Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW PERIPHERAL 4.5x32MM

Facility

$650.00

Service Code	HCPCS C1713
Hospital Charge Code	270672126
Hospital Revenue Code	278
Min. Negotiated Rate	$18.46
Max. Negotiated Rate	$325.00
Rate for Payer: Aetna Commercial	$247.00
Rate for Payer: Aetna Medicare Advantage	$195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$165.75
Rate for Payer: Cigna Commercial	$325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.30
Rate for Payer: Qualcare PPO/HMO/WC	$97.50
Rate for Payer: UnitedHealthcare Community & State	$20.54
Rate for Payer: Wellpoint Medicaid Managed Care	$18.46

SCREW PERIPHERAL 48MM

Facility

$600.00

Hospital Charge Code	270672423
Hospital Revenue Code	278
Min. Negotiated Rate	$17.04
Max. Negotiated Rate	$300.00
Rate for Payer: Aetna Commercial	$228.00
Rate for Payer: Aetna Medicare Advantage	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.00
Rate for Payer: Cigna Commercial	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$90.00
Rate for Payer: UnitedHealthcare Community & State	$18.96
Rate for Payer: Wellpoint Medicaid Managed Care	$17.04

SCREW PERIPHERAL 48MM

Facility

$600.00

Hospital Charge Code	270672423
Hospital Revenue Code	278
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$145.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

SCREW PERIPR VAL OPTILINK 12MM

Facility

$1,569.50

Service Code	HCPCS C1713
Hospital Charge Code	270693771
Hospital Revenue Code	278
Min. Negotiated Rate	$235.43
Max. Negotiated Rate	$379.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$313.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$379.82
Rate for Payer: Qualcare PPO/HMO/WC	$235.43

SCREW PERIPR VAL OPTILINK 12MM

Facility

$1,569.50

Service Code	HCPCS C1713
Hospital Charge Code	270693771
Hospital Revenue Code	278
Min. Negotiated Rate	$44.57
Max. Negotiated Rate	$784.75
Rate for Payer: Aetna Commercial	$596.41
Rate for Payer: Aetna Medicare Advantage	$470.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$400.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$400.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$313.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$400.22
Rate for Payer: Cigna Commercial	$784.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$379.82
Rate for Payer: Qualcare PPO/HMO/WC	$235.43
Rate for Payer: UnitedHealthcare Community & State	$49.60
Rate for Payer: Wellpoint Medicaid Managed Care	$44.57

SCREW PERIPR VAL OPTILINK 5.0

Facility

$1,569.50

Service Code	HCPCS C1713
Hospital Charge Code	270693770
Hospital Revenue Code	278
Min. Negotiated Rate	$44.57
Max. Negotiated Rate	$784.75
Rate for Payer: Aetna Commercial	$596.41
Rate for Payer: Aetna Medicare Advantage	$470.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$400.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$400.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$313.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$400.22
Rate for Payer: Cigna Commercial	$784.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$379.82
Rate for Payer: Qualcare PPO/HMO/WC	$235.43
Rate for Payer: UnitedHealthcare Community & State	$49.60
Rate for Payer: Wellpoint Medicaid Managed Care	$44.57

SCREW PERIPR VAL OPTILINK 5.0

Facility

$1,569.50

Service Code	HCPCS C1713
Hospital Charge Code	270693770
Hospital Revenue Code	278
Min. Negotiated Rate	$235.43
Max. Negotiated Rate	$379.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$313.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$379.82
Rate for Payer: Qualcare PPO/HMO/WC	$235.43

SCREW PERI SELF TAP 3.5X12MM

Facility

$175.00

Service Code	HCPCS C1713
Hospital Charge Code	270661351
Hospital Revenue Code	278
Min. Negotiated Rate	$4.97
Max. Negotiated Rate	$87.50
Rate for Payer: Aetna Commercial	$66.50
Rate for Payer: Aetna Medicare Advantage	$52.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.62
Rate for Payer: Cigna Commercial	$87.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.35
Rate for Payer: Qualcare PPO/HMO/WC	$26.25
Rate for Payer: UnitedHealthcare Community & State	$5.53
Rate for Payer: Wellpoint Medicaid Managed Care	$4.97

SCREW PERI SELF TAP 3.5X12MM

Facility

$175.00

Service Code	HCPCS C1713
Hospital Charge Code	270661351
Hospital Revenue Code	278
Min. Negotiated Rate	$26.25
Max. Negotiated Rate	$42.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.35
Rate for Payer: Qualcare PPO/HMO/WC	$26.25

SCREW PERP AEQ PERF REV 5X14MM

Facility

$1,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270700527
Hospital Revenue Code	278
Min. Negotiated Rate	$270.00
Max. Negotiated Rate	$435.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$360.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$435.60
Rate for Payer: Qualcare PPO/HMO/WC	$270.00

SCREW PERP AEQ PERF REV 5X14MM

Facility

$1,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270700527
Hospital Revenue Code	278
Min. Negotiated Rate	$51.12
Max. Negotiated Rate	$900.00
Rate for Payer: Aetna Commercial	$684.00
Rate for Payer: Aetna Medicare Advantage	$540.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$360.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$459.00
Rate for Payer: Cigna Commercial	$900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$435.60
Rate for Payer: Qualcare PPO/HMO/WC	$270.00
Rate for Payer: UnitedHealthcare Community & State	$56.88
Rate for Payer: Wellpoint Medicaid Managed Care	$51.12

SCREW PERP AEQ PERF REV 5X18MM

Facility

$1,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270700526
Hospital Revenue Code	278
Min. Negotiated Rate	$270.00
Max. Negotiated Rate	$435.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$360.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$435.60
Rate for Payer: Qualcare PPO/HMO/WC	$270.00

SCREW PERP AEQ PERF REV 5X18MM

Facility

$1,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270700526
Hospital Revenue Code	278
Min. Negotiated Rate	$51.12
Max. Negotiated Rate	$900.00
Rate for Payer: Aetna Commercial	$684.00
Rate for Payer: Aetna Medicare Advantage	$540.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$360.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$459.00
Rate for Payer: Cigna Commercial	$900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$435.60
Rate for Payer: Qualcare PPO/HMO/WC	$270.00
Rate for Payer: UnitedHealthcare Community & State	$56.88
Rate for Payer: Wellpoint Medicaid Managed Care	$51.12

SCREW PERP AEQ PERF REV 5X30MM

Facility

$1,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270700529
Hospital Revenue Code	278
Min. Negotiated Rate	$51.12
Max. Negotiated Rate	$900.00
Rate for Payer: Aetna Commercial	$684.00
Rate for Payer: Aetna Medicare Advantage	$540.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$360.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$459.00
Rate for Payer: Cigna Commercial	$900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$435.60
Rate for Payer: Qualcare PPO/HMO/WC	$270.00
Rate for Payer: UnitedHealthcare Community & State	$56.88
Rate for Payer: Wellpoint Medicaid Managed Care	$51.12

SCREW PERP AEQ PERF REV 5X30MM

Facility

$1,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270700529
Hospital Revenue Code	278
Min. Negotiated Rate	$270.00
Max. Negotiated Rate	$435.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$360.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$435.60
Rate for Payer: Qualcare PPO/HMO/WC	$270.00

SCREW PERP AEQ PERF REV 5X34MM

Facility

$1,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270700521
Hospital Revenue Code	278
Min. Negotiated Rate	$51.12
Max. Negotiated Rate	$900.00
Rate for Payer: Aetna Commercial	$684.00
Rate for Payer: Aetna Medicare Advantage	$540.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$360.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$459.00
Rate for Payer: Cigna Commercial	$900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$435.60
Rate for Payer: Qualcare PPO/HMO/WC	$270.00
Rate for Payer: UnitedHealthcare Community & State	$56.88
Rate for Payer: Wellpoint Medicaid Managed Care	$51.12

SCREW PERP AEQ PERF REV 5X34MM

Facility

$1,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270700521
Hospital Revenue Code	278
Min. Negotiated Rate	$270.00
Max. Negotiated Rate	$435.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$360.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$435.60
Rate for Payer: Qualcare PPO/HMO/WC	$270.00

SCREW PINNACLE CANC 6.5X35MM

Facility

$500.00

Service Code	HCPCS C1713
Hospital Charge Code	270700356
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 PINNACLE CANC 6.5X35MM

Facility

$500.00

Service Code	HCPCS C1713
Hospital Charge Code	270700356
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 PLATE COMPR 3.5x20MM

Facility

$934.80

Hospital Charge Code	270667923
Hospital Revenue Code	278
Min. Negotiated Rate	$140.22
Max. Negotiated Rate	$226.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$186.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$226.22
Rate for Payer: Qualcare PPO/HMO/WC	$140.22

SCREW PLATE COMPR 3.5x20MM

Facility

$934.80

Hospital Charge Code	270667923
Hospital Revenue Code	278
Min. Negotiated Rate	$26.55
Max. Negotiated Rate	$467.40
Rate for Payer: Aetna Commercial	$355.22
Rate for Payer: Aetna Medicare Advantage	$280.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$238.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$238.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$186.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$238.37
Rate for Payer: Cigna Commercial	$467.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$226.22
Rate for Payer: Qualcare PPO/HMO/WC	$140.22
Rate for Payer: UnitedHealthcare Community & State	$29.54
Rate for Payer: Wellpoint Medicaid Managed Care	$26.55

SCREW PLATE LOCKING 2.7x14MM

Facility

$1,068.50

Service Code	HCPCS C1713
Hospital Charge Code	270657185
Hospital Revenue Code	278
Min. Negotiated Rate	$160.28
Max. Negotiated Rate	$258.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$213.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$258.58
Rate for Payer: Qualcare PPO/HMO/WC	$160.28

SCREW PLATE LOCKING 2.7x14MM

Facility

$1,068.50

Service Code	HCPCS C1713
Hospital Charge Code	270657185
Hospital Revenue Code	278
Min. Negotiated Rate	$30.35
Max. Negotiated Rate	$534.25
Rate for Payer: Aetna Commercial	$406.03
Rate for Payer: Aetna Medicare Advantage	$320.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$272.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$272.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$213.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$272.47
Rate for Payer: Cigna Commercial	$534.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$258.58
Rate for Payer: Qualcare PPO/HMO/WC	$160.28
Rate for Payer: UnitedHealthcare Community & State	$33.76
Rate for Payer: Wellpoint Medicaid Managed Care	$30.35

SCREW PLATE LOCKING 2.7x16MM

Facility

$1,068.50

Service Code	HCPCS C1713
Hospital Charge Code	270657187
Hospital Revenue Code	278
Min. Negotiated Rate	$160.28
Max. Negotiated Rate	$258.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$213.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$258.58
Rate for Payer: Qualcare PPO/HMO/WC	$160.28

SCREW PLATE LOCKING 2.7x16MM

Facility

$1,068.50

Service Code	HCPCS C1713
Hospital Charge Code	270657187
Hospital Revenue Code	278
Min. Negotiated Rate	$30.35
Max. Negotiated Rate	$534.25
Rate for Payer: Aetna Commercial	$406.03
Rate for Payer: Aetna Medicare Advantage	$320.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$272.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$272.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$213.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$272.47
Rate for Payer: Cigna Commercial	$534.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$258.58
Rate for Payer: Qualcare PPO/HMO/WC	$160.28
Rate for Payer: UnitedHealthcare Community & State	$33.76
Rate for Payer: Wellpoint Medicaid Managed Care	$30.35

Know your out-of-pocket cost for care.

All Charges