Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CORTEX 3.5X32MM

Facility

$267.65

Service Code	HCPCS C1713
Hospital Charge Code	270705011
Hospital Revenue Code	278
Min. Negotiated Rate	$7.60
Max. Negotiated Rate	$133.82
Rate for Payer: Aetna Commercial	$101.71
Rate for Payer: Aetna Medicare Advantage	$80.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$53.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.25
Rate for Payer: Cigna Commercial	$133.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.77
Rate for Payer: Qualcare PPO/HMO/WC	$40.15
Rate for Payer: UnitedHealthcare Community & State	$8.46
Rate for Payer: Wellpoint Medicaid Managed Care	$7.60

SCREW CORTEX 3.5 X34

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270681336
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$72.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

SCREW CORTEX 3.5 X34

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270681336
Hospital Revenue Code	278
Min. Negotiated Rate	$8.52
Max. Negotiated Rate	$150.00
Rate for Payer: Aetna Commercial	$114.00
Rate for Payer: Aetna Medicare Advantage	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$45.00
Rate for Payer: UnitedHealthcare Community & State	$9.48
Rate for Payer: Wellpoint Medicaid Managed Care	$8.52

SCREW CORTEX 3.5 X36

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270681338
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$72.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

SCREW CORTEX 3.5 X36

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270681338
Hospital Revenue Code	278
Min. Negotiated Rate	$8.52
Max. Negotiated Rate	$150.00
Rate for Payer: Aetna Commercial	$114.00
Rate for Payer: Aetna Medicare Advantage	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$45.00
Rate for Payer: UnitedHealthcare Community & State	$9.48
Rate for Payer: Wellpoint Medicaid Managed Care	$8.52

SCREW CORTEX 3.5x36MM

Facility

$64.90

Service Code	HCPCS C1713
Hospital Charge Code	270604215
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 3.5x36MM

Facility

$64.90

Service Code	HCPCS C1713
Hospital Charge Code	270604215
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 3.5 X 38 MM

Facility

$148.50

Hospital Charge Code	270668003
Hospital Revenue Code	278
Min. Negotiated Rate	$4.22
Max. Negotiated Rate	$74.25
Rate for Payer: Aetna Commercial	$56.43
Rate for Payer: Aetna Medicare Advantage	$44.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.87
Rate for Payer: Cigna Commercial	$74.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.94
Rate for Payer: Qualcare PPO/HMO/WC	$22.27
Rate for Payer: UnitedHealthcare Community & State	$4.69
Rate for Payer: Wellpoint Medicaid Managed Care	$4.22

SCREW CORTEX 3.5 X 38 MM

Facility

$148.50

Hospital Charge Code	270668003
Hospital Revenue Code	278
Min. Negotiated Rate	$22.27
Max. Negotiated Rate	$35.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.94
Rate for Payer: Qualcare PPO/HMO/WC	$22.27

SCREW CORTEX 3.5x40mm

Facility

$148.50

Service Code	HCPCS C1713
Hospital Charge Code	270672091
Hospital Revenue Code	278
Min. Negotiated Rate	$22.27
Max. Negotiated Rate	$35.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.94
Rate for Payer: Qualcare PPO/HMO/WC	$22.27

SCREW CORTEX 3.5x40mm

Facility

$148.50

Service Code	HCPCS C1713
Hospital Charge Code	270672091
Hospital Revenue Code	278
Min. Negotiated Rate	$4.22
Max. Negotiated Rate	$74.25
Rate for Payer: Aetna Commercial	$56.43
Rate for Payer: Aetna Medicare Advantage	$44.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.87
Rate for Payer: Cigna Commercial	$74.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.94
Rate for Payer: Qualcare PPO/HMO/WC	$22.27
Rate for Payer: UnitedHealthcare Community & State	$4.69
Rate for Payer: Wellpoint Medicaid Managed Care	$4.22

SCREW CORTEX 3.5x40MM

Facility

$148.20

Service Code	HCPCS C1713
Hospital Charge Code	270674956
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 3.5x40MM

Facility

$148.20

Service Code	HCPCS C1713
Hospital Charge Code	270674956
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 3.5 X 44

Facility

$425.00

Service Code	HCPCS C1713
Hospital Charge Code	270681375
Hospital Revenue Code	278
Min. Negotiated Rate	$12.07
Max. Negotiated Rate	$212.50
Rate for Payer: Aetna Commercial	$161.50
Rate for Payer: Aetna Medicare Advantage	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$85.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$108.38
Rate for Payer: Cigna Commercial	$212.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.85
Rate for Payer: Qualcare PPO/HMO/WC	$63.75
Rate for Payer: UnitedHealthcare Community & State	$13.43
Rate for Payer: Wellpoint Medicaid Managed Care	$12.07

SCREW CORTEX 3.5 X 44

Facility

$425.00

Service Code	HCPCS C1713
Hospital Charge Code	270681375
Hospital Revenue Code	278
Min. Negotiated Rate	$63.75
Max. Negotiated Rate	$102.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$85.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.85
Rate for Payer: Qualcare PPO/HMO/WC	$63.75

SCREW CORTEX 3.5x60MM

Facility

$148.20

Service Code	HCPCS C1713
Hospital Charge Code	270674957
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 3.5x60MM

Facility

$148.20

Service Code	HCPCS C1713
Hospital Charge Code	270674957
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 3.5X70MM

Facility

$235.00

Hospital Charge Code	270669928
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 CORTEX 3.5X70MM

Facility

$235.00

Hospital Charge Code	270669928
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 CORTEX 3.5X70MM

Facility

$627.90

Service Code	HCPCS C1713
Hospital Charge Code	270704636
Hospital Revenue Code	360
Min. Negotiated Rate	$94.19
Max. Negotiated Rate	$94.19
Rate for Payer: Qualcare PPO/HMO/WC	$94.19

SCREW CORTEX 3.5X70MM

Facility

$627.90

Service Code	HCPCS C1713
Hospital Charge Code	270704636
Hospital Revenue Code	360
Min. Negotiated Rate	$17.83
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$238.60
Rate for Payer: Aetna Medicare Advantage	$188.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$160.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$160.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$160.11
Rate for Payer: Cigna Commercial	$313.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$163.25
Rate for Payer: Qualcare PPO/HMO/WC	$94.19
Rate for Payer: UnitedHealthcare Community & State	$19.84
Rate for Payer: Wellpoint Medicaid Managed Care	$17.83

SCREW CORTEX 3.5x80MM

Facility

$148.50

Hospital Charge Code	270677105
Hospital Revenue Code	278
Min. Negotiated Rate	$22.27
Max. Negotiated Rate	$35.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.94
Rate for Payer: Qualcare PPO/HMO/WC	$22.27

SCREW CORTEX 3.5x80MM

Facility

$148.50

Hospital Charge Code	270677105
Hospital Revenue Code	278
Min. Negotiated Rate	$4.22
Max. Negotiated Rate	$74.25
Rate for Payer: Aetna Commercial	$56.43
Rate for Payer: Aetna Medicare Advantage	$44.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.87
Rate for Payer: Cigna Commercial	$74.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.94
Rate for Payer: Qualcare PPO/HMO/WC	$22.27
Rate for Payer: UnitedHealthcare Community & State	$4.69
Rate for Payer: Wellpoint Medicaid Managed Care	$4.22

SCREW CORTEX 4.0 X 36 MM

Facility

$108.75

Hospital Charge Code	270668005
Hospital Revenue Code	278
Min. Negotiated Rate	$3.09
Max. Negotiated Rate	$54.38
Rate for Payer: Aetna Commercial	$41.33
Rate for Payer: Aetna Medicare Advantage	$32.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.73
Rate for Payer: Cigna Commercial	$54.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.32
Rate for Payer: Qualcare PPO/HMO/WC	$16.31
Rate for Payer: UnitedHealthcare Community & State	$3.44
Rate for Payer: Wellpoint Medicaid Managed Care	$3.09

SCREW CORTEX 4.0 X 36 MM

Facility

$108.75

Hospital Charge Code	270668005
Hospital Revenue Code	278
Min. Negotiated Rate	$16.31
Max. Negotiated Rate	$26.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.32
Rate for Payer: Qualcare PPO/HMO/WC	$16.31

Know your out-of-pocket cost for care.

All Charges