Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CORTEX LOW PRO 3.5x44MM

Facility

$148.50

Service Code	HCPCS C1713
Hospital Charge Code	270668004
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 SELFTAP 1.0x10mm

Facility

$303.00

Hospital Charge Code	270656238
Hospital Revenue Code	278
Min. Negotiated Rate	$45.45
Max. Negotiated Rate	$73.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.33
Rate for Payer: Qualcare PPO/HMO/WC	$45.45

SCREW CORTEX SELFTAP 1.0x10mm

Facility

$303.00

Hospital Charge Code	270656238
Hospital Revenue Code	278
Min. Negotiated Rate	$8.61
Max. Negotiated Rate	$151.50
Rate for Payer: Aetna Commercial	$115.14
Rate for Payer: Aetna Medicare Advantage	$90.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$77.27
Rate for Payer: Cigna Commercial	$151.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.33
Rate for Payer: Qualcare PPO/HMO/WC	$45.45
Rate for Payer: UnitedHealthcare Community & State	$9.57
Rate for Payer: Wellpoint Medicaid Managed Care	$8.61

SCREW CORTEX SELFTAP 1.0x11mm

Facility

$303.00

Hospital Charge Code	270656240
Hospital Revenue Code	278
Min. Negotiated Rate	$8.61
Max. Negotiated Rate	$151.50
Rate for Payer: Aetna Commercial	$115.14
Rate for Payer: Aetna Medicare Advantage	$90.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$77.27
Rate for Payer: Cigna Commercial	$151.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.33
Rate for Payer: Qualcare PPO/HMO/WC	$45.45
Rate for Payer: UnitedHealthcare Community & State	$9.57
Rate for Payer: Wellpoint Medicaid Managed Care	$8.61

SCREW CORTEX SELFTAP 1.0x11mm

Facility

$303.00

Hospital Charge Code	270656240
Hospital Revenue Code	278
Min. Negotiated Rate	$45.45
Max. Negotiated Rate	$73.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.33
Rate for Payer: Qualcare PPO/HMO/WC	$45.45

SCREW CORTEX SELFTAP 1.0x12mm

Facility

$303.00

Hospital Charge Code	270656242
Hospital Revenue Code	278
Min. Negotiated Rate	$45.45
Max. Negotiated Rate	$73.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.33
Rate for Payer: Qualcare PPO/HMO/WC	$45.45

SCREW CORTEX SELFTAP 1.0x12mm

Facility

$303.00

Hospital Charge Code	270656242
Hospital Revenue Code	278
Min. Negotiated Rate	$8.61
Max. Negotiated Rate	$151.50
Rate for Payer: Aetna Commercial	$115.14
Rate for Payer: Aetna Medicare Advantage	$90.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$77.27
Rate for Payer: Cigna Commercial	$151.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.33
Rate for Payer: Qualcare PPO/HMO/WC	$45.45
Rate for Payer: UnitedHealthcare Community & State	$9.57
Rate for Payer: Wellpoint Medicaid Managed Care	$8.61

SCREW CORTEX SELFTAP 1.0x13mm

Facility

$303.00

Hospital Charge Code	270656243
Hospital Revenue Code	278
Min. Negotiated Rate	$8.61
Max. Negotiated Rate	$151.50
Rate for Payer: Aetna Commercial	$115.14
Rate for Payer: Aetna Medicare Advantage	$90.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$77.27
Rate for Payer: Cigna Commercial	$151.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.33
Rate for Payer: Qualcare PPO/HMO/WC	$45.45
Rate for Payer: UnitedHealthcare Community & State	$9.57
Rate for Payer: Wellpoint Medicaid Managed Care	$8.61

SCREW CORTEX SELFTAP 1.0x13mm

Facility

$303.00

Hospital Charge Code	270656243
Hospital Revenue Code	278
Min. Negotiated Rate	$45.45
Max. Negotiated Rate	$73.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.33
Rate for Payer: Qualcare PPO/HMO/WC	$45.45

SCREW CORTEX SELFTAP 1.0x14mm

Facility

$303.00

Hospital Charge Code	270656244
Hospital Revenue Code	278
Min. Negotiated Rate	$45.45
Max. Negotiated Rate	$73.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.33
Rate for Payer: Qualcare PPO/HMO/WC	$45.45

SCREW CORTEX SELFTAP 1.0x14mm

Facility

$303.00

Hospital Charge Code	270656244
Hospital Revenue Code	278
Min. Negotiated Rate	$8.61
Max. Negotiated Rate	$151.50
Rate for Payer: Aetna Commercial	$115.14
Rate for Payer: Aetna Medicare Advantage	$90.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$77.27
Rate for Payer: Cigna Commercial	$151.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.33
Rate for Payer: Qualcare PPO/HMO/WC	$45.45
Rate for Payer: UnitedHealthcare Community & State	$9.57
Rate for Payer: Wellpoint Medicaid Managed Care	$8.61

SCREW CORTEX SELFTAP 1.0x6mm

Facility

$303.00

Hospital Charge Code	270656231
Hospital Revenue Code	278
Min. Negotiated Rate	$45.45
Max. Negotiated Rate	$73.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.33
Rate for Payer: Qualcare PPO/HMO/WC	$45.45

SCREW CORTEX SELFTAP 1.0x6mm

Facility

$303.00

Hospital Charge Code	270656231
Hospital Revenue Code	278
Min. Negotiated Rate	$8.61
Max. Negotiated Rate	$151.50
Rate for Payer: Aetna Commercial	$115.14
Rate for Payer: Aetna Medicare Advantage	$90.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$77.27
Rate for Payer: Cigna Commercial	$151.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.33
Rate for Payer: Qualcare PPO/HMO/WC	$45.45
Rate for Payer: UnitedHealthcare Community & State	$9.57
Rate for Payer: Wellpoint Medicaid Managed Care	$8.61

SCREW CORTEX SELFTAP 1.0x7mm

Facility

$303.00

Hospital Charge Code	270656234
Hospital Revenue Code	278
Min. Negotiated Rate	$8.61
Max. Negotiated Rate	$151.50
Rate for Payer: Aetna Commercial	$115.14
Rate for Payer: Aetna Medicare Advantage	$90.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$77.27
Rate for Payer: Cigna Commercial	$151.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.33
Rate for Payer: Qualcare PPO/HMO/WC	$45.45
Rate for Payer: UnitedHealthcare Community & State	$9.57
Rate for Payer: Wellpoint Medicaid Managed Care	$8.61

SCREW CORTEX SELFTAP 1.0x7mm

Facility

$303.00

Hospital Charge Code	270656234
Hospital Revenue Code	278
Min. Negotiated Rate	$45.45
Max. Negotiated Rate	$73.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.33
Rate for Payer: Qualcare PPO/HMO/WC	$45.45

SCREW CORTEX SELFTAP 1.0x8mm

Facility

$303.00

Hospital Charge Code	270656236
Hospital Revenue Code	278
Min. Negotiated Rate	$45.45
Max. Negotiated Rate	$73.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.33
Rate for Payer: Qualcare PPO/HMO/WC	$45.45

SCREW CORTEX SELFTAP 1.0x8mm

Facility

$303.00

Hospital Charge Code	270656236
Hospital Revenue Code	278
Min. Negotiated Rate	$8.61
Max. Negotiated Rate	$151.50
Rate for Payer: Aetna Commercial	$115.14
Rate for Payer: Aetna Medicare Advantage	$90.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$77.27
Rate for Payer: Cigna Commercial	$151.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.33
Rate for Payer: Qualcare PPO/HMO/WC	$45.45
Rate for Payer: UnitedHealthcare Community & State	$9.57
Rate for Payer: Wellpoint Medicaid Managed Care	$8.61

SCREW CORTEX SELFTAP 1.0x9mm

Facility

$303.00

Hospital Charge Code	270656237
Hospital Revenue Code	278
Min. Negotiated Rate	$45.45
Max. Negotiated Rate	$73.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.33
Rate for Payer: Qualcare PPO/HMO/WC	$45.45

SCREW CORTEX SELFTAP 1.0x9mm

Facility

$303.00

Hospital Charge Code	270656237
Hospital Revenue Code	278
Min. Negotiated Rate	$8.61
Max. Negotiated Rate	$151.50
Rate for Payer: Aetna Commercial	$115.14
Rate for Payer: Aetna Medicare Advantage	$90.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$77.27
Rate for Payer: Cigna Commercial	$151.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.33
Rate for Payer: Qualcare PPO/HMO/WC	$45.45
Rate for Payer: UnitedHealthcare Community & State	$9.57
Rate for Payer: Wellpoint Medicaid Managed Care	$8.61

SCREW CORTEX SELFTAP 1.3x10mm

Facility

$318.00

Hospital Charge Code	270656250
Hospital Revenue Code	278
Min. Negotiated Rate	$47.70
Max. Negotiated Rate	$76.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.96
Rate for Payer: Qualcare PPO/HMO/WC	$47.70

SCREW CORTEX SELFTAP 1.3x10mm

Facility

$318.00

Hospital Charge Code	270656250
Hospital Revenue Code	278
Min. Negotiated Rate	$9.03
Max. Negotiated Rate	$159.00
Rate for Payer: Aetna Commercial	$120.84
Rate for Payer: Aetna Medicare Advantage	$95.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.09
Rate for Payer: Cigna Commercial	$159.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.96
Rate for Payer: Qualcare PPO/HMO/WC	$47.70
Rate for Payer: UnitedHealthcare Community & State	$10.05
Rate for Payer: Wellpoint Medicaid Managed Care	$9.03

SCREW CORTEX SELFTAP 1.3x11mm

Facility

$318.00

Hospital Charge Code	270656252
Hospital Revenue Code	278
Min. Negotiated Rate	$9.03
Max. Negotiated Rate	$159.00
Rate for Payer: Aetna Commercial	$120.84
Rate for Payer: Aetna Medicare Advantage	$95.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.09
Rate for Payer: Cigna Commercial	$159.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.96
Rate for Payer: Qualcare PPO/HMO/WC	$47.70
Rate for Payer: UnitedHealthcare Community & State	$10.05
Rate for Payer: Wellpoint Medicaid Managed Care	$9.03

SCREW CORTEX SELFTAP 1.3x11mm

Facility

$318.00

Hospital Charge Code	270656252
Hospital Revenue Code	278
Min. Negotiated Rate	$47.70
Max. Negotiated Rate	$76.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.96
Rate for Payer: Qualcare PPO/HMO/WC	$47.70

SCREW CORTEX SELFTAP 1.3x13mm

Facility

$318.00

Hospital Charge Code	270656253
Hospital Revenue Code	278
Min. Negotiated Rate	$9.03
Max. Negotiated Rate	$159.00
Rate for Payer: Aetna Commercial	$120.84
Rate for Payer: Aetna Medicare Advantage	$95.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.09
Rate for Payer: Cigna Commercial	$159.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.96
Rate for Payer: Qualcare PPO/HMO/WC	$47.70
Rate for Payer: UnitedHealthcare Community & State	$10.05
Rate for Payer: Wellpoint Medicaid Managed Care	$9.03

SCREW CORTEX SELFTAP 1.3x13mm

Facility

$318.00

Hospital Charge Code	270656253
Hospital Revenue Code	278
Min. Negotiated Rate	$47.70
Max. Negotiated Rate	$76.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.96
Rate for Payer: Qualcare PPO/HMO/WC	$47.70

Know your out-of-pocket cost for care.

All Charges