Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW FEMORAL AUG SZ5 10MM

Facility

$3,604.00

Hospital Charge Code	270676681
Hospital Revenue Code	278
Min. Negotiated Rate	$102.35
Max. Negotiated Rate	$1,802.00
Rate for Payer: Aetna Commercial	$1,369.52
Rate for Payer: Aetna Medicare Advantage	$1,081.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$919.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$919.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$720.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$919.02
Rate for Payer: Cigna Commercial	$1,802.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$872.17
Rate for Payer: Qualcare PPO/HMO/WC	$540.60
Rate for Payer: UnitedHealthcare Community & State	$113.89
Rate for Payer: Wellpoint Medicaid Managed Care	$102.35

SCREW FEMORAL AUG SZ5 10MM

Facility

$3,604.00

Hospital Charge Code	270676681
Hospital Revenue Code	278
Min. Negotiated Rate	$540.60
Max. Negotiated Rate	$872.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$720.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$872.17
Rate for Payer: Qualcare PPO/HMO/WC	$540.60

SCREW FEMORAL AUG SZ5 5MM

Facility

$3,604.00

Hospital Charge Code	270676680
Hospital Revenue Code	278
Min. Negotiated Rate	$540.60
Max. Negotiated Rate	$872.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$720.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$872.17
Rate for Payer: Qualcare PPO/HMO/WC	$540.60

SCREW FEMORAL AUG SZ5 5MM

Facility

$3,604.00

Hospital Charge Code	270676680
Hospital Revenue Code	278
Min. Negotiated Rate	$102.35
Max. Negotiated Rate	$1,802.00
Rate for Payer: Aetna Commercial	$1,369.52
Rate for Payer: Aetna Medicare Advantage	$1,081.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$919.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$919.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$720.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$919.02
Rate for Payer: Cigna Commercial	$1,802.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$872.17
Rate for Payer: Qualcare PPO/HMO/WC	$540.60
Rate for Payer: UnitedHealthcare Community & State	$113.89
Rate for Payer: Wellpoint Medicaid Managed Care	$102.35

SCREW FEMORAL DISTAL SZ5 5MM

Facility

$3,604.00

Hospital Charge Code	270676745
Hospital Revenue Code	278
Min. Negotiated Rate	$540.60
Max. Negotiated Rate	$872.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$720.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$872.17
Rate for Payer: Qualcare PPO/HMO/WC	$540.60

SCREW FEMORAL DISTAL SZ5 5MM

Facility

$3,604.00

Hospital Charge Code	270676745
Hospital Revenue Code	278
Min. Negotiated Rate	$102.35
Max. Negotiated Rate	$1,802.00
Rate for Payer: Aetna Commercial	$1,369.52
Rate for Payer: Aetna Medicare Advantage	$1,081.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$919.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$919.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$720.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$919.02
Rate for Payer: Cigna Commercial	$1,802.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$872.17
Rate for Payer: Qualcare PPO/HMO/WC	$540.60
Rate for Payer: UnitedHealthcare Community & State	$113.89
Rate for Payer: Wellpoint Medicaid Managed Care	$102.35

SCREW FEMORAL G2

Facility

$357.00

Service Code	HCPCS C1713
Hospital Charge Code	270681216
Hospital Revenue Code	278
Min. Negotiated Rate	$10.14
Max. Negotiated Rate	$178.50
Rate for Payer: Aetna Commercial	$135.66
Rate for Payer: Aetna Medicare Advantage	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.03
Rate for Payer: Cigna Commercial	$178.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.39
Rate for Payer: Qualcare PPO/HMO/WC	$53.55
Rate for Payer: UnitedHealthcare Community & State	$11.28
Rate for Payer: Wellpoint Medicaid Managed Care	$10.14

SCREW FEMORAL G2

Facility

$357.00

Service Code	HCPCS C1713
Hospital Charge Code	270681216
Hospital Revenue Code	278
Min. Negotiated Rate	$53.55
Max. Negotiated Rate	$86.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.39
Rate for Payer: Qualcare PPO/HMO/WC	$53.55

SCREW FEMORAL LONG

Facility

$357.00

Service Code	HCPCS C1713
Hospital Charge Code	270684560
Hospital Revenue Code	278
Min. Negotiated Rate	$53.55
Max. Negotiated Rate	$86.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.39
Rate for Payer: Qualcare PPO/HMO/WC	$53.55

SCREW FEMORAL LONG

Facility

$357.00

Service Code	HCPCS C1713
Hospital Charge Code	270684560
Hospital Revenue Code	278
Min. Negotiated Rate	$10.14
Max. Negotiated Rate	$178.50
Rate for Payer: Aetna Commercial	$135.66
Rate for Payer: Aetna Medicare Advantage	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.03
Rate for Payer: Cigna Commercial	$178.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.39
Rate for Payer: Qualcare PPO/HMO/WC	$53.55
Rate for Payer: UnitedHealthcare Community & State	$11.28
Rate for Payer: Wellpoint Medicaid Managed Care	$10.14

SCREW FEMORAL POST SZ2 10MM

Facility

$3,604.30

Hospital Charge Code	270677338
Hospital Revenue Code	278
Min. Negotiated Rate	$102.36
Max. Negotiated Rate	$1,802.15
Rate for Payer: Aetna Commercial	$1,369.63
Rate for Payer: Aetna Medicare Advantage	$1,081.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$919.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$919.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$720.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$919.10
Rate for Payer: Cigna Commercial	$1,802.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$872.24
Rate for Payer: Qualcare PPO/HMO/WC	$540.64
Rate for Payer: UnitedHealthcare Community & State	$113.90
Rate for Payer: Wellpoint Medicaid Managed Care	$102.36

SCREW FEMORAL POST SZ2 10MM

Facility

$3,604.30

Hospital Charge Code	270677338
Hospital Revenue Code	278
Min. Negotiated Rate	$540.64
Max. Negotiated Rate	$872.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$720.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$872.24
Rate for Payer: Qualcare PPO/HMO/WC	$540.64

SCREW FEMORAL POST SZ3 10MM

Facility

$3,604.00

Hospital Charge Code	270677099
Hospital Revenue Code	278
Min. Negotiated Rate	$102.35
Max. Negotiated Rate	$1,802.00
Rate for Payer: Aetna Commercial	$1,369.52
Rate for Payer: Aetna Medicare Advantage	$1,081.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$919.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$919.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$720.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$919.02
Rate for Payer: Cigna Commercial	$1,802.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$872.17
Rate for Payer: Qualcare PPO/HMO/WC	$540.60
Rate for Payer: UnitedHealthcare Community & State	$113.89
Rate for Payer: Wellpoint Medicaid Managed Care	$102.35

SCREW FEMORAL POST SZ3 10MM

Facility

$3,604.00

Hospital Charge Code	270677099
Hospital Revenue Code	278
Min. Negotiated Rate	$540.60
Max. Negotiated Rate	$872.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$720.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$872.17
Rate for Payer: Qualcare PPO/HMO/WC	$540.60

SCREW FEMORAL POST SZ5 10MM

Facility

$3,604.00

Hospital Charge Code	270676758
Hospital Revenue Code	278
Min. Negotiated Rate	$102.35
Max. Negotiated Rate	$1,802.00
Rate for Payer: Aetna Commercial	$1,369.52
Rate for Payer: Aetna Medicare Advantage	$1,081.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$919.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$919.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$720.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$919.02
Rate for Payer: Cigna Commercial	$1,802.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$872.17
Rate for Payer: Qualcare PPO/HMO/WC	$540.60
Rate for Payer: UnitedHealthcare Community & State	$113.89
Rate for Payer: Wellpoint Medicaid Managed Care	$102.35

SCREW FEMORAL POST SZ5 10MM

Facility

$3,604.00

Hospital Charge Code	270676758
Hospital Revenue Code	278
Min. Negotiated Rate	$540.60
Max. Negotiated Rate	$872.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$720.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$872.17
Rate for Payer: Qualcare PPO/HMO/WC	$540.60

SCREW FEMORAL STANDARD

Facility

$357.00

Service Code	HCPCS C1713
Hospital Charge Code	270684559
Hospital Revenue Code	278
Min. Negotiated Rate	$53.55
Max. Negotiated Rate	$86.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.39
Rate for Payer: Qualcare PPO/HMO/WC	$53.55

SCREW FEMORAL STANDARD

Facility

$357.00

Service Code	HCPCS C1713
Hospital Charge Code	270684559
Hospital Revenue Code	278
Min. Negotiated Rate	$10.14
Max. Negotiated Rate	$178.50
Rate for Payer: Aetna Commercial	$135.66
Rate for Payer: Aetna Medicare Advantage	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.03
Rate for Payer: Cigna Commercial	$178.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.39
Rate for Payer: Qualcare PPO/HMO/WC	$53.55
Rate for Payer: UnitedHealthcare Community & State	$11.28
Rate for Payer: Wellpoint Medicaid Managed Care	$10.14

SCREW FEMUR

Facility

$620.00

Service Code	HCPCS C1713
Hospital Charge Code	270681644
Hospital Revenue Code	278
Min. Negotiated Rate	$17.61
Max. Negotiated Rate	$310.00
Rate for Payer: Aetna Commercial	$235.60
Rate for Payer: Aetna Medicare Advantage	$186.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.10
Rate for Payer: Cigna Commercial	$310.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.04
Rate for Payer: Qualcare PPO/HMO/WC	$93.00
Rate for Payer: UnitedHealthcare Community & State	$19.59
Rate for Payer: Wellpoint Medicaid Managed Care	$17.61

SCREW FEMUR

Facility

$620.00

Service Code	HCPCS C1713
Hospital Charge Code	270681644
Hospital Revenue Code	278
Min. Negotiated Rate	$93.00
Max. Negotiated Rate	$150.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.04
Rate for Payer: Qualcare PPO/HMO/WC	$93.00

SCREW FEMUR STERILE

Facility

$357.00

Service Code	HCPCS C1713
Hospital Charge Code	270682314
Hospital Revenue Code	278
Min. Negotiated Rate	$53.55
Max. Negotiated Rate	$86.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.39
Rate for Payer: Qualcare PPO/HMO/WC	$53.55

SCREW FEMUR STERILE

Facility

$357.00

Service Code	HCPCS C1713
Hospital Charge Code	270682314
Hospital Revenue Code	278
Min. Negotiated Rate	$10.14
Max. Negotiated Rate	$178.50
Rate for Payer: Aetna Commercial	$135.66
Rate for Payer: Aetna Medicare Advantage	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.03
Rate for Payer: Cigna Commercial	$178.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.39
Rate for Payer: Qualcare PPO/HMO/WC	$53.55
Rate for Payer: UnitedHealthcare Community & State	$11.28
Rate for Payer: Wellpoint Medicaid Managed Care	$10.14

SCREW FIXED 3.75 X 14

Facility

$2,000.00

Hospital Charge Code	270667752
Hospital Revenue Code	278
Min. Negotiated Rate	$300.00
Max. Negotiated Rate	$484.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$484.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00

SCREW FIXED 3.75 X 14

Facility

$2,000.00

Hospital Charge Code	270667752
Hospital Revenue Code	278
Min. Negotiated Rate	$56.80
Max. Negotiated Rate	$1,000.00
Rate for Payer: Aetna Commercial	$760.00
Rate for Payer: Aetna Medicare Advantage	$600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$510.00
Rate for Payer: Cigna Commercial	$1,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$484.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00
Rate for Payer: UnitedHealthcare Community & State	$63.20
Rate for Payer: Wellpoint Medicaid Managed Care	$56.80

SCREW FIXED 4.0X14MM

Facility

$1,100.00

Service Code	HCPCS C1713
Hospital Charge Code	270691987
Hospital Revenue Code	278
Min. Negotiated Rate	$31.24
Max. Negotiated Rate	$550.00
Rate for Payer: Aetna Commercial	$418.00
Rate for Payer: Aetna Medicare Advantage	$330.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$280.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$280.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$220.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$280.50
Rate for Payer: Cigna Commercial	$550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$266.20
Rate for Payer: Qualcare PPO/HMO/WC	$165.00
Rate for Payer: UnitedHealthcare Community & State	$34.76
Rate for Payer: Wellpoint Medicaid Managed Care	$31.24

Know your out-of-pocket cost for care.

All Charges