Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LOCKING FIXED 36x4.75x26

Facility

$500.00

Hospital Charge Code	270674700
Hospital Revenue Code	278
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$121.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

SCREW LOCKING FOR IM NAIL 5 32

Facility

$10,969.10

Service Code	HCPCS C1713
Hospital Charge Code	270692385
Hospital Revenue Code	278
Min. Negotiated Rate	$1,645.37
Max. Negotiated Rate	$2,654.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,193.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,654.52
Rate for Payer: Qualcare PPO/HMO/WC	$1,645.37

SCREW LOCKING FOR IM NAIL 5 32

Facility

$10,969.10

Service Code	HCPCS C1713
Hospital Charge Code	270692385
Hospital Revenue Code	278
Min. Negotiated Rate	$311.52
Max. Negotiated Rate	$5,484.55
Rate for Payer: Aetna Commercial	$4,168.26
Rate for Payer: Aetna Medicare Advantage	$3,290.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,797.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,797.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,193.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,797.12
Rate for Payer: Cigna Commercial	$5,484.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,654.52
Rate for Payer: Qualcare PPO/HMO/WC	$1,645.37
Rate for Payer: UnitedHealthcare Community & State	$346.62
Rate for Payer: Wellpoint Medicaid Managed Care	$311.52

SCREW LOCKING F/THD 5x42.5MM

Facility

$979.45

Service Code	HCPCS C1713
Hospital Charge Code	270658003
Hospital Revenue Code	278
Min. Negotiated Rate	$146.92
Max. Negotiated Rate	$237.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.03
Rate for Payer: Qualcare PPO/HMO/WC	$146.92

SCREW LOCKING F/THD 5x42.5MM

Facility

$979.45

Service Code	HCPCS C1713
Hospital Charge Code	270658003
Hospital Revenue Code	278
Min. Negotiated Rate	$27.82
Max. Negotiated Rate	$489.73
Rate for Payer: Aetna Commercial	$372.19
Rate for Payer: Aetna Medicare Advantage	$293.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$249.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$249.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$249.76
Rate for Payer: Cigna Commercial	$489.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.03
Rate for Payer: Qualcare PPO/HMO/WC	$146.92
Rate for Payer: UnitedHealthcare Community & State	$30.95
Rate for Payer: Wellpoint Medicaid Managed Care	$27.82

SCREW LOCKING F/THD 5x57.5MM

Facility

$979.45

Hospital Charge Code	270674993
Hospital Revenue Code	278
Min. Negotiated Rate	$146.92
Max. Negotiated Rate	$237.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.03
Rate for Payer: Qualcare PPO/HMO/WC	$146.92

SCREW LOCKING F/THD 5x57.5MM

Facility

$979.45

Hospital Charge Code	270674993
Hospital Revenue Code	278
Min. Negotiated Rate	$27.82
Max. Negotiated Rate	$489.73
Rate for Payer: Aetna Commercial	$372.19
Rate for Payer: Aetna Medicare Advantage	$293.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$249.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$249.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$249.76
Rate for Payer: Cigna Commercial	$489.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.03
Rate for Payer: Qualcare PPO/HMO/WC	$146.92
Rate for Payer: UnitedHealthcare Community & State	$30.95
Rate for Payer: Wellpoint Medicaid Managed Care	$27.82

SCREW LOCKING F/THRD 0.5x57.5m

Facility

$979.45

Service Code	HCPCS C1713
Hospital Charge Code	270672765
Hospital Revenue Code	278
Min. Negotiated Rate	$146.92
Max. Negotiated Rate	$237.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.03
Rate for Payer: Qualcare PPO/HMO/WC	$146.92

SCREW LOCKING F/THRD 0.5x57.5m

Facility

$979.45

Service Code	HCPCS C1713
Hospital Charge Code	270672765
Hospital Revenue Code	278
Min. Negotiated Rate	$27.82
Max. Negotiated Rate	$489.73
Rate for Payer: Aetna Commercial	$372.19
Rate for Payer: Aetna Medicare Advantage	$293.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$249.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$249.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$249.76
Rate for Payer: Cigna Commercial	$489.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.03
Rate for Payer: Qualcare PPO/HMO/WC	$146.92
Rate for Payer: UnitedHealthcare Community & State	$30.95
Rate for Payer: Wellpoint Medicaid Managed Care	$27.82

SCREW LOCKING F/THRD 2.7x18mm

Facility

$670.00

Service Code	HCPCS C1713
Hospital Charge Code	270672343
Hospital Revenue Code	278
Min. Negotiated Rate	$19.03
Max. Negotiated Rate	$335.00
Rate for Payer: Aetna Commercial	$254.60
Rate for Payer: Aetna Medicare Advantage	$201.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$170.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$170.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$134.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$170.85
Rate for Payer: Cigna Commercial	$335.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.50
Rate for Payer: UnitedHealthcare Community & State	$21.17
Rate for Payer: Wellpoint Medicaid Managed Care	$19.03

SCREW LOCKING F/THRD 2.7x18mm

Facility

$670.00

Service Code	HCPCS C1713
Hospital Charge Code	270672343
Hospital Revenue Code	278
Min. Negotiated Rate	$100.50
Max. Negotiated Rate	$162.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$134.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.50

SCREW LOCKING F/THRD 2.7x20mm

Facility

$670.00

Service Code	HCPCS C1713
Hospital Charge Code	270672344
Hospital Revenue Code	278
Min. Negotiated Rate	$100.50
Max. Negotiated Rate	$162.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$134.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.50

SCREW LOCKING F/THRD 2.7x20mm

Facility

$670.00

Service Code	HCPCS C1713
Hospital Charge Code	270672344
Hospital Revenue Code	278
Min. Negotiated Rate	$19.03
Max. Negotiated Rate	$335.00
Rate for Payer: Aetna Commercial	$254.60
Rate for Payer: Aetna Medicare Advantage	$201.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$170.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$170.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$134.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$170.85
Rate for Payer: Cigna Commercial	$335.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.50
Rate for Payer: UnitedHealthcare Community & State	$21.17
Rate for Payer: Wellpoint Medicaid Managed Care	$19.03

SCREW LOCKING F/THRD 2.7x22mm

Facility

$670.00

Service Code	HCPCS C1713
Hospital Charge Code	270672346
Hospital Revenue Code	278
Min. Negotiated Rate	$100.50
Max. Negotiated Rate	$162.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$134.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.50

SCREW LOCKING F/THRD 2.7x22mm

Facility

$670.00

Service Code	HCPCS C1713
Hospital Charge Code	270672346
Hospital Revenue Code	278
Min. Negotiated Rate	$19.03
Max. Negotiated Rate	$335.00
Rate for Payer: Aetna Commercial	$254.60
Rate for Payer: Aetna Medicare Advantage	$201.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$170.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$170.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$134.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$170.85
Rate for Payer: Cigna Commercial	$335.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.50
Rate for Payer: UnitedHealthcare Community & State	$21.17
Rate for Payer: Wellpoint Medicaid Managed Care	$19.03

SCREW LOCKING F/THRD 2.7x24mm

Facility

$670.00

Service Code	HCPCS C1713
Hospital Charge Code	270672347
Hospital Revenue Code	278
Min. Negotiated Rate	$19.03
Max. Negotiated Rate	$335.00
Rate for Payer: Aetna Commercial	$254.60
Rate for Payer: Aetna Medicare Advantage	$201.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$170.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$170.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$134.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$170.85
Rate for Payer: Cigna Commercial	$335.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.50
Rate for Payer: UnitedHealthcare Community & State	$21.17
Rate for Payer: Wellpoint Medicaid Managed Care	$19.03

SCREW LOCKING F/THRD 2.7x24mm

Facility

$670.00

Service Code	HCPCS C1713
Hospital Charge Code	270672347
Hospital Revenue Code	278
Min. Negotiated Rate	$100.50
Max. Negotiated Rate	$162.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$134.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.50

SCREW LOCKING FULL THD 5x45MM

Facility

$979.45

Service Code	HCPCS C1713
Hospital Charge Code	270638644
Hospital Revenue Code	278
Min. Negotiated Rate	$146.92
Max. Negotiated Rate	$237.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.03
Rate for Payer: Qualcare PPO/HMO/WC	$146.92

SCREW LOCKING FULL THD 5x45MM

Facility

$979.45

Service Code	HCPCS C1713
Hospital Charge Code	270638644
Hospital Revenue Code	278
Min. Negotiated Rate	$27.82
Max. Negotiated Rate	$489.73
Rate for Payer: Aetna Commercial	$372.19
Rate for Payer: Aetna Medicare Advantage	$293.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$249.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$249.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$249.76
Rate for Payer: Cigna Commercial	$489.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.03
Rate for Payer: Qualcare PPO/HMO/WC	$146.92
Rate for Payer: UnitedHealthcare Community & State	$30.95
Rate for Payer: Wellpoint Medicaid Managed Care	$27.82

SCREW LOCKING FULLTHD 5x52.5MM

Facility

$1,400.00

Service Code	HCPCS C1713
Hospital Charge Code	270651333
Hospital Revenue Code	278
Min. Negotiated Rate	$210.00
Max. Negotiated Rate	$338.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$280.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$338.80
Rate for Payer: Qualcare PPO/HMO/WC	$210.00

SCREW LOCKING FULLTHD 5x52.5MM

Facility

$1,400.00

Service Code	HCPCS C1713
Hospital Charge Code	270651333
Hospital Revenue Code	278
Min. Negotiated Rate	$39.76
Max. Negotiated Rate	$700.00
Rate for Payer: Aetna Commercial	$532.00
Rate for Payer: Aetna Medicare Advantage	$420.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$357.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$357.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$280.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$357.00
Rate for Payer: Cigna Commercial	$700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$338.80
Rate for Payer: Qualcare PPO/HMO/WC	$210.00
Rate for Payer: UnitedHealthcare Community & State	$44.24
Rate for Payer: Wellpoint Medicaid Managed Care	$39.76

SCREW LOCKING FULL TREAD 5x50m

Facility

$1,470.00

Hospital Charge Code	270671130
Hospital Revenue Code	278
Min. Negotiated Rate	$41.75
Max. Negotiated Rate	$735.00
Rate for Payer: Aetna Commercial	$558.60
Rate for Payer: Aetna Medicare Advantage	$441.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$374.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$374.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$294.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$374.85
Rate for Payer: Cigna Commercial	$735.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$355.74
Rate for Payer: Qualcare PPO/HMO/WC	$220.50
Rate for Payer: UnitedHealthcare Community & State	$46.45
Rate for Payer: Wellpoint Medicaid Managed Care	$41.75

SCREW LOCKING FULL TREAD 5x50m

Facility

$1,470.00

Hospital Charge Code	270671130
Hospital Revenue Code	278
Min. Negotiated Rate	$220.50
Max. Negotiated Rate	$355.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$294.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$355.74
Rate for Payer: Qualcare PPO/HMO/WC	$220.50

SCREW LOCKING FULLY THD 5x30mm

Facility

$1,470.00

Service Code	HCPCS C1713
Hospital Charge Code	270673981
Hospital Revenue Code	278
Min. Negotiated Rate	$220.50
Max. Negotiated Rate	$355.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$294.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$355.74
Rate for Payer: Qualcare PPO/HMO/WC	$220.50

SCREW LOCKING FULLY THD 5x30mm

Facility

$1,470.00

Service Code	HCPCS C1713
Hospital Charge Code	270673981
Hospital Revenue Code	278
Min. Negotiated Rate	$41.75
Max. Negotiated Rate	$735.00
Rate for Payer: Aetna Commercial	$558.60
Rate for Payer: Aetna Medicare Advantage	$441.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$374.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$374.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$294.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$374.85
Rate for Payer: Cigna Commercial	$735.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$355.74
Rate for Payer: Qualcare PPO/HMO/WC	$220.50
Rate for Payer: UnitedHealthcare Community & State	$46.45
Rate for Payer: Wellpoint Medicaid Managed Care	$41.75

Know your out-of-pocket cost for care.

All Charges