Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW SELF DRILLING 4.0 X 14 M

Facility

$2,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270688701
Hospital Revenue Code	278
Min. Negotiated Rate	$337.50
Max. Negotiated Rate	$544.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$544.50
Rate for Payer: Qualcare PPO/HMO/WC	$337.50

SCREW SELF DRILLING 4.0 X 14 M

Facility

$2,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270688701
Hospital Revenue Code	278
Min. Negotiated Rate	$63.90
Max. Negotiated Rate	$1,125.00
Rate for Payer: Aetna Commercial	$855.00
Rate for Payer: Aetna Medicare Advantage	$675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$573.75
Rate for Payer: Cigna Commercial	$1,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$544.50
Rate for Payer: Qualcare PPO/HMO/WC	$337.50
Rate for Payer: UnitedHealthcare Community & State	$71.10
Rate for Payer: Wellpoint Medicaid Managed Care	$63.90

SCREW SELF DRILLING 4.0X 14 MM

Facility

$2,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270688700
Hospital Revenue Code	278
Min. Negotiated Rate	$63.90
Max. Negotiated Rate	$1,125.00
Rate for Payer: Aetna Commercial	$855.00
Rate for Payer: Aetna Medicare Advantage	$675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$573.75
Rate for Payer: Cigna Commercial	$1,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$544.50
Rate for Payer: Qualcare PPO/HMO/WC	$337.50
Rate for Payer: UnitedHealthcare Community & State	$71.10
Rate for Payer: Wellpoint Medicaid Managed Care	$63.90

SCREW SELF DRILLING 4.0X 14 MM

Facility

$2,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270688700
Hospital Revenue Code	278
Min. Negotiated Rate	$337.50
Max. Negotiated Rate	$544.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$544.50
Rate for Payer: Qualcare PPO/HMO/WC	$337.50

SCREW SELF-DRILL VAR 4.0X14MM

Facility

$1,600.00

Service Code	HCPCS C1713
Hospital Charge Code	270694189
Hospital Revenue Code	278
Min. Negotiated Rate	$240.00
Max. Negotiated Rate	$387.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$320.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$387.20
Rate for Payer: Qualcare PPO/HMO/WC	$240.00

SCREW SELF-DRILL VAR 4.0X14MM

Facility

$1,600.00

Service Code	HCPCS C1713
Hospital Charge Code	270694189
Hospital Revenue Code	278
Min. Negotiated Rate	$45.44
Max. Negotiated Rate	$800.00
Rate for Payer: Aetna Commercial	$608.00
Rate for Payer: Aetna Medicare Advantage	$480.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$408.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$408.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$320.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$408.00
Rate for Payer: Cigna Commercial	$800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$387.20
Rate for Payer: Qualcare PPO/HMO/WC	$240.00
Rate for Payer: UnitedHealthcare Community & State	$50.56
Rate for Payer: Wellpoint Medicaid Managed Care	$45.44

SCREW SELF-DRILL VAR 4.5X14MM

Facility

$1,600.00

Service Code	HCPCS C1713
Hospital Charge Code	270694190
Hospital Revenue Code	278
Min. Negotiated Rate	$240.00
Max. Negotiated Rate	$387.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$320.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$387.20
Rate for Payer: Qualcare PPO/HMO/WC	$240.00

SCREW SELF-DRILL VAR 4.5X14MM

Facility

$1,600.00

Service Code	HCPCS C1713
Hospital Charge Code	270694190
Hospital Revenue Code	278
Min. Negotiated Rate	$45.44
Max. Negotiated Rate	$800.00
Rate for Payer: Aetna Commercial	$608.00
Rate for Payer: Aetna Medicare Advantage	$480.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$408.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$408.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$320.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$408.00
Rate for Payer: Cigna Commercial	$800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$387.20
Rate for Payer: Qualcare PPO/HMO/WC	$240.00
Rate for Payer: UnitedHealthcare Community & State	$50.56
Rate for Payer: Wellpoint Medicaid Managed Care	$45.44

SCREW SELF DRIL VA 17MM 4.5MM

Facility

$2,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270691796
Hospital Revenue Code	278
Min. Negotiated Rate	$420.00
Max. Negotiated Rate	$677.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$560.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$677.60
Rate for Payer: Qualcare PPO/HMO/WC	$420.00

SCREW SELF DRIL VA 17MM 4.5MM

Facility

$2,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270691796
Hospital Revenue Code	278
Min. Negotiated Rate	$79.52
Max. Negotiated Rate	$1,400.00
Rate for Payer: Aetna Commercial	$1,064.00
Rate for Payer: Aetna Medicare Advantage	$840.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$714.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$714.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$560.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$714.00
Rate for Payer: Cigna Commercial	$1,400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$677.60
Rate for Payer: Qualcare PPO/HMO/WC	$420.00
Rate for Payer: UnitedHealthcare Community & State	$88.48
Rate for Payer: Wellpoint Medicaid Managed Care	$79.52

SCREW SELF DRIL VA 4.5MMX15MM

Facility

$2,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270691797
Hospital Revenue Code	278
Min. Negotiated Rate	$420.00
Max. Negotiated Rate	$677.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$560.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$677.60
Rate for Payer: Qualcare PPO/HMO/WC	$420.00

SCREW SELF DRIL VA 4.5MMX15MM

Facility

$2,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270691797
Hospital Revenue Code	278
Min. Negotiated Rate	$79.52
Max. Negotiated Rate	$1,400.00
Rate for Payer: Aetna Commercial	$1,064.00
Rate for Payer: Aetna Medicare Advantage	$840.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$714.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$714.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$560.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$714.00
Rate for Payer: Cigna Commercial	$1,400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$677.60
Rate for Payer: Qualcare PPO/HMO/WC	$420.00
Rate for Payer: UnitedHealthcare Community & State	$88.48
Rate for Payer: Wellpoint Medicaid Managed Care	$79.52

SCREW SELFDRL VA14MM ATLANTIS

Facility

$2,515.00

Service Code	HCPCS C1713
Hospital Charge Code	270691794
Hospital Revenue Code	278
Min. Negotiated Rate	$377.25
Max. Negotiated Rate	$608.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$503.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$608.63
Rate for Payer: Qualcare PPO/HMO/WC	$377.25

SCREW SELFDRL VA14MM ATLANTIS

Facility

$2,515.00

Service Code	HCPCS C1713
Hospital Charge Code	270691794
Hospital Revenue Code	278
Min. Negotiated Rate	$71.43
Max. Negotiated Rate	$1,257.50
Rate for Payer: Aetna Commercial	$955.70
Rate for Payer: Aetna Medicare Advantage	$754.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$641.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$641.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$503.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$641.33
Rate for Payer: Cigna Commercial	$1,257.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$608.63
Rate for Payer: Qualcare PPO/HMO/WC	$377.25
Rate for Payer: UnitedHealthcare Community & State	$79.47
Rate for Payer: Wellpoint Medicaid Managed Care	$71.43

SCREW SELF STARTING 4.5X 12 MM

Facility

$2,930.00

Service Code	HCPCS C1713
Hospital Charge Code	270689799
Hospital Revenue Code	278
Min. Negotiated Rate	$439.50
Max. Negotiated Rate	$709.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$586.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$709.06
Rate for Payer: Qualcare PPO/HMO/WC	$439.50

SCREW SELF STARTING 4.5X 12 MM

Facility

$2,930.00

Service Code	HCPCS C1713
Hospital Charge Code	270689799
Hospital Revenue Code	278
Min. Negotiated Rate	$83.21
Max. Negotiated Rate	$1,465.00
Rate for Payer: Aetna Commercial	$1,113.40
Rate for Payer: Aetna Medicare Advantage	$879.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$747.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$747.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$586.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$747.15
Rate for Payer: Cigna Commercial	$1,465.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$709.06
Rate for Payer: Qualcare PPO/HMO/WC	$439.50
Rate for Payer: UnitedHealthcare Community & State	$92.59
Rate for Payer: Wellpoint Medicaid Managed Care	$83.21

SCREW SELF TAP CAR 4.0X14MM

Facility

$1,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270692536
Hospital Revenue Code	278
Min. Negotiated Rate	$35.50
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$475.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Community & State	$39.50
Rate for Payer: Wellpoint Medicaid Managed Care	$35.50

SCREW SELF TAP CAR 4.0X14MM

Facility

$1,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270692536
Hospital Revenue Code	278
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$302.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

SCREW SELFTAP LOCKING 3.5x58mm

Facility

$519.00

Hospital Charge Code	270676431
Hospital Revenue Code	278
Min. Negotiated Rate	$77.85
Max. Negotiated Rate	$125.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.60
Rate for Payer: Qualcare PPO/HMO/WC	$77.85

SCREW SELFTAP LOCKING 3.5x58mm

Facility

$519.00

Hospital Charge Code	270676431
Hospital Revenue Code	278
Min. Negotiated Rate	$14.74
Max. Negotiated Rate	$259.50
Rate for Payer: Aetna Commercial	$197.22
Rate for Payer: Aetna Medicare Advantage	$155.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.34
Rate for Payer: Cigna Commercial	$259.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.60
Rate for Payer: Qualcare PPO/HMO/WC	$77.85
Rate for Payer: UnitedHealthcare Community & State	$16.40
Rate for Payer: Wellpoint Medicaid Managed Care	$14.74

SCREW SELFTAP LOCKING 3.5x65mm

Facility

$519.00

Hospital Charge Code	270661933
Hospital Revenue Code	278
Min. Negotiated Rate	$14.74
Max. Negotiated Rate	$259.50
Rate for Payer: Aetna Commercial	$197.22
Rate for Payer: Aetna Medicare Advantage	$155.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.34
Rate for Payer: Cigna Commercial	$259.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.60
Rate for Payer: Qualcare PPO/HMO/WC	$77.85
Rate for Payer: UnitedHealthcare Community & State	$16.40
Rate for Payer: Wellpoint Medicaid Managed Care	$14.74

SCREW SELFTAP LOCKING 3.5x65mm

Facility

$519.00

Hospital Charge Code	270661933
Hospital Revenue Code	278
Min. Negotiated Rate	$77.85
Max. Negotiated Rate	$125.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.60
Rate for Payer: Qualcare PPO/HMO/WC	$77.85

SCREW SELFTAP LOCKING 3.5x80mm

Facility

$519.00

Hospital Charge Code	270656575
Hospital Revenue Code	278
Min. Negotiated Rate	$14.74
Max. Negotiated Rate	$259.50
Rate for Payer: Aetna Commercial	$197.22
Rate for Payer: Aetna Medicare Advantage	$155.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.34
Rate for Payer: Cigna Commercial	$259.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.60
Rate for Payer: Qualcare PPO/HMO/WC	$77.85
Rate for Payer: UnitedHealthcare Community & State	$16.40
Rate for Payer: Wellpoint Medicaid Managed Care	$14.74

SCREW SELFTAP LOCKING 3.5x80mm

Facility

$519.00

Hospital Charge Code	270656575
Hospital Revenue Code	278
Min. Negotiated Rate	$77.85
Max. Negotiated Rate	$125.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.60
Rate for Payer: Qualcare PPO/HMO/WC	$77.85

SCREW SELFTAP LOCKING 5x14mm

Facility

$603.00

Hospital Charge Code	270656607
Hospital Revenue Code	278
Min. Negotiated Rate	$17.13
Max. Negotiated Rate	$301.50
Rate for Payer: Aetna Commercial	$229.14
Rate for Payer: Aetna Medicare Advantage	$180.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.76
Rate for Payer: Cigna Commercial	$301.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.93
Rate for Payer: Qualcare PPO/HMO/WC	$90.45
Rate for Payer: UnitedHealthcare Community & State	$19.05
Rate for Payer: Wellpoint Medicaid Managed Care	$17.13

Know your out-of-pocket cost for care.

All Charges