Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CORTEX SELFTAP 2.4x10mm

Facility

$204.00

Service Code	HCPCS C1713
Hospital Charge Code	270656278
Hospital Revenue Code	278
Min. Negotiated Rate	$30.60
Max. Negotiated Rate	$49.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.37
Rate for Payer: Qualcare PPO/HMO/WC	$30.60

SCREW CORTEX SELFTAP 2.4x10mm

Facility

$204.00

Service Code	HCPCS C1713
Hospital Charge Code	270656278
Hospital Revenue Code	278
Min. Negotiated Rate	$5.79
Max. Negotiated Rate	$102.00
Rate for Payer: Aetna Commercial	$77.52
Rate for Payer: Aetna Medicare Advantage	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.02
Rate for Payer: Cigna Commercial	$102.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.37
Rate for Payer: Qualcare PPO/HMO/WC	$30.60
Rate for Payer: UnitedHealthcare Community & State	$6.45
Rate for Payer: Wellpoint Medicaid Managed Care	$5.79

SCREW CORTEX SELFTAP 2.4x11mm

Facility

$204.00

Service Code	HCPCS C1713
Hospital Charge Code	270656280
Hospital Revenue Code	278
Min. Negotiated Rate	$5.79
Max. Negotiated Rate	$102.00
Rate for Payer: Aetna Commercial	$77.52
Rate for Payer: Aetna Medicare Advantage	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.02
Rate for Payer: Cigna Commercial	$102.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.37
Rate for Payer: Qualcare PPO/HMO/WC	$30.60
Rate for Payer: UnitedHealthcare Community & State	$6.45
Rate for Payer: Wellpoint Medicaid Managed Care	$5.79

SCREW CORTEX SELFTAP 2.4x11mm

Facility

$204.00

Service Code	HCPCS C1713
Hospital Charge Code	270656280
Hospital Revenue Code	278
Min. Negotiated Rate	$30.60
Max. Negotiated Rate	$49.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.37
Rate for Payer: Qualcare PPO/HMO/WC	$30.60

SCREW CORTEX SELFTAP 2.4x12mm

Facility

$198.00

Service Code	HCPCS C1713
Hospital Charge Code	270656282
Hospital Revenue Code	278
Min. Negotiated Rate	$5.62
Max. Negotiated Rate	$99.00
Rate for Payer: Aetna Commercial	$75.24
Rate for Payer: Aetna Medicare Advantage	$59.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.49
Rate for Payer: Cigna Commercial	$99.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.92
Rate for Payer: Qualcare PPO/HMO/WC	$29.70
Rate for Payer: UnitedHealthcare Community & State	$6.26
Rate for Payer: Wellpoint Medicaid Managed Care	$5.62

SCREW CORTEX SELFTAP 2.4x12mm

Facility

$198.00

Service Code	HCPCS C1713
Hospital Charge Code	270656282
Hospital Revenue Code	278
Min. Negotiated Rate	$29.70
Max. Negotiated Rate	$47.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.92
Rate for Payer: Qualcare PPO/HMO/WC	$29.70

SCREW CORTEX SELFTAP 2.4x13mm

Facility

$204.00

Hospital Charge Code	270656285
Hospital Revenue Code	278
Min. Negotiated Rate	$5.79
Max. Negotiated Rate	$102.00
Rate for Payer: Aetna Commercial	$77.52
Rate for Payer: Aetna Medicare Advantage	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.02
Rate for Payer: Cigna Commercial	$102.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.37
Rate for Payer: Qualcare PPO/HMO/WC	$30.60
Rate for Payer: UnitedHealthcare Community & State	$6.45
Rate for Payer: Wellpoint Medicaid Managed Care	$5.79

SCREW CORTEX SELFTAP 2.4x13mm

Facility

$204.00

Hospital Charge Code	270656285
Hospital Revenue Code	278
Min. Negotiated Rate	$30.60
Max. Negotiated Rate	$49.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.37
Rate for Payer: Qualcare PPO/HMO/WC	$30.60

SCREW CORTEX SELFTAP 2.4x14mm

Facility

$198.00

Hospital Charge Code	270656287
Hospital Revenue Code	278
Min. Negotiated Rate	$5.62
Max. Negotiated Rate	$99.00
Rate for Payer: Aetna Commercial	$75.24
Rate for Payer: Aetna Medicare Advantage	$59.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.49
Rate for Payer: Cigna Commercial	$99.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.92
Rate for Payer: Qualcare PPO/HMO/WC	$29.70
Rate for Payer: UnitedHealthcare Community & State	$6.26
Rate for Payer: Wellpoint Medicaid Managed Care	$5.62

SCREW CORTEX SELFTAP 2.4x14mm

Facility

$198.00

Hospital Charge Code	270656287
Hospital Revenue Code	278
Min. Negotiated Rate	$29.70
Max. Negotiated Rate	$47.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.92
Rate for Payer: Qualcare PPO/HMO/WC	$29.70

SCREW CORTEX SELFTAP 2.4x18mm

Facility

$198.00

Hospital Charge Code	270656289
Hospital Revenue Code	278
Min. Negotiated Rate	$5.62
Max. Negotiated Rate	$99.00
Rate for Payer: Aetna Commercial	$75.24
Rate for Payer: Aetna Medicare Advantage	$59.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.49
Rate for Payer: Cigna Commercial	$99.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.92
Rate for Payer: Qualcare PPO/HMO/WC	$29.70
Rate for Payer: UnitedHealthcare Community & State	$6.26
Rate for Payer: Wellpoint Medicaid Managed Care	$5.62

SCREW CORTEX SELFTAP 2.4x18mm

Facility

$198.00

Hospital Charge Code	270656289
Hospital Revenue Code	278
Min. Negotiated Rate	$29.70
Max. Negotiated Rate	$47.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.92
Rate for Payer: Qualcare PPO/HMO/WC	$29.70

SCREW CORTEX SELFTAP 2.4x20MM

Facility

$203.95

Service Code	HCPCS C1713
Hospital Charge Code	270654739
Hospital Revenue Code	278
Min. Negotiated Rate	$30.59
Max. Negotiated Rate	$49.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.36
Rate for Payer: Qualcare PPO/HMO/WC	$30.59

SCREW CORTEX SELFTAP 2.4x20MM

Facility

$203.95

Service Code	HCPCS C1713
Hospital Charge Code	270654739
Hospital Revenue Code	278
Min. Negotiated Rate	$5.79
Max. Negotiated Rate	$101.97
Rate for Payer: Aetna Commercial	$77.50
Rate for Payer: Aetna Medicare Advantage	$61.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.01
Rate for Payer: Cigna Commercial	$101.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.36
Rate for Payer: Qualcare PPO/HMO/WC	$30.59
Rate for Payer: UnitedHealthcare Community & State	$6.44
Rate for Payer: Wellpoint Medicaid Managed Care	$5.79

SCREW CORTEX SELFTAP 2.4x26MM

Facility

$203.95

Service Code	HCPCS C1713
Hospital Charge Code	270654749
Hospital Revenue Code	278
Min. Negotiated Rate	$5.79
Max. Negotiated Rate	$101.97
Rate for Payer: Aetna Commercial	$77.50
Rate for Payer: Aetna Medicare Advantage	$61.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.01
Rate for Payer: Cigna Commercial	$101.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.36
Rate for Payer: Qualcare PPO/HMO/WC	$30.59
Rate for Payer: UnitedHealthcare Community & State	$6.44
Rate for Payer: Wellpoint Medicaid Managed Care	$5.79

SCREW CORTEX SELFTAP 2.4x26MM

Facility

$203.95

Service Code	HCPCS C1713
Hospital Charge Code	270654749
Hospital Revenue Code	278
Min. Negotiated Rate	$30.59
Max. Negotiated Rate	$49.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.36
Rate for Payer: Qualcare PPO/HMO/WC	$30.59

SCREW CORTEX SELFTAP 2.4x28MM

Facility

$203.95

Service Code	HCPCS C1713
Hospital Charge Code	270654750
Hospital Revenue Code	278
Min. Negotiated Rate	$30.59
Max. Negotiated Rate	$49.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.36
Rate for Payer: Qualcare PPO/HMO/WC	$30.59

SCREW CORTEX SELFTAP 2.4x28MM

Facility

$203.95

Service Code	HCPCS C1713
Hospital Charge Code	270654750
Hospital Revenue Code	278
Min. Negotiated Rate	$5.79
Max. Negotiated Rate	$101.97
Rate for Payer: Aetna Commercial	$77.50
Rate for Payer: Aetna Medicare Advantage	$61.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.01
Rate for Payer: Cigna Commercial	$101.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.36
Rate for Payer: Qualcare PPO/HMO/WC	$30.59
Rate for Payer: UnitedHealthcare Community & State	$6.44
Rate for Payer: Wellpoint Medicaid Managed Care	$5.79

SCREW CORTEX SELFTAP 2.4x30MM

Facility

$203.95

Service Code	HCPCS C1713
Hospital Charge Code	270654751
Hospital Revenue Code	278
Min. Negotiated Rate	$30.59
Max. Negotiated Rate	$49.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.36
Rate for Payer: Qualcare PPO/HMO/WC	$30.59

SCREW CORTEX SELFTAP 2.4x30MM

Facility

$203.95

Service Code	HCPCS C1713
Hospital Charge Code	270654751
Hospital Revenue Code	278
Min. Negotiated Rate	$5.79
Max. Negotiated Rate	$101.97
Rate for Payer: Aetna Commercial	$77.50
Rate for Payer: Aetna Medicare Advantage	$61.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.01
Rate for Payer: Cigna Commercial	$101.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.36
Rate for Payer: Qualcare PPO/HMO/WC	$30.59
Rate for Payer: UnitedHealthcare Community & State	$6.44
Rate for Payer: Wellpoint Medicaid Managed Care	$5.79

SCREW CORTEX SELFTAP 2.4x32MM

Facility

$203.95

Service Code	HCPCS C1713
Hospital Charge Code	270654752
Hospital Revenue Code	278
Min. Negotiated Rate	$30.59
Max. Negotiated Rate	$49.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.36
Rate for Payer: Qualcare PPO/HMO/WC	$30.59

SCREW CORTEX SELFTAP 2.4x32MM

Facility

$203.95

Service Code	HCPCS C1713
Hospital Charge Code	270654752
Hospital Revenue Code	278
Min. Negotiated Rate	$5.79
Max. Negotiated Rate	$101.97
Rate for Payer: Aetna Commercial	$77.50
Rate for Payer: Aetna Medicare Advantage	$61.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.01
Rate for Payer: Cigna Commercial	$101.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.36
Rate for Payer: Qualcare PPO/HMO/WC	$30.59
Rate for Payer: UnitedHealthcare Community & State	$6.44
Rate for Payer: Wellpoint Medicaid Managed Care	$5.79

SCREW CORTEX SELFTAP 2.4x6mm

Facility

$204.00

Hospital Charge Code	270656275
Hospital Revenue Code	278
Min. Negotiated Rate	$5.79
Max. Negotiated Rate	$102.00
Rate for Payer: Aetna Commercial	$77.52
Rate for Payer: Aetna Medicare Advantage	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.02
Rate for Payer: Cigna Commercial	$102.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.37
Rate for Payer: Qualcare PPO/HMO/WC	$30.60
Rate for Payer: UnitedHealthcare Community & State	$6.45
Rate for Payer: Wellpoint Medicaid Managed Care	$5.79

SCREW CORTEX SELFTAP 2.4x6mm

Facility

$204.00

Hospital Charge Code	270656275
Hospital Revenue Code	278
Min. Negotiated Rate	$30.60
Max. Negotiated Rate	$49.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.37
Rate for Payer: Qualcare PPO/HMO/WC	$30.60

SCREW CORTEX SELFTAP 2.4x7mm

Facility

$204.00

Hospital Charge Code	270656277
Hospital Revenue Code	278
Min. Negotiated Rate	$30.60
Max. Negotiated Rate	$49.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.37
Rate for Payer: Qualcare PPO/HMO/WC	$30.60

Know your out-of-pocket cost for care.

All Charges