Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CORTEX 3.5x14mm

Facility

$64.90

Service Code	HCPCS C1713
Hospital Charge Code	270604204
Hospital Revenue Code	278
Min. Negotiated Rate	$9.73
Max. Negotiated Rate	$15.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.71
Rate for Payer: Qualcare PPO/HMO/WC	$9.73

SCREW CORTEX 3.5x14mm

Facility

$64.90

Service Code	HCPCS C1713
Hospital Charge Code	270604204
Hospital Revenue Code	278
Min. Negotiated Rate	$1.84
Max. Negotiated Rate	$32.45
Rate for Payer: Aetna Commercial	$24.66
Rate for Payer: Aetna Medicare Advantage	$19.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.55
Rate for Payer: Cigna Commercial	$32.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.71
Rate for Payer: Qualcare PPO/HMO/WC	$9.73
Rate for Payer: UnitedHealthcare Community & State	$2.05
Rate for Payer: Wellpoint Medicaid Managed Care	$1.84

SCREW CORTEX 3.5x16mm

Facility

$64.90

Service Code	HCPCS C1713
Hospital Charge Code	270604205
Hospital Revenue Code	278
Min. Negotiated Rate	$9.73
Max. Negotiated Rate	$15.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.71
Rate for Payer: Qualcare PPO/HMO/WC	$9.73

SCREW CORTEX 3.5x16mm

Facility

$64.90

Service Code	HCPCS C1713
Hospital Charge Code	270604205
Hospital Revenue Code	278
Min. Negotiated Rate	$1.84
Max. Negotiated Rate	$32.45
Rate for Payer: Aetna Commercial	$24.66
Rate for Payer: Aetna Medicare Advantage	$19.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.55
Rate for Payer: Cigna Commercial	$32.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.71
Rate for Payer: Qualcare PPO/HMO/WC	$9.73
Rate for Payer: UnitedHealthcare Community & State	$2.05
Rate for Payer: Wellpoint Medicaid Managed Care	$1.84

SCREW CORTEX 3.5x18mm

Facility

$64.90

Service Code	HCPCS C1713
Hospital Charge Code	270604206
Hospital Revenue Code	278
Min. Negotiated Rate	$9.73
Max. Negotiated Rate	$15.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.71
Rate for Payer: Qualcare PPO/HMO/WC	$9.73

SCREW CORTEX 3.5x18mm

Facility

$64.90

Service Code	HCPCS C1713
Hospital Charge Code	270604206
Hospital Revenue Code	278
Min. Negotiated Rate	$1.84
Max. Negotiated Rate	$32.45
Rate for Payer: Aetna Commercial	$24.66
Rate for Payer: Aetna Medicare Advantage	$19.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.55
Rate for Payer: Cigna Commercial	$32.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.71
Rate for Payer: Qualcare PPO/HMO/WC	$9.73
Rate for Payer: UnitedHealthcare Community & State	$2.05
Rate for Payer: Wellpoint Medicaid Managed Care	$1.84

SCREW CORTEX 3.5X18MM LOW

Facility

$157.55

Service Code	HCPCS C1713
Hospital Charge Code	270663832
Hospital Revenue Code	278
Min. Negotiated Rate	$23.63
Max. Negotiated Rate	$38.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.13
Rate for Payer: Qualcare PPO/HMO/WC	$23.63

SCREW CORTEX 3.5X18MM LOW

Facility

$157.55

Service Code	HCPCS C1713
Hospital Charge Code	270663832
Hospital Revenue Code	278
Min. Negotiated Rate	$4.47
Max. Negotiated Rate	$78.78
Rate for Payer: Aetna Commercial	$59.87
Rate for Payer: Aetna Medicare Advantage	$47.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.18
Rate for Payer: Cigna Commercial	$78.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.13
Rate for Payer: Qualcare PPO/HMO/WC	$23.63
Rate for Payer: UnitedHealthcare Community & State	$4.98
Rate for Payer: Wellpoint Medicaid Managed Care	$4.47

SCREW CORTEX 3.5x20mm

Facility

$64.90

Service Code	HCPCS C1713
Hospital Charge Code	270604207
Hospital Revenue Code	278
Min. Negotiated Rate	$1.84
Max. Negotiated Rate	$32.45
Rate for Payer: Aetna Commercial	$24.66
Rate for Payer: Aetna Medicare Advantage	$19.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.55
Rate for Payer: Cigna Commercial	$32.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.71
Rate for Payer: Qualcare PPO/HMO/WC	$9.73
Rate for Payer: UnitedHealthcare Community & State	$2.05
Rate for Payer: Wellpoint Medicaid Managed Care	$1.84

SCREW CORTEX 3.5x20mm

Facility

$64.90

Service Code	HCPCS C1713
Hospital Charge Code	270604207
Hospital Revenue Code	278
Min. Negotiated Rate	$9.73
Max. Negotiated Rate	$15.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.71
Rate for Payer: Qualcare PPO/HMO/WC	$9.73

SCREW CORTEX 3.5X20MM LOW

Facility

$157.55

Service Code	HCPCS C1713
Hospital Charge Code	270663831
Hospital Revenue Code	278
Min. Negotiated Rate	$4.47
Max. Negotiated Rate	$78.78
Rate for Payer: Aetna Commercial	$59.87
Rate for Payer: Aetna Medicare Advantage	$47.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.18
Rate for Payer: Cigna Commercial	$78.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.13
Rate for Payer: Qualcare PPO/HMO/WC	$23.63
Rate for Payer: UnitedHealthcare Community & State	$4.98
Rate for Payer: Wellpoint Medicaid Managed Care	$4.47

SCREW CORTEX 3.5X20MM LOW

Facility

$157.55

Service Code	HCPCS C1713
Hospital Charge Code	270663831
Hospital Revenue Code	278
Min. Negotiated Rate	$23.63
Max. Negotiated Rate	$38.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.13
Rate for Payer: Qualcare PPO/HMO/WC	$23.63

SCREW CORTEX 3.5x22MM

Facility

$148.20

Hospital Charge Code	270675646
Hospital Revenue Code	278
Min. Negotiated Rate	$22.23
Max. Negotiated Rate	$35.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.86
Rate for Payer: Qualcare PPO/HMO/WC	$22.23

SCREW CORTEX 3.5x22MM

Facility

$148.20

Hospital Charge Code	270675646
Hospital Revenue Code	278
Min. Negotiated Rate	$4.21
Max. Negotiated Rate	$74.10
Rate for Payer: Aetna Commercial	$56.32
Rate for Payer: Aetna Medicare Advantage	$44.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.79
Rate for Payer: Cigna Commercial	$74.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.86
Rate for Payer: Qualcare PPO/HMO/WC	$22.23
Rate for Payer: UnitedHealthcare Community & State	$4.68
Rate for Payer: Wellpoint Medicaid Managed Care	$4.21

SCREW CORTEX 3.5 X24

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270675956
Hospital Revenue Code	278
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Community & State	$23.70
Rate for Payer: Wellpoint Medicaid Managed Care	$21.30

SCREW CORTEX 3.5 X24

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270675956
Hospital Revenue Code	278
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$181.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

SCREW CORTEX 3.5x24mm

Facility

$64.90

Service Code	HCPCS C1713
Hospital Charge Code	270604209
Hospital Revenue Code	278
Min. Negotiated Rate	$1.84
Max. Negotiated Rate	$32.45
Rate for Payer: Aetna Commercial	$24.66
Rate for Payer: Aetna Medicare Advantage	$19.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.55
Rate for Payer: Cigna Commercial	$32.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.71
Rate for Payer: Qualcare PPO/HMO/WC	$9.73
Rate for Payer: UnitedHealthcare Community & State	$2.05
Rate for Payer: Wellpoint Medicaid Managed Care	$1.84

SCREW CORTEX 3.5x24mm

Facility

$64.90

Service Code	HCPCS C1713
Hospital Charge Code	270604209
Hospital Revenue Code	278
Min. Negotiated Rate	$9.73
Max. Negotiated Rate	$15.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.71
Rate for Payer: Qualcare PPO/HMO/WC	$9.73

SCREW CORTEX 3.5x26MM

Facility

$148.20

Service Code	HCPCS C1713
Hospital Charge Code	270675645
Hospital Revenue Code	278
Min. Negotiated Rate	$22.23
Max. Negotiated Rate	$35.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.86
Rate for Payer: Qualcare PPO/HMO/WC	$22.23

SCREW CORTEX 3.5x26MM

Facility

$148.20

Service Code	HCPCS C1713
Hospital Charge Code	270675645
Hospital Revenue Code	278
Min. Negotiated Rate	$4.21
Max. Negotiated Rate	$74.10
Rate for Payer: Aetna Commercial	$56.32
Rate for Payer: Aetna Medicare Advantage	$44.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.79
Rate for Payer: Cigna Commercial	$74.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.86
Rate for Payer: Qualcare PPO/HMO/WC	$22.23
Rate for Payer: UnitedHealthcare Community & State	$4.68
Rate for Payer: Wellpoint Medicaid Managed Care	$4.21

SCREW CORTEX 3.5x28MM

Facility

$148.20

Service Code	HCPCS C1713
Hospital Charge Code	270674959
Hospital Revenue Code	278
Min. Negotiated Rate	$4.21
Max. Negotiated Rate	$74.10
Rate for Payer: Aetna Commercial	$56.32
Rate for Payer: Aetna Medicare Advantage	$44.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.79
Rate for Payer: Cigna Commercial	$74.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.86
Rate for Payer: Qualcare PPO/HMO/WC	$22.23
Rate for Payer: UnitedHealthcare Community & State	$4.68
Rate for Payer: Wellpoint Medicaid Managed Care	$4.21

SCREW CORTEX 3.5x28MM

Facility

$148.20

Service Code	HCPCS C1713
Hospital Charge Code	270674959
Hospital Revenue Code	278
Min. Negotiated Rate	$22.23
Max. Negotiated Rate	$35.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.86
Rate for Payer: Qualcare PPO/HMO/WC	$22.23

SCREW CORTEX 3.5x30MM

Facility

$148.20

Service Code	HCPCS C1713
Hospital Charge Code	270674958
Hospital Revenue Code	278
Min. Negotiated Rate	$22.23
Max. Negotiated Rate	$35.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.86
Rate for Payer: Qualcare PPO/HMO/WC	$22.23

SCREW CORTEX 3.5x30MM

Facility

$148.20

Service Code	HCPCS C1713
Hospital Charge Code	270674958
Hospital Revenue Code	278
Min. Negotiated Rate	$4.21
Max. Negotiated Rate	$74.10
Rate for Payer: Aetna Commercial	$56.32
Rate for Payer: Aetna Medicare Advantage	$44.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.79
Rate for Payer: Cigna Commercial	$74.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.86
Rate for Payer: Qualcare PPO/HMO/WC	$22.23
Rate for Payer: UnitedHealthcare Community & State	$4.68
Rate for Payer: Wellpoint Medicaid Managed Care	$4.21

SCREW CORTEX 3.5X32MM

Facility

$267.65

Service Code	HCPCS C1713
Hospital Charge Code	270705011
Hospital Revenue Code	278
Min. Negotiated Rate	$40.15
Max. Negotiated Rate	$64.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$53.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.77
Rate for Payer: Qualcare PPO/HMO/WC	$40.15

Know your out-of-pocket cost for care.

All Charges