Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LOCKING 3.0X18MM

Facility

$1,340.00

Service Code	HCPCS C1713
Hospital Charge Code	270661032
Hospital Revenue Code	278
Min. Negotiated Rate	$201.00
Max. Negotiated Rate	$324.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$268.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.28
Rate for Payer: Qualcare PPO/HMO/WC	$201.00

SCREW LOCKING 3.0X20MM

Facility

$1,425.00

Service Code	HCPCS C1713
Hospital Charge Code	270661010
Hospital Revenue Code	278
Min. Negotiated Rate	$40.47
Max. Negotiated Rate	$712.50
Rate for Payer: Aetna Commercial	$541.50
Rate for Payer: Aetna Medicare Advantage	$427.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$363.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$363.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$363.38
Rate for Payer: Cigna Commercial	$712.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$344.85
Rate for Payer: Qualcare PPO/HMO/WC	$213.75
Rate for Payer: UnitedHealthcare Community & State	$45.03
Rate for Payer: Wellpoint Medicaid Managed Care	$40.47

SCREW LOCKING 3.0X20MM

Facility

$1,425.00

Service Code	HCPCS C1713
Hospital Charge Code	270661010
Hospital Revenue Code	278
Min. Negotiated Rate	$213.75
Max. Negotiated Rate	$344.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$285.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$344.85
Rate for Payer: Qualcare PPO/HMO/WC	$213.75

SCREW LOCKING 3.0X20MM MINIBUN

Facility

$1,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270693518
Hospital Revenue Code	278
Min. Negotiated Rate	$243.75
Max. Negotiated Rate	$393.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$393.25
Rate for Payer: Qualcare PPO/HMO/WC	$243.75

SCREW LOCKING 3.0X20MM MINIBUN

Facility

$1,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270693518
Hospital Revenue Code	278
Min. Negotiated Rate	$46.15
Max. Negotiated Rate	$812.50
Rate for Payer: Aetna Commercial	$617.50
Rate for Payer: Aetna Medicare Advantage	$487.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$325.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$414.38
Rate for Payer: Cigna Commercial	$812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$393.25
Rate for Payer: Qualcare PPO/HMO/WC	$243.75
Rate for Payer: UnitedHealthcare Community & State	$51.35
Rate for Payer: Wellpoint Medicaid Managed Care	$46.15

SCREW LOCKING 3.0X22MM

Facility

$550.00

Service Code	HCPCS C1713
Hospital Charge Code	270669332
Hospital Revenue Code	278
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$133.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

SCREW LOCKING 3.0X22MM

Facility

$550.00

Service Code	HCPCS C1713
Hospital Charge Code	270669332
Hospital Revenue Code	278
Min. Negotiated Rate	$15.62
Max. Negotiated Rate	$275.00
Rate for Payer: Aetna Commercial	$209.00
Rate for Payer: Aetna Medicare Advantage	$165.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: Qualcare PPO/HMO/WC	$82.50
Rate for Payer: UnitedHealthcare Community & State	$17.38
Rate for Payer: Wellpoint Medicaid Managed Care	$15.62

SCREW LOCKING 3.5 MM L 18M

Facility

$2,015.00

Service Code	HCPCS C1713
Hospital Charge Code	270701153
Hospital Revenue Code	278
Min. Negotiated Rate	$57.23
Max. Negotiated Rate	$1,007.50
Rate for Payer: Aetna Commercial	$765.70
Rate for Payer: Aetna Medicare Advantage	$604.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$513.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$513.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$403.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$513.83
Rate for Payer: Cigna Commercial	$1,007.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$487.63
Rate for Payer: Qualcare PPO/HMO/WC	$302.25
Rate for Payer: UnitedHealthcare Community & State	$63.67
Rate for Payer: Wellpoint Medicaid Managed Care	$57.23

SCREW LOCKING 3.5 MM L 18M

Facility

$2,015.00

Service Code	HCPCS C1713
Hospital Charge Code	270701153
Hospital Revenue Code	278
Min. Negotiated Rate	$302.25
Max. Negotiated Rate	$487.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$403.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$487.63
Rate for Payer: Qualcare PPO/HMO/WC	$302.25

SCREW LOCKING 3.5MM W/2.7MM

Facility

$522.50

Hospital Charge Code	270661356
Hospital Revenue Code	278
Min. Negotiated Rate	$14.84
Max. Negotiated Rate	$261.25
Rate for Payer: Aetna Commercial	$198.55
Rate for Payer: Aetna Medicare Advantage	$156.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.24
Rate for Payer: Cigna Commercial	$261.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.44
Rate for Payer: Qualcare PPO/HMO/WC	$78.38
Rate for Payer: UnitedHealthcare Community & State	$16.51
Rate for Payer: Wellpoint Medicaid Managed Care	$14.84

SCREW LOCKING 3.5MM W/2.7MM

Facility

$522.50

Hospital Charge Code	270661356
Hospital Revenue Code	278
Min. Negotiated Rate	$78.38
Max. Negotiated Rate	$126.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.44
Rate for Payer: Qualcare PPO/HMO/WC	$78.38

SCREW LOCKING 3.5 X 10mm

Facility

$1,385.00

Hospital Charge Code	270669413
Hospital Revenue Code	278
Min. Negotiated Rate	$207.75
Max. Negotiated Rate	$335.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$277.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$335.17
Rate for Payer: Qualcare PPO/HMO/WC	$207.75

SCREW LOCKING 3.5 X 10mm

Facility

$1,385.00

Hospital Charge Code	270669413
Hospital Revenue Code	278
Min. Negotiated Rate	$39.33
Max. Negotiated Rate	$692.50
Rate for Payer: Aetna Commercial	$526.30
Rate for Payer: Aetna Medicare Advantage	$415.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$353.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$353.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$277.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$353.18
Rate for Payer: Cigna Commercial	$692.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$335.17
Rate for Payer: Qualcare PPO/HMO/WC	$207.75
Rate for Payer: UnitedHealthcare Community & State	$43.77
Rate for Payer: Wellpoint Medicaid Managed Care	$39.33

SCREW LOCKING 3.5 X 10 MM

Facility

$1,969.30

Service Code	HCPCS C1713
Hospital Charge Code	270690118
Hospital Revenue Code	278
Min. Negotiated Rate	$55.93
Max. Negotiated Rate	$984.65
Rate for Payer: Aetna Commercial	$748.33
Rate for Payer: Aetna Medicare Advantage	$590.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$502.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$502.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$393.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$502.17
Rate for Payer: Cigna Commercial	$984.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$476.57
Rate for Payer: Qualcare PPO/HMO/WC	$295.39
Rate for Payer: UnitedHealthcare Community & State	$62.23
Rate for Payer: Wellpoint Medicaid Managed Care	$55.93

SCREW LOCKING 3.5 X 10 MM

Facility

$1,969.30

Service Code	HCPCS C1713
Hospital Charge Code	270690118
Hospital Revenue Code	278
Min. Negotiated Rate	$295.39
Max. Negotiated Rate	$476.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$393.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$476.57
Rate for Payer: Qualcare PPO/HMO/WC	$295.39

SCREW LOCKING 3.5 X 10MM

Facility

$799.50

Service Code	HCPCS C1713
Hospital Charge Code	270664090
Hospital Revenue Code	278
Min. Negotiated Rate	$119.92
Max. Negotiated Rate	$193.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$159.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.48
Rate for Payer: Qualcare PPO/HMO/WC	$119.92

SCREW LOCKING 3.5 X 10MM

Facility

$799.50

Service Code	HCPCS C1713
Hospital Charge Code	270664090
Hospital Revenue Code	278
Min. Negotiated Rate	$22.71
Max. Negotiated Rate	$399.75
Rate for Payer: Aetna Commercial	$303.81
Rate for Payer: Aetna Medicare Advantage	$239.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$203.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$203.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$159.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$203.87
Rate for Payer: Cigna Commercial	$399.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.48
Rate for Payer: Qualcare PPO/HMO/WC	$119.92
Rate for Payer: UnitedHealthcare Community & State	$25.26
Rate for Payer: Wellpoint Medicaid Managed Care	$22.71

SCREW LOCKING 3.5x10mm

Facility

$610.00

Service Code	HCPCS C1713
Hospital Charge Code	270671598
Hospital Revenue Code	278
Min. Negotiated Rate	$91.50
Max. Negotiated Rate	$147.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$122.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$147.62
Rate for Payer: Qualcare PPO/HMO/WC	$91.50

SCREW LOCKING 3.5x10mm

Facility

$610.00

Service Code	HCPCS C1713
Hospital Charge Code	270671598
Hospital Revenue Code	278
Min. Negotiated Rate	$17.32
Max. Negotiated Rate	$305.00
Rate for Payer: Aetna Commercial	$231.80
Rate for Payer: Aetna Medicare Advantage	$183.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$155.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$155.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$122.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$155.55
Rate for Payer: Cigna Commercial	$305.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$147.62
Rate for Payer: Qualcare PPO/HMO/WC	$91.50
Rate for Payer: UnitedHealthcare Community & State	$19.28
Rate for Payer: Wellpoint Medicaid Managed Care	$17.32

SCREW LOCKING 3.5 X 12mm

Facility

$1,385.00

Hospital Charge Code	270669414
Hospital Revenue Code	278
Min. Negotiated Rate	$39.33
Max. Negotiated Rate	$692.50
Rate for Payer: Aetna Commercial	$526.30
Rate for Payer: Aetna Medicare Advantage	$415.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$353.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$353.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$277.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$353.18
Rate for Payer: Cigna Commercial	$692.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$335.17
Rate for Payer: Qualcare PPO/HMO/WC	$207.75
Rate for Payer: UnitedHealthcare Community & State	$43.77
Rate for Payer: Wellpoint Medicaid Managed Care	$39.33

SCREW LOCKING 3.5 X 12mm

Facility

$1,385.00

Hospital Charge Code	270669414
Hospital Revenue Code	278
Min. Negotiated Rate	$207.75
Max. Negotiated Rate	$335.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$277.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$335.17
Rate for Payer: Qualcare PPO/HMO/WC	$207.75

SCREW LOCKING 3.5 X 12MM

Facility

$731.00

Service Code	HCPCS C1713
Hospital Charge Code	270667388
Hospital Revenue Code	278
Min. Negotiated Rate	$20.76
Max. Negotiated Rate	$365.50
Rate for Payer: Aetna Commercial	$277.78
Rate for Payer: Aetna Medicare Advantage	$219.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$186.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$186.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$146.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$186.41
Rate for Payer: Cigna Commercial	$365.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$176.90
Rate for Payer: Qualcare PPO/HMO/WC	$109.65
Rate for Payer: UnitedHealthcare Community & State	$23.10
Rate for Payer: Wellpoint Medicaid Managed Care	$20.76

SCREW LOCKING 3.5 X 12MM

Facility

$731.00

Service Code	HCPCS C1713
Hospital Charge Code	270667388
Hospital Revenue Code	278
Min. Negotiated Rate	$109.65
Max. Negotiated Rate	$176.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$146.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$176.90
Rate for Payer: Qualcare PPO/HMO/WC	$109.65

SCREW LOCKING 3.5x12MM

Facility

$799.50

Service Code	HCPCS C1713
Hospital Charge Code	270660368
Hospital Revenue Code	278
Min. Negotiated Rate	$119.92
Max. Negotiated Rate	$193.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$159.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.48
Rate for Payer: Qualcare PPO/HMO/WC	$119.92

SCREW LOCKING 3.5x12MM

Facility

$799.50

Service Code	HCPCS C1713
Hospital Charge Code	270660368
Hospital Revenue Code	278
Min. Negotiated Rate	$22.71
Max. Negotiated Rate	$399.75
Rate for Payer: Aetna Commercial	$303.81
Rate for Payer: Aetna Medicare Advantage	$239.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$203.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$203.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$159.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$203.87
Rate for Payer: Cigna Commercial	$399.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.48
Rate for Payer: Qualcare PPO/HMO/WC	$119.92
Rate for Payer: UnitedHealthcare Community & State	$25.26
Rate for Payer: Wellpoint Medicaid Managed Care	$22.71

Know your out-of-pocket cost for care.

All Charges