Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW VA 2.3X14MM

Facility

$765.00

Hospital Charge Code	270668129
Hospital Revenue Code	278
Min. Negotiated Rate	$114.75
Max. Negotiated Rate	$185.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$153.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$185.13
Rate for Payer: Qualcare PPO/HMO/WC	$114.75

SCREW VA 4X16MM

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270704156
Hospital Revenue Code	278
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$151.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

SCREW VA 4X16MM

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270704156
Hospital Revenue Code	278
Min. Negotiated Rate	$17.75
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$237.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Community & State	$19.75
Rate for Payer: Wellpoint Medicaid Managed Care	$17.75

SCREW VAL 2.0 X 10MM

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270689899
Hospital Revenue Code	278
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$169.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

SCREW VAL 2.0 X 10MM

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270689899
Hospital Revenue Code	278
Min. Negotiated Rate	$19.88
Max. Negotiated Rate	$350.00
Rate for Payer: Aetna Commercial	$266.00
Rate for Payer: Aetna Medicare Advantage	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.50
Rate for Payer: Cigna Commercial	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: Qualcare PPO/HMO/WC	$105.00
Rate for Payer: UnitedHealthcare Community & State	$22.12
Rate for Payer: Wellpoint Medicaid Managed Care	$19.88

SCREW VAL 2.0 X 8MM

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270689900
Hospital Revenue Code	278
Min. Negotiated Rate	$19.88
Max. Negotiated Rate	$350.00
Rate for Payer: Aetna Commercial	$266.00
Rate for Payer: Aetna Medicare Advantage	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.50
Rate for Payer: Cigna Commercial	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: Qualcare PPO/HMO/WC	$105.00
Rate for Payer: UnitedHealthcare Community & State	$22.12
Rate for Payer: Wellpoint Medicaid Managed Care	$19.88

SCREW VAL 2.0 X 8MM

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270689900
Hospital Revenue Code	278
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$169.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

SCREW VAL 2.4X12MM

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270693610
Hospital Revenue Code	278
Min. Negotiated Rate	$19.88
Max. Negotiated Rate	$350.00
Rate for Payer: Aetna Commercial	$266.00
Rate for Payer: Aetna Medicare Advantage	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.50
Rate for Payer: Cigna Commercial	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: Qualcare PPO/HMO/WC	$105.00
Rate for Payer: UnitedHealthcare Community & State	$22.12
Rate for Payer: Wellpoint Medicaid Managed Care	$19.88

SCREW VAL 2.4X12MM

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270693610
Hospital Revenue Code	278
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$169.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

SCREW VAL 5.0 LOCKING STSD14MM

Facility

$2,165.00

Service Code	HCPCS C1713
Hospital Charge Code	270697335
Hospital Revenue Code	278
Min. Negotiated Rate	$324.75
Max. Negotiated Rate	$523.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$433.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$523.93
Rate for Payer: Qualcare PPO/HMO/WC	$324.75

SCREW VAL 5.0 LOCKING STSD14MM

Facility

$2,165.00

Service Code	HCPCS C1713
Hospital Charge Code	270697335
Hospital Revenue Code	278
Min. Negotiated Rate	$61.49
Max. Negotiated Rate	$1,082.50
Rate for Payer: Aetna Commercial	$822.70
Rate for Payer: Aetna Medicare Advantage	$649.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$552.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$552.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$433.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$552.08
Rate for Payer: Cigna Commercial	$1,082.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$523.93
Rate for Payer: Qualcare PPO/HMO/WC	$324.75
Rate for Payer: UnitedHealthcare Community & State	$68.41
Rate for Payer: Wellpoint Medicaid Managed Care	$61.49

SCREW VAL 5.0 LOCKING STSD18MM

Facility

$2,165.00

Service Code	HCPCS C1713
Hospital Charge Code	270697334
Hospital Revenue Code	278
Min. Negotiated Rate	$61.49
Max. Negotiated Rate	$1,082.50
Rate for Payer: Aetna Commercial	$822.70
Rate for Payer: Aetna Medicare Advantage	$649.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$552.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$552.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$433.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$552.08
Rate for Payer: Cigna Commercial	$1,082.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$523.93
Rate for Payer: Qualcare PPO/HMO/WC	$324.75
Rate for Payer: UnitedHealthcare Community & State	$68.41
Rate for Payer: Wellpoint Medicaid Managed Care	$61.49

SCREW VAL 5.0 LOCKING STSD18MM

Facility

$2,165.00

Service Code	HCPCS C1713
Hospital Charge Code	270697334
Hospital Revenue Code	278
Min. Negotiated Rate	$324.75
Max. Negotiated Rate	$523.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$433.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$523.93
Rate for Payer: Qualcare PPO/HMO/WC	$324.75

SCREW VA LCKG 2.0x10MM

Facility

$543.85

Service Code	HCPCS C1713
Hospital Charge Code	270677812
Hospital Revenue Code	278
Min. Negotiated Rate	$15.45
Max. Negotiated Rate	$271.93
Rate for Payer: Aetna Commercial	$206.66
Rate for Payer: Aetna Medicare Advantage	$163.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$138.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$138.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$138.68
Rate for Payer: Cigna Commercial	$271.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.61
Rate for Payer: Qualcare PPO/HMO/WC	$81.58
Rate for Payer: UnitedHealthcare Community & State	$17.19
Rate for Payer: Wellpoint Medicaid Managed Care	$15.45

SCREW VA LCKG 2.0x10MM

Facility

$543.85

Service Code	HCPCS C1713
Hospital Charge Code	270677812
Hospital Revenue Code	278
Min. Negotiated Rate	$81.58
Max. Negotiated Rate	$131.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.61
Rate for Payer: Qualcare PPO/HMO/WC	$81.58

SCREW VA LCKG 2.0x12MM

Facility

$528.00

Service Code	HCPCS C1713
Hospital Charge Code	270677813
Hospital Revenue Code	278
Min. Negotiated Rate	$79.20
Max. Negotiated Rate	$127.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$105.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.78
Rate for Payer: Qualcare PPO/HMO/WC	$79.20

SCREW VA LCKG 2.0x12MM

Facility

$528.00

Service Code	HCPCS C1713
Hospital Charge Code	270677813
Hospital Revenue Code	278
Min. Negotiated Rate	$15.00
Max. Negotiated Rate	$264.00
Rate for Payer: Aetna Commercial	$200.64
Rate for Payer: Aetna Medicare Advantage	$158.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$134.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$134.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$105.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$134.64
Rate for Payer: Cigna Commercial	$264.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.78
Rate for Payer: Qualcare PPO/HMO/WC	$79.20
Rate for Payer: UnitedHealthcare Community & State	$16.68
Rate for Payer: Wellpoint Medicaid Managed Care	$15.00

SCREW VA LCKG 2.0x14MM

Facility

$543.85

Service Code	HCPCS C1713
Hospital Charge Code	270677814
Hospital Revenue Code	278
Min. Negotiated Rate	$15.45
Max. Negotiated Rate	$271.93
Rate for Payer: Aetna Commercial	$206.66
Rate for Payer: Aetna Medicare Advantage	$163.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$138.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$138.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$138.68
Rate for Payer: Cigna Commercial	$271.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.61
Rate for Payer: Qualcare PPO/HMO/WC	$81.58
Rate for Payer: UnitedHealthcare Community & State	$17.19
Rate for Payer: Wellpoint Medicaid Managed Care	$15.45

SCREW VA LCKG 2.0x14MM

Facility

$543.85

Service Code	HCPCS C1713
Hospital Charge Code	270677814
Hospital Revenue Code	278
Min. Negotiated Rate	$81.58
Max. Negotiated Rate	$131.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.61
Rate for Payer: Qualcare PPO/HMO/WC	$81.58

SCREW VA LCKG 2.0x16MM

Facility

$543.85

Service Code	HCPCS C1713
Hospital Charge Code	270677815
Hospital Revenue Code	278
Min. Negotiated Rate	$81.58
Max. Negotiated Rate	$131.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.61
Rate for Payer: Qualcare PPO/HMO/WC	$81.58

SCREW VA LCKG 2.0x16MM

Facility

$543.85

Service Code	HCPCS C1713
Hospital Charge Code	270677815
Hospital Revenue Code	278
Min. Negotiated Rate	$15.45
Max. Negotiated Rate	$271.93
Rate for Payer: Aetna Commercial	$206.66
Rate for Payer: Aetna Medicare Advantage	$163.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$138.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$138.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$138.68
Rate for Payer: Cigna Commercial	$271.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.61
Rate for Payer: Qualcare PPO/HMO/WC	$81.58
Rate for Payer: UnitedHealthcare Community & State	$17.19
Rate for Payer: Wellpoint Medicaid Managed Care	$15.45

SCREW VA LCKG 2.0x18MM

Facility

$543.85

Service Code	HCPCS C1713
Hospital Charge Code	270680076
Hospital Revenue Code	278
Min. Negotiated Rate	$15.45
Max. Negotiated Rate	$271.93
Rate for Payer: Aetna Commercial	$206.66
Rate for Payer: Aetna Medicare Advantage	$163.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$138.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$138.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$138.68
Rate for Payer: Cigna Commercial	$271.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.61
Rate for Payer: Qualcare PPO/HMO/WC	$81.58
Rate for Payer: UnitedHealthcare Community & State	$17.19
Rate for Payer: Wellpoint Medicaid Managed Care	$15.45

SCREW VA LCKG 2.0x18MM

Facility

$543.85

Service Code	HCPCS C1713
Hospital Charge Code	270680076
Hospital Revenue Code	278
Min. Negotiated Rate	$81.58
Max. Negotiated Rate	$131.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.61
Rate for Payer: Qualcare PPO/HMO/WC	$81.58

SCREW VA LCKG 2.0x20MM

Facility

$543.85

Service Code	HCPCS C1713
Hospital Charge Code	270682562
Hospital Revenue Code	278
Min. Negotiated Rate	$81.58
Max. Negotiated Rate	$131.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.61
Rate for Payer: Qualcare PPO/HMO/WC	$81.58

SCREW VA LCKG 2.0x20MM

Facility

$543.85

Service Code	HCPCS C1713
Hospital Charge Code	270682562
Hospital Revenue Code	278
Min. Negotiated Rate	$15.45
Max. Negotiated Rate	$271.93
Rate for Payer: Aetna Commercial	$206.66
Rate for Payer: Aetna Medicare Advantage	$163.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$138.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$138.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$138.68
Rate for Payer: Cigna Commercial	$271.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.61
Rate for Payer: Qualcare PPO/HMO/WC	$81.58
Rate for Payer: UnitedHealthcare Community & State	$17.19
Rate for Payer: Wellpoint Medicaid Managed Care	$15.45

Know your out-of-pocket cost for care.

All Charges