Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

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	$221.25
Max. Negotiated Rate	$356.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$295.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.95
Rate for Payer: Qualcare PPO/HMO/WC	$221.25

SCREW VAL KREULOCK TI 2.4X10

Facility

$1,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270696715
Hospital Revenue Code	278
Min. Negotiated Rate	$221.25
Max. Negotiated Rate	$356.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$295.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.95
Rate for Payer: Qualcare PPO/HMO/WC	$221.25

SCREW VAL KREULOCK TI 2.4X10

Facility

$1,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270696715
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

SCREW VAL KREULOCK TI 2.4X12

Facility

$1,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270696716
Hospital Revenue Code	278
Min. Negotiated Rate	$221.25
Max. Negotiated Rate	$356.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$295.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.95
Rate for Payer: Qualcare PPO/HMO/WC	$221.25

SCREW VAL KREULOCK TI 2.4X12

Facility

$1,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270696716
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

SCREW VA LOCKING 2.4mm X 16mm

Facility

$595.20

Service Code	HCPCS C1713
Hospital Charge Code	270645638
Hospital Revenue Code	278
Min. Negotiated Rate	$89.28
Max. Negotiated Rate	$144.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.04
Rate for Payer: Qualcare PPO/HMO/WC	$89.28

SCREW VA LOCKING 2.4mm X 16mm

Facility

$595.20

Service Code	HCPCS C1713
Hospital Charge Code	270645638
Hospital Revenue Code	278
Min. Negotiated Rate	$16.90
Max. Negotiated Rate	$297.60
Rate for Payer: Aetna Commercial	$226.18
Rate for Payer: Aetna Medicare Advantage	$178.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.78
Rate for Payer: Cigna Commercial	$297.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.04
Rate for Payer: Qualcare PPO/HMO/WC	$89.28
Rate for Payer: UnitedHealthcare Community & State	$18.81
Rate for Payer: Wellpoint Medicaid Managed Care	$16.90

SCREW VA LOCKING 2.4mm X 18mm

Facility

$595.20

Service Code	HCPCS C1713
Hospital Charge Code	270645538
Hospital Revenue Code	278
Min. Negotiated Rate	$16.90
Max. Negotiated Rate	$297.60
Rate for Payer: Aetna Commercial	$226.18
Rate for Payer: Aetna Medicare Advantage	$178.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.78
Rate for Payer: Cigna Commercial	$297.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.04
Rate for Payer: Qualcare PPO/HMO/WC	$89.28
Rate for Payer: UnitedHealthcare Community & State	$18.81
Rate for Payer: Wellpoint Medicaid Managed Care	$16.90

SCREW VA LOCKING 2.4mm X 18mm

Facility

$595.20

Service Code	HCPCS C1713
Hospital Charge Code	270645538
Hospital Revenue Code	278
Min. Negotiated Rate	$89.28
Max. Negotiated Rate	$144.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.04
Rate for Payer: Qualcare PPO/HMO/WC	$89.28

SCREW VA LOCKING 2.4mm X 24mm

Facility

$595.20

Service Code	HCPCS C1713
Hospital Charge Code	270645536
Hospital Revenue Code	278
Min. Negotiated Rate	$16.90
Max. Negotiated Rate	$297.60
Rate for Payer: Aetna Commercial	$226.18
Rate for Payer: Aetna Medicare Advantage	$178.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.78
Rate for Payer: Cigna Commercial	$297.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.04
Rate for Payer: Qualcare PPO/HMO/WC	$89.28
Rate for Payer: UnitedHealthcare Community & State	$18.81
Rate for Payer: Wellpoint Medicaid Managed Care	$16.90

SCREW VA LOCKING 2.4mm X 24mm

Facility

$595.20

Service Code	HCPCS C1713
Hospital Charge Code	270645536
Hospital Revenue Code	278
Min. Negotiated Rate	$89.28
Max. Negotiated Rate	$144.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.04
Rate for Payer: Qualcare PPO/HMO/WC	$89.28

SCREW VA LOCKING 2.4mm X 26mm

Facility

$577.85

Service Code	HCPCS C1713
Hospital Charge Code	270645537
Hospital Revenue Code	278
Min. Negotiated Rate	$86.68
Max. Negotiated Rate	$139.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.84
Rate for Payer: Qualcare PPO/HMO/WC	$86.68

SCREW VA LOCKING 2.4mm X 26mm

Facility

$577.85

Service Code	HCPCS C1713
Hospital Charge Code	270645537
Hospital Revenue Code	278
Min. Negotiated Rate	$16.41
Max. Negotiated Rate	$288.93
Rate for Payer: Aetna Commercial	$219.58
Rate for Payer: Aetna Medicare Advantage	$173.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$147.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$147.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$147.35
Rate for Payer: Cigna Commercial	$288.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.84
Rate for Payer: Qualcare PPO/HMO/WC	$86.68
Rate for Payer: UnitedHealthcare Community & State	$18.26
Rate for Payer: Wellpoint Medicaid Managed Care	$16.41

SCREW VA LOCKING 2.4x10mm

Facility

$595.20

Service Code	HCPCS C1713
Hospital Charge Code	270645639
Hospital Revenue Code	278
Min. Negotiated Rate	$16.90
Max. Negotiated Rate	$297.60
Rate for Payer: Aetna Commercial	$226.18
Rate for Payer: Aetna Medicare Advantage	$178.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.78
Rate for Payer: Cigna Commercial	$297.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.04
Rate for Payer: Qualcare PPO/HMO/WC	$89.28
Rate for Payer: UnitedHealthcare Community & State	$18.81
Rate for Payer: Wellpoint Medicaid Managed Care	$16.90

SCREW VA LOCKING 2.4x10mm

Facility

$595.20

Service Code	HCPCS C1713
Hospital Charge Code	270645639
Hospital Revenue Code	278
Min. Negotiated Rate	$89.28
Max. Negotiated Rate	$144.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.04
Rate for Payer: Qualcare PPO/HMO/WC	$89.28

SCREW VA LOCKING 2.4x11mm

Facility

$595.20

Service Code	HCPCS C1713
Hospital Charge Code	270685322
Hospital Revenue Code	278
Min. Negotiated Rate	$16.90
Max. Negotiated Rate	$297.60
Rate for Payer: Aetna Commercial	$226.18
Rate for Payer: Aetna Medicare Advantage	$178.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.78
Rate for Payer: Cigna Commercial	$297.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.04
Rate for Payer: Qualcare PPO/HMO/WC	$89.28
Rate for Payer: UnitedHealthcare Community & State	$18.81
Rate for Payer: Wellpoint Medicaid Managed Care	$16.90

SCREW VA LOCKING 2.4x11mm

Facility

$595.20

Service Code	HCPCS C1713
Hospital Charge Code	270685322
Hospital Revenue Code	278
Min. Negotiated Rate	$89.28
Max. Negotiated Rate	$144.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.04
Rate for Payer: Qualcare PPO/HMO/WC	$89.28

SCREW VA LOCKING 2.4x12mm

Facility

$595.20

Service Code	HCPCS C1713
Hospital Charge Code	270645637
Hospital Revenue Code	278
Min. Negotiated Rate	$89.28
Max. Negotiated Rate	$144.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.04
Rate for Payer: Qualcare PPO/HMO/WC	$89.28

SCREW VA LOCKING 2.4x12mm

Facility

$595.20

Service Code	HCPCS C1713
Hospital Charge Code	270645637
Hospital Revenue Code	278
Min. Negotiated Rate	$16.90
Max. Negotiated Rate	$297.60
Rate for Payer: Aetna Commercial	$226.18
Rate for Payer: Aetna Medicare Advantage	$178.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.78
Rate for Payer: Cigna Commercial	$297.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.04
Rate for Payer: Qualcare PPO/HMO/WC	$89.28
Rate for Payer: UnitedHealthcare Community & State	$18.81
Rate for Payer: Wellpoint Medicaid Managed Care	$16.90

SCREW VA LOCKING 2.4x13mm

Facility

$595.20

Service Code	HCPCS C1713
Hospital Charge Code	270685323
Hospital Revenue Code	278
Min. Negotiated Rate	$16.90
Max. Negotiated Rate	$297.60
Rate for Payer: Aetna Commercial	$226.18
Rate for Payer: Aetna Medicare Advantage	$178.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.78
Rate for Payer: Cigna Commercial	$297.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.04
Rate for Payer: Qualcare PPO/HMO/WC	$89.28
Rate for Payer: UnitedHealthcare Community & State	$18.81
Rate for Payer: Wellpoint Medicaid Managed Care	$16.90

SCREW VA LOCKING 2.4x13mm

Facility

$595.20

Service Code	HCPCS C1713
Hospital Charge Code	270685323
Hospital Revenue Code	278
Min. Negotiated Rate	$89.28
Max. Negotiated Rate	$144.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.04
Rate for Payer: Qualcare PPO/HMO/WC	$89.28

SCREW VA LOCKING 2.4x14mm

Facility

$595.20

Service Code	HCPCS C1713
Hospital Charge Code	270645539
Hospital Revenue Code	278
Min. Negotiated Rate	$16.90
Max. Negotiated Rate	$297.60
Rate for Payer: Aetna Commercial	$226.18
Rate for Payer: Aetna Medicare Advantage	$178.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.78
Rate for Payer: Cigna Commercial	$297.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.04
Rate for Payer: Qualcare PPO/HMO/WC	$89.28
Rate for Payer: UnitedHealthcare Community & State	$18.81
Rate for Payer: Wellpoint Medicaid Managed Care	$16.90

SCREW VA LOCKING 2.4x14mm

Facility

$595.20

Service Code	HCPCS C1713
Hospital Charge Code	270645539
Hospital Revenue Code	278
Min. Negotiated Rate	$89.28
Max. Negotiated Rate	$144.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.04
Rate for Payer: Qualcare PPO/HMO/WC	$89.28

SCREW VA LOCKING 2.4x20MM

Facility

$595.20

Service Code	HCPCS C1713
Hospital Charge Code	270646344
Hospital Revenue Code	278
Min. Negotiated Rate	$16.90
Max. Negotiated Rate	$297.60
Rate for Payer: Aetna Commercial	$226.18
Rate for Payer: Aetna Medicare Advantage	$178.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.78
Rate for Payer: Cigna Commercial	$297.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.04
Rate for Payer: Qualcare PPO/HMO/WC	$89.28
Rate for Payer: UnitedHealthcare Community & State	$18.81
Rate for Payer: Wellpoint Medicaid Managed Care	$16.90

SCREW VA LOCKING 2.4x20MM

Facility

$595.20

Service Code	HCPCS C1713
Hospital Charge Code	270646344
Hospital Revenue Code	278
Min. Negotiated Rate	$89.28
Max. Negotiated Rate	$144.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.04
Rate for Payer: Qualcare PPO/HMO/WC	$89.28

Know your out-of-pocket cost for care.

All Charges