Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 4.35MM X 45 MM

Facility

$7,678.35

Service Code	HCPCS C1713
Hospital Charge Code	270691005
Hospital Revenue Code	278
Min. Negotiated Rate	$218.07
Max. Negotiated Rate	$3,839.18
Rate for Payer: Aetna Commercial	$2,917.77
Rate for Payer: Aetna Medicare Advantage	$2,303.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,957.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,957.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,535.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,957.98
Rate for Payer: Cigna Commercial	$3,839.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,858.16
Rate for Payer: Qualcare PPO/HMO/WC	$1,151.75
Rate for Payer: UnitedHealthcare Community & State	$242.64
Rate for Payer: Wellpoint Medicaid Managed Care	$218.07

SCREW 4.35 X 40 MM

Facility

$7,693.35

Service Code	HCPCS C1713
Hospital Charge Code	270691004
Hospital Revenue Code	278
Min. Negotiated Rate	$218.49
Max. Negotiated Rate	$3,846.68
Rate for Payer: Aetna Commercial	$2,923.47
Rate for Payer: Aetna Medicare Advantage	$2,308.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,961.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,961.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,538.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,961.80
Rate for Payer: Cigna Commercial	$3,846.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,861.79
Rate for Payer: Qualcare PPO/HMO/WC	$1,154.00
Rate for Payer: UnitedHealthcare Community & State	$243.11
Rate for Payer: Wellpoint Medicaid Managed Care	$218.49

SCREW 4.35 X 40 MM

Facility

$7,693.35

Service Code	HCPCS C1713
Hospital Charge Code	270691004
Hospital Revenue Code	278
Min. Negotiated Rate	$1,154.00
Max. Negotiated Rate	$1,861.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,538.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,861.79
Rate for Payer: Qualcare PPO/HMO/WC	$1,154.00

SCREW 4.5MM CORTEX SEFLTAP24MM

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270655724
Hospital Revenue Code	278
Min. Negotiated Rate	$2.59
Max. Negotiated Rate	$45.58
Rate for Payer: Aetna Commercial	$34.64
Rate for Payer: Aetna Medicare Advantage	$27.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.24
Rate for Payer: Cigna Commercial	$45.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.06
Rate for Payer: Qualcare PPO/HMO/WC	$13.67
Rate for Payer: UnitedHealthcare Community & State	$2.88
Rate for Payer: Wellpoint Medicaid Managed Care	$2.59

SCREW 4.5MM CORTEX SEFLTAP24MM

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270655724
Hospital Revenue Code	278
Min. Negotiated Rate	$13.67
Max. Negotiated Rate	$22.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.06
Rate for Payer: Qualcare PPO/HMO/WC	$13.67

SCREW 4.5MMCORTEX SELFTAP100MM

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655801
Hospital Revenue Code	278
Min. Negotiated Rate	$4.13
Max. Negotiated Rate	$72.62
Rate for Payer: Aetna Commercial	$55.20
Rate for Payer: Aetna Medicare Advantage	$43.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.04
Rate for Payer: Cigna Commercial	$72.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.15
Rate for Payer: Qualcare PPO/HMO/WC	$21.79
Rate for Payer: UnitedHealthcare Community & State	$4.59
Rate for Payer: Wellpoint Medicaid Managed Care	$4.13

SCREW 4.5MMCORTEX SELFTAP100MM

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655801
Hospital Revenue Code	278
Min. Negotiated Rate	$21.79
Max. Negotiated Rate	$35.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.15
Rate for Payer: Qualcare PPO/HMO/WC	$21.79

SCREW 4.5MMCORTEX SELFTAP105MM

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655805
Hospital Revenue Code	278
Min. Negotiated Rate	$21.79
Max. Negotiated Rate	$35.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.15
Rate for Payer: Qualcare PPO/HMO/WC	$21.79

SCREW 4.5MMCORTEX SELFTAP105MM

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655805
Hospital Revenue Code	278
Min. Negotiated Rate	$4.13
Max. Negotiated Rate	$72.62
Rate for Payer: Aetna Commercial	$55.20
Rate for Payer: Aetna Medicare Advantage	$43.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.04
Rate for Payer: Cigna Commercial	$72.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.15
Rate for Payer: Qualcare PPO/HMO/WC	$21.79
Rate for Payer: UnitedHealthcare Community & State	$4.59
Rate for Payer: Wellpoint Medicaid Managed Care	$4.13

SCREW 4.5MMCORTEX SELFTAP110MM

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655807
Hospital Revenue Code	278
Min. Negotiated Rate	$21.79
Max. Negotiated Rate	$35.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.15
Rate for Payer: Qualcare PPO/HMO/WC	$21.79

SCREW 4.5MMCORTEX SELFTAP110MM

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655807
Hospital Revenue Code	278
Min. Negotiated Rate	$4.13
Max. Negotiated Rate	$72.62
Rate for Payer: Aetna Commercial	$55.20
Rate for Payer: Aetna Medicare Advantage	$43.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.04
Rate for Payer: Cigna Commercial	$72.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.15
Rate for Payer: Qualcare PPO/HMO/WC	$21.79
Rate for Payer: UnitedHealthcare Community & State	$4.59
Rate for Payer: Wellpoint Medicaid Managed Care	$4.13

SCREW 4.5MMCORTEX SELFTAP115MM

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655810
Hospital Revenue Code	278
Min. Negotiated Rate	$4.13
Max. Negotiated Rate	$72.62
Rate for Payer: Aetna Commercial	$55.20
Rate for Payer: Aetna Medicare Advantage	$43.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.04
Rate for Payer: Cigna Commercial	$72.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.15
Rate for Payer: Qualcare PPO/HMO/WC	$21.79
Rate for Payer: UnitedHealthcare Community & State	$4.59
Rate for Payer: Wellpoint Medicaid Managed Care	$4.13

SCREW 4.5MMCORTEX SELFTAP115MM

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655810
Hospital Revenue Code	278
Min. Negotiated Rate	$21.79
Max. Negotiated Rate	$35.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.15
Rate for Payer: Qualcare PPO/HMO/WC	$21.79

SCREW 4.5MMCORTEX SELFTAP120MM

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655813
Hospital Revenue Code	278
Min. Negotiated Rate	$4.13
Max. Negotiated Rate	$72.62
Rate for Payer: Aetna Commercial	$55.20
Rate for Payer: Aetna Medicare Advantage	$43.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.04
Rate for Payer: Cigna Commercial	$72.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.15
Rate for Payer: Qualcare PPO/HMO/WC	$21.79
Rate for Payer: UnitedHealthcare Community & State	$4.59
Rate for Payer: Wellpoint Medicaid Managed Care	$4.13

SCREW 4.5MMCORTEX SELFTAP120MM

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655813
Hospital Revenue Code	278
Min. Negotiated Rate	$21.79
Max. Negotiated Rate	$35.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.15
Rate for Payer: Qualcare PPO/HMO/WC	$21.79

SCREW 4.5MMCORTEX SELFTAP125MM

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655815
Hospital Revenue Code	278
Min. Negotiated Rate	$4.13
Max. Negotiated Rate	$72.62
Rate for Payer: Aetna Commercial	$55.20
Rate for Payer: Aetna Medicare Advantage	$43.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.04
Rate for Payer: Cigna Commercial	$72.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.15
Rate for Payer: Qualcare PPO/HMO/WC	$21.79
Rate for Payer: UnitedHealthcare Community & State	$4.59
Rate for Payer: Wellpoint Medicaid Managed Care	$4.13

SCREW 4.5MMCORTEX SELFTAP125MM

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655815
Hospital Revenue Code	278
Min. Negotiated Rate	$21.79
Max. Negotiated Rate	$35.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.15
Rate for Payer: Qualcare PPO/HMO/WC	$21.79

SCREW 4.5MMCORTEX SELFTAP130MM

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655818
Hospital Revenue Code	278
Min. Negotiated Rate	$21.79
Max. Negotiated Rate	$35.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.15
Rate for Payer: Qualcare PPO/HMO/WC	$21.79

SCREW 4.5MMCORTEX SELFTAP130MM

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655818
Hospital Revenue Code	278
Min. Negotiated Rate	$4.13
Max. Negotiated Rate	$72.62
Rate for Payer: Aetna Commercial	$55.20
Rate for Payer: Aetna Medicare Advantage	$43.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.04
Rate for Payer: Cigna Commercial	$72.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.15
Rate for Payer: Qualcare PPO/HMO/WC	$21.79
Rate for Payer: UnitedHealthcare Community & State	$4.59
Rate for Payer: Wellpoint Medicaid Managed Care	$4.13

SCREW 4.5MMCORTEX SELFTAP135MM

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655820
Hospital Revenue Code	278
Min. Negotiated Rate	$4.13
Max. Negotiated Rate	$72.62
Rate for Payer: Aetna Commercial	$55.20
Rate for Payer: Aetna Medicare Advantage	$43.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.04
Rate for Payer: Cigna Commercial	$72.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.15
Rate for Payer: Qualcare PPO/HMO/WC	$21.79
Rate for Payer: UnitedHealthcare Community & State	$4.59
Rate for Payer: Wellpoint Medicaid Managed Care	$4.13

SCREW 4.5MMCORTEX SELFTAP135MM

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655820
Hospital Revenue Code	278
Min. Negotiated Rate	$21.79
Max. Negotiated Rate	$35.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.15
Rate for Payer: Qualcare PPO/HMO/WC	$21.79

SCREW 4.5MMCORTEX SELFTAP140MM

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655824
Hospital Revenue Code	278
Min. Negotiated Rate	$4.13
Max. Negotiated Rate	$72.62
Rate for Payer: Aetna Commercial	$55.20
Rate for Payer: Aetna Medicare Advantage	$43.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.04
Rate for Payer: Cigna Commercial	$72.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.15
Rate for Payer: Qualcare PPO/HMO/WC	$21.79
Rate for Payer: UnitedHealthcare Community & State	$4.59
Rate for Payer: Wellpoint Medicaid Managed Care	$4.13

SCREW 4.5MMCORTEX SELFTAP140MM

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655824
Hospital Revenue Code	278
Min. Negotiated Rate	$21.79
Max. Negotiated Rate	$35.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.15
Rate for Payer: Qualcare PPO/HMO/WC	$21.79

SCREW 4.5MMCORTEX SELFTAP145MM

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655825
Hospital Revenue Code	278
Min. Negotiated Rate	$4.13
Max. Negotiated Rate	$72.62
Rate for Payer: Aetna Commercial	$55.20
Rate for Payer: Aetna Medicare Advantage	$43.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.04
Rate for Payer: Cigna Commercial	$72.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.15
Rate for Payer: Qualcare PPO/HMO/WC	$21.79
Rate for Payer: UnitedHealthcare Community & State	$4.59
Rate for Payer: Wellpoint Medicaid Managed Care	$4.13

SCREW 4.5MMCORTEX SELFTAP145MM

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655825
Hospital Revenue Code	278
Min. Negotiated Rate	$21.79
Max. Negotiated Rate	$35.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.15
Rate for Payer: Qualcare PPO/HMO/WC	$21.79

Know your out-of-pocket cost for care.

All Charges