Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW VA LCKG 2.0x22MM

Facility

$543.85

Service Code	HCPCS C1713
Hospital Charge Code	270682563
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 2.0x22MM

Facility

$543.85

Service Code	HCPCS C1713
Hospital Charge Code	270682563
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 2.0x8MM

Facility

$528.00

Service Code	HCPCS C1713
Hospital Charge Code	270677811
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 2.0x8MM

Facility

$528.00

Service Code	HCPCS C1713
Hospital Charge Code	270677811
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 5.0x10MM STER

Facility

$1,294.70

Service Code	HCPCS C1713
Hospital Charge Code	270679781
Hospital Revenue Code	278
Min. Negotiated Rate	$194.21
Max. Negotiated Rate	$313.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$258.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$313.32
Rate for Payer: Qualcare PPO/HMO/WC	$194.21

SCREW VA LCKG 5.0x10MM STER

Facility

$1,294.70

Service Code	HCPCS C1713
Hospital Charge Code	270679781
Hospital Revenue Code	278
Min. Negotiated Rate	$36.77
Max. Negotiated Rate	$647.35
Rate for Payer: Aetna Commercial	$491.99
Rate for Payer: Aetna Medicare Advantage	$388.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$330.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$330.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$258.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$330.15
Rate for Payer: Cigna Commercial	$647.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$313.32
Rate for Payer: Qualcare PPO/HMO/WC	$194.21
Rate for Payer: UnitedHealthcare Community & State	$40.91
Rate for Payer: Wellpoint Medicaid Managed Care	$36.77

SCREW VA LCKG 5.0x12MM STER

Facility

$1,294.70

Service Code	HCPCS C1713
Hospital Charge Code	270679780
Hospital Revenue Code	278
Min. Negotiated Rate	$36.77
Max. Negotiated Rate	$647.35
Rate for Payer: Aetna Commercial	$491.99
Rate for Payer: Aetna Medicare Advantage	$388.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$330.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$330.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$258.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$330.15
Rate for Payer: Cigna Commercial	$647.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$313.32
Rate for Payer: Qualcare PPO/HMO/WC	$194.21
Rate for Payer: UnitedHealthcare Community & State	$40.91
Rate for Payer: Wellpoint Medicaid Managed Care	$36.77

SCREW VA LCKG 5.0x12MM STER

Facility

$1,294.70

Service Code	HCPCS C1713
Hospital Charge Code	270679780
Hospital Revenue Code	278
Min. Negotiated Rate	$194.21
Max. Negotiated Rate	$313.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$258.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$313.32
Rate for Payer: Qualcare PPO/HMO/WC	$194.21

SCREW VA LCKG S/TPNG 3.5x16MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270659114
Hospital Revenue Code	278
Min. Negotiated Rate	$99.30
Max. Negotiated Rate	$160.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.30

SCREW VA LCKG S/TPNG 3.5x16MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270659114
Hospital Revenue Code	278
Min. Negotiated Rate	$18.80
Max. Negotiated Rate	$331.00
Rate for Payer: Aetna Commercial	$251.56
Rate for Payer: Aetna Medicare Advantage	$198.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.81
Rate for Payer: Cigna Commercial	$331.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.30
Rate for Payer: UnitedHealthcare Community & State	$20.92
Rate for Payer: Wellpoint Medicaid Managed Care	$18.80

SCREW VA LCKG S/TPNG 3.5x18MM

Facility

$642.70

Service Code	HCPCS C1713
Hospital Charge Code	270678045
Hospital Revenue Code	278
Min. Negotiated Rate	$96.41
Max. Negotiated Rate	$155.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$128.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$155.53
Rate for Payer: Qualcare PPO/HMO/WC	$96.41

SCREW VA LCKG S/TPNG 3.5x18MM

Facility

$642.70

Service Code	HCPCS C1713
Hospital Charge Code	270678045
Hospital Revenue Code	278
Min. Negotiated Rate	$18.25
Max. Negotiated Rate	$321.35
Rate for Payer: Aetna Commercial	$244.23
Rate for Payer: Aetna Medicare Advantage	$192.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$163.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$163.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$128.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$163.89
Rate for Payer: Cigna Commercial	$321.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$155.53
Rate for Payer: Qualcare PPO/HMO/WC	$96.41
Rate for Payer: UnitedHealthcare Community & State	$20.31
Rate for Payer: Wellpoint Medicaid Managed Care	$18.25

SCREW VA LCKG S/TPNG 3.5x190MM

Facility

$642.70

Service Code	HCPCS C1713
Hospital Charge Code	270686780
Hospital Revenue Code	278
Min. Negotiated Rate	$96.41
Max. Negotiated Rate	$155.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$128.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$155.53
Rate for Payer: Qualcare PPO/HMO/WC	$96.41

SCREW VA LCKG S/TPNG 3.5x190MM

Facility

$642.70

Service Code	HCPCS C1713
Hospital Charge Code	270686780
Hospital Revenue Code	278
Min. Negotiated Rate	$18.25
Max. Negotiated Rate	$321.35
Rate for Payer: Aetna Commercial	$244.23
Rate for Payer: Aetna Medicare Advantage	$192.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$163.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$163.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$128.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$163.89
Rate for Payer: Cigna Commercial	$321.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$155.53
Rate for Payer: Qualcare PPO/HMO/WC	$96.41
Rate for Payer: UnitedHealthcare Community & State	$20.31
Rate for Payer: Wellpoint Medicaid Managed Care	$18.25

SCREW VA LCKG S/TPNG 3.5x22MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270660398
Hospital Revenue Code	278
Min. Negotiated Rate	$18.80
Max. Negotiated Rate	$331.00
Rate for Payer: Aetna Commercial	$251.56
Rate for Payer: Aetna Medicare Advantage	$198.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.81
Rate for Payer: Cigna Commercial	$331.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.30
Rate for Payer: UnitedHealthcare Community & State	$20.92
Rate for Payer: Wellpoint Medicaid Managed Care	$18.80

SCREW VA LCKG S/TPNG 3.5x22MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270660398
Hospital Revenue Code	278
Min. Negotiated Rate	$99.30
Max. Negotiated Rate	$160.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.30

SCREW VA LCKG S/TPNG 3.5x24MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270668474
Hospital Revenue Code	278
Min. Negotiated Rate	$99.30
Max. Negotiated Rate	$160.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.30

SCREW VA LCKG S/TPNG 3.5x24MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270668474
Hospital Revenue Code	278
Min. Negotiated Rate	$18.80
Max. Negotiated Rate	$331.00
Rate for Payer: Aetna Commercial	$251.56
Rate for Payer: Aetna Medicare Advantage	$198.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.81
Rate for Payer: Cigna Commercial	$331.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.30
Rate for Payer: UnitedHealthcare Community & State	$20.92
Rate for Payer: Wellpoint Medicaid Managed Care	$18.80

SCREW VA LCKG S/TPNG 3.5x26MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270672090
Hospital Revenue Code	278
Min. Negotiated Rate	$99.30
Max. Negotiated Rate	$160.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.30

SCREW VA LCKG S/TPNG 3.5x26MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270672090
Hospital Revenue Code	278
Min. Negotiated Rate	$18.80
Max. Negotiated Rate	$331.00
Rate for Payer: Aetna Commercial	$251.56
Rate for Payer: Aetna Medicare Advantage	$198.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.81
Rate for Payer: Cigna Commercial	$331.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.30
Rate for Payer: UnitedHealthcare Community & State	$20.92
Rate for Payer: Wellpoint Medicaid Managed Care	$18.80

SCREW VA LCKG S/TPNG 3.5x28MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270665810
Hospital Revenue Code	278
Min. Negotiated Rate	$99.30
Max. Negotiated Rate	$160.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.30

SCREW VA LCKG S/TPNG 3.5x28MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270665810
Hospital Revenue Code	278
Min. Negotiated Rate	$18.80
Max. Negotiated Rate	$331.00
Rate for Payer: Aetna Commercial	$251.56
Rate for Payer: Aetna Medicare Advantage	$198.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.81
Rate for Payer: Cigna Commercial	$331.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.30
Rate for Payer: UnitedHealthcare Community & State	$20.92
Rate for Payer: Wellpoint Medicaid Managed Care	$18.80

SCREW VA LCKG S/TPNG 3.5x34MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270676495
Hospital Revenue Code	278
Min. Negotiated Rate	$18.80
Max. Negotiated Rate	$331.00
Rate for Payer: Aetna Commercial	$251.56
Rate for Payer: Aetna Medicare Advantage	$198.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.81
Rate for Payer: Cigna Commercial	$331.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.30
Rate for Payer: UnitedHealthcare Community & State	$20.92
Rate for Payer: Wellpoint Medicaid Managed Care	$18.80

SCREW VA LCKG S/TPNG 3.5x34MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270676495
Hospital Revenue Code	278
Min. Negotiated Rate	$99.30
Max. Negotiated Rate	$160.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.30

SCREW VA LCKG S/TPNG 3.5x42MM

Facility

$624.00

Service Code	HCPCS C1713
Hospital Charge Code	270676494
Hospital Revenue Code	278
Min. Negotiated Rate	$17.72
Max. Negotiated Rate	$312.00
Rate for Payer: Aetna Commercial	$237.12
Rate for Payer: Aetna Medicare Advantage	$187.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.12
Rate for Payer: Cigna Commercial	$312.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.01
Rate for Payer: Qualcare PPO/HMO/WC	$93.60
Rate for Payer: UnitedHealthcare Community & State	$19.72
Rate for Payer: Wellpoint Medicaid Managed Care	$17.72

Know your out-of-pocket cost for care.

All Charges