Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 2.7 CORTEX SLEF TAPPING

Facility

$135.75

Hospital Charge Code	270656718
Hospital Revenue Code	278
Min. Negotiated Rate	$20.36
Max. Negotiated Rate	$32.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.85
Rate for Payer: Qualcare PPO/HMO/WC	$20.36

SCREW 2.7 CORTEX SLEF TAPPING

Facility

$135.75

Hospital Charge Code	270656718
Hospital Revenue Code	278
Min. Negotiated Rate	$3.86
Max. Negotiated Rate	$67.88
Rate for Payer: Aetna Commercial	$51.59
Rate for Payer: Aetna Medicare Advantage	$40.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.62
Rate for Payer: Cigna Commercial	$67.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.85
Rate for Payer: Qualcare PPO/HMO/WC	$20.36
Rate for Payer: UnitedHealthcare Community & State	$4.29
Rate for Payer: Wellpoint Medicaid Managed Care	$3.86

SCREW 2.7 CORTEX TITANIUM 14MM

Facility

$124.50

Hospital Charge Code	270656717
Hospital Revenue Code	278
Min. Negotiated Rate	$18.68
Max. Negotiated Rate	$30.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.13
Rate for Payer: Qualcare PPO/HMO/WC	$18.68

SCREW 2.7 CORTEX TITANIUM 14MM

Facility

$124.50

Hospital Charge Code	270656717
Hospital Revenue Code	278
Min. Negotiated Rate	$3.54
Max. Negotiated Rate	$62.25
Rate for Payer: Aetna Commercial	$47.31
Rate for Payer: Aetna Medicare Advantage	$37.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.75
Rate for Payer: Cigna Commercial	$62.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.13
Rate for Payer: Qualcare PPO/HMO/WC	$18.68
Rate for Payer: UnitedHealthcare Community & State	$3.93
Rate for Payer: Wellpoint Medicaid Managed Care	$3.54

SCREW 2.7 METAPHYSEAL SLF-TPNG

Facility

$189.00

Service Code	HCPCS C1713
Hospital Charge Code	270660905
Hospital Revenue Code	278
Min. Negotiated Rate	$28.35
Max. Negotiated Rate	$45.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.74
Rate for Payer: Qualcare PPO/HMO/WC	$28.35

SCREW 2.7 METAPHYSEAL SLF-TPNG

Facility

$189.00

Service Code	HCPCS C1713
Hospital Charge Code	270660905
Hospital Revenue Code	278
Min. Negotiated Rate	$5.37
Max. Negotiated Rate	$94.50
Rate for Payer: Aetna Commercial	$71.82
Rate for Payer: Aetna Medicare Advantage	$56.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.20
Rate for Payer: Cigna Commercial	$94.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.74
Rate for Payer: Qualcare PPO/HMO/WC	$28.35
Rate for Payer: UnitedHealthcare Community & State	$5.97
Rate for Payer: Wellpoint Medicaid Managed Care	$5.37

SCREW 2.7 METAPHYSEAL SLF-TPNG

Facility

$200.50

Service Code	HCPCS C1713
Hospital Charge Code	270677649
Hospital Revenue Code	278
Min. Negotiated Rate	$5.69
Max. Negotiated Rate	$100.25
Rate for Payer: Aetna Commercial	$76.19
Rate for Payer: Aetna Medicare Advantage	$60.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.13
Rate for Payer: Cigna Commercial	$100.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.52
Rate for Payer: Qualcare PPO/HMO/WC	$30.07
Rate for Payer: UnitedHealthcare Community & State	$6.34
Rate for Payer: Wellpoint Medicaid Managed Care	$5.69

SCREW 2.7 METAPHYSEAL SLF-TPNG

Facility

$200.50

Service Code	HCPCS C1713
Hospital Charge Code	270677649
Hospital Revenue Code	278
Min. Negotiated Rate	$30.07
Max. Negotiated Rate	$48.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.52
Rate for Payer: Qualcare PPO/HMO/WC	$30.07

SCREW 2.7MM CORTEX SELF TAP

Facility

$135.75

Service Code	HCPCS C1713
Hospital Charge Code	270656900
Hospital Revenue Code	278
Min. Negotiated Rate	$20.36
Max. Negotiated Rate	$32.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.85
Rate for Payer: Qualcare PPO/HMO/WC	$20.36

SCREW 2.7MM CORTEX SELF TAP

Facility

$135.75

Hospital Charge Code	270656890
Hospital Revenue Code	278
Min. Negotiated Rate	$20.36
Max. Negotiated Rate	$32.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.85
Rate for Payer: Qualcare PPO/HMO/WC	$20.36

SCREW 2.7MM CORTEX SELF TAP

Facility

$135.75

Hospital Charge Code	270656890
Hospital Revenue Code	278
Min. Negotiated Rate	$3.86
Max. Negotiated Rate	$67.88
Rate for Payer: Aetna Commercial	$51.59
Rate for Payer: Aetna Medicare Advantage	$40.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.62
Rate for Payer: Cigna Commercial	$67.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.85
Rate for Payer: Qualcare PPO/HMO/WC	$20.36
Rate for Payer: UnitedHealthcare Community & State	$4.29
Rate for Payer: Wellpoint Medicaid Managed Care	$3.86

SCREW 2.7MM CORTEX SELF TAP

Facility

$135.75

Hospital Charge Code	270656892
Hospital Revenue Code	278
Min. Negotiated Rate	$3.86
Max. Negotiated Rate	$67.88
Rate for Payer: Aetna Commercial	$51.59
Rate for Payer: Aetna Medicare Advantage	$40.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.62
Rate for Payer: Cigna Commercial	$67.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.85
Rate for Payer: Qualcare PPO/HMO/WC	$20.36
Rate for Payer: UnitedHealthcare Community & State	$4.29
Rate for Payer: Wellpoint Medicaid Managed Care	$3.86

SCREW 2.7MM CORTEX SELF TAP

Facility

$135.75

Hospital Charge Code	270656894
Hospital Revenue Code	278
Min. Negotiated Rate	$3.86
Max. Negotiated Rate	$67.88
Rate for Payer: Aetna Commercial	$51.59
Rate for Payer: Aetna Medicare Advantage	$40.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.62
Rate for Payer: Cigna Commercial	$67.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.85
Rate for Payer: Qualcare PPO/HMO/WC	$20.36
Rate for Payer: UnitedHealthcare Community & State	$4.29
Rate for Payer: Wellpoint Medicaid Managed Care	$3.86

SCREW 2.7MM CORTEX SELF TAP

Facility

$135.75

Service Code	HCPCS C1713
Hospital Charge Code	270656900
Hospital Revenue Code	278
Min. Negotiated Rate	$3.86
Max. Negotiated Rate	$67.88
Rate for Payer: Aetna Commercial	$51.59
Rate for Payer: Aetna Medicare Advantage	$40.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.62
Rate for Payer: Cigna Commercial	$67.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.85
Rate for Payer: Qualcare PPO/HMO/WC	$20.36
Rate for Payer: UnitedHealthcare Community & State	$4.29
Rate for Payer: Wellpoint Medicaid Managed Care	$3.86

SCREW 2.7MM CORTEX SELF TAP

Facility

$135.75

Hospital Charge Code	270656894
Hospital Revenue Code	278
Min. Negotiated Rate	$20.36
Max. Negotiated Rate	$32.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.85
Rate for Payer: Qualcare PPO/HMO/WC	$20.36

SCREW 2.7MM CORTEX SELF TAP

Facility

$135.75

Hospital Charge Code	270656902
Hospital Revenue Code	278
Min. Negotiated Rate	$20.36
Max. Negotiated Rate	$32.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.85
Rate for Payer: Qualcare PPO/HMO/WC	$20.36

SCREW 2.7MM CORTEX SELF TAP

Facility

$135.75

Hospital Charge Code	270656902
Hospital Revenue Code	278
Min. Negotiated Rate	$3.86
Max. Negotiated Rate	$67.88
Rate for Payer: Aetna Commercial	$51.59
Rate for Payer: Aetna Medicare Advantage	$40.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.62
Rate for Payer: Cigna Commercial	$67.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.85
Rate for Payer: Qualcare PPO/HMO/WC	$20.36
Rate for Payer: UnitedHealthcare Community & State	$4.29
Rate for Payer: Wellpoint Medicaid Managed Care	$3.86

SCREW 2.7MM CORTEX SELF TAP

Facility

$135.75

Hospital Charge Code	270656892
Hospital Revenue Code	278
Min. Negotiated Rate	$20.36
Max. Negotiated Rate	$32.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.85
Rate for Payer: Qualcare PPO/HMO/WC	$20.36

SCREW 2.7 MM CORT FT 18 MM

Facility

$247.50

Service Code	HCPCS C1713
Hospital Charge Code	270684090
Hospital Revenue Code	278
Min. Negotiated Rate	$37.12
Max. Negotiated Rate	$59.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.90
Rate for Payer: Qualcare PPO/HMO/WC	$37.12

SCREW 2.7 MM CORT FT 18 MM

Facility

$247.50

Service Code	HCPCS C1713
Hospital Charge Code	270684090
Hospital Revenue Code	278
Min. Negotiated Rate	$7.03
Max. Negotiated Rate	$123.75
Rate for Payer: Aetna Commercial	$94.05
Rate for Payer: Aetna Medicare Advantage	$74.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.11
Rate for Payer: Cigna Commercial	$123.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.90
Rate for Payer: Qualcare PPO/HMO/WC	$37.12
Rate for Payer: UnitedHealthcare Community & State	$7.82
Rate for Payer: Wellpoint Medicaid Managed Care	$7.03

SCREW 2.7MM LOCKING MDS 12MM

Facility

$1,017.50

Service Code	HCPCS C1713
Hospital Charge Code	270702673
Hospital Revenue Code	278
Min. Negotiated Rate	$28.90
Max. Negotiated Rate	$508.75
Rate for Payer: Aetna Commercial	$386.65
Rate for Payer: Aetna Medicare Advantage	$305.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$259.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$259.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$203.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$259.46
Rate for Payer: Cigna Commercial	$508.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$246.24
Rate for Payer: Qualcare PPO/HMO/WC	$152.62
Rate for Payer: UnitedHealthcare Community & State	$32.15
Rate for Payer: Wellpoint Medicaid Managed Care	$28.90

SCREW 2.7MM LOCKING MDS 12MM

Facility

$1,017.50

Service Code	HCPCS C1713
Hospital Charge Code	270702673
Hospital Revenue Code	278
Min. Negotiated Rate	$152.62
Max. Negotiated Rate	$246.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$203.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$246.24
Rate for Payer: Qualcare PPO/HMO/WC	$152.62

SCREW 2.7MM NON-LOCKING 12MM

Facility

$742.50

Service Code	HCPCS C1713
Hospital Charge Code	270702671
Hospital Revenue Code	278
Min. Negotiated Rate	$111.38
Max. Negotiated Rate	$179.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$148.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$179.69
Rate for Payer: Qualcare PPO/HMO/WC	$111.38

SCREW 2.7MM NON-LOCKING 12MM

Facility

$742.50

Service Code	HCPCS C1713
Hospital Charge Code	270702671
Hospital Revenue Code	278
Min. Negotiated Rate	$21.09
Max. Negotiated Rate	$371.25
Rate for Payer: Aetna Commercial	$282.15
Rate for Payer: Aetna Medicare Advantage	$222.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$189.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$189.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$148.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$189.34
Rate for Payer: Cigna Commercial	$371.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$179.69
Rate for Payer: Qualcare PPO/HMO/WC	$111.38
Rate for Payer: UnitedHealthcare Community & State	$23.46
Rate for Payer: Wellpoint Medicaid Managed Care	$21.09

SCREW 2.7MM NON-LOCKING 20MM

Facility

$742.50

Service Code	HCPCS C1713
Hospital Charge Code	270702672
Hospital Revenue Code	278
Min. Negotiated Rate	$111.38
Max. Negotiated Rate	$179.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$148.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$179.69
Rate for Payer: Qualcare PPO/HMO/WC	$111.38

Know your out-of-pocket cost for care.

All Charges