Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW S-FIX 2.5 X14 MM

Facility

$2,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270689578
Hospital Revenue Code	278
Min. Negotiated Rate	$371.25
Max. Negotiated Rate	$598.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$598.95
Rate for Payer: Qualcare PPO/HMO/WC	$371.25

SCREW S-FIX 2.5 X14 MM

Facility

$2,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270689578
Hospital Revenue Code	278
Min. Negotiated Rate	$70.29
Max. Negotiated Rate	$1,237.50
Rate for Payer: Aetna Commercial	$940.50
Rate for Payer: Aetna Medicare Advantage	$742.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$631.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$631.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$495.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$631.12
Rate for Payer: Cigna Commercial	$1,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$598.95
Rate for Payer: Qualcare PPO/HMO/WC	$371.25
Rate for Payer: UnitedHealthcare Community & State	$78.21
Rate for Payer: Wellpoint Medicaid Managed Care	$70.29

SCREW SHAFT 3.5x16mm

Facility

$76.50

Service Code	HCPCS C1713
Hospital Charge Code	270603063
Hospital Revenue Code	278
Min. Negotiated Rate	$2.17
Max. Negotiated Rate	$38.25
Rate for Payer: Aetna Commercial	$29.07
Rate for Payer: Aetna Medicare Advantage	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.51
Rate for Payer: Cigna Commercial	$38.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.51
Rate for Payer: Qualcare PPO/HMO/WC	$11.47
Rate for Payer: UnitedHealthcare Community & State	$2.42
Rate for Payer: Wellpoint Medicaid Managed Care	$2.17

SCREW SHAFT 3.5x16mm

Facility

$76.50

Service Code	HCPCS C1713
Hospital Charge Code	270603063
Hospital Revenue Code	278
Min. Negotiated Rate	$11.47
Max. Negotiated Rate	$18.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.51
Rate for Payer: Qualcare PPO/HMO/WC	$11.47

SCREW SHAFT 3.5x18MM

Facility

$76.50

Service Code	HCPCS C1713
Hospital Charge Code	270603065
Hospital Revenue Code	278
Min. Negotiated Rate	$11.47
Max. Negotiated Rate	$18.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.51
Rate for Payer: Qualcare PPO/HMO/WC	$11.47

SCREW SHAFT 3.5x18MM

Facility

$76.50

Service Code	HCPCS C1713
Hospital Charge Code	270603065
Hospital Revenue Code	278
Min. Negotiated Rate	$2.17
Max. Negotiated Rate	$38.25
Rate for Payer: Aetna Commercial	$29.07
Rate for Payer: Aetna Medicare Advantage	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.51
Rate for Payer: Cigna Commercial	$38.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.51
Rate for Payer: Qualcare PPO/HMO/WC	$11.47
Rate for Payer: UnitedHealthcare Community & State	$2.42
Rate for Payer: Wellpoint Medicaid Managed Care	$2.17

SCREW SHAFT 3.5x20mm

Facility

$76.50

Service Code	HCPCS C1713
Hospital Charge Code	270603067
Hospital Revenue Code	278
Min. Negotiated Rate	$2.17
Max. Negotiated Rate	$38.25
Rate for Payer: Aetna Commercial	$29.07
Rate for Payer: Aetna Medicare Advantage	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.51
Rate for Payer: Cigna Commercial	$38.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.51
Rate for Payer: Qualcare PPO/HMO/WC	$11.47
Rate for Payer: UnitedHealthcare Community & State	$2.42
Rate for Payer: Wellpoint Medicaid Managed Care	$2.17

SCREW SHAFT 3.5x20mm

Facility

$76.50

Service Code	HCPCS C1713
Hospital Charge Code	270603067
Hospital Revenue Code	278
Min. Negotiated Rate	$11.47
Max. Negotiated Rate	$18.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.51
Rate for Payer: Qualcare PPO/HMO/WC	$11.47

SCREW SHAFT 3.5x24mm

Facility

$76.50

Service Code	HCPCS C1713
Hospital Charge Code	270603071
Hospital Revenue Code	278
Min. Negotiated Rate	$11.47
Max. Negotiated Rate	$18.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.51
Rate for Payer: Qualcare PPO/HMO/WC	$11.47

SCREW SHAFT 3.5x24mm

Facility

$76.50

Service Code	HCPCS C1713
Hospital Charge Code	270603071
Hospital Revenue Code	278
Min. Negotiated Rate	$2.17
Max. Negotiated Rate	$38.25
Rate for Payer: Aetna Commercial	$29.07
Rate for Payer: Aetna Medicare Advantage	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.51
Rate for Payer: Cigna Commercial	$38.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.51
Rate for Payer: Qualcare PPO/HMO/WC	$11.47
Rate for Payer: UnitedHealthcare Community & State	$2.42
Rate for Payer: Wellpoint Medicaid Managed Care	$2.17

SCREW SHAFT 3.5x26mm

Facility

$76.50

Service Code	HCPCS C1713
Hospital Charge Code	270603073
Hospital Revenue Code	278
Min. Negotiated Rate	$2.17
Max. Negotiated Rate	$38.25
Rate for Payer: Aetna Commercial	$29.07
Rate for Payer: Aetna Medicare Advantage	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.51
Rate for Payer: Cigna Commercial	$38.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.51
Rate for Payer: Qualcare PPO/HMO/WC	$11.47
Rate for Payer: UnitedHealthcare Community & State	$2.42
Rate for Payer: Wellpoint Medicaid Managed Care	$2.17

SCREW SHAFT 3.5x26mm

Facility

$76.50

Service Code	HCPCS C1713
Hospital Charge Code	270603073
Hospital Revenue Code	278
Min. Negotiated Rate	$11.47
Max. Negotiated Rate	$18.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.51
Rate for Payer: Qualcare PPO/HMO/WC	$11.47

SCREW SHAFT 3.5x28mm

Facility

$54.50

Service Code	HCPCS C1713
Hospital Charge Code	270603074
Hospital Revenue Code	278
Min. Negotiated Rate	$8.18
Max. Negotiated Rate	$13.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.19
Rate for Payer: Qualcare PPO/HMO/WC	$8.18

SCREW SHAFT 3.5x28mm

Facility

$54.50

Service Code	HCPCS C1713
Hospital Charge Code	270603074
Hospital Revenue Code	278
Min. Negotiated Rate	$1.55
Max. Negotiated Rate	$27.25
Rate for Payer: Aetna Commercial	$20.71
Rate for Payer: Aetna Medicare Advantage	$16.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.90
Rate for Payer: Cigna Commercial	$27.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.19
Rate for Payer: Qualcare PPO/HMO/WC	$8.18
Rate for Payer: UnitedHealthcare Community & State	$1.72
Rate for Payer: Wellpoint Medicaid Managed Care	$1.55

SCREW SHAFT 3.5x2mm

Facility

$76.50

Service Code	HCPCS C1713
Hospital Charge Code	270603069
Hospital Revenue Code	278
Min. Negotiated Rate	$2.17
Max. Negotiated Rate	$38.25
Rate for Payer: Aetna Commercial	$29.07
Rate for Payer: Aetna Medicare Advantage	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.51
Rate for Payer: Cigna Commercial	$38.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.51
Rate for Payer: Qualcare PPO/HMO/WC	$11.47
Rate for Payer: UnitedHealthcare Community & State	$2.42
Rate for Payer: Wellpoint Medicaid Managed Care	$2.17

SCREW SHAFT 3.5x2mm

Facility

$76.50

Service Code	HCPCS C1713
Hospital Charge Code	270603069
Hospital Revenue Code	278
Min. Negotiated Rate	$11.47
Max. Negotiated Rate	$18.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.51
Rate for Payer: Qualcare PPO/HMO/WC	$11.47

SCREW SHAFT 3.5x30mm

Facility

$76.50

Service Code	HCPCS C1713
Hospital Charge Code	270603188
Hospital Revenue Code	278
Min. Negotiated Rate	$11.47
Max. Negotiated Rate	$18.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.51
Rate for Payer: Qualcare PPO/HMO/WC	$11.47

SCREW SHAFT 3.5x30mm

Facility

$76.50

Service Code	HCPCS C1713
Hospital Charge Code	270603188
Hospital Revenue Code	278
Min. Negotiated Rate	$2.17
Max. Negotiated Rate	$38.25
Rate for Payer: Aetna Commercial	$29.07
Rate for Payer: Aetna Medicare Advantage	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.51
Rate for Payer: Cigna Commercial	$38.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.51
Rate for Payer: Qualcare PPO/HMO/WC	$11.47
Rate for Payer: UnitedHealthcare Community & State	$2.42
Rate for Payer: Wellpoint Medicaid Managed Care	$2.17

SCREW SHAFT 3.5x32mm

Facility

$76.50

Service Code	HCPCS C1713
Hospital Charge Code	270603189
Hospital Revenue Code	278
Min. Negotiated Rate	$11.47
Max. Negotiated Rate	$18.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.51
Rate for Payer: Qualcare PPO/HMO/WC	$11.47

SCREW SHAFT 3.5x32mm

Facility

$76.50

Service Code	HCPCS C1713
Hospital Charge Code	270603189
Hospital Revenue Code	278
Min. Negotiated Rate	$2.17
Max. Negotiated Rate	$38.25
Rate for Payer: Aetna Commercial	$29.07
Rate for Payer: Aetna Medicare Advantage	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.51
Rate for Payer: Cigna Commercial	$38.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.51
Rate for Payer: Qualcare PPO/HMO/WC	$11.47
Rate for Payer: UnitedHealthcare Community & State	$2.42
Rate for Payer: Wellpoint Medicaid Managed Care	$2.17

SCREW SHAFT 3.5x34mm

Facility

$54.50

Service Code	HCPCS C1713
Hospital Charge Code	270603191
Hospital Revenue Code	278
Min. Negotiated Rate	$8.18
Max. Negotiated Rate	$13.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.19
Rate for Payer: Qualcare PPO/HMO/WC	$8.18

SCREW SHAFT 3.5x34mm

Facility

$54.50

Service Code	HCPCS C1713
Hospital Charge Code	270603191
Hospital Revenue Code	278
Min. Negotiated Rate	$1.55
Max. Negotiated Rate	$27.25
Rate for Payer: Aetna Commercial	$20.71
Rate for Payer: Aetna Medicare Advantage	$16.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.90
Rate for Payer: Cigna Commercial	$27.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.19
Rate for Payer: Qualcare PPO/HMO/WC	$8.18
Rate for Payer: UnitedHealthcare Community & State	$1.72
Rate for Payer: Wellpoint Medicaid Managed Care	$1.55

SCREW SHAFT 3.5x36MM

Facility

$74.25

Hospital Charge Code	270601855
Hospital Revenue Code	278
Min. Negotiated Rate	$11.14
Max. Negotiated Rate	$17.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.97
Rate for Payer: Qualcare PPO/HMO/WC	$11.14

SCREW SHAFT 3.5x36MM

Facility

$74.25

Hospital Charge Code	270601855
Hospital Revenue Code	278
Min. Negotiated Rate	$2.11
Max. Negotiated Rate	$37.12
Rate for Payer: Aetna Commercial	$28.21
Rate for Payer: Aetna Medicare Advantage	$22.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.93
Rate for Payer: Cigna Commercial	$37.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.97
Rate for Payer: Qualcare PPO/HMO/WC	$11.14
Rate for Payer: UnitedHealthcare Community & State	$2.35
Rate for Payer: Wellpoint Medicaid Managed Care	$2.11

SCREW SHANK 5.5X40MM

Facility

$3,025.00

Service Code	HCPCS C1713
Hospital Charge Code	270691366
Hospital Revenue Code	278
Min. Negotiated Rate	$85.91
Max. Negotiated Rate	$1,512.50
Rate for Payer: Aetna Commercial	$1,149.50
Rate for Payer: Aetna Medicare Advantage	$907.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$771.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$771.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$605.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$771.38
Rate for Payer: Cigna Commercial	$1,512.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$732.05
Rate for Payer: Qualcare PPO/HMO/WC	$453.75
Rate for Payer: UnitedHealthcare Community & State	$95.59
Rate for Payer: Wellpoint Medicaid Managed Care	$85.91

Know your out-of-pocket cost for care.

All Charges