Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW VA LCKNG S/TAP 2.7x50MM

Facility

$605.65

Service Code	HCPCS C1713
Hospital Charge Code	270677601
Hospital Revenue Code	278
Min. Negotiated Rate	$17.20
Max. Negotiated Rate	$302.82
Rate for Payer: Aetna Commercial	$230.15
Rate for Payer: Aetna Medicare Advantage	$181.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$154.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$154.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$121.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$154.44
Rate for Payer: Cigna Commercial	$302.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$146.57
Rate for Payer: Qualcare PPO/HMO/WC	$90.85
Rate for Payer: UnitedHealthcare Community & State	$19.14
Rate for Payer: Wellpoint Medicaid Managed Care	$17.20

SCREW VA LCKNG S/TAP 2.7x50MM

Facility

$605.65

Service Code	HCPCS C1713
Hospital Charge Code	270677601
Hospital Revenue Code	278
Min. Negotiated Rate	$90.85
Max. Negotiated Rate	$146.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$121.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$146.57
Rate for Payer: Qualcare PPO/HMO/WC	$90.85

SCREW VA LCKNG S/TAP 2.7x52MM

Facility

$605.65

Hospital Charge Code	270677602
Hospital Revenue Code	278
Min. Negotiated Rate	$17.20
Max. Negotiated Rate	$302.82
Rate for Payer: Aetna Commercial	$230.15
Rate for Payer: Aetna Medicare Advantage	$181.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$154.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$154.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$121.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$154.44
Rate for Payer: Cigna Commercial	$302.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$146.57
Rate for Payer: Qualcare PPO/HMO/WC	$90.85
Rate for Payer: UnitedHealthcare Community & State	$19.14
Rate for Payer: Wellpoint Medicaid Managed Care	$17.20

SCREW VA LCKNG S/TAP 2.7x52MM

Facility

$605.65

Hospital Charge Code	270677602
Hospital Revenue Code	278
Min. Negotiated Rate	$90.85
Max. Negotiated Rate	$146.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$121.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$146.57
Rate for Payer: Qualcare PPO/HMO/WC	$90.85

SCREW VA LCKNG S/TAP 2.7x54MM

Facility

$605.65

Service Code	HCPCS C1713
Hospital Charge Code	270671712
Hospital Revenue Code	278
Min. Negotiated Rate	$17.20
Max. Negotiated Rate	$302.82
Rate for Payer: Aetna Commercial	$230.15
Rate for Payer: Aetna Medicare Advantage	$181.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$154.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$154.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$121.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$154.44
Rate for Payer: Cigna Commercial	$302.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$146.57
Rate for Payer: Qualcare PPO/HMO/WC	$90.85
Rate for Payer: UnitedHealthcare Community & State	$19.14
Rate for Payer: Wellpoint Medicaid Managed Care	$17.20

SCREW VA LCKNG S/TAP 2.7x54MM

Facility

$605.65

Service Code	HCPCS C1713
Hospital Charge Code	270671712
Hospital Revenue Code	278
Min. Negotiated Rate	$90.85
Max. Negotiated Rate	$146.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$121.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$146.57
Rate for Payer: Qualcare PPO/HMO/WC	$90.85

SCREW VA LCKNG S/TAP 2.7x56MM

Facility

$605.65

Service Code	HCPCS C1713
Hospital Charge Code	270677603
Hospital Revenue Code	278
Min. Negotiated Rate	$17.20
Max. Negotiated Rate	$302.82
Rate for Payer: Aetna Commercial	$230.15
Rate for Payer: Aetna Medicare Advantage	$181.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$154.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$154.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$121.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$154.44
Rate for Payer: Cigna Commercial	$302.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$146.57
Rate for Payer: Qualcare PPO/HMO/WC	$90.85
Rate for Payer: UnitedHealthcare Community & State	$19.14
Rate for Payer: Wellpoint Medicaid Managed Care	$17.20

SCREW VA LCKNG S/TAP 2.7x56MM

Facility

$605.65

Service Code	HCPCS C1713
Hospital Charge Code	270677603
Hospital Revenue Code	278
Min. Negotiated Rate	$90.85
Max. Negotiated Rate	$146.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$121.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$146.57
Rate for Payer: Qualcare PPO/HMO/WC	$90.85

SCREW VA LCKNG S/TAP 2.7x58MM

Facility

$605.65

Service Code	HCPCS C1713
Hospital Charge Code	270676244
Hospital Revenue Code	278
Min. Negotiated Rate	$90.85
Max. Negotiated Rate	$146.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$121.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$146.57
Rate for Payer: Qualcare PPO/HMO/WC	$90.85

SCREW VA LCKNG S/TAP 2.7x58MM

Facility

$605.65

Service Code	HCPCS C1713
Hospital Charge Code	270676244
Hospital Revenue Code	278
Min. Negotiated Rate	$17.20
Max. Negotiated Rate	$302.82
Rate for Payer: Aetna Commercial	$230.15
Rate for Payer: Aetna Medicare Advantage	$181.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$154.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$154.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$121.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$154.44
Rate for Payer: Cigna Commercial	$302.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$146.57
Rate for Payer: Qualcare PPO/HMO/WC	$90.85
Rate for Payer: UnitedHealthcare Community & State	$19.14
Rate for Payer: Wellpoint Medicaid Managed Care	$17.20

SCREW VA LCKNG S/TAP 2.7x60MM

Facility

$605.65

Service Code	HCPCS C1713
Hospital Charge Code	270669497
Hospital Revenue Code	278
Min. Negotiated Rate	$17.20
Max. Negotiated Rate	$302.82
Rate for Payer: Aetna Commercial	$230.15
Rate for Payer: Aetna Medicare Advantage	$181.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$154.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$154.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$121.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$154.44
Rate for Payer: Cigna Commercial	$302.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$146.57
Rate for Payer: Qualcare PPO/HMO/WC	$90.85
Rate for Payer: UnitedHealthcare Community & State	$19.14
Rate for Payer: Wellpoint Medicaid Managed Care	$17.20

SCREW VA LCKNG S/TAP 2.7x60MM

Facility

$605.65

Service Code	HCPCS C1713
Hospital Charge Code	270669497
Hospital Revenue Code	278
Min. Negotiated Rate	$90.85
Max. Negotiated Rate	$146.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$121.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$146.57
Rate for Payer: Qualcare PPO/HMO/WC	$90.85

SCREW VALENCIA MIS 6.5X35MM

Facility

$10,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270698326
Hospital Revenue Code	278
Min. Negotiated Rate	$1,612.50
Max. Negotiated Rate	$2,601.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,601.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,612.50

SCREW VALENCIA MIS 6.5X35MM

Facility

$10,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270698326
Hospital Revenue Code	278
Min. Negotiated Rate	$305.30
Max. Negotiated Rate	$5,375.00
Rate for Payer: Aetna Commercial	$4,085.00
Rate for Payer: Aetna Medicare Advantage	$3,225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,741.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,741.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,741.25
Rate for Payer: Cigna Commercial	$5,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,601.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,612.50
Rate for Payer: UnitedHealthcare Community & State	$339.70
Rate for Payer: Wellpoint Medicaid Managed Care	$305.30

SCREW VALENCI PEDICLE 6.5X45MM

Facility

$10,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270694457
Hospital Revenue Code	278
Min. Negotiated Rate	$1,612.50
Max. Negotiated Rate	$2,601.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,601.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,612.50

SCREW VALENCI PEDICLE 6.5X45MM

Facility

$10,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270694457
Hospital Revenue Code	278
Min. Negotiated Rate	$305.30
Max. Negotiated Rate	$5,375.00
Rate for Payer: Aetna Commercial	$4,085.00
Rate for Payer: Aetna Medicare Advantage	$3,225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,741.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,741.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,741.25
Rate for Payer: Cigna Commercial	$5,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,601.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,612.50
Rate for Payer: UnitedHealthcare Community & State	$339.70
Rate for Payer: Wellpoint Medicaid Managed Care	$305.30

SCREW VA LKG ST 2.7x12MM

Facility

$1,760.00

Service Code	HCPCS C1713
Hospital Charge Code	270653055
Hospital Revenue Code	278
Min. Negotiated Rate	$49.98
Max. Negotiated Rate	$880.00
Rate for Payer: Aetna Commercial	$668.80
Rate for Payer: Aetna Medicare Advantage	$528.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$448.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$448.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$352.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$448.80
Rate for Payer: Cigna Commercial	$880.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$425.92
Rate for Payer: Qualcare PPO/HMO/WC	$264.00
Rate for Payer: UnitedHealthcare Community & State	$55.62
Rate for Payer: Wellpoint Medicaid Managed Care	$49.98

SCREW VA LKG ST 2.7x12MM

Facility

$1,760.00

Service Code	HCPCS C1713
Hospital Charge Code	270653055
Hospital Revenue Code	278
Min. Negotiated Rate	$264.00
Max. Negotiated Rate	$425.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$352.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$425.92
Rate for Payer: Qualcare PPO/HMO/WC	$264.00

SCREW VA LKG ST 2.7x16MM

Facility

$1,760.00

Service Code	HCPCS C1713
Hospital Charge Code	270648482
Hospital Revenue Code	278
Min. Negotiated Rate	$49.98
Max. Negotiated Rate	$880.00
Rate for Payer: Aetna Commercial	$668.80
Rate for Payer: Aetna Medicare Advantage	$528.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$448.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$448.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$352.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$448.80
Rate for Payer: Cigna Commercial	$880.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$425.92
Rate for Payer: Qualcare PPO/HMO/WC	$264.00
Rate for Payer: UnitedHealthcare Community & State	$55.62
Rate for Payer: Wellpoint Medicaid Managed Care	$49.98

SCREW VA LKG ST 2.7x16MM

Facility

$1,760.00

Service Code	HCPCS C1713
Hospital Charge Code	270648482
Hospital Revenue Code	278
Min. Negotiated Rate	$264.00
Max. Negotiated Rate	$425.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$352.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$425.92
Rate for Payer: Qualcare PPO/HMO/WC	$264.00

SCREW VA LKG ST T6 SD 2.0X13MM

Facility

$5,325.00

Service Code	HCPCS C1713
Hospital Charge Code	270700438
Hospital Revenue Code	278
Min. Negotiated Rate	$151.23
Max. Negotiated Rate	$2,662.50
Rate for Payer: Aetna Commercial	$2,023.50
Rate for Payer: Aetna Medicare Advantage	$1,597.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,357.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,357.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,065.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,357.88
Rate for Payer: Cigna Commercial	$2,662.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,288.65
Rate for Payer: Qualcare PPO/HMO/WC	$798.75
Rate for Payer: UnitedHealthcare Community & State	$168.27
Rate for Payer: Wellpoint Medicaid Managed Care	$151.23

SCREW VA LKG ST T6 SD 2.0X13MM

Facility

$5,325.00

Service Code	HCPCS C1713
Hospital Charge Code	270700438
Hospital Revenue Code	278
Min. Negotiated Rate	$798.75
Max. Negotiated Rate	$1,288.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,065.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,288.65
Rate for Payer: Qualcare PPO/HMO/WC	$798.75

SCREW VAL KRELILOCK TL 3.0X18

Facility

$1,515.00

Hospital Charge Code	270702474
Hospital Revenue Code	278
Min. Negotiated Rate	$43.03
Max. Negotiated Rate	$757.50
Rate for Payer: Aetna Commercial	$575.70
Rate for Payer: Aetna Medicare Advantage	$454.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$386.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$386.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$386.32
Rate for Payer: Cigna Commercial	$757.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$366.63
Rate for Payer: Qualcare PPO/HMO/WC	$227.25
Rate for Payer: UnitedHealthcare Community & State	$47.87
Rate for Payer: Wellpoint Medicaid Managed Care	$43.03

SCREW VAL KRELILOCK TL 3.0X18

Facility

$1,515.00

Hospital Charge Code	270702474
Hospital Revenue Code	278
Min. Negotiated Rate	$227.25
Max. Negotiated Rate	$366.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$366.63
Rate for Payer: Qualcare PPO/HMO/WC	$227.25

SCREW VAL KREULK TI 3.0X16MM

Facility

$1,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270696333
Hospital Revenue Code	278
Min. Negotiated Rate	$41.89
Max. Negotiated Rate	$737.50
Rate for Payer: Aetna Commercial	$560.50
Rate for Payer: Aetna Medicare Advantage	$442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$295.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$376.12
Rate for Payer: Cigna Commercial	$737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.95
Rate for Payer: Qualcare PPO/HMO/WC	$221.25
Rate for Payer: UnitedHealthcare Community & State	$46.61
Rate for Payer: Wellpoint Medicaid Managed Care	$41.89

Know your out-of-pocket cost for care.

All Charges