Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LOCKING 4.0MM 26MM

Facility

$594.00

Hospital Charge Code	270660399
Hospital Revenue Code	278
Min. Negotiated Rate	$89.10
Max. Negotiated Rate	$143.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$118.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.75
Rate for Payer: Qualcare PPO/HMO/WC	$89.10

SCREW LOCKING 4.0MM X 36MM

Facility

$594.00

Hospital Charge Code	270666920
Hospital Revenue Code	278
Min. Negotiated Rate	$89.10
Max. Negotiated Rate	$143.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$118.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.75
Rate for Payer: Qualcare PPO/HMO/WC	$89.10

SCREW LOCKING 4.0MM X 36MM

Facility

$594.00

Hospital Charge Code	270666920
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

SCREW LOCKING 4.0MM X 38MM

Facility

$594.00

Hospital Charge Code	270666921
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

SCREW LOCKING 4.0MM X 38MM

Facility

$594.00

Hospital Charge Code	270666921
Hospital Revenue Code	278
Min. Negotiated Rate	$89.10
Max. Negotiated Rate	$143.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$118.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.75
Rate for Payer: Qualcare PPO/HMO/WC	$89.10

SCREW LOCKING 4.0MM X 42MM

Facility

$594.00

Hospital Charge Code	270666922
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

SCREW LOCKING 4.0MM X 42MM

Facility

$594.00

Hospital Charge Code	270666922
Hospital Revenue Code	278
Min. Negotiated Rate	$89.10
Max. Negotiated Rate	$143.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$118.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.75
Rate for Payer: Qualcare PPO/HMO/WC	$89.10

SCREW LOCKING 4.0X14MM

Facility

$594.00

Hospital Charge Code	270669251
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

SCREW LOCKING 4.0X14MM

Facility

$594.00

Hospital Charge Code	270669251
Hospital Revenue Code	278
Min. Negotiated Rate	$89.10
Max. Negotiated Rate	$143.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$118.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.75
Rate for Payer: Qualcare PPO/HMO/WC	$89.10

SCREW LOCKING 4.0x24mm

Facility

$1,060.00

Service Code	HCPCS C1713
Hospital Charge Code	270664514
Hospital Revenue Code	278
Min. Negotiated Rate	$159.00
Max. Negotiated Rate	$256.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$212.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$256.52
Rate for Payer: Qualcare PPO/HMO/WC	$159.00

SCREW LOCKING 4.0x24mm

Facility

$1,060.00

Service Code	HCPCS C1713
Hospital Charge Code	270664514
Hospital Revenue Code	278
Min. Negotiated Rate	$30.10
Max. Negotiated Rate	$530.00
Rate for Payer: Aetna Commercial	$402.80
Rate for Payer: Aetna Medicare Advantage	$318.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$270.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$270.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$212.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$270.30
Rate for Payer: Cigna Commercial	$530.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$256.52
Rate for Payer: Qualcare PPO/HMO/WC	$159.00
Rate for Payer: UnitedHealthcare Community & State	$33.50
Rate for Payer: Wellpoint Medicaid Managed Care	$30.10

SCREW LOCKING 4.0x24mm

Facility

$594.00

Hospital Charge Code	270657128
Hospital Revenue Code	278
Min. Negotiated Rate	$89.10
Max. Negotiated Rate	$143.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$118.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.75
Rate for Payer: Qualcare PPO/HMO/WC	$89.10

SCREW LOCKING 4.0x24mm

Facility

$594.00

Hospital Charge Code	270657128
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

SCREW LOCKING 4.0 X 28 MM

Facility

$594.00

Hospital Charge Code	270665749
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

SCREW LOCKING 4.0 X 28 MM

Facility

$594.00

Hospital Charge Code	270665749
Hospital Revenue Code	278
Min. Negotiated Rate	$89.10
Max. Negotiated Rate	$143.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$118.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.75
Rate for Payer: Qualcare PPO/HMO/WC	$89.10

SCREW LOCKING 4.0x30mm

Facility

$611.80

Service Code	HCPCS C1713
Hospital Charge Code	270628202
Hospital Revenue Code	278
Min. Negotiated Rate	$17.38
Max. Negotiated Rate	$305.90
Rate for Payer: Aetna Commercial	$232.48
Rate for Payer: Aetna Medicare Advantage	$183.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$156.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$156.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$122.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$156.01
Rate for Payer: Cigna Commercial	$305.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.06
Rate for Payer: Qualcare PPO/HMO/WC	$91.77
Rate for Payer: UnitedHealthcare Community & State	$19.33
Rate for Payer: Wellpoint Medicaid Managed Care	$17.38

SCREW LOCKING 4.0x30mm

Facility

$611.80

Service Code	HCPCS C1713
Hospital Charge Code	270628202
Hospital Revenue Code	278
Min. Negotiated Rate	$91.77
Max. Negotiated Rate	$148.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$122.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.06
Rate for Payer: Qualcare PPO/HMO/WC	$91.77

SCREW LOCKING 4.0x34mm

Facility

$611.80

Service Code	HCPCS C1713
Hospital Charge Code	270633663
Hospital Revenue Code	278
Min. Negotiated Rate	$91.77
Max. Negotiated Rate	$148.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$122.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.06
Rate for Payer: Qualcare PPO/HMO/WC	$91.77

SCREW LOCKING 4.0x34mm

Facility

$611.80

Service Code	HCPCS C1713
Hospital Charge Code	270633663
Hospital Revenue Code	278
Min. Negotiated Rate	$17.38
Max. Negotiated Rate	$305.90
Rate for Payer: Aetna Commercial	$232.48
Rate for Payer: Aetna Medicare Advantage	$183.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$156.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$156.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$122.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$156.01
Rate for Payer: Cigna Commercial	$305.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.06
Rate for Payer: Qualcare PPO/HMO/WC	$91.77
Rate for Payer: UnitedHealthcare Community & State	$19.33
Rate for Payer: Wellpoint Medicaid Managed Care	$17.38

SCREW LOCKING 4.0x38mm

Facility

$980.25

Service Code	HCPCS C1713
Hospital Charge Code	270659943
Hospital Revenue Code	278
Min. Negotiated Rate	$27.84
Max. Negotiated Rate	$490.12
Rate for Payer: Aetna Commercial	$372.50
Rate for Payer: Aetna Medicare Advantage	$294.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$249.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$249.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$249.96
Rate for Payer: Cigna Commercial	$490.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.22
Rate for Payer: Qualcare PPO/HMO/WC	$147.04
Rate for Payer: UnitedHealthcare Community & State	$30.98
Rate for Payer: Wellpoint Medicaid Managed Care	$27.84

SCREW LOCKING 4.0x38mm

Facility

$980.25

Service Code	HCPCS C1713
Hospital Charge Code	270659943
Hospital Revenue Code	278
Min. Negotiated Rate	$147.04
Max. Negotiated Rate	$237.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.22
Rate for Payer: Qualcare PPO/HMO/WC	$147.04

SCREW LOCKING 4.0X38MM

Facility

$1,115.00

Service Code	HCPCS C1713
Hospital Charge Code	270664513
Hospital Revenue Code	278
Min. Negotiated Rate	$167.25
Max. Negotiated Rate	$269.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$223.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$269.83
Rate for Payer: Qualcare PPO/HMO/WC	$167.25

SCREW LOCKING 4.0X38MM

Facility

$1,115.00

Service Code	HCPCS C1713
Hospital Charge Code	270664513
Hospital Revenue Code	278
Min. Negotiated Rate	$31.67
Max. Negotiated Rate	$557.50
Rate for Payer: Aetna Commercial	$423.70
Rate for Payer: Aetna Medicare Advantage	$334.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$284.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$284.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$223.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$284.32
Rate for Payer: Cigna Commercial	$557.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$269.83
Rate for Payer: Qualcare PPO/HMO/WC	$167.25
Rate for Payer: UnitedHealthcare Community & State	$35.23
Rate for Payer: Wellpoint Medicaid Managed Care	$31.67

SCREW LOCKING 4.0X50MM

Facility

$924.00

Hospital Charge Code	270669918
Hospital Revenue Code	278
Min. Negotiated Rate	$138.60
Max. Negotiated Rate	$223.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$184.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$223.61
Rate for Payer: Qualcare PPO/HMO/WC	$138.60

SCREW LOCKING 4.0X50MM

Facility

$1,136.55

Service Code	HCPCS C1713
Hospital Charge Code	270692177
Hospital Revenue Code	278
Min. Negotiated Rate	$32.28
Max. Negotiated Rate	$568.27
Rate for Payer: Aetna Commercial	$431.89
Rate for Payer: Aetna Medicare Advantage	$340.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$289.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$289.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$227.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$289.82
Rate for Payer: Cigna Commercial	$568.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.05
Rate for Payer: Qualcare PPO/HMO/WC	$170.48
Rate for Payer: UnitedHealthcare Community & State	$35.91
Rate for Payer: Wellpoint Medicaid Managed Care	$32.28

Know your out-of-pocket cost for care.

All Charges