Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW SCHANZ 4.0x40x125mm

Facility

$774.00

Service Code	HCPCS C1713
Hospital Charge Code	270666873
Hospital Revenue Code	278
Min. Negotiated Rate	$21.98
Max. Negotiated Rate	$387.00
Rate for Payer: Aetna Commercial	$294.12
Rate for Payer: Aetna Medicare Advantage	$232.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$154.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.37
Rate for Payer: Cigna Commercial	$387.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.31
Rate for Payer: Qualcare PPO/HMO/WC	$116.10
Rate for Payer: UnitedHealthcare Community & State	$24.46
Rate for Payer: Wellpoint Medicaid Managed Care	$21.98

SCREW SCHANZ 4.0x40x125mm

Facility

$774.00

Service Code	HCPCS C1713
Hospital Charge Code	270666873
Hospital Revenue Code	278
Min. Negotiated Rate	$116.10
Max. Negotiated Rate	$187.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$154.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.31
Rate for Payer: Qualcare PPO/HMO/WC	$116.10

SCREW SCHANZ 4.5mm ROUND TIP

Facility

$420.25

Service Code	HCPCS C1713
Hospital Charge Code	270633039
Hospital Revenue Code	278
Min. Negotiated Rate	$11.94
Max. Negotiated Rate	$210.12
Rate for Payer: Aetna Commercial	$159.69
Rate for Payer: Aetna Medicare Advantage	$126.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.16
Rate for Payer: Cigna Commercial	$210.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.70
Rate for Payer: Qualcare PPO/HMO/WC	$63.04
Rate for Payer: UnitedHealthcare Community & State	$13.28
Rate for Payer: Wellpoint Medicaid Managed Care	$11.94

SCREW SCHANZ 4.5mm ROUND TIP

Facility

$420.25

Service Code	HCPCS C1713
Hospital Charge Code	270633039
Hospital Revenue Code	278
Min. Negotiated Rate	$63.04
Max. Negotiated Rate	$101.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.70
Rate for Payer: Qualcare PPO/HMO/WC	$63.04

SCREW SCHANZ 4.5x150mm BLUNTED

Facility

$358.45

Service Code	HCPCS C1713
Hospital Charge Code	270639896
Hospital Revenue Code	278
Min. Negotiated Rate	$10.18
Max. Negotiated Rate	$179.22
Rate for Payer: Aetna Commercial	$136.21
Rate for Payer: Aetna Medicare Advantage	$107.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.40
Rate for Payer: Cigna Commercial	$179.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.74
Rate for Payer: Qualcare PPO/HMO/WC	$53.77
Rate for Payer: UnitedHealthcare Community & State	$11.33
Rate for Payer: Wellpoint Medicaid Managed Care	$10.18

SCREW SCHANZ 4.5x150mm BLUNTED

Facility

$358.45

Service Code	HCPCS C1713
Hospital Charge Code	270639896
Hospital Revenue Code	278
Min. Negotiated Rate	$53.77
Max. Negotiated Rate	$86.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.74
Rate for Payer: Qualcare PPO/HMO/WC	$53.77

SCREW SCHANZ 4.5x200mm BLUNTED

Facility

$420.25

Service Code	HCPCS C1713
Hospital Charge Code	270639897
Hospital Revenue Code	278
Min. Negotiated Rate	$63.04
Max. Negotiated Rate	$101.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.70
Rate for Payer: Qualcare PPO/HMO/WC	$63.04

SCREW SCHANZ 4.5x200mm BLUNTED

Facility

$420.25

Service Code	HCPCS C1713
Hospital Charge Code	270639897
Hospital Revenue Code	278
Min. Negotiated Rate	$11.94
Max. Negotiated Rate	$210.12
Rate for Payer: Aetna Commercial	$159.69
Rate for Payer: Aetna Medicare Advantage	$126.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.16
Rate for Payer: Cigna Commercial	$210.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.70
Rate for Payer: Qualcare PPO/HMO/WC	$63.04
Rate for Payer: UnitedHealthcare Community & State	$13.28
Rate for Payer: Wellpoint Medicaid Managed Care	$11.94

SCREW SCHANZ 4X120MM

Facility

$357.00

Hospital Charge Code	270669661
Hospital Revenue Code	278
Min. Negotiated Rate	$10.14
Max. Negotiated Rate	$178.50
Rate for Payer: Aetna Commercial	$135.66
Rate for Payer: Aetna Medicare Advantage	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.03
Rate for Payer: Cigna Commercial	$178.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.39
Rate for Payer: Qualcare PPO/HMO/WC	$53.55
Rate for Payer: UnitedHealthcare Community & State	$11.28
Rate for Payer: Wellpoint Medicaid Managed Care	$10.14

SCREW SCHANZ 4X120MM

Facility

$357.00

Hospital Charge Code	270669661
Hospital Revenue Code	278
Min. Negotiated Rate	$53.55
Max. Negotiated Rate	$86.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.39
Rate for Payer: Qualcare PPO/HMO/WC	$53.55

SCREW SCHANZ 4X80MM

Facility

$4,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270698619
Hospital Revenue Code	278
Min. Negotiated Rate	$675.00
Max. Negotiated Rate	$1,089.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,089.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00

SCREW SCHANZ 4X80MM

Facility

$4,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270698619
Hospital Revenue Code	278
Min. Negotiated Rate	$127.80
Max. Negotiated Rate	$2,250.00
Rate for Payer: Aetna Commercial	$1,710.00
Rate for Payer: Aetna Medicare Advantage	$1,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,147.50
Rate for Payer: Cigna Commercial	$2,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,089.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00
Rate for Payer: UnitedHealthcare Community & State	$142.20
Rate for Payer: Wellpoint Medicaid Managed Care	$127.80

SCREW SCHANZ 5.0MMx170MM BLU

Facility

$668.35

Service Code	HCPCS C1713
Hospital Charge Code	270681240
Hospital Revenue Code	278
Min. Negotiated Rate	$18.98
Max. Negotiated Rate	$334.18
Rate for Payer: Aetna Commercial	$253.97
Rate for Payer: Aetna Medicare Advantage	$200.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$170.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$170.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$133.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$170.43
Rate for Payer: Cigna Commercial	$334.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$161.74
Rate for Payer: Qualcare PPO/HMO/WC	$100.25
Rate for Payer: UnitedHealthcare Community & State	$21.12
Rate for Payer: Wellpoint Medicaid Managed Care	$18.98

SCREW SCHANZ 5.0MMx170MM BLU

Facility

$668.35

Service Code	HCPCS C1713
Hospital Charge Code	270681240
Hospital Revenue Code	278
Min. Negotiated Rate	$100.25
Max. Negotiated Rate	$161.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$133.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$161.74
Rate for Payer: Qualcare PPO/HMO/WC	$100.25

SCREW SCHANZ 5.0MMx200MM BLU

Facility

$668.35

Service Code	HCPCS C1713
Hospital Charge Code	270681239
Hospital Revenue Code	278
Min. Negotiated Rate	$18.98
Max. Negotiated Rate	$334.18
Rate for Payer: Aetna Commercial	$253.97
Rate for Payer: Aetna Medicare Advantage	$200.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$170.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$170.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$133.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$170.43
Rate for Payer: Cigna Commercial	$334.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$161.74
Rate for Payer: Qualcare PPO/HMO/WC	$100.25
Rate for Payer: UnitedHealthcare Community & State	$21.12
Rate for Payer: Wellpoint Medicaid Managed Care	$18.98

SCREW SCHANZ 5.0MMx200MM BLU

Facility

$668.35

Service Code	HCPCS C1713
Hospital Charge Code	270681239
Hospital Revenue Code	278
Min. Negotiated Rate	$100.25
Max. Negotiated Rate	$161.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$133.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$161.74
Rate for Payer: Qualcare PPO/HMO/WC	$100.25

SCREW SCHANZ 5.0 x 150mm

Facility

$806.50

Service Code	HCPCS C1713
Hospital Charge Code	270642897
Hospital Revenue Code	278
Min. Negotiated Rate	$22.90
Max. Negotiated Rate	$403.25
Rate for Payer: Aetna Commercial	$306.47
Rate for Payer: Aetna Medicare Advantage	$241.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$205.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$205.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$161.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$205.66
Rate for Payer: Cigna Commercial	$403.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.17
Rate for Payer: Qualcare PPO/HMO/WC	$120.97
Rate for Payer: UnitedHealthcare Community & State	$25.49
Rate for Payer: Wellpoint Medicaid Managed Care	$22.90

SCREW SCHANZ 5.0 x 150mm

Facility

$806.50

Service Code	HCPCS C1713
Hospital Charge Code	270642897
Hospital Revenue Code	278
Min. Negotiated Rate	$120.97
Max. Negotiated Rate	$195.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$161.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.17
Rate for Payer: Qualcare PPO/HMO/WC	$120.97

SCREW SCHANZ 5.0x150mm BLUNTED

Facility

$404.80

Service Code	HCPCS C1713
Hospital Charge Code	270639898
Hospital Revenue Code	278
Min. Negotiated Rate	$11.50
Max. Negotiated Rate	$202.40
Rate for Payer: Aetna Commercial	$153.82
Rate for Payer: Aetna Medicare Advantage	$121.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$103.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$103.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$80.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$103.22
Rate for Payer: Cigna Commercial	$202.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.96
Rate for Payer: Qualcare PPO/HMO/WC	$60.72
Rate for Payer: UnitedHealthcare Community & State	$12.79
Rate for Payer: Wellpoint Medicaid Managed Care	$11.50

SCREW SCHANZ 5.0x150mm BLUNTED

Facility

$404.80

Service Code	HCPCS C1713
Hospital Charge Code	270639898
Hospital Revenue Code	278
Min. Negotiated Rate	$60.72
Max. Negotiated Rate	$97.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$80.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.96
Rate for Payer: Qualcare PPO/HMO/WC	$60.72

SCREW SCHANZ 5.0x175 60MM THRD

Facility

$806.50

Service Code	HCPCS C1713
Hospital Charge Code	270638914
Hospital Revenue Code	278
Min. Negotiated Rate	$120.97
Max. Negotiated Rate	$195.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$161.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.17
Rate for Payer: Qualcare PPO/HMO/WC	$120.97

SCREW SCHANZ 5.0x175 60MM THRD

Facility

$806.50

Service Code	HCPCS C1713
Hospital Charge Code	270638914
Hospital Revenue Code	278
Min. Negotiated Rate	$22.90
Max. Negotiated Rate	$403.25
Rate for Payer: Aetna Commercial	$306.47
Rate for Payer: Aetna Medicare Advantage	$241.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$205.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$205.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$161.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$205.66
Rate for Payer: Cigna Commercial	$403.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.17
Rate for Payer: Qualcare PPO/HMO/WC	$120.97
Rate for Payer: UnitedHealthcare Community & State	$25.49
Rate for Payer: Wellpoint Medicaid Managed Care	$22.90

SCREW SCHANZ 5.0x200mm BLUNTED

Facility

$469.70

Service Code	HCPCS C1713
Hospital Charge Code	270639899
Hospital Revenue Code	278
Min. Negotiated Rate	$70.45
Max. Negotiated Rate	$113.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$93.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.67
Rate for Payer: Qualcare PPO/HMO/WC	$70.45

SCREW SCHANZ 5.0x200mm BLUNTED

Facility

$469.70

Service Code	HCPCS C1713
Hospital Charge Code	270639899
Hospital Revenue Code	278
Min. Negotiated Rate	$13.34
Max. Negotiated Rate	$234.85
Rate for Payer: Aetna Commercial	$178.49
Rate for Payer: Aetna Medicare Advantage	$140.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$93.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$119.77
Rate for Payer: Cigna Commercial	$234.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.67
Rate for Payer: Qualcare PPO/HMO/WC	$70.45
Rate for Payer: UnitedHealthcare Community & State	$14.84
Rate for Payer: Wellpoint Medicaid Managed Care	$13.34

SCREW SCHANZ 5.0X250MM BLUNT

Facility

$668.35

Service Code	HCPCS C1713
Hospital Charge Code	270681241
Hospital Revenue Code	278
Min. Negotiated Rate	$100.25
Max. Negotiated Rate	$161.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$133.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$161.74
Rate for Payer: Qualcare PPO/HMO/WC	$100.25

Know your out-of-pocket cost for care.

All Charges