Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW NON-LOCKING 3.5X24MM

Facility

$950.00

Hospital Charge Code	270661040
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 3.5X24MM

Facility

$950.00

Hospital Charge Code	270661040
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 3.5 X 26MM

Facility

$225.00

Service Code	HCPCS C1713
Hospital Charge Code	270665934
Hospital Revenue Code	278
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$54.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.45
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

SCREW NON LOCKING 3.5 X 26MM

Facility

$225.00

Service Code	HCPCS C1713
Hospital Charge Code	270665934
Hospital Revenue Code	278
Min. Negotiated Rate	$6.39
Max. Negotiated Rate	$112.50
Rate for Payer: Aetna Commercial	$85.50
Rate for Payer: Aetna Medicare Advantage	$67.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.38
Rate for Payer: Cigna Commercial	$112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.45
Rate for Payer: Qualcare PPO/HMO/WC	$33.75
Rate for Payer: UnitedHealthcare Community & State	$7.11
Rate for Payer: Wellpoint Medicaid Managed Care	$6.39

SCREW NON-LOCKING 3.5x26mm

Facility

$500.00

Service Code	HCPCS C1713
Hospital Charge Code	270669271
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 3.5x26mm

Facility

$500.00

Service Code	HCPCS C1713
Hospital Charge Code	270669271
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

SCREW NON LOCKING 3.5x26MM

Facility

$405.00

Hospital Charge Code	270660767
Hospital Revenue Code	278
Min. Negotiated Rate	$11.50
Max. Negotiated Rate	$202.50
Rate for Payer: Aetna Commercial	$153.90
Rate for Payer: Aetna Medicare Advantage	$121.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$103.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$103.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$81.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$103.28
Rate for Payer: Cigna Commercial	$202.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.01
Rate for Payer: Qualcare PPO/HMO/WC	$60.75
Rate for Payer: UnitedHealthcare Community & State	$12.80
Rate for Payer: Wellpoint Medicaid Managed Care	$11.50

SCREW NON LOCKING 3.5x26MM

Facility

$405.00

Hospital Charge Code	270660767
Hospital Revenue Code	278
Min. Negotiated Rate	$60.75
Max. Negotiated Rate	$98.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$81.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.01
Rate for Payer: Qualcare PPO/HMO/WC	$60.75

SCREW NON LOCKING 3.5X26MM

Facility

$1,180.00

Service Code	HCPCS C1713
Hospital Charge Code	270698468
Hospital Revenue Code	278
Min. Negotiated Rate	$177.00
Max. Negotiated Rate	$285.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$236.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$285.56
Rate for Payer: Qualcare PPO/HMO/WC	$177.00

SCREW NON LOCKING 3.5X26MM

Facility

$1,180.00

Service Code	HCPCS C1713
Hospital Charge Code	270698468
Hospital Revenue Code	278
Min. Negotiated Rate	$33.51
Max. Negotiated Rate	$590.00
Rate for Payer: Aetna Commercial	$448.40
Rate for Payer: Aetna Medicare Advantage	$354.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$300.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$300.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$236.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$300.90
Rate for Payer: Cigna Commercial	$590.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$285.56
Rate for Payer: Qualcare PPO/HMO/WC	$177.00
Rate for Payer: UnitedHealthcare Community & State	$37.29
Rate for Payer: Wellpoint Medicaid Managed Care	$33.51

SCREW NON-LOCKING 3.5X26MM

Facility

$627.20

Hospital Charge Code	270676861
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 3.5X26MM

Facility

$627.20

Hospital Charge Code	270676861
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 3.5x28MM

Facility

$225.00

Service Code	HCPCS C1713
Hospital Charge Code	270672116
Hospital Revenue Code	278
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$54.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.45
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

SCREW NON LOCKING 3.5x28MM

Facility

$225.00

Service Code	HCPCS C1713
Hospital Charge Code	270672116
Hospital Revenue Code	278
Min. Negotiated Rate	$6.39
Max. Negotiated Rate	$112.50
Rate for Payer: Aetna Commercial	$85.50
Rate for Payer: Aetna Medicare Advantage	$67.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.38
Rate for Payer: Cigna Commercial	$112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.45
Rate for Payer: Qualcare PPO/HMO/WC	$33.75
Rate for Payer: UnitedHealthcare Community & State	$7.11
Rate for Payer: Wellpoint Medicaid Managed Care	$6.39

SCREW, NON-LOCKING 3.5X28MM

Facility

$1,330.00

Hospital Charge Code	270701994
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, NON-LOCKING 3.5X28MM

Facility

$1,330.00

Hospital Charge Code	270701994
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 NON-LOCKING 3.5x30mm

Facility

$500.00

Hospital Charge Code	270670777
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

SCREW NON-LOCKING 3.5x30mm

Facility

$500.00

Hospital Charge Code	270670777
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 3.5X30MM

Facility

$1,180.00

Service Code	HCPCS C1713
Hospital Charge Code	270698467
Hospital Revenue Code	278
Min. Negotiated Rate	$33.51
Max. Negotiated Rate	$590.00
Rate for Payer: Aetna Commercial	$448.40
Rate for Payer: Aetna Medicare Advantage	$354.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$300.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$300.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$236.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$300.90
Rate for Payer: Cigna Commercial	$590.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$285.56
Rate for Payer: Qualcare PPO/HMO/WC	$177.00
Rate for Payer: UnitedHealthcare Community & State	$37.29
Rate for Payer: Wellpoint Medicaid Managed Care	$33.51

SCREW NON LOCKING 3.5X30MM

Facility

$1,180.00

Service Code	HCPCS C1713
Hospital Charge Code	270698467
Hospital Revenue Code	278
Min. Negotiated Rate	$177.00
Max. Negotiated Rate	$285.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$236.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$285.56
Rate for Payer: Qualcare PPO/HMO/WC	$177.00

SCREW NON LOCKING 3.5x32MM

Facility

$225.00

Service Code	HCPCS C1713
Hospital Charge Code	270679451
Hospital Revenue Code	278
Min. Negotiated Rate	$6.39
Max. Negotiated Rate	$112.50
Rate for Payer: Aetna Commercial	$85.50
Rate for Payer: Aetna Medicare Advantage	$67.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.38
Rate for Payer: Cigna Commercial	$112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.45
Rate for Payer: Qualcare PPO/HMO/WC	$33.75
Rate for Payer: UnitedHealthcare Community & State	$7.11
Rate for Payer: Wellpoint Medicaid Managed Care	$6.39

SCREW NON LOCKING 3.5x32MM

Facility

$225.00

Service Code	HCPCS C1713
Hospital Charge Code	270679451
Hospital Revenue Code	278
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$54.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.45
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

SCREW NON LOCKING 3.5x34MM

Facility

$470.00

Service Code	HCPCS C1713
Hospital Charge Code	270674214
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 3.5x34MM

Facility

$225.00

Hospital Charge Code	270672117
Hospital Revenue Code	278
Min. Negotiated Rate	$6.39
Max. Negotiated Rate	$112.50
Rate for Payer: Aetna Commercial	$85.50
Rate for Payer: Aetna Medicare Advantage	$67.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.38
Rate for Payer: Cigna Commercial	$112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.45
Rate for Payer: Qualcare PPO/HMO/WC	$33.75
Rate for Payer: UnitedHealthcare Community & State	$7.11
Rate for Payer: Wellpoint Medicaid Managed Care	$6.39

SCREW NON LOCKING 3.5x34MM

Facility

$470.00

Service Code	HCPCS C1713
Hospital Charge Code	270674214
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

Know your out-of-pocket cost for care.

All Charges