Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LOCKING T8 STAR 2.4x8MM

Facility

$497.50

Service Code	HCPCS C1713
Hospital Charge Code	270661615
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 2.4x9MM

Facility

$483.00

Hospital Charge Code	270676855
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 2.4x9MM

Facility

$483.00

Hospital Charge Code	270676855
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 2.7X26MM

Facility

$489.00

Hospital Charge Code	270669937
Hospital Revenue Code	278
Min. Negotiated Rate	$73.35
Max. Negotiated Rate	$118.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$97.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.34
Rate for Payer: Qualcare PPO/HMO/WC	$73.35

SCREW LOCKING T8 STAR 2.7X26MM

Facility

$489.00

Hospital Charge Code	270669937
Hospital Revenue Code	278
Min. Negotiated Rate	$13.89
Max. Negotiated Rate	$244.50
Rate for Payer: Aetna Commercial	$185.82
Rate for Payer: Aetna Medicare Advantage	$146.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$97.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.69
Rate for Payer: Cigna Commercial	$244.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.34
Rate for Payer: Qualcare PPO/HMO/WC	$73.35
Rate for Payer: UnitedHealthcare Community & State	$15.45
Rate for Payer: Wellpoint Medicaid Managed Care	$13.89

SCREW LOCKING T8 STAR 2.7X28MM

Facility

$489.00

Hospital Charge Code	270669936
Hospital Revenue Code	278
Min. Negotiated Rate	$73.35
Max. Negotiated Rate	$118.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$97.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.34
Rate for Payer: Qualcare PPO/HMO/WC	$73.35

SCREW LOCKING T8 STAR 2.7X28MM

Facility

$489.00

Hospital Charge Code	270669936
Hospital Revenue Code	278
Min. Negotiated Rate	$13.89
Max. Negotiated Rate	$244.50
Rate for Payer: Aetna Commercial	$185.82
Rate for Payer: Aetna Medicare Advantage	$146.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$97.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.69
Rate for Payer: Cigna Commercial	$244.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.34
Rate for Payer: Qualcare PPO/HMO/WC	$73.35
Rate for Payer: UnitedHealthcare Community & State	$15.45
Rate for Payer: Wellpoint Medicaid Managed Care	$13.89

SCREW LOCKING T8 STAR 2.7X30MM

Facility

$489.00

Hospital Charge Code	270669935
Hospital Revenue Code	278
Min. Negotiated Rate	$73.35
Max. Negotiated Rate	$118.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$97.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.34
Rate for Payer: Qualcare PPO/HMO/WC	$73.35

SCREW LOCKING T8 STAR 2.7X30MM

Facility

$489.00

Hospital Charge Code	270669935
Hospital Revenue Code	278
Min. Negotiated Rate	$13.89
Max. Negotiated Rate	$244.50
Rate for Payer: Aetna Commercial	$185.82
Rate for Payer: Aetna Medicare Advantage	$146.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$97.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.69
Rate for Payer: Cigna Commercial	$244.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.34
Rate for Payer: Qualcare PPO/HMO/WC	$73.35
Rate for Payer: UnitedHealthcare Community & State	$15.45
Rate for Payer: Wellpoint Medicaid Managed Care	$13.89

SCREW LOCKING T8 STAR 2.7X42MM

Facility

$489.00

Hospital Charge Code	270669934
Hospital Revenue Code	278
Min. Negotiated Rate	$73.35
Max. Negotiated Rate	$118.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$97.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.34
Rate for Payer: Qualcare PPO/HMO/WC	$73.35

SCREW LOCKING T8 STAR 2.7X42MM

Facility

$489.00

Hospital Charge Code	270669934
Hospital Revenue Code	278
Min. Negotiated Rate	$13.89
Max. Negotiated Rate	$244.50
Rate for Payer: Aetna Commercial	$185.82
Rate for Payer: Aetna Medicare Advantage	$146.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$97.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.69
Rate for Payer: Cigna Commercial	$244.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.34
Rate for Payer: Qualcare PPO/HMO/WC	$73.35
Rate for Payer: UnitedHealthcare Community & State	$15.45
Rate for Payer: Wellpoint Medicaid Managed Care	$13.89

SCREW LOCKING T8 STAR 2.7X44MM

Facility

$489.00

Hospital Charge Code	270659770
Hospital Revenue Code	278
Min. Negotiated Rate	$13.89
Max. Negotiated Rate	$244.50
Rate for Payer: Aetna Commercial	$185.82
Rate for Payer: Aetna Medicare Advantage	$146.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$97.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.69
Rate for Payer: Cigna Commercial	$244.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.34
Rate for Payer: Qualcare PPO/HMO/WC	$73.35
Rate for Payer: UnitedHealthcare Community & State	$15.45
Rate for Payer: Wellpoint Medicaid Managed Care	$13.89

SCREW LOCKING T8 STAR 2.7X44MM

Facility

$489.00

Hospital Charge Code	270659770
Hospital Revenue Code	278
Min. Negotiated Rate	$73.35
Max. Negotiated Rate	$118.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$97.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.34
Rate for Payer: Qualcare PPO/HMO/WC	$73.35

SCREW LOCKING T8 STAR 2.7X55MM

Facility

$489.00

Hospital Charge Code	270669933
Hospital Revenue Code	278
Min. Negotiated Rate	$73.35
Max. Negotiated Rate	$118.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$97.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.34
Rate for Payer: Qualcare PPO/HMO/WC	$73.35

SCREW LOCKING T8 STAR 2.7X55MM

Facility

$489.00

Hospital Charge Code	270669933
Hospital Revenue Code	278
Min. Negotiated Rate	$13.89
Max. Negotiated Rate	$244.50
Rate for Payer: Aetna Commercial	$185.82
Rate for Payer: Aetna Medicare Advantage	$146.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$97.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.69
Rate for Payer: Cigna Commercial	$244.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.34
Rate for Payer: Qualcare PPO/HMO/WC	$73.35
Rate for Payer: UnitedHealthcare Community & State	$15.45
Rate for Payer: Wellpoint Medicaid Managed Care	$13.89

SCREW LOCKING THREADED 5X60MM

Facility

$1,400.00

Hospital Charge Code	270668417
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 THREADED 5X60MM

Facility

$1,400.00

Hospital Charge Code	270668417
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 TI 3.5MM 28MM

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270686818
Hospital Revenue Code	278
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Community & State	$23.70
Rate for Payer: Wellpoint Medicaid Managed Care	$21.30

SCREW LOCKING TI 3.5MM 28MM

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270686818
Hospital Revenue Code	278
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$181.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

SCREW LOCKING TI 3.5 X 40 MM

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270690978
Hospital Revenue Code	278
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$181.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

SCREW LOCKING TI 3.5 X 40 MM

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270690978
Hospital Revenue Code	278
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Community & State	$23.70
Rate for Payer: Wellpoint Medicaid Managed Care	$21.30

SCREW LOCKING Ti 4.0 X 20 MM

Facility

$924.00

Hospital Charge Code	270667568
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 Ti 4.0 X 20 MM

Facility

$924.00

Hospital Charge Code	270667568
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 TI 4x40MM

Facility

$1,255.00

Service Code	HCPCS C1713
Hospital Charge Code	270673951
Hospital Revenue Code	278
Min. Negotiated Rate	$35.64
Max. Negotiated Rate	$627.50
Rate for Payer: Aetna Commercial	$476.90
Rate for Payer: Aetna Medicare Advantage	$376.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$320.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$320.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$251.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$320.02
Rate for Payer: Cigna Commercial	$627.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$303.71
Rate for Payer: Qualcare PPO/HMO/WC	$188.25
Rate for Payer: UnitedHealthcare Community & State	$39.66
Rate for Payer: Wellpoint Medicaid Managed Care	$35.64

SCREW LOCKING TI 4x40MM

Facility

$1,255.00

Service Code	HCPCS C1713
Hospital Charge Code	270673951
Hospital Revenue Code	278
Min. Negotiated Rate	$188.25
Max. Negotiated Rate	$303.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$251.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$303.71
Rate for Payer: Qualcare PPO/HMO/WC	$188.25

Know your out-of-pocket cost for care.

All Charges