Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LOCKING 5.0X28MM XL25

Facility

$888.30

Service Code	HCPCS C1713
Hospital Charge Code	270693256
Hospital Revenue Code	278
Min. Negotiated Rate	$25.23
Max. Negotiated Rate	$444.15
Rate for Payer: Aetna Commercial	$337.55
Rate for Payer: Aetna Medicare Advantage	$266.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$226.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$226.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$177.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$226.52
Rate for Payer: Cigna Commercial	$444.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.97
Rate for Payer: Qualcare PPO/HMO/WC	$133.25
Rate for Payer: UnitedHealthcare Community & State	$28.07
Rate for Payer: Wellpoint Medicaid Managed Care	$25.23

SCREW LOCKING 5.0X28MM XL25

Facility

$888.30

Service Code	HCPCS C1713
Hospital Charge Code	270693314
Hospital Revenue Code	278
Min. Negotiated Rate	$25.23
Max. Negotiated Rate	$444.15
Rate for Payer: Aetna Commercial	$337.55
Rate for Payer: Aetna Medicare Advantage	$266.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$226.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$226.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$177.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$226.52
Rate for Payer: Cigna Commercial	$444.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.97
Rate for Payer: Qualcare PPO/HMO/WC	$133.25
Rate for Payer: UnitedHealthcare Community & State	$28.07
Rate for Payer: Wellpoint Medicaid Managed Care	$25.23

SCREW LOCKING 5.0 X 30MM

Facility

$1,130.00

Service Code	HCPCS C1713
Hospital Charge Code	270663302
Hospital Revenue Code	278
Min. Negotiated Rate	$169.50
Max. Negotiated Rate	$273.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$226.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$273.46
Rate for Payer: Qualcare PPO/HMO/WC	$169.50

SCREW LOCKING 5.0 X 30MM

Facility

$1,130.00

Service Code	HCPCS C1713
Hospital Charge Code	270663302
Hospital Revenue Code	278
Min. Negotiated Rate	$32.09
Max. Negotiated Rate	$565.00
Rate for Payer: Aetna Commercial	$429.40
Rate for Payer: Aetna Medicare Advantage	$339.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$288.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$288.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$226.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$288.15
Rate for Payer: Cigna Commercial	$565.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$273.46
Rate for Payer: Qualcare PPO/HMO/WC	$169.50
Rate for Payer: UnitedHealthcare Community & State	$35.71
Rate for Payer: Wellpoint Medicaid Managed Care	$32.09

SCREW LOCKING 5.0X30MM XL25

Facility

$888.30

Service Code	HCPCS C1713
Hospital Charge Code	270692596
Hospital Revenue Code	278
Min. Negotiated Rate	$133.25
Max. Negotiated Rate	$214.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$177.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.97
Rate for Payer: Qualcare PPO/HMO/WC	$133.25

SCREW LOCKING 5.0X30MM XL25

Facility

$888.30

Service Code	HCPCS C1713
Hospital Charge Code	270692596
Hospital Revenue Code	278
Min. Negotiated Rate	$25.23
Max. Negotiated Rate	$444.15
Rate for Payer: Aetna Commercial	$337.55
Rate for Payer: Aetna Medicare Advantage	$266.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$226.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$226.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$177.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$226.52
Rate for Payer: Cigna Commercial	$444.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.97
Rate for Payer: Qualcare PPO/HMO/WC	$133.25
Rate for Payer: UnitedHealthcare Community & State	$28.07
Rate for Payer: Wellpoint Medicaid Managed Care	$25.23

SCREW LOCKING 5.0x34MM

Facility

$799.50

Hospital Charge Code	270673225
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 5.0x34MM

Facility

$799.50

Hospital Charge Code	270673225
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 5.0X34MM

Facility

$856.40

Service Code	HCPCS C1713
Hospital Charge Code	270689691
Hospital Revenue Code	278
Min. Negotiated Rate	$24.32
Max. Negotiated Rate	$428.20
Rate for Payer: Aetna Commercial	$325.43
Rate for Payer: Aetna Medicare Advantage	$256.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$218.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$218.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$218.38
Rate for Payer: Cigna Commercial	$428.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.25
Rate for Payer: Qualcare PPO/HMO/WC	$128.46
Rate for Payer: UnitedHealthcare Community & State	$27.06
Rate for Payer: Wellpoint Medicaid Managed Care	$24.32

SCREW LOCKING 5.0X34MM

Facility

$856.40

Service Code	HCPCS C1713
Hospital Charge Code	270689691
Hospital Revenue Code	278
Min. Negotiated Rate	$128.46
Max. Negotiated Rate	$207.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.25
Rate for Payer: Qualcare PPO/HMO/WC	$128.46

SCREW LOCKING 5.0X36MM

Facility

$856.40

Service Code	HCPCS C1713
Hospital Charge Code	270689692
Hospital Revenue Code	278
Min. Negotiated Rate	$128.46
Max. Negotiated Rate	$207.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.25
Rate for Payer: Qualcare PPO/HMO/WC	$128.46

SCREW LOCKING 5.0X36MM

Facility

$1,130.00

Service Code	HCPCS C1713
Hospital Charge Code	270668432
Hospital Revenue Code	278
Min. Negotiated Rate	$32.09
Max. Negotiated Rate	$565.00
Rate for Payer: Aetna Commercial	$429.40
Rate for Payer: Aetna Medicare Advantage	$339.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$288.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$288.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$226.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$288.15
Rate for Payer: Cigna Commercial	$565.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$273.46
Rate for Payer: Qualcare PPO/HMO/WC	$169.50
Rate for Payer: UnitedHealthcare Community & State	$35.71
Rate for Payer: Wellpoint Medicaid Managed Care	$32.09

SCREW LOCKING 5.0X36MM

Facility

$1,130.00

Service Code	HCPCS C1713
Hospital Charge Code	270668432
Hospital Revenue Code	278
Min. Negotiated Rate	$169.50
Max. Negotiated Rate	$273.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$226.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$273.46
Rate for Payer: Qualcare PPO/HMO/WC	$169.50

SCREW LOCKING 5.0X36MM

Facility

$856.40

Service Code	HCPCS C1713
Hospital Charge Code	270689692
Hospital Revenue Code	278
Min. Negotiated Rate	$24.32
Max. Negotiated Rate	$428.20
Rate for Payer: Aetna Commercial	$325.43
Rate for Payer: Aetna Medicare Advantage	$256.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$218.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$218.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$218.38
Rate for Payer: Cigna Commercial	$428.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.25
Rate for Payer: Qualcare PPO/HMO/WC	$128.46
Rate for Payer: UnitedHealthcare Community & State	$27.06
Rate for Payer: Wellpoint Medicaid Managed Care	$24.32

SCREW LOCKING 5.0 X 38MM

Facility

$1,130.00

Service Code	HCPCS C1713
Hospital Charge Code	270663315
Hospital Revenue Code	278
Min. Negotiated Rate	$32.09
Max. Negotiated Rate	$565.00
Rate for Payer: Aetna Commercial	$429.40
Rate for Payer: Aetna Medicare Advantage	$339.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$288.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$288.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$226.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$288.15
Rate for Payer: Cigna Commercial	$565.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$273.46
Rate for Payer: Qualcare PPO/HMO/WC	$169.50
Rate for Payer: UnitedHealthcare Community & State	$35.71
Rate for Payer: Wellpoint Medicaid Managed Care	$32.09

SCREW LOCKING 5.0 X 38MM

Facility

$1,130.00

Service Code	HCPCS C1713
Hospital Charge Code	270663315
Hospital Revenue Code	278
Min. Negotiated Rate	$169.50
Max. Negotiated Rate	$273.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$226.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$273.46
Rate for Payer: Qualcare PPO/HMO/WC	$169.50

SCREW LOCKING 5.0 X 40MM

Facility

$1,082.10

Service Code	HCPCS C1713
Hospital Charge Code	270663323
Hospital Revenue Code	278
Min. Negotiated Rate	$162.31
Max. Negotiated Rate	$261.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$216.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$261.87
Rate for Payer: Qualcare PPO/HMO/WC	$162.31

SCREW LOCKING 5.0 X 40MM

Facility

$1,082.10

Service Code	HCPCS C1713
Hospital Charge Code	270663323
Hospital Revenue Code	278
Min. Negotiated Rate	$30.73
Max. Negotiated Rate	$541.05
Rate for Payer: Aetna Commercial	$411.20
Rate for Payer: Aetna Medicare Advantage	$324.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$275.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$275.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$216.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$275.94
Rate for Payer: Cigna Commercial	$541.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$261.87
Rate for Payer: Qualcare PPO/HMO/WC	$162.31
Rate for Payer: UnitedHealthcare Community & State	$34.19
Rate for Payer: Wellpoint Medicaid Managed Care	$30.73

SCREW LOCKING 5.0X42MM

Facility

$945.00

Hospital Charge Code	270670826
Hospital Revenue Code	278
Min. Negotiated Rate	$26.84
Max. Negotiated Rate	$472.50
Rate for Payer: Aetna Commercial	$359.10
Rate for Payer: Aetna Medicare Advantage	$283.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$240.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$240.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$189.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$240.97
Rate for Payer: Cigna Commercial	$472.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$228.69
Rate for Payer: Qualcare PPO/HMO/WC	$141.75
Rate for Payer: UnitedHealthcare Community & State	$29.86
Rate for Payer: Wellpoint Medicaid Managed Care	$26.84

SCREW LOCKING 5.0X42MM

Facility

$945.00

Hospital Charge Code	270670826
Hospital Revenue Code	278
Min. Negotiated Rate	$141.75
Max. Negotiated Rate	$228.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$189.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$228.69
Rate for Payer: Qualcare PPO/HMO/WC	$141.75

SCREW LOCKING 5.0X44MM

Facility

$856.40

Service Code	HCPCS C1713
Hospital Charge Code	270689693
Hospital Revenue Code	278
Min. Negotiated Rate	$128.46
Max. Negotiated Rate	$207.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.25
Rate for Payer: Qualcare PPO/HMO/WC	$128.46

SCREW LOCKING 5.0X44MM

Facility

$856.40

Service Code	HCPCS C1713
Hospital Charge Code	270689693
Hospital Revenue Code	278
Min. Negotiated Rate	$24.32
Max. Negotiated Rate	$428.20
Rate for Payer: Aetna Commercial	$325.43
Rate for Payer: Aetna Medicare Advantage	$256.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$218.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$218.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$218.38
Rate for Payer: Cigna Commercial	$428.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.25
Rate for Payer: Qualcare PPO/HMO/WC	$128.46
Rate for Payer: UnitedHealthcare Community & State	$27.06
Rate for Payer: Wellpoint Medicaid Managed Care	$24.32

SCREW LOCKING 5.0 X 46

Facility

$951.70

Service Code	HCPCS C1713
Hospital Charge Code	270679364
Hospital Revenue Code	278
Min. Negotiated Rate	$27.03
Max. Negotiated Rate	$475.85
Rate for Payer: Aetna Commercial	$361.65
Rate for Payer: Aetna Medicare Advantage	$285.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.68
Rate for Payer: Cigna Commercial	$475.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$230.31
Rate for Payer: Qualcare PPO/HMO/WC	$142.75
Rate for Payer: UnitedHealthcare Community & State	$30.07
Rate for Payer: Wellpoint Medicaid Managed Care	$27.03

SCREW LOCKING 5.0 X 46

Facility

$951.70

Service Code	HCPCS C1713
Hospital Charge Code	270679364
Hospital Revenue Code	278
Min. Negotiated Rate	$142.75
Max. Negotiated Rate	$230.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$230.31
Rate for Payer: Qualcare PPO/HMO/WC	$142.75

SCREW LOCKING 5.0X46MM

Facility

$856.40

Service Code	HCPCS C1713
Hospital Charge Code	270689694
Hospital Revenue Code	278
Min. Negotiated Rate	$128.46
Max. Negotiated Rate	$207.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.25
Rate for Payer: Qualcare PPO/HMO/WC	$128.46

Know your out-of-pocket cost for care.

All Charges