Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LAG DHS 12.7mm 100mm

Facility

$1,410.00

Hospital Charge Code	270603767
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 FX NAIL 10.5X105MM

Facility

$2,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270673671
Hospital Revenue Code	278
Min. Negotiated Rate	$393.75
Max. Negotiated Rate	$635.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$525.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$635.25
Rate for Payer: Qualcare PPO/HMO/WC	$393.75

SCREW LAG FX NAIL 10.5X105MM

Facility

$2,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270673671
Hospital Revenue Code	278
Min. Negotiated Rate	$74.55
Max. Negotiated Rate	$1,312.50
Rate for Payer: Aetna Commercial	$997.50
Rate for Payer: Aetna Medicare Advantage	$787.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$669.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$669.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$669.38
Rate for Payer: Cigna Commercial	$1,312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$635.25
Rate for Payer: Qualcare PPO/HMO/WC	$393.75
Rate for Payer: UnitedHealthcare Community & State	$82.95
Rate for Payer: Wellpoint Medicaid Managed Care	$74.55

SCREW LAG GAMMA 10.5X75MM

Facility

$4,225.00

Service Code	HCPCS C1713
Hospital Charge Code	270700389
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 GAMMA 10.5X75MM

Facility

$4,225.00

Service Code	HCPCS C1713
Hospital Charge Code	270700389
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 HIP FRACT 0.5x95mm

Facility

$2,640.00

Service Code	HCPCS C1713
Hospital Charge Code	270650495
Hospital Revenue Code	278
Min. Negotiated Rate	$74.98
Max. Negotiated Rate	$1,320.00
Rate for Payer: Aetna Commercial	$1,003.20
Rate for Payer: Aetna Medicare Advantage	$792.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$673.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$673.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$528.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$673.20
Rate for Payer: Cigna Commercial	$1,320.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$638.88
Rate for Payer: Qualcare PPO/HMO/WC	$396.00
Rate for Payer: UnitedHealthcare Community & State	$83.42
Rate for Payer: Wellpoint Medicaid Managed Care	$74.98

SCREW LAG HIP FRACT 0.5x95mm

Facility

$2,640.00

Service Code	HCPCS C1713
Hospital Charge Code	270650495
Hospital Revenue Code	278
Min. Negotiated Rate	$396.00
Max. Negotiated Rate	$638.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$528.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$638.88
Rate for Payer: Qualcare PPO/HMO/WC	$396.00

SCREW LAG SHORT THRD 3.5X38MM

Facility

$2,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270698538
Hospital Revenue Code	278
Min. Negotiated Rate	$420.00
Max. Negotiated Rate	$677.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$560.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$677.60
Rate for Payer: Qualcare PPO/HMO/WC	$420.00

SCREW LAG SHORT THRD 3.5X38MM

Facility

$2,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270698538
Hospital Revenue Code	278
Min. Negotiated Rate	$79.52
Max. Negotiated Rate	$1,400.00
Rate for Payer: Aetna Commercial	$1,064.00
Rate for Payer: Aetna Medicare Advantage	$840.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$714.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$714.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$560.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$714.00
Rate for Payer: Cigna Commercial	$1,400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$677.60
Rate for Payer: Qualcare PPO/HMO/WC	$420.00
Rate for Payer: UnitedHealthcare Community & State	$88.48
Rate for Payer: Wellpoint Medicaid Managed Care	$79.52

SCREW LAG SOLID 105MM SLIDING

Facility

$2,325.00

Service Code	HCPCS C1713
Hospital Charge Code	270647300
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 SOLID 105MM SLIDING

Facility

$2,325.00

Service Code	HCPCS C1713
Hospital Charge Code	270647300
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 SOLID FIXED 100mm

Facility

$2,325.00

Service Code	HCPCS C1713
Hospital Charge Code	270639321
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 SOLID FIXED 100mm

Facility

$2,325.00

Service Code	HCPCS C1713
Hospital Charge Code	270639321
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 SOLID SLIDING 105mm

Facility

$2,135.00

Service Code	HCPCS C1713
Hospital Charge Code	270680836
Hospital Revenue Code	278
Min. Negotiated Rate	$60.63
Max. Negotiated Rate	$1,067.50
Rate for Payer: Aetna Commercial	$811.30
Rate for Payer: Aetna Medicare Advantage	$640.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$544.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$544.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$427.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$544.42
Rate for Payer: Cigna Commercial	$1,067.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$516.67
Rate for Payer: Qualcare PPO/HMO/WC	$320.25
Rate for Payer: UnitedHealthcare Community & State	$67.47
Rate for Payer: Wellpoint Medicaid Managed Care	$60.63

SCREW LAG SOLID SLIDING 105mm

Facility

$2,135.00

Service Code	HCPCS C1713
Hospital Charge Code	270680836
Hospital Revenue Code	278
Min. Negotiated Rate	$320.25
Max. Negotiated Rate	$516.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$427.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$516.67
Rate for Payer: Qualcare PPO/HMO/WC	$320.25

SCREW LAG SOLID SLIDING 90mm

Facility

$2,325.00

Service Code	HCPCS C1713
Hospital Charge Code	270646649
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 SOLID SLIDING 90mm

Facility

$2,325.00

Service Code	HCPCS C1713
Hospital Charge Code	270646649
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 SOLID SLIDING 95mm

Facility

$2,325.00

Service Code	HCPCS C1713
Hospital Charge Code	270639212
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 SOLID SLIDING 95mm

Facility

$2,325.00

Service Code	HCPCS C1713
Hospital Charge Code	270639212
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 TI 10.5 X 85MM

Facility

$3,077.10

Service Code	HCPCS C1713
Hospital Charge Code	270645794
Hospital Revenue Code	278
Min. Negotiated Rate	$461.56
Max. Negotiated Rate	$744.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$615.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$744.66
Rate for Payer: Qualcare PPO/HMO/WC	$461.56

SCREW LAG TI 10.5 X 85MM

Facility

$3,077.10

Service Code	HCPCS C1713
Hospital Charge Code	270645794
Hospital Revenue Code	278
Min. Negotiated Rate	$87.39
Max. Negotiated Rate	$1,538.55
Rate for Payer: Aetna Commercial	$1,169.30
Rate for Payer: Aetna Medicare Advantage	$923.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$784.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$784.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$615.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$784.66
Rate for Payer: Cigna Commercial	$1,538.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$744.66
Rate for Payer: Qualcare PPO/HMO/WC	$461.56
Rate for Payer: UnitedHealthcare Community & State	$97.24
Rate for Payer: Wellpoint Medicaid Managed Care	$87.39

SCREW LAG TI 10.5 X 95 MM

Facility

$4,220.00

Service Code	HCPCS C1713
Hospital Charge Code	270662051
Hospital Revenue Code	278
Min. Negotiated Rate	$119.85
Max. Negotiated Rate	$2,110.00
Rate for Payer: Aetna Commercial	$1,603.60
Rate for Payer: Aetna Medicare Advantage	$1,266.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,076.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,076.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$844.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,076.10
Rate for Payer: Cigna Commercial	$2,110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,021.24
Rate for Payer: Qualcare PPO/HMO/WC	$633.00
Rate for Payer: UnitedHealthcare Community & State	$133.35
Rate for Payer: Wellpoint Medicaid Managed Care	$119.85

SCREW LAG TI 10.5 X 95 MM

Facility

$4,220.00

Service Code	HCPCS C1713
Hospital Charge Code	270662051
Hospital Revenue Code	278
Min. Negotiated Rate	$633.00
Max. Negotiated Rate	$1,021.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$844.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,021.24
Rate for Payer: Qualcare PPO/HMO/WC	$633.00

SCREW LAG TI 10.5x95mm

Facility

$3,077.10

Service Code	HCPCS C1713
Hospital Charge Code	270672768
Hospital Revenue Code	278
Min. Negotiated Rate	$461.56
Max. Negotiated Rate	$744.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$615.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$744.66
Rate for Payer: Qualcare PPO/HMO/WC	$461.56

SCREW LAG TI 10.5x95mm

Facility

$3,077.10

Service Code	HCPCS C1713
Hospital Charge Code	270672768
Hospital Revenue Code	278
Min. Negotiated Rate	$87.39
Max. Negotiated Rate	$1,538.55
Rate for Payer: Aetna Commercial	$1,169.30
Rate for Payer: Aetna Medicare Advantage	$923.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$784.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$784.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$615.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$784.66
Rate for Payer: Cigna Commercial	$1,538.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$744.66
Rate for Payer: Qualcare PPO/HMO/WC	$461.56
Rate for Payer: UnitedHealthcare Community & State	$97.24
Rate for Payer: Wellpoint Medicaid Managed Care	$87.39

Know your out-of-pocket cost for care.

All Charges