Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CORTEX 4.5mmx50mm

Facility

$91.15

Hospital Charge Code	270603623
Hospital Revenue Code	272
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) PPO	$23.24
Rate for Payer: Cigna Commercial	$45.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.70
Rate for Payer: Oxford Commercial	$18.23
Rate for Payer: Qualcare PPO/HMO/WC	$13.67
Rate for Payer: UnitedHealthcare Commercial	$18.23
Rate for Payer: UnitedHealthcare Community & State	$2.88
Rate for Payer: Wellpoint Medicaid Managed Care	$2.59

SCREW CORTEX 4.5mmx50mm

Facility

$91.15

Hospital Charge Code	270603623
Hospital Revenue Code	272
Min. Negotiated Rate	$13.67
Max. Negotiated Rate	$13.67
Rate for Payer: Qualcare PPO/HMO/WC	$13.67

SCREW CORTEX 4.5x36mm

Facility

$69.55

Service Code	HCPCS C1713
Hospital Charge Code	270603731
Hospital Revenue Code	278
Min. Negotiated Rate	$1.98
Max. Negotiated Rate	$34.77
Rate for Payer: Aetna Commercial	$26.43
Rate for Payer: Aetna Medicare Advantage	$20.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.74
Rate for Payer: Cigna Commercial	$34.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.83
Rate for Payer: Qualcare PPO/HMO/WC	$10.43
Rate for Payer: UnitedHealthcare Community & State	$2.20
Rate for Payer: Wellpoint Medicaid Managed Care	$1.98

SCREW CORTEX 4.5x36mm

Facility

$69.55

Service Code	HCPCS C1713
Hospital Charge Code	270603731
Hospital Revenue Code	278
Min. Negotiated Rate	$10.43
Max. Negotiated Rate	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.83
Rate for Payer: Qualcare PPO/HMO/WC	$10.43

SCREW CORTEX 4.5x40mm

Facility

$69.55

Service Code	HCPCS C1713
Hospital Charge Code	270603733
Hospital Revenue Code	278
Min. Negotiated Rate	$10.43
Max. Negotiated Rate	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.83
Rate for Payer: Qualcare PPO/HMO/WC	$10.43

SCREW CORTEX 4.5x40mm

Facility

$69.55

Service Code	HCPCS C1713
Hospital Charge Code	270603733
Hospital Revenue Code	278
Min. Negotiated Rate	$1.98
Max. Negotiated Rate	$34.77
Rate for Payer: Aetna Commercial	$26.43
Rate for Payer: Aetna Medicare Advantage	$20.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.74
Rate for Payer: Cigna Commercial	$34.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.83
Rate for Payer: Qualcare PPO/HMO/WC	$10.43
Rate for Payer: UnitedHealthcare Community & State	$2.20
Rate for Payer: Wellpoint Medicaid Managed Care	$1.98

SCREW CORTEX 4.5x44mm

Facility

$69.55

Service Code	HCPCS C1713
Hospital Charge Code	270603735
Hospital Revenue Code	278
Min. Negotiated Rate	$10.43
Max. Negotiated Rate	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.83
Rate for Payer: Qualcare PPO/HMO/WC	$10.43

SCREW CORTEX 4.5x44mm

Facility

$69.55

Service Code	HCPCS C1713
Hospital Charge Code	270603735
Hospital Revenue Code	278
Min. Negotiated Rate	$1.98
Max. Negotiated Rate	$34.77
Rate for Payer: Aetna Commercial	$26.43
Rate for Payer: Aetna Medicare Advantage	$20.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.74
Rate for Payer: Cigna Commercial	$34.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.83
Rate for Payer: Qualcare PPO/HMO/WC	$10.43
Rate for Payer: UnitedHealthcare Community & State	$2.20
Rate for Payer: Wellpoint Medicaid Managed Care	$1.98

SCREW CORTEX 4.5x54mm

Facility

$69.55

Service Code	HCPCS C1713
Hospital Charge Code	270603740
Hospital Revenue Code	278
Min. Negotiated Rate	$1.98
Max. Negotiated Rate	$34.77
Rate for Payer: Aetna Commercial	$26.43
Rate for Payer: Aetna Medicare Advantage	$20.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.74
Rate for Payer: Cigna Commercial	$34.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.83
Rate for Payer: Qualcare PPO/HMO/WC	$10.43
Rate for Payer: UnitedHealthcare Community & State	$2.20
Rate for Payer: Wellpoint Medicaid Managed Care	$1.98

SCREW CORTEX 4.5x54mm

Facility

$69.55

Service Code	HCPCS C1713
Hospital Charge Code	270603740
Hospital Revenue Code	278
Min. Negotiated Rate	$10.43
Max. Negotiated Rate	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.83
Rate for Payer: Qualcare PPO/HMO/WC	$10.43

SCREW CORTEX 4.5x62mm

Facility

$69.55

Service Code	HCPCS C1713
Hospital Charge Code	270603744
Hospital Revenue Code	278
Min. Negotiated Rate	$1.98
Max. Negotiated Rate	$34.77
Rate for Payer: Aetna Commercial	$26.43
Rate for Payer: Aetna Medicare Advantage	$20.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.74
Rate for Payer: Cigna Commercial	$34.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.83
Rate for Payer: Qualcare PPO/HMO/WC	$10.43
Rate for Payer: UnitedHealthcare Community & State	$2.20
Rate for Payer: Wellpoint Medicaid Managed Care	$1.98

SCREW CORTEX 4.5x62mm

Facility

$69.55

Service Code	HCPCS C1713
Hospital Charge Code	270603744
Hospital Revenue Code	278
Min. Negotiated Rate	$10.43
Max. Negotiated Rate	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.83
Rate for Payer: Qualcare PPO/HMO/WC	$10.43

SCREW CORTEX 4.5x64mm

Facility

$69.55

Service Code	HCPCS C1713
Hospital Charge Code	270603745
Hospital Revenue Code	278
Min. Negotiated Rate	$1.98
Max. Negotiated Rate	$34.77
Rate for Payer: Aetna Commercial	$26.43
Rate for Payer: Aetna Medicare Advantage	$20.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.74
Rate for Payer: Cigna Commercial	$34.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.83
Rate for Payer: Qualcare PPO/HMO/WC	$10.43
Rate for Payer: UnitedHealthcare Community & State	$2.20
Rate for Payer: Wellpoint Medicaid Managed Care	$1.98

SCREW CORTEX 4.5x64mm

Facility

$69.55

Service Code	HCPCS C1713
Hospital Charge Code	270603745
Hospital Revenue Code	278
Min. Negotiated Rate	$10.43
Max. Negotiated Rate	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.83
Rate for Payer: Qualcare PPO/HMO/WC	$10.43

SCREW CORTEX 4.5x66mm

Facility

$69.55

Service Code	HCPCS C1713
Hospital Charge Code	270603746
Hospital Revenue Code	278
Min. Negotiated Rate	$10.43
Max. Negotiated Rate	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.83
Rate for Payer: Qualcare PPO/HMO/WC	$10.43

SCREW CORTEX 4.5x66mm

Facility

$69.55

Service Code	HCPCS C1713
Hospital Charge Code	270603746
Hospital Revenue Code	278
Min. Negotiated Rate	$1.98
Max. Negotiated Rate	$34.77
Rate for Payer: Aetna Commercial	$26.43
Rate for Payer: Aetna Medicare Advantage	$20.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.74
Rate for Payer: Cigna Commercial	$34.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.83
Rate for Payer: Qualcare PPO/HMO/WC	$10.43
Rate for Payer: UnitedHealthcare Community & State	$2.20
Rate for Payer: Wellpoint Medicaid Managed Care	$1.98

SCREW CORTEX 4.5x66MM

Facility

$88.50

Service Code	HCPCS C1713
Hospital Charge Code	270675832
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 CORTEX 4.5x66MM

Facility

$88.50

Service Code	HCPCS C1713
Hospital Charge Code	270675832
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 CORTEX 4.5x68mm

Facility

$69.55

Service Code	HCPCS C1713
Hospital Charge Code	270603747
Hospital Revenue Code	278
Min. Negotiated Rate	$1.98
Max. Negotiated Rate	$34.77
Rate for Payer: Aetna Commercial	$26.43
Rate for Payer: Aetna Medicare Advantage	$20.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.74
Rate for Payer: Cigna Commercial	$34.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.83
Rate for Payer: Qualcare PPO/HMO/WC	$10.43
Rate for Payer: UnitedHealthcare Community & State	$2.20
Rate for Payer: Wellpoint Medicaid Managed Care	$1.98

SCREW CORTEX 4.5x68mm

Facility

$69.55

Service Code	HCPCS C1713
Hospital Charge Code	270603747
Hospital Revenue Code	278
Min. Negotiated Rate	$10.43
Max. Negotiated Rate	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.83
Rate for Payer: Qualcare PPO/HMO/WC	$10.43

SCREW CORTEX 4.5x70mm

Facility

$69.55

Service Code	HCPCS C1713
Hospital Charge Code	270603748
Hospital Revenue Code	278
Min. Negotiated Rate	$1.98
Max. Negotiated Rate	$34.77
Rate for Payer: Aetna Commercial	$26.43
Rate for Payer: Aetna Medicare Advantage	$20.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.74
Rate for Payer: Cigna Commercial	$34.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.83
Rate for Payer: Qualcare PPO/HMO/WC	$10.43
Rate for Payer: UnitedHealthcare Community & State	$2.20
Rate for Payer: Wellpoint Medicaid Managed Care	$1.98

SCREW CORTEX 4.5x70mm

Facility

$69.55

Service Code	HCPCS C1713
Hospital Charge Code	270603748
Hospital Revenue Code	278
Min. Negotiated Rate	$10.43
Max. Negotiated Rate	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.83
Rate for Payer: Qualcare PPO/HMO/WC	$10.43

SCREW CORTEX LOW PRO 3.5x12MM

Facility

$152.95

Service Code	HCPCS C1713
Hospital Charge Code	270663165
Hospital Revenue Code	278
Min. Negotiated Rate	$4.34
Max. Negotiated Rate	$76.47
Rate for Payer: Aetna Commercial	$58.12
Rate for Payer: Aetna Medicare Advantage	$45.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.00
Rate for Payer: Cigna Commercial	$76.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.01
Rate for Payer: Qualcare PPO/HMO/WC	$22.94
Rate for Payer: UnitedHealthcare Community & State	$4.83
Rate for Payer: Wellpoint Medicaid Managed Care	$4.34

SCREW CORTEX LOW PRO 3.5x12MM

Facility

$152.95

Service Code	HCPCS C1713
Hospital Charge Code	270663165
Hospital Revenue Code	278
Min. Negotiated Rate	$22.94
Max. Negotiated Rate	$37.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.01
Rate for Payer: Qualcare PPO/HMO/WC	$22.94

SCREW CORTEX LOW PRO 3.5x44MM

Facility

$148.50

Service Code	HCPCS C1713
Hospital Charge Code	270668004
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

Know your out-of-pocket cost for care.

All Charges