Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LOCKING SLF TAP 3.5x35MM

Facility

$534.55

Service Code	HCPCS C1713
Hospital Charge Code	270646517
Hospital Revenue Code	278
Min. Negotiated Rate	$80.18
Max. Negotiated Rate	$129.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.36
Rate for Payer: Qualcare PPO/HMO/WC	$80.18

SCREW LOCKING SLF TAP 3.5x35MM

Facility

$534.55

Service Code	HCPCS C1713
Hospital Charge Code	270646517
Hospital Revenue Code	278
Min. Negotiated Rate	$15.18
Max. Negotiated Rate	$267.27
Rate for Payer: Aetna Commercial	$203.13
Rate for Payer: Aetna Medicare Advantage	$160.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.31
Rate for Payer: Cigna Commercial	$267.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.36
Rate for Payer: Qualcare PPO/HMO/WC	$80.18
Rate for Payer: UnitedHealthcare Community & State	$16.89
Rate for Payer: Wellpoint Medicaid Managed Care	$15.18

SCREW LOCKING SLF TAP 3.5x36MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270633832
Hospital Revenue Code	278
Min. Negotiated Rate	$15.64
Max. Negotiated Rate	$275.30
Rate for Payer: Aetna Commercial	$209.23
Rate for Payer: Aetna Medicare Advantage	$165.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.40
Rate for Payer: Cigna Commercial	$275.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.25
Rate for Payer: Qualcare PPO/HMO/WC	$82.59
Rate for Payer: UnitedHealthcare Community & State	$17.40
Rate for Payer: Wellpoint Medicaid Managed Care	$15.64

SCREW LOCKING SLF TAP 3.5x36MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270633832
Hospital Revenue Code	278
Min. Negotiated Rate	$82.59
Max. Negotiated Rate	$133.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.25
Rate for Payer: Qualcare PPO/HMO/WC	$82.59

SCREW LOCKING SLF TAP 3.5x38MM

Facility

$534.55

Service Code	HCPCS C1713
Hospital Charge Code	270634387
Hospital Revenue Code	278
Min. Negotiated Rate	$15.18
Max. Negotiated Rate	$267.27
Rate for Payer: Aetna Commercial	$203.13
Rate for Payer: Aetna Medicare Advantage	$160.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.31
Rate for Payer: Cigna Commercial	$267.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.36
Rate for Payer: Qualcare PPO/HMO/WC	$80.18
Rate for Payer: UnitedHealthcare Community & State	$16.89
Rate for Payer: Wellpoint Medicaid Managed Care	$15.18

SCREW LOCKING SLF TAP 3.5x38MM

Facility

$534.55

Service Code	HCPCS C1713
Hospital Charge Code	270634387
Hospital Revenue Code	278
Min. Negotiated Rate	$80.18
Max. Negotiated Rate	$129.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.36
Rate for Payer: Qualcare PPO/HMO/WC	$80.18

SCREW LOCKING SLF TAP 3.5x40MM

Facility

$624.00

Service Code	HCPCS C1713
Hospital Charge Code	270665278
Hospital Revenue Code	278
Min. Negotiated Rate	$17.72
Max. Negotiated Rate	$312.00
Rate for Payer: Aetna Commercial	$237.12
Rate for Payer: Aetna Medicare Advantage	$187.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.12
Rate for Payer: Cigna Commercial	$312.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.01
Rate for Payer: Qualcare PPO/HMO/WC	$93.60
Rate for Payer: UnitedHealthcare Community & State	$19.72
Rate for Payer: Wellpoint Medicaid Managed Care	$17.72

SCREW LOCKING SLF TAP 3.5x40MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270633525
Hospital Revenue Code	278
Min. Negotiated Rate	$15.64
Max. Negotiated Rate	$275.30
Rate for Payer: Aetna Commercial	$209.23
Rate for Payer: Aetna Medicare Advantage	$165.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.40
Rate for Payer: Cigna Commercial	$275.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.25
Rate for Payer: Qualcare PPO/HMO/WC	$82.59
Rate for Payer: UnitedHealthcare Community & State	$17.40
Rate for Payer: Wellpoint Medicaid Managed Care	$15.64

SCREW LOCKING SLF TAP 3.5x40MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270633525
Hospital Revenue Code	278
Min. Negotiated Rate	$82.59
Max. Negotiated Rate	$133.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.25
Rate for Payer: Qualcare PPO/HMO/WC	$82.59

SCREW LOCKING SLF TAP 3.5x40MM

Facility

$624.00

Service Code	HCPCS C1713
Hospital Charge Code	270665278
Hospital Revenue Code	278
Min. Negotiated Rate	$93.60
Max. Negotiated Rate	$151.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.01
Rate for Payer: Qualcare PPO/HMO/WC	$93.60

SCREW LOCKING SLF TAP 3.5x42MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270637381
Hospital Revenue Code	278
Min. Negotiated Rate	$15.64
Max. Negotiated Rate	$275.30
Rate for Payer: Aetna Commercial	$209.23
Rate for Payer: Aetna Medicare Advantage	$165.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.40
Rate for Payer: Cigna Commercial	$275.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.25
Rate for Payer: Qualcare PPO/HMO/WC	$82.59
Rate for Payer: UnitedHealthcare Community & State	$17.40
Rate for Payer: Wellpoint Medicaid Managed Care	$15.64

SCREW LOCKING SLF TAP 3.5x42MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270637381
Hospital Revenue Code	278
Min. Negotiated Rate	$82.59
Max. Negotiated Rate	$133.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.25
Rate for Payer: Qualcare PPO/HMO/WC	$82.59

SCREW LOCKING SLF TAP 3.5x44MM

Facility

$534.55

Service Code	HCPCS C1713
Hospital Charge Code	270647696
Hospital Revenue Code	278
Min. Negotiated Rate	$80.18
Max. Negotiated Rate	$129.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.36
Rate for Payer: Qualcare PPO/HMO/WC	$80.18

SCREW LOCKING SLF TAP 3.5x44MM

Facility

$534.55

Service Code	HCPCS C1713
Hospital Charge Code	270647696
Hospital Revenue Code	278
Min. Negotiated Rate	$15.18
Max. Negotiated Rate	$267.27
Rate for Payer: Aetna Commercial	$203.13
Rate for Payer: Aetna Medicare Advantage	$160.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.31
Rate for Payer: Cigna Commercial	$267.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.36
Rate for Payer: Qualcare PPO/HMO/WC	$80.18
Rate for Payer: UnitedHealthcare Community & State	$16.89
Rate for Payer: Wellpoint Medicaid Managed Care	$15.18

SCREW LOCKING SLF TAP 3.5X44MM

Facility

$1,370.00

Hospital Charge Code	270670989
Hospital Revenue Code	278
Min. Negotiated Rate	$38.91
Max. Negotiated Rate	$685.00
Rate for Payer: Aetna Commercial	$520.60
Rate for Payer: Aetna Medicare Advantage	$411.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$349.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$349.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$274.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$349.35
Rate for Payer: Cigna Commercial	$685.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$331.54
Rate for Payer: Qualcare PPO/HMO/WC	$205.50
Rate for Payer: UnitedHealthcare Community & State	$43.29
Rate for Payer: Wellpoint Medicaid Managed Care	$38.91

SCREW LOCKING SLF TAP 3.5X44MM

Facility

$1,370.00

Hospital Charge Code	270670989
Hospital Revenue Code	278
Min. Negotiated Rate	$205.50
Max. Negotiated Rate	$331.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$274.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$331.54
Rate for Payer: Qualcare PPO/HMO/WC	$205.50

SCREW LOCKING SLF TAP 3.5x45MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270633526
Hospital Revenue Code	278
Min. Negotiated Rate	$82.59
Max. Negotiated Rate	$133.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.25
Rate for Payer: Qualcare PPO/HMO/WC	$82.59

SCREW LOCKING SLF TAP 3.5x45MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270633526
Hospital Revenue Code	278
Min. Negotiated Rate	$15.64
Max. Negotiated Rate	$275.30
Rate for Payer: Aetna Commercial	$209.23
Rate for Payer: Aetna Medicare Advantage	$165.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.40
Rate for Payer: Cigna Commercial	$275.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.25
Rate for Payer: Qualcare PPO/HMO/WC	$82.59
Rate for Payer: UnitedHealthcare Community & State	$17.40
Rate for Payer: Wellpoint Medicaid Managed Care	$15.64

SCREW LOCKING SLF TAP 3.5x46MM

Facility

$534.55

Service Code	HCPCS C1713
Hospital Charge Code	270648816
Hospital Revenue Code	278
Min. Negotiated Rate	$80.18
Max. Negotiated Rate	$129.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.36
Rate for Payer: Qualcare PPO/HMO/WC	$80.18

SCREW LOCKING SLF TAP 3.5x46MM

Facility

$534.55

Service Code	HCPCS C1713
Hospital Charge Code	270648816
Hospital Revenue Code	278
Min. Negotiated Rate	$15.18
Max. Negotiated Rate	$267.27
Rate for Payer: Aetna Commercial	$203.13
Rate for Payer: Aetna Medicare Advantage	$160.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.31
Rate for Payer: Cigna Commercial	$267.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.36
Rate for Payer: Qualcare PPO/HMO/WC	$80.18
Rate for Payer: UnitedHealthcare Community & State	$16.89
Rate for Payer: Wellpoint Medicaid Managed Care	$15.18

SCREW LOCKING SLF TAP 3.5x48MM

Facility

$534.55

Service Code	HCPCS C1713
Hospital Charge Code	270637380
Hospital Revenue Code	278
Min. Negotiated Rate	$80.18
Max. Negotiated Rate	$129.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.36
Rate for Payer: Qualcare PPO/HMO/WC	$80.18

SCREW LOCKING SLF TAP 3.5x48MM

Facility

$534.55

Service Code	HCPCS C1713
Hospital Charge Code	270637380
Hospital Revenue Code	278
Min. Negotiated Rate	$15.18
Max. Negotiated Rate	$267.27
Rate for Payer: Aetna Commercial	$203.13
Rate for Payer: Aetna Medicare Advantage	$160.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.31
Rate for Payer: Cigna Commercial	$267.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.36
Rate for Payer: Qualcare PPO/HMO/WC	$80.18
Rate for Payer: UnitedHealthcare Community & State	$16.89
Rate for Payer: Wellpoint Medicaid Managed Care	$15.18

SCREW LOCKING SLF TAP 3.5X48MM

Facility

$1,370.00

Hospital Charge Code	270670990
Hospital Revenue Code	278
Min. Negotiated Rate	$38.91
Max. Negotiated Rate	$685.00
Rate for Payer: Aetna Commercial	$520.60
Rate for Payer: Aetna Medicare Advantage	$411.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$349.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$349.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$274.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$349.35
Rate for Payer: Cigna Commercial	$685.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$331.54
Rate for Payer: Qualcare PPO/HMO/WC	$205.50
Rate for Payer: UnitedHealthcare Community & State	$43.29
Rate for Payer: Wellpoint Medicaid Managed Care	$38.91

SCREW LOCKING SLF TAP 3.5X48MM

Facility

$1,370.00

Hospital Charge Code	270670990
Hospital Revenue Code	278
Min. Negotiated Rate	$205.50
Max. Negotiated Rate	$331.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$274.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$331.54
Rate for Payer: Qualcare PPO/HMO/WC	$205.50

SCREW LOCKING SLF TAP 3.5x50MM

Facility

$534.55

Service Code	HCPCS C1713
Hospital Charge Code	270633527
Hospital Revenue Code	278
Min. Negotiated Rate	$15.18
Max. Negotiated Rate	$267.27
Rate for Payer: Aetna Commercial	$203.13
Rate for Payer: Aetna Medicare Advantage	$160.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.31
Rate for Payer: Cigna Commercial	$267.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.36
Rate for Payer: Qualcare PPO/HMO/WC	$80.18
Rate for Payer: UnitedHealthcare Community & State	$16.89
Rate for Payer: Wellpoint Medicaid Managed Care	$15.18

Know your out-of-pocket cost for care.

All Charges