Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LOCKING 3.5x40MM

Facility

$1,120.00

Hospital Charge Code	270667703
Hospital Revenue Code	278
Min. Negotiated Rate	$168.00
Max. Negotiated Rate	$271.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$271.04
Rate for Payer: Qualcare PPO/HMO/WC	$168.00

SCREW LOCKING 3.5x40MM

Facility

$1,120.00

Hospital Charge Code	270667703
Hospital Revenue Code	278
Min. Negotiated Rate	$31.81
Max. Negotiated Rate	$560.00
Rate for Payer: Aetna Commercial	$425.60
Rate for Payer: Aetna Medicare Advantage	$336.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$285.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$285.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$285.60
Rate for Payer: Cigna Commercial	$560.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$271.04
Rate for Payer: Qualcare PPO/HMO/WC	$168.00
Rate for Payer: UnitedHealthcare Community & State	$35.39
Rate for Payer: Wellpoint Medicaid Managed Care	$31.81

SCREW LOCKING 3.5x42mm

Facility

$630.00

Hospital Charge Code	270670773
Hospital Revenue Code	278
Min. Negotiated Rate	$17.89
Max. Negotiated Rate	$315.00
Rate for Payer: Aetna Commercial	$239.40
Rate for Payer: Aetna Medicare Advantage	$189.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$160.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$160.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$126.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$160.65
Rate for Payer: Cigna Commercial	$315.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$152.46
Rate for Payer: Qualcare PPO/HMO/WC	$94.50
Rate for Payer: UnitedHealthcare Community & State	$19.91
Rate for Payer: Wellpoint Medicaid Managed Care	$17.89

SCREW LOCKING 3.5x42mm

Facility

$630.00

Hospital Charge Code	270670773
Hospital Revenue Code	278
Min. Negotiated Rate	$94.50
Max. Negotiated Rate	$152.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$126.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$152.46
Rate for Payer: Qualcare PPO/HMO/WC	$94.50

SCREW LOCKING 3.5x42MM

Facility

$1,120.00

Hospital Charge Code	270667702
Hospital Revenue Code	278
Min. Negotiated Rate	$168.00
Max. Negotiated Rate	$271.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$271.04
Rate for Payer: Qualcare PPO/HMO/WC	$168.00

SCREW LOCKING 3.5x42MM

Facility

$1,120.00

Hospital Charge Code	270667702
Hospital Revenue Code	278
Min. Negotiated Rate	$31.81
Max. Negotiated Rate	$560.00
Rate for Payer: Aetna Commercial	$425.60
Rate for Payer: Aetna Medicare Advantage	$336.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$285.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$285.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$285.60
Rate for Payer: Cigna Commercial	$560.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$271.04
Rate for Payer: Qualcare PPO/HMO/WC	$168.00
Rate for Payer: UnitedHealthcare Community & State	$35.39
Rate for Payer: Wellpoint Medicaid Managed Care	$31.81

SCREW LOCKING 3.5x44mm

Facility

$630.00

Hospital Charge Code	270671862
Hospital Revenue Code	278
Min. Negotiated Rate	$94.50
Max. Negotiated Rate	$152.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$126.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$152.46
Rate for Payer: Qualcare PPO/HMO/WC	$94.50

SCREW LOCKING 3.5x44mm

Facility

$630.00

Hospital Charge Code	270671862
Hospital Revenue Code	278
Min. Negotiated Rate	$17.89
Max. Negotiated Rate	$315.00
Rate for Payer: Aetna Commercial	$239.40
Rate for Payer: Aetna Medicare Advantage	$189.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$160.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$160.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$126.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$160.65
Rate for Payer: Cigna Commercial	$315.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$152.46
Rate for Payer: Qualcare PPO/HMO/WC	$94.50
Rate for Payer: UnitedHealthcare Community & State	$19.91
Rate for Payer: Wellpoint Medicaid Managed Care	$17.89

SCREW LOCKING 3.5x44MM

Facility

$1,120.00

Hospital Charge Code	270656790
Hospital Revenue Code	278
Min. Negotiated Rate	$31.81
Max. Negotiated Rate	$560.00
Rate for Payer: Aetna Commercial	$425.60
Rate for Payer: Aetna Medicare Advantage	$336.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$285.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$285.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$285.60
Rate for Payer: Cigna Commercial	$560.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$271.04
Rate for Payer: Qualcare PPO/HMO/WC	$168.00
Rate for Payer: UnitedHealthcare Community & State	$35.39
Rate for Payer: Wellpoint Medicaid Managed Care	$31.81

SCREW LOCKING 3.5x44MM

Facility

$1,120.00

Hospital Charge Code	270656790
Hospital Revenue Code	278
Min. Negotiated Rate	$168.00
Max. Negotiated Rate	$271.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$271.04
Rate for Payer: Qualcare PPO/HMO/WC	$168.00

SCREW LOCKING 3.5X4.5X15MM

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270668579
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 3.5X4.5X15MM

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270668579
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 3.5X4.75X20MM

Facility

$900.00

Service Code	HCPCS C1713
Hospital Charge Code	270668578
Hospital Revenue Code	278
Min. Negotiated Rate	$25.56
Max. Negotiated Rate	$450.00
Rate for Payer: Aetna Commercial	$342.00
Rate for Payer: Aetna Medicare Advantage	$270.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$229.50
Rate for Payer: Cigna Commercial	$450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.80
Rate for Payer: Qualcare PPO/HMO/WC	$135.00
Rate for Payer: UnitedHealthcare Community & State	$28.44
Rate for Payer: Wellpoint Medicaid Managed Care	$25.56

SCREW LOCKING 3.5X4.75X20MM

Facility

$900.00

Service Code	HCPCS C1713
Hospital Charge Code	270668578
Hospital Revenue Code	278
Min. Negotiated Rate	$135.00
Max. Negotiated Rate	$217.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$180.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.80
Rate for Payer: Qualcare PPO/HMO/WC	$135.00

SCREW LOCKING 3.5 X 52 MM

Facility

$624.00

Service Code	HCPCS C1713
Hospital Charge Code	270659785
Hospital Revenue Code	278
Min. Negotiated Rate	$93.60
Max. Negotiated Rate	$151.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.01
Rate for Payer: Qualcare PPO/HMO/WC	$93.60

SCREW LOCKING 3.5 X 52 MM

Facility

$624.00

Service Code	HCPCS C1713
Hospital Charge Code	270659785
Hospital Revenue Code	278
Min. Negotiated Rate	$17.72
Max. Negotiated Rate	$312.00
Rate for Payer: Aetna Commercial	$237.12
Rate for Payer: Aetna Medicare Advantage	$187.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.12
Rate for Payer: Cigna Commercial	$312.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.01
Rate for Payer: Qualcare PPO/HMO/WC	$93.60
Rate for Payer: UnitedHealthcare Community & State	$19.72
Rate for Payer: Wellpoint Medicaid Managed Care	$17.72

SCREW LOCKING 3.5x52mm

Facility

$630.00

Hospital Charge Code	270670776
Hospital Revenue Code	278
Min. Negotiated Rate	$17.89
Max. Negotiated Rate	$315.00
Rate for Payer: Aetna Commercial	$239.40
Rate for Payer: Aetna Medicare Advantage	$189.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$160.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$160.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$126.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$160.65
Rate for Payer: Cigna Commercial	$315.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$152.46
Rate for Payer: Qualcare PPO/HMO/WC	$94.50
Rate for Payer: UnitedHealthcare Community & State	$19.91
Rate for Payer: Wellpoint Medicaid Managed Care	$17.89

SCREW LOCKING 3.5x52mm

Facility

$630.00

Hospital Charge Code	270670776
Hospital Revenue Code	278
Min. Negotiated Rate	$94.50
Max. Negotiated Rate	$152.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$126.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$152.46
Rate for Payer: Qualcare PPO/HMO/WC	$94.50

SCREW LOCKING 3.5 X 65

Facility

$937.50

Service Code	HCPCS C1713
Hospital Charge Code	270664334
Hospital Revenue Code	278
Min. Negotiated Rate	$26.62
Max. Negotiated Rate	$468.75
Rate for Payer: Aetna Commercial	$356.25
Rate for Payer: Aetna Medicare Advantage	$281.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$239.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$239.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$239.06
Rate for Payer: Cigna Commercial	$468.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$226.88
Rate for Payer: Qualcare PPO/HMO/WC	$140.62
Rate for Payer: UnitedHealthcare Community & State	$29.62
Rate for Payer: Wellpoint Medicaid Managed Care	$26.62

SCREW LOCKING 3.5 X 65

Facility

$937.50

Service Code	HCPCS C1713
Hospital Charge Code	270664334
Hospital Revenue Code	278
Min. Negotiated Rate	$140.62
Max. Negotiated Rate	$226.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$226.88
Rate for Payer: Qualcare PPO/HMO/WC	$140.62

SCREW LOCKING 3.5 X 8MM

Facility

$731.00

Hospital Charge Code	270667389
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 3.5 X 8MM

Facility

$731.00

Hospital Charge Code	270667389
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 3MMX12MM

Facility

$1,425.00

Service Code	HCPCS C1713
Hospital Charge Code	270669554
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 3MMX12MM

Facility

$1,425.00

Service Code	HCPCS C1713
Hospital Charge Code	270669554
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 4.0MM 26MM

Facility

$594.00

Hospital Charge Code	270660399
Hospital Revenue Code	278
Min. Negotiated Rate	$16.87
Max. Negotiated Rate	$297.00
Rate for Payer: Aetna Commercial	$225.72
Rate for Payer: Aetna Medicare Advantage	$178.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$118.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.47
Rate for Payer: Cigna Commercial	$297.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.75
Rate for Payer: Qualcare PPO/HMO/WC	$89.10
Rate for Payer: UnitedHealthcare Community & State	$18.77
Rate for Payer: Wellpoint Medicaid Managed Care	$16.87

Know your out-of-pocket cost for care.

All Charges