Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW PLATE LOCKING 2.7x18MM

Facility

$1,068.50

Hospital Charge Code	270657188
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 2.7x18MM

Facility

$1,068.50

Hospital Charge Code	270657188
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 2.7x20MM

Facility

$1,068.50

Hospital Charge Code	270657190
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 2.7x20MM

Facility

$1,068.50

Hospital Charge Code	270657190
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 3.5x20MM

Facility

$1,283.30

Hospital Charge Code	270667924
Hospital Revenue Code	278
Min. Negotiated Rate	$36.45
Max. Negotiated Rate	$641.65
Rate for Payer: Aetna Commercial	$487.65
Rate for Payer: Aetna Medicare Advantage	$384.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$327.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$327.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$256.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$327.24
Rate for Payer: Cigna Commercial	$641.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$310.56
Rate for Payer: Qualcare PPO/HMO/WC	$192.50
Rate for Payer: UnitedHealthcare Community & State	$40.55
Rate for Payer: Wellpoint Medicaid Managed Care	$36.45

SCREW PLATE LOCKING 3.5x20MM

Facility

$1,283.30

Hospital Charge Code	270667924
Hospital Revenue Code	278
Min. Negotiated Rate	$192.50
Max. Negotiated Rate	$310.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$256.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$310.56
Rate for Payer: Qualcare PPO/HMO/WC	$192.50

SCREW PLATE LOCKING 3.5x26MM

Facility

$1,283.30

Hospital Charge Code	270667925
Hospital Revenue Code	278
Min. Negotiated Rate	$36.45
Max. Negotiated Rate	$641.65
Rate for Payer: Aetna Commercial	$487.65
Rate for Payer: Aetna Medicare Advantage	$384.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$327.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$327.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$256.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$327.24
Rate for Payer: Cigna Commercial	$641.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$310.56
Rate for Payer: Qualcare PPO/HMO/WC	$192.50
Rate for Payer: UnitedHealthcare Community & State	$40.55
Rate for Payer: Wellpoint Medicaid Managed Care	$36.45

SCREW PLATE LOCKING 3.5x26MM

Facility

$1,283.30

Hospital Charge Code	270667925
Hospital Revenue Code	278
Min. Negotiated Rate	$192.50
Max. Negotiated Rate	$310.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$256.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$310.56
Rate for Payer: Qualcare PPO/HMO/WC	$192.50

SCREW PLOY MESA 4.5X25MM

Facility

$6,250.00

Hospital Charge Code	270670238
Hospital Revenue Code	278
Min. Negotiated Rate	$937.50
Max. Negotiated Rate	$1,512.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,512.50
Rate for Payer: Qualcare PPO/HMO/WC	$937.50

SCREW PLOY MESA 4.5X25MM

Facility

$6,250.00

Hospital Charge Code	270670238
Hospital Revenue Code	278
Min. Negotiated Rate	$177.50
Max. Negotiated Rate	$3,125.00
Rate for Payer: Aetna Commercial	$2,375.00
Rate for Payer: Aetna Medicare Advantage	$1,875.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,593.75
Rate for Payer: Cigna Commercial	$3,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,512.50
Rate for Payer: Qualcare PPO/HMO/WC	$937.50
Rate for Payer: UnitedHealthcare Community & State	$197.50
Rate for Payer: Wellpoint Medicaid Managed Care	$177.50

SCREW PLOY MESA 4.5X30MM

Facility

$6,250.00

Hospital Charge Code	270670239
Hospital Revenue Code	278
Min. Negotiated Rate	$177.50
Max. Negotiated Rate	$3,125.00
Rate for Payer: Aetna Commercial	$2,375.00
Rate for Payer: Aetna Medicare Advantage	$1,875.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,593.75
Rate for Payer: Cigna Commercial	$3,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,512.50
Rate for Payer: Qualcare PPO/HMO/WC	$937.50
Rate for Payer: UnitedHealthcare Community & State	$197.50
Rate for Payer: Wellpoint Medicaid Managed Care	$177.50

SCREW PLOY MESA 4.5X30MM

Facility

$6,250.00

Hospital Charge Code	270670239
Hospital Revenue Code	278
Min. Negotiated Rate	$937.50
Max. Negotiated Rate	$1,512.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,512.50
Rate for Payer: Qualcare PPO/HMO/WC	$937.50

SCREW PLOY MESA 4.5X35MM

Facility

$6,250.00

Hospital Charge Code	270670240
Hospital Revenue Code	278
Min. Negotiated Rate	$937.50
Max. Negotiated Rate	$1,512.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,512.50
Rate for Payer: Qualcare PPO/HMO/WC	$937.50

SCREW PLOY MESA 4.5X35MM

Facility

$6,250.00

Hospital Charge Code	270670240
Hospital Revenue Code	278
Min. Negotiated Rate	$177.50
Max. Negotiated Rate	$3,125.00
Rate for Payer: Aetna Commercial	$2,375.00
Rate for Payer: Aetna Medicare Advantage	$1,875.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,593.75
Rate for Payer: Cigna Commercial	$3,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,512.50
Rate for Payer: Qualcare PPO/HMO/WC	$937.50
Rate for Payer: UnitedHealthcare Community & State	$197.50
Rate for Payer: Wellpoint Medicaid Managed Care	$177.50

SCREW PLOY MESA 4.5X40MM

Facility

$6,250.00

Hospital Charge Code	270670241
Hospital Revenue Code	278
Min. Negotiated Rate	$177.50
Max. Negotiated Rate	$3,125.00
Rate for Payer: Aetna Commercial	$2,375.00
Rate for Payer: Aetna Medicare Advantage	$1,875.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,593.75
Rate for Payer: Cigna Commercial	$3,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,512.50
Rate for Payer: Qualcare PPO/HMO/WC	$937.50
Rate for Payer: UnitedHealthcare Community & State	$197.50
Rate for Payer: Wellpoint Medicaid Managed Care	$177.50

SCREW PLOY MESA 4.5X40MM

Facility

$6,250.00

Hospital Charge Code	270670241
Hospital Revenue Code	278
Min. Negotiated Rate	$937.50
Max. Negotiated Rate	$1,512.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,512.50
Rate for Payer: Qualcare PPO/HMO/WC	$937.50

SCREW PLOY MESA 4.5X45MM

Facility

$6,250.00

Hospital Charge Code	270670242
Hospital Revenue Code	278
Min. Negotiated Rate	$177.50
Max. Negotiated Rate	$3,125.00
Rate for Payer: Aetna Commercial	$2,375.00
Rate for Payer: Aetna Medicare Advantage	$1,875.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,593.75
Rate for Payer: Cigna Commercial	$3,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,512.50
Rate for Payer: Qualcare PPO/HMO/WC	$937.50
Rate for Payer: UnitedHealthcare Community & State	$197.50
Rate for Payer: Wellpoint Medicaid Managed Care	$177.50

SCREW PLOY MESA 4.5X45MM

Facility

$6,250.00

Hospital Charge Code	270670242
Hospital Revenue Code	278
Min. Negotiated Rate	$937.50
Max. Negotiated Rate	$1,512.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,512.50
Rate for Payer: Qualcare PPO/HMO/WC	$937.50

SCREW PLOY MESA 4.5X50MM

Facility

$6,250.00

Hospital Charge Code	270670243
Hospital Revenue Code	278
Min. Negotiated Rate	$937.50
Max. Negotiated Rate	$1,512.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,512.50
Rate for Payer: Qualcare PPO/HMO/WC	$937.50

SCREW PLOY MESA 4.5X50MM

Facility

$6,250.00

Hospital Charge Code	270670243
Hospital Revenue Code	278
Min. Negotiated Rate	$177.50
Max. Negotiated Rate	$3,125.00
Rate for Payer: Aetna Commercial	$2,375.00
Rate for Payer: Aetna Medicare Advantage	$1,875.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,593.75
Rate for Payer: Cigna Commercial	$3,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,512.50
Rate for Payer: Qualcare PPO/HMO/WC	$937.50
Rate for Payer: UnitedHealthcare Community & State	$197.50
Rate for Payer: Wellpoint Medicaid Managed Care	$177.50

SCREW PLOY MESA 5.0X25MM

Facility

$6,250.00

Hospital Charge Code	270670244
Hospital Revenue Code	278
Min. Negotiated Rate	$937.50
Max. Negotiated Rate	$1,512.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,512.50
Rate for Payer: Qualcare PPO/HMO/WC	$937.50

SCREW PLOY MESA 5.0X25MM

Facility

$6,250.00

Hospital Charge Code	270670244
Hospital Revenue Code	278
Min. Negotiated Rate	$177.50
Max. Negotiated Rate	$3,125.00
Rate for Payer: Aetna Commercial	$2,375.00
Rate for Payer: Aetna Medicare Advantage	$1,875.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,593.75
Rate for Payer: Cigna Commercial	$3,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,512.50
Rate for Payer: Qualcare PPO/HMO/WC	$937.50
Rate for Payer: UnitedHealthcare Community & State	$197.50
Rate for Payer: Wellpoint Medicaid Managed Care	$177.50

SCREW PLOY MESA 5.0X30MM

Facility

$6,250.00

Hospital Charge Code	270670245
Hospital Revenue Code	278
Min. Negotiated Rate	$937.50
Max. Negotiated Rate	$1,512.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,512.50
Rate for Payer: Qualcare PPO/HMO/WC	$937.50

SCREW PLOY MESA 5.0X30MM

Facility

$6,250.00

Hospital Charge Code	270670245
Hospital Revenue Code	278
Min. Negotiated Rate	$177.50
Max. Negotiated Rate	$3,125.00
Rate for Payer: Aetna Commercial	$2,375.00
Rate for Payer: Aetna Medicare Advantage	$1,875.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,593.75
Rate for Payer: Cigna Commercial	$3,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,512.50
Rate for Payer: Qualcare PPO/HMO/WC	$937.50
Rate for Payer: UnitedHealthcare Community & State	$197.50
Rate for Payer: Wellpoint Medicaid Managed Care	$177.50

SCREW PLOY MESA 5.0X35MM

Facility

$6,250.00

Hospital Charge Code	270670246
Hospital Revenue Code	278
Min. Negotiated Rate	$177.50
Max. Negotiated Rate	$3,125.00
Rate for Payer: Aetna Commercial	$2,375.00
Rate for Payer: Aetna Medicare Advantage	$1,875.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,593.75
Rate for Payer: Cigna Commercial	$3,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,512.50
Rate for Payer: Qualcare PPO/HMO/WC	$937.50
Rate for Payer: UnitedHealthcare Community & State	$197.50
Rate for Payer: Wellpoint Medicaid Managed Care	$177.50

Know your out-of-pocket cost for care.

All Charges