Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LOCKING 5.0X46MM

Facility

$856.40

Service Code	HCPCS C1713
Hospital Charge Code	270689694
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 48MM

Facility

$1,130.00

Service Code	HCPCS C1713
Hospital Charge Code	270663304
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 48MM

Facility

$1,130.00

Service Code	HCPCS C1713
Hospital Charge Code	270663304
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 5.0x4mm

Facility

$945.00

Service Code	HCPCS C1713
Hospital Charge Code	270656659
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 5.0x4mm

Facility

$945.00

Service Code	HCPCS C1713
Hospital Charge Code	270656659
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 5.0X50MM

Facility

$1,130.00

Hospital Charge Code	270668433
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 5.0X50MM

Facility

$1,130.00

Hospital Charge Code	270668433
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 58MM

Facility

$945.00

Service Code	HCPCS C1776
Hospital Charge Code	270669730
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 5.0 X 58MM

Facility

$945.00

Service Code	HCPCS C1776
Hospital Charge Code	270669730
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 5.0 X 60MM

Facility

$945.00

Service Code	HCPCS C1713
Hospital Charge Code	270669731
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 5.0 X 60MM

Facility

$945.00

Service Code	HCPCS C1713
Hospital Charge Code	270669731
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 5.0X60MM

Facility

$1,130.00

Hospital Charge Code	270668430
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 5.0X60MM

Facility

$1,130.00

Hospital Charge Code	270668430
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 5.0x65MM

Facility

$799.50

Service Code	HCPCS C1713
Hospital Charge Code	270668429
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 5.0x65MM

Facility

$799.50

Service Code	HCPCS C1713
Hospital Charge Code	270668429
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 5.0X 66 MM

Facility

$769.70

Service Code	HCPCS C1713
Hospital Charge Code	270691435
Hospital Revenue Code	278
Min. Negotiated Rate	$21.86
Max. Negotiated Rate	$384.85
Rate for Payer: Aetna Commercial	$292.49
Rate for Payer: Aetna Medicare Advantage	$230.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$196.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$196.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$153.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$196.27
Rate for Payer: Cigna Commercial	$384.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$186.27
Rate for Payer: Qualcare PPO/HMO/WC	$115.45
Rate for Payer: UnitedHealthcare Community & State	$24.32
Rate for Payer: Wellpoint Medicaid Managed Care	$21.86

SCREW LOCKING 5.0X 66 MM

Facility

$769.70

Service Code	HCPCS C1713
Hospital Charge Code	270691435
Hospital Revenue Code	278
Min. Negotiated Rate	$115.45
Max. Negotiated Rate	$186.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$153.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$186.27
Rate for Payer: Qualcare PPO/HMO/WC	$115.45

SCREW LOCKING 5.0x70MM

Facility

$799.50

Service Code	HCPCS C1713
Hospital Charge Code	270673224
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 5.0x70MM

Facility

$799.50

Service Code	HCPCS C1713
Hospital Charge Code	270673224
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 5.0 X 72MM

Facility

$1,380.00

Hospital Charge Code	270669732
Hospital Revenue Code	278
Min. Negotiated Rate	$39.19
Max. Negotiated Rate	$690.00
Rate for Payer: Aetna Commercial	$524.40
Rate for Payer: Aetna Medicare Advantage	$414.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$351.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$351.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$276.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$351.90
Rate for Payer: Cigna Commercial	$690.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$333.96
Rate for Payer: Qualcare PPO/HMO/WC	$207.00
Rate for Payer: UnitedHealthcare Community & State	$43.61
Rate for Payer: Wellpoint Medicaid Managed Care	$39.19

SCREW LOCKING 5.0 X 72MM

Facility

$1,380.00

Hospital Charge Code	270669732
Hospital Revenue Code	278
Min. Negotiated Rate	$207.00
Max. Negotiated Rate	$333.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$276.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$333.96
Rate for Payer: Qualcare PPO/HMO/WC	$207.00

SCREW LOCKING 5.0X72MM

Facility

$945.00

Hospital Charge Code	270669957
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 5.0X72MM

Facility

$945.00

Hospital Charge Code	270669957
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 5.0x75MM

Facility

$799.50

Service Code	HCPCS C1713
Hospital Charge Code	270673229
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 5.0x75MM

Facility

$799.50

Service Code	HCPCS C1713
Hospital Charge Code	270673229
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

Know your out-of-pocket cost for care.

All Charges