Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW SCHANZ 5.0X250MM BLUNT

Facility

$668.35

Service Code	HCPCS C1713
Hospital Charge Code	270681241
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 5.0x250mm BLUNTED

Facility

$469.70

Service Code	HCPCS C1713
Hospital Charge Code	270639900
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 5.0x250mm BLUNTED

Facility

$469.70

Service Code	HCPCS C1713
Hospital Charge Code	270639900
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 5.0x60x150mm

Facility

$891.00

Service Code	HCPCS C1713
Hospital Charge Code	270674201
Hospital Revenue Code	278
Min. Negotiated Rate	$133.65
Max. Negotiated Rate	$215.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$178.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$215.62
Rate for Payer: Qualcare PPO/HMO/WC	$133.65

SCREW SCHANZ 5.0x60x150mm

Facility

$891.00

Service Code	HCPCS C1713
Hospital Charge Code	270674201
Hospital Revenue Code	278
Min. Negotiated Rate	$25.30
Max. Negotiated Rate	$445.50
Rate for Payer: Aetna Commercial	$338.58
Rate for Payer: Aetna Medicare Advantage	$267.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$227.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$227.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$178.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$227.21
Rate for Payer: Cigna Commercial	$445.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$215.62
Rate for Payer: Qualcare PPO/HMO/WC	$133.65
Rate for Payer: UnitedHealthcare Community & State	$28.16
Rate for Payer: Wellpoint Medicaid Managed Care	$25.30

SCREW SCHANZ 5.0x80MM SLF DRIL

Facility

$830.70

Service Code	HCPCS C1713
Hospital Charge Code	270633730
Hospital Revenue Code	278
Min. Negotiated Rate	$23.59
Max. Negotiated Rate	$415.35
Rate for Payer: Aetna Commercial	$315.67
Rate for Payer: Aetna Medicare Advantage	$249.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$211.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$211.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$166.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$211.83
Rate for Payer: Cigna Commercial	$415.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$201.03
Rate for Payer: Qualcare PPO/HMO/WC	$124.61
Rate for Payer: UnitedHealthcare Community & State	$26.25
Rate for Payer: Wellpoint Medicaid Managed Care	$23.59

SCREW SCHANZ 5.0x80MM SLF DRIL

Facility

$830.70

Service Code	HCPCS C1713
Hospital Charge Code	270633730
Hospital Revenue Code	278
Min. Negotiated Rate	$124.61
Max. Negotiated Rate	$201.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$166.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$201.03
Rate for Payer: Qualcare PPO/HMO/WC	$124.61

SCREW SCHANZ 6.0/160MM SPADE

Facility

$408.00

Hospital Charge Code	270676407
Hospital Revenue Code	278
Min. Negotiated Rate	$61.20
Max. Negotiated Rate	$98.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$81.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.74
Rate for Payer: Qualcare PPO/HMO/WC	$61.20

SCREW SCHANZ 6.0/160MM SPADE

Facility

$408.00

Hospital Charge Code	270676407
Hospital Revenue Code	278
Min. Negotiated Rate	$11.59
Max. Negotiated Rate	$204.00
Rate for Payer: Aetna Commercial	$155.04
Rate for Payer: Aetna Medicare Advantage	$122.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$104.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$104.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$81.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$104.04
Rate for Payer: Cigna Commercial	$204.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.74
Rate for Payer: Qualcare PPO/HMO/WC	$61.20
Rate for Payer: UnitedHealthcare Community & State	$12.89
Rate for Payer: Wellpoint Medicaid Managed Care	$11.59

SCREW SCHANZ 9.0mm THD 105mm

Facility

$713.80

Service Code	HCPCS C1713
Hospital Charge Code	270630580
Hospital Revenue Code	278
Min. Negotiated Rate	$20.27
Max. Negotiated Rate	$356.90
Rate for Payer: Aetna Commercial	$271.24
Rate for Payer: Aetna Medicare Advantage	$214.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$182.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$182.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$142.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$182.02
Rate for Payer: Cigna Commercial	$356.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$172.74
Rate for Payer: Qualcare PPO/HMO/WC	$107.07
Rate for Payer: UnitedHealthcare Community & State	$22.56
Rate for Payer: Wellpoint Medicaid Managed Care	$20.27

SCREW SCHANZ 9.0mm THD 105mm

Facility

$713.80

Service Code	HCPCS C1713
Hospital Charge Code	270630580
Hospital Revenue Code	278
Min. Negotiated Rate	$107.07
Max. Negotiated Rate	$172.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$142.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$172.74
Rate for Payer: Qualcare PPO/HMO/WC	$107.07

SCREW SCHANZ BLUNT PT 5x170MM

Facility

$483.80

Service Code	HCPCS C1713
Hospital Charge Code	270633450
Hospital Revenue Code	278
Min. Negotiated Rate	$13.74
Max. Negotiated Rate	$241.90
Rate for Payer: Aetna Commercial	$183.84
Rate for Payer: Aetna Medicare Advantage	$145.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$123.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$123.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$96.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$123.37
Rate for Payer: Cigna Commercial	$241.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.08
Rate for Payer: Qualcare PPO/HMO/WC	$72.57
Rate for Payer: UnitedHealthcare Community & State	$15.29
Rate for Payer: Wellpoint Medicaid Managed Care	$13.74

SCREW SCHANZ BLUNT PT 5x170MM

Facility

$483.80

Service Code	HCPCS C1713
Hospital Charge Code	270633450
Hospital Revenue Code	278
Min. Negotiated Rate	$72.57
Max. Negotiated Rate	$117.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$96.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.08
Rate for Payer: Qualcare PPO/HMO/WC	$72.57

SCREW SCHANZ EXT FIX 4X120MM

Facility

$4,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270698616
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 EXT FIX 4X120MM

Facility

$4,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270698616
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 EXT FIX 4X150MM

Facility

$450.00

Service Code	HCPCS C1713
Hospital Charge Code	270698629
Hospital Revenue Code	278
Min. Negotiated Rate	$67.50
Max. Negotiated Rate	$108.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.90
Rate for Payer: Qualcare PPO/HMO/WC	$67.50

SCREW SCHANZ EXT FIX 4X150MM

Facility

$450.00

Service Code	HCPCS C1713
Hospital Charge Code	270698629
Hospital Revenue Code	278
Min. Negotiated Rate	$12.78
Max. Negotiated Rate	$225.00
Rate for Payer: Aetna Commercial	$171.00
Rate for Payer: Aetna Medicare Advantage	$135.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.75
Rate for Payer: Cigna Commercial	$225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.90
Rate for Payer: Qualcare PPO/HMO/WC	$67.50
Rate for Payer: UnitedHealthcare Community & State	$14.22
Rate for Payer: Wellpoint Medicaid Managed Care	$12.78

SCREW SCHANZ SD 4.0X125 SS

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270699299
Hospital Revenue Code	278
Min. Negotiated Rate	$17.75
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$237.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Community & State	$19.75
Rate for Payer: Wellpoint Medicaid Managed Care	$17.75

SCREW SCHANZ SD 4.0X125 SS

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270699299
Hospital Revenue Code	278
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$151.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

SCREW SCHANZ SD 5.0X175 SS

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270699300
Hospital Revenue Code	278
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$151.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

SCREW SCHANZ SD 5.0X175 SS

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270699300
Hospital Revenue Code	278
Min. Negotiated Rate	$17.75
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$237.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Community & State	$19.75
Rate for Payer: Wellpoint Medicaid Managed Care	$17.75

SCREW SCHANZ SD THRD 6.0X175MM

Facility

$1,067.80

Service Code	HCPCS C1713
Hospital Charge Code	270697237
Hospital Revenue Code	278
Min. Negotiated Rate	$160.17
Max. Negotiated Rate	$258.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$213.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$258.41
Rate for Payer: Qualcare PPO/HMO/WC	$160.17

SCREW SCHANZ SD THRD 6.0X175MM

Facility

$1,067.80

Service Code	HCPCS C1713
Hospital Charge Code	270697237
Hospital Revenue Code	278
Min. Negotiated Rate	$30.33
Max. Negotiated Rate	$533.90
Rate for Payer: Aetna Commercial	$405.76
Rate for Payer: Aetna Medicare Advantage	$320.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$272.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$272.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$213.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$272.29
Rate for Payer: Cigna Commercial	$533.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$258.41
Rate for Payer: Qualcare PPO/HMO/WC	$160.17
Rate for Payer: UnitedHealthcare Community & State	$33.74
Rate for Payer: Wellpoint Medicaid Managed Care	$30.33

SCREW SCHANZ SLF DRILL 5x175MM

Facility

$891.00

Service Code	HCPCS C1713
Hospital Charge Code	270675471
Hospital Revenue Code	278
Min. Negotiated Rate	$25.30
Max. Negotiated Rate	$445.50
Rate for Payer: Aetna Commercial	$338.58
Rate for Payer: Aetna Medicare Advantage	$267.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$227.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$227.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$178.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$227.21
Rate for Payer: Cigna Commercial	$445.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$215.62
Rate for Payer: Qualcare PPO/HMO/WC	$133.65
Rate for Payer: UnitedHealthcare Community & State	$28.16
Rate for Payer: Wellpoint Medicaid Managed Care	$25.30

SCREW SCHANZ SLF DRILL 5x175MM

Facility

$891.00

Service Code	HCPCS C1713
Hospital Charge Code	270675471
Hospital Revenue Code	278
Min. Negotiated Rate	$133.65
Max. Negotiated Rate	$215.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$178.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$215.62
Rate for Payer: Qualcare PPO/HMO/WC	$133.65

Know your out-of-pocket cost for care.

All Charges