Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 4.5MM CORTEX SELFTAP66MM

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270655778
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 SELFTAP66MM

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270655778
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 4.5MM CORTEX SELFTAP68MM

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270655780
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 SELFTAP68MM

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270655780
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 4.5MM CORTEX SELFTAP70MM

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270655782
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 4.5MM CORTEX SELFTAP70MM

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270655782
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 SELFTAP72MM

Facility

$88.50

Service Code	HCPCS C1713
Hospital Charge Code	270655786
Hospital Revenue Code	278
Min. Negotiated Rate	$13.28
Max. Negotiated Rate	$21.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.42
Rate for Payer: Qualcare PPO/HMO/WC	$13.28

SCREW 4.5MM CORTEX SELFTAP72MM

Facility

$88.50

Service Code	HCPCS C1713
Hospital Charge Code	270655786
Hospital Revenue Code	278
Min. Negotiated Rate	$2.51
Max. Negotiated Rate	$44.25
Rate for Payer: Aetna Commercial	$33.63
Rate for Payer: Aetna Medicare Advantage	$26.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.57
Rate for Payer: Cigna Commercial	$44.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.42
Rate for Payer: Qualcare PPO/HMO/WC	$13.28
Rate for Payer: UnitedHealthcare Community & State	$2.80
Rate for Payer: Wellpoint Medicaid Managed Care	$2.51

SCREW 4.5MM CORTEX SELFTAP80MM

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655791
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 4.5MM CORTEX SELFTAP80MM

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655791
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 4.5MM CORTEX SELFTAP85MM

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655792
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 4.5MM CORTEX SELFTAP85MM

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655792
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 4.5MM CORTEX SELFTAP90MM

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655794
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 4.5MM CORTEX SELFTAP90MM

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655794
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 4.5MM CORTEX SELFTAP95MM

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655798
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 4.5MM CORTEX SELFTAP95MM

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655798
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 4.5MM CORTEX SELFTTAP76M

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655788
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 4.5MM CORTEX SELFTTAP76M

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655788
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 4.5MM CORTEX TI 26MM

Facility

$270.30

Service Code	HCPCS C1713
Hospital Charge Code	270693024
Hospital Revenue Code	278
Min. Negotiated Rate	$40.55
Max. Negotiated Rate	$65.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.41
Rate for Payer: Qualcare PPO/HMO/WC	$40.55

SCREW 4.5MM CORTEX TI 26MM

Facility

$270.30

Service Code	HCPCS C1713
Hospital Charge Code	270693024
Hospital Revenue Code	278
Min. Negotiated Rate	$7.68
Max. Negotiated Rate	$135.15
Rate for Payer: Aetna Commercial	$102.71
Rate for Payer: Aetna Medicare Advantage	$81.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.93
Rate for Payer: Cigna Commercial	$135.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.41
Rate for Payer: Qualcare PPO/HMO/WC	$40.55
Rate for Payer: UnitedHealthcare Community & State	$8.54
Rate for Payer: Wellpoint Medicaid Managed Care	$7.68

SCREW 4.5MM CORTEX TI 32MM

Facility

$270.30

Service Code	HCPCS C1713
Hospital Charge Code	270693025
Hospital Revenue Code	278
Min. Negotiated Rate	$7.68
Max. Negotiated Rate	$135.15
Rate for Payer: Aetna Commercial	$102.71
Rate for Payer: Aetna Medicare Advantage	$81.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.93
Rate for Payer: Cigna Commercial	$135.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.41
Rate for Payer: Qualcare PPO/HMO/WC	$40.55
Rate for Payer: UnitedHealthcare Community & State	$8.54
Rate for Payer: Wellpoint Medicaid Managed Care	$7.68

SCREW 4.5MM CORTEX TI 32MM

Facility

$270.30

Service Code	HCPCS C1713
Hospital Charge Code	270693025
Hospital Revenue Code	278
Min. Negotiated Rate	$40.55
Max. Negotiated Rate	$65.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.41
Rate for Payer: Qualcare PPO/HMO/WC	$40.55

SCREW 4.5MM CORTEX TI 34MM

Facility

$270.30

Service Code	HCPCS C1713
Hospital Charge Code	270693026
Hospital Revenue Code	278
Min. Negotiated Rate	$7.68
Max. Negotiated Rate	$135.15
Rate for Payer: Aetna Commercial	$102.71
Rate for Payer: Aetna Medicare Advantage	$81.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.93
Rate for Payer: Cigna Commercial	$135.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.41
Rate for Payer: Qualcare PPO/HMO/WC	$40.55
Rate for Payer: UnitedHealthcare Community & State	$8.54
Rate for Payer: Wellpoint Medicaid Managed Care	$7.68

SCREW 4.5MM CORTEX TI 34MM

Facility

$270.30

Service Code	HCPCS C1713
Hospital Charge Code	270693026
Hospital Revenue Code	278
Min. Negotiated Rate	$40.55
Max. Negotiated Rate	$65.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.41
Rate for Payer: Qualcare PPO/HMO/WC	$40.55

SCREW 4.5MM CORTEX TI 38MM

Facility

$270.30

Service Code	HCPCS C1713
Hospital Charge Code	270693027
Hospital Revenue Code	278
Min. Negotiated Rate	$7.68
Max. Negotiated Rate	$135.15
Rate for Payer: Aetna Commercial	$102.71
Rate for Payer: Aetna Medicare Advantage	$81.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.93
Rate for Payer: Cigna Commercial	$135.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.41
Rate for Payer: Qualcare PPO/HMO/WC	$40.55
Rate for Payer: UnitedHealthcare Community & State	$8.54
Rate for Payer: Wellpoint Medicaid Managed Care	$7.68

Know your out-of-pocket cost for care.

All Charges