Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LOCKING 2.4X24

Facility

$1,034.00

Hospital Charge Code	270702593
Hospital Revenue Code	278
Min. Negotiated Rate	$155.10
Max. Negotiated Rate	$250.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$206.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$250.23
Rate for Payer: Qualcare PPO/HMO/WC	$155.10

SCREW LOCKING 2.4X28

Facility

$1,035.00

Hospital Charge Code	270702595
Hospital Revenue Code	278
Min. Negotiated Rate	$155.25
Max. Negotiated Rate	$250.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$207.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$250.47
Rate for Payer: Qualcare PPO/HMO/WC	$155.25

SCREW LOCKING 2.4X28

Facility

$1,035.00

Hospital Charge Code	270702595
Hospital Revenue Code	278
Min. Negotiated Rate	$29.39
Max. Negotiated Rate	$517.50
Rate for Payer: Aetna Commercial	$393.30
Rate for Payer: Aetna Medicare Advantage	$310.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$263.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$263.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$207.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$263.93
Rate for Payer: Cigna Commercial	$517.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$250.47
Rate for Payer: Qualcare PPO/HMO/WC	$155.25
Rate for Payer: UnitedHealthcare Community & State	$32.71
Rate for Payer: Wellpoint Medicaid Managed Care	$29.39

SCREW LOCKING 2.4 X 28 MM

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270690224
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 28 MM

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270690224
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 2.4X 8

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270690255
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 2.4X 8

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270690255
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 25MM

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270671256
Hospital Revenue Code	278
Min. Negotiated Rate	$8.52
Max. Negotiated Rate	$150.00
Rate for Payer: Aetna Commercial	$114.00
Rate for Payer: Aetna Medicare Advantage	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$45.00
Rate for Payer: UnitedHealthcare Community & State	$9.48
Rate for Payer: Wellpoint Medicaid Managed Care	$8.52

SCREW LOCKING 25MM

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270671256
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$72.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

SCREW, LOCKING 2.7MM

Facility

$2,500.00

Hospital Charge Code	270701990
Hospital Revenue Code	278
Min. Negotiated Rate	$375.00
Max. Negotiated Rate	$605.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$605.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00

SCREW, LOCKING 2.7MM

Facility

$2,500.00

Hospital Charge Code	270701990
Hospital Revenue Code	278
Min. Negotiated Rate	$71.00
Max. Negotiated Rate	$1,250.00
Rate for Payer: Aetna Commercial	$950.00
Rate for Payer: Aetna Medicare Advantage	$750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$637.50
Rate for Payer: Cigna Commercial	$1,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$605.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00
Rate for Payer: UnitedHealthcare Community & State	$79.00
Rate for Payer: Wellpoint Medicaid Managed Care	$71.00

SCREW LOCKING 2.7MM,10MM

Facility

$560.00

Hospital Charge Code	270661360
Hospital Revenue Code	278
Min. Negotiated Rate	$84.00
Max. Negotiated Rate	$135.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$112.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.52
Rate for Payer: Qualcare PPO/HMO/WC	$84.00

SCREW LOCKING 2.7MM,10MM

Facility

$560.00

Hospital Charge Code	270661360
Hospital Revenue Code	278
Min. Negotiated Rate	$15.90
Max. Negotiated Rate	$280.00
Rate for Payer: Aetna Commercial	$212.80
Rate for Payer: Aetna Medicare Advantage	$168.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$142.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$142.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$112.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$142.80
Rate for Payer: Cigna Commercial	$280.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.52
Rate for Payer: Qualcare PPO/HMO/WC	$84.00
Rate for Payer: UnitedHealthcare Community & State	$17.70
Rate for Payer: Wellpoint Medicaid Managed Care	$15.90

SCREW LOCKING 2.7MM,12MM

Facility

$560.00

Hospital Charge Code	270661361
Hospital Revenue Code	278
Min. Negotiated Rate	$15.90
Max. Negotiated Rate	$280.00
Rate for Payer: Aetna Commercial	$212.80
Rate for Payer: Aetna Medicare Advantage	$168.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$142.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$142.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$112.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$142.80
Rate for Payer: Cigna Commercial	$280.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.52
Rate for Payer: Qualcare PPO/HMO/WC	$84.00
Rate for Payer: UnitedHealthcare Community & State	$17.70
Rate for Payer: Wellpoint Medicaid Managed Care	$15.90

SCREW LOCKING 2.7MM,12MM

Facility

$560.00

Hospital Charge Code	270661361
Hospital Revenue Code	278
Min. Negotiated Rate	$84.00
Max. Negotiated Rate	$135.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$112.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.52
Rate for Payer: Qualcare PPO/HMO/WC	$84.00

SCREW LOCKING 2.7MM,14MM

Facility

$558.33

Service Code	HCPCS C1713
Hospital Charge Code	270661362
Hospital Revenue Code	278
Min. Negotiated Rate	$83.75
Max. Negotiated Rate	$135.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$111.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.12
Rate for Payer: Qualcare PPO/HMO/WC	$83.75

SCREW LOCKING 2.7MM,14MM

Facility

$558.33

Service Code	HCPCS C1713
Hospital Charge Code	270661362
Hospital Revenue Code	278
Min. Negotiated Rate	$15.86
Max. Negotiated Rate	$279.17
Rate for Payer: Aetna Commercial	$212.17
Rate for Payer: Aetna Medicare Advantage	$167.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$142.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$142.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$111.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$142.37
Rate for Payer: Cigna Commercial	$279.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.12
Rate for Payer: Qualcare PPO/HMO/WC	$83.75
Rate for Payer: UnitedHealthcare Community & State	$17.64
Rate for Payer: Wellpoint Medicaid Managed Care	$15.86

SCREW LOCKING 2.7x10mm

Facility

$518.75

Service Code	HCPCS C1713
Hospital Charge Code	270643842
Hospital Revenue Code	278
Min. Negotiated Rate	$14.73
Max. Negotiated Rate	$259.38
Rate for Payer: Aetna Commercial	$197.12
Rate for Payer: Aetna Medicare Advantage	$155.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.28
Rate for Payer: Cigna Commercial	$259.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.54
Rate for Payer: Qualcare PPO/HMO/WC	$77.81
Rate for Payer: UnitedHealthcare Community & State	$16.39
Rate for Payer: Wellpoint Medicaid Managed Care	$14.73

SCREW LOCKING 2.7x10mm

Facility

$518.75

Service Code	HCPCS C1713
Hospital Charge Code	270643842
Hospital Revenue Code	278
Min. Negotiated Rate	$77.81
Max. Negotiated Rate	$125.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.54
Rate for Payer: Qualcare PPO/HMO/WC	$77.81

SCREW LOCKING 2.7X10MM

Facility

$1,500.00

Hospital Charge Code	270669676
Hospital Revenue Code	278
Min. Negotiated Rate	$42.60
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$570.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00
Rate for Payer: UnitedHealthcare Community & State	$47.40
Rate for Payer: Wellpoint Medicaid Managed Care	$42.60

SCREW LOCKING 2.7X10MM

Facility

$1,500.00

Hospital Charge Code	270669676
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$363.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

SCREW LOCKING 2.7 X 11 MM

Facility

$905.00

Hospital Charge Code	270701208
Hospital Revenue Code	278
Min. Negotiated Rate	$25.70
Max. Negotiated Rate	$452.50
Rate for Payer: Aetna Commercial	$343.90
Rate for Payer: Aetna Medicare Advantage	$271.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$230.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$230.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$230.78
Rate for Payer: Cigna Commercial	$452.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.01
Rate for Payer: Qualcare PPO/HMO/WC	$135.75
Rate for Payer: UnitedHealthcare Community & State	$28.60
Rate for Payer: Wellpoint Medicaid Managed Care	$25.70

SCREW LOCKING 2.7 X 11 MM

Facility

$905.00

Hospital Charge Code	270701208
Hospital Revenue Code	278
Min. Negotiated Rate	$135.75
Max. Negotiated Rate	$219.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.01
Rate for Payer: Qualcare PPO/HMO/WC	$135.75

SCREW LOCKING 2.7x12mm

Facility

$518.75

Service Code	HCPCS C1713
Hospital Charge Code	270643262
Hospital Revenue Code	278
Min. Negotiated Rate	$14.73
Max. Negotiated Rate	$259.38
Rate for Payer: Aetna Commercial	$197.12
Rate for Payer: Aetna Medicare Advantage	$155.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.28
Rate for Payer: Cigna Commercial	$259.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.54
Rate for Payer: Qualcare PPO/HMO/WC	$77.81
Rate for Payer: UnitedHealthcare Community & State	$16.39
Rate for Payer: Wellpoint Medicaid Managed Care	$14.73

SCREW LOCKING 2.7x12mm

Facility

$335.00

Service Code	HCPCS C1713
Hospital Charge Code	270672340
Hospital Revenue Code	278
Min. Negotiated Rate	$50.25
Max. Negotiated Rate	$81.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$67.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.07
Rate for Payer: Qualcare PPO/HMO/WC	$50.25

Know your out-of-pocket cost for care.

All Charges