Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 2.0MM CORTEX SELF TAP

Facility

$147.55

Service Code	HCPCS C1713
Hospital Charge Code	270656871
Hospital Revenue Code	278
Min. Negotiated Rate	$22.13
Max. Negotiated Rate	$35.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.71
Rate for Payer: Qualcare PPO/HMO/WC	$22.13

SCREW 2.0MM CORTEX SELF TAP

Facility

$143.25

Service Code	HCPCS C1713
Hospital Charge Code	270656873
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	270656881
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

$143.25

Hospital Charge Code	270656881
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

Service Code	HCPCS C1713
Hospital Charge Code	270656873
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 6M

Facility

$143.25

Hospital Charge Code	270656820
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 6M

Facility

$143.25

Hospital Charge Code	270656820
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 9M

Facility

$143.25

Hospital Charge Code	270656869
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 9M

Facility

$143.25

Hospital Charge Code	270656869
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 20MM MPACT DOME

Facility

$250.00

Service Code	HCPCS C1713
Hospital Charge Code	270684310
Hospital Revenue Code	278
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$60.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

SCREW 20MM MPACT DOME

Facility

$250.00

Service Code	HCPCS C1713
Hospital Charge Code	270684310
Hospital Revenue Code	278
Min. Negotiated Rate	$7.10
Max. Negotiated Rate	$125.00
Rate for Payer: Aetna Commercial	$95.00
Rate for Payer: Aetna Medicare Advantage	$75.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.75
Rate for Payer: Cigna Commercial	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50
Rate for Payer: UnitedHealthcare Community & State	$7.90
Rate for Payer: Wellpoint Medicaid Managed Care	$7.10

SCREW2.0MMTICANNCOMPLT30MM

Facility

$2,007.50

Service Code	HCPCS C1713
Hospital Charge Code	270697771
Hospital Revenue Code	278
Min. Negotiated Rate	$301.12
Max. Negotiated Rate	$485.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$401.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$485.81
Rate for Payer: Qualcare PPO/HMO/WC	$301.12

SCREW2.0MMTICANNCOMPLT30MM

Facility

$2,007.50

Service Code	HCPCS C1713
Hospital Charge Code	270697771
Hospital Revenue Code	278
Min. Negotiated Rate	$57.01
Max. Negotiated Rate	$1,003.75
Rate for Payer: Aetna Commercial	$762.85
Rate for Payer: Aetna Medicare Advantage	$602.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$511.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$511.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$401.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$511.91
Rate for Payer: Cigna Commercial	$1,003.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$485.81
Rate for Payer: Qualcare PPO/HMO/WC	$301.12
Rate for Payer: UnitedHealthcare Community & State	$63.44
Rate for Payer: Wellpoint Medicaid Managed Care	$57.01

SCREW 2.0mm TITAN CORTEX 10mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603030
Hospital Revenue Code	278
Min. Negotiated Rate	$3.51
Max. Negotiated Rate	$61.88
Rate for Payer: Aetna Commercial	$47.02
Rate for Payer: Aetna Medicare Advantage	$37.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.56
Rate for Payer: Cigna Commercial	$61.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.95
Rate for Payer: Qualcare PPO/HMO/WC	$18.56
Rate for Payer: UnitedHealthcare Community & State	$3.91
Rate for Payer: Wellpoint Medicaid Managed Care	$3.51

SCREW 2.0mm TITAN CORTEX 10mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603030
Hospital Revenue Code	278
Min. Negotiated Rate	$18.56
Max. Negotiated Rate	$29.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.95
Rate for Payer: Qualcare PPO/HMO/WC	$18.56

SCREW 2.0mm TITAN CORTEX 12mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603031
Hospital Revenue Code	278
Min. Negotiated Rate	$18.56
Max. Negotiated Rate	$29.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.95
Rate for Payer: Qualcare PPO/HMO/WC	$18.56

SCREW 2.0mm TITAN CORTEX 12mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603031
Hospital Revenue Code	278
Min. Negotiated Rate	$3.51
Max. Negotiated Rate	$61.88
Rate for Payer: Aetna Commercial	$47.02
Rate for Payer: Aetna Medicare Advantage	$37.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.56
Rate for Payer: Cigna Commercial	$61.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.95
Rate for Payer: Qualcare PPO/HMO/WC	$18.56
Rate for Payer: UnitedHealthcare Community & State	$3.91
Rate for Payer: Wellpoint Medicaid Managed Care	$3.51

SCREW 2.0mm TITAN CORTEX 14mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603032
Hospital Revenue Code	278
Min. Negotiated Rate	$18.56
Max. Negotiated Rate	$29.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.95
Rate for Payer: Qualcare PPO/HMO/WC	$18.56

SCREW 2.0mm TITAN CORTEX 14mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603032
Hospital Revenue Code	278
Min. Negotiated Rate	$3.51
Max. Negotiated Rate	$61.88
Rate for Payer: Aetna Commercial	$47.02
Rate for Payer: Aetna Medicare Advantage	$37.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.56
Rate for Payer: Cigna Commercial	$61.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.95
Rate for Payer: Qualcare PPO/HMO/WC	$18.56
Rate for Payer: UnitedHealthcare Community & State	$3.91
Rate for Payer: Wellpoint Medicaid Managed Care	$3.51

SCREW 2.0mm TITAN CORTEX 16mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603033
Hospital Revenue Code	278
Min. Negotiated Rate	$3.51
Max. Negotiated Rate	$61.88
Rate for Payer: Aetna Commercial	$47.02
Rate for Payer: Aetna Medicare Advantage	$37.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.56
Rate for Payer: Cigna Commercial	$61.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.95
Rate for Payer: Qualcare PPO/HMO/WC	$18.56
Rate for Payer: UnitedHealthcare Community & State	$3.91
Rate for Payer: Wellpoint Medicaid Managed Care	$3.51

SCREW 2.0mm TITAN CORTEX 16mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603033
Hospital Revenue Code	278
Min. Negotiated Rate	$18.56
Max. Negotiated Rate	$29.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.95
Rate for Payer: Qualcare PPO/HMO/WC	$18.56

SCREW 2.0mm TITAN CORTEX 18mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603034
Hospital Revenue Code	278
Min. Negotiated Rate	$3.51
Max. Negotiated Rate	$61.88
Rate for Payer: Aetna Commercial	$47.02
Rate for Payer: Aetna Medicare Advantage	$37.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.56
Rate for Payer: Cigna Commercial	$61.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.95
Rate for Payer: Qualcare PPO/HMO/WC	$18.56
Rate for Payer: UnitedHealthcare Community & State	$3.91
Rate for Payer: Wellpoint Medicaid Managed Care	$3.51

SCREW 2.0mm TITAN CORTEX 18mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603034
Hospital Revenue Code	278
Min. Negotiated Rate	$18.56
Max. Negotiated Rate	$29.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.95
Rate for Payer: Qualcare PPO/HMO/WC	$18.56

SCREW 2.0mm TITAN CORTEX 20mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603035
Hospital Revenue Code	278
Min. Negotiated Rate	$18.56
Max. Negotiated Rate	$29.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.95
Rate for Payer: Qualcare PPO/HMO/WC	$18.56

SCREW 2.0mm TITAN CORTEX 20mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603035
Hospital Revenue Code	278
Min. Negotiated Rate	$3.51
Max. Negotiated Rate	$61.88
Rate for Payer: Aetna Commercial	$47.02
Rate for Payer: Aetna Medicare Advantage	$37.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.56
Rate for Payer: Cigna Commercial	$61.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.95
Rate for Payer: Qualcare PPO/HMO/WC	$18.56
Rate for Payer: UnitedHealthcare Community & State	$3.91
Rate for Payer: Wellpoint Medicaid Managed Care	$3.51

Know your out-of-pocket cost for care.

All Charges