Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW METAPHYSEAL T8 2.7x60MM

Facility

$194.65

Hospital Charge Code	270677652
Hospital Revenue Code	278
Min. Negotiated Rate	$29.20
Max. Negotiated Rate	$47.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.11
Rate for Payer: Qualcare PPO/HMO/WC	$29.20

SCREW METAPHYSEAL T8 2.7x60MM

Facility

$194.65

Hospital Charge Code	270677652
Hospital Revenue Code	278
Min. Negotiated Rate	$5.53
Max. Negotiated Rate	$97.33
Rate for Payer: Aetna Commercial	$73.97
Rate for Payer: Aetna Medicare Advantage	$58.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.64
Rate for Payer: Cigna Commercial	$97.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.11
Rate for Payer: Qualcare PPO/HMO/WC	$29.20
Rate for Payer: UnitedHealthcare Community & State	$6.15
Rate for Payer: Wellpoint Medicaid Managed Care	$5.53

SCREW METAPHYSEAL T8 2.7x62MM

Facility

$194.65

Hospital Charge Code	270677653
Hospital Revenue Code	278
Min. Negotiated Rate	$29.20
Max. Negotiated Rate	$47.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.11
Rate for Payer: Qualcare PPO/HMO/WC	$29.20

SCREW METAPHYSEAL T8 2.7x62MM

Facility

$194.65

Hospital Charge Code	270677653
Hospital Revenue Code	278
Min. Negotiated Rate	$5.53
Max. Negotiated Rate	$97.33
Rate for Payer: Aetna Commercial	$73.97
Rate for Payer: Aetna Medicare Advantage	$58.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.64
Rate for Payer: Cigna Commercial	$97.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.11
Rate for Payer: Qualcare PPO/HMO/WC	$29.20
Rate for Payer: UnitedHealthcare Community & State	$6.15
Rate for Payer: Wellpoint Medicaid Managed Care	$5.53

SCREW METAPHYSEAL T8 2.7x64MM

Facility

$194.65

Hospital Charge Code	270677654
Hospital Revenue Code	278
Min. Negotiated Rate	$5.53
Max. Negotiated Rate	$97.33
Rate for Payer: Aetna Commercial	$73.97
Rate for Payer: Aetna Medicare Advantage	$58.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.64
Rate for Payer: Cigna Commercial	$97.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.11
Rate for Payer: Qualcare PPO/HMO/WC	$29.20
Rate for Payer: UnitedHealthcare Community & State	$6.15
Rate for Payer: Wellpoint Medicaid Managed Care	$5.53

SCREW METAPHYSEAL T8 2.7x64MM

Facility

$194.65

Hospital Charge Code	270677654
Hospital Revenue Code	278
Min. Negotiated Rate	$29.20
Max. Negotiated Rate	$47.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.11
Rate for Payer: Qualcare PPO/HMO/WC	$29.20

SCREW METAPHYSEAL T8 2.7x66MM

Facility

$194.65

Hospital Charge Code	270677655
Hospital Revenue Code	278
Min. Negotiated Rate	$29.20
Max. Negotiated Rate	$47.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.11
Rate for Payer: Qualcare PPO/HMO/WC	$29.20

SCREW METAPHYSEAL T8 2.7x66MM

Facility

$194.65

Hospital Charge Code	270677655
Hospital Revenue Code	278
Min. Negotiated Rate	$5.53
Max. Negotiated Rate	$97.33
Rate for Payer: Aetna Commercial	$73.97
Rate for Payer: Aetna Medicare Advantage	$58.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.64
Rate for Payer: Cigna Commercial	$97.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.11
Rate for Payer: Qualcare PPO/HMO/WC	$29.20
Rate for Payer: UnitedHealthcare Community & State	$6.15
Rate for Payer: Wellpoint Medicaid Managed Care	$5.53

SCREW METAPHYSEAL T8 2.7x68MM

Facility

$194.65

Hospital Charge Code	270677656
Hospital Revenue Code	278
Min. Negotiated Rate	$5.53
Max. Negotiated Rate	$97.33
Rate for Payer: Aetna Commercial	$73.97
Rate for Payer: Aetna Medicare Advantage	$58.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.64
Rate for Payer: Cigna Commercial	$97.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.11
Rate for Payer: Qualcare PPO/HMO/WC	$29.20
Rate for Payer: UnitedHealthcare Community & State	$6.15
Rate for Payer: Wellpoint Medicaid Managed Care	$5.53

SCREW METAPHYSEAL T8 2.7x68MM

Facility

$194.65

Hospital Charge Code	270677656
Hospital Revenue Code	278
Min. Negotiated Rate	$29.20
Max. Negotiated Rate	$47.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.11
Rate for Payer: Qualcare PPO/HMO/WC	$29.20

SCREW METAPHYSEAL T8 2.7x70MM

Facility

$194.65

Hospital Charge Code	270677657
Hospital Revenue Code	278
Min. Negotiated Rate	$5.53
Max. Negotiated Rate	$97.33
Rate for Payer: Aetna Commercial	$73.97
Rate for Payer: Aetna Medicare Advantage	$58.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.64
Rate for Payer: Cigna Commercial	$97.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.11
Rate for Payer: Qualcare PPO/HMO/WC	$29.20
Rate for Payer: UnitedHealthcare Community & State	$6.15
Rate for Payer: Wellpoint Medicaid Managed Care	$5.53

SCREW METAPHYSEAL T8 2.7x70MM

Facility

$194.65

Hospital Charge Code	270677657
Hospital Revenue Code	278
Min. Negotiated Rate	$29.20
Max. Negotiated Rate	$47.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.11
Rate for Payer: Qualcare PPO/HMO/WC	$29.20

SCREW MILAGRO 8 X 30MM

Facility

$2,290.00

Hospital Charge Code	270668385
Hospital Revenue Code	278
Min. Negotiated Rate	$343.50
Max. Negotiated Rate	$554.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$458.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$554.18
Rate for Payer: Qualcare PPO/HMO/WC	$343.50

SCREW MILAGRO 8 X 30MM

Facility

$2,290.00

Hospital Charge Code	270668385
Hospital Revenue Code	278
Min. Negotiated Rate	$65.04
Max. Negotiated Rate	$1,145.00
Rate for Payer: Aetna Commercial	$870.20
Rate for Payer: Aetna Medicare Advantage	$687.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$583.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$583.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$458.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$583.95
Rate for Payer: Cigna Commercial	$1,145.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$554.18
Rate for Payer: Qualcare PPO/HMO/WC	$343.50
Rate for Payer: UnitedHealthcare Community & State	$72.36
Rate for Payer: Wellpoint Medicaid Managed Care	$65.04

SCREW MINIMON HDLS 2.5X30MM

Facility

$1,141.25

Service Code	HCPCS C1713
Hospital Charge Code	270700687
Hospital Revenue Code	278
Min. Negotiated Rate	$171.19
Max. Negotiated Rate	$276.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$228.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$276.18
Rate for Payer: Qualcare PPO/HMO/WC	$171.19

SCREW MINIMON HDLS 2.5X30MM

Facility

$1,141.25

Service Code	HCPCS C1713
Hospital Charge Code	270700687
Hospital Revenue Code	278
Min. Negotiated Rate	$32.41
Max. Negotiated Rate	$570.62
Rate for Payer: Aetna Commercial	$433.68
Rate for Payer: Aetna Medicare Advantage	$342.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$291.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$291.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$228.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$291.02
Rate for Payer: Cigna Commercial	$570.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$276.18
Rate for Payer: Qualcare PPO/HMO/WC	$171.19
Rate for Payer: UnitedHealthcare Community & State	$36.06
Rate for Payer: Wellpoint Medicaid Managed Care	$32.41

SCREW MINIMON HDLS ST 2X20MM

Facility

$1,141.25

Service Code	HCPCS C1713
Hospital Charge Code	270700688
Hospital Revenue Code	278
Min. Negotiated Rate	$171.19
Max. Negotiated Rate	$276.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$228.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$276.18
Rate for Payer: Qualcare PPO/HMO/WC	$171.19

SCREW MINIMON HDLS ST 2X20MM

Facility

$1,141.25

Service Code	HCPCS C1713
Hospital Charge Code	270700688
Hospital Revenue Code	278
Min. Negotiated Rate	$32.41
Max. Negotiated Rate	$570.62
Rate for Payer: Aetna Commercial	$433.68
Rate for Payer: Aetna Medicare Advantage	$342.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$291.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$291.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$228.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$291.02
Rate for Payer: Cigna Commercial	$570.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$276.18
Rate for Payer: Qualcare PPO/HMO/WC	$171.19
Rate for Payer: UnitedHealthcare Community & State	$36.06
Rate for Payer: Wellpoint Medicaid Managed Care	$32.41

SCREW MINIMON HDLS ST 2X24MM

Facility

$1,141.25

Service Code	HCPCS C1713
Hospital Charge Code	270700686
Hospital Revenue Code	278
Min. Negotiated Rate	$32.41
Max. Negotiated Rate	$570.62
Rate for Payer: Aetna Commercial	$433.68
Rate for Payer: Aetna Medicare Advantage	$342.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$291.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$291.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$228.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$291.02
Rate for Payer: Cigna Commercial	$570.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$276.18
Rate for Payer: Qualcare PPO/HMO/WC	$171.19
Rate for Payer: UnitedHealthcare Community & State	$36.06
Rate for Payer: Wellpoint Medicaid Managed Care	$32.41

SCREW MINIMON HDLS ST 2X24MM

Facility

$1,141.25

Service Code	HCPCS C1713
Hospital Charge Code	270700686
Hospital Revenue Code	278
Min. Negotiated Rate	$171.19
Max. Negotiated Rate	$276.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$228.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$276.18
Rate for Payer: Qualcare PPO/HMO/WC	$171.19

SCREW MINI MONSTER SH TH2X14MM

Facility

$962.50

Service Code	HCPCS C1713
Hospital Charge Code	270700629
Hospital Revenue Code	278
Min. Negotiated Rate	$144.38
Max. Negotiated Rate	$232.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$192.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.93
Rate for Payer: Qualcare PPO/HMO/WC	$144.38

SCREW MINI MONSTER SH TH2X14MM

Facility

$962.50

Service Code	HCPCS C1713
Hospital Charge Code	270700629
Hospital Revenue Code	278
Min. Negotiated Rate	$27.34
Max. Negotiated Rate	$481.25
Rate for Payer: Aetna Commercial	$365.75
Rate for Payer: Aetna Medicare Advantage	$288.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$245.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$245.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$192.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$245.44
Rate for Payer: Cigna Commercial	$481.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.93
Rate for Payer: Qualcare PPO/HMO/WC	$144.38
Rate for Payer: UnitedHealthcare Community & State	$30.41
Rate for Payer: Wellpoint Medicaid Managed Care	$27.34

SCREW MINI MONST HD ST3.5X32MM

Facility

$962.50

Service Code	HCPCS C1713
Hospital Charge Code	270700644
Hospital Revenue Code	278
Min. Negotiated Rate	$27.34
Max. Negotiated Rate	$481.25
Rate for Payer: Aetna Commercial	$365.75
Rate for Payer: Aetna Medicare Advantage	$288.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$245.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$245.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$192.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$245.44
Rate for Payer: Cigna Commercial	$481.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.93
Rate for Payer: Qualcare PPO/HMO/WC	$144.38
Rate for Payer: UnitedHealthcare Community & State	$30.41
Rate for Payer: Wellpoint Medicaid Managed Care	$27.34

SCREW MINI MONST HD ST3.5X32MM

Facility

$962.50

Service Code	HCPCS C1713
Hospital Charge Code	270700644
Hospital Revenue Code	278
Min. Negotiated Rate	$144.38
Max. Negotiated Rate	$232.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$192.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.93
Rate for Payer: Qualcare PPO/HMO/WC	$144.38

SCREW MIS ALT VALENC 6.5X35MM

Facility

$10,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270695410
Hospital Revenue Code	278
Min. Negotiated Rate	$1,612.50
Max. Negotiated Rate	$2,601.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,601.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,612.50

Know your out-of-pocket cost for care.

All Charges