Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW SOLID LOCK 3.5X14MM

Facility

$7,610.00

Service Code	HCPCS C1713
Hospital Charge Code	270698545
Hospital Revenue Code	278
Min. Negotiated Rate	$1,141.50
Max. Negotiated Rate	$1,841.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,522.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,841.62
Rate for Payer: Qualcare PPO/HMO/WC	$1,141.50

SCREW SOLID LOCKING 3.5X16MM

Facility

$1,015.00

Service Code	HCPCS C1713
Hospital Charge Code	270698552
Hospital Revenue Code	278
Min. Negotiated Rate	$152.25
Max. Negotiated Rate	$245.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$203.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$245.63
Rate for Payer: Qualcare PPO/HMO/WC	$152.25

SCREW SOLID LOCKING 3.5X16MM

Facility

$1,015.00

Service Code	HCPCS C1713
Hospital Charge Code	270698552
Hospital Revenue Code	278
Min. Negotiated Rate	$28.83
Max. Negotiated Rate	$507.50
Rate for Payer: Aetna Commercial	$385.70
Rate for Payer: Aetna Medicare Advantage	$304.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$258.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$258.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$203.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$258.82
Rate for Payer: Cigna Commercial	$507.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$245.63
Rate for Payer: Qualcare PPO/HMO/WC	$152.25
Rate for Payer: UnitedHealthcare Community & State	$32.07
Rate for Payer: Wellpoint Medicaid Managed Care	$28.83

SCREW SOLID NONLOCK 3.5X16MM

Facility

$1,065.00

Service Code	HCPCS C1713
Hospital Charge Code	270698546
Hospital Revenue Code	278
Min. Negotiated Rate	$30.25
Max. Negotiated Rate	$532.50
Rate for Payer: Aetna Commercial	$404.70
Rate for Payer: Aetna Medicare Advantage	$319.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$271.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$271.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$213.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$271.57
Rate for Payer: Cigna Commercial	$532.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$257.73
Rate for Payer: Qualcare PPO/HMO/WC	$159.75
Rate for Payer: UnitedHealthcare Community & State	$33.65
Rate for Payer: Wellpoint Medicaid Managed Care	$30.25

SCREW SOLID NONLOCK 3.5X16MM

Facility

$1,065.00

Service Code	HCPCS C1713
Hospital Charge Code	270698546
Hospital Revenue Code	278
Min. Negotiated Rate	$159.75
Max. Negotiated Rate	$257.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$213.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$257.73
Rate for Payer: Qualcare PPO/HMO/WC	$159.75

SCREW SOLID PEDICLE 5.5x30MM

Facility

$9,280.00

Hospital Charge Code	270658048
Hospital Revenue Code	278
Min. Negotiated Rate	$263.55
Max. Negotiated Rate	$4,640.00
Rate for Payer: Aetna Commercial	$3,526.40
Rate for Payer: Aetna Medicare Advantage	$2,784.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,366.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,366.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,856.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,366.40
Rate for Payer: Cigna Commercial	$4,640.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,245.76
Rate for Payer: Qualcare PPO/HMO/WC	$1,392.00
Rate for Payer: UnitedHealthcare Community & State	$293.25
Rate for Payer: Wellpoint Medicaid Managed Care	$263.55

SCREW SOLID PEDICLE 5.5x30MM

Facility

$9,280.00

Hospital Charge Code	270658048
Hospital Revenue Code	278
Min. Negotiated Rate	$1,392.00
Max. Negotiated Rate	$2,245.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,856.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,245.76
Rate for Payer: Qualcare PPO/HMO/WC	$1,392.00

SCREW SOLID PEDICLE 5.5x35MM

Facility

$9,280.00

Hospital Charge Code	270658051
Hospital Revenue Code	278
Min. Negotiated Rate	$1,392.00
Max. Negotiated Rate	$2,245.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,856.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,245.76
Rate for Payer: Qualcare PPO/HMO/WC	$1,392.00

SCREW SOLID PEDICLE 5.5x35MM

Facility

$9,280.00

Hospital Charge Code	270658051
Hospital Revenue Code	278
Min. Negotiated Rate	$263.55
Max. Negotiated Rate	$4,640.00
Rate for Payer: Aetna Commercial	$3,526.40
Rate for Payer: Aetna Medicare Advantage	$2,784.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,366.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,366.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,856.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,366.40
Rate for Payer: Cigna Commercial	$4,640.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,245.76
Rate for Payer: Qualcare PPO/HMO/WC	$1,392.00
Rate for Payer: UnitedHealthcare Community & State	$293.25
Rate for Payer: Wellpoint Medicaid Managed Care	$263.55

SCREW SOLID PEDICLE 5.5x40MM

Facility

$9,280.00

Service Code	HCPCS C1713
Hospital Charge Code	270656134
Hospital Revenue Code	278
Min. Negotiated Rate	$263.55
Max. Negotiated Rate	$4,640.00
Rate for Payer: Aetna Commercial	$3,526.40
Rate for Payer: Aetna Medicare Advantage	$2,784.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,366.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,366.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,856.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,366.40
Rate for Payer: Cigna Commercial	$4,640.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,245.76
Rate for Payer: Qualcare PPO/HMO/WC	$1,392.00
Rate for Payer: UnitedHealthcare Community & State	$293.25
Rate for Payer: Wellpoint Medicaid Managed Care	$263.55

SCREW SOLID PEDICLE 5.5x40MM

Facility

$9,280.00

Service Code	HCPCS C1713
Hospital Charge Code	270656134
Hospital Revenue Code	278
Min. Negotiated Rate	$1,392.00
Max. Negotiated Rate	$2,245.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,856.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,245.76
Rate for Payer: Qualcare PPO/HMO/WC	$1,392.00

SCREW SOLID PEDICLE 5.5x45MM

Facility

$9,280.00

Service Code	HCPCS C1713
Hospital Charge Code	270656136
Hospital Revenue Code	278
Min. Negotiated Rate	$1,392.00
Max. Negotiated Rate	$2,245.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,856.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,245.76
Rate for Payer: Qualcare PPO/HMO/WC	$1,392.00

SCREW SOLID PEDICLE 5.5x45MM

Facility

$9,280.00

Service Code	HCPCS C1713
Hospital Charge Code	270656136
Hospital Revenue Code	278
Min. Negotiated Rate	$263.55
Max. Negotiated Rate	$4,640.00
Rate for Payer: Aetna Commercial	$3,526.40
Rate for Payer: Aetna Medicare Advantage	$2,784.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,366.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,366.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,856.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,366.40
Rate for Payer: Cigna Commercial	$4,640.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,245.76
Rate for Payer: Qualcare PPO/HMO/WC	$1,392.00
Rate for Payer: UnitedHealthcare Community & State	$293.25
Rate for Payer: Wellpoint Medicaid Managed Care	$263.55

SCREW SOLID PEDICLE 5.5x50MM

Facility

$9,280.00

Service Code	HCPCS C1713
Hospital Charge Code	270656139
Hospital Revenue Code	278
Min. Negotiated Rate	$263.55
Max. Negotiated Rate	$4,640.00
Rate for Payer: Aetna Commercial	$3,526.40
Rate for Payer: Aetna Medicare Advantage	$2,784.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,366.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,366.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,856.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,366.40
Rate for Payer: Cigna Commercial	$4,640.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,245.76
Rate for Payer: Qualcare PPO/HMO/WC	$1,392.00
Rate for Payer: UnitedHealthcare Community & State	$293.25
Rate for Payer: Wellpoint Medicaid Managed Care	$263.55

SCREW SOLID PEDICLE 5.5x50MM

Facility

$9,280.00

Service Code	HCPCS C1713
Hospital Charge Code	270656139
Hospital Revenue Code	278
Min. Negotiated Rate	$1,392.00
Max. Negotiated Rate	$2,245.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,856.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,245.76
Rate for Payer: Qualcare PPO/HMO/WC	$1,392.00

SCREW SOLID PEDICLE 6.5x40MM

Facility

$8,900.00

Service Code	HCPCS C1713
Hospital Charge Code	270665486
Hospital Revenue Code	278
Min. Negotiated Rate	$1,335.00
Max. Negotiated Rate	$2,153.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,780.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,153.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,335.00

SCREW SOLID PEDICLE 6.5x40MM

Facility

$8,900.00

Service Code	HCPCS C1713
Hospital Charge Code	270665486
Hospital Revenue Code	278
Min. Negotiated Rate	$252.76
Max. Negotiated Rate	$4,450.00
Rate for Payer: Aetna Commercial	$3,382.00
Rate for Payer: Aetna Medicare Advantage	$2,670.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,269.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,269.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,780.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,269.50
Rate for Payer: Cigna Commercial	$4,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,153.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,335.00
Rate for Payer: UnitedHealthcare Community & State	$281.24
Rate for Payer: Wellpoint Medicaid Managed Care	$252.76

SCREW SOLID PEDICLE 6.5x45MM

Facility

$9,280.00

Hospital Charge Code	270676538
Hospital Revenue Code	278
Min. Negotiated Rate	$1,392.00
Max. Negotiated Rate	$2,245.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,856.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,245.76
Rate for Payer: Qualcare PPO/HMO/WC	$1,392.00

SCREW SOLID PEDICLE 6.5x45MM

Facility

$9,280.00

Hospital Charge Code	270676538
Hospital Revenue Code	278
Min. Negotiated Rate	$263.55
Max. Negotiated Rate	$4,640.00
Rate for Payer: Aetna Commercial	$3,526.40
Rate for Payer: Aetna Medicare Advantage	$2,784.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,366.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,366.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,856.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,366.40
Rate for Payer: Cigna Commercial	$4,640.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,245.76
Rate for Payer: Qualcare PPO/HMO/WC	$1,392.00
Rate for Payer: UnitedHealthcare Community & State	$293.25
Rate for Payer: Wellpoint Medicaid Managed Care	$263.55

SCREW SOLID PEDICLE 6.5x50MM

Facility

$9,280.00

Hospital Charge Code	270676540
Hospital Revenue Code	278
Min. Negotiated Rate	$1,392.00
Max. Negotiated Rate	$2,245.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,856.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,245.76
Rate for Payer: Qualcare PPO/HMO/WC	$1,392.00

SCREW SOLID PEDICLE 6.5x50MM

Facility

$9,280.00

Hospital Charge Code	270676540
Hospital Revenue Code	278
Min. Negotiated Rate	$263.55
Max. Negotiated Rate	$4,640.00
Rate for Payer: Aetna Commercial	$3,526.40
Rate for Payer: Aetna Medicare Advantage	$2,784.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,366.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,366.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,856.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,366.40
Rate for Payer: Cigna Commercial	$4,640.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,245.76
Rate for Payer: Qualcare PPO/HMO/WC	$1,392.00
Rate for Payer: UnitedHealthcare Community & State	$293.25
Rate for Payer: Wellpoint Medicaid Managed Care	$263.55

SCREW SOLID PEDICLE 6.5x50MM

Facility

$9,280.00

Hospital Charge Code	270656122
Hospital Revenue Code	278
Min. Negotiated Rate	$1,392.00
Max. Negotiated Rate	$2,245.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,856.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,245.76
Rate for Payer: Qualcare PPO/HMO/WC	$1,392.00

SCREW SOLID PEDICLE 6.5x50MM

Facility

$9,280.00

Hospital Charge Code	270656122
Hospital Revenue Code	278
Min. Negotiated Rate	$263.55
Max. Negotiated Rate	$4,640.00
Rate for Payer: Aetna Commercial	$3,526.40
Rate for Payer: Aetna Medicare Advantage	$2,784.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,366.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,366.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,856.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,366.40
Rate for Payer: Cigna Commercial	$4,640.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,245.76
Rate for Payer: Qualcare PPO/HMO/WC	$1,392.00
Rate for Payer: UnitedHealthcare Community & State	$293.25
Rate for Payer: Wellpoint Medicaid Managed Care	$263.55

SCREW SOLID PEDICLE 6.5x55MM

Facility

$9,280.00

Hospital Charge Code	270676539
Hospital Revenue Code	278
Min. Negotiated Rate	$1,392.00
Max. Negotiated Rate	$2,245.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,856.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,245.76
Rate for Payer: Qualcare PPO/HMO/WC	$1,392.00

SCREW SOLID PEDICLE 6.5x55MM

Facility

$9,280.00

Hospital Charge Code	270676539
Hospital Revenue Code	278
Min. Negotiated Rate	$263.55
Max. Negotiated Rate	$4,640.00
Rate for Payer: Aetna Commercial	$3,526.40
Rate for Payer: Aetna Medicare Advantage	$2,784.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,366.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,366.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,856.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,366.40
Rate for Payer: Cigna Commercial	$4,640.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,245.76
Rate for Payer: Qualcare PPO/HMO/WC	$1,392.00
Rate for Payer: UnitedHealthcare Community & State	$293.25
Rate for Payer: Wellpoint Medicaid Managed Care	$263.55

Know your out-of-pocket cost for care.

All Charges