Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CORTEX 1.5 X 6MM

Facility

$197.35

Service Code	HCPCS C1713
Hospital Charge Code	270681685
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 7 MM

Facility

$197.35

Service Code	HCPCS C1713
Hospital Charge Code	270686490
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 7 MM

Facility

$197.35

Service Code	HCPCS C1713
Hospital Charge Code	270686490
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 8 MM

Facility

$197.35

Service Code	HCPCS C1713
Hospital Charge Code	270681684
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 8 MM

Facility

$197.35

Service Code	HCPCS C1713
Hospital Charge Code	270681684
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 9 MM

Facility

$197.35

Service Code	HCPCS C1713
Hospital Charge Code	270666007
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 9 MM

Facility

$197.35

Service Code	HCPCS C1713
Hospital Charge Code	270666007
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 1.5x9MM

Facility

$123.60

Service Code	HCPCS C1713
Hospital Charge Code	270604162
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 1.5x9MM

Facility

$123.60

Service Code	HCPCS C1713
Hospital Charge Code	270604162
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 2.0/16MM SELF TAP

Facility

$147.55

Service Code	HCPCS C1713
Hospital Charge Code	270652392
Hospital Revenue Code	278
Min. Negotiated Rate	$22.13
Max. Negotiated Rate	$35.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.71
Rate for Payer: Qualcare PPO/HMO/WC	$22.13

SCREW CORTEX 2.0/16MM SELF TAP

Facility

$147.55

Service Code	HCPCS C1713
Hospital Charge Code	270652392
Hospital Revenue Code	278
Min. Negotiated Rate	$4.19
Max. Negotiated Rate	$73.78
Rate for Payer: Aetna Commercial	$56.07
Rate for Payer: Aetna Medicare Advantage	$44.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.63
Rate for Payer: Cigna Commercial	$73.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.71
Rate for Payer: Qualcare PPO/HMO/WC	$22.13
Rate for Payer: UnitedHealthcare Community & State	$4.66
Rate for Payer: Wellpoint Medicaid Managed Care	$4.19

SCREW CORTEX 2.0mm TI SLF TAP

Facility

$155.15

Service Code	HCPCS C1713
Hospital Charge Code	270682915
Hospital Revenue Code	278
Min. Negotiated Rate	$23.27
Max. Negotiated Rate	$37.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.55
Rate for Payer: Qualcare PPO/HMO/WC	$23.27

SCREW CORTEX 2.0mm TI SLF TAP

Facility

$155.15

Service Code	HCPCS C1713
Hospital Charge Code	270682915
Hospital Revenue Code	278
Min. Negotiated Rate	$4.41
Max. Negotiated Rate	$77.58
Rate for Payer: Aetna Commercial	$58.96
Rate for Payer: Aetna Medicare Advantage	$46.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.56
Rate for Payer: Cigna Commercial	$77.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.55
Rate for Payer: Qualcare PPO/HMO/WC	$23.27
Rate for Payer: UnitedHealthcare Community & State	$4.90
Rate for Payer: Wellpoint Medicaid Managed Care	$4.41

SCREW CORTEX 2.0mm TI SLF TAP

Facility

$155.15

Service Code	HCPCS C1713
Hospital Charge Code	270682916
Hospital Revenue Code	278
Min. Negotiated Rate	$23.27
Max. Negotiated Rate	$37.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.55
Rate for Payer: Qualcare PPO/HMO/WC	$23.27

SCREW CORTEX 2.0mm TI SLF TAP

Facility

$155.15

Service Code	HCPCS C1713
Hospital Charge Code	270682916
Hospital Revenue Code	278
Min. Negotiated Rate	$4.41
Max. Negotiated Rate	$77.58
Rate for Payer: Aetna Commercial	$58.96
Rate for Payer: Aetna Medicare Advantage	$46.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.56
Rate for Payer: Cigna Commercial	$77.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.55
Rate for Payer: Qualcare PPO/HMO/WC	$23.27
Rate for Payer: UnitedHealthcare Community & State	$4.90
Rate for Payer: Wellpoint Medicaid Managed Care	$4.41

SCREW CORTEX 2.0MMX11MM

Facility

$222.50

Service Code	HCPCS C1713
Hospital Charge Code	270656837
Hospital Revenue Code	278
Min. Negotiated Rate	$6.32
Max. Negotiated Rate	$111.25
Rate for Payer: Aetna Commercial	$84.55
Rate for Payer: Aetna Medicare Advantage	$66.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.74
Rate for Payer: Cigna Commercial	$111.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.84
Rate for Payer: Qualcare PPO/HMO/WC	$33.38
Rate for Payer: UnitedHealthcare Community & State	$7.03
Rate for Payer: Wellpoint Medicaid Managed Care	$6.32

SCREW CORTEX 2.0MMX11MM

Facility

$222.50

Service Code	HCPCS C1713
Hospital Charge Code	270656837
Hospital Revenue Code	278
Min. Negotiated Rate	$33.38
Max. Negotiated Rate	$53.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.84
Rate for Payer: Qualcare PPO/HMO/WC	$33.38

SCREW CORTEX 2.0x10MM

Facility

$122.05

Service Code	HCPCS C1713
Hospital Charge Code	270669984
Hospital Revenue Code	278
Min. Negotiated Rate	$3.47
Max. Negotiated Rate	$61.02
Rate for Payer: Aetna Commercial	$46.38
Rate for Payer: Aetna Medicare Advantage	$36.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.12
Rate for Payer: Cigna Commercial	$61.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.54
Rate for Payer: Qualcare PPO/HMO/WC	$18.31
Rate for Payer: UnitedHealthcare Community & State	$3.86
Rate for Payer: Wellpoint Medicaid Managed Care	$3.47

SCREW CORTEX 2.0x10MM

Facility

$122.05

Service Code	HCPCS C1713
Hospital Charge Code	270669984
Hospital Revenue Code	278
Min. Negotiated Rate	$18.31
Max. Negotiated Rate	$29.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.54
Rate for Payer: Qualcare PPO/HMO/WC	$18.31

SCREW CORTEX 2.0x12mm

Facility

$122.05

Service Code	HCPCS C1713
Hospital Charge Code	270604173
Hospital Revenue Code	278
Min. Negotiated Rate	$3.47
Max. Negotiated Rate	$61.02
Rate for Payer: Aetna Commercial	$46.38
Rate for Payer: Aetna Medicare Advantage	$36.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.12
Rate for Payer: Cigna Commercial	$61.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.54
Rate for Payer: Qualcare PPO/HMO/WC	$18.31
Rate for Payer: UnitedHealthcare Community & State	$3.86
Rate for Payer: Wellpoint Medicaid Managed Care	$3.47

SCREW CORTEX 2.0x12mm

Facility

$122.05

Service Code	HCPCS C1713
Hospital Charge Code	270604173
Hospital Revenue Code	278
Min. Negotiated Rate	$18.31
Max. Negotiated Rate	$29.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.54
Rate for Payer: Qualcare PPO/HMO/WC	$18.31

SCREW CORTEX 2.0x12MM

Facility

$147.55

Service Code	HCPCS C1713
Hospital Charge Code	270656877
Hospital Revenue Code	278
Min. Negotiated Rate	$4.19
Max. Negotiated Rate	$73.78
Rate for Payer: Aetna Commercial	$56.07
Rate for Payer: Aetna Medicare Advantage	$44.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.63
Rate for Payer: Cigna Commercial	$73.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.71
Rate for Payer: Qualcare PPO/HMO/WC	$22.13
Rate for Payer: UnitedHealthcare Community & State	$4.66
Rate for Payer: Wellpoint Medicaid Managed Care	$4.19

SCREW CORTEX 2.0x12MM

Facility

$147.55

Service Code	HCPCS C1713
Hospital Charge Code	270656877
Hospital Revenue Code	278
Min. Negotiated Rate	$22.13
Max. Negotiated Rate	$35.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.71
Rate for Payer: Qualcare PPO/HMO/WC	$22.13

SCREW CORTEX 2.0x14MM

Facility

$122.05

Service Code	HCPCS C1713
Hospital Charge Code	270604174
Hospital Revenue Code	278
Min. Negotiated Rate	$18.31
Max. Negotiated Rate	$29.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.54
Rate for Payer: Qualcare PPO/HMO/WC	$18.31

SCREW CORTEX 2.0x14MM

Facility

$122.05

Service Code	HCPCS C1713
Hospital Charge Code	270604174
Hospital Revenue Code	278
Min. Negotiated Rate	$3.47
Max. Negotiated Rate	$61.02
Rate for Payer: Aetna Commercial	$46.38
Rate for Payer: Aetna Medicare Advantage	$36.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.12
Rate for Payer: Cigna Commercial	$61.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.54
Rate for Payer: Qualcare PPO/HMO/WC	$18.31
Rate for Payer: UnitedHealthcare Community & State	$3.86
Rate for Payer: Wellpoint Medicaid Managed Care	$3.47

Know your out-of-pocket cost for care.

All Charges