Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 2.0mm TITAN CORTEX 22mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603036
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 22mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603036
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 24mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603037
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 24mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603037
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 26mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603038
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 26mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603038
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 28mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603039
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 28mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603039
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 30mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603040
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 30mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603040
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 32mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603041
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 32mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603041
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 34mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603042
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 34mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603042
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 36mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603043
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 36mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603043
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 38mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603044
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 38mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603044
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 20 MM VERSATRIO

Facility

$250.00

Service Code	HCPCS C1713
Hospital Charge Code	270683287
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

SCREW 20 MM VERSATRIO

Facility

$250.00

Service Code	HCPCS C1713
Hospital Charge Code	270683287
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 2.0MM X 12MM

Facility

$1,990.45

Hospital Charge Code	270668724
Hospital Revenue Code	278
Min. Negotiated Rate	$298.57
Max. Negotiated Rate	$481.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$398.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$481.69
Rate for Payer: Qualcare PPO/HMO/WC	$298.57

SCREW 2.0MM X 12MM

Facility

$1,990.45

Hospital Charge Code	270668724
Hospital Revenue Code	278
Min. Negotiated Rate	$56.53
Max. Negotiated Rate	$995.23
Rate for Payer: Aetna Commercial	$756.37
Rate for Payer: Aetna Medicare Advantage	$597.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$507.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$507.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$398.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$507.56
Rate for Payer: Cigna Commercial	$995.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$481.69
Rate for Payer: Qualcare PPO/HMO/WC	$298.57
Rate for Payer: UnitedHealthcare Community & State	$62.90
Rate for Payer: Wellpoint Medicaid Managed Care	$56.53

SCREW 2.0 X 14MM .5 THREAD

Facility

$1,069.75

Service Code	HCPCS C1713
Hospital Charge Code	270701201
Hospital Revenue Code	278
Min. Negotiated Rate	$30.38
Max. Negotiated Rate	$534.88
Rate for Payer: Aetna Commercial	$406.50
Rate for Payer: Aetna Medicare Advantage	$320.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$272.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$272.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$213.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$272.79
Rate for Payer: Cigna Commercial	$534.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$258.88
Rate for Payer: Qualcare PPO/HMO/WC	$160.46
Rate for Payer: UnitedHealthcare Community & State	$33.80
Rate for Payer: Wellpoint Medicaid Managed Care	$30.38

SCREW 2.0 X 14MM .5 THREAD

Facility

$1,069.75

Service Code	HCPCS C1713
Hospital Charge Code	270701201
Hospital Revenue Code	278
Min. Negotiated Rate	$160.46
Max. Negotiated Rate	$258.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$213.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$258.88
Rate for Payer: Qualcare PPO/HMO/WC	$160.46

SCREW 2.0X4MM

Facility

$1,750.00

Hospital Charge Code	270702376
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

Know your out-of-pocket cost for care.

All Charges