Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW DPY CANC 4.0 28 1436928

Facility

$136.85

Service Code	HCPCS C1713
Hospital Charge Code	270622981
Hospital Revenue Code	278
Min. Negotiated Rate	$20.53
Max. Negotiated Rate	$33.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.12
Rate for Payer: Qualcare PPO/HMO/WC	$20.53

SCREW DPY CANC 4.0 28 1436928

Facility

$136.85

Service Code	HCPCS C1713
Hospital Charge Code	270622981
Hospital Revenue Code	278
Min. Negotiated Rate	$3.89
Max. Negotiated Rate	$68.42
Rate for Payer: Aetna Commercial	$52.00
Rate for Payer: Aetna Medicare Advantage	$41.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.90
Rate for Payer: Cigna Commercial	$68.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.12
Rate for Payer: Qualcare PPO/HMO/WC	$20.53
Rate for Payer: UnitedHealthcare Community & State	$4.32
Rate for Payer: Wellpoint Medicaid Managed Care	$3.89

SCREW DRIVER 3.9 X 2.5 MM

Facility

$1,808.10

Hospital Charge Code	270690988
Hospital Revenue Code	272
Min. Negotiated Rate	$271.21
Max. Negotiated Rate	$271.21
Rate for Payer: Qualcare PPO/HMO/WC	$271.21

SCREW DRIVER 3.9 X 2.5 MM

Facility

$1,808.10

Hospital Charge Code	270690988
Hospital Revenue Code	272
Min. Negotiated Rate	$51.35
Max. Negotiated Rate	$904.05
Rate for Payer: Aetna Commercial	$687.08
Rate for Payer: Aetna Medicare Advantage	$542.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$461.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$461.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$461.07
Rate for Payer: Cigna Commercial	$904.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$470.11
Rate for Payer: Oxford Commercial	$361.62
Rate for Payer: Qualcare PPO/HMO/WC	$271.21
Rate for Payer: UnitedHealthcare Commercial	$361.62
Rate for Payer: UnitedHealthcare Community & State	$57.14
Rate for Payer: Wellpoint Medicaid Managed Care	$51.35

SCREWDRIVER BLADE CRUCIFRM 2MM

Facility

$3,837.00

Hospital Charge Code	270675736
Hospital Revenue Code	272
Min. Negotiated Rate	$575.55
Max. Negotiated Rate	$575.55
Rate for Payer: Qualcare PPO/HMO/WC	$575.55

SCREWDRIVER BLADE CRUCIFRM 2MM

Facility

$3,837.00

Hospital Charge Code	270675736
Hospital Revenue Code	272
Min. Negotiated Rate	$108.97
Max. Negotiated Rate	$1,918.50
Rate for Payer: Aetna Commercial	$1,458.06
Rate for Payer: Aetna Medicare Advantage	$1,151.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$978.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$978.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$978.43
Rate for Payer: Cigna Commercial	$1,918.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$997.62
Rate for Payer: Oxford Commercial	$767.40
Rate for Payer: Qualcare PPO/HMO/WC	$575.55
Rate for Payer: UnitedHealthcare Commercial	$767.40
Rate for Payer: UnitedHealthcare Community & State	$121.25
Rate for Payer: Wellpoint Medicaid Managed Care	$108.97

SCREWDRIVER CANN HEX 2.5mm

Facility

$1,247.65

Service Code	HCPCS C1713
Hospital Charge Code	270684682
Hospital Revenue Code	278
Min. Negotiated Rate	$187.15
Max. Negotiated Rate	$301.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$249.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$301.93
Rate for Payer: Qualcare PPO/HMO/WC	$187.15

SCREWDRIVER CANN HEX 2.5mm

Facility

$1,247.65

Service Code	HCPCS C1713
Hospital Charge Code	270684682
Hospital Revenue Code	278
Min. Negotiated Rate	$35.43
Max. Negotiated Rate	$623.83
Rate for Payer: Aetna Commercial	$474.11
Rate for Payer: Aetna Medicare Advantage	$374.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$249.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.15
Rate for Payer: Cigna Commercial	$623.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$301.93
Rate for Payer: Qualcare PPO/HMO/WC	$187.15
Rate for Payer: UnitedHealthcare Community & State	$39.43
Rate for Payer: Wellpoint Medicaid Managed Care	$35.43

SCREWDRIVER CANN HEX 3.5mm

Facility

$1,511.00

Hospital Charge Code	270654612
Hospital Revenue Code	272
Min. Negotiated Rate	$42.91
Max. Negotiated Rate	$755.50
Rate for Payer: Aetna Commercial	$574.18
Rate for Payer: Aetna Medicare Advantage	$453.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$385.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$385.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$385.31
Rate for Payer: Cigna Commercial	$755.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$392.86
Rate for Payer: Oxford Commercial	$302.20
Rate for Payer: Qualcare PPO/HMO/WC	$226.65
Rate for Payer: UnitedHealthcare Commercial	$302.20
Rate for Payer: UnitedHealthcare Community & State	$47.75
Rate for Payer: Wellpoint Medicaid Managed Care	$42.91

SCREWDRIVER CANN HEX 3.5mm

Facility

$1,511.00

Hospital Charge Code	270654612
Hospital Revenue Code	272
Min. Negotiated Rate	$226.65
Max. Negotiated Rate	$226.65
Rate for Payer: Qualcare PPO/HMO/WC	$226.65

SCREWDRIVER CRUCIFORM SHAFT

Facility

$908.45

Hospital Charge Code	270652430
Hospital Revenue Code	272
Min. Negotiated Rate	$136.27
Max. Negotiated Rate	$136.27
Rate for Payer: Qualcare PPO/HMO/WC	$136.27

SCREWDRIVER CRUCIFORM SHAFT

Facility

$908.45

Hospital Charge Code	270652430
Hospital Revenue Code	272
Min. Negotiated Rate	$25.80
Max. Negotiated Rate	$454.23
Rate for Payer: Aetna Commercial	$345.21
Rate for Payer: Aetna Medicare Advantage	$272.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$231.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$231.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$231.65
Rate for Payer: Cigna Commercial	$454.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$236.20
Rate for Payer: Oxford Commercial	$181.69
Rate for Payer: Qualcare PPO/HMO/WC	$136.27
Rate for Payer: UnitedHealthcare Commercial	$181.69
Rate for Payer: UnitedHealthcare Community & State	$28.71
Rate for Payer: Wellpoint Medicaid Managed Care	$25.80

SCREWDRIVER HEX SM W/HOLD SLV

Facility

$1,353.00

Hospital Charge Code	270669609
Hospital Revenue Code	272
Min. Negotiated Rate	$202.95
Max. Negotiated Rate	$202.95
Rate for Payer: Qualcare PPO/HMO/WC	$202.95

SCREWDRIVER HEX SM W/HOLD SLV

Facility

$1,353.00

Hospital Charge Code	270669609
Hospital Revenue Code	272
Min. Negotiated Rate	$38.43
Max. Negotiated Rate	$676.50
Rate for Payer: Aetna Commercial	$514.14
Rate for Payer: Aetna Medicare Advantage	$405.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$345.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$345.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$345.01
Rate for Payer: Cigna Commercial	$676.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$351.78
Rate for Payer: Oxford Commercial	$270.60
Rate for Payer: Qualcare PPO/HMO/WC	$202.95
Rate for Payer: UnitedHealthcare Commercial	$270.60
Rate for Payer: UnitedHealthcare Community & State	$42.75
Rate for Payer: Wellpoint Medicaid Managed Care	$38.43

SCREWDRIVER LARGE HEXAGONAL

Facility

$1,694.35

Hospital Charge Code	270690989
Hospital Revenue Code	272
Min. Negotiated Rate	$254.15
Max. Negotiated Rate	$254.15
Rate for Payer: Qualcare PPO/HMO/WC	$254.15

SCREWDRIVER LARGE HEXAGONAL

Facility

$1,694.35

Hospital Charge Code	270690989
Hospital Revenue Code	272
Min. Negotiated Rate	$48.12
Max. Negotiated Rate	$847.17
Rate for Payer: Aetna Commercial	$643.85
Rate for Payer: Aetna Medicare Advantage	$508.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$432.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$432.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$432.06
Rate for Payer: Cigna Commercial	$847.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$440.53
Rate for Payer: Oxford Commercial	$338.87
Rate for Payer: Qualcare PPO/HMO/WC	$254.15
Rate for Payer: UnitedHealthcare Commercial	$338.87
Rate for Payer: UnitedHealthcare Community & State	$53.54
Rate for Payer: Wellpoint Medicaid Managed Care	$48.12

SCREWDRIVER LARGE HEXONGAL SHO

Facility

$440.55

Hospital Charge Code	270690990
Hospital Revenue Code	272
Min. Negotiated Rate	$66.08
Max. Negotiated Rate	$66.08
Rate for Payer: Qualcare PPO/HMO/WC	$66.08

SCREWDRIVER LARGE HEXONGAL SHO

Facility

$440.55

Hospital Charge Code	270690990
Hospital Revenue Code	272
Min. Negotiated Rate	$12.51
Max. Negotiated Rate	$220.28
Rate for Payer: Aetna Commercial	$167.41
Rate for Payer: Aetna Medicare Advantage	$132.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$112.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$112.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$112.34
Rate for Payer: Cigna Commercial	$220.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.54
Rate for Payer: Oxford Commercial	$88.11
Rate for Payer: Qualcare PPO/HMO/WC	$66.08
Rate for Payer: UnitedHealthcare Commercial	$88.11
Rate for Payer: UnitedHealthcare Community & State	$13.92
Rate for Payer: Wellpoint Medicaid Managed Care	$12.51

SCREWDRIVER SHAFT HEXAGONAL LG

Facility

$230.20

Hospital Charge Code	270652433
Hospital Revenue Code	272
Min. Negotiated Rate	$34.53
Max. Negotiated Rate	$34.53
Rate for Payer: Qualcare PPO/HMO/WC	$34.53

SCREWDRIVER SHAFT HEXAGONAL LG

Facility

$230.20

Hospital Charge Code	270652433
Hospital Revenue Code	272
Min. Negotiated Rate	$6.54
Max. Negotiated Rate	$115.10
Rate for Payer: Aetna Commercial	$87.48
Rate for Payer: Aetna Medicare Advantage	$69.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.70
Rate for Payer: Cigna Commercial	$115.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.85
Rate for Payer: Oxford Commercial	$46.04
Rate for Payer: Qualcare PPO/HMO/WC	$34.53
Rate for Payer: UnitedHealthcare Commercial	$46.04
Rate for Payer: UnitedHealthcare Community & State	$7.27
Rate for Payer: Wellpoint Medicaid Managed Care	$6.54

SCREW DRIVER SHAFT SD6 SLF 2MM

Facility

$3,130.00

Hospital Charge Code	270674259
Hospital Revenue Code	278
Min. Negotiated Rate	$88.89
Max. Negotiated Rate	$1,565.00
Rate for Payer: Aetna Commercial	$1,189.40
Rate for Payer: Aetna Medicare Advantage	$939.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$798.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$798.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$798.15
Rate for Payer: Cigna Commercial	$1,565.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$757.46
Rate for Payer: Qualcare PPO/HMO/WC	$469.50
Rate for Payer: UnitedHealthcare Community & State	$98.91
Rate for Payer: Wellpoint Medicaid Managed Care	$88.89

SCREW DRIVER SHAFT SD6 SLF 2MM

Facility

$3,130.00

Hospital Charge Code	270674259
Hospital Revenue Code	278
Min. Negotiated Rate	$469.50
Max. Negotiated Rate	$757.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$626.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$757.46
Rate for Payer: Qualcare PPO/HMO/WC	$469.50

SCREW DRIVER SHAFT T8 105MM

Facility

$1,224.00

Hospital Charge Code	270674258
Hospital Revenue Code	278
Min. Negotiated Rate	$183.60
Max. Negotiated Rate	$296.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$244.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$296.21
Rate for Payer: Qualcare PPO/HMO/WC	$183.60

SCREW DRIVER SHAFT T8 105MM

Facility

$1,224.00

Hospital Charge Code	270674258
Hospital Revenue Code	278
Min. Negotiated Rate	$34.76
Max. Negotiated Rate	$612.00
Rate for Payer: Aetna Commercial	$465.12
Rate for Payer: Aetna Medicare Advantage	$367.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$312.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$312.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$244.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$312.12
Rate for Payer: Cigna Commercial	$612.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$296.21
Rate for Payer: Qualcare PPO/HMO/WC	$183.60
Rate for Payer: UnitedHealthcare Community & State	$38.68
Rate for Payer: Wellpoint Medicaid Managed Care	$34.76

SCREWDRIVER SHFT CANN HEX 4MM

Facility

$1,323.00

Hospital Charge Code	270675152
Hospital Revenue Code	272
Min. Negotiated Rate	$198.45
Max. Negotiated Rate	$198.45
Rate for Payer: Qualcare PPO/HMO/WC	$198.45

Know your out-of-pocket cost for care.

All Charges