Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CRETX 3.5 MM X26 MM

Facility

$1,495.85

Service Code	HCPCS C1713
Hospital Charge Code	270683629
Hospital Revenue Code	278
Min. Negotiated Rate	$42.48
Max. Negotiated Rate	$747.92
Rate for Payer: Aetna Commercial	$568.42
Rate for Payer: Aetna Medicare Advantage	$448.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$381.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$381.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$299.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$381.44
Rate for Payer: Cigna Commercial	$747.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$362.00
Rate for Payer: Qualcare PPO/HMO/WC	$224.38
Rate for Payer: UnitedHealthcare Community & State	$47.27
Rate for Payer: Wellpoint Medicaid Managed Care	$42.48

SCREW CRETX 3.5 MM X26 MM

Facility

$155.15

Service Code	HCPCS C1713
Hospital Charge Code	270683628
Hospital Revenue Code	278
Min. Negotiated Rate	$23.27
Max. Negotiated Rate	$37.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.55
Rate for Payer: Qualcare PPO/HMO/WC	$23.27

SCREW CRETX 3.5 MM X26 MM

Facility

$1,495.85

Service Code	HCPCS C1713
Hospital Charge Code	270683629
Hospital Revenue Code	278
Min. Negotiated Rate	$224.38
Max. Negotiated Rate	$362.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$299.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$362.00
Rate for Payer: Qualcare PPO/HMO/WC	$224.38

SCREW CRETX 3.5 MM X26 MM

Facility

$155.15

Service Code	HCPCS C1713
Hospital Charge Code	270683628
Hospital Revenue Code	278
Min. Negotiated Rate	$4.41
Max. Negotiated Rate	$77.58
Rate for Payer: Aetna Commercial	$58.96
Rate for Payer: Aetna Medicare Advantage	$46.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.56
Rate for Payer: Cigna Commercial	$77.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.55
Rate for Payer: Qualcare PPO/HMO/WC	$23.27
Rate for Payer: UnitedHealthcare Community & State	$4.90
Rate for Payer: Wellpoint Medicaid Managed Care	$4.41

SCREW CROSS 3.5X22MM

Facility

$1,380.00

Service Code	HCPCS C1713
Hospital Charge Code	270700090
Hospital Revenue Code	278
Min. Negotiated Rate	$207.00
Max. Negotiated Rate	$333.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$276.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$333.96
Rate for Payer: Qualcare PPO/HMO/WC	$207.00

SCREW CROSS 3.5X22MM

Facility

$1,380.00

Service Code	HCPCS C1713
Hospital Charge Code	270700090
Hospital Revenue Code	278
Min. Negotiated Rate	$39.19
Max. Negotiated Rate	$690.00
Rate for Payer: Aetna Commercial	$524.40
Rate for Payer: Aetna Medicare Advantage	$414.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$351.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$351.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$276.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$351.90
Rate for Payer: Cigna Commercial	$690.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$333.96
Rate for Payer: Qualcare PPO/HMO/WC	$207.00
Rate for Payer: UnitedHealthcare Community & State	$43.61
Rate for Payer: Wellpoint Medicaid Managed Care	$39.19

SCREW CROSS 3.5x32mm

Facility

$1,335.00

Service Code	HCPCS C1713
Hospital Charge Code	270685331
Hospital Revenue Code	278
Min. Negotiated Rate	$200.25
Max. Negotiated Rate	$323.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$267.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$323.07
Rate for Payer: Qualcare PPO/HMO/WC	$200.25

SCREW CROSS 3.5x32mm

Facility

$1,335.00

Service Code	HCPCS C1713
Hospital Charge Code	270685331
Hospital Revenue Code	278
Min. Negotiated Rate	$37.91
Max. Negotiated Rate	$667.50
Rate for Payer: Aetna Commercial	$507.30
Rate for Payer: Aetna Medicare Advantage	$400.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$340.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$340.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$267.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$340.43
Rate for Payer: Cigna Commercial	$667.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$323.07
Rate for Payer: Qualcare PPO/HMO/WC	$200.25
Rate for Payer: UnitedHealthcare Community & State	$42.19
Rate for Payer: Wellpoint Medicaid Managed Care	$37.91

SCREW CRT LO PR SLF-TPN 3.5-16

Facility

$405.60

Service Code	HCPCS C1713
Hospital Charge Code	270688191
Hospital Revenue Code	278
Min. Negotiated Rate	$60.84
Max. Negotiated Rate	$98.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$81.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.16
Rate for Payer: Qualcare PPO/HMO/WC	$60.84

SCREW CRT LO PR SLF-TPN 3.5-16

Facility

$405.60

Service Code	HCPCS C1713
Hospital Charge Code	270688191
Hospital Revenue Code	278
Min. Negotiated Rate	$11.52
Max. Negotiated Rate	$202.80
Rate for Payer: Aetna Commercial	$154.13
Rate for Payer: Aetna Medicare Advantage	$121.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$103.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$103.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$81.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$103.43
Rate for Payer: Cigna Commercial	$202.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.16
Rate for Payer: Qualcare PPO/HMO/WC	$60.84
Rate for Payer: UnitedHealthcare Community & State	$12.82
Rate for Payer: Wellpoint Medicaid Managed Care	$11.52

SCREW CRTX LOW PROF 3.5x16MM

Facility

$157.55

Service Code	HCPCS C1713
Hospital Charge Code	270663168
Hospital Revenue Code	278
Min. Negotiated Rate	$4.47
Max. Negotiated Rate	$78.78
Rate for Payer: Aetna Commercial	$59.87
Rate for Payer: Aetna Medicare Advantage	$47.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.18
Rate for Payer: Cigna Commercial	$78.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.13
Rate for Payer: Qualcare PPO/HMO/WC	$23.63
Rate for Payer: UnitedHealthcare Community & State	$4.98
Rate for Payer: Wellpoint Medicaid Managed Care	$4.47

SCREW CRTX LOW PROF 3.5x16MM

Facility

$157.55

Service Code	HCPCS C1713
Hospital Charge Code	270663168
Hospital Revenue Code	278
Min. Negotiated Rate	$23.63
Max. Negotiated Rate	$38.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.13
Rate for Payer: Qualcare PPO/HMO/WC	$23.63

SCREW CRTX LOW PRO HD 3.5x22MM

Facility

$148.50

Hospital Charge Code	270676229
Hospital Revenue Code	278
Min. Negotiated Rate	$22.27
Max. Negotiated Rate	$35.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.94
Rate for Payer: Qualcare PPO/HMO/WC	$22.27

SCREW CRTX LOW PRO HD 3.5x22MM

Facility

$148.50

Hospital Charge Code	270676229
Hospital Revenue Code	278
Min. Negotiated Rate	$4.22
Max. Negotiated Rate	$74.25
Rate for Payer: Aetna Commercial	$56.43
Rate for Payer: Aetna Medicare Advantage	$44.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.87
Rate for Payer: Cigna Commercial	$74.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.94
Rate for Payer: Qualcare PPO/HMO/WC	$22.27
Rate for Payer: UnitedHealthcare Community & State	$4.69
Rate for Payer: Wellpoint Medicaid Managed Care	$4.22

SCREW CURE ACP FIX RESCUE 12MM

Facility

$1,827.00

Service Code	HCPCS C1713
Hospital Charge Code	270699247
Hospital Revenue Code	278
Min. Negotiated Rate	$274.05
Max. Negotiated Rate	$442.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$365.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$442.13
Rate for Payer: Qualcare PPO/HMO/WC	$274.05

SCREW CURE ACP FIX RESCUE 12MM

Facility

$1,827.00

Service Code	HCPCS C1713
Hospital Charge Code	270699247
Hospital Revenue Code	278
Min. Negotiated Rate	$51.89
Max. Negotiated Rate	$913.50
Rate for Payer: Aetna Commercial	$694.26
Rate for Payer: Aetna Medicare Advantage	$548.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$465.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$465.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$365.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$465.88
Rate for Payer: Cigna Commercial	$913.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$442.13
Rate for Payer: Qualcare PPO/HMO/WC	$274.05
Rate for Payer: UnitedHealthcare Community & State	$57.73
Rate for Payer: Wellpoint Medicaid Managed Care	$51.89

SCREW CURE ACP FIX RESCUE 14MM

Facility

$1,827.00

Service Code	HCPCS C1713
Hospital Charge Code	270699246
Hospital Revenue Code	278
Min. Negotiated Rate	$274.05
Max. Negotiated Rate	$442.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$365.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$442.13
Rate for Payer: Qualcare PPO/HMO/WC	$274.05

SCREW CURE ACP FIX RESCUE 14MM

Facility

$1,827.00

Service Code	HCPCS C1713
Hospital Charge Code	270699246
Hospital Revenue Code	278
Min. Negotiated Rate	$51.89
Max. Negotiated Rate	$913.50
Rate for Payer: Aetna Commercial	$694.26
Rate for Payer: Aetna Medicare Advantage	$548.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$465.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$465.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$365.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$465.88
Rate for Payer: Cigna Commercial	$913.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$442.13
Rate for Payer: Qualcare PPO/HMO/WC	$274.05
Rate for Payer: UnitedHealthcare Community & State	$57.73
Rate for Payer: Wellpoint Medicaid Managed Care	$51.89

SCREW DAKOTE ACDF SD 4.0X14MM

Facility

$6,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270696965
Hospital Revenue Code	278
Min. Negotiated Rate	$1,012.50
Max. Negotiated Rate	$1,633.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,633.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50

SCREW DAKOTE ACDF SD 4.0X14MM

Facility

$6,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270696965
Hospital Revenue Code	278
Min. Negotiated Rate	$191.70
Max. Negotiated Rate	$3,375.00
Rate for Payer: Aetna Commercial	$2,565.00
Rate for Payer: Aetna Medicare Advantage	$2,025.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,721.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,721.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,721.25
Rate for Payer: Cigna Commercial	$3,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,633.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50
Rate for Payer: UnitedHealthcare Community & State	$213.30
Rate for Payer: Wellpoint Medicaid Managed Care	$191.70

SCREW DARCO 4.5X 45

Facility

$1,160.00

Service Code	HCPCS C1713
Hospital Charge Code	270686743
Hospital Revenue Code	278
Min. Negotiated Rate	$174.00
Max. Negotiated Rate	$280.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$232.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$280.72
Rate for Payer: Qualcare PPO/HMO/WC	$174.00

SCREW DARCO 4.5X 45

Facility

$1,160.00

Service Code	HCPCS C1713
Hospital Charge Code	270686743
Hospital Revenue Code	278
Min. Negotiated Rate	$32.94
Max. Negotiated Rate	$580.00
Rate for Payer: Aetna Commercial	$440.80
Rate for Payer: Aetna Medicare Advantage	$348.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$295.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$295.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$232.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$295.80
Rate for Payer: Cigna Commercial	$580.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$280.72
Rate for Payer: Qualcare PPO/HMO/WC	$174.00
Rate for Payer: UnitedHealthcare Community & State	$36.66
Rate for Payer: Wellpoint Medicaid Managed Care	$32.94

SCREW DARCO 6.5 X 45

Facility

$1,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270656802
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 DARCO 6.5 X 45

Facility

$1,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270656802
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 DARCO 6.5 X 55

Facility

$1,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270687131
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

Know your out-of-pocket cost for care.

All Charges