Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

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	$157.10
Max. Negotiated Rate	$253.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$209.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$253.46
Rate for Payer: Qualcare PPO/HMO/WC	$157.10

SCREW LKG 5.0 VAL ST SD 32MM

Facility

$2,260.00

Service Code	HCPCS C1713
Hospital Charge Code	270691216
Hospital Revenue Code	278
Min. Negotiated Rate	$64.18
Max. Negotiated Rate	$1,130.00
Rate for Payer: Aetna Commercial	$858.80
Rate for Payer: Aetna Medicare Advantage	$678.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$576.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$576.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$452.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$576.30
Rate for Payer: Cigna Commercial	$1,130.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$546.92
Rate for Payer: Qualcare PPO/HMO/WC	$339.00
Rate for Payer: UnitedHealthcare Community & State	$71.42
Rate for Payer: Wellpoint Medicaid Managed Care	$64.18

SCREW LKG 5.0 VAL ST SD 32MM

Facility

$2,260.00

Service Code	HCPCS C1713
Hospital Charge Code	270691216
Hospital Revenue Code	278
Min. Negotiated Rate	$339.00
Max. Negotiated Rate	$546.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$452.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$546.92
Rate for Payer: Qualcare PPO/HMO/WC	$339.00

SCREW LKG 5.0X26MM

Facility

$2,260.00

Service Code	HCPCS C1713
Hospital Charge Code	270699498
Hospital Revenue Code	278
Min. Negotiated Rate	$64.18
Max. Negotiated Rate	$1,130.00
Rate for Payer: Aetna Commercial	$858.80
Rate for Payer: Aetna Medicare Advantage	$678.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$576.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$576.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$452.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$576.30
Rate for Payer: Cigna Commercial	$1,130.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$546.92
Rate for Payer: Qualcare PPO/HMO/WC	$339.00
Rate for Payer: UnitedHealthcare Community & State	$71.42
Rate for Payer: Wellpoint Medicaid Managed Care	$64.18

SCREW LKG 5.0X26MM

Facility

$2,260.00

Service Code	HCPCS C1713
Hospital Charge Code	270699498
Hospital Revenue Code	278
Min. Negotiated Rate	$339.00
Max. Negotiated Rate	$546.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$452.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$546.92
Rate for Payer: Qualcare PPO/HMO/WC	$339.00

SCREW LKG 5.0X90MM XL25

Facility

$2,730.00

Service Code	HCPCS C1713
Hospital Charge Code	270699361
Hospital Revenue Code	278
Min. Negotiated Rate	$409.50
Max. Negotiated Rate	$660.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$546.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$660.66
Rate for Payer: Qualcare PPO/HMO/WC	$409.50

SCREW LKG 5.0X90MM XL25

Facility

$2,730.00

Service Code	HCPCS C1713
Hospital Charge Code	270699361
Hospital Revenue Code	278
Min. Negotiated Rate	$77.53
Max. Negotiated Rate	$1,365.00
Rate for Payer: Aetna Commercial	$1,037.40
Rate for Payer: Aetna Medicare Advantage	$819.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$696.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$696.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$546.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$696.15
Rate for Payer: Cigna Commercial	$1,365.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$660.66
Rate for Payer: Qualcare PPO/HMO/WC	$409.50
Rate for Payer: UnitedHealthcare Community & State	$86.27
Rate for Payer: Wellpoint Medicaid Managed Care	$77.53

SCREW LKG 5X25MM

Facility

$2,480.00

Service Code	HCPCS C1713
Hospital Charge Code	270699233
Hospital Revenue Code	278
Min. Negotiated Rate	$70.43
Max. Negotiated Rate	$1,240.00
Rate for Payer: Aetna Commercial	$942.40
Rate for Payer: Aetna Medicare Advantage	$744.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$632.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$632.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$496.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$632.40
Rate for Payer: Cigna Commercial	$1,240.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$600.16
Rate for Payer: Qualcare PPO/HMO/WC	$372.00
Rate for Payer: UnitedHealthcare Community & State	$78.37
Rate for Payer: Wellpoint Medicaid Managed Care	$70.43

SCREW LKG 5X25MM

Facility

$2,480.00

Service Code	HCPCS C1713
Hospital Charge Code	270699233
Hospital Revenue Code	278
Min. Negotiated Rate	$372.00
Max. Negotiated Rate	$600.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$496.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$600.16
Rate for Payer: Qualcare PPO/HMO/WC	$372.00

SCREW LKG AXSOS 4.0X18MM

Facility

$1,136.85

Service Code	HCPCS C1713
Hospital Charge Code	270696917
Hospital Revenue Code	278
Min. Negotiated Rate	$170.53
Max. Negotiated Rate	$275.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$227.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.12
Rate for Payer: Qualcare PPO/HMO/WC	$170.53

SCREW LKG AXSOS 4.0X18MM

Facility

$1,136.85

Service Code	HCPCS C1713
Hospital Charge Code	270696917
Hospital Revenue Code	278
Min. Negotiated Rate	$32.29
Max. Negotiated Rate	$568.42
Rate for Payer: Aetna Commercial	$432.00
Rate for Payer: Aetna Medicare Advantage	$341.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$289.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$289.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$227.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$289.90
Rate for Payer: Cigna Commercial	$568.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.12
Rate for Payer: Qualcare PPO/HMO/WC	$170.53
Rate for Payer: UnitedHealthcare Community & State	$35.92
Rate for Payer: Wellpoint Medicaid Managed Care	$32.29

SCREW LKG AXSOS 4.0X22MM

Facility

$1,136.85

Service Code	HCPCS C1713
Hospital Charge Code	270696918
Hospital Revenue Code	278
Min. Negotiated Rate	$170.53
Max. Negotiated Rate	$275.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$227.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.12
Rate for Payer: Qualcare PPO/HMO/WC	$170.53

SCREW LKG AXSOS 4.0X22MM

Facility

$1,136.85

Service Code	HCPCS C1713
Hospital Charge Code	270696918
Hospital Revenue Code	278
Min. Negotiated Rate	$32.29
Max. Negotiated Rate	$568.42
Rate for Payer: Aetna Commercial	$432.00
Rate for Payer: Aetna Medicare Advantage	$341.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$289.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$289.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$227.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$289.90
Rate for Payer: Cigna Commercial	$568.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.12
Rate for Payer: Qualcare PPO/HMO/WC	$170.53
Rate for Payer: UnitedHealthcare Community & State	$35.92
Rate for Payer: Wellpoint Medicaid Managed Care	$32.29

SCREW LKG AXSOS 4.0X24MM

Facility

$1,136.85

Service Code	HCPCS C1713
Hospital Charge Code	270696919
Hospital Revenue Code	278
Min. Negotiated Rate	$170.53
Max. Negotiated Rate	$275.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$227.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.12
Rate for Payer: Qualcare PPO/HMO/WC	$170.53

SCREW LKG AXSOS 4.0X24MM

Facility

$1,136.85

Service Code	HCPCS C1713
Hospital Charge Code	270696919
Hospital Revenue Code	278
Min. Negotiated Rate	$32.29
Max. Negotiated Rate	$568.42
Rate for Payer: Aetna Commercial	$432.00
Rate for Payer: Aetna Medicare Advantage	$341.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$289.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$289.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$227.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$289.90
Rate for Payer: Cigna Commercial	$568.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.12
Rate for Payer: Qualcare PPO/HMO/WC	$170.53
Rate for Payer: UnitedHealthcare Community & State	$35.92
Rate for Payer: Wellpoint Medicaid Managed Care	$32.29

SCREW LKG AXSOS 4.0X26MM

Facility

$1,136.85

Service Code	HCPCS C1713
Hospital Charge Code	270696920
Hospital Revenue Code	278
Min. Negotiated Rate	$32.29
Max. Negotiated Rate	$568.42
Rate for Payer: Aetna Commercial	$432.00
Rate for Payer: Aetna Medicare Advantage	$341.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$289.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$289.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$227.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$289.90
Rate for Payer: Cigna Commercial	$568.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.12
Rate for Payer: Qualcare PPO/HMO/WC	$170.53
Rate for Payer: UnitedHealthcare Community & State	$35.92
Rate for Payer: Wellpoint Medicaid Managed Care	$32.29

SCREW LKG AXSOS 4.0X26MM

Facility

$1,136.85

Service Code	HCPCS C1713
Hospital Charge Code	270696920
Hospital Revenue Code	278
Min. Negotiated Rate	$170.53
Max. Negotiated Rate	$275.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$227.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.12
Rate for Payer: Qualcare PPO/HMO/WC	$170.53

SCREW LKG AXSOS 4.0X28MM

Facility

$1,136.85

Service Code	HCPCS C1713
Hospital Charge Code	270696921
Hospital Revenue Code	278
Min. Negotiated Rate	$32.29
Max. Negotiated Rate	$568.42
Rate for Payer: Aetna Commercial	$432.00
Rate for Payer: Aetna Medicare Advantage	$341.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$289.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$289.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$227.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$289.90
Rate for Payer: Cigna Commercial	$568.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.12
Rate for Payer: Qualcare PPO/HMO/WC	$170.53
Rate for Payer: UnitedHealthcare Community & State	$35.92
Rate for Payer: Wellpoint Medicaid Managed Care	$32.29

SCREW LKG AXSOS 4.0X28MM

Facility

$1,136.85

Service Code	HCPCS C1713
Hospital Charge Code	270696921
Hospital Revenue Code	278
Min. Negotiated Rate	$170.53
Max. Negotiated Rate	$275.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$227.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.12
Rate for Payer: Qualcare PPO/HMO/WC	$170.53

SCREW LKG CORT TAP 2.7X10MM

Facility

$400.00

Service Code	HCPCS C1713
Hospital Charge Code	270699269
Hospital Revenue Code	278
Min. Negotiated Rate	$11.36
Max. Negotiated Rate	$200.00
Rate for Payer: Aetna Commercial	$152.00
Rate for Payer: Aetna Medicare Advantage	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$80.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$102.00
Rate for Payer: Cigna Commercial	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.80
Rate for Payer: Qualcare PPO/HMO/WC	$60.00
Rate for Payer: UnitedHealthcare Community & State	$12.64
Rate for Payer: Wellpoint Medicaid Managed Care	$11.36

SCREW LKG CORT TAP 2.7X10MM

Facility

$400.00

Service Code	HCPCS C1713
Hospital Charge Code	270699269
Hospital Revenue Code	278
Min. Negotiated Rate	$60.00
Max. Negotiated Rate	$96.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$80.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.80
Rate for Payer: Qualcare PPO/HMO/WC	$60.00

SCREW LKG FASTP 2.7MMX12/14MM

Facility

$2,725.00

Service Code	HCPCS C1713
Hospital Charge Code	270695414
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 LKG FASTP 2.7MMX12/14MM

Facility

$2,725.00

Service Code	HCPCS C1713
Hospital Charge Code	270695414
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 LKG FOR IM NAIL 5.0X54MM

Facility

$2,730.00

Service Code	HCPCS C1713
Hospital Charge Code	270699937
Hospital Revenue Code	278
Min. Negotiated Rate	$77.53
Max. Negotiated Rate	$1,365.00
Rate for Payer: Aetna Commercial	$1,037.40
Rate for Payer: Aetna Medicare Advantage	$819.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$696.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$696.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$546.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$696.15
Rate for Payer: Cigna Commercial	$1,365.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$660.66
Rate for Payer: Qualcare PPO/HMO/WC	$409.50
Rate for Payer: UnitedHealthcare Community & State	$86.27
Rate for Payer: Wellpoint Medicaid Managed Care	$77.53

SCREW LKG FOR IM NAIL 5.0X54MM

Facility

$2,730.00

Service Code	HCPCS C1713
Hospital Charge Code	270699937
Hospital Revenue Code	278
Min. Negotiated Rate	$409.50
Max. Negotiated Rate	$660.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$546.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$660.66
Rate for Payer: Qualcare PPO/HMO/WC	$409.50

Know your out-of-pocket cost for care.

All Charges