Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LOCKING STAR 3.5x52MM

Facility

$519.00

Hospital Charge Code	270657131
Hospital Revenue Code	278
Min. Negotiated Rate	$14.74
Max. Negotiated Rate	$259.50
Rate for Payer: Aetna Commercial	$197.22
Rate for Payer: Aetna Medicare Advantage	$155.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.34
Rate for Payer: Cigna Commercial	$259.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.60
Rate for Payer: Qualcare PPO/HMO/WC	$77.85
Rate for Payer: UnitedHealthcare Community & State	$16.40
Rate for Payer: Wellpoint Medicaid Managed Care	$14.74

SCREW LOCKING STAR 4X38MM

Facility

$924.00

Service Code	HCPCS C1713
Hospital Charge Code	270659944
Hospital Revenue Code	278
Min. Negotiated Rate	$26.24
Max. Negotiated Rate	$462.00
Rate for Payer: Aetna Commercial	$351.12
Rate for Payer: Aetna Medicare Advantage	$277.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$235.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$235.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$184.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$235.62
Rate for Payer: Cigna Commercial	$462.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$223.61
Rate for Payer: Qualcare PPO/HMO/WC	$138.60
Rate for Payer: UnitedHealthcare Community & State	$29.20
Rate for Payer: Wellpoint Medicaid Managed Care	$26.24

SCREW LOCKING STAR 4X38MM

Facility

$924.00

Service Code	HCPCS C1713
Hospital Charge Code	270659944
Hospital Revenue Code	278
Min. Negotiated Rate	$138.60
Max. Negotiated Rate	$223.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$184.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$223.61
Rate for Payer: Qualcare PPO/HMO/WC	$138.60

SCREW LOCKING STAR 4X40MM

Facility

$951.70

Service Code	HCPCS C1713
Hospital Charge Code	270671294
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 STAR 4X40MM

Facility

$951.70

Service Code	HCPCS C1713
Hospital Charge Code	270671294
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 STARDR 2.4X6MM

Facility

$720.60

Service Code	HCPCS C1713
Hospital Charge Code	270695239
Hospital Revenue Code	278
Min. Negotiated Rate	$108.09
Max. Negotiated Rate	$174.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$144.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.39
Rate for Payer: Qualcare PPO/HMO/WC	$108.09

SCREW LOCKING STARDR 2.4X6MM

Facility

$720.60

Service Code	HCPCS C1713
Hospital Charge Code	270695239
Hospital Revenue Code	278
Min. Negotiated Rate	$20.47
Max. Negotiated Rate	$360.30
Rate for Payer: Aetna Commercial	$273.83
Rate for Payer: Aetna Medicare Advantage	$216.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$183.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$183.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$144.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$183.75
Rate for Payer: Cigna Commercial	$360.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.39
Rate for Payer: Qualcare PPO/HMO/WC	$108.09
Rate for Payer: UnitedHealthcare Community & State	$22.77
Rate for Payer: Wellpoint Medicaid Managed Care	$20.47

SCREW LOCKING STARDR 2.4X7MM

Facility

$720.60

Service Code	HCPCS C1713
Hospital Charge Code	270695240
Hospital Revenue Code	278
Min. Negotiated Rate	$20.47
Max. Negotiated Rate	$360.30
Rate for Payer: Aetna Commercial	$273.83
Rate for Payer: Aetna Medicare Advantage	$216.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$183.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$183.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$144.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$183.75
Rate for Payer: Cigna Commercial	$360.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.39
Rate for Payer: Qualcare PPO/HMO/WC	$108.09
Rate for Payer: UnitedHealthcare Community & State	$22.77
Rate for Payer: Wellpoint Medicaid Managed Care	$20.47

SCREW LOCKING STARDR 2.4X7MM

Facility

$720.60

Service Code	HCPCS C1713
Hospital Charge Code	270695240
Hospital Revenue Code	278
Min. Negotiated Rate	$108.09
Max. Negotiated Rate	$174.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$144.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.39
Rate for Payer: Qualcare PPO/HMO/WC	$108.09

SCREW LOCKING STR DRV 5.0x26MM

Facility

$753.00

Service Code	HCPCS C1713
Hospital Charge Code	270674864
Hospital Revenue Code	278
Min. Negotiated Rate	$21.39
Max. Negotiated Rate	$376.50
Rate for Payer: Aetna Commercial	$286.14
Rate for Payer: Aetna Medicare Advantage	$225.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.01
Rate for Payer: Cigna Commercial	$376.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.23
Rate for Payer: Qualcare PPO/HMO/WC	$112.95
Rate for Payer: UnitedHealthcare Community & State	$23.79
Rate for Payer: Wellpoint Medicaid Managed Care	$21.39

SCREW LOCKING STR DRV 5.0x26MM

Facility

$753.00

Service Code	HCPCS C1713
Hospital Charge Code	270674864
Hospital Revenue Code	278
Min. Negotiated Rate	$112.95
Max. Negotiated Rate	$182.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.23
Rate for Payer: Qualcare PPO/HMO/WC	$112.95

SCREW LOCKING STR DRV 5.0x28MM

Facility

$753.00

Service Code	HCPCS C1713
Hospital Charge Code	270674863
Hospital Revenue Code	278
Min. Negotiated Rate	$112.95
Max. Negotiated Rate	$182.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.23
Rate for Payer: Qualcare PPO/HMO/WC	$112.95

SCREW LOCKING STR DRV 5.0x28MM

Facility

$753.00

Service Code	HCPCS C1713
Hospital Charge Code	270674863
Hospital Revenue Code	278
Min. Negotiated Rate	$21.39
Max. Negotiated Rate	$376.50
Rate for Payer: Aetna Commercial	$286.14
Rate for Payer: Aetna Medicare Advantage	$225.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.01
Rate for Payer: Cigna Commercial	$376.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.23
Rate for Payer: Qualcare PPO/HMO/WC	$112.95
Rate for Payer: UnitedHealthcare Community & State	$23.79
Rate for Payer: Wellpoint Medicaid Managed Care	$21.39

SCREW LOCKING STR DRV 5.0x30MM

Facility

$753.00

Service Code	HCPCS C1713
Hospital Charge Code	270674862
Hospital Revenue Code	278
Min. Negotiated Rate	$21.39
Max. Negotiated Rate	$376.50
Rate for Payer: Aetna Commercial	$286.14
Rate for Payer: Aetna Medicare Advantage	$225.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.01
Rate for Payer: Cigna Commercial	$376.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.23
Rate for Payer: Qualcare PPO/HMO/WC	$112.95
Rate for Payer: UnitedHealthcare Community & State	$23.79
Rate for Payer: Wellpoint Medicaid Managed Care	$21.39

SCREW LOCKING STR DRV 5.0x30MM

Facility

$753.00

Service Code	HCPCS C1713
Hospital Charge Code	270674862
Hospital Revenue Code	278
Min. Negotiated Rate	$112.95
Max. Negotiated Rate	$182.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.23
Rate for Payer: Qualcare PPO/HMO/WC	$112.95

SCREW LOCKING STR DRV 5x50MM

Facility

$753.00

Service Code	HCPCS C1713
Hospital Charge Code	270676133
Hospital Revenue Code	278
Min. Negotiated Rate	$112.95
Max. Negotiated Rate	$182.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.23
Rate for Payer: Qualcare PPO/HMO/WC	$112.95

SCREW LOCKING STR DRV 5x50MM

Facility

$753.00

Service Code	HCPCS C1713
Hospital Charge Code	270676133
Hospital Revenue Code	278
Min. Negotiated Rate	$21.39
Max. Negotiated Rate	$376.50
Rate for Payer: Aetna Commercial	$286.14
Rate for Payer: Aetna Medicare Advantage	$225.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.01
Rate for Payer: Cigna Commercial	$376.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.23
Rate for Payer: Qualcare PPO/HMO/WC	$112.95
Rate for Payer: UnitedHealthcare Community & State	$23.79
Rate for Payer: Wellpoint Medicaid Managed Care	$21.39

SCREW LOCKING STR DRV 5x80MM

Facility

$753.00

Service Code	HCPCS C1713
Hospital Charge Code	270675717
Hospital Revenue Code	278
Min. Negotiated Rate	$112.95
Max. Negotiated Rate	$182.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.23
Rate for Payer: Qualcare PPO/HMO/WC	$112.95

SCREW LOCKING STR DRV 5x80MM

Facility

$753.00

Service Code	HCPCS C1713
Hospital Charge Code	270675717
Hospital Revenue Code	278
Min. Negotiated Rate	$21.39
Max. Negotiated Rate	$376.50
Rate for Payer: Aetna Commercial	$286.14
Rate for Payer: Aetna Medicare Advantage	$225.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.01
Rate for Payer: Cigna Commercial	$376.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.23
Rate for Payer: Qualcare PPO/HMO/WC	$112.95
Rate for Payer: UnitedHealthcare Community & State	$23.79
Rate for Payer: Wellpoint Medicaid Managed Care	$21.39

SCREW LOCKING STR DRV 5x85MM

Facility

$753.00

Hospital Charge Code	270675846
Hospital Revenue Code	278
Min. Negotiated Rate	$21.39
Max. Negotiated Rate	$376.50
Rate for Payer: Aetna Commercial	$286.14
Rate for Payer: Aetna Medicare Advantage	$225.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.01
Rate for Payer: Cigna Commercial	$376.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.23
Rate for Payer: Qualcare PPO/HMO/WC	$112.95
Rate for Payer: UnitedHealthcare Community & State	$23.79
Rate for Payer: Wellpoint Medicaid Managed Care	$21.39

SCREW LOCKING STR DRV 5x85MM

Facility

$753.00

Hospital Charge Code	270675846
Hospital Revenue Code	278
Min. Negotiated Rate	$112.95
Max. Negotiated Rate	$182.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.23
Rate for Payer: Qualcare PPO/HMO/WC	$112.95

SCREW LOCKING T10 3.5MM/L20MM

Facility

$703.25

Service Code	HCPCS C1713
Hospital Charge Code	270657320
Hospital Revenue Code	278
Min. Negotiated Rate	$19.97
Max. Negotiated Rate	$351.62
Rate for Payer: Aetna Commercial	$267.24
Rate for Payer: Aetna Medicare Advantage	$210.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$179.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$179.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$179.33
Rate for Payer: Cigna Commercial	$351.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.19
Rate for Payer: Qualcare PPO/HMO/WC	$105.49
Rate for Payer: UnitedHealthcare Community & State	$22.22
Rate for Payer: Wellpoint Medicaid Managed Care	$19.97

SCREW LOCKING T10 3.5MM/L20MM

Facility

$703.25

Service Code	HCPCS C1713
Hospital Charge Code	270657320
Hospital Revenue Code	278
Min. Negotiated Rate	$105.49
Max. Negotiated Rate	$170.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.19
Rate for Payer: Qualcare PPO/HMO/WC	$105.49

SCREW LOCKING T10 3.5x50MM

Facility

$799.50

Hospital Charge Code	270674953
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 T10 3.5x50MM

Facility

$799.50

Hospital Charge Code	270674953
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

Know your out-of-pocket cost for care.

All Charges