Rate for Payer: UnitedHealthcare Community & State	$116.92
Rate for Payer: Wellpoint Medicaid Managed Care	$105.08

SCREW COMPR 7x16x85MM

Facility

$3,700.00

Hospital Charge Code	270665918
Hospital Revenue Code	278
Min. Negotiated Rate	$555.00
Max. Negotiated Rate	$895.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$740.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$895.40
Rate for Payer: Qualcare PPO/HMO/WC	$555.00

SCREW COMPR 7x16x85MM

Facility

$3,700.00

Hospital Charge Code	270665918
Hospital Revenue Code	278
Min. Negotiated Rate	$105.08
Max. Negotiated Rate	$1,850.00
Rate for Payer: Aetna Commercial	$1,406.00
Rate for Payer: Aetna Medicare Advantage	$1,110.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$943.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$943.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$740.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$943.50
Rate for Payer: Cigna Commercial	$1,850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$895.40
Rate for Payer: Qualcare PPO/HMO/WC	$555.00
Rate for Payer: UnitedHealthcare Community & State	$116.92
Rate for Payer: Wellpoint Medicaid Managed Care	$105.08

SCREW COMPR 7X470MM

Facility

$3,700.00

Service Code	HCPCS C1713
Hospital Charge Code	270681263
Hospital Revenue Code	278
Min. Negotiated Rate	$555.00
Max. Negotiated Rate	$895.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$740.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$895.40
Rate for Payer: Qualcare PPO/HMO/WC	$555.00

SCREW COMPR 7X470MM

Facility

$3,700.00

Service Code	HCPCS C1713
Hospital Charge Code	270681263
Hospital Revenue Code	278
Min. Negotiated Rate	$105.08
Max. Negotiated Rate	$1,850.00
Rate for Payer: Aetna Commercial	$1,406.00
Rate for Payer: Aetna Medicare Advantage	$1,110.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$943.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$943.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$740.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$943.50
Rate for Payer: Cigna Commercial	$1,850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$895.40
Rate for Payer: Qualcare PPO/HMO/WC	$555.00
Rate for Payer: UnitedHealthcare Community & State	$116.92
Rate for Payer: Wellpoint Medicaid Managed Care	$105.08

SCREW COMPR 7X55MM

Facility

$3,700.00

Service Code	HCPCS C1713
Hospital Charge Code	270681264
Hospital Revenue Code	278
Min. Negotiated Rate	$555.00
Max. Negotiated Rate	$895.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$740.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$895.40
Rate for Payer: Qualcare PPO/HMO/WC	$555.00

SCREW COMPR 7X55MM

Facility

$3,700.00

Service Code	HCPCS C1713
Hospital Charge Code	270681264
Hospital Revenue Code	278
Min. Negotiated Rate	$105.08
Max. Negotiated Rate	$1,850.00
Rate for Payer: Aetna Commercial	$1,406.00
Rate for Payer: Aetna Medicare Advantage	$1,110.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$943.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$943.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$740.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$943.50
Rate for Payer: Cigna Commercial	$1,850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$895.40
Rate for Payer: Qualcare PPO/HMO/WC	$555.00
Rate for Payer: UnitedHealthcare Community & State	$116.92
Rate for Payer: Wellpoint Medicaid Managed Care	$105.08

Know your out-of-pocket cost for care.

All Charges