Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW NON LOCKING 2.7 10 MM

Facility

$1,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270690140
Hospital Revenue Code	278
Min. Negotiated Rate	$46.15
Max. Negotiated Rate	$812.50
Rate for Payer: Aetna Commercial	$617.50
Rate for Payer: Aetna Medicare Advantage	$487.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$325.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$414.38
Rate for Payer: Cigna Commercial	$812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$393.25
Rate for Payer: Qualcare PPO/HMO/WC	$243.75
Rate for Payer: UnitedHealthcare Community & State	$51.35
Rate for Payer: Wellpoint Medicaid Managed Care	$46.15

SCREW NON LOCKING 2.7X16MM

Facility

$1,230.00

Service Code	HCPCS C1713
Hospital Charge Code	270693516
Hospital Revenue Code	278
Min. Negotiated Rate	$184.50
Max. Negotiated Rate	$297.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$246.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$297.66
Rate for Payer: Qualcare PPO/HMO/WC	$184.50

SCREW NON LOCKING 2.7X16MM

Facility

$1,230.00

Service Code	HCPCS C1713
Hospital Charge Code	270693516
Hospital Revenue Code	278
Min. Negotiated Rate	$34.93
Max. Negotiated Rate	$615.00
Rate for Payer: Aetna Commercial	$467.40
Rate for Payer: Aetna Medicare Advantage	$369.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$313.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$313.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$246.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$313.65
Rate for Payer: Cigna Commercial	$615.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$297.66
Rate for Payer: Qualcare PPO/HMO/WC	$184.50
Rate for Payer: UnitedHealthcare Community & State	$38.87
Rate for Payer: Wellpoint Medicaid Managed Care	$34.93

SCREW NON-LOCKING 2.7X24MM

Facility

$468.00

Service Code	HCPCS C1713
Hospital Charge Code	270704755
Hospital Revenue Code	278
Min. Negotiated Rate	$70.20
Max. Negotiated Rate	$113.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$93.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.26
Rate for Payer: Qualcare PPO/HMO/WC	$70.20

SCREW NON-LOCKING 2.7X24MM

Facility

$468.00

Service Code	HCPCS C1713
Hospital Charge Code	270704755
Hospital Revenue Code	278
Min. Negotiated Rate	$13.29
Max. Negotiated Rate	$234.00
Rate for Payer: Aetna Commercial	$177.84
Rate for Payer: Aetna Medicare Advantage	$140.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$93.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$119.34
Rate for Payer: Cigna Commercial	$234.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.26
Rate for Payer: Qualcare PPO/HMO/WC	$70.20
Rate for Payer: UnitedHealthcare Community & State	$14.79
Rate for Payer: Wellpoint Medicaid Managed Care	$13.29

SCREW NON LOCKING 2.7X26MM

Facility

$1,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270690342
Hospital Revenue Code	278
Min. Negotiated Rate	$34.08
Max. Negotiated Rate	$600.00
Rate for Payer: Aetna Commercial	$456.00
Rate for Payer: Aetna Medicare Advantage	$360.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$306.00
Rate for Payer: Cigna Commercial	$600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.40
Rate for Payer: Qualcare PPO/HMO/WC	$180.00
Rate for Payer: UnitedHealthcare Community & State	$37.92
Rate for Payer: Wellpoint Medicaid Managed Care	$34.08

SCREW NON LOCKING 2.7X26MM

Facility

$1,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270690342
Hospital Revenue Code	278
Min. Negotiated Rate	$180.00
Max. Negotiated Rate	$290.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$240.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.40
Rate for Payer: Qualcare PPO/HMO/WC	$180.00

SCREW NONLOCKING 3.0V16MM

Facility

$980.00

Service Code	HCPCS C1713
Hospital Charge Code	270661006
Hospital Revenue Code	278
Min. Negotiated Rate	$147.00
Max. Negotiated Rate	$237.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.16
Rate for Payer: Qualcare PPO/HMO/WC	$147.00

SCREW NONLOCKING 3.0V16MM

Facility

$980.00

Service Code	HCPCS C1713
Hospital Charge Code	270661006
Hospital Revenue Code	278
Min. Negotiated Rate	$27.83
Max. Negotiated Rate	$490.00
Rate for Payer: Aetna Commercial	$372.40
Rate for Payer: Aetna Medicare Advantage	$294.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$249.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$249.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$249.90
Rate for Payer: Cigna Commercial	$490.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.16
Rate for Payer: Qualcare PPO/HMO/WC	$147.00
Rate for Payer: UnitedHealthcare Community & State	$30.97
Rate for Payer: Wellpoint Medicaid Managed Care	$27.83

SCREW NON LOCKING 3.0x18MM

Facility

$627.20

Service Code	HCPCS C1713
Hospital Charge Code	270667774
Hospital Revenue Code	278
Min. Negotiated Rate	$17.81
Max. Negotiated Rate	$313.60
Rate for Payer: Aetna Commercial	$238.34
Rate for Payer: Aetna Medicare Advantage	$188.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.94
Rate for Payer: Cigna Commercial	$313.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.78
Rate for Payer: Qualcare PPO/HMO/WC	$94.08
Rate for Payer: UnitedHealthcare Community & State	$19.82
Rate for Payer: Wellpoint Medicaid Managed Care	$17.81

SCREW NON LOCKING 3.0x18MM

Facility

$627.20

Service Code	HCPCS C1713
Hospital Charge Code	270667774
Hospital Revenue Code	278
Min. Negotiated Rate	$94.08
Max. Negotiated Rate	$151.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.78
Rate for Payer: Qualcare PPO/HMO/WC	$94.08

SCREW NON LOCKING 3.0 X 20M

Facility

$950.00

Service Code	HCPCS C1713
Hospital Charge Code	270667775
Hospital Revenue Code	278
Min. Negotiated Rate	$142.50
Max. Negotiated Rate	$229.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.90
Rate for Payer: Qualcare PPO/HMO/WC	$142.50

SCREW NON LOCKING 3.0 X 20M

Facility

$950.00

Service Code	HCPCS C1713
Hospital Charge Code	270667775
Hospital Revenue Code	278
Min. Negotiated Rate	$26.98
Max. Negotiated Rate	$475.00
Rate for Payer: Aetna Commercial	$361.00
Rate for Payer: Aetna Medicare Advantage	$285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.25
Rate for Payer: Cigna Commercial	$475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.90
Rate for Payer: Qualcare PPO/HMO/WC	$142.50
Rate for Payer: UnitedHealthcare Community & State	$30.02
Rate for Payer: Wellpoint Medicaid Managed Care	$26.98

SCREW NON LOCKING 3.5X 12 MM

Facility

$660.00

Service Code	HCPCS C1713
Hospital Charge Code	270701205
Hospital Revenue Code	278
Min. Negotiated Rate	$99.00
Max. Negotiated Rate	$159.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.72
Rate for Payer: Qualcare PPO/HMO/WC	$99.00

SCREW NON LOCKING 3.5X 12 MM

Facility

$660.00

Service Code	HCPCS C1713
Hospital Charge Code	270701205
Hospital Revenue Code	278
Min. Negotiated Rate	$18.74
Max. Negotiated Rate	$330.00
Rate for Payer: Aetna Commercial	$250.80
Rate for Payer: Aetna Medicare Advantage	$198.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.30
Rate for Payer: Cigna Commercial	$330.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.72
Rate for Payer: Qualcare PPO/HMO/WC	$99.00
Rate for Payer: UnitedHealthcare Community & State	$20.86
Rate for Payer: Wellpoint Medicaid Managed Care	$18.74

SCREW NON LOCKING 3.5 X 14 MM

Facility

$660.00

Hospital Charge Code	270701207
Hospital Revenue Code	278
Min. Negotiated Rate	$18.74
Max. Negotiated Rate	$330.00
Rate for Payer: Aetna Commercial	$250.80
Rate for Payer: Aetna Medicare Advantage	$198.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.30
Rate for Payer: Cigna Commercial	$330.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.72
Rate for Payer: Qualcare PPO/HMO/WC	$99.00
Rate for Payer: UnitedHealthcare Community & State	$20.86
Rate for Payer: Wellpoint Medicaid Managed Care	$18.74

SCREW NON LOCKING 3.5 X 14 MM

Facility

$660.00

Hospital Charge Code	270701207
Hospital Revenue Code	278
Min. Negotiated Rate	$99.00
Max. Negotiated Rate	$159.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.72
Rate for Payer: Qualcare PPO/HMO/WC	$99.00

SCREW NON LOCKING 3.5x16mm

Facility

$340.00

Service Code	HCPCS C1713
Hospital Charge Code	270672330
Hospital Revenue Code	278
Min. Negotiated Rate	$9.66
Max. Negotiated Rate	$170.00
Rate for Payer: Aetna Commercial	$129.20
Rate for Payer: Aetna Medicare Advantage	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$68.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.70
Rate for Payer: Cigna Commercial	$170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.28
Rate for Payer: Qualcare PPO/HMO/WC	$51.00
Rate for Payer: UnitedHealthcare Community & State	$10.74
Rate for Payer: Wellpoint Medicaid Managed Care	$9.66

SCREW NON LOCKING 3.5x16mm

Facility

$340.00

Service Code	HCPCS C1713
Hospital Charge Code	270672330
Hospital Revenue Code	278
Min. Negotiated Rate	$51.00
Max. Negotiated Rate	$82.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$68.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.28
Rate for Payer: Qualcare PPO/HMO/WC	$51.00

SCREW NON LOCKING 3.5x22MM

Facility

$470.00

Hospital Charge Code	270667746
Hospital Revenue Code	278
Min. Negotiated Rate	$70.50
Max. Negotiated Rate	$113.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$94.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.74
Rate for Payer: Qualcare PPO/HMO/WC	$70.50

SCREW NON LOCKING 3.5x22MM

Facility

$470.00

Hospital Charge Code	270667746
Hospital Revenue Code	278
Min. Negotiated Rate	$13.35
Max. Negotiated Rate	$235.00
Rate for Payer: Aetna Commercial	$178.60
Rate for Payer: Aetna Medicare Advantage	$141.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$94.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$119.85
Rate for Payer: Cigna Commercial	$235.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.74
Rate for Payer: Qualcare PPO/HMO/WC	$70.50
Rate for Payer: UnitedHealthcare Community & State	$14.85
Rate for Payer: Wellpoint Medicaid Managed Care	$13.35

SCREW NON LOCKING 3.5 X 24MM

Facility

$322.50

Service Code	HCPCS C1713
Hospital Charge Code	270665935
Hospital Revenue Code	278
Min. Negotiated Rate	$48.38
Max. Negotiated Rate	$78.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$64.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.05
Rate for Payer: Qualcare PPO/HMO/WC	$48.38

SCREW NON LOCKING 3.5 X 24MM

Facility

$322.50

Service Code	HCPCS C1713
Hospital Charge Code	270665935
Hospital Revenue Code	278
Min. Negotiated Rate	$9.16
Max. Negotiated Rate	$161.25
Rate for Payer: Aetna Commercial	$122.55
Rate for Payer: Aetna Medicare Advantage	$96.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$64.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.24
Rate for Payer: Cigna Commercial	$161.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.05
Rate for Payer: Qualcare PPO/HMO/WC	$48.38
Rate for Payer: UnitedHealthcare Community & State	$10.19
Rate for Payer: Wellpoint Medicaid Managed Care	$9.16

SCREW NON-LOCKING 3.5x24mm

Facility

$500.00

Service Code	HCPCS C1713
Hospital Charge Code	270669270
Hospital Revenue Code	278
Min. Negotiated Rate	$14.20
Max. Negotiated Rate	$250.00
Rate for Payer: Aetna Commercial	$190.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00
Rate for Payer: UnitedHealthcare Community & State	$15.80
Rate for Payer: Wellpoint Medicaid Managed Care	$14.20

SCREW NON-LOCKING 3.5x24mm

Facility

$500.00

Service Code	HCPCS C1713
Hospital Charge Code	270669270
Hospital Revenue Code	278
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$121.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

Know your out-of-pocket cost for care.

All Charges