Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW COMPR 8MM THD 2.5x22MM

Facility

$2,090.00

Service Code	HCPCS C1713
Hospital Charge Code	270675314
Hospital Revenue Code	278
Min. Negotiated Rate	$313.50
Max. Negotiated Rate	$505.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$418.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$505.78
Rate for Payer: Qualcare PPO/HMO/WC	$313.50

SCREW COMPR 8MM THD 2.5x22MM

Facility

$2,090.00

Service Code	HCPCS C1713
Hospital Charge Code	270675314
Hospital Revenue Code	278
Min. Negotiated Rate	$59.36
Max. Negotiated Rate	$1,045.00
Rate for Payer: Aetna Commercial	$794.20
Rate for Payer: Aetna Medicare Advantage	$627.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$532.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$532.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$418.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$532.95
Rate for Payer: Cigna Commercial	$1,045.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$505.78
Rate for Payer: Qualcare PPO/HMO/WC	$313.50
Rate for Payer: UnitedHealthcare Community & State	$66.04
Rate for Payer: Wellpoint Medicaid Managed Care	$59.36

SCREW COMPRE FT STD 4.6x36MM

Facility

$2,110.00

Service Code	HCPCS C1713
Hospital Charge Code	270672349
Hospital Revenue Code	278
Min. Negotiated Rate	$59.92
Max. Negotiated Rate	$1,055.00
Rate for Payer: Aetna Commercial	$801.80
Rate for Payer: Aetna Medicare Advantage	$633.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$538.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$538.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$422.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$538.05
Rate for Payer: Cigna Commercial	$1,055.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$510.62
Rate for Payer: Qualcare PPO/HMO/WC	$316.50
Rate for Payer: UnitedHealthcare Community & State	$66.68
Rate for Payer: Wellpoint Medicaid Managed Care	$59.92

SCREW COMPRE FT STD 4.6x36MM

Facility

$2,110.00

Service Code	HCPCS C1713
Hospital Charge Code	270672349
Hospital Revenue Code	278
Min. Negotiated Rate	$316.50
Max. Negotiated Rate	$510.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$422.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$510.62
Rate for Payer: Qualcare PPO/HMO/WC	$316.50

SCREW COMPRESS 3.0MM 40mm LONG

Facility

$2,991.70

Service Code	HCPCS C1713
Hospital Charge Code	270685245
Hospital Revenue Code	278
Min. Negotiated Rate	$448.75
Max. Negotiated Rate	$723.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$598.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$723.99
Rate for Payer: Qualcare PPO/HMO/WC	$448.75

SCREW COMPRESS 3.0MM 40mm LONG

Facility

$2,991.70

Service Code	HCPCS C1713
Hospital Charge Code	270685245
Hospital Revenue Code	278
Min. Negotiated Rate	$84.96
Max. Negotiated Rate	$1,495.85
Rate for Payer: Aetna Commercial	$1,136.85
Rate for Payer: Aetna Medicare Advantage	$897.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$762.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$762.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$598.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$762.88
Rate for Payer: Cigna Commercial	$1,495.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$723.99
Rate for Payer: Qualcare PPO/HMO/WC	$448.75
Rate for Payer: UnitedHealthcare Community & State	$94.54
Rate for Payer: Wellpoint Medicaid Managed Care	$84.96

SCREW COMPRESSION 2.4 X 26 NN

Facility

$1,410.00

Hospital Charge Code	270665340
Hospital Revenue Code	278
Min. Negotiated Rate	$40.04
Max. Negotiated Rate	$705.00
Rate for Payer: Aetna Commercial	$535.80
Rate for Payer: Aetna Medicare Advantage	$423.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$359.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$359.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$282.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$359.55
Rate for Payer: Cigna Commercial	$705.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$341.22
Rate for Payer: Qualcare PPO/HMO/WC	$211.50
Rate for Payer: UnitedHealthcare Community & State	$44.56
Rate for Payer: Wellpoint Medicaid Managed Care	$40.04

SCREW COMPRESSION 2.4 X 26 NN

Facility

$1,410.00

Hospital Charge Code	270665340
Hospital Revenue Code	278
Min. Negotiated Rate	$211.50
Max. Negotiated Rate	$341.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$282.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$341.22
Rate for Payer: Qualcare PPO/HMO/WC	$211.50

SCREW COMPRESSION 3.0 HEADLESS

Facility

$1,410.00

Hospital Charge Code	270661768
Hospital Revenue Code	278
Min. Negotiated Rate	$40.04
Max. Negotiated Rate	$705.00
Rate for Payer: Aetna Commercial	$535.80
Rate for Payer: Aetna Medicare Advantage	$423.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$359.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$359.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$282.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$359.55
Rate for Payer: Cigna Commercial	$705.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$341.22
Rate for Payer: Qualcare PPO/HMO/WC	$211.50
Rate for Payer: UnitedHealthcare Community & State	$44.56
Rate for Payer: Wellpoint Medicaid Managed Care	$40.04

SCREW COMPRESSION 3.0 HEADLESS

Facility

$1,410.00

Hospital Charge Code	270661768
Hospital Revenue Code	278
Min. Negotiated Rate	$211.50
Max. Negotiated Rate	$341.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$282.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$341.22
Rate for Payer: Qualcare PPO/HMO/WC	$211.50

SCREW COMPRESSION 30X26

Facility

$1,410.00

Hospital Charge Code	270665337
Hospital Revenue Code	278
Min. Negotiated Rate	$211.50
Max. Negotiated Rate	$341.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$282.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$341.22
Rate for Payer: Qualcare PPO/HMO/WC	$211.50

SCREW COMPRESSION 30X26

Facility

$1,410.00

Hospital Charge Code	270665337
Hospital Revenue Code	278
Min. Negotiated Rate	$40.04
Max. Negotiated Rate	$705.00
Rate for Payer: Aetna Commercial	$535.80
Rate for Payer: Aetna Medicare Advantage	$423.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$359.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$359.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$282.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$359.55
Rate for Payer: Cigna Commercial	$705.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$341.22
Rate for Payer: Qualcare PPO/HMO/WC	$211.50
Rate for Payer: UnitedHealthcare Community & State	$44.56
Rate for Payer: Wellpoint Medicaid Managed Care	$40.04

SCREW COMPRESSION 3.5x28mm

Facility

$2,110.00

Hospital Charge Code	270667261
Hospital Revenue Code	278
Min. Negotiated Rate	$316.50
Max. Negotiated Rate	$510.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$422.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$510.62
Rate for Payer: Qualcare PPO/HMO/WC	$316.50

SCREW COMPRESSION 3.5x28mm

Facility

$2,110.00

Hospital Charge Code	270667261
Hospital Revenue Code	278
Min. Negotiated Rate	$59.92
Max. Negotiated Rate	$1,055.00
Rate for Payer: Aetna Commercial	$801.80
Rate for Payer: Aetna Medicare Advantage	$633.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$538.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$538.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$422.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$538.05
Rate for Payer: Cigna Commercial	$1,055.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$510.62
Rate for Payer: Qualcare PPO/HMO/WC	$316.50
Rate for Payer: UnitedHealthcare Community & State	$66.68
Rate for Payer: Wellpoint Medicaid Managed Care	$59.92

SCREW COMPRESSION 5.0X50MM

Facility

$2,994.25

Service Code	HCPCS C1713
Hospital Charge Code	270701938
Hospital Revenue Code	278
Min. Negotiated Rate	$449.14
Max. Negotiated Rate	$724.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$598.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$724.61
Rate for Payer: Qualcare PPO/HMO/WC	$449.14

SCREW COMPRESSION 5.0X50MM

Facility

$2,994.25

Service Code	HCPCS C1713
Hospital Charge Code	270701938
Hospital Revenue Code	278
Min. Negotiated Rate	$85.04
Max. Negotiated Rate	$1,497.12
Rate for Payer: Aetna Commercial	$1,137.82
Rate for Payer: Aetna Medicare Advantage	$898.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$763.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$763.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$598.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$763.53
Rate for Payer: Cigna Commercial	$1,497.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$724.61
Rate for Payer: Qualcare PPO/HMO/WC	$449.14
Rate for Payer: UnitedHealthcare Community & State	$94.62
Rate for Payer: Wellpoint Medicaid Managed Care	$85.04

SCREW COMPRESSION 8X14.5MM

Facility

$1,430.00

Service Code	HCPCS C1713
Hospital Charge Code	270670457
Hospital Revenue Code	278
Min. Negotiated Rate	$40.61
Max. Negotiated Rate	$715.00
Rate for Payer: Aetna Commercial	$543.40
Rate for Payer: Aetna Medicare Advantage	$429.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$364.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$364.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$286.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$364.65
Rate for Payer: Cigna Commercial	$715.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$346.06
Rate for Payer: Qualcare PPO/HMO/WC	$214.50
Rate for Payer: UnitedHealthcare Community & State	$45.19
Rate for Payer: Wellpoint Medicaid Managed Care	$40.61

SCREW COMPRESSION 8X14.5MM

Facility

$1,430.00

Service Code	HCPCS C1713
Hospital Charge Code	270670457
Hospital Revenue Code	278
Min. Negotiated Rate	$214.50
Max. Negotiated Rate	$346.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$286.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$346.06
Rate for Payer: Qualcare PPO/HMO/WC	$214.50

SCREW COMPRESSION FUSION NAIL

Facility

$10,138.50

Service Code	HCPCS C1713
Hospital Charge Code	270672592
Hospital Revenue Code	278
Min. Negotiated Rate	$1,520.78
Max. Negotiated Rate	$2,453.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,027.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,453.52
Rate for Payer: Qualcare PPO/HMO/WC	$1,520.78

SCREW COMPRESSION FUSION NAIL

Facility

$10,138.50

Service Code	HCPCS C1713
Hospital Charge Code	270672592
Hospital Revenue Code	278
Min. Negotiated Rate	$287.93
Max. Negotiated Rate	$5,069.25
Rate for Payer: Aetna Commercial	$3,852.63
Rate for Payer: Aetna Medicare Advantage	$3,041.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,585.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,585.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,027.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,585.32
Rate for Payer: Cigna Commercial	$5,069.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,453.52
Rate for Payer: Qualcare PPO/HMO/WC	$1,520.78
Rate for Payer: UnitedHealthcare Community & State	$320.38
Rate for Payer: Wellpoint Medicaid Managed Care	$287.93

SCREW COMPRESSION HEADLESS

Facility

$1,428.00

Hospital Charge Code	270663858
Hospital Revenue Code	278
Min. Negotiated Rate	$40.56
Max. Negotiated Rate	$714.00
Rate for Payer: Aetna Commercial	$542.64
Rate for Payer: Aetna Medicare Advantage	$428.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$364.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$364.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$285.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$364.14
Rate for Payer: Cigna Commercial	$714.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$345.58
Rate for Payer: Qualcare PPO/HMO/WC	$214.20
Rate for Payer: UnitedHealthcare Community & State	$45.12
Rate for Payer: Wellpoint Medicaid Managed Care	$40.56

SCREW COMPRESSION HEADLESS

Facility

$1,428.00

Hospital Charge Code	270663857
Hospital Revenue Code	278
Min. Negotiated Rate	$214.20
Max. Negotiated Rate	$345.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$285.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$345.58
Rate for Payer: Qualcare PPO/HMO/WC	$214.20

SCREW COMPRESSION HEADLESS

Facility

$1,428.00

Hospital Charge Code	270663858
Hospital Revenue Code	278
Min. Negotiated Rate	$214.20
Max. Negotiated Rate	$345.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$285.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$345.58
Rate for Payer: Qualcare PPO/HMO/WC	$214.20

SCREW COMPRESSION HEADLESS

Facility

$1,428.00

Hospital Charge Code	270663857
Hospital Revenue Code	278
Min. Negotiated Rate	$40.56
Max. Negotiated Rate	$714.00
Rate for Payer: Aetna Commercial	$542.64
Rate for Payer: Aetna Medicare Advantage	$428.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$364.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$364.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$285.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$364.14
Rate for Payer: Cigna Commercial	$714.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$345.58
Rate for Payer: Qualcare PPO/HMO/WC	$214.20
Rate for Payer: UnitedHealthcare Community & State	$45.12
Rate for Payer: Wellpoint Medicaid Managed Care	$40.56

SCREW COMPRESSION HEADLESS

Facility

$1,428.00

Hospital Charge Code	270663859
Hospital Revenue Code	278
Min. Negotiated Rate	$214.20
Max. Negotiated Rate	$345.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$285.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$345.58
Rate for Payer: Qualcare PPO/HMO/WC	$214.20

Know your out-of-pocket cost for care.

All Charges