Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 16 MM X 4 MM

Facility

$1,895.00

Service Code	HCPCS C1713
Hospital Charge Code	270691460
Hospital Revenue Code	278
Min. Negotiated Rate	$284.25
Max. Negotiated Rate	$458.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$379.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$458.59
Rate for Payer: Qualcare PPO/HMO/WC	$284.25

SCREW 16 MM X 4 MM

Facility

$1,895.00

Service Code	HCPCS C1713
Hospital Charge Code	270691460
Hospital Revenue Code	278
Min. Negotiated Rate	$53.82
Max. Negotiated Rate	$947.50
Rate for Payer: Aetna Commercial	$720.10
Rate for Payer: Aetna Medicare Advantage	$568.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$483.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$483.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$379.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$483.23
Rate for Payer: Cigna Commercial	$947.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$458.59
Rate for Payer: Qualcare PPO/HMO/WC	$284.25
Rate for Payer: UnitedHealthcare Community & State	$59.88
Rate for Payer: Wellpoint Medicaid Managed Care	$53.82

SCREW 18MM 1.5 MM

Facility

$660.00

Hospital Charge Code	270702800
Hospital Revenue Code	278
Min. Negotiated Rate	$18.74
Max. Negotiated Rate	$330.00
Rate for Payer: Aetna Commercial	$250.80
Rate for Payer: Aetna Medicare Advantage	$198.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.30
Rate for Payer: Cigna Commercial	$330.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.72
Rate for Payer: Qualcare PPO/HMO/WC	$99.00
Rate for Payer: UnitedHealthcare Community & State	$20.86
Rate for Payer: Wellpoint Medicaid Managed Care	$18.74

SCREW 18MM 1.5 MM

Facility

$660.00

Hospital Charge Code	270702800
Hospital Revenue Code	278
Min. Negotiated Rate	$99.00
Max. Negotiated Rate	$159.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.72
Rate for Payer: Qualcare PPO/HMO/WC	$99.00

SCREW 1PERIPH VAL OPTILINK 14M

Facility

$1,569.50

Service Code	HCPCS C1713
Hospital Charge Code	270693772
Hospital Revenue Code	278
Min. Negotiated Rate	$235.43
Max. Negotiated Rate	$379.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$313.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$379.82
Rate for Payer: Qualcare PPO/HMO/WC	$235.43

SCREW 1PERIPH VAL OPTILINK 14M

Facility

$1,569.50

Service Code	HCPCS C1713
Hospital Charge Code	270693772
Hospital Revenue Code	278
Min. Negotiated Rate	$44.57
Max. Negotiated Rate	$784.75
Rate for Payer: Aetna Commercial	$596.41
Rate for Payer: Aetna Medicare Advantage	$470.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$400.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$400.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$313.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$400.22
Rate for Payer: Cigna Commercial	$784.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$379.82
Rate for Payer: Qualcare PPO/HMO/WC	$235.43
Rate for Payer: UnitedHealthcare Community & State	$49.60
Rate for Payer: Wellpoint Medicaid Managed Care	$44.57

SCREW 2.0 CORTEX SELF TAP

Facility

$143.25

Hospital Charge Code	270656715
Hospital Revenue Code	278
Min. Negotiated Rate	$4.07
Max. Negotiated Rate	$71.62
Rate for Payer: Aetna Commercial	$54.44
Rate for Payer: Aetna Medicare Advantage	$42.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.53
Rate for Payer: Cigna Commercial	$71.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.67
Rate for Payer: Qualcare PPO/HMO/WC	$21.49
Rate for Payer: UnitedHealthcare Community & State	$4.53
Rate for Payer: Wellpoint Medicaid Managed Care	$4.07

SCREW 2.0 CORTEX SELF TAP

Facility

$143.25

Hospital Charge Code	270656714
Hospital Revenue Code	278
Min. Negotiated Rate	$21.49
Max. Negotiated Rate	$34.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.67
Rate for Payer: Qualcare PPO/HMO/WC	$21.49

SCREW 2.0 CORTEX SELF TAP

Facility

$143.25

Hospital Charge Code	270656716
Hospital Revenue Code	278
Min. Negotiated Rate	$21.49
Max. Negotiated Rate	$34.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.67
Rate for Payer: Qualcare PPO/HMO/WC	$21.49

SCREW 2.0 CORTEX SELF TAP

Facility

$143.25

Service Code	HCPCS C1713
Hospital Charge Code	270656712
Hospital Revenue Code	278
Min. Negotiated Rate	$21.49
Max. Negotiated Rate	$34.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.67
Rate for Payer: Qualcare PPO/HMO/WC	$21.49

SCREW 2.0 CORTEX SELF TAP

Facility

$143.25

Service Code	HCPCS C1713
Hospital Charge Code	270656707
Hospital Revenue Code	278
Min. Negotiated Rate	$4.07
Max. Negotiated Rate	$71.62
Rate for Payer: Aetna Commercial	$54.44
Rate for Payer: Aetna Medicare Advantage	$42.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.53
Rate for Payer: Cigna Commercial	$71.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.67
Rate for Payer: Qualcare PPO/HMO/WC	$21.49
Rate for Payer: UnitedHealthcare Community & State	$4.53
Rate for Payer: Wellpoint Medicaid Managed Care	$4.07

SCREW 2.0 CORTEX SELF TAP

Facility

$143.25

Service Code	HCPCS C1713
Hospital Charge Code	270656707
Hospital Revenue Code	278
Min. Negotiated Rate	$21.49
Max. Negotiated Rate	$34.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.67
Rate for Payer: Qualcare PPO/HMO/WC	$21.49

SCREW 2.0 CORTEX SELF TAP

Facility

$143.25

Hospital Charge Code	270656714
Hospital Revenue Code	278
Min. Negotiated Rate	$4.07
Max. Negotiated Rate	$71.62
Rate for Payer: Aetna Commercial	$54.44
Rate for Payer: Aetna Medicare Advantage	$42.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.53
Rate for Payer: Cigna Commercial	$71.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.67
Rate for Payer: Qualcare PPO/HMO/WC	$21.49
Rate for Payer: UnitedHealthcare Community & State	$4.53
Rate for Payer: Wellpoint Medicaid Managed Care	$4.07

SCREW 2.0 CORTEX SELF TAP

Facility

$143.25

Service Code	HCPCS C1713
Hospital Charge Code	270656712
Hospital Revenue Code	278
Min. Negotiated Rate	$4.07
Max. Negotiated Rate	$71.62
Rate for Payer: Aetna Commercial	$54.44
Rate for Payer: Aetna Medicare Advantage	$42.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.53
Rate for Payer: Cigna Commercial	$71.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.67
Rate for Payer: Qualcare PPO/HMO/WC	$21.49
Rate for Payer: UnitedHealthcare Community & State	$4.53
Rate for Payer: Wellpoint Medicaid Managed Care	$4.07

SCREW 2.0 CORTEX SELF TAP

Facility

$143.25

Hospital Charge Code	270656713
Hospital Revenue Code	278
Min. Negotiated Rate	$4.07
Max. Negotiated Rate	$71.62
Rate for Payer: Aetna Commercial	$54.44
Rate for Payer: Aetna Medicare Advantage	$42.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.53
Rate for Payer: Cigna Commercial	$71.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.67
Rate for Payer: Qualcare PPO/HMO/WC	$21.49
Rate for Payer: UnitedHealthcare Community & State	$4.53
Rate for Payer: Wellpoint Medicaid Managed Care	$4.07

SCREW 2.0 CORTEX SELF TAP

Facility

$143.25

Hospital Charge Code	270656715
Hospital Revenue Code	278
Min. Negotiated Rate	$21.49
Max. Negotiated Rate	$34.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.67
Rate for Payer: Qualcare PPO/HMO/WC	$21.49

SCREW 2.0 CORTEX SELF TAP

Facility

$143.25

Hospital Charge Code	270656716
Hospital Revenue Code	278
Min. Negotiated Rate	$4.07
Max. Negotiated Rate	$71.62
Rate for Payer: Aetna Commercial	$54.44
Rate for Payer: Aetna Medicare Advantage	$42.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.53
Rate for Payer: Cigna Commercial	$71.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.67
Rate for Payer: Qualcare PPO/HMO/WC	$21.49
Rate for Payer: UnitedHealthcare Community & State	$4.53
Rate for Payer: Wellpoint Medicaid Managed Care	$4.07

SCREW 2.0 CORTEX SELF TAP

Facility

$143.25

Hospital Charge Code	270656713
Hospital Revenue Code	278
Min. Negotiated Rate	$21.49
Max. Negotiated Rate	$34.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.67
Rate for Payer: Qualcare PPO/HMO/WC	$21.49

SCREW 2.0 CORTICAL 14 2320015

Facility

$37.75

Service Code	HCPCS C1713
Hospital Charge Code	270610114
Hospital Revenue Code	278
Min. Negotiated Rate	$5.66
Max. Negotiated Rate	$9.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.14
Rate for Payer: Qualcare PPO/HMO/WC	$5.66

SCREW 2.0 CORTICAL 14 2320015

Facility

$37.75

Service Code	HCPCS C1713
Hospital Charge Code	270610114
Hospital Revenue Code	278
Min. Negotiated Rate	$1.07
Max. Negotiated Rate	$18.88
Rate for Payer: Aetna Commercial	$14.35
Rate for Payer: Aetna Medicare Advantage	$11.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.63
Rate for Payer: Cigna Commercial	$18.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.14
Rate for Payer: Qualcare PPO/HMO/WC	$5.66
Rate for Payer: UnitedHealthcare Community & State	$1.19
Rate for Payer: Wellpoint Medicaid Managed Care	$1.07

SCREW 20 MM 4.5 MM TI

Facility

$1,348.90

Service Code	HCPCS C1713
Hospital Charge Code	270688997
Hospital Revenue Code	278
Min. Negotiated Rate	$38.31
Max. Negotiated Rate	$674.45
Rate for Payer: Aetna Commercial	$512.58
Rate for Payer: Aetna Medicare Advantage	$404.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$343.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$343.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$269.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$343.97
Rate for Payer: Cigna Commercial	$674.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$326.43
Rate for Payer: Qualcare PPO/HMO/WC	$202.34
Rate for Payer: UnitedHealthcare Community & State	$42.63
Rate for Payer: Wellpoint Medicaid Managed Care	$38.31

SCREW 20 MM 4.5 MM TI

Facility

$1,348.90

Service Code	HCPCS C1713
Hospital Charge Code	270688997
Hospital Revenue Code	278
Min. Negotiated Rate	$202.34
Max. Negotiated Rate	$326.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$269.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$326.43
Rate for Payer: Qualcare PPO/HMO/WC	$202.34

SCREW 2.0MM CORTEX SELF TAP

Facility

$143.25

Hospital Charge Code	270656888
Hospital Revenue Code	278
Min. Negotiated Rate	$21.49
Max. Negotiated Rate	$34.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.67
Rate for Payer: Qualcare PPO/HMO/WC	$21.49

SCREW 2.0MM CORTEX SELF TAP

Facility

$143.25

Hospital Charge Code	270656888
Hospital Revenue Code	278
Min. Negotiated Rate	$4.07
Max. Negotiated Rate	$71.62
Rate for Payer: Aetna Commercial	$54.44
Rate for Payer: Aetna Medicare Advantage	$42.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.53
Rate for Payer: Cigna Commercial	$71.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.67
Rate for Payer: Qualcare PPO/HMO/WC	$21.49
Rate for Payer: UnitedHealthcare Community & State	$4.53
Rate for Payer: Wellpoint Medicaid Managed Care	$4.07

SCREW 2.0MM CORTEX SELF TAP

Facility

$147.55

Service Code	HCPCS C1713
Hospital Charge Code	270656871
Hospital Revenue Code	278
Min. Negotiated Rate	$4.19
Max. Negotiated Rate	$73.78
Rate for Payer: Aetna Commercial	$56.07
Rate for Payer: Aetna Medicare Advantage	$44.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.63
Rate for Payer: Cigna Commercial	$73.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.71
Rate for Payer: Qualcare PPO/HMO/WC	$22.13
Rate for Payer: UnitedHealthcare Community & State	$4.66
Rate for Payer: Wellpoint Medicaid Managed Care	$4.19

Know your out-of-pocket cost for care.

All Charges