Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LOCKING 4.0X50MM

Facility

$1,136.55

Service Code	HCPCS C1713
Hospital Charge Code	270692177
Hospital Revenue Code	278
Min. Negotiated Rate	$170.48
Max. Negotiated Rate	$275.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$227.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.05
Rate for Payer: Qualcare PPO/HMO/WC	$170.48

SCREW LOCKING 4.0X50MM

Facility

$924.00

Hospital Charge Code	270669918
Hospital Revenue Code	278
Min. Negotiated Rate	$26.24
Max. Negotiated Rate	$462.00
Rate for Payer: Aetna Commercial	$351.12
Rate for Payer: Aetna Medicare Advantage	$277.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$235.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$235.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$184.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$235.62
Rate for Payer: Cigna Commercial	$462.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$223.61
Rate for Payer: Qualcare PPO/HMO/WC	$138.60
Rate for Payer: UnitedHealthcare Community & State	$29.20
Rate for Payer: Wellpoint Medicaid Managed Care	$26.24

SCREW LOCKING 4.5x26mm

Facility

$950.00

Service Code	HCPCS C1713
Hospital Charge Code	270685130
Hospital Revenue Code	278
Min. Negotiated Rate	$26.98
Max. Negotiated Rate	$475.00
Rate for Payer: Aetna Commercial	$361.00
Rate for Payer: Aetna Medicare Advantage	$285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.25
Rate for Payer: Cigna Commercial	$475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.90
Rate for Payer: Qualcare PPO/HMO/WC	$142.50
Rate for Payer: UnitedHealthcare Community & State	$30.02
Rate for Payer: Wellpoint Medicaid Managed Care	$26.98

SCREW LOCKING 4.5x26mm

Facility

$950.00

Service Code	HCPCS C1713
Hospital Charge Code	270685130
Hospital Revenue Code	278
Min. Negotiated Rate	$142.50
Max. Negotiated Rate	$229.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.90
Rate for Payer: Qualcare PPO/HMO/WC	$142.50

SCREW LOCKING 4.5x28mm

Facility

$950.00

Service Code	HCPCS C1713
Hospital Charge Code	270685131
Hospital Revenue Code	278
Min. Negotiated Rate	$26.98
Max. Negotiated Rate	$475.00
Rate for Payer: Aetna Commercial	$361.00
Rate for Payer: Aetna Medicare Advantage	$285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.25
Rate for Payer: Cigna Commercial	$475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.90
Rate for Payer: Qualcare PPO/HMO/WC	$142.50
Rate for Payer: UnitedHealthcare Community & State	$30.02
Rate for Payer: Wellpoint Medicaid Managed Care	$26.98

SCREW LOCKING 4.5x28mm

Facility

$950.00

Service Code	HCPCS C1713
Hospital Charge Code	270685131
Hospital Revenue Code	278
Min. Negotiated Rate	$142.50
Max. Negotiated Rate	$229.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.90
Rate for Payer: Qualcare PPO/HMO/WC	$142.50

SCREW LOCKING 4.5X30MM

Facility

$533.35

Service Code	HCPCS C1713
Hospital Charge Code	270704579
Hospital Revenue Code	278
Min. Negotiated Rate	$15.15
Max. Negotiated Rate	$266.68
Rate for Payer: Aetna Commercial	$202.67
Rate for Payer: Aetna Medicare Advantage	$160.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.00
Rate for Payer: Cigna Commercial	$266.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.07
Rate for Payer: Qualcare PPO/HMO/WC	$80.00
Rate for Payer: UnitedHealthcare Community & State	$16.85
Rate for Payer: Wellpoint Medicaid Managed Care	$15.15

SCREW LOCKING 4.5X30MM

Facility

$533.35

Service Code	HCPCS C1713
Hospital Charge Code	270704579
Hospital Revenue Code	278
Min. Negotiated Rate	$80.00
Max. Negotiated Rate	$129.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.07
Rate for Payer: Qualcare PPO/HMO/WC	$80.00

SCREW LOCKING 4.5x32mm

Facility

$950.00

Service Code	HCPCS C1713
Hospital Charge Code	270685128
Hospital Revenue Code	278
Min. Negotiated Rate	$142.50
Max. Negotiated Rate	$229.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.90
Rate for Payer: Qualcare PPO/HMO/WC	$142.50

SCREW LOCKING 4.5x32mm

Facility

$950.00

Service Code	HCPCS C1713
Hospital Charge Code	270685128
Hospital Revenue Code	278
Min. Negotiated Rate	$26.98
Max. Negotiated Rate	$475.00
Rate for Payer: Aetna Commercial	$361.00
Rate for Payer: Aetna Medicare Advantage	$285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.25
Rate for Payer: Cigna Commercial	$475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.90
Rate for Payer: Qualcare PPO/HMO/WC	$142.50
Rate for Payer: UnitedHealthcare Community & State	$30.02
Rate for Payer: Wellpoint Medicaid Managed Care	$26.98

SCREW LOCKING 4.5x35MM

Facility

$1,295.00

Service Code	HCPCS C1713
Hospital Charge Code	270683642
Hospital Revenue Code	278
Min. Negotiated Rate	$36.78
Max. Negotiated Rate	$647.50
Rate for Payer: Aetna Commercial	$492.10
Rate for Payer: Aetna Medicare Advantage	$388.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$330.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$330.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$259.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$330.23
Rate for Payer: Cigna Commercial	$647.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$313.39
Rate for Payer: Qualcare PPO/HMO/WC	$194.25
Rate for Payer: UnitedHealthcare Community & State	$40.92
Rate for Payer: Wellpoint Medicaid Managed Care	$36.78

SCREW LOCKING 4.5x35MM

Facility

$1,295.00

Service Code	HCPCS C1713
Hospital Charge Code	270683642
Hospital Revenue Code	278
Min. Negotiated Rate	$194.25
Max. Negotiated Rate	$313.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$259.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$313.39
Rate for Payer: Qualcare PPO/HMO/WC	$194.25

SCREW LOCKING 4.5X35MM

Facility

$533.35

Service Code	HCPCS C1713
Hospital Charge Code	270704580
Hospital Revenue Code	278
Min. Negotiated Rate	$15.15
Max. Negotiated Rate	$266.68
Rate for Payer: Aetna Commercial	$202.67
Rate for Payer: Aetna Medicare Advantage	$160.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.00
Rate for Payer: Cigna Commercial	$266.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.07
Rate for Payer: Qualcare PPO/HMO/WC	$80.00
Rate for Payer: UnitedHealthcare Community & State	$16.85
Rate for Payer: Wellpoint Medicaid Managed Care	$15.15

SCREW LOCKING 4.5X35MM

Facility

$533.35

Service Code	HCPCS C1713
Hospital Charge Code	270704580
Hospital Revenue Code	278
Min. Negotiated Rate	$80.00
Max. Negotiated Rate	$129.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.07
Rate for Payer: Qualcare PPO/HMO/WC	$80.00

SCREW LOCKING 4.5x40MM

Facility

$1,295.00

Service Code	HCPCS C1713
Hospital Charge Code	270683641
Hospital Revenue Code	278
Min. Negotiated Rate	$194.25
Max. Negotiated Rate	$313.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$259.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$313.39
Rate for Payer: Qualcare PPO/HMO/WC	$194.25

SCREW LOCKING 4.5x40MM

Facility

$1,295.00

Service Code	HCPCS C1713
Hospital Charge Code	270683641
Hospital Revenue Code	278
Min. Negotiated Rate	$36.78
Max. Negotiated Rate	$647.50
Rate for Payer: Aetna Commercial	$492.10
Rate for Payer: Aetna Medicare Advantage	$388.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$330.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$330.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$259.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$330.23
Rate for Payer: Cigna Commercial	$647.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$313.39
Rate for Payer: Qualcare PPO/HMO/WC	$194.25
Rate for Payer: UnitedHealthcare Community & State	$40.92
Rate for Payer: Wellpoint Medicaid Managed Care	$36.78

SCREW LOCKING 46MM

Facility

$905.00

Hospital Charge Code	270557018
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 46MM

Facility

$905.00

Hospital Charge Code	270557018
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 46MM

Facility

$905.00

Hospital Charge Code	270668018
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 46MM

Facility

$905.00

Hospital Charge Code	270668018
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 4x36MM

Facility

$927.20

Service Code	HCPCS C1713
Hospital Charge Code	270675650
Hospital Revenue Code	278
Min. Negotiated Rate	$26.33
Max. Negotiated Rate	$463.60
Rate for Payer: Aetna Commercial	$352.34
Rate for Payer: Aetna Medicare Advantage	$278.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$236.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$236.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$185.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$236.44
Rate for Payer: Cigna Commercial	$463.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$224.38
Rate for Payer: Qualcare PPO/HMO/WC	$139.08
Rate for Payer: UnitedHealthcare Community & State	$29.30
Rate for Payer: Wellpoint Medicaid Managed Care	$26.33

SCREW LOCKING 4x36MM

Facility

$927.20

Service Code	HCPCS C1713
Hospital Charge Code	270675650
Hospital Revenue Code	278
Min. Negotiated Rate	$139.08
Max. Negotiated Rate	$224.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$185.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$224.38
Rate for Payer: Qualcare PPO/HMO/WC	$139.08

SCREW LOCKING 4x38MM

Facility

$927.20

Service Code	HCPCS C1713
Hospital Charge Code	270675649
Hospital Revenue Code	278
Min. Negotiated Rate	$26.33
Max. Negotiated Rate	$463.60
Rate for Payer: Aetna Commercial	$352.34
Rate for Payer: Aetna Medicare Advantage	$278.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$236.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$236.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$185.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$236.44
Rate for Payer: Cigna Commercial	$463.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$224.38
Rate for Payer: Qualcare PPO/HMO/WC	$139.08
Rate for Payer: UnitedHealthcare Community & State	$29.30
Rate for Payer: Wellpoint Medicaid Managed Care	$26.33

SCREW LOCKING 4x38MM

Facility

$927.20

Service Code	HCPCS C1713
Hospital Charge Code	270675649
Hospital Revenue Code	278
Min. Negotiated Rate	$139.08
Max. Negotiated Rate	$224.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$185.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$224.38
Rate for Payer: Qualcare PPO/HMO/WC	$139.08

SCREW LOCKING 4x44MM

Facility

$927.20

Service Code	HCPCS C1713
Hospital Charge Code	270675648
Hospital Revenue Code	278
Min. Negotiated Rate	$139.08
Max. Negotiated Rate	$224.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$185.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$224.38
Rate for Payer: Qualcare PPO/HMO/WC	$139.08

Know your out-of-pocket cost for care.

All Charges