Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CORTEX SELFTAP 1.5x16mm

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270656269
Hospital Revenue Code	278
Min. Negotiated Rate	$3.93
Max. Negotiated Rate	$69.15
Rate for Payer: Aetna Commercial	$52.55
Rate for Payer: Aetna Medicare Advantage	$41.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.27
Rate for Payer: Cigna Commercial	$69.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.47
Rate for Payer: Qualcare PPO/HMO/WC	$20.75
Rate for Payer: UnitedHealthcare Community & State	$4.37
Rate for Payer: Wellpoint Medicaid Managed Care	$3.93

SCREW CORTEX SELFTAP 1.5x18mm

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270656270
Hospital Revenue Code	278
Min. Negotiated Rate	$3.93
Max. Negotiated Rate	$69.15
Rate for Payer: Aetna Commercial	$52.55
Rate for Payer: Aetna Medicare Advantage	$41.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.27
Rate for Payer: Cigna Commercial	$69.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.47
Rate for Payer: Qualcare PPO/HMO/WC	$20.75
Rate for Payer: UnitedHealthcare Community & State	$4.37
Rate for Payer: Wellpoint Medicaid Managed Care	$3.93

SCREW CORTEX SELFTAP 1.5x18mm

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270656270
Hospital Revenue Code	278
Min. Negotiated Rate	$20.75
Max. Negotiated Rate	$33.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.47
Rate for Payer: Qualcare PPO/HMO/WC	$20.75

SCREW CORTEX SELFTAP 1.5x20mm

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270656272
Hospital Revenue Code	278
Min. Negotiated Rate	$20.75
Max. Negotiated Rate	$33.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.47
Rate for Payer: Qualcare PPO/HMO/WC	$20.75

SCREW CORTEX SELFTAP 1.5x20mm

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270656272
Hospital Revenue Code	278
Min. Negotiated Rate	$3.93
Max. Negotiated Rate	$69.15
Rate for Payer: Aetna Commercial	$52.55
Rate for Payer: Aetna Medicare Advantage	$41.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.27
Rate for Payer: Cigna Commercial	$69.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.47
Rate for Payer: Qualcare PPO/HMO/WC	$20.75
Rate for Payer: UnitedHealthcare Community & State	$4.37
Rate for Payer: Wellpoint Medicaid Managed Care	$3.93

SCREW CORTEX SELFTAP 1.5x22mm

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270656273
Hospital Revenue Code	278
Min. Negotiated Rate	$20.75
Max. Negotiated Rate	$33.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.47
Rate for Payer: Qualcare PPO/HMO/WC	$20.75

SCREW CORTEX SELFTAP 1.5x22mm

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270656273
Hospital Revenue Code	278
Min. Negotiated Rate	$3.93
Max. Negotiated Rate	$69.15
Rate for Payer: Aetna Commercial	$52.55
Rate for Payer: Aetna Medicare Advantage	$41.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.27
Rate for Payer: Cigna Commercial	$69.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.47
Rate for Payer: Qualcare PPO/HMO/WC	$20.75
Rate for Payer: UnitedHealthcare Community & State	$4.37
Rate for Payer: Wellpoint Medicaid Managed Care	$3.93

SCREW CORTEX SELFTAP 1.5x24mm

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270656274
Hospital Revenue Code	278
Min. Negotiated Rate	$20.75
Max. Negotiated Rate	$33.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.47
Rate for Payer: Qualcare PPO/HMO/WC	$20.75

SCREW CORTEX SELFTAP 1.5x24mm

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270656274
Hospital Revenue Code	278
Min. Negotiated Rate	$3.93
Max. Negotiated Rate	$69.15
Rate for Payer: Aetna Commercial	$52.55
Rate for Payer: Aetna Medicare Advantage	$41.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.27
Rate for Payer: Cigna Commercial	$69.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.47
Rate for Payer: Qualcare PPO/HMO/WC	$20.75
Rate for Payer: UnitedHealthcare Community & State	$4.37
Rate for Payer: Wellpoint Medicaid Managed Care	$3.93

SCREW CORTEX SELFTAP 1.5x6MM

Facility

$138.30

Hospital Charge Code	270656257
Hospital Revenue Code	278
Min. Negotiated Rate	$3.93
Max. Negotiated Rate	$69.15
Rate for Payer: Aetna Commercial	$52.55
Rate for Payer: Aetna Medicare Advantage	$41.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.27
Rate for Payer: Cigna Commercial	$69.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.47
Rate for Payer: Qualcare PPO/HMO/WC	$20.75
Rate for Payer: UnitedHealthcare Community & State	$4.37
Rate for Payer: Wellpoint Medicaid Managed Care	$3.93

SCREW CORTEX SELFTAP 1.5x6MM

Facility

$138.30

Hospital Charge Code	270656257
Hospital Revenue Code	278
Min. Negotiated Rate	$20.75
Max. Negotiated Rate	$33.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.47
Rate for Payer: Qualcare PPO/HMO/WC	$20.75

SCREW CORTEX SELFTAP 1.5x7mm

Facility

$135.00

Service Code	HCPCS C1713
Hospital Charge Code	270606012
Hospital Revenue Code	278
Min. Negotiated Rate	$3.83
Max. Negotiated Rate	$67.50
Rate for Payer: Aetna Commercial	$51.30
Rate for Payer: Aetna Medicare Advantage	$40.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.42
Rate for Payer: Cigna Commercial	$67.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.67
Rate for Payer: Qualcare PPO/HMO/WC	$20.25
Rate for Payer: UnitedHealthcare Community & State	$4.27
Rate for Payer: Wellpoint Medicaid Managed Care	$3.83

SCREW CORTEX SELFTAP 1.5x7mm

Facility

$135.00

Service Code	HCPCS C1713
Hospital Charge Code	270606012
Hospital Revenue Code	278
Min. Negotiated Rate	$20.25
Max. Negotiated Rate	$32.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.67
Rate for Payer: Qualcare PPO/HMO/WC	$20.25

SCREW CORTEX SELFTAP 1.5x7mm

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270656258
Hospital Revenue Code	278
Min. Negotiated Rate	$3.93
Max. Negotiated Rate	$69.15
Rate for Payer: Aetna Commercial	$52.55
Rate for Payer: Aetna Medicare Advantage	$41.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.27
Rate for Payer: Cigna Commercial	$69.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.47
Rate for Payer: Qualcare PPO/HMO/WC	$20.75
Rate for Payer: UnitedHealthcare Community & State	$4.37
Rate for Payer: Wellpoint Medicaid Managed Care	$3.93

SCREW CORTEX SELFTAP 1.5x7mm

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270656258
Hospital Revenue Code	278
Min. Negotiated Rate	$20.75
Max. Negotiated Rate	$33.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.47
Rate for Payer: Qualcare PPO/HMO/WC	$20.75

SCREW CORTEX SELFTAP 1.5x8mm

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270656260
Hospital Revenue Code	278
Min. Negotiated Rate	$20.75
Max. Negotiated Rate	$33.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.47
Rate for Payer: Qualcare PPO/HMO/WC	$20.75

SCREW CORTEX SELFTAP 1.5x8mm

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270656260
Hospital Revenue Code	278
Min. Negotiated Rate	$3.93
Max. Negotiated Rate	$69.15
Rate for Payer: Aetna Commercial	$52.55
Rate for Payer: Aetna Medicare Advantage	$41.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.27
Rate for Payer: Cigna Commercial	$69.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.47
Rate for Payer: Qualcare PPO/HMO/WC	$20.75
Rate for Payer: UnitedHealthcare Community & State	$4.37
Rate for Payer: Wellpoint Medicaid Managed Care	$3.93

SCREW CORTEX SELFTAP 1.5x9MM

Facility

$138.30

Hospital Charge Code	270656261
Hospital Revenue Code	278
Min. Negotiated Rate	$20.75
Max. Negotiated Rate	$33.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.47
Rate for Payer: Qualcare PPO/HMO/WC	$20.75

SCREW CORTEX SELFTAP 1.5x9MM

Facility

$138.30

Hospital Charge Code	270656261
Hospital Revenue Code	278
Min. Negotiated Rate	$3.93
Max. Negotiated Rate	$69.15
Rate for Payer: Aetna Commercial	$52.55
Rate for Payer: Aetna Medicare Advantage	$41.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.27
Rate for Payer: Cigna Commercial	$69.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.47
Rate for Payer: Qualcare PPO/HMO/WC	$20.75
Rate for Payer: UnitedHealthcare Community & State	$4.37
Rate for Payer: Wellpoint Medicaid Managed Care	$3.93

SCREW CORTEX SELFTAP 2.0x10mm

Facility

$142.45

Service Code	HCPCS C1713
Hospital Charge Code	270654764
Hospital Revenue Code	278
Min. Negotiated Rate	$4.05
Max. Negotiated Rate	$71.22
Rate for Payer: Aetna Commercial	$54.13
Rate for Payer: Aetna Medicare Advantage	$42.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.32
Rate for Payer: Cigna Commercial	$71.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.47
Rate for Payer: Qualcare PPO/HMO/WC	$21.37
Rate for Payer: UnitedHealthcare Community & State	$4.50
Rate for Payer: Wellpoint Medicaid Managed Care	$4.05

SCREW CORTEX SELFTAP 2.0x10mm

Facility

$142.45

Service Code	HCPCS C1713
Hospital Charge Code	270654764
Hospital Revenue Code	278
Min. Negotiated Rate	$21.37
Max. Negotiated Rate	$34.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.47
Rate for Payer: Qualcare PPO/HMO/WC	$21.37

SCREW CORTEX SELFTAP 2.0x11mm

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270654768
Hospital Revenue Code	278
Min. Negotiated Rate	$20.75
Max. Negotiated Rate	$33.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.47
Rate for Payer: Qualcare PPO/HMO/WC	$20.75

SCREW CORTEX SELFTAP 2.0x11mm

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270654768
Hospital Revenue Code	278
Min. Negotiated Rate	$3.93
Max. Negotiated Rate	$69.15
Rate for Payer: Aetna Commercial	$52.55
Rate for Payer: Aetna Medicare Advantage	$41.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.27
Rate for Payer: Cigna Commercial	$69.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.47
Rate for Payer: Qualcare PPO/HMO/WC	$20.75
Rate for Payer: UnitedHealthcare Community & State	$4.37
Rate for Payer: Wellpoint Medicaid Managed Care	$3.93

SCREW CORTEX SELFTAP 2.0x12MM

Facility

$142.45

Service Code	HCPCS C1713
Hospital Charge Code	270654770
Hospital Revenue Code	278
Min. Negotiated Rate	$4.05
Max. Negotiated Rate	$71.22
Rate for Payer: Aetna Commercial	$54.13
Rate for Payer: Aetna Medicare Advantage	$42.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.32
Rate for Payer: Cigna Commercial	$71.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.47
Rate for Payer: Qualcare PPO/HMO/WC	$21.37
Rate for Payer: UnitedHealthcare Community & State	$4.50
Rate for Payer: Wellpoint Medicaid Managed Care	$4.05

SCREW CORTEX SELFTAP 2.0x12MM

Facility

$142.45

Service Code	HCPCS C1713
Hospital Charge Code	270654770
Hospital Revenue Code	278
Min. Negotiated Rate	$21.37
Max. Negotiated Rate	$34.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.47
Rate for Payer: Qualcare PPO/HMO/WC	$21.37

Know your out-of-pocket cost for care.

All Charges