Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LAG 6.5X100MM

Facility

$1,920.00

Hospital Charge Code	270670506
Hospital Revenue Code	278
Min. Negotiated Rate	$54.53
Max. Negotiated Rate	$960.00
Rate for Payer: Aetna Commercial	$729.60
Rate for Payer: Aetna Medicare Advantage	$576.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$489.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$489.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$384.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$489.60
Rate for Payer: Cigna Commercial	$960.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$464.64
Rate for Payer: Qualcare PPO/HMO/WC	$288.00
Rate for Payer: UnitedHealthcare Community & State	$60.67
Rate for Payer: Wellpoint Medicaid Managed Care	$54.53

SCREW LAG 6.5X100MM

Facility

$1,920.00

Hospital Charge Code	270670506
Hospital Revenue Code	278
Min. Negotiated Rate	$288.00
Max. Negotiated Rate	$464.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$384.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$464.64
Rate for Payer: Qualcare PPO/HMO/WC	$288.00

SCREW LAG 90mm 29257

Facility

$2,232.00

Service Code	HCPCS C1713
Hospital Charge Code	270637973
Hospital Revenue Code	278
Min. Negotiated Rate	$63.39
Max. Negotiated Rate	$1,116.00
Rate for Payer: Aetna Commercial	$848.16
Rate for Payer: Aetna Medicare Advantage	$669.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$569.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$569.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$446.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$569.16
Rate for Payer: Cigna Commercial	$1,116.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$540.14
Rate for Payer: Qualcare PPO/HMO/WC	$334.80
Rate for Payer: UnitedHealthcare Community & State	$70.53
Rate for Payer: Wellpoint Medicaid Managed Care	$63.39

SCREW LAG 90mm 29257

Facility

$2,232.00

Service Code	HCPCS C1713
Hospital Charge Code	270637973
Hospital Revenue Code	278
Min. Negotiated Rate	$334.80
Max. Negotiated Rate	$540.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$446.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$540.14
Rate for Payer: Qualcare PPO/HMO/WC	$334.80

SCREW LAG 95mm 29258

Facility

$2,232.00

Service Code	HCPCS C1713
Hospital Charge Code	270637904
Hospital Revenue Code	278
Min. Negotiated Rate	$63.39
Max. Negotiated Rate	$1,116.00
Rate for Payer: Aetna Commercial	$848.16
Rate for Payer: Aetna Medicare Advantage	$669.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$569.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$569.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$446.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$569.16
Rate for Payer: Cigna Commercial	$1,116.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$540.14
Rate for Payer: Qualcare PPO/HMO/WC	$334.80
Rate for Payer: UnitedHealthcare Community & State	$70.53
Rate for Payer: Wellpoint Medicaid Managed Care	$63.39

SCREW LAG 95mm 29258

Facility

$2,232.00

Service Code	HCPCS C1713
Hospital Charge Code	270637904
Hospital Revenue Code	278
Min. Negotiated Rate	$334.80
Max. Negotiated Rate	$540.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$446.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$540.14
Rate for Payer: Qualcare PPO/HMO/WC	$334.80

SCREW LAG 95mm DHS STERILE

Facility

$1,659.35

Service Code	HCPCS C1713
Hospital Charge Code	270607093
Hospital Revenue Code	278
Min. Negotiated Rate	$47.13
Max. Negotiated Rate	$829.67
Rate for Payer: Aetna Commercial	$630.55
Rate for Payer: Aetna Medicare Advantage	$497.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$423.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$423.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$331.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$423.13
Rate for Payer: Cigna Commercial	$829.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$401.56
Rate for Payer: Qualcare PPO/HMO/WC	$248.90
Rate for Payer: UnitedHealthcare Community & State	$52.44
Rate for Payer: Wellpoint Medicaid Managed Care	$47.13

SCREW LAG 95mm DHS STERILE

Facility

$1,659.35

Service Code	HCPCS C1713
Hospital Charge Code	270607093
Hospital Revenue Code	278
Min. Negotiated Rate	$248.90
Max. Negotiated Rate	$401.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$331.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$401.56
Rate for Payer: Qualcare PPO/HMO/WC	$248.90

SCREW LAG CANN 2.4x14MM

Facility

$950.00

Service Code	HCPCS C1713
Hospital Charge Code	270674923
Hospital Revenue Code	278
Min. Negotiated Rate	$26.98
Max. Negotiated Rate	$475.00
Rate for Payer: Aetna Commercial	$361.00
Rate for Payer: Aetna Medicare Advantage	$285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.25
Rate for Payer: Cigna Commercial	$475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.90
Rate for Payer: Qualcare PPO/HMO/WC	$142.50
Rate for Payer: UnitedHealthcare Community & State	$30.02
Rate for Payer: Wellpoint Medicaid Managed Care	$26.98

SCREW LAG CANN 2.4x14MM

Facility

$950.00

Service Code	HCPCS C1713
Hospital Charge Code	270674923
Hospital Revenue Code	278
Min. Negotiated Rate	$142.50
Max. Negotiated Rate	$229.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.90
Rate for Payer: Qualcare PPO/HMO/WC	$142.50

SCREW LAG CANN 4.5mx42m 26842

Facility

$305.00

Service Code	HCPCS C1713
Hospital Charge Code	270639594
Hospital Revenue Code	278
Min. Negotiated Rate	$45.75
Max. Negotiated Rate	$73.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.81
Rate for Payer: Qualcare PPO/HMO/WC	$45.75

SCREW LAG CANN 4.5mx42m 26842

Facility

$305.00

Service Code	HCPCS C1713
Hospital Charge Code	270639594
Hospital Revenue Code	278
Min. Negotiated Rate	$8.66
Max. Negotiated Rate	$152.50
Rate for Payer: Aetna Commercial	$115.90
Rate for Payer: Aetna Medicare Advantage	$91.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$77.78
Rate for Payer: Cigna Commercial	$152.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.81
Rate for Payer: Qualcare PPO/HMO/WC	$45.75
Rate for Payer: UnitedHealthcare Community & State	$9.64
Rate for Payer: Wellpoint Medicaid Managed Care	$8.66

SCREW LAG CANN 4.5x34mm

Facility

$305.00

Service Code	HCPCS C1713
Hospital Charge Code	270640153
Hospital Revenue Code	278
Min. Negotiated Rate	$45.75
Max. Negotiated Rate	$73.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.81
Rate for Payer: Qualcare PPO/HMO/WC	$45.75

SCREW LAG CANN 4.5x34mm

Facility

$305.00

Service Code	HCPCS C1713
Hospital Charge Code	270640153
Hospital Revenue Code	278
Min. Negotiated Rate	$8.66
Max. Negotiated Rate	$152.50
Rate for Payer: Aetna Commercial	$115.90
Rate for Payer: Aetna Medicare Advantage	$91.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$77.78
Rate for Payer: Cigna Commercial	$152.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.81
Rate for Payer: Qualcare PPO/HMO/WC	$45.75
Rate for Payer: UnitedHealthcare Community & State	$9.64
Rate for Payer: Wellpoint Medicaid Managed Care	$8.66

SCREW LAG CANN 4.5x36 27836

Facility

$610.00

Service Code	HCPCS C1713
Hospital Charge Code	270639200
Hospital Revenue Code	278
Min. Negotiated Rate	$91.50
Max. Negotiated Rate	$147.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$122.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$147.62
Rate for Payer: Qualcare PPO/HMO/WC	$91.50

SCREW LAG CANN 4.5x36 27836

Facility

$610.00

Service Code	HCPCS C1713
Hospital Charge Code	270639200
Hospital Revenue Code	278
Min. Negotiated Rate	$17.32
Max. Negotiated Rate	$305.00
Rate for Payer: Aetna Commercial	$231.80
Rate for Payer: Aetna Medicare Advantage	$183.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$155.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$155.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$122.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$155.55
Rate for Payer: Cigna Commercial	$305.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$147.62
Rate for Payer: Qualcare PPO/HMO/WC	$91.50
Rate for Payer: UnitedHealthcare Community & State	$19.28
Rate for Payer: Wellpoint Medicaid Managed Care	$17.32

SCREW LAG CANN 4.5x36mm

Facility

$305.00

Hospital Charge Code	270639593
Hospital Revenue Code	278
Min. Negotiated Rate	$8.66
Max. Negotiated Rate	$152.50
Rate for Payer: Aetna Commercial	$115.90
Rate for Payer: Aetna Medicare Advantage	$91.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$77.78
Rate for Payer: Cigna Commercial	$152.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.81
Rate for Payer: Qualcare PPO/HMO/WC	$45.75
Rate for Payer: UnitedHealthcare Community & State	$9.64
Rate for Payer: Wellpoint Medicaid Managed Care	$8.66

SCREW LAG CANN 4.5x36mm

Facility

$305.00

Hospital Charge Code	270639593
Hospital Revenue Code	278
Min. Negotiated Rate	$45.75
Max. Negotiated Rate	$73.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.81
Rate for Payer: Qualcare PPO/HMO/WC	$45.75

SCREW LAG CANN 5.5x35mm

Facility

$910.00

Service Code	HCPCS C1713
Hospital Charge Code	270673604
Hospital Revenue Code	278
Min. Negotiated Rate	$25.84
Max. Negotiated Rate	$455.00
Rate for Payer: Aetna Commercial	$345.80
Rate for Payer: Aetna Medicare Advantage	$273.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$232.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$232.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$182.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$232.05
Rate for Payer: Cigna Commercial	$455.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$220.22
Rate for Payer: Qualcare PPO/HMO/WC	$136.50
Rate for Payer: UnitedHealthcare Community & State	$28.76
Rate for Payer: Wellpoint Medicaid Managed Care	$25.84

SCREW LAG CANN 5.5x35mm

Facility

$910.00

Service Code	HCPCS C1713
Hospital Charge Code	270673604
Hospital Revenue Code	278
Min. Negotiated Rate	$136.50
Max. Negotiated Rate	$220.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$182.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$220.22
Rate for Payer: Qualcare PPO/HMO/WC	$136.50

SCREW LAG CANN 5.5x70mm

Facility

$405.00

Service Code	HCPCS C1713
Hospital Charge Code	270673603
Hospital Revenue Code	278
Min. Negotiated Rate	$11.50
Max. Negotiated Rate	$202.50
Rate for Payer: Aetna Commercial	$153.90
Rate for Payer: Aetna Medicare Advantage	$121.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$103.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$103.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$81.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$103.28
Rate for Payer: Cigna Commercial	$202.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.01
Rate for Payer: Qualcare PPO/HMO/WC	$60.75
Rate for Payer: UnitedHealthcare Community & State	$12.80
Rate for Payer: Wellpoint Medicaid Managed Care	$11.50

SCREW LAG CANN 5.5x70mm

Facility

$405.00

Service Code	HCPCS C1713
Hospital Charge Code	270673603
Hospital Revenue Code	278
Min. Negotiated Rate	$60.75
Max. Negotiated Rate	$98.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$81.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.01
Rate for Payer: Qualcare PPO/HMO/WC	$60.75

SCREW LAG CANN 5.5x75mm

Facility

$910.00

Service Code	HCPCS C1713
Hospital Charge Code	270639196
Hospital Revenue Code	278
Min. Negotiated Rate	$136.50
Max. Negotiated Rate	$220.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$182.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$220.22
Rate for Payer: Qualcare PPO/HMO/WC	$136.50

SCREW LAG CANN 5.5x75mm

Facility

$910.00

Service Code	HCPCS C1713
Hospital Charge Code	270639196
Hospital Revenue Code	278
Min. Negotiated Rate	$25.84
Max. Negotiated Rate	$455.00
Rate for Payer: Aetna Commercial	$345.80
Rate for Payer: Aetna Medicare Advantage	$273.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$232.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$232.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$182.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$232.05
Rate for Payer: Cigna Commercial	$455.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$220.22
Rate for Payer: Qualcare PPO/HMO/WC	$136.50
Rate for Payer: UnitedHealthcare Community & State	$28.76
Rate for Payer: Wellpoint Medicaid Managed Care	$25.84

SCREW LAG DHS 12.7mm 100mm

Facility

$1,410.00

Hospital Charge Code	270603767
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

Know your out-of-pocket cost for care.

All Charges