Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LOCKING 2.3x18MM

Facility

$639.60

Service Code	HCPCS C1713
Hospital Charge Code	270672695
Hospital Revenue Code	278
Min. Negotiated Rate	$95.94
Max. Negotiated Rate	$154.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$127.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$154.78
Rate for Payer: Qualcare PPO/HMO/WC	$95.94

SCREW LOCKING 2.3x18MM

Facility

$639.60

Service Code	HCPCS C1713
Hospital Charge Code	270672695
Hospital Revenue Code	278
Min. Negotiated Rate	$18.16
Max. Negotiated Rate	$319.80
Rate for Payer: Aetna Commercial	$243.05
Rate for Payer: Aetna Medicare Advantage	$191.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$163.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$163.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$127.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$163.10
Rate for Payer: Cigna Commercial	$319.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$154.78
Rate for Payer: Qualcare PPO/HMO/WC	$95.94
Rate for Payer: UnitedHealthcare Community & State	$20.21
Rate for Payer: Wellpoint Medicaid Managed Care	$18.16

SCREW LOCKING 2.3x20MM

Facility

$639.60

Service Code	HCPCS C1713
Hospital Charge Code	270666942
Hospital Revenue Code	278
Min. Negotiated Rate	$95.94
Max. Negotiated Rate	$154.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$127.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$154.78
Rate for Payer: Qualcare PPO/HMO/WC	$95.94

SCREW LOCKING 2.3x20MM

Facility

$639.60

Service Code	HCPCS C1713
Hospital Charge Code	270666942
Hospital Revenue Code	278
Min. Negotiated Rate	$18.16
Max. Negotiated Rate	$319.80
Rate for Payer: Aetna Commercial	$243.05
Rate for Payer: Aetna Medicare Advantage	$191.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$163.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$163.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$127.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$163.10
Rate for Payer: Cigna Commercial	$319.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$154.78
Rate for Payer: Qualcare PPO/HMO/WC	$95.94
Rate for Payer: UnitedHealthcare Community & State	$20.21
Rate for Payer: Wellpoint Medicaid Managed Care	$18.16

SCREW LOCKING 2.3x22mm

Facility

$521.67

Hospital Charge Code	270659993
Hospital Revenue Code	278
Min. Negotiated Rate	$14.82
Max. Negotiated Rate	$260.83
Rate for Payer: Aetna Commercial	$198.23
Rate for Payer: Aetna Medicare Advantage	$156.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.03
Rate for Payer: Cigna Commercial	$260.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.24
Rate for Payer: Qualcare PPO/HMO/WC	$78.25
Rate for Payer: UnitedHealthcare Community & State	$16.48
Rate for Payer: Wellpoint Medicaid Managed Care	$14.82

SCREW LOCKING 2.3x22mm

Facility

$521.67

Hospital Charge Code	270659993
Hospital Revenue Code	278
Min. Negotiated Rate	$78.25
Max. Negotiated Rate	$126.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.24
Rate for Payer: Qualcare PPO/HMO/WC	$78.25

SCREW LOCKING 2.3x26mm

Facility

$520.00

Hospital Charge Code	270656026
Hospital Revenue Code	278
Min. Negotiated Rate	$78.00
Max. Negotiated Rate	$125.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.84
Rate for Payer: Qualcare PPO/HMO/WC	$78.00

SCREW LOCKING 2.3x26mm

Facility

$520.00

Hospital Charge Code	270656026
Hospital Revenue Code	278
Min. Negotiated Rate	$14.77
Max. Negotiated Rate	$260.00
Rate for Payer: Aetna Commercial	$197.60
Rate for Payer: Aetna Medicare Advantage	$156.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.60
Rate for Payer: Cigna Commercial	$260.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.84
Rate for Payer: Qualcare PPO/HMO/WC	$78.00
Rate for Payer: UnitedHealthcare Community & State	$16.43
Rate for Payer: Wellpoint Medicaid Managed Care	$14.77

SCREW LOCKING 2.4 X 10 MM

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270690263
Hospital Revenue Code	278
Min. Negotiated Rate	$19.88
Max. Negotiated Rate	$350.00
Rate for Payer: Aetna Commercial	$266.00
Rate for Payer: Aetna Medicare Advantage	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.50
Rate for Payer: Cigna Commercial	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: Qualcare PPO/HMO/WC	$105.00
Rate for Payer: UnitedHealthcare Community & State	$22.12
Rate for Payer: Wellpoint Medicaid Managed Care	$19.88

SCREW LOCKING 2.4 X 10 MM

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270690263
Hospital Revenue Code	278
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$169.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

SCREW LOCKING 2.4 X 12

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270687437
Hospital Revenue Code	278
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$169.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

SCREW LOCKING 2.4 X 12

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270687437
Hospital Revenue Code	278
Min. Negotiated Rate	$19.88
Max. Negotiated Rate	$350.00
Rate for Payer: Aetna Commercial	$266.00
Rate for Payer: Aetna Medicare Advantage	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.50
Rate for Payer: Cigna Commercial	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: Qualcare PPO/HMO/WC	$105.00
Rate for Payer: UnitedHealthcare Community & State	$22.12
Rate for Payer: Wellpoint Medicaid Managed Care	$19.88

SCREW LOCKING 2.4 X 12 MM

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270690264
Hospital Revenue Code	278
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$169.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

SCREW LOCKING 2.4 X 12 MM

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270690264
Hospital Revenue Code	278
Min. Negotiated Rate	$19.88
Max. Negotiated Rate	$350.00
Rate for Payer: Aetna Commercial	$266.00
Rate for Payer: Aetna Medicare Advantage	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.50
Rate for Payer: Cigna Commercial	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: Qualcare PPO/HMO/WC	$105.00
Rate for Payer: UnitedHealthcare Community & State	$22.12
Rate for Payer: Wellpoint Medicaid Managed Care	$19.88

SCREW LOCKING 2.4X14 MM

Facility

$1,146.60

Hospital Charge Code	270703509
Hospital Revenue Code	278
Min. Negotiated Rate	$171.99
Max. Negotiated Rate	$277.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$229.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$277.48
Rate for Payer: Qualcare PPO/HMO/WC	$171.99

SCREW LOCKING 2.4X14 MM

Facility

$1,146.60

Hospital Charge Code	270703509
Hospital Revenue Code	278
Min. Negotiated Rate	$32.56
Max. Negotiated Rate	$573.30
Rate for Payer: Aetna Commercial	$435.71
Rate for Payer: Aetna Medicare Advantage	$343.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$292.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$292.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$229.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$292.38
Rate for Payer: Cigna Commercial	$573.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$277.48
Rate for Payer: Qualcare PPO/HMO/WC	$171.99
Rate for Payer: UnitedHealthcare Community & State	$36.23
Rate for Payer: Wellpoint Medicaid Managed Care	$32.56

SCREW LOCKING 2.4X16 MM

Facility

$1,146.60

Hospital Charge Code	270703510
Hospital Revenue Code	278
Min. Negotiated Rate	$171.99
Max. Negotiated Rate	$277.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$229.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$277.48
Rate for Payer: Qualcare PPO/HMO/WC	$171.99

SCREW LOCKING 2.4X16 MM

Facility

$1,146.60

Hospital Charge Code	270703510
Hospital Revenue Code	278
Min. Negotiated Rate	$32.56
Max. Negotiated Rate	$573.30
Rate for Payer: Aetna Commercial	$435.71
Rate for Payer: Aetna Medicare Advantage	$343.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$292.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$292.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$229.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$292.38
Rate for Payer: Cigna Commercial	$573.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$277.48
Rate for Payer: Qualcare PPO/HMO/WC	$171.99
Rate for Payer: UnitedHealthcare Community & State	$36.23
Rate for Payer: Wellpoint Medicaid Managed Care	$32.56

SCREW LOCKING 2.4X18 MM

Facility

$1,146.60

Hospital Charge Code	270703511
Hospital Revenue Code	278
Min. Negotiated Rate	$171.99
Max. Negotiated Rate	$277.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$229.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$277.48
Rate for Payer: Qualcare PPO/HMO/WC	$171.99

SCREW LOCKING 2.4X18 MM

Facility

$1,146.60

Hospital Charge Code	270703511
Hospital Revenue Code	278
Min. Negotiated Rate	$32.56
Max. Negotiated Rate	$573.30
Rate for Payer: Aetna Commercial	$435.71
Rate for Payer: Aetna Medicare Advantage	$343.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$292.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$292.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$229.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$292.38
Rate for Payer: Cigna Commercial	$573.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$277.48
Rate for Payer: Qualcare PPO/HMO/WC	$171.99
Rate for Payer: UnitedHealthcare Community & State	$36.23
Rate for Payer: Wellpoint Medicaid Managed Care	$32.56

SCREW LOCKING 2.4 X 20 MM

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270690537
Hospital Revenue Code	278
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$169.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

SCREW LOCKING 2.4 X 20 MM

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270690537
Hospital Revenue Code	278
Min. Negotiated Rate	$19.88
Max. Negotiated Rate	$350.00
Rate for Payer: Aetna Commercial	$266.00
Rate for Payer: Aetna Medicare Advantage	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.50
Rate for Payer: Cigna Commercial	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: Qualcare PPO/HMO/WC	$105.00
Rate for Payer: UnitedHealthcare Community & State	$22.12
Rate for Payer: Wellpoint Medicaid Managed Care	$19.88

SCREW LOCKING 2.4X20 MM

Facility

$1,146.60

Hospital Charge Code	270703512
Hospital Revenue Code	278
Min. Negotiated Rate	$171.99
Max. Negotiated Rate	$277.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$229.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$277.48
Rate for Payer: Qualcare PPO/HMO/WC	$171.99

SCREW LOCKING 2.4X20 MM

Facility

$1,146.60

Hospital Charge Code	270703512
Hospital Revenue Code	278
Min. Negotiated Rate	$32.56
Max. Negotiated Rate	$573.30
Rate for Payer: Aetna Commercial	$435.71
Rate for Payer: Aetna Medicare Advantage	$343.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$292.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$292.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$229.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$292.38
Rate for Payer: Cigna Commercial	$573.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$277.48
Rate for Payer: Qualcare PPO/HMO/WC	$171.99
Rate for Payer: UnitedHealthcare Community & State	$36.23
Rate for Payer: Wellpoint Medicaid Managed Care	$32.56

SCREW LOCKING 2.4X24

Facility

$1,034.00

Hospital Charge Code	270702593
Hospital Revenue Code	278
Min. Negotiated Rate	$29.37
Max. Negotiated Rate	$517.00
Rate for Payer: Aetna Commercial	$392.92
Rate for Payer: Aetna Medicare Advantage	$310.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$263.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$263.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$206.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$263.67
Rate for Payer: Cigna Commercial	$517.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$250.23
Rate for Payer: Qualcare PPO/HMO/WC	$155.10
Rate for Payer: UnitedHealthcare Community & State	$32.67
Rate for Payer: Wellpoint Medicaid Managed Care	$29.37

Know your out-of-pocket cost for care.

All Charges