Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CORTICAL FIX 7x35MM

Facility

$8,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270675405
Hospital Revenue Code	278
Min. Negotiated Rate	$1,312.50
Max. Negotiated Rate	$2,117.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,117.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,312.50

SCREW CORTICAL FIX 7x40MM

Facility

$8,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270673343
Hospital Revenue Code	278
Min. Negotiated Rate	$1,312.50
Max. Negotiated Rate	$2,117.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,117.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,312.50

SCREW CORTICAL FIX 7x40MM

Facility

$8,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270673343
Hospital Revenue Code	278
Min. Negotiated Rate	$248.50
Max. Negotiated Rate	$4,375.00
Rate for Payer: Aetna Commercial	$3,325.00
Rate for Payer: Aetna Medicare Advantage	$2,625.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,231.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,231.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,231.25
Rate for Payer: Cigna Commercial	$4,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,117.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,312.50
Rate for Payer: UnitedHealthcare Community & State	$276.50
Rate for Payer: Wellpoint Medicaid Managed Care	$248.50

SCREW CORTICAL FIX 7 X 45

Facility

$8,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270678343
Hospital Revenue Code	278
Min. Negotiated Rate	$1,312.50
Max. Negotiated Rate	$2,117.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,117.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,312.50

SCREW CORTICAL FIX 7 X 45

Facility

$8,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270678343
Hospital Revenue Code	278
Min. Negotiated Rate	$248.50
Max. Negotiated Rate	$4,375.00
Rate for Payer: Aetna Commercial	$3,325.00
Rate for Payer: Aetna Medicare Advantage	$2,625.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,231.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,231.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,231.25
Rate for Payer: Cigna Commercial	$4,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,117.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,312.50
Rate for Payer: UnitedHealthcare Community & State	$276.50
Rate for Payer: Wellpoint Medicaid Managed Care	$248.50

SCREW CORTICAL FIX 7x50MM

Facility

$8,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270676960
Hospital Revenue Code	278
Min. Negotiated Rate	$1,312.50
Max. Negotiated Rate	$2,117.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,117.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,312.50

SCREW CORTICAL FIX 7x50MM

Facility

$8,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270676960
Hospital Revenue Code	278
Min. Negotiated Rate	$248.50
Max. Negotiated Rate	$4,375.00
Rate for Payer: Aetna Commercial	$3,325.00
Rate for Payer: Aetna Medicare Advantage	$2,625.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,231.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,231.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,231.25
Rate for Payer: Cigna Commercial	$4,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,117.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,312.50
Rate for Payer: UnitedHealthcare Community & State	$276.50
Rate for Payer: Wellpoint Medicaid Managed Care	$248.50

SCREW CORTICAL FULL THD 5x20MM

Facility

$1,485.00

Hospital Charge Code	270666228
Hospital Revenue Code	278
Min. Negotiated Rate	$42.17
Max. Negotiated Rate	$742.50
Rate for Payer: Aetna Commercial	$564.30
Rate for Payer: Aetna Medicare Advantage	$445.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$378.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$378.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$297.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$378.68
Rate for Payer: Cigna Commercial	$742.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$359.37
Rate for Payer: Qualcare PPO/HMO/WC	$222.75
Rate for Payer: UnitedHealthcare Community & State	$46.93
Rate for Payer: Wellpoint Medicaid Managed Care	$42.17

SCREW CORTICAL FULL THD 5x20MM

Facility

$1,485.00

Hospital Charge Code	270666228
Hospital Revenue Code	278
Min. Negotiated Rate	$222.75
Max. Negotiated Rate	$359.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$297.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$359.37
Rate for Payer: Qualcare PPO/HMO/WC	$222.75

SCREW CORTICAL FULL THD 5x25MM

Facility

$1,485.00

Hospital Charge Code	270666229
Hospital Revenue Code	278
Min. Negotiated Rate	$42.17
Max. Negotiated Rate	$742.50
Rate for Payer: Aetna Commercial	$564.30
Rate for Payer: Aetna Medicare Advantage	$445.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$378.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$378.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$297.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$378.68
Rate for Payer: Cigna Commercial	$742.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$359.37
Rate for Payer: Qualcare PPO/HMO/WC	$222.75
Rate for Payer: UnitedHealthcare Community & State	$46.93
Rate for Payer: Wellpoint Medicaid Managed Care	$42.17

SCREW CORTICAL FULL THD 5x25MM

Facility

$1,485.00

Hospital Charge Code	270666229
Hospital Revenue Code	278
Min. Negotiated Rate	$222.75
Max. Negotiated Rate	$359.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$297.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$359.37
Rate for Payer: Qualcare PPO/HMO/WC	$222.75

SCREW CORTICAL HD7 2.5X12MM

Facility

$650.35

Service Code	HCPCS C1713
Hospital Charge Code	270699551
Hospital Revenue Code	278
Min. Negotiated Rate	$97.55
Max. Negotiated Rate	$157.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.38
Rate for Payer: Qualcare PPO/HMO/WC	$97.55

SCREW CORTICAL HD7 2.5X12MM

Facility

$650.35

Service Code	HCPCS C1713
Hospital Charge Code	270699551
Hospital Revenue Code	278
Min. Negotiated Rate	$18.47
Max. Negotiated Rate	$325.18
Rate for Payer: Aetna Commercial	$247.13
Rate for Payer: Aetna Medicare Advantage	$195.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$165.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$165.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$165.84
Rate for Payer: Cigna Commercial	$325.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.38
Rate for Payer: Qualcare PPO/HMO/WC	$97.55
Rate for Payer: UnitedHealthcare Community & State	$20.55
Rate for Payer: Wellpoint Medicaid Managed Care	$18.47

SCREW CORTICAL HD7 2.5X16MM

Facility

$650.35

Service Code	HCPCS C1713
Hospital Charge Code	270699552
Hospital Revenue Code	278
Min. Negotiated Rate	$97.55
Max. Negotiated Rate	$157.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.38
Rate for Payer: Qualcare PPO/HMO/WC	$97.55

SCREW CORTICAL HD7 2.5X16MM

Facility

$650.35

Service Code	HCPCS C1713
Hospital Charge Code	270699552
Hospital Revenue Code	278
Min. Negotiated Rate	$18.47
Max. Negotiated Rate	$325.18
Rate for Payer: Aetna Commercial	$247.13
Rate for Payer: Aetna Medicare Advantage	$195.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$165.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$165.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$165.84
Rate for Payer: Cigna Commercial	$325.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.38
Rate for Payer: Qualcare PPO/HMO/WC	$97.55
Rate for Payer: UnitedHealthcare Community & State	$20.55
Rate for Payer: Wellpoint Medicaid Managed Care	$18.47

SCREW CORTICAL LOCKING 3.5X10

Facility

$520.00

Service Code	HCPCS C1713
Hospital Charge Code	270664433
Hospital Revenue Code	278
Min. Negotiated Rate	$78.00
Max. Negotiated Rate	$125.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.84
Rate for Payer: Qualcare PPO/HMO/WC	$78.00

SCREW CORTICAL LOCKING 3.5X10

Facility

$520.00

Service Code	HCPCS C1713
Hospital Charge Code	270664433
Hospital Revenue Code	278
Min. Negotiated Rate	$14.77
Max. Negotiated Rate	$260.00
Rate for Payer: Aetna Commercial	$197.60
Rate for Payer: Aetna Medicare Advantage	$156.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.60
Rate for Payer: Cigna Commercial	$260.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.84
Rate for Payer: Qualcare PPO/HMO/WC	$78.00
Rate for Payer: UnitedHealthcare Community & State	$16.43
Rate for Payer: Wellpoint Medicaid Managed Care	$14.77

SCREW CORTICAL LOCKING 3.5 X16

Facility

$495.00

Service Code	HCPCS C1713
Hospital Charge Code	270664437
Hospital Revenue Code	278
Min. Negotiated Rate	$14.06
Max. Negotiated Rate	$247.50
Rate for Payer: Aetna Commercial	$188.10
Rate for Payer: Aetna Medicare Advantage	$148.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.22
Rate for Payer: Cigna Commercial	$247.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.79
Rate for Payer: Qualcare PPO/HMO/WC	$74.25
Rate for Payer: UnitedHealthcare Community & State	$15.64
Rate for Payer: Wellpoint Medicaid Managed Care	$14.06

SCREW CORTICAL LOCKING 3.5 X16

Facility

$495.00

Service Code	HCPCS C1713
Hospital Charge Code	270664437
Hospital Revenue Code	278
Min. Negotiated Rate	$74.25
Max. Negotiated Rate	$119.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.79
Rate for Payer: Qualcare PPO/HMO/WC	$74.25

SCREW CORTICAL LOCKING 3.5 X18

Facility

$495.00

Service Code	HCPCS C1713
Hospital Charge Code	270664438
Hospital Revenue Code	278
Min. Negotiated Rate	$74.25
Max. Negotiated Rate	$119.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.79
Rate for Payer: Qualcare PPO/HMO/WC	$74.25

SCREW CORTICAL LOCKING 3.5 X18

Facility

$495.00

Service Code	HCPCS C1713
Hospital Charge Code	270664438
Hospital Revenue Code	278
Min. Negotiated Rate	$14.06
Max. Negotiated Rate	$247.50
Rate for Payer: Aetna Commercial	$188.10
Rate for Payer: Aetna Medicare Advantage	$148.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.22
Rate for Payer: Cigna Commercial	$247.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.79
Rate for Payer: Qualcare PPO/HMO/WC	$74.25
Rate for Payer: UnitedHealthcare Community & State	$15.64
Rate for Payer: Wellpoint Medicaid Managed Care	$14.06

SCREW CORTICAL LOCKNG 3.5x11MM

Facility

$520.00

Service Code	HCPCS C1713
Hospital Charge Code	270664360
Hospital Revenue Code	278
Min. Negotiated Rate	$14.77
Max. Negotiated Rate	$260.00
Rate for Payer: Aetna Commercial	$197.60
Rate for Payer: Aetna Medicare Advantage	$156.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.60
Rate for Payer: Cigna Commercial	$260.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.84
Rate for Payer: Qualcare PPO/HMO/WC	$78.00
Rate for Payer: UnitedHealthcare Community & State	$16.43
Rate for Payer: Wellpoint Medicaid Managed Care	$14.77

SCREW CORTICAL LOCKNG 3.5x11MM

Facility

$520.00

Service Code	HCPCS C1713
Hospital Charge Code	270664360
Hospital Revenue Code	278
Min. Negotiated Rate	$78.00
Max. Negotiated Rate	$125.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.84
Rate for Payer: Qualcare PPO/HMO/WC	$78.00

SCREW CORTICAL LOCKNG 3.5x12MM

Facility

$520.00

Service Code	HCPCS C1713
Hospital Charge Code	270664198
Hospital Revenue Code	278
Min. Negotiated Rate	$14.77
Max. Negotiated Rate	$260.00
Rate for Payer: Aetna Commercial	$197.60
Rate for Payer: Aetna Medicare Advantage	$156.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.60
Rate for Payer: Cigna Commercial	$260.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.84
Rate for Payer: Qualcare PPO/HMO/WC	$78.00
Rate for Payer: UnitedHealthcare Community & State	$16.43
Rate for Payer: Wellpoint Medicaid Managed Care	$14.77

SCREW CORTICAL LOCKNG 3.5x12MM

Facility

$520.00

Service Code	HCPCS C1713
Hospital Charge Code	270664198
Hospital Revenue Code	278
Min. Negotiated Rate	$78.00
Max. Negotiated Rate	$125.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.84
Rate for Payer: Qualcare PPO/HMO/WC	$78.00

Know your out-of-pocket cost for care.

All Charges