Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREWDRIVER SHFT CANN HEX 4MM

Facility

$1,323.00

Hospital Charge Code	270675152
Hospital Revenue Code	272
Min. Negotiated Rate	$37.57
Max. Negotiated Rate	$661.50
Rate for Payer: Aetna Commercial	$502.74
Rate for Payer: Aetna Medicare Advantage	$396.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$337.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$337.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$337.37
Rate for Payer: Cigna Commercial	$661.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$343.98
Rate for Payer: Oxford Commercial	$264.60
Rate for Payer: Qualcare PPO/HMO/WC	$198.45
Rate for Payer: UnitedHealthcare Commercial	$264.60
Rate for Payer: UnitedHealthcare Community & State	$41.81
Rate for Payer: Wellpoint Medicaid Managed Care	$37.57

SCREWDRIVER SMALL HEX SHAFT

Facility

$231.75

Hospital Charge Code	270614767
Hospital Revenue Code	272
Min. Negotiated Rate	$6.58
Max. Negotiated Rate	$115.88
Rate for Payer: Aetna Commercial	$88.06
Rate for Payer: Aetna Medicare Advantage	$69.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.10
Rate for Payer: Cigna Commercial	$115.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.26
Rate for Payer: Oxford Commercial	$46.35
Rate for Payer: Qualcare PPO/HMO/WC	$34.76
Rate for Payer: UnitedHealthcare Commercial	$46.35
Rate for Payer: UnitedHealthcare Community & State	$7.32
Rate for Payer: Wellpoint Medicaid Managed Care	$6.58

SCREWDRIVER SMALL HEX SHAFT

Facility

$231.75

Hospital Charge Code	270614767
Hospital Revenue Code	272
Min. Negotiated Rate	$34.76
Max. Negotiated Rate	$34.76
Rate for Payer: Qualcare PPO/HMO/WC	$34.76

SCREWDRIVER STARDRIVE 341 MM

Facility

$4,364.15

Hospital Charge Code	270691505
Hospital Revenue Code	272
Min. Negotiated Rate	$123.94
Max. Negotiated Rate	$2,182.07
Rate for Payer: Aetna Commercial	$1,658.38
Rate for Payer: Aetna Medicare Advantage	$1,309.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,112.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,112.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,112.86
Rate for Payer: Cigna Commercial	$2,182.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,134.68
Rate for Payer: Oxford Commercial	$872.83
Rate for Payer: Qualcare PPO/HMO/WC	$654.62
Rate for Payer: UnitedHealthcare Commercial	$872.83
Rate for Payer: UnitedHealthcare Community & State	$137.91
Rate for Payer: Wellpoint Medicaid Managed Care	$123.94

SCREWDRIVER STARDRIVE 341 MM

Facility

$4,364.15

Hospital Charge Code	270691505
Hospital Revenue Code	272
Min. Negotiated Rate	$654.62
Max. Negotiated Rate	$654.62
Rate for Payer: Qualcare PPO/HMO/WC	$654.62

SCREWDRIVER STRDRV 55MM

Facility

$1,164.95

Hospital Charge Code	270677660
Hospital Revenue Code	272
Min. Negotiated Rate	$174.74
Max. Negotiated Rate	$174.74
Rate for Payer: Qualcare PPO/HMO/WC	$174.74

SCREWDRIVER STRDRV 55MM

Facility

$1,164.95

Hospital Charge Code	270677660
Hospital Revenue Code	272
Min. Negotiated Rate	$33.08
Max. Negotiated Rate	$582.48
Rate for Payer: Aetna Commercial	$442.68
Rate for Payer: Aetna Medicare Advantage	$349.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$297.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$297.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$297.06
Rate for Payer: Cigna Commercial	$582.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.89
Rate for Payer: Oxford Commercial	$232.99
Rate for Payer: Qualcare PPO/HMO/WC	$174.74
Rate for Payer: UnitedHealthcare Commercial	$232.99
Rate for Payer: UnitedHealthcare Community & State	$36.81
Rate for Payer: Wellpoint Medicaid Managed Care	$33.08

SCREWDRIVER T15 CANN COMP SR

Facility

$2,618.20

Service Code	HCPCS C1713
Hospital Charge Code	270693426
Hospital Revenue Code	278
Min. Negotiated Rate	$74.36
Max. Negotiated Rate	$1,309.10
Rate for Payer: Aetna Commercial	$994.92
Rate for Payer: Aetna Medicare Advantage	$785.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$667.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$667.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$523.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$667.64
Rate for Payer: Cigna Commercial	$1,309.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$633.60
Rate for Payer: Qualcare PPO/HMO/WC	$392.73
Rate for Payer: UnitedHealthcare Community & State	$82.74
Rate for Payer: Wellpoint Medicaid Managed Care	$74.36

SCREWDRIVER T15 CANN COMP SR

Facility

$2,618.20

Service Code	HCPCS C1713
Hospital Charge Code	270693426
Hospital Revenue Code	278
Min. Negotiated Rate	$392.73
Max. Negotiated Rate	$633.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$523.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$633.60
Rate for Payer: Qualcare PPO/HMO/WC	$392.73

SCREWDRIVER T25 3.5

Facility

$3,975.00

Hospital Charge Code	270692386
Hospital Revenue Code	272
Min. Negotiated Rate	$112.89
Max. Negotiated Rate	$1,987.50
Rate for Payer: Aetna Commercial	$1,510.50
Rate for Payer: Aetna Medicare Advantage	$1,192.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,013.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,013.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,013.62
Rate for Payer: Cigna Commercial	$1,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,033.50
Rate for Payer: Oxford Commercial	$795.00
Rate for Payer: Qualcare PPO/HMO/WC	$596.25
Rate for Payer: UnitedHealthcare Commercial	$795.00
Rate for Payer: UnitedHealthcare Community & State	$125.61
Rate for Payer: Wellpoint Medicaid Managed Care	$112.89

SCREWDRIVER T25 3.5

Facility

$3,975.00

Hospital Charge Code	270692386
Hospital Revenue Code	272
Min. Negotiated Rate	$596.25
Max. Negotiated Rate	$596.25
Rate for Payer: Qualcare PPO/HMO/WC	$596.25

SCREWDRIVER T40 277 MM

Facility

$4,364.15

Hospital Charge Code	270691507
Hospital Revenue Code	272
Min. Negotiated Rate	$654.62
Max. Negotiated Rate	$654.62
Rate for Payer: Qualcare PPO/HMO/WC	$654.62

SCREWDRIVER T40 277 MM

Facility

$4,364.15

Hospital Charge Code	270691507
Hospital Revenue Code	272
Min. Negotiated Rate	$123.94
Max. Negotiated Rate	$2,182.07
Rate for Payer: Aetna Commercial	$1,658.38
Rate for Payer: Aetna Medicare Advantage	$1,309.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,112.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,112.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,112.86
Rate for Payer: Cigna Commercial	$2,182.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,134.68
Rate for Payer: Oxford Commercial	$872.83
Rate for Payer: Qualcare PPO/HMO/WC	$654.62
Rate for Payer: UnitedHealthcare Commercial	$872.83
Rate for Payer: UnitedHealthcare Community & State	$137.91
Rate for Payer: Wellpoint Medicaid Managed Care	$123.94

SCREW D/THRD TI 2.0x22mm

Facility

$1,125.00

Hospital Charge Code	270669704
Hospital Revenue Code	278
Min. Negotiated Rate	$31.95
Max. Negotiated Rate	$562.50
Rate for Payer: Aetna Commercial	$427.50
Rate for Payer: Aetna Medicare Advantage	$337.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.88
Rate for Payer: Cigna Commercial	$562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.25
Rate for Payer: Qualcare PPO/HMO/WC	$168.75
Rate for Payer: UnitedHealthcare Community & State	$35.55
Rate for Payer: Wellpoint Medicaid Managed Care	$31.95

SCREW D/THRD TI 2.0x22mm

Facility

$1,125.00

Hospital Charge Code	270669704
Hospital Revenue Code	278
Min. Negotiated Rate	$168.75
Max. Negotiated Rate	$272.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.25
Rate for Payer: Qualcare PPO/HMO/WC	$168.75

SCREW D/THRD TI 2.0x24mm

Facility

$1,125.00

Hospital Charge Code	270669878
Hospital Revenue Code	278
Min. Negotiated Rate	$168.75
Max. Negotiated Rate	$272.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.25
Rate for Payer: Qualcare PPO/HMO/WC	$168.75

SCREW D/THRD TI 2.0x24mm

Facility

$1,125.00

Hospital Charge Code	270669878
Hospital Revenue Code	278
Min. Negotiated Rate	$31.95
Max. Negotiated Rate	$562.50
Rate for Payer: Aetna Commercial	$427.50
Rate for Payer: Aetna Medicare Advantage	$337.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.88
Rate for Payer: Cigna Commercial	$562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.25
Rate for Payer: Qualcare PPO/HMO/WC	$168.75
Rate for Payer: UnitedHealthcare Community & State	$35.55
Rate for Payer: Wellpoint Medicaid Managed Care	$31.95

SCREW D/THRD TI 2.0x26mm

Facility

$1,325.00

Hospital Charge Code	270669703
Hospital Revenue Code	278
Min. Negotiated Rate	$198.75
Max. Negotiated Rate	$320.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: Qualcare PPO/HMO/WC	$198.75

SCREW D/THRD TI 2.0x26mm

Facility

$1,325.00

Hospital Charge Code	270669703
Hospital Revenue Code	278
Min. Negotiated Rate	$37.63
Max. Negotiated Rate	$662.50
Rate for Payer: Aetna Commercial	$503.50
Rate for Payer: Aetna Medicare Advantage	$397.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$337.88
Rate for Payer: Cigna Commercial	$662.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: Qualcare PPO/HMO/WC	$198.75
Rate for Payer: UnitedHealthcare Community & State	$41.87
Rate for Payer: Wellpoint Medicaid Managed Care	$37.63

SCREW D/THRD TI 3.0x14mm

Facility

$1,325.00

Hospital Charge Code	270669702
Hospital Revenue Code	278
Min. Negotiated Rate	$37.63
Max. Negotiated Rate	$662.50
Rate for Payer: Aetna Commercial	$503.50
Rate for Payer: Aetna Medicare Advantage	$397.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$337.88
Rate for Payer: Cigna Commercial	$662.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: Qualcare PPO/HMO/WC	$198.75
Rate for Payer: UnitedHealthcare Community & State	$41.87
Rate for Payer: Wellpoint Medicaid Managed Care	$37.63

SCREW D/THRD TI 3.0x14mm

Facility

$1,325.00

Hospital Charge Code	270669702
Hospital Revenue Code	278
Min. Negotiated Rate	$198.75
Max. Negotiated Rate	$320.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: Qualcare PPO/HMO/WC	$198.75

SCREW D/THRD TI 3.0x30mm

Facility

$1,325.00

Hospital Charge Code	270669879
Hospital Revenue Code	278
Min. Negotiated Rate	$198.75
Max. Negotiated Rate	$320.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: Qualcare PPO/HMO/WC	$198.75

SCREW D/THRD TI 3.0x30mm

Facility

$1,325.00

Hospital Charge Code	270669879
Hospital Revenue Code	278
Min. Negotiated Rate	$37.63
Max. Negotiated Rate	$662.50
Rate for Payer: Aetna Commercial	$503.50
Rate for Payer: Aetna Medicare Advantage	$397.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$337.88
Rate for Payer: Cigna Commercial	$662.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: Qualcare PPO/HMO/WC	$198.75
Rate for Payer: UnitedHealthcare Community & State	$41.87
Rate for Payer: Wellpoint Medicaid Managed Care	$37.63

SCREW D/THRD TI 3.0x34mm

Facility

$1,325.00

Hospital Charge Code	270669880
Hospital Revenue Code	278
Min. Negotiated Rate	$37.63
Max. Negotiated Rate	$662.50
Rate for Payer: Aetna Commercial	$503.50
Rate for Payer: Aetna Medicare Advantage	$397.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$337.88
Rate for Payer: Cigna Commercial	$662.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: Qualcare PPO/HMO/WC	$198.75
Rate for Payer: UnitedHealthcare Community & State	$41.87
Rate for Payer: Wellpoint Medicaid Managed Care	$37.63

SCREW D/THRD TI 3.0x34mm

Facility

$1,325.00

Hospital Charge Code	270669880
Hospital Revenue Code	278
Min. Negotiated Rate	$198.75
Max. Negotiated Rate	$320.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: Qualcare PPO/HMO/WC	$198.75

Know your out-of-pocket cost for care.

All Charges