Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LCK SQUARE 2.7 X 11MM

Facility

$990.00

Service Code	HCPCS C1713
Hospital Charge Code	270702078
Hospital Revenue Code	278
Min. Negotiated Rate	$28.12
Max. Negotiated Rate	$495.00
Rate for Payer: Aetna Commercial	$376.20
Rate for Payer: Aetna Medicare Advantage	$297.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$252.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$252.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$198.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$252.45
Rate for Payer: Cigna Commercial	$495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$239.58
Rate for Payer: Qualcare PPO/HMO/WC	$148.50
Rate for Payer: UnitedHealthcare Community & State	$31.28
Rate for Payer: Wellpoint Medicaid Managed Care	$28.12

SCREW LCK SQUARE 2.7 X 11MM

Facility

$990.00

Service Code	HCPCS C1713
Hospital Charge Code	270702078
Hospital Revenue Code	278
Min. Negotiated Rate	$148.50
Max. Negotiated Rate	$239.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$198.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$239.58
Rate for Payer: Qualcare PPO/HMO/WC	$148.50

SCREW LEAD CORT TI 5.0X20MM

Facility

$900.00

Service Code	HCPCS C1713
Hospital Charge Code	270691840
Hospital Revenue Code	278
Min. Negotiated Rate	$25.56
Max. Negotiated Rate	$450.00
Rate for Payer: Aetna Commercial	$342.00
Rate for Payer: Aetna Medicare Advantage	$270.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$229.50
Rate for Payer: Cigna Commercial	$450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.80
Rate for Payer: Qualcare PPO/HMO/WC	$135.00
Rate for Payer: UnitedHealthcare Community & State	$28.44
Rate for Payer: Wellpoint Medicaid Managed Care	$25.56

SCREW LEAD CORT TI 5.0X20MM

Facility

$900.00

Service Code	HCPCS C1713
Hospital Charge Code	270691840
Hospital Revenue Code	278
Min. Negotiated Rate	$135.00
Max. Negotiated Rate	$217.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$180.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.80
Rate for Payer: Qualcare PPO/HMO/WC	$135.00

SCREW LEGACY MAC 5.5x50mm

Facility

$9,445.00

Service Code	HCPCS C1713
Hospital Charge Code	270685219
Hospital Revenue Code	278
Min. Negotiated Rate	$1,416.75
Max. Negotiated Rate	$2,285.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,889.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,285.69
Rate for Payer: Qualcare PPO/HMO/WC	$1,416.75

SCREW LEGACY MAC 5.5x50mm

Facility

$9,445.00

Service Code	HCPCS C1713
Hospital Charge Code	270685219
Hospital Revenue Code	278
Min. Negotiated Rate	$268.24
Max. Negotiated Rate	$4,722.50
Rate for Payer: Aetna Commercial	$3,589.10
Rate for Payer: Aetna Medicare Advantage	$2,833.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,408.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,408.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,889.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,408.47
Rate for Payer: Cigna Commercial	$4,722.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,285.69
Rate for Payer: Qualcare PPO/HMO/WC	$1,416.75
Rate for Payer: UnitedHealthcare Community & State	$298.46
Rate for Payer: Wellpoint Medicaid Managed Care	$268.24

SCREW LEV 1MAX 1.5 X 4 MM

Facility

$275.00

Service Code	HCPCS C1713
Hospital Charge Code	270704119
Hospital Revenue Code	278
Min. Negotiated Rate	$41.25
Max. Negotiated Rate	$66.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.55
Rate for Payer: Qualcare PPO/HMO/WC	$41.25

SCREW LEV 1MAX 1.5 X 4 MM

Facility

$275.00

Service Code	HCPCS C1713
Hospital Charge Code	270704119
Hospital Revenue Code	278
Min. Negotiated Rate	$7.81
Max. Negotiated Rate	$137.50
Rate for Payer: Aetna Commercial	$104.50
Rate for Payer: Aetna Medicare Advantage	$82.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.12
Rate for Payer: Cigna Commercial	$137.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.55
Rate for Payer: Qualcare PPO/HMO/WC	$41.25
Rate for Payer: UnitedHealthcare Community & State	$8.69
Rate for Payer: Wellpoint Medicaid Managed Care	$7.81

SCREW LG BORE ACL 10x25MM

Facility

$716.25

Hospital Charge Code	270676799
Hospital Revenue Code	278
Min. Negotiated Rate	$107.44
Max. Negotiated Rate	$173.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$143.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.33
Rate for Payer: Qualcare PPO/HMO/WC	$107.44

SCREW LG BORE ACL 10x25MM

Facility

$716.25

Hospital Charge Code	270676799
Hospital Revenue Code	278
Min. Negotiated Rate	$20.34
Max. Negotiated Rate	$358.12
Rate for Payer: Aetna Commercial	$272.18
Rate for Payer: Aetna Medicare Advantage	$214.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$182.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$182.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$143.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$182.64
Rate for Payer: Cigna Commercial	$358.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.33
Rate for Payer: Qualcare PPO/HMO/WC	$107.44
Rate for Payer: UnitedHealthcare Community & State	$22.63
Rate for Payer: Wellpoint Medicaid Managed Care	$20.34

SCREW LG THD HD CAN 4X42MM

Facility

$1,086.25

Service Code	HCPCS C1713
Hospital Charge Code	270701515
Hospital Revenue Code	278
Min. Negotiated Rate	$162.94
Max. Negotiated Rate	$262.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$217.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$262.87
Rate for Payer: Qualcare PPO/HMO/WC	$162.94

SCREW LG THD HD CAN 4X42MM

Facility

$1,086.25

Service Code	HCPCS C1713
Hospital Charge Code	270701515
Hospital Revenue Code	278
Min. Negotiated Rate	$30.85
Max. Negotiated Rate	$543.12
Rate for Payer: Aetna Commercial	$412.77
Rate for Payer: Aetna Medicare Advantage	$325.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$276.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$276.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$217.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$276.99
Rate for Payer: Cigna Commercial	$543.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$262.87
Rate for Payer: Qualcare PPO/HMO/WC	$162.94
Rate for Payer: UnitedHealthcare Community & State	$34.33
Rate for Payer: Wellpoint Medicaid Managed Care	$30.85

SCREW LINESIDER 6.5 X 4.5 MM

Facility

$10,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270694036
Hospital Revenue Code	278
Min. Negotiated Rate	$1,612.50
Max. Negotiated Rate	$2,601.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,601.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,612.50

SCREW LINESIDER 6.5 X 4.5 MM

Facility

$10,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270694036
Hospital Revenue Code	278
Min. Negotiated Rate	$305.30
Max. Negotiated Rate	$5,375.00
Rate for Payer: Aetna Commercial	$4,085.00
Rate for Payer: Aetna Medicare Advantage	$3,225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,741.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,741.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,741.25
Rate for Payer: Cigna Commercial	$5,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,601.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,612.50
Rate for Payer: UnitedHealthcare Community & State	$339.70
Rate for Payer: Wellpoint Medicaid Managed Care	$305.30

SCREW LINESIDER 7.5 X 40 MM

Facility

$10,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270694037
Hospital Revenue Code	278
Min. Negotiated Rate	$305.30
Max. Negotiated Rate	$5,375.00
Rate for Payer: Aetna Commercial	$4,085.00
Rate for Payer: Aetna Medicare Advantage	$3,225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,741.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,741.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,741.25
Rate for Payer: Cigna Commercial	$5,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,601.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,612.50
Rate for Payer: UnitedHealthcare Community & State	$339.70
Rate for Payer: Wellpoint Medicaid Managed Care	$305.30

SCREW LINESIDER 7.5 X 40 MM

Facility

$10,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270694037
Hospital Revenue Code	278
Min. Negotiated Rate	$1,612.50
Max. Negotiated Rate	$2,601.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,601.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,612.50

SCREW LINESIDER 7.5 X 45 MM

Facility

$10,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270694029
Hospital Revenue Code	278
Min. Negotiated Rate	$1,612.50
Max. Negotiated Rate	$2,601.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,601.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,612.50

SCREW LINESIDER 7.5 X 45 MM

Facility

$10,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270694029
Hospital Revenue Code	278
Min. Negotiated Rate	$305.30
Max. Negotiated Rate	$5,375.00
Rate for Payer: Aetna Commercial	$4,085.00
Rate for Payer: Aetna Medicare Advantage	$3,225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,741.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,741.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,741.25
Rate for Payer: Cigna Commercial	$5,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,601.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,612.50
Rate for Payer: UnitedHealthcare Community & State	$339.70
Rate for Payer: Wellpoint Medicaid Managed Care	$305.30

SCREW LINEUM 3.5 X 12MM

Facility

$11,735.00

Service Code	HCPCS C1713
Hospital Charge Code	270693059
Hospital Revenue Code	278
Min. Negotiated Rate	$1,760.25
Max. Negotiated Rate	$2,839.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,347.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,839.87
Rate for Payer: Qualcare PPO/HMO/WC	$1,760.25

SCREW LINEUM 3.5 X 12MM

Facility

$11,735.00

Service Code	HCPCS C1713
Hospital Charge Code	270693059
Hospital Revenue Code	278
Min. Negotiated Rate	$333.27
Max. Negotiated Rate	$5,867.50
Rate for Payer: Aetna Commercial	$4,459.30
Rate for Payer: Aetna Medicare Advantage	$3,520.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,992.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,992.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,347.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,992.43
Rate for Payer: Cigna Commercial	$5,867.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,839.87
Rate for Payer: Qualcare PPO/HMO/WC	$1,760.25
Rate for Payer: UnitedHealthcare Community & State	$370.83
Rate for Payer: Wellpoint Medicaid Managed Care	$333.27

SCREW LISFRANC 3.7 X40MM CHARL

Facility

$11,310.00

Service Code	HCPCS C1718
Hospital Charge Code	270701065
Hospital Revenue Code	278
Min. Negotiated Rate	$321.20
Max. Negotiated Rate	$5,655.00
Rate for Payer: Aetna Commercial	$4,297.80
Rate for Payer: Aetna Medicare Advantage	$3,393.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,884.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,884.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,262.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,884.05
Rate for Payer: Cigna Commercial	$5,655.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,737.02
Rate for Payer: Qualcare PPO/HMO/WC	$1,696.50
Rate for Payer: UnitedHealthcare Community & State	$357.40
Rate for Payer: Wellpoint Medicaid Managed Care	$321.20

SCREW LISFRANC 3.7 X40MM CHARL

Facility

$11,310.00

Service Code	HCPCS C1718
Hospital Charge Code	270701065
Hospital Revenue Code	278
Min. Negotiated Rate	$1,696.50
Max. Negotiated Rate	$2,737.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,262.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,737.02
Rate for Payer: Qualcare PPO/HMO/WC	$1,696.50

SCREW LISFRANC 3.7 X 42 MM

Facility

$11,310.00

Service Code	HCPCS C1718
Hospital Charge Code	270701066
Hospital Revenue Code	278
Min. Negotiated Rate	$1,696.50
Max. Negotiated Rate	$2,737.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,262.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,737.02
Rate for Payer: Qualcare PPO/HMO/WC	$1,696.50

SCREW LISFRANC 3.7 X 42 MM

Facility

$11,310.00

Service Code	HCPCS C1718
Hospital Charge Code	270701066
Hospital Revenue Code	278
Min. Negotiated Rate	$321.20
Max. Negotiated Rate	$5,655.00
Rate for Payer: Aetna Commercial	$4,297.80
Rate for Payer: Aetna Medicare Advantage	$3,393.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,884.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,884.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,262.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,884.05
Rate for Payer: Cigna Commercial	$5,655.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,737.02
Rate for Payer: Qualcare PPO/HMO/WC	$1,696.50
Rate for Payer: UnitedHealthcare Community & State	$357.40
Rate for Payer: Wellpoint Medicaid Managed Care	$321.20

SCREW LKG 5.0 TI ST 3MM 36MM

Facility

$1,047.35

Service Code	HCPCS C1713
Hospital Charge Code	270696898
Hospital Revenue Code	278
Min. Negotiated Rate	$29.74
Max. Negotiated Rate	$523.67
Rate for Payer: Aetna Commercial	$397.99
Rate for Payer: Aetna Medicare Advantage	$314.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$267.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$267.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$209.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$267.07
Rate for Payer: Cigna Commercial	$523.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$253.46
Rate for Payer: Qualcare PPO/HMO/WC	$157.10
Rate for Payer: UnitedHealthcare Community & State	$33.10
Rate for Payer: Wellpoint Medicaid Managed Care	$29.74

Know your out-of-pocket cost for care.

All Charges