Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW KREULOCK TI 3.5X18

Facility

$1,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270697418
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 KRULOCK 3.5X20MM

Facility

$1,519.25

Service Code	HCPCS C1713
Hospital Charge Code	270702066
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 KRULOCK 3.5X20MM

Facility

$1,519.25

Service Code	HCPCS C1713
Hospital Charge Code	270702066
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 KRULOCK 3.5X24MM

Facility

$1,519.25

Service Code	HCPCS C1713
Hospital Charge Code	270702067
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 KRULOCK 3.5X24MM

Facility

$1,519.25

Service Code	HCPCS C1713
Hospital Charge Code	270702067
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 KRULOCK TI 3.5X12MM

Facility

$1,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270696769
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 KRULOCK TI 3.5X12MM

Facility

$1,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270696769
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 LAG

Facility

$2,325.00

Service Code	HCPCS C1713
Hospital Charge Code	270661753
Hospital Revenue Code	278
Min. Negotiated Rate	$348.75
Max. Negotiated Rate	$562.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$465.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$562.65
Rate for Payer: Qualcare PPO/HMO/WC	$348.75

SCREW LAG

Facility

$2,325.00

Service Code	HCPCS C1713
Hospital Charge Code	270661753
Hospital Revenue Code	278
Min. Negotiated Rate	$66.03
Max. Negotiated Rate	$1,162.50
Rate for Payer: Aetna Commercial	$883.50
Rate for Payer: Aetna Medicare Advantage	$697.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$592.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$592.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$465.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$592.88
Rate for Payer: Cigna Commercial	$1,162.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$562.65
Rate for Payer: Qualcare PPO/HMO/WC	$348.75
Rate for Payer: UnitedHealthcare Community & State	$73.47
Rate for Payer: Wellpoint Medicaid Managed Care	$66.03

SCREW LAG 100MM

Facility

$3,230.45

Service Code	HCPCS C1713
Hospital Charge Code	270686352
Hospital Revenue Code	278
Min. Negotiated Rate	$484.57
Max. Negotiated Rate	$781.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$646.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$781.77
Rate for Payer: Qualcare PPO/HMO/WC	$484.57

SCREW LAG 100MM

Facility

$3,230.45

Service Code	HCPCS C1713
Hospital Charge Code	270686352
Hospital Revenue Code	278
Min. Negotiated Rate	$91.74
Max. Negotiated Rate	$1,615.22
Rate for Payer: Aetna Commercial	$1,227.57
Rate for Payer: Aetna Medicare Advantage	$969.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$823.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$823.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$646.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$823.76
Rate for Payer: Cigna Commercial	$1,615.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$781.77
Rate for Payer: Qualcare PPO/HMO/WC	$484.57
Rate for Payer: UnitedHealthcare Community & State	$102.08
Rate for Payer: Wellpoint Medicaid Managed Care	$91.74

SCREW LAG 105mm SOLID FX 29260

Facility

$2,725.00

Service Code	HCPCS C1713
Hospital Charge Code	270640725
Hospital Revenue Code	278
Min. Negotiated Rate	$77.39
Max. Negotiated Rate	$1,362.50
Rate for Payer: Aetna Commercial	$1,035.50
Rate for Payer: Aetna Medicare Advantage	$817.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$694.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$694.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$545.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$694.88
Rate for Payer: Cigna Commercial	$1,362.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$659.45
Rate for Payer: Qualcare PPO/HMO/WC	$408.75
Rate for Payer: UnitedHealthcare Community & State	$86.11
Rate for Payer: Wellpoint Medicaid Managed Care	$77.39

SCREW LAG 105mm SOLID FX 29260

Facility

$2,725.00

Service Code	HCPCS C1713
Hospital Charge Code	270640725
Hospital Revenue Code	278
Min. Negotiated Rate	$408.75
Max. Negotiated Rate	$659.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$545.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$659.45
Rate for Payer: Qualcare PPO/HMO/WC	$408.75

SCREW LAG 10.5x100MM

Facility

$4,430.00

Hospital Charge Code	270673899
Hospital Revenue Code	278
Min. Negotiated Rate	$125.81
Max. Negotiated Rate	$2,215.00
Rate for Payer: Aetna Commercial	$1,683.40
Rate for Payer: Aetna Medicare Advantage	$1,329.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,129.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,129.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$886.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,129.65
Rate for Payer: Cigna Commercial	$2,215.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,072.06
Rate for Payer: Qualcare PPO/HMO/WC	$664.50
Rate for Payer: UnitedHealthcare Community & State	$139.99
Rate for Payer: Wellpoint Medicaid Managed Care	$125.81

SCREW LAG 10.5x100MM

Facility

$4,430.00

Hospital Charge Code	270673899
Hospital Revenue Code	278
Min. Negotiated Rate	$664.50
Max. Negotiated Rate	$1,072.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$886.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,072.06
Rate for Payer: Qualcare PPO/HMO/WC	$664.50

SCREW LAG 10.5X85MM

Facility

$4,226.50

Service Code	HCPCS C1713
Hospital Charge Code	270698911
Hospital Revenue Code	278
Min. Negotiated Rate	$120.03
Max. Negotiated Rate	$2,113.25
Rate for Payer: Aetna Commercial	$1,606.07
Rate for Payer: Aetna Medicare Advantage	$1,267.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,077.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,077.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$845.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,077.76
Rate for Payer: Cigna Commercial	$2,113.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,022.81
Rate for Payer: Qualcare PPO/HMO/WC	$633.98
Rate for Payer: UnitedHealthcare Community & State	$133.56
Rate for Payer: Wellpoint Medicaid Managed Care	$120.03

SCREW LAG 10.5X85MM

Facility

$4,226.50

Service Code	HCPCS C1713
Hospital Charge Code	270698911
Hospital Revenue Code	278
Min. Negotiated Rate	$633.98
Max. Negotiated Rate	$1,022.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$845.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,022.81
Rate for Payer: Qualcare PPO/HMO/WC	$633.98

SCREW LAG 10.5X95MM

Facility

$4,225.00

Service Code	HCPCS C1713
Hospital Charge Code	270700453
Hospital Revenue Code	278
Min. Negotiated Rate	$119.99
Max. Negotiated Rate	$2,112.50
Rate for Payer: Aetna Commercial	$1,605.50
Rate for Payer: Aetna Medicare Advantage	$1,267.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,077.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,077.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$845.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,077.38
Rate for Payer: Cigna Commercial	$2,112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,022.45
Rate for Payer: Qualcare PPO/HMO/WC	$633.75
Rate for Payer: UnitedHealthcare Community & State	$133.51
Rate for Payer: Wellpoint Medicaid Managed Care	$119.99

SCREW LAG 10.5X95MM

Facility

$4,225.00

Service Code	HCPCS C1713
Hospital Charge Code	270700453
Hospital Revenue Code	278
Min. Negotiated Rate	$633.75
Max. Negotiated Rate	$1,022.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$845.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,022.45
Rate for Payer: Qualcare PPO/HMO/WC	$633.75

SCREW LAG 10X70 MM

Facility

$4,327.50

Service Code	HCPCS C1716
Hospital Charge Code	270702402
Hospital Revenue Code	278
Min. Negotiated Rate	$649.12
Max. Negotiated Rate	$1,047.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$865.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,047.26
Rate for Payer: Qualcare PPO/HMO/WC	$649.12

SCREW LAG 10X70 MM

Facility

$4,327.50

Service Code	HCPCS C1716
Hospital Charge Code	270702402
Hospital Revenue Code	278
Min. Negotiated Rate	$122.90
Max. Negotiated Rate	$2,166.34
Rate for Payer: Aetna Commercial	$1,624.38
Rate for Payer: Aetna Medicare Advantage	$1,934.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,166.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,166.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$597.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$865.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,166.34
Rate for Payer: Cigna Commercial	$1,197.08
Rate for Payer: Cigna Medicare Advantage	$597.20
Rate for Payer: Clover Medicare Advantage	$567.34
Rate for Payer: EmblemHealth Commercial	$1,791.60
Rate for Payer: Humana Medicare Advantage	$615.12
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$597.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,047.26
Rate for Payer: Qualcare PPO/HMO/WC	$649.12
Rate for Payer: UnitedHealthcare Community & State	$136.75
Rate for Payer: UnitedHealthcare Medicare Advantage	$597.20
Rate for Payer: Wellcare Medicare Advantage	$597.20
Rate for Payer: Wellpoint Medicaid Managed Care	$122.90

SCREW LAG 12.7x95mm DHS/DCS ST

Facility

$1,410.00

Hospital Charge Code	270666507
Hospital Revenue Code	278
Min. Negotiated Rate	$211.50
Max. Negotiated Rate	$341.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$282.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$341.22
Rate for Payer: Qualcare PPO/HMO/WC	$211.50

SCREW LAG 12.7x95mm DHS/DCS ST

Facility

$1,410.00

Hospital Charge Code	270666507
Hospital Revenue Code	278
Min. Negotiated Rate	$40.04
Max. Negotiated Rate	$705.00
Rate for Payer: Aetna Commercial	$535.80
Rate for Payer: Aetna Medicare Advantage	$423.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$359.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$359.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$282.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$359.55
Rate for Payer: Cigna Commercial	$705.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$341.22
Rate for Payer: Qualcare PPO/HMO/WC	$211.50
Rate for Payer: UnitedHealthcare Community & State	$44.56
Rate for Payer: Wellpoint Medicaid Managed Care	$40.04

SCREW LAG 4.5X30

Facility

$7,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270694523
Hospital Revenue Code	278
Min. Negotiated Rate	$1,121.25
Max. Negotiated Rate	$1,808.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,808.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,121.25

SCREW LAG 4.5X30

Facility

$7,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270694523
Hospital Revenue Code	278
Min. Negotiated Rate	$212.29
Max. Negotiated Rate	$3,737.50
Rate for Payer: Aetna Commercial	$2,840.50
Rate for Payer: Aetna Medicare Advantage	$2,242.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,906.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,906.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,495.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,906.12
Rate for Payer: Cigna Commercial	$3,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,808.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,121.25
Rate for Payer: UnitedHealthcare Community & State	$236.21
Rate for Payer: Wellpoint Medicaid Managed Care	$212.29

Know your out-of-pocket cost for care.

All Charges