Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW MULTI DIR. 2.7x28MM

Facility

$1,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270673613
Hospital Revenue Code	278
Min. Negotiated Rate	$168.75
Max. Negotiated Rate	$272.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.25
Rate for Payer: Qualcare PPO/HMO/WC	$168.75

SCREW MULTIDIRECT 3.5MM 12MM

Facility

$1,330.00

Hospital Charge Code	270702052
Hospital Revenue Code	278
Min. Negotiated Rate	$37.77
Max. Negotiated Rate	$665.00
Rate for Payer: Aetna Commercial	$505.40
Rate for Payer: Aetna Medicare Advantage	$399.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$339.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$339.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$266.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$339.15
Rate for Payer: Cigna Commercial	$665.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$321.86
Rate for Payer: Qualcare PPO/HMO/WC	$199.50
Rate for Payer: UnitedHealthcare Community & State	$42.03
Rate for Payer: Wellpoint Medicaid Managed Care	$37.77

SCREW MULTIDIRECT 3.5MM 12MM

Facility

$1,330.00

Hospital Charge Code	270702052
Hospital Revenue Code	278
Min. Negotiated Rate	$199.50
Max. Negotiated Rate	$321.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$266.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$321.86
Rate for Payer: Qualcare PPO/HMO/WC	$199.50

SCREW MULTILOC 4.5

Facility

$1,263.80

Service Code	HCPCS C1713
Hospital Charge Code	270687426
Hospital Revenue Code	278
Min. Negotiated Rate	$189.57
Max. Negotiated Rate	$305.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$252.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$305.84
Rate for Payer: Qualcare PPO/HMO/WC	$189.57

SCREW MULTILOC 4.5

Facility

$1,263.80

Service Code	HCPCS C1713
Hospital Charge Code	270687426
Hospital Revenue Code	278
Min. Negotiated Rate	$35.89
Max. Negotiated Rate	$631.90
Rate for Payer: Aetna Commercial	$480.24
Rate for Payer: Aetna Medicare Advantage	$379.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$322.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$322.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$252.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$322.27
Rate for Payer: Cigna Commercial	$631.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$305.84
Rate for Payer: Qualcare PPO/HMO/WC	$189.57
Rate for Payer: UnitedHealthcare Community & State	$39.94
Rate for Payer: Wellpoint Medicaid Managed Care	$35.89

SCREW MULTILOC 4.5 48MM

Facility

$1,348.90

Service Code	HCPCS C1713
Hospital Charge Code	270688213
Hospital Revenue Code	278
Min. Negotiated Rate	$38.31
Max. Negotiated Rate	$674.45
Rate for Payer: Aetna Commercial	$512.58
Rate for Payer: Aetna Medicare Advantage	$404.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$343.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$343.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$269.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$343.97
Rate for Payer: Cigna Commercial	$674.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$326.43
Rate for Payer: Qualcare PPO/HMO/WC	$202.34
Rate for Payer: UnitedHealthcare Community & State	$42.63
Rate for Payer: Wellpoint Medicaid Managed Care	$38.31

SCREW MULTILOC 4.5 48MM

Facility

$1,348.90

Service Code	HCPCS C1713
Hospital Charge Code	270688213
Hospital Revenue Code	278
Min. Negotiated Rate	$202.34
Max. Negotiated Rate	$326.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$269.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$326.43
Rate for Payer: Qualcare PPO/HMO/WC	$202.34

SCREW MULTILOC 4.5x25MM STER

Facility

$1,260.00

Service Code	HCPCS C1713
Hospital Charge Code	270687698
Hospital Revenue Code	278
Min. Negotiated Rate	$189.00
Max. Negotiated Rate	$304.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$252.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$304.92
Rate for Payer: Qualcare PPO/HMO/WC	$189.00

SCREW MULTILOC 4.5x25MM STER

Facility

$1,260.00

Service Code	HCPCS C1713
Hospital Charge Code	270687698
Hospital Revenue Code	278
Min. Negotiated Rate	$35.78
Max. Negotiated Rate	$630.00
Rate for Payer: Aetna Commercial	$478.80
Rate for Payer: Aetna Medicare Advantage	$378.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$321.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$321.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$252.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$321.30
Rate for Payer: Cigna Commercial	$630.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$304.92
Rate for Payer: Qualcare PPO/HMO/WC	$189.00
Rate for Payer: UnitedHealthcare Community & State	$39.82
Rate for Payer: Wellpoint Medicaid Managed Care	$35.78

SCREW MULTILOC 4.5x38MM STER

Facility

$1,263.80

Service Code	HCPCS C1713
Hospital Charge Code	270650153
Hospital Revenue Code	278
Min. Negotiated Rate	$189.57
Max. Negotiated Rate	$305.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$252.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$305.84
Rate for Payer: Qualcare PPO/HMO/WC	$189.57

SCREW MULTILOC 4.5x38MM STER

Facility

$1,263.80

Service Code	HCPCS C1713
Hospital Charge Code	270650153
Hospital Revenue Code	278
Min. Negotiated Rate	$35.89
Max. Negotiated Rate	$631.90
Rate for Payer: Aetna Commercial	$480.24
Rate for Payer: Aetna Medicare Advantage	$379.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$322.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$322.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$252.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$322.27
Rate for Payer: Cigna Commercial	$631.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$305.84
Rate for Payer: Qualcare PPO/HMO/WC	$189.57
Rate for Payer: UnitedHealthcare Community & State	$39.94
Rate for Payer: Wellpoint Medicaid Managed Care	$35.89

SCREW MULTILOC 4.5x40MM STER

Facility

$1,263.80

Service Code	HCPCS C1713
Hospital Charge Code	270650154
Hospital Revenue Code	278
Min. Negotiated Rate	$35.89
Max. Negotiated Rate	$631.90
Rate for Payer: Aetna Commercial	$480.24
Rate for Payer: Aetna Medicare Advantage	$379.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$322.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$322.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$252.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$322.27
Rate for Payer: Cigna Commercial	$631.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$305.84
Rate for Payer: Qualcare PPO/HMO/WC	$189.57
Rate for Payer: UnitedHealthcare Community & State	$39.94
Rate for Payer: Wellpoint Medicaid Managed Care	$35.89

SCREW MULTILOC 4.5x40MM STER

Facility

$1,263.80

Service Code	HCPCS C1713
Hospital Charge Code	270650154
Hospital Revenue Code	278
Min. Negotiated Rate	$189.57
Max. Negotiated Rate	$305.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$252.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$305.84
Rate for Payer: Qualcare PPO/HMO/WC	$189.57

SCREW MULTILOC 4.5 X 52 MM STE

Facility

$1,348.90

Service Code	HCPCS C1713
Hospital Charge Code	270688212
Hospital Revenue Code	278
Min. Negotiated Rate	$38.31
Max. Negotiated Rate	$674.45
Rate for Payer: Aetna Commercial	$512.58
Rate for Payer: Aetna Medicare Advantage	$404.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$343.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$343.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$269.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$343.97
Rate for Payer: Cigna Commercial	$674.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$326.43
Rate for Payer: Qualcare PPO/HMO/WC	$202.34
Rate for Payer: UnitedHealthcare Community & State	$42.63
Rate for Payer: Wellpoint Medicaid Managed Care	$38.31

SCREW MULTILOC 4.5 X 52 MM STE

Facility

$1,348.90

Service Code	HCPCS C1713
Hospital Charge Code	270688212
Hospital Revenue Code	278
Min. Negotiated Rate	$202.34
Max. Negotiated Rate	$326.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$269.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$326.43
Rate for Payer: Qualcare PPO/HMO/WC	$202.34

SCREW NAUTILUS POLYAX 8.5X80MM

Facility

$6,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270699341
Hospital Revenue Code	278
Min. Negotiated Rate	$198.09
Max. Negotiated Rate	$3,487.50
Rate for Payer: Aetna Commercial	$2,650.50
Rate for Payer: Aetna Medicare Advantage	$2,092.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,778.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,778.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,395.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,778.62
Rate for Payer: Cigna Commercial	$3,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,687.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,046.25
Rate for Payer: UnitedHealthcare Community & State	$220.41
Rate for Payer: Wellpoint Medicaid Managed Care	$198.09

SCREW NAUTILUS POLYAX 8.5X80MM

Facility

$6,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270699341
Hospital Revenue Code	278
Min. Negotiated Rate	$1,046.25
Max. Negotiated Rate	$1,687.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,687.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,046.25

SCREW NAUTILUS POLYAX 8.5X80MM

Facility

$6,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270699335
Hospital Revenue Code	278
Min. Negotiated Rate	$198.09
Max. Negotiated Rate	$3,487.50
Rate for Payer: Aetna Commercial	$2,650.50
Rate for Payer: Aetna Medicare Advantage	$2,092.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,778.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,778.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,395.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,778.62
Rate for Payer: Cigna Commercial	$3,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,687.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,046.25
Rate for Payer: UnitedHealthcare Community & State	$220.41
Rate for Payer: Wellpoint Medicaid Managed Care	$198.09

SCREW NAUTILUS POLYAX 8.5X80MM

Facility

$6,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270699335
Hospital Revenue Code	278
Min. Negotiated Rate	$1,046.25
Max. Negotiated Rate	$1,687.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,687.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,046.25

SCREW NAUTILUS POLYAX 8.5X90MM

Facility

$6,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270699334
Hospital Revenue Code	278
Min. Negotiated Rate	$198.09
Max. Negotiated Rate	$3,487.50
Rate for Payer: Aetna Commercial	$2,650.50
Rate for Payer: Aetna Medicare Advantage	$2,092.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,778.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,778.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,395.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,778.62
Rate for Payer: Cigna Commercial	$3,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,687.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,046.25
Rate for Payer: UnitedHealthcare Community & State	$220.41
Rate for Payer: Wellpoint Medicaid Managed Care	$198.09

SCREW NAUTILUS POLYAX 8.5X90MM

Facility

$6,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270699334
Hospital Revenue Code	278
Min. Negotiated Rate	$1,046.25
Max. Negotiated Rate	$1,687.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,687.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,046.25

SCREW NCB 5X60MM SELF TAP

Facility

$1,223.40

Hospital Charge Code	270702812
Hospital Revenue Code	278
Min. Negotiated Rate	$34.74
Max. Negotiated Rate	$611.70
Rate for Payer: Aetna Commercial	$464.89
Rate for Payer: Aetna Medicare Advantage	$367.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$311.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$311.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$244.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$311.97
Rate for Payer: Cigna Commercial	$611.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$296.06
Rate for Payer: Qualcare PPO/HMO/WC	$183.51
Rate for Payer: UnitedHealthcare Community & State	$38.66
Rate for Payer: Wellpoint Medicaid Managed Care	$34.74

SCREW NCB 5X60MM SELF TAP

Facility

$1,223.40

Hospital Charge Code	270702812
Hospital Revenue Code	278
Min. Negotiated Rate	$183.51
Max. Negotiated Rate	$296.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$244.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$296.06
Rate for Payer: Qualcare PPO/HMO/WC	$183.51

SCREW NCB 5X70MM SELF TAP

Facility

$1,223.40

Hospital Charge Code	270702813
Hospital Revenue Code	278
Min. Negotiated Rate	$34.74
Max. Negotiated Rate	$611.70
Rate for Payer: Aetna Commercial	$464.89
Rate for Payer: Aetna Medicare Advantage	$367.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$311.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$311.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$244.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$311.97
Rate for Payer: Cigna Commercial	$611.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$296.06
Rate for Payer: Qualcare PPO/HMO/WC	$183.51
Rate for Payer: UnitedHealthcare Community & State	$38.66
Rate for Payer: Wellpoint Medicaid Managed Care	$34.74

SCREW NCB 5X70MM SELF TAP

Facility

$1,223.40

Hospital Charge Code	270702813
Hospital Revenue Code	278
Min. Negotiated Rate	$183.51
Max. Negotiated Rate	$296.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$244.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$296.06
Rate for Payer: Qualcare PPO/HMO/WC	$183.51

Know your out-of-pocket cost for care.

All Charges