Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CORT 3.5x46mm SELFTAP

Facility

$90.40

Service Code	HCPCS C1713
Hospital Charge Code	270644815
Hospital Revenue Code	278
Min. Negotiated Rate	$2.57
Max. Negotiated Rate	$45.20
Rate for Payer: Aetna Commercial	$34.35
Rate for Payer: Aetna Medicare Advantage	$27.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.05
Rate for Payer: Cigna Commercial	$45.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.88
Rate for Payer: Qualcare PPO/HMO/WC	$13.56
Rate for Payer: UnitedHealthcare Community & State	$2.86
Rate for Payer: Wellpoint Medicaid Managed Care	$2.57

SCREW CORT 3.5x46mm SELFTAP

Facility

$90.40

Service Code	HCPCS C1713
Hospital Charge Code	270644815
Hospital Revenue Code	278
Min. Negotiated Rate	$13.56
Max. Negotiated Rate	$21.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.88
Rate for Payer: Qualcare PPO/HMO/WC	$13.56

SCREW CORT 3.5x48mm SELFTAP

Facility

$87.75

Service Code	HCPCS C1713
Hospital Charge Code	270669727
Hospital Revenue Code	278
Min. Negotiated Rate	$2.49
Max. Negotiated Rate	$43.88
Rate for Payer: Aetna Commercial	$33.34
Rate for Payer: Aetna Medicare Advantage	$26.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.38
Rate for Payer: Cigna Commercial	$43.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.24
Rate for Payer: Qualcare PPO/HMO/WC	$13.16
Rate for Payer: UnitedHealthcare Community & State	$2.77
Rate for Payer: Wellpoint Medicaid Managed Care	$2.49

SCREW CORT 3.5x48mm SELFTAP

Facility

$87.75

Service Code	HCPCS C1713
Hospital Charge Code	270669727
Hospital Revenue Code	278
Min. Negotiated Rate	$13.16
Max. Negotiated Rate	$21.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.24
Rate for Payer: Qualcare PPO/HMO/WC	$13.16

SCREW CORT 3.5x60mm SELFTAP

Facility

$90.40

Service Code	HCPCS C1713
Hospital Charge Code	270646513
Hospital Revenue Code	278
Min. Negotiated Rate	$13.56
Max. Negotiated Rate	$21.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.88
Rate for Payer: Qualcare PPO/HMO/WC	$13.56

SCREW CORT 3.5x60mm SELFTAP

Facility

$90.40

Service Code	HCPCS C1713
Hospital Charge Code	270646513
Hospital Revenue Code	278
Min. Negotiated Rate	$2.57
Max. Negotiated Rate	$45.20
Rate for Payer: Aetna Commercial	$34.35
Rate for Payer: Aetna Medicare Advantage	$27.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.05
Rate for Payer: Cigna Commercial	$45.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.88
Rate for Payer: Qualcare PPO/HMO/WC	$13.56
Rate for Payer: UnitedHealthcare Community & State	$2.86
Rate for Payer: Wellpoint Medicaid Managed Care	$2.57

SCREW CORT 3.5X65MM SELF TAP

Facility

$235.00

Hospital Charge Code	270670034
Hospital Revenue Code	278
Min. Negotiated Rate	$6.67
Max. Negotiated Rate	$117.50
Rate for Payer: Aetna Commercial	$89.30
Rate for Payer: Aetna Medicare Advantage	$70.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.92
Rate for Payer: Cigna Commercial	$117.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.87
Rate for Payer: Qualcare PPO/HMO/WC	$35.25
Rate for Payer: UnitedHealthcare Community & State	$7.43
Rate for Payer: Wellpoint Medicaid Managed Care	$6.67

SCREW CORT 3.5X65MM SELF TAP

Facility

$235.00

Hospital Charge Code	270670034
Hospital Revenue Code	278
Min. Negotiated Rate	$35.25
Max. Negotiated Rate	$56.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.87
Rate for Payer: Qualcare PPO/HMO/WC	$35.25

SCREW CORT 3.5X68MM

Facility

$260.40

Service Code	HCPCS C1713
Hospital Charge Code	270704454
Hospital Revenue Code	278
Min. Negotiated Rate	$39.06
Max. Negotiated Rate	$63.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$52.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.02
Rate for Payer: Qualcare PPO/HMO/WC	$39.06

SCREW CORT 3.5X68MM

Facility

$260.40

Service Code	HCPCS C1713
Hospital Charge Code	270704454
Hospital Revenue Code	278
Min. Negotiated Rate	$7.40
Max. Negotiated Rate	$130.20
Rate for Payer: Aetna Commercial	$98.95
Rate for Payer: Aetna Medicare Advantage	$78.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$52.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.40
Rate for Payer: Cigna Commercial	$130.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.02
Rate for Payer: Qualcare PPO/HMO/WC	$39.06
Rate for Payer: UnitedHealthcare Community & State	$8.23
Rate for Payer: Wellpoint Medicaid Managed Care	$7.40

SCREW CORT DOUBLE

Facility

$2,700.00

Service Code	HCPCS C1713
Hospital Charge Code	270705498
Hospital Revenue Code	278
Min. Negotiated Rate	$405.00
Max. Negotiated Rate	$653.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$540.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$653.40
Rate for Payer: Qualcare PPO/HMO/WC	$405.00

SCREW CORT DOUBLE

Facility

$2,700.00

Service Code	HCPCS C1713
Hospital Charge Code	270705498
Hospital Revenue Code	278
Min. Negotiated Rate	$76.68
Max. Negotiated Rate	$1,350.00
Rate for Payer: Aetna Commercial	$1,026.00
Rate for Payer: Aetna Medicare Advantage	$810.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$688.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$688.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$540.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$688.50
Rate for Payer: Cigna Commercial	$1,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$653.40
Rate for Payer: Qualcare PPO/HMO/WC	$405.00
Rate for Payer: UnitedHealthcare Community & State	$85.32
Rate for Payer: Wellpoint Medicaid Managed Care	$76.68

SCREW CORTEX 1.3 X 7MM

Facility

$179.20

Service Code	HCPCS C1713
Hospital Charge Code	270681687
Hospital Revenue Code	278
Min. Negotiated Rate	$26.88
Max. Negotiated Rate	$43.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.37
Rate for Payer: Qualcare PPO/HMO/WC	$26.88

SCREW CORTEX 1.3 X 7MM

Facility

$179.20

Service Code	HCPCS C1713
Hospital Charge Code	270681687
Hospital Revenue Code	278
Min. Negotiated Rate	$5.09
Max. Negotiated Rate	$89.60
Rate for Payer: Aetna Commercial	$68.10
Rate for Payer: Aetna Medicare Advantage	$53.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.70
Rate for Payer: Cigna Commercial	$89.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.37
Rate for Payer: Qualcare PPO/HMO/WC	$26.88
Rate for Payer: UnitedHealthcare Community & State	$5.66
Rate for Payer: Wellpoint Medicaid Managed Care	$5.09

SCREW CORTEX 1.5 X 10MM

Facility

$197.35

Service Code	HCPCS C1713
Hospital Charge Code	270666008
Hospital Revenue Code	278
Min. Negotiated Rate	$5.60
Max. Negotiated Rate	$98.67
Rate for Payer: Aetna Commercial	$74.99
Rate for Payer: Aetna Medicare Advantage	$59.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.32
Rate for Payer: Cigna Commercial	$98.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.76
Rate for Payer: Qualcare PPO/HMO/WC	$29.60
Rate for Payer: UnitedHealthcare Community & State	$6.24
Rate for Payer: Wellpoint Medicaid Managed Care	$5.60

SCREW CORTEX 1.5 X 10MM

Facility

$197.35

Service Code	HCPCS C1713
Hospital Charge Code	270666008
Hospital Revenue Code	278
Min. Negotiated Rate	$29.60
Max. Negotiated Rate	$47.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.76
Rate for Payer: Qualcare PPO/HMO/WC	$29.60

SCREW CORTEX 1.5 X 11 MM

Facility

$186.00

Service Code	HCPCS C1713
Hospital Charge Code	270666009
Hospital Revenue Code	278
Min. Negotiated Rate	$27.90
Max. Negotiated Rate	$45.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.01
Rate for Payer: Qualcare PPO/HMO/WC	$27.90

SCREW CORTEX 1.5 X 11 MM

Facility

$186.00

Service Code	HCPCS C1713
Hospital Charge Code	270666009
Hospital Revenue Code	278
Min. Negotiated Rate	$5.28
Max. Negotiated Rate	$93.00
Rate for Payer: Aetna Commercial	$70.68
Rate for Payer: Aetna Medicare Advantage	$55.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.43
Rate for Payer: Cigna Commercial	$93.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.01
Rate for Payer: Qualcare PPO/HMO/WC	$27.90
Rate for Payer: UnitedHealthcare Community & State	$5.88
Rate for Payer: Wellpoint Medicaid Managed Care	$5.28

SCREW CORTEX 1.5 X12MM

Facility

$186.00

Service Code	HCPCS C1713
Hospital Charge Code	270685341
Hospital Revenue Code	278
Min. Negotiated Rate	$5.28
Max. Negotiated Rate	$93.00
Rate for Payer: Aetna Commercial	$70.68
Rate for Payer: Aetna Medicare Advantage	$55.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.43
Rate for Payer: Cigna Commercial	$93.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.01
Rate for Payer: Qualcare PPO/HMO/WC	$27.90
Rate for Payer: UnitedHealthcare Community & State	$5.88
Rate for Payer: Wellpoint Medicaid Managed Care	$5.28

SCREW CORTEX 1.5 X12MM

Facility

$186.00

Service Code	HCPCS C1713
Hospital Charge Code	270685341
Hospital Revenue Code	278
Min. Negotiated Rate	$27.90
Max. Negotiated Rate	$45.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.01
Rate for Payer: Qualcare PPO/HMO/WC	$27.90

SCREW CORTEX 1.5 X12MM

Facility

$186.00

Service Code	HCPCS C1713
Hospital Charge Code	270685256
Hospital Revenue Code	278
Min. Negotiated Rate	$27.90
Max. Negotiated Rate	$45.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.01
Rate for Payer: Qualcare PPO/HMO/WC	$27.90

SCREW CORTEX 1.5 X12MM

Facility

$186.00

Service Code	HCPCS C1713
Hospital Charge Code	270685256
Hospital Revenue Code	278
Min. Negotiated Rate	$5.28
Max. Negotiated Rate	$93.00
Rate for Payer: Aetna Commercial	$70.68
Rate for Payer: Aetna Medicare Advantage	$55.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.43
Rate for Payer: Cigna Commercial	$93.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.01
Rate for Payer: Qualcare PPO/HMO/WC	$27.90
Rate for Payer: UnitedHealthcare Community & State	$5.88
Rate for Payer: Wellpoint Medicaid Managed Care	$5.28

SCREW CORTEX 1.5x14MM

Facility

$123.60

Service Code	HCPCS C1713
Hospital Charge Code	270604166
Hospital Revenue Code	278
Min. Negotiated Rate	$18.54
Max. Negotiated Rate	$29.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.91
Rate for Payer: Qualcare PPO/HMO/WC	$18.54

SCREW CORTEX 1.5x14MM

Facility

$123.60

Service Code	HCPCS C1713
Hospital Charge Code	270604166
Hospital Revenue Code	278
Min. Negotiated Rate	$3.51
Max. Negotiated Rate	$61.80
Rate for Payer: Aetna Commercial	$46.97
Rate for Payer: Aetna Medicare Advantage	$37.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.52
Rate for Payer: Cigna Commercial	$61.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.91
Rate for Payer: Qualcare PPO/HMO/WC	$18.54
Rate for Payer: UnitedHealthcare Community & State	$3.91
Rate for Payer: Wellpoint Medicaid Managed Care	$3.51

SCREW CORTEX 1.5 X 6MM

Facility

$197.35

Service Code	HCPCS C1713
Hospital Charge Code	270681685
Hospital Revenue Code	278
Min. Negotiated Rate	$5.60
Max. Negotiated Rate	$98.67
Rate for Payer: Aetna Commercial	$74.99
Rate for Payer: Aetna Medicare Advantage	$59.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.32
Rate for Payer: Cigna Commercial	$98.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.76
Rate for Payer: Qualcare PPO/HMO/WC	$29.60
Rate for Payer: UnitedHealthcare Community & State	$6.24
Rate for Payer: Wellpoint Medicaid Managed Care	$5.60

Know your out-of-pocket cost for care.

All Charges