Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LOCKING 2.7x12mm

Facility

$518.75

Service Code	HCPCS C1713
Hospital Charge Code	270643262
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 2.7x12mm

Facility

$335.00

Service Code	HCPCS C1713
Hospital Charge Code	270672340
Hospital Revenue Code	278
Min. Negotiated Rate	$9.51
Max. Negotiated Rate	$167.50
Rate for Payer: Aetna Commercial	$127.30
Rate for Payer: Aetna Medicare Advantage	$100.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$85.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$85.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$67.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$85.42
Rate for Payer: Cigna Commercial	$167.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.07
Rate for Payer: Qualcare PPO/HMO/WC	$50.25
Rate for Payer: UnitedHealthcare Community & State	$10.59
Rate for Payer: Wellpoint Medicaid Managed Care	$9.51

SCREW LOCKING 2.7x12MM

Facility

$670.00

Service Code	HCPCS C1713
Hospital Charge Code	270673618
Hospital Revenue Code	278
Min. Negotiated Rate	$19.03
Max. Negotiated Rate	$335.00
Rate for Payer: Aetna Commercial	$254.60
Rate for Payer: Aetna Medicare Advantage	$201.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$170.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$170.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$134.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$170.85
Rate for Payer: Cigna Commercial	$335.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.50
Rate for Payer: UnitedHealthcare Community & State	$21.17
Rate for Payer: Wellpoint Medicaid Managed Care	$19.03

SCREW LOCKING 2.7x12MM

Facility

$670.00

Service Code	HCPCS C1713
Hospital Charge Code	270673618
Hospital Revenue Code	278
Min. Negotiated Rate	$100.50
Max. Negotiated Rate	$162.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$134.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.50

SCREW LOCKING 2.7X12MM

Facility

$1,500.00

Hospital Charge Code	270669674
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 2.7X12MM

Facility

$1,500.00

Hospital Charge Code	270669674
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 2.7x13mm

Facility

$335.00

Service Code	HCPCS C1713
Hospital Charge Code	270672341
Hospital Revenue Code	278
Min. Negotiated Rate	$9.51
Max. Negotiated Rate	$167.50
Rate for Payer: Aetna Commercial	$127.30
Rate for Payer: Aetna Medicare Advantage	$100.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$85.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$85.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$67.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$85.42
Rate for Payer: Cigna Commercial	$167.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.07
Rate for Payer: Qualcare PPO/HMO/WC	$50.25
Rate for Payer: UnitedHealthcare Community & State	$10.59
Rate for Payer: Wellpoint Medicaid Managed Care	$9.51

SCREW LOCKING 2.7x13mm

Facility

$335.00

Service Code	HCPCS C1713
Hospital Charge Code	270672341
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

SCREW LOCKING 2.7X 13 MM

Facility

$907.50

Service Code	HCPCS C1713
Hospital Charge Code	270701524
Hospital Revenue Code	278
Min. Negotiated Rate	$25.77
Max. Negotiated Rate	$453.75
Rate for Payer: Aetna Commercial	$344.85
Rate for Payer: Aetna Medicare Advantage	$272.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$231.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$231.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$231.41
Rate for Payer: Cigna Commercial	$453.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.62
Rate for Payer: Qualcare PPO/HMO/WC	$136.12
Rate for Payer: UnitedHealthcare Community & State	$28.68
Rate for Payer: Wellpoint Medicaid Managed Care	$25.77

SCREW LOCKING 2.7X 13 MM

Facility

$907.50

Service Code	HCPCS C1713
Hospital Charge Code	270701524
Hospital Revenue Code	278
Min. Negotiated Rate	$136.12
Max. Negotiated Rate	$219.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.62
Rate for Payer: Qualcare PPO/HMO/WC	$136.12

SCREW LOCKING 2.7 X 14 MM

Facility

$907.50

Service Code	HCPCS C1713
Hospital Charge Code	270701973
Hospital Revenue Code	278
Min. Negotiated Rate	$25.77
Max. Negotiated Rate	$453.75
Rate for Payer: Aetna Commercial	$344.85
Rate for Payer: Aetna Medicare Advantage	$272.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$231.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$231.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$231.41
Rate for Payer: Cigna Commercial	$453.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.62
Rate for Payer: Qualcare PPO/HMO/WC	$136.12
Rate for Payer: UnitedHealthcare Community & State	$28.68
Rate for Payer: Wellpoint Medicaid Managed Care	$25.77

SCREW LOCKING 2.7 X 14 MM

Facility

$907.50

Service Code	HCPCS C1713
Hospital Charge Code	270701973
Hospital Revenue Code	278
Min. Negotiated Rate	$136.12
Max. Negotiated Rate	$219.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.62
Rate for Payer: Qualcare PPO/HMO/WC	$136.12

SCREW LOCKING 2.7 X 14MM

Facility

$840.95

Service Code	HCPCS C1713
Hospital Charge Code	270661116
Hospital Revenue Code	278
Min. Negotiated Rate	$126.14
Max. Negotiated Rate	$203.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$168.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$203.51
Rate for Payer: Qualcare PPO/HMO/WC	$126.14

SCREW LOCKING 2.7 X 14MM

Facility

$840.95

Service Code	HCPCS C1713
Hospital Charge Code	270661116
Hospital Revenue Code	278
Min. Negotiated Rate	$23.88
Max. Negotiated Rate	$420.48
Rate for Payer: Aetna Commercial	$319.56
Rate for Payer: Aetna Medicare Advantage	$252.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$214.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$214.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$168.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$214.44
Rate for Payer: Cigna Commercial	$420.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$203.51
Rate for Payer: Qualcare PPO/HMO/WC	$126.14
Rate for Payer: UnitedHealthcare Community & State	$26.57
Rate for Payer: Wellpoint Medicaid Managed Care	$23.88

SCREW LOCKING 2.7x14mm

Facility

$335.00

Service Code	HCPCS C1713
Hospital Charge Code	270672345
Hospital Revenue Code	278
Min. Negotiated Rate	$9.51
Max. Negotiated Rate	$167.50
Rate for Payer: Aetna Commercial	$127.30
Rate for Payer: Aetna Medicare Advantage	$100.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$85.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$85.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$67.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$85.42
Rate for Payer: Cigna Commercial	$167.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.07
Rate for Payer: Qualcare PPO/HMO/WC	$50.25
Rate for Payer: UnitedHealthcare Community & State	$10.59
Rate for Payer: Wellpoint Medicaid Managed Care	$9.51

SCREW LOCKING 2.7x14mm

Facility

$518.75

Service Code	HCPCS C1713
Hospital Charge Code	270642554
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 2.7x14mm

Facility

$518.75

Service Code	HCPCS C1713
Hospital Charge Code	270642554
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 2.7x14mm

Facility

$335.00

Service Code	HCPCS C1713
Hospital Charge Code	270672345
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

SCREW LOCKING 2.7x14MM

Facility

$1,285.00

Service Code	HCPCS C1713
Hospital Charge Code	270676417
Hospital Revenue Code	278
Min. Negotiated Rate	$36.49
Max. Negotiated Rate	$642.50
Rate for Payer: Aetna Commercial	$488.30
Rate for Payer: Aetna Medicare Advantage	$385.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$327.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$327.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$257.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$327.68
Rate for Payer: Cigna Commercial	$642.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$310.97
Rate for Payer: Qualcare PPO/HMO/WC	$192.75
Rate for Payer: UnitedHealthcare Community & State	$40.61
Rate for Payer: Wellpoint Medicaid Managed Care	$36.49

SCREW LOCKING 2.7x14MM

Facility

$1,285.00

Service Code	HCPCS C1713
Hospital Charge Code	270676417
Hospital Revenue Code	278
Min. Negotiated Rate	$192.75
Max. Negotiated Rate	$310.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$257.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$310.97
Rate for Payer: Qualcare PPO/HMO/WC	$192.75

SCREW LOCKING 2.7x16mm

Facility

$335.00

Service Code	HCPCS C1713
Hospital Charge Code	270672342
Hospital Revenue Code	278
Min. Negotiated Rate	$9.51
Max. Negotiated Rate	$167.50
Rate for Payer: Aetna Commercial	$127.30
Rate for Payer: Aetna Medicare Advantage	$100.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$85.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$85.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$67.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$85.42
Rate for Payer: Cigna Commercial	$167.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.07
Rate for Payer: Qualcare PPO/HMO/WC	$50.25
Rate for Payer: UnitedHealthcare Community & State	$10.59
Rate for Payer: Wellpoint Medicaid Managed Care	$9.51

SCREW LOCKING 2.7x16mm

Facility

$335.00

Service Code	HCPCS C1713
Hospital Charge Code	270672342
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

SCREW LOCKING 2.7x16mm

Facility

$518.75

Service Code	HCPCS C1713
Hospital Charge Code	270642553
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 2.7x16mm

Facility

$518.75

Service Code	HCPCS C1713
Hospital Charge Code	270642553
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 2.7x16MM

Facility

$1,285.00

Service Code	HCPCS C1713
Hospital Charge Code	270676416
Hospital Revenue Code	278
Min. Negotiated Rate	$192.75
Max. Negotiated Rate	$310.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$257.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$310.97
Rate for Payer: Qualcare PPO/HMO/WC	$192.75

Know your out-of-pocket cost for care.

All Charges