Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW THD 4.0 MM X 50 MM

Facility

$935.00

Hospital Charge Code	270702810
Hospital Revenue Code	278
Min. Negotiated Rate	$26.55
Max. Negotiated Rate	$467.50
Rate for Payer: Aetna Commercial	$355.30
Rate for Payer: Aetna Medicare Advantage	$280.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$238.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$238.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$187.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$238.43
Rate for Payer: Cigna Commercial	$467.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$226.27
Rate for Payer: Qualcare PPO/HMO/WC	$140.25
Rate for Payer: UnitedHealthcare Community & State	$29.55
Rate for Payer: Wellpoint Medicaid Managed Care	$26.55

SCREW THD 4.0 MM X 60 MM

Facility

$935.00

Hospital Charge Code	270702811
Hospital Revenue Code	278
Min. Negotiated Rate	$26.55
Max. Negotiated Rate	$467.50
Rate for Payer: Aetna Commercial	$355.30
Rate for Payer: Aetna Medicare Advantage	$280.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$238.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$238.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$187.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$238.43
Rate for Payer: Cigna Commercial	$467.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$226.27
Rate for Payer: Qualcare PPO/HMO/WC	$140.25
Rate for Payer: UnitedHealthcare Community & State	$29.55
Rate for Payer: Wellpoint Medicaid Managed Care	$26.55

SCREW THD 4.0 MM X 60 MM

Facility

$935.00

Hospital Charge Code	270702811
Hospital Revenue Code	278
Min. Negotiated Rate	$140.25
Max. Negotiated Rate	$226.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$187.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$226.27
Rate for Payer: Qualcare PPO/HMO/WC	$140.25

SCREW THD CAN HDLS 4X28MM

Facility

$1,251.25

Service Code	HCPCS C1713
Hospital Charge Code	270700277
Hospital Revenue Code	278
Min. Negotiated Rate	$35.54
Max. Negotiated Rate	$625.62
Rate for Payer: Aetna Commercial	$475.48
Rate for Payer: Aetna Medicare Advantage	$375.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$319.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$319.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$319.07
Rate for Payer: Cigna Commercial	$625.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.80
Rate for Payer: Qualcare PPO/HMO/WC	$187.69
Rate for Payer: UnitedHealthcare Community & State	$39.54
Rate for Payer: Wellpoint Medicaid Managed Care	$35.54

SCREW THD CAN HDLS 4X28MM

Facility

$1,251.25

Service Code	HCPCS C1713
Hospital Charge Code	270700277
Hospital Revenue Code	278
Min. Negotiated Rate	$187.69
Max. Negotiated Rate	$302.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.80
Rate for Payer: Qualcare PPO/HMO/WC	$187.69

SCREW THD CAN HDLS 4X32MM

Facility

$1,251.25

Service Code	HCPCS C1713
Hospital Charge Code	270700276
Hospital Revenue Code	278
Min. Negotiated Rate	$35.54
Max. Negotiated Rate	$625.62
Rate for Payer: Aetna Commercial	$475.48
Rate for Payer: Aetna Medicare Advantage	$375.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$319.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$319.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$319.07
Rate for Payer: Cigna Commercial	$625.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.80
Rate for Payer: Qualcare PPO/HMO/WC	$187.69
Rate for Payer: UnitedHealthcare Community & State	$39.54
Rate for Payer: Wellpoint Medicaid Managed Care	$35.54

SCREW THD CAN HDLS 4X32MM

Facility

$1,251.25

Service Code	HCPCS C1713
Hospital Charge Code	270700276
Hospital Revenue Code	278
Min. Negotiated Rate	$187.69
Max. Negotiated Rate	$302.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.80
Rate for Payer: Qualcare PPO/HMO/WC	$187.69

SCREW THD COMPRESSION 30X22MM

Facility

$1,410.00

Hospital Charge Code	270670540
Hospital Revenue Code	278
Min. Negotiated Rate	$211.50
Max. Negotiated Rate	$341.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$282.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$341.22
Rate for Payer: Qualcare PPO/HMO/WC	$211.50

SCREW THD COMPRESSION 30X22MM

Facility

$1,410.00

Hospital Charge Code	270670540
Hospital Revenue Code	278
Min. Negotiated Rate	$40.04
Max. Negotiated Rate	$705.00
Rate for Payer: Aetna Commercial	$535.80
Rate for Payer: Aetna Medicare Advantage	$423.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$359.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$359.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$282.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$359.55
Rate for Payer: Cigna Commercial	$705.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$341.22
Rate for Payer: Qualcare PPO/HMO/WC	$211.50
Rate for Payer: UnitedHealthcare Community & State	$44.56
Rate for Payer: Wellpoint Medicaid Managed Care	$40.04

SCREW THD FULL HD 2.5 X 44MM

Facility

$192.50

Service Code	HCPCS C1713
Hospital Charge Code	270701922
Hospital Revenue Code	278
Min. Negotiated Rate	$5.47
Max. Negotiated Rate	$96.25
Rate for Payer: Aetna Commercial	$73.15
Rate for Payer: Aetna Medicare Advantage	$57.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.09
Rate for Payer: Cigna Commercial	$96.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.59
Rate for Payer: Qualcare PPO/HMO/WC	$28.88
Rate for Payer: UnitedHealthcare Community & State	$6.08
Rate for Payer: Wellpoint Medicaid Managed Care	$5.47

SCREW THD FULL HD 2.5 X 44MM

Facility

$962.50

Service Code	HCPCS C1713
Hospital Charge Code	270270922
Hospital Revenue Code	278
Min. Negotiated Rate	$144.38
Max. Negotiated Rate	$232.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$192.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.93
Rate for Payer: Qualcare PPO/HMO/WC	$144.38

SCREW THD FULL HD 2.5 X 44MM

Facility

$962.50

Service Code	HCPCS C1713
Hospital Charge Code	270270922
Hospital Revenue Code	278
Min. Negotiated Rate	$27.34
Max. Negotiated Rate	$481.25
Rate for Payer: Aetna Commercial	$365.75
Rate for Payer: Aetna Medicare Advantage	$288.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$245.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$245.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$192.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$245.44
Rate for Payer: Cigna Commercial	$481.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.93
Rate for Payer: Qualcare PPO/HMO/WC	$144.38
Rate for Payer: UnitedHealthcare Community & State	$30.41
Rate for Payer: Wellpoint Medicaid Managed Care	$27.34

SCREW THD FULL HD 2.5 X 44MM

Facility

$192.50

Service Code	HCPCS C1713
Hospital Charge Code	270701922
Hospital Revenue Code	278
Min. Negotiated Rate	$28.88
Max. Negotiated Rate	$46.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.59
Rate for Payer: Qualcare PPO/HMO/WC	$28.88

SCREW THD HDLS 2 X 18MM

Facility

$1,141.25

Service Code	HCPCS C1713
Hospital Charge Code	270701957
Hospital Revenue Code	278
Min. Negotiated Rate	$32.41
Max. Negotiated Rate	$570.62
Rate for Payer: Aetna Commercial	$433.68
Rate for Payer: Aetna Medicare Advantage	$342.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$291.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$291.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$228.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$291.02
Rate for Payer: Cigna Commercial	$570.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$276.18
Rate for Payer: Qualcare PPO/HMO/WC	$171.19
Rate for Payer: UnitedHealthcare Community & State	$36.06
Rate for Payer: Wellpoint Medicaid Managed Care	$32.41

SCREW THD HDLS 2 X 18MM

Facility

$1,141.25

Service Code	HCPCS C1713
Hospital Charge Code	270701957
Hospital Revenue Code	278
Min. Negotiated Rate	$171.19
Max. Negotiated Rate	$276.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$228.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$276.18
Rate for Payer: Qualcare PPO/HMO/WC	$171.19

SCREW THD HDLS 2 X 22MM

Facility

$1,141.25

Service Code	HCPCS C1713
Hospital Charge Code	270701958
Hospital Revenue Code	278
Min. Negotiated Rate	$32.41
Max. Negotiated Rate	$570.62
Rate for Payer: Aetna Commercial	$433.68
Rate for Payer: Aetna Medicare Advantage	$342.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$291.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$291.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$228.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$291.02
Rate for Payer: Cigna Commercial	$570.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$276.18
Rate for Payer: Qualcare PPO/HMO/WC	$171.19
Rate for Payer: UnitedHealthcare Community & State	$36.06
Rate for Payer: Wellpoint Medicaid Managed Care	$32.41

SCREW THD HDLS 2 X 22MM

Facility

$1,141.25

Service Code	HCPCS C1713
Hospital Charge Code	270701958
Hospital Revenue Code	278
Min. Negotiated Rate	$171.19
Max. Negotiated Rate	$276.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$228.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$276.18
Rate for Payer: Qualcare PPO/HMO/WC	$171.19

SCREW THRD TI LOCKING 3.5X18MM

Facility

$975.00

Service Code	HCPCS C1713
Hospital Charge Code	270684110
Hospital Revenue Code	278
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$235.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.95
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

SCREW THRD TI LOCKING 3.5X18MM

Facility

$975.00

Service Code	HCPCS C1713
Hospital Charge Code	270684110
Hospital Revenue Code	278
Min. Negotiated Rate	$27.69
Max. Negotiated Rate	$487.50
Rate for Payer: Aetna Commercial	$370.50
Rate for Payer: Aetna Medicare Advantage	$292.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.62
Rate for Payer: Cigna Commercial	$487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.95
Rate for Payer: Qualcare PPO/HMO/WC	$146.25
Rate for Payer: UnitedHealthcare Community & State	$30.81
Rate for Payer: Wellpoint Medicaid Managed Care	$27.69

SCREW THREADED SI 9.5X40MM

Facility

$18,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270698723
Hospital Revenue Code	278
Min. Negotiated Rate	$2,737.50
Max. Negotiated Rate	$4,416.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,416.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,737.50

SCREW THREADED SI 9.5X40MM

Facility

$18,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270698723
Hospital Revenue Code	278
Min. Negotiated Rate	$518.30
Max. Negotiated Rate	$9,125.00
Rate for Payer: Aetna Commercial	$6,935.00
Rate for Payer: Aetna Medicare Advantage	$5,475.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,653.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,653.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,653.75
Rate for Payer: Cigna Commercial	$9,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,416.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,737.50
Rate for Payer: UnitedHealthcare Community & State	$576.70
Rate for Payer: Wellpoint Medicaid Managed Care	$518.30

SCREW THREADED SI 9.5X45MM

Facility

$18,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270698724
Hospital Revenue Code	278
Min. Negotiated Rate	$518.30
Max. Negotiated Rate	$9,125.00
Rate for Payer: Aetna Commercial	$6,935.00
Rate for Payer: Aetna Medicare Advantage	$5,475.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,653.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,653.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,653.75
Rate for Payer: Cigna Commercial	$9,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,416.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,737.50
Rate for Payer: UnitedHealthcare Community & State	$576.70
Rate for Payer: Wellpoint Medicaid Managed Care	$518.30

SCREW THREADED SI 9.5X45MM

Facility

$18,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270698724
Hospital Revenue Code	278
Min. Negotiated Rate	$2,737.50
Max. Negotiated Rate	$4,416.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,416.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,737.50

SCREW THREAD HEADED 3.5X 38 MM

Facility

$962.50

Service Code	HCPCS C1713
Hospital Charge Code	270701529
Hospital Revenue Code	278
Min. Negotiated Rate	$27.34
Max. Negotiated Rate	$481.25
Rate for Payer: Aetna Commercial	$365.75
Rate for Payer: Aetna Medicare Advantage	$288.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$245.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$245.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$192.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$245.44
Rate for Payer: Cigna Commercial	$481.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.93
Rate for Payer: Qualcare PPO/HMO/WC	$144.38
Rate for Payer: UnitedHealthcare Community & State	$30.41
Rate for Payer: Wellpoint Medicaid Managed Care	$27.34

SCREW THREAD HEADED 3.5X 38 MM

Facility

$962.50

Service Code	HCPCS C1713
Hospital Charge Code	270701529
Hospital Revenue Code	278
Min. Negotiated Rate	$144.38
Max. Negotiated Rate	$232.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$192.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.93
Rate for Payer: Qualcare PPO/HMO/WC	$144.38

Know your out-of-pocket cost for care.

All Charges