Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW SELFTAP LOCKING 5x14mm

Facility

$603.00

Hospital Charge Code	270656607
Hospital Revenue Code	278
Min. Negotiated Rate	$90.45
Max. Negotiated Rate	$145.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.93
Rate for Payer: Qualcare PPO/HMO/WC	$90.45

SCREW SELFTAP LOCKING 5x16mm

Facility

$603.00

Hospital Charge Code	270656610
Hospital Revenue Code	278
Min. Negotiated Rate	$90.45
Max. Negotiated Rate	$145.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.93
Rate for Payer: Qualcare PPO/HMO/WC	$90.45

SCREW SELFTAP LOCKING 5x16mm

Facility

$603.00

Hospital Charge Code	270656610
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

SCREW SELFTAP LOCKING 5x18MM

Facility

$603.00

Hospital Charge Code	270676917
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

SCREW SELFTAP LOCKING 5x18MM

Facility

$603.00

Hospital Charge Code	270676917
Hospital Revenue Code	278
Min. Negotiated Rate	$90.45
Max. Negotiated Rate	$145.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.93
Rate for Payer: Qualcare PPO/HMO/WC	$90.45

SCREW SELFTAP LOCKING 5X32mm

Facility

$621.10

Service Code	HCPCS C1713
Hospital Charge Code	270637796
Hospital Revenue Code	278
Min. Negotiated Rate	$93.17
Max. Negotiated Rate	$150.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.31
Rate for Payer: Qualcare PPO/HMO/WC	$93.17

SCREW SELFTAP LOCKING 5X32mm

Facility

$621.10

Service Code	HCPCS C1713
Hospital Charge Code	270637796
Hospital Revenue Code	278
Min. Negotiated Rate	$17.64
Max. Negotiated Rate	$310.55
Rate for Payer: Aetna Commercial	$236.02
Rate for Payer: Aetna Medicare Advantage	$186.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.38
Rate for Payer: Cigna Commercial	$310.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.31
Rate for Payer: Qualcare PPO/HMO/WC	$93.17
Rate for Payer: UnitedHealthcare Community & State	$19.63
Rate for Payer: Wellpoint Medicaid Managed Care	$17.64

SCREW SELFTAP LOCKING 5x48mm

Facility

$603.00

Service Code	HCPCS C1713
Hospital Charge Code	270656656
Hospital Revenue Code	278
Min. Negotiated Rate	$90.45
Max. Negotiated Rate	$145.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.93
Rate for Payer: Qualcare PPO/HMO/WC	$90.45

SCREW SELFTAP LOCKING 5x48mm

Facility

$603.00

Service Code	HCPCS C1713
Hospital Charge Code	270656656
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

SCREW SELFTAP LOCKING 5x50mm

Facility

$621.10

Service Code	HCPCS C1713
Hospital Charge Code	270645545
Hospital Revenue Code	278
Min. Negotiated Rate	$93.17
Max. Negotiated Rate	$150.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.31
Rate for Payer: Qualcare PPO/HMO/WC	$93.17

SCREW SELFTAP LOCKING 5x50mm

Facility

$621.10

Service Code	HCPCS C1713
Hospital Charge Code	270645545
Hospital Revenue Code	278
Min. Negotiated Rate	$17.64
Max. Negotiated Rate	$310.55
Rate for Payer: Aetna Commercial	$236.02
Rate for Payer: Aetna Medicare Advantage	$186.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.38
Rate for Payer: Cigna Commercial	$310.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.31
Rate for Payer: Qualcare PPO/HMO/WC	$93.17
Rate for Payer: UnitedHealthcare Community & State	$19.63
Rate for Payer: Wellpoint Medicaid Managed Care	$17.64

SCREW SELFTAP LOCKING 5X60mm

Facility

$603.00

Service Code	HCPCS C1713
Hospital Charge Code	270670453
Hospital Revenue Code	278
Min. Negotiated Rate	$90.45
Max. Negotiated Rate	$145.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.93
Rate for Payer: Qualcare PPO/HMO/WC	$90.45

SCREW SELFTAP LOCKING 5X60mm

Facility

$603.00

Service Code	HCPCS C1713
Hospital Charge Code	270670453
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

SCREW SELFTAP LOCKING 5x70mm

Facility

$603.00

Hospital Charge Code	270673439
Hospital Revenue Code	278
Min. Negotiated Rate	$90.45
Max. Negotiated Rate	$145.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.93
Rate for Payer: Qualcare PPO/HMO/WC	$90.45

SCREW SELFTAP LOCKING 5x70mm

Facility

$603.00

Hospital Charge Code	270673439
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

SCREW SELFTAP LOCKING 5X75MM

Facility

$603.00

Hospital Charge Code	270670454
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

SCREW SELFTAP LOCKING 5X75MM

Facility

$603.00

Hospital Charge Code	270670454
Hospital Revenue Code	278
Min. Negotiated Rate	$90.45
Max. Negotiated Rate	$145.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.93
Rate for Payer: Qualcare PPO/HMO/WC	$90.45

SCREW SELFTAP LOCKING 5x80mm

Facility

$603.00

Hospital Charge Code	270673438
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

SCREW SELFTAP LOCKING 5x80mm

Facility

$603.00

Hospital Charge Code	270673438
Hospital Revenue Code	278
Min. Negotiated Rate	$90.45
Max. Negotiated Rate	$145.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.93
Rate for Payer: Qualcare PPO/HMO/WC	$90.45

SCREW SELF TAPPING 3.5X14MM

Facility

$2,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270698151
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 TAPPING 3.5X14MM

Facility

$2,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270698151
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 TAPPING 4 X 14MM VA

Facility

$1,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270692108
Hospital Revenue Code	278
Min. Negotiated Rate	$49.70
Max. Negotiated Rate	$875.00
Rate for Payer: Aetna Commercial	$665.00
Rate for Payer: Aetna Medicare Advantage	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.25
Rate for Payer: Cigna Commercial	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50
Rate for Payer: UnitedHealthcare Community & State	$55.30
Rate for Payer: Wellpoint Medicaid Managed Care	$49.70

SCREW SELF TAPPING 4 X 14MM VA

Facility

$1,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270692108
Hospital Revenue Code	278
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$423.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

SCREW SELF TAPPING 4 X 16MM FI

Facility

$1,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270692110
Hospital Revenue Code	278
Min. Negotiated Rate	$49.70
Max. Negotiated Rate	$875.00
Rate for Payer: Aetna Commercial	$665.00
Rate for Payer: Aetna Medicare Advantage	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.25
Rate for Payer: Cigna Commercial	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50
Rate for Payer: UnitedHealthcare Community & State	$55.30
Rate for Payer: Wellpoint Medicaid Managed Care	$49.70

SCREW SELF TAPPING 4 X 16MM FI

Facility

$1,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270692110
Hospital Revenue Code	278
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$423.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

Know your out-of-pocket cost for care.

All Charges