Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LOCKING SLF TAP 3.5x50MM

Facility

$534.55

Service Code	HCPCS C1713
Hospital Charge Code	270633527
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 3.5x55MM

Facility

$534.55

Service Code	HCPCS C1713
Hospital Charge Code	270640391
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 3.5x55MM

Facility

$534.55

Service Code	HCPCS C1713
Hospital Charge Code	270640391
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 3.5x60MM

Facility

$534.55

Service Code	HCPCS C1713
Hospital Charge Code	270646516
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 3.5x60MM

Facility

$534.55

Service Code	HCPCS C1713
Hospital Charge Code	270646516
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 3.5x70MM

Facility

$534.55

Service Code	HCPCS C1713
Hospital Charge Code	270646514
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 3.5x70MM

Facility

$534.55

Service Code	HCPCS C1713
Hospital Charge Code	270646514
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 3.5x75MM

Facility

$534.55

Service Code	HCPCS C1713
Hospital Charge Code	270646515
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 3.5x75MM

Facility

$534.55

Service Code	HCPCS C1713
Hospital Charge Code	270646515
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 4.0x26mm

Facility

$594.00

Service Code	HCPCS C1713
Hospital Charge Code	270661918
Hospital Revenue Code	278
Min. Negotiated Rate	$89.10
Max. Negotiated Rate	$143.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$118.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.75
Rate for Payer: Qualcare PPO/HMO/WC	$89.10

SCREW LOCKING SLF/TAP 4.0x26mm

Facility

$594.00

Service Code	HCPCS C1713
Hospital Charge Code	270661918
Hospital Revenue Code	278
Min. Negotiated Rate	$16.87
Max. Negotiated Rate	$297.00
Rate for Payer: Aetna Commercial	$225.72
Rate for Payer: Aetna Medicare Advantage	$178.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$118.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.47
Rate for Payer: Cigna Commercial	$297.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.75
Rate for Payer: Qualcare PPO/HMO/WC	$89.10
Rate for Payer: UnitedHealthcare Community & State	$18.77
Rate for Payer: Wellpoint Medicaid Managed Care	$16.87

SCREW LOCKING SLF/TAP 4.0x30mm

Facility

$611.80

Service Code	HCPCS C1713
Hospital Charge Code	270646170
Hospital Revenue Code	278
Min. Negotiated Rate	$17.38
Max. Negotiated Rate	$305.90
Rate for Payer: Aetna Commercial	$232.48
Rate for Payer: Aetna Medicare Advantage	$183.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$156.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$156.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$122.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$156.01
Rate for Payer: Cigna Commercial	$305.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.06
Rate for Payer: Qualcare PPO/HMO/WC	$91.77
Rate for Payer: UnitedHealthcare Community & State	$19.33
Rate for Payer: Wellpoint Medicaid Managed Care	$17.38

SCREW LOCKING SLF/TAP 4.0x30mm

Facility

$611.80

Service Code	HCPCS C1713
Hospital Charge Code	270646170
Hospital Revenue Code	278
Min. Negotiated Rate	$91.77
Max. Negotiated Rate	$148.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$122.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.06
Rate for Payer: Qualcare PPO/HMO/WC	$91.77

SCREW LOCKING SLF/TAP 4.0x34mm

Facility

$630.15

Service Code	HCPCS C1713
Hospital Charge Code	270681477
Hospital Revenue Code	278
Min. Negotiated Rate	$17.90
Max. Negotiated Rate	$315.07
Rate for Payer: Aetna Commercial	$239.46
Rate for Payer: Aetna Medicare Advantage	$189.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$160.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$160.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$126.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$160.69
Rate for Payer: Cigna Commercial	$315.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$152.50
Rate for Payer: Qualcare PPO/HMO/WC	$94.52
Rate for Payer: UnitedHealthcare Community & State	$19.91
Rate for Payer: Wellpoint Medicaid Managed Care	$17.90

SCREW LOCKING SLF/TAP 4.0x34mm

Facility

$630.15

Service Code	HCPCS C1713
Hospital Charge Code	270681477
Hospital Revenue Code	278
Min. Negotiated Rate	$94.52
Max. Negotiated Rate	$152.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$126.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$152.50
Rate for Payer: Qualcare PPO/HMO/WC	$94.52

SCREW LOCKING SLF TAP 5x20MM

Facility

$621.10

Service Code	HCPCS C1713
Hospital Charge Code	270637797
Hospital Revenue Code	278
Min. Negotiated Rate	$17.64
Max. Negotiated Rate	$310.55
Rate for Payer: Aetna Commercial	$236.02
Rate for Payer: Aetna Medicare Advantage	$186.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.38
Rate for Payer: Cigna Commercial	$310.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.31
Rate for Payer: Qualcare PPO/HMO/WC	$93.17
Rate for Payer: UnitedHealthcare Community & State	$19.63
Rate for Payer: Wellpoint Medicaid Managed Care	$17.64

SCREW LOCKING SLF TAP 5x20MM

Facility

$621.10

Service Code	HCPCS C1713
Hospital Charge Code	270637797
Hospital Revenue Code	278
Min. Negotiated Rate	$93.17
Max. Negotiated Rate	$150.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.31
Rate for Payer: Qualcare PPO/HMO/WC	$93.17

SCREW LOCKING SLF TAP 5x22MM

Facility

$621.10

Service Code	HCPCS C1713
Hospital Charge Code	270641544
Hospital Revenue Code	278
Min. Negotiated Rate	$93.17
Max. Negotiated Rate	$150.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.31
Rate for Payer: Qualcare PPO/HMO/WC	$93.17

SCREW LOCKING SLF TAP 5x22MM

Facility

$621.10

Service Code	HCPCS C1713
Hospital Charge Code	270641544
Hospital Revenue Code	278
Min. Negotiated Rate	$17.64
Max. Negotiated Rate	$310.55
Rate for Payer: Aetna Commercial	$236.02
Rate for Payer: Aetna Medicare Advantage	$186.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.38
Rate for Payer: Cigna Commercial	$310.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.31
Rate for Payer: Qualcare PPO/HMO/WC	$93.17
Rate for Payer: UnitedHealthcare Community & State	$19.63
Rate for Payer: Wellpoint Medicaid Managed Care	$17.64

SCREW LOCKING SLF TAP 5x24MM

Facility

$621.10

Service Code	HCPCS C1713
Hospital Charge Code	270641543
Hospital Revenue Code	278
Min. Negotiated Rate	$17.64
Max. Negotiated Rate	$310.55
Rate for Payer: Aetna Commercial	$236.02
Rate for Payer: Aetna Medicare Advantage	$186.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.38
Rate for Payer: Cigna Commercial	$310.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.31
Rate for Payer: Qualcare PPO/HMO/WC	$93.17
Rate for Payer: UnitedHealthcare Community & State	$19.63
Rate for Payer: Wellpoint Medicaid Managed Care	$17.64

SCREW LOCKING SLF TAP 5x24MM

Facility

$621.10

Service Code	HCPCS C1713
Hospital Charge Code	270641543
Hospital Revenue Code	278
Min. Negotiated Rate	$93.17
Max. Negotiated Rate	$150.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.31
Rate for Payer: Qualcare PPO/HMO/WC	$93.17

SCREW LOCKING SLF TAP 5x26MM

Facility

$621.10

Service Code	HCPCS C1713
Hospital Charge Code	270637795
Hospital Revenue Code	278
Min. Negotiated Rate	$17.64
Max. Negotiated Rate	$310.55
Rate for Payer: Aetna Commercial	$236.02
Rate for Payer: Aetna Medicare Advantage	$186.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.38
Rate for Payer: Cigna Commercial	$310.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.31
Rate for Payer: Qualcare PPO/HMO/WC	$93.17
Rate for Payer: UnitedHealthcare Community & State	$19.63
Rate for Payer: Wellpoint Medicaid Managed Care	$17.64

SCREW LOCKING SLF TAP 5x26MM

Facility

$621.10

Service Code	HCPCS C1713
Hospital Charge Code	270637795
Hospital Revenue Code	278
Min. Negotiated Rate	$93.17
Max. Negotiated Rate	$150.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.31
Rate for Payer: Qualcare PPO/HMO/WC	$93.17

SCREW LOCKING SLF TAP 5x28MM

Facility

$621.10

Service Code	HCPCS C1713
Hospital Charge Code	270637794
Hospital Revenue Code	278
Min. Negotiated Rate	$17.64
Max. Negotiated Rate	$310.55
Rate for Payer: Aetna Commercial	$236.02
Rate for Payer: Aetna Medicare Advantage	$186.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.38
Rate for Payer: Cigna Commercial	$310.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.31
Rate for Payer: Qualcare PPO/HMO/WC	$93.17
Rate for Payer: UnitedHealthcare Community & State	$19.63
Rate for Payer: Wellpoint Medicaid Managed Care	$17.64

SCREW LOCKING SLF TAP 5x28MM

Facility

$621.10

Service Code	HCPCS C1713
Hospital Charge Code	270637794
Hospital Revenue Code	278
Min. Negotiated Rate	$93.17
Max. Negotiated Rate	$150.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.31
Rate for Payer: Qualcare PPO/HMO/WC	$93.17

Know your out-of-pocket cost for care.

All Charges