Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW JONES P/THD 4.5x55MM

Facility

$3,975.00

Hospital Charge Code	270673454
Hospital Revenue Code	278
Min. Negotiated Rate	$596.25
Max. Negotiated Rate	$961.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$795.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$961.95
Rate for Payer: Qualcare PPO/HMO/WC	$596.25

SCREW JONES P/THD 4.5x55MM

Facility

$3,975.00

Hospital Charge Code	270673454
Hospital Revenue Code	278
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) NJ Health	$795.00
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	$961.95
Rate for Payer: Qualcare PPO/HMO/WC	$596.25
Rate for Payer: UnitedHealthcare Community & State	$125.61
Rate for Payer: Wellpoint Medicaid Managed Care	$112.89

SCREW JONES SHORT TH 5.5X 56MM

Facility

$3,231.25

Service Code	HCPCS C1713
Hospital Charge Code	270701366
Hospital Revenue Code	278
Min. Negotiated Rate	$484.69
Max. Negotiated Rate	$781.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$646.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$781.96
Rate for Payer: Qualcare PPO/HMO/WC	$484.69

SCREW JONES SHORT TH 5.5X 56MM

Facility

$3,231.25

Service Code	HCPCS C1713
Hospital Charge Code	270701366
Hospital Revenue Code	278
Min. Negotiated Rate	$91.77
Max. Negotiated Rate	$1,615.62
Rate for Payer: Aetna Commercial	$1,227.88
Rate for Payer: Aetna Medicare Advantage	$969.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$823.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$823.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$646.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$823.97
Rate for Payer: Cigna Commercial	$1,615.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$781.96
Rate for Payer: Qualcare PPO/HMO/WC	$484.69
Rate for Payer: UnitedHealthcare Community & State	$102.11
Rate for Payer: Wellpoint Medicaid Managed Care	$91.77

SCREW KIT TORQUE DEFINING

Facility

$2,077.40

Service Code	HCPCS C1713
Hospital Charge Code	270668548
Hospital Revenue Code	278
Min. Negotiated Rate	$311.61
Max. Negotiated Rate	$502.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$415.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$502.73
Rate for Payer: Qualcare PPO/HMO/WC	$311.61

SCREW KIT TORQUE DEFINING

Facility

$2,077.40

Service Code	HCPCS C1713
Hospital Charge Code	270668548
Hospital Revenue Code	278
Min. Negotiated Rate	$59.00
Max. Negotiated Rate	$1,038.70
Rate for Payer: Aetna Commercial	$789.41
Rate for Payer: Aetna Medicare Advantage	$623.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$529.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$529.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$415.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$529.74
Rate for Payer: Cigna Commercial	$1,038.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$502.73
Rate for Payer: Qualcare PPO/HMO/WC	$311.61
Rate for Payer: UnitedHealthcare Community & State	$65.65
Rate for Payer: Wellpoint Medicaid Managed Care	$59.00

SCREW KIT TORQUE SQ DRIVE

Facility

$1,260.00

Hospital Charge Code	270669870
Hospital Revenue Code	272
Min. Negotiated Rate	$35.78
Max. Negotiated Rate	$630.00
Rate for Payer: Aetna Commercial	$478.80
Rate for Payer: Aetna Medicare Advantage	$378.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$321.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$321.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$321.30
Rate for Payer: Cigna Commercial	$630.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$327.60
Rate for Payer: Oxford Commercial	$252.00
Rate for Payer: Qualcare PPO/HMO/WC	$189.00
Rate for Payer: UnitedHealthcare Commercial	$252.00
Rate for Payer: UnitedHealthcare Community & State	$39.82
Rate for Payer: Wellpoint Medicaid Managed Care	$35.78

SCREW KIT TORQUE SQ DRIVE

Facility

$1,260.00

Hospital Charge Code	270669870
Hospital Revenue Code	272
Min. Negotiated Rate	$189.00
Max. Negotiated Rate	$189.00
Rate for Payer: Qualcare PPO/HMO/WC	$189.00

SCREW KREULOCK 2.7X10MM

Facility

$1,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270705613
Hospital Revenue Code	278
Min. Negotiated Rate	$243.75
Max. Negotiated Rate	$393.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$393.25
Rate for Payer: Qualcare PPO/HMO/WC	$243.75

SCREW KREULOCK 2.7X10MM

Facility

$1,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270705613
Hospital Revenue Code	278
Min. Negotiated Rate	$46.15
Max. Negotiated Rate	$812.50
Rate for Payer: Aetna Commercial	$617.50
Rate for Payer: Aetna Medicare Advantage	$487.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$325.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$414.38
Rate for Payer: Cigna Commercial	$812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$393.25
Rate for Payer: Qualcare PPO/HMO/WC	$243.75
Rate for Payer: UnitedHealthcare Community & State	$51.35
Rate for Payer: Wellpoint Medicaid Managed Care	$46.15

SCREW KREULOCK 2.7X16MM

Facility

$1,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270705616
Hospital Revenue Code	278
Min. Negotiated Rate	$243.75
Max. Negotiated Rate	$393.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$393.25
Rate for Payer: Qualcare PPO/HMO/WC	$243.75

SCREW KREULOCK 2.7X16MM

Facility

$1,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270705616
Hospital Revenue Code	278
Min. Negotiated Rate	$46.15
Max. Negotiated Rate	$812.50
Rate for Payer: Aetna Commercial	$617.50
Rate for Payer: Aetna Medicare Advantage	$487.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$325.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$414.38
Rate for Payer: Cigna Commercial	$812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$393.25
Rate for Payer: Qualcare PPO/HMO/WC	$243.75
Rate for Payer: UnitedHealthcare Community & State	$51.35
Rate for Payer: Wellpoint Medicaid Managed Care	$46.15

SCREW KREULOCK 2.7X22MM

Facility

$1,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270705617
Hospital Revenue Code	278
Min. Negotiated Rate	$243.75
Max. Negotiated Rate	$393.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$393.25
Rate for Payer: Qualcare PPO/HMO/WC	$243.75

SCREW KREULOCK 2.7X22MM

Facility

$1,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270705617
Hospital Revenue Code	278
Min. Negotiated Rate	$46.15
Max. Negotiated Rate	$812.50
Rate for Payer: Aetna Commercial	$617.50
Rate for Payer: Aetna Medicare Advantage	$487.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$325.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$414.38
Rate for Payer: Cigna Commercial	$812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$393.25
Rate for Payer: Qualcare PPO/HMO/WC	$243.75
Rate for Payer: UnitedHealthcare Community & State	$51.35
Rate for Payer: Wellpoint Medicaid Managed Care	$46.15

SCREW KREULOCK COMP SS2.7X12MM

Facility

$1,599.50

Service Code	HCPCS C1713
Hospital Charge Code	270699068
Hospital Revenue Code	278
Min. Negotiated Rate	$239.93
Max. Negotiated Rate	$387.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$319.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$387.08
Rate for Payer: Qualcare PPO/HMO/WC	$239.93

SCREW KREULOCK COMP SS2.7X12MM

Facility

$1,599.50

Service Code	HCPCS C1713
Hospital Charge Code	270699068
Hospital Revenue Code	278
Min. Negotiated Rate	$45.43
Max. Negotiated Rate	$799.75
Rate for Payer: Aetna Commercial	$607.81
Rate for Payer: Aetna Medicare Advantage	$479.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$407.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$407.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$319.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$407.87
Rate for Payer: Cigna Commercial	$799.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$387.08
Rate for Payer: Qualcare PPO/HMO/WC	$239.93
Rate for Payer: UnitedHealthcare Community & State	$50.54
Rate for Payer: Wellpoint Medicaid Managed Care	$45.43

SCREW KREULOCK COMP SS2.7X16MM

Facility

$1,599.50

Service Code	HCPCS C1713
Hospital Charge Code	270699069
Hospital Revenue Code	278
Min. Negotiated Rate	$239.93
Max. Negotiated Rate	$387.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$319.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$387.08
Rate for Payer: Qualcare PPO/HMO/WC	$239.93

SCREW KREULOCK COMP SS2.7X16MM

Facility

$1,599.50

Service Code	HCPCS C1713
Hospital Charge Code	270699069
Hospital Revenue Code	278
Min. Negotiated Rate	$45.43
Max. Negotiated Rate	$799.75
Rate for Payer: Aetna Commercial	$607.81
Rate for Payer: Aetna Medicare Advantage	$479.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$407.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$407.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$319.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$407.87
Rate for Payer: Cigna Commercial	$799.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$387.08
Rate for Payer: Qualcare PPO/HMO/WC	$239.93
Rate for Payer: UnitedHealthcare Community & State	$50.54
Rate for Payer: Wellpoint Medicaid Managed Care	$45.43

SCREW KREULOCK SCRW TL 3.0X18

Facility

$1,519.00

Hospital Charge Code	270702475
Hospital Revenue Code	278
Min. Negotiated Rate	$227.85
Max. Negotiated Rate	$367.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.60
Rate for Payer: Qualcare PPO/HMO/WC	$227.85

SCREW KREULOCK SCRW TL 3.0X18

Facility

$1,519.00

Hospital Charge Code	270702475
Hospital Revenue Code	278
Min. Negotiated Rate	$43.14
Max. Negotiated Rate	$759.50
Rate for Payer: Aetna Commercial	$577.22
Rate for Payer: Aetna Medicare Advantage	$455.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$387.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$387.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$387.35
Rate for Payer: Cigna Commercial	$759.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.60
Rate for Payer: Qualcare PPO/HMO/WC	$227.85
Rate for Payer: UnitedHealthcare Community & State	$48.00
Rate for Payer: Wellpoint Medicaid Managed Care	$43.14

SCREW KREULOCK TI 3.5C16MM

Facility

$1,519.25

Hospital Charge Code	270702110
Hospital Revenue Code	278
Min. Negotiated Rate	$43.15
Max. Negotiated Rate	$759.62
Rate for Payer: Aetna Commercial	$577.32
Rate for Payer: Aetna Medicare Advantage	$455.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$387.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$387.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$387.41
Rate for Payer: Cigna Commercial	$759.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.66
Rate for Payer: Qualcare PPO/HMO/WC	$227.89
Rate for Payer: UnitedHealthcare Community & State	$48.01
Rate for Payer: Wellpoint Medicaid Managed Care	$43.15

SCREW KREULOCK TI 3.5C16MM

Facility

$1,519.25

Hospital Charge Code	270702110
Hospital Revenue Code	278
Min. Negotiated Rate	$227.89
Max. Negotiated Rate	$367.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.66
Rate for Payer: Qualcare PPO/HMO/WC	$227.89

SCREW KREULOCK TI 3.5X14MM

Facility

$1,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270696768
Hospital Revenue Code	278
Min. Negotiated Rate	$221.25
Max. Negotiated Rate	$356.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$295.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.95
Rate for Payer: Qualcare PPO/HMO/WC	$221.25

SCREW KREULOCK TI 3.5X14MM

Facility

$1,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270696768
Hospital Revenue Code	278
Min. Negotiated Rate	$41.89
Max. Negotiated Rate	$737.50
Rate for Payer: Aetna Commercial	$560.50
Rate for Payer: Aetna Medicare Advantage	$442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$295.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$376.12
Rate for Payer: Cigna Commercial	$737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.95
Rate for Payer: Qualcare PPO/HMO/WC	$221.25
Rate for Payer: UnitedHealthcare Community & State	$46.61
Rate for Payer: Wellpoint Medicaid Managed Care	$41.89

SCREW KREULOCK TI 3.5X18

Facility

$1,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270697418
Hospital Revenue Code	278
Min. Negotiated Rate	$221.25
Max. Negotiated Rate	$356.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$295.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.95
Rate for Payer: Qualcare PPO/HMO/WC	$221.25

Know your out-of-pocket cost for care.

All Charges