Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

3.5 SCREW

Facility

$1,360.00

Hospital Charge Code	270339484
Hospital Revenue Code	278
Min. Negotiated Rate	$204.00
Max. Negotiated Rate	$329.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$272.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$329.12
Rate for Payer: Qualcare PPO/HMO/WC	$204.00

3.5 X 14 F.A. SCREW

Facility

$5,815.00

Service Code	HCPCS C1713
Hospital Charge Code	270688889
Hospital Revenue Code	278
Min. Negotiated Rate	$872.25
Max. Negotiated Rate	$1,407.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,163.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,407.23
Rate for Payer: Qualcare PPO/HMO/WC	$872.25

3.5 X 14 F.A. SCREW

Facility

$5,815.00

Service Code	HCPCS C1713
Hospital Charge Code	270688889
Hospital Revenue Code	278
Min. Negotiated Rate	$165.15
Max. Negotiated Rate	$2,907.50
Rate for Payer: Aetna Commercial	$2,209.70
Rate for Payer: Aetna Medicare Advantage	$1,744.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,482.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,482.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,163.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,482.83
Rate for Payer: Cigna Commercial	$2,907.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,407.23
Rate for Payer: Qualcare PPO/HMO/WC	$872.25
Rate for Payer: UnitedHealthcare Community & State	$183.75
Rate for Payer: Wellpoint Medicaid Managed Care	$165.15

3.5X14 LOCK SCREW

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270668409
Hospital Revenue Code	278
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Community & State	$23.70
Rate for Payer: Wellpoint Medicaid Managed Care	$21.30

3.5X14 LOCK SCREW

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270668409
Hospital Revenue Code	278
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$181.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

3.5 X 14MM LOCKING SCREW

Facility

$841.50

Service Code	HCPCS C1713
Hospital Charge Code	270687469
Hospital Revenue Code	278
Min. Negotiated Rate	$126.22
Max. Negotiated Rate	$203.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$168.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$203.64
Rate for Payer: Qualcare PPO/HMO/WC	$126.22

3.5 X 14MM LOCKING SCREW

Facility

$841.50

Service Code	HCPCS C1713
Hospital Charge Code	270687469
Hospital Revenue Code	278
Min. Negotiated Rate	$23.90
Max. Negotiated Rate	$420.75
Rate for Payer: Aetna Commercial	$319.77
Rate for Payer: Aetna Medicare Advantage	$252.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$214.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$214.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$168.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$214.58
Rate for Payer: Cigna Commercial	$420.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$203.64
Rate for Payer: Qualcare PPO/HMO/WC	$126.22
Rate for Payer: UnitedHealthcare Community & State	$26.59
Rate for Payer: Wellpoint Medicaid Managed Care	$23.90

3.5X14MM SCREW

Facility

$525.00

Service Code	HCPCS C1713
Hospital Charge Code	270705461
Hospital Revenue Code	278
Min. Negotiated Rate	$78.75
Max. Negotiated Rate	$127.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$105.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.05
Rate for Payer: Qualcare PPO/HMO/WC	$78.75

3.5X14MM SCREW

Facility

$525.00

Service Code	HCPCS C1713
Hospital Charge Code	270705461
Hospital Revenue Code	278
Min. Negotiated Rate	$14.91
Max. Negotiated Rate	$262.50
Rate for Payer: Aetna Commercial	$199.50
Rate for Payer: Aetna Medicare Advantage	$157.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$105.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.88
Rate for Payer: Cigna Commercial	$262.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.05
Rate for Payer: Qualcare PPO/HMO/WC	$78.75
Rate for Payer: UnitedHealthcare Community & State	$16.59
Rate for Payer: Wellpoint Medicaid Managed Care	$14.91

3.5X16MM LOCKING SCREW

Facility

$1,520.30

Service Code	HCPCS C1713
Hospital Charge Code	270704803
Hospital Revenue Code	278
Min. Negotiated Rate	$228.04
Max. Negotiated Rate	$367.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$304.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.91
Rate for Payer: Qualcare PPO/HMO/WC	$228.04

3.5X16MM LOCKING SCREW

Facility

$1,520.30

Service Code	HCPCS C1713
Hospital Charge Code	270704803
Hospital Revenue Code	278
Min. Negotiated Rate	$43.18
Max. Negotiated Rate	$760.15
Rate for Payer: Aetna Commercial	$577.71
Rate for Payer: Aetna Medicare Advantage	$456.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$387.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$387.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$304.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$387.68
Rate for Payer: Cigna Commercial	$760.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.91
Rate for Payer: Qualcare PPO/HMO/WC	$228.04
Rate for Payer: UnitedHealthcare Community & State	$48.04
Rate for Payer: Wellpoint Medicaid Managed Care	$43.18

3.5 X 16MM NON-LOCKING SCREW

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270687471
Hospital Revenue Code	278
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Community & State	$23.70
Rate for Payer: Wellpoint Medicaid Managed Care	$21.30

3.5 X 16MM NON-LOCKING SCREW

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270687471
Hospital Revenue Code	278
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$181.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

3.5 X 18MM LOCKING SCREW

Facility

$1,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270687470
Hospital Revenue Code	278
Min. Negotiated Rate	$31.95
Max. Negotiated Rate	$562.50
Rate for Payer: Aetna Commercial	$427.50
Rate for Payer: Aetna Medicare Advantage	$337.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.88
Rate for Payer: Cigna Commercial	$562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.25
Rate for Payer: Qualcare PPO/HMO/WC	$168.75
Rate for Payer: UnitedHealthcare Community & State	$35.55
Rate for Payer: Wellpoint Medicaid Managed Care	$31.95

3.5 X 18MM LOCKING SCREW

Facility

$1,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270687470
Hospital Revenue Code	278
Min. Negotiated Rate	$168.75
Max. Negotiated Rate	$272.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.25
Rate for Payer: Qualcare PPO/HMO/WC	$168.75

3.5 X 20MM NON-LOCKING SCREW

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270687472
Hospital Revenue Code	278
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Community & State	$23.70
Rate for Payer: Wellpoint Medicaid Managed Care	$21.30

3.5 X 20MM NON-LOCKING SCREW

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270687472
Hospital Revenue Code	278
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$181.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

3.5X26 LOCK SCREW

Facility

$425.00

Service Code	HCPCS C1713
Hospital Charge Code	270681321
Hospital Revenue Code	278
Min. Negotiated Rate	$12.07
Max. Negotiated Rate	$212.50
Rate for Payer: Aetna Commercial	$161.50
Rate for Payer: Aetna Medicare Advantage	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$85.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$108.38
Rate for Payer: Cigna Commercial	$212.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.85
Rate for Payer: Qualcare PPO/HMO/WC	$63.75
Rate for Payer: UnitedHealthcare Community & State	$13.43
Rate for Payer: Wellpoint Medicaid Managed Care	$12.07

3.5X26 LOCK SCREW

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270681354
Hospital Revenue Code	278
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Community & State	$23.70
Rate for Payer: Wellpoint Medicaid Managed Care	$21.30

3.5X26 LOCK SCREW

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270681354
Hospital Revenue Code	278
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$181.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

3.5X26 LOCK SCREW

Facility

$425.00

Service Code	HCPCS C1713
Hospital Charge Code	270681321
Hospital Revenue Code	278
Min. Negotiated Rate	$63.75
Max. Negotiated Rate	$102.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$85.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.85
Rate for Payer: Qualcare PPO/HMO/WC	$63.75

3.5 X 26MM BONE SCREW

Facility

$525.00

Service Code	HCPCS C1713
Hospital Charge Code	270665476
Hospital Revenue Code	278
Min. Negotiated Rate	$78.75
Max. Negotiated Rate	$127.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$105.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.05
Rate for Payer: Qualcare PPO/HMO/WC	$78.75

3.5 X 26MM BONE SCREW

Facility

$525.00

Service Code	HCPCS C1713
Hospital Charge Code	270665476
Hospital Revenue Code	278
Min. Negotiated Rate	$14.91
Max. Negotiated Rate	$262.50
Rate for Payer: Aetna Commercial	$199.50
Rate for Payer: Aetna Medicare Advantage	$157.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$105.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.88
Rate for Payer: Cigna Commercial	$262.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.05
Rate for Payer: Qualcare PPO/HMO/WC	$78.75
Rate for Payer: UnitedHealthcare Community & State	$16.59
Rate for Payer: Wellpoint Medicaid Managed Care	$14.91

3.5X36 PT SCREW

Facility

$885.00

Service Code	HCPCS C1713
Hospital Charge Code	270703143
Hospital Revenue Code	278
Min. Negotiated Rate	$132.75
Max. Negotiated Rate	$214.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$177.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.17
Rate for Payer: Qualcare PPO/HMO/WC	$132.75

3.5X36 PT SCREW

Facility

$885.00

Service Code	HCPCS C1713
Hospital Charge Code	270703143
Hospital Revenue Code	278
Min. Negotiated Rate	$25.13
Max. Negotiated Rate	$442.50
Rate for Payer: Aetna Commercial	$336.30
Rate for Payer: Aetna Medicare Advantage	$265.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$225.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$225.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$177.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$225.68
Rate for Payer: Cigna Commercial	$442.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.17
Rate for Payer: Qualcare PPO/HMO/WC	$132.75
Rate for Payer: UnitedHealthcare Community & State	$27.97
Rate for Payer: Wellpoint Medicaid Managed Care	$25.13

Know your out-of-pocket cost for care.

All Charges