Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

6.5 CANN SCREW 16MM THREAD 45M

Facility

$1,136.25

Service Code	HCPCS C1713
Hospital Charge Code	270682193
Hospital Revenue Code	278
Min. Negotiated Rate	$170.44
Max. Negotiated Rate	$274.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$227.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$274.97
Rate for Payer: Qualcare PPO/HMO/WC	$170.44

6.5MM LOW PROF HEX SCREW 15MM

Facility

$1,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270686732
Hospital Revenue Code	278
Min. Negotiated Rate	$49.70
Max. Negotiated Rate	$875.00
Rate for Payer: Aetna Commercial	$665.00
Rate for Payer: Aetna Medicare Advantage	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.25
Rate for Payer: Cigna Commercial	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50
Rate for Payer: UnitedHealthcare Community & State	$55.30
Rate for Payer: Wellpoint Medicaid Managed Care	$49.70

6.5MM LOW PROF HEX SCREW 15MM

Facility

$1,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270686732
Hospital Revenue Code	278
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$423.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

6.5MM LOW PROF HEX SCREW 20MM

Facility

$307.85

Service Code	HCPCS C1713
Hospital Charge Code	270686733
Hospital Revenue Code	278
Min. Negotiated Rate	$8.74
Max. Negotiated Rate	$153.93
Rate for Payer: Aetna Commercial	$116.98
Rate for Payer: Aetna Medicare Advantage	$92.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78.50
Rate for Payer: Cigna Commercial	$153.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.50
Rate for Payer: Qualcare PPO/HMO/WC	$46.18
Rate for Payer: UnitedHealthcare Community & State	$9.73
Rate for Payer: Wellpoint Medicaid Managed Care	$8.74

6.5MM LOW PROF HEX SCREW 20MM

Facility

$307.85

Service Code	HCPCS C1713
Hospital Charge Code	270686733
Hospital Revenue Code	278
Min. Negotiated Rate	$46.18
Max. Negotiated Rate	$74.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.50
Rate for Payer: Qualcare PPO/HMO/WC	$46.18

6.5MM LOW PROFILE HEX SCREW 30

Facility

$1,040.00

Service Code	HCPCS C1713
Hospital Charge Code	270684556
Hospital Revenue Code	278
Min. Negotiated Rate	$156.00
Max. Negotiated Rate	$251.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$208.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$251.68
Rate for Payer: Qualcare PPO/HMO/WC	$156.00

6.5MM LOW PROFILE HEX SCREW 30

Facility

$1,040.00

Service Code	HCPCS C1713
Hospital Charge Code	270684556
Hospital Revenue Code	278
Min. Negotiated Rate	$29.54
Max. Negotiated Rate	$520.00
Rate for Payer: Aetna Commercial	$395.20
Rate for Payer: Aetna Medicare Advantage	$312.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$265.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$265.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$208.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$265.20
Rate for Payer: Cigna Commercial	$520.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$251.68
Rate for Payer: Qualcare PPO/HMO/WC	$156.00
Rate for Payer: UnitedHealthcare Community & State	$32.86
Rate for Payer: Wellpoint Medicaid Managed Care	$29.54

65 MM ROD

Facility

$1,502.00

Hospital Charge Code	270339025
Hospital Revenue Code	278
Min. Negotiated Rate	$42.66
Max. Negotiated Rate	$751.00
Rate for Payer: Aetna Commercial	$570.76
Rate for Payer: Aetna Medicare Advantage	$450.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$383.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$383.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$383.01
Rate for Payer: Cigna Commercial	$751.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.48
Rate for Payer: Qualcare PPO/HMO/WC	$225.30
Rate for Payer: UnitedHealthcare Community & State	$47.46
Rate for Payer: Wellpoint Medicaid Managed Care	$42.66

65 MM ROD

Facility

$1,502.00

Hospital Charge Code	270339025
Hospital Revenue Code	278
Min. Negotiated Rate	$225.30
Max. Negotiated Rate	$363.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.48
Rate for Payer: Qualcare PPO/HMO/WC	$225.30

65MM ROD

Facility

$875.00

Hospital Charge Code	270702887
Hospital Revenue Code	278
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$211.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.75
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

65MM ROD

Facility

$875.00

Hospital Charge Code	270702887
Hospital Revenue Code	278
Min. Negotiated Rate	$24.85
Max. Negotiated Rate	$437.50
Rate for Payer: Aetna Commercial	$332.50
Rate for Payer: Aetna Medicare Advantage	$262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.12
Rate for Payer: Cigna Commercial	$437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.75
Rate for Payer: Qualcare PPO/HMO/WC	$131.25
Rate for Payer: UnitedHealthcare Community & State	$27.65
Rate for Payer: Wellpoint Medicaid Managed Care	$24.85

6.5X30MM BRIGADE PLATE SCREW

Facility

$14,406.00

Service Code	HCPCS C1713
Hospital Charge Code	270703758
Hospital Revenue Code	278
Min. Negotiated Rate	$2,160.90
Max. Negotiated Rate	$3,486.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,881.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,486.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,160.90

6.5X30MM BRIGADE PLATE SCREW

Facility

$14,406.00

Service Code	HCPCS C1713
Hospital Charge Code	270703758
Hospital Revenue Code	278
Min. Negotiated Rate	$409.13
Max. Negotiated Rate	$7,203.00
Rate for Payer: Aetna Commercial	$5,474.28
Rate for Payer: Aetna Medicare Advantage	$4,321.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,673.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,673.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,881.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,673.53
Rate for Payer: Cigna Commercial	$7,203.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,486.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,160.90
Rate for Payer: UnitedHealthcare Community & State	$455.23
Rate for Payer: Wellpoint Medicaid Managed Care	$409.13

6.5X32.5MM BRIGADE PLATE SCREW

Facility

$1,915.55

Service Code	HCPCS C1713
Hospital Charge Code	270704087
Hospital Revenue Code	278
Min. Negotiated Rate	$287.33
Max. Negotiated Rate	$463.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$383.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$463.56
Rate for Payer: Qualcare PPO/HMO/WC	$287.33

6.5X32.5MM BRIGADE PLATE SCREW

Facility

$1,915.55

Service Code	HCPCS C1713
Hospital Charge Code	270704087
Hospital Revenue Code	278
Min. Negotiated Rate	$54.40
Max. Negotiated Rate	$957.77
Rate for Payer: Aetna Commercial	$727.91
Rate for Payer: Aetna Medicare Advantage	$574.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$488.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$488.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$383.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$488.47
Rate for Payer: Cigna Commercial	$957.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$463.56
Rate for Payer: Qualcare PPO/HMO/WC	$287.33
Rate for Payer: UnitedHealthcare Community & State	$60.53
Rate for Payer: Wellpoint Medicaid Managed Care	$54.40

6.5X 45MM SHANKS

Facility

$6,740.00

Service Code	HCPCS C1713
Hospital Charge Code	270697218
Hospital Revenue Code	278
Min. Negotiated Rate	$1,011.00
Max. Negotiated Rate	$1,631.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,348.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,631.08
Rate for Payer: Qualcare PPO/HMO/WC	$1,011.00

6.5X 45MM SHANKS

Facility

$6,740.00

Service Code	HCPCS C1713
Hospital Charge Code	270697218
Hospital Revenue Code	278
Min. Negotiated Rate	$191.42
Max. Negotiated Rate	$3,370.00
Rate for Payer: Aetna Commercial	$2,561.20
Rate for Payer: Aetna Medicare Advantage	$2,022.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,718.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,718.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,348.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,718.70
Rate for Payer: Cigna Commercial	$3,370.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,631.08
Rate for Payer: Qualcare PPO/HMO/WC	$1,011.00
Rate for Payer: UnitedHealthcare Community & State	$212.98
Rate for Payer: Wellpoint Medicaid Managed Care	$191.42

6.5 X 50MM POLY SCREW

Facility

$8,900.00

Hospital Charge Code	270665485
Hospital Revenue Code	278
Min. Negotiated Rate	$1,335.00
Max. Negotiated Rate	$2,153.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,780.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,153.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,335.00

6.5 X 50MM POLY SCREW

Facility

$8,900.00

Hospital Charge Code	270665485
Hospital Revenue Code	278
Min. Negotiated Rate	$252.76
Max. Negotiated Rate	$4,450.00
Rate for Payer: Aetna Commercial	$3,382.00
Rate for Payer: Aetna Medicare Advantage	$2,670.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,269.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,269.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,780.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,269.50
Rate for Payer: Cigna Commercial	$4,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,153.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,335.00
Rate for Payer: UnitedHealthcare Community & State	$281.24
Rate for Payer: Wellpoint Medicaid Managed Care	$252.76

6.5X50MM SCREW

Facility

$3,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270703946
Hospital Revenue Code	278
Min. Negotiated Rate	$543.75
Max. Negotiated Rate	$877.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$877.25
Rate for Payer: Qualcare PPO/HMO/WC	$543.75

6.5X50MM SCREW

Facility

$3,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270703946
Hospital Revenue Code	278
Min. Negotiated Rate	$102.95
Max. Negotiated Rate	$1,812.50
Rate for Payer: Aetna Commercial	$1,377.50
Rate for Payer: Aetna Medicare Advantage	$1,087.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$924.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$924.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$725.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$924.38
Rate for Payer: Cigna Commercial	$1,812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$877.25
Rate for Payer: Qualcare PPO/HMO/WC	$543.75
Rate for Payer: UnitedHealthcare Community & State	$114.55
Rate for Payer: Wellpoint Medicaid Managed Care	$102.95

6.5 X 50 SCREW

Facility

$3,344.00

Hospital Charge Code	270339022
Hospital Revenue Code	278
Min. Negotiated Rate	$501.60
Max. Negotiated Rate	$809.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$668.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$809.25
Rate for Payer: Qualcare PPO/HMO/WC	$501.60

6.5 X 50 SCREW

Facility

$3,344.00

Hospital Charge Code	270339022
Hospital Revenue Code	278
Min. Negotiated Rate	$94.97
Max. Negotiated Rate	$1,672.00
Rate for Payer: Aetna Commercial	$1,270.72
Rate for Payer: Aetna Medicare Advantage	$1,003.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$852.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$852.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$668.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$852.72
Rate for Payer: Cigna Commercial	$1,672.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$809.25
Rate for Payer: Qualcare PPO/HMO/WC	$501.60
Rate for Payer: UnitedHealthcare Community & State	$105.67
Rate for Payer: Wellpoint Medicaid Managed Care	$94.97

6.5X55MM SCREW

Facility

$4,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270698586
Hospital Revenue Code	278
Min. Negotiated Rate	$134.90
Max. Negotiated Rate	$2,375.00
Rate for Payer: Aetna Commercial	$1,805.00
Rate for Payer: Aetna Medicare Advantage	$1,425.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$950.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,211.25
Rate for Payer: Cigna Commercial	$2,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,149.50
Rate for Payer: Qualcare PPO/HMO/WC	$712.50
Rate for Payer: UnitedHealthcare Community & State	$150.10
Rate for Payer: Wellpoint Medicaid Managed Care	$134.90

6.5X55MM SCREW

Facility

$4,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270698586
Hospital Revenue Code	278
Min. Negotiated Rate	$712.50
Max. Negotiated Rate	$1,149.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,149.50
Rate for Payer: Qualcare PPO/HMO/WC	$712.50

Know your out-of-pocket cost for care.

All Charges