Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LOCKING T8 STAR 2.4x10mm

Facility

$497.50

Service Code	HCPCS C1713
Hospital Charge Code	270667139
Hospital Revenue Code	278
Min. Negotiated Rate	$14.13
Max. Negotiated Rate	$248.75
Rate for Payer: Aetna Commercial	$189.05
Rate for Payer: Aetna Medicare Advantage	$149.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.86
Rate for Payer: Cigna Commercial	$248.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.39
Rate for Payer: Qualcare PPO/HMO/WC	$74.62
Rate for Payer: UnitedHealthcare Community & State	$15.72
Rate for Payer: Wellpoint Medicaid Managed Care	$14.13

SCREW LOCKING T8 STAR 2.4x10mm

Facility

$497.50

Service Code	HCPCS C1713
Hospital Charge Code	270667139
Hospital Revenue Code	278
Min. Negotiated Rate	$74.62
Max. Negotiated Rate	$120.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.39
Rate for Payer: Qualcare PPO/HMO/WC	$74.62

SCREW LOCKING T8 STAR 2.4x11MM

Facility

$483.00

Hospital Charge Code	270676306
Hospital Revenue Code	278
Min. Negotiated Rate	$13.72
Max. Negotiated Rate	$241.50
Rate for Payer: Aetna Commercial	$183.54
Rate for Payer: Aetna Medicare Advantage	$144.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$123.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$123.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$96.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$123.17
Rate for Payer: Cigna Commercial	$241.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.89
Rate for Payer: Qualcare PPO/HMO/WC	$72.45
Rate for Payer: UnitedHealthcare Community & State	$15.26
Rate for Payer: Wellpoint Medicaid Managed Care	$13.72

SCREW LOCKING T8 STAR 2.4x11MM

Facility

$483.00

Hospital Charge Code	270676306
Hospital Revenue Code	278
Min. Negotiated Rate	$72.45
Max. Negotiated Rate	$116.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$96.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.89
Rate for Payer: Qualcare PPO/HMO/WC	$72.45

SCREW LOCKING T8 STAR 2.4x12MM

Facility

$483.00

Hospital Charge Code	270667138
Hospital Revenue Code	278
Min. Negotiated Rate	$13.72
Max. Negotiated Rate	$241.50
Rate for Payer: Aetna Commercial	$183.54
Rate for Payer: Aetna Medicare Advantage	$144.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$123.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$123.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$96.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$123.17
Rate for Payer: Cigna Commercial	$241.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.89
Rate for Payer: Qualcare PPO/HMO/WC	$72.45
Rate for Payer: UnitedHealthcare Community & State	$15.26
Rate for Payer: Wellpoint Medicaid Managed Care	$13.72

SCREW LOCKING T8 STAR 2.4x12MM

Facility

$483.00

Hospital Charge Code	270667138
Hospital Revenue Code	278
Min. Negotiated Rate	$72.45
Max. Negotiated Rate	$116.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$96.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.89
Rate for Payer: Qualcare PPO/HMO/WC	$72.45

SCREW LOCKING T8 STAR 2.4x13MM

Facility

$483.00

Hospital Charge Code	270676305
Hospital Revenue Code	278
Min. Negotiated Rate	$72.45
Max. Negotiated Rate	$116.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$96.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.89
Rate for Payer: Qualcare PPO/HMO/WC	$72.45

SCREW LOCKING T8 STAR 2.4x13MM

Facility

$483.00

Hospital Charge Code	270676305
Hospital Revenue Code	278
Min. Negotiated Rate	$13.72
Max. Negotiated Rate	$241.50
Rate for Payer: Aetna Commercial	$183.54
Rate for Payer: Aetna Medicare Advantage	$144.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$123.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$123.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$96.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$123.17
Rate for Payer: Cigna Commercial	$241.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.89
Rate for Payer: Qualcare PPO/HMO/WC	$72.45
Rate for Payer: UnitedHealthcare Community & State	$15.26
Rate for Payer: Wellpoint Medicaid Managed Care	$13.72

SCREW LOCKING T8 STAR 2.4x14MM

Facility

$497.50

Service Code	HCPCS C1713
Hospital Charge Code	270637235
Hospital Revenue Code	278
Min. Negotiated Rate	$14.13
Max. Negotiated Rate	$248.75
Rate for Payer: Aetna Commercial	$189.05
Rate for Payer: Aetna Medicare Advantage	$149.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.86
Rate for Payer: Cigna Commercial	$248.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.39
Rate for Payer: Qualcare PPO/HMO/WC	$74.62
Rate for Payer: UnitedHealthcare Community & State	$15.72
Rate for Payer: Wellpoint Medicaid Managed Care	$14.13

SCREW LOCKING T8 STAR 2.4x14MM

Facility

$497.50

Service Code	HCPCS C1713
Hospital Charge Code	270637235
Hospital Revenue Code	278
Min. Negotiated Rate	$74.62
Max. Negotiated Rate	$120.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.39
Rate for Payer: Qualcare PPO/HMO/WC	$74.62

SCREW LOCKING T8 STAR 2.4x16MM

Facility

$512.45

Service Code	HCPCS C1713
Hospital Charge Code	270637239
Hospital Revenue Code	278
Min. Negotiated Rate	$14.55
Max. Negotiated Rate	$256.23
Rate for Payer: Aetna Commercial	$194.73
Rate for Payer: Aetna Medicare Advantage	$153.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$130.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$130.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$102.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$130.67
Rate for Payer: Cigna Commercial	$256.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$124.01
Rate for Payer: Qualcare PPO/HMO/WC	$76.87
Rate for Payer: UnitedHealthcare Community & State	$16.19
Rate for Payer: Wellpoint Medicaid Managed Care	$14.55

SCREW LOCKING T8 STAR 2.4x16MM

Facility

$512.45

Service Code	HCPCS C1713
Hospital Charge Code	270637239
Hospital Revenue Code	278
Min. Negotiated Rate	$76.87
Max. Negotiated Rate	$124.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$102.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$124.01
Rate for Payer: Qualcare PPO/HMO/WC	$76.87

SCREW LOCKING T8 STAR 2.4x18MM

Facility

$497.50

Service Code	HCPCS C1713
Hospital Charge Code	270641162
Hospital Revenue Code	278
Min. Negotiated Rate	$14.13
Max. Negotiated Rate	$248.75
Rate for Payer: Aetna Commercial	$189.05
Rate for Payer: Aetna Medicare Advantage	$149.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.86
Rate for Payer: Cigna Commercial	$248.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.39
Rate for Payer: Qualcare PPO/HMO/WC	$74.62
Rate for Payer: UnitedHealthcare Community & State	$15.72
Rate for Payer: Wellpoint Medicaid Managed Care	$14.13

SCREW LOCKING T8 STAR 2.4x18MM

Facility

$497.50

Service Code	HCPCS C1713
Hospital Charge Code	270641162
Hospital Revenue Code	278
Min. Negotiated Rate	$74.62
Max. Negotiated Rate	$120.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.39
Rate for Payer: Qualcare PPO/HMO/WC	$74.62

SCREW LOCKING T8 STAR 2.4x20MM

Facility

$497.50

Service Code	HCPCS C1713
Hospital Charge Code	270641163
Hospital Revenue Code	278
Min. Negotiated Rate	$74.62
Max. Negotiated Rate	$120.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.39
Rate for Payer: Qualcare PPO/HMO/WC	$74.62

SCREW LOCKING T8 STAR 2.4x20MM

Facility

$497.50

Service Code	HCPCS C1713
Hospital Charge Code	270641163
Hospital Revenue Code	278
Min. Negotiated Rate	$14.13
Max. Negotiated Rate	$248.75
Rate for Payer: Aetna Commercial	$189.05
Rate for Payer: Aetna Medicare Advantage	$149.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.86
Rate for Payer: Cigna Commercial	$248.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.39
Rate for Payer: Qualcare PPO/HMO/WC	$74.62
Rate for Payer: UnitedHealthcare Community & State	$15.72
Rate for Payer: Wellpoint Medicaid Managed Care	$14.13

SCREW LOCKING T8 STAR 2.4x22MM

Facility

$483.00

Service Code	HCPCS C1713
Hospital Charge Code	270641161
Hospital Revenue Code	278
Min. Negotiated Rate	$13.72
Max. Negotiated Rate	$241.50
Rate for Payer: Aetna Commercial	$183.54
Rate for Payer: Aetna Medicare Advantage	$144.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$123.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$123.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$96.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$123.17
Rate for Payer: Cigna Commercial	$241.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.89
Rate for Payer: Qualcare PPO/HMO/WC	$72.45
Rate for Payer: UnitedHealthcare Community & State	$15.26
Rate for Payer: Wellpoint Medicaid Managed Care	$13.72

SCREW LOCKING T8 STAR 2.4x22MM

Facility

$483.00

Service Code	HCPCS C1713
Hospital Charge Code	270641161
Hospital Revenue Code	278
Min. Negotiated Rate	$72.45
Max. Negotiated Rate	$116.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$96.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.89
Rate for Payer: Qualcare PPO/HMO/WC	$72.45

SCREW LOCKING T8 STAR 2.4x30MM

Facility

$483.00

Hospital Charge Code	270676532
Hospital Revenue Code	278
Min. Negotiated Rate	$72.45
Max. Negotiated Rate	$116.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$96.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.89
Rate for Payer: Qualcare PPO/HMO/WC	$72.45

SCREW LOCKING T8 STAR 2.4x30MM

Facility

$483.00

Hospital Charge Code	270676532
Hospital Revenue Code	278
Min. Negotiated Rate	$13.72
Max. Negotiated Rate	$241.50
Rate for Payer: Aetna Commercial	$183.54
Rate for Payer: Aetna Medicare Advantage	$144.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$123.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$123.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$96.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$123.17
Rate for Payer: Cigna Commercial	$241.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.89
Rate for Payer: Qualcare PPO/HMO/WC	$72.45
Rate for Payer: UnitedHealthcare Community & State	$15.26
Rate for Payer: Wellpoint Medicaid Managed Care	$13.72

SCREW LOCKING T8 STAR 2.4x6MM

Facility

$497.50

Service Code	HCPCS C1713
Hospital Charge Code	270648522
Hospital Revenue Code	278
Min. Negotiated Rate	$14.13
Max. Negotiated Rate	$248.75
Rate for Payer: Aetna Commercial	$189.05
Rate for Payer: Aetna Medicare Advantage	$149.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.86
Rate for Payer: Cigna Commercial	$248.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.39
Rate for Payer: Qualcare PPO/HMO/WC	$74.62
Rate for Payer: UnitedHealthcare Community & State	$15.72
Rate for Payer: Wellpoint Medicaid Managed Care	$14.13

SCREW LOCKING T8 STAR 2.4x6MM

Facility

$497.50

Service Code	HCPCS C1713
Hospital Charge Code	270648522
Hospital Revenue Code	278
Min. Negotiated Rate	$74.62
Max. Negotiated Rate	$120.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.39
Rate for Payer: Qualcare PPO/HMO/WC	$74.62

SCREW LOCKING T8 STAR 2.4x7MM

Facility

$483.00

Hospital Charge Code	270676304
Hospital Revenue Code	278
Min. Negotiated Rate	$13.72
Max. Negotiated Rate	$241.50
Rate for Payer: Aetna Commercial	$183.54
Rate for Payer: Aetna Medicare Advantage	$144.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$123.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$123.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$96.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$123.17
Rate for Payer: Cigna Commercial	$241.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.89
Rate for Payer: Qualcare PPO/HMO/WC	$72.45
Rate for Payer: UnitedHealthcare Community & State	$15.26
Rate for Payer: Wellpoint Medicaid Managed Care	$13.72

SCREW LOCKING T8 STAR 2.4x7MM

Facility

$483.00

Hospital Charge Code	270676304
Hospital Revenue Code	278
Min. Negotiated Rate	$72.45
Max. Negotiated Rate	$116.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$96.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.89
Rate for Payer: Qualcare PPO/HMO/WC	$72.45

SCREW LOCKING T8 STAR 2.4x8MM

Facility

$497.50

Service Code	HCPCS C1713
Hospital Charge Code	270661615
Hospital Revenue Code	278
Min. Negotiated Rate	$74.62
Max. Negotiated Rate	$120.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.39
Rate for Payer: Qualcare PPO/HMO/WC	$74.62

Know your out-of-pocket cost for care.

All Charges