Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CORTEX SELFTAP 2.4x7mm

Facility

$204.00

Hospital Charge Code	270656277
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 2.4x8mm

Facility

$198.00

Hospital Charge Code	270656284
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 2.4x8mm

Facility

$198.00

Hospital Charge Code	270656284
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 SELF TAP 2.7MMX22

Facility

$139.80

Service Code	HCPCS C1713
Hospital Charge Code	270656905
Hospital Revenue Code	278
Min. Negotiated Rate	$3.97
Max. Negotiated Rate	$69.90
Rate for Payer: Aetna Commercial	$53.12
Rate for Payer: Aetna Medicare Advantage	$41.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.65
Rate for Payer: Cigna Commercial	$69.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.83
Rate for Payer: Qualcare PPO/HMO/WC	$20.97
Rate for Payer: UnitedHealthcare Community & State	$4.42
Rate for Payer: Wellpoint Medicaid Managed Care	$3.97

SCREW CORTEX SELF TAP 2.7MMX22

Facility

$139.80

Service Code	HCPCS C1713
Hospital Charge Code	270656905
Hospital Revenue Code	278
Min. Negotiated Rate	$20.97
Max. Negotiated Rate	$33.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.83
Rate for Payer: Qualcare PPO/HMO/WC	$20.97

SCREW CORTEX SELF TAP 2.7MMX24

Facility

$139.80

Service Code	HCPCS C1713
Hospital Charge Code	270656906
Hospital Revenue Code	278
Min. Negotiated Rate	$3.97
Max. Negotiated Rate	$69.90
Rate for Payer: Aetna Commercial	$53.12
Rate for Payer: Aetna Medicare Advantage	$41.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.65
Rate for Payer: Cigna Commercial	$69.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.83
Rate for Payer: Qualcare PPO/HMO/WC	$20.97
Rate for Payer: UnitedHealthcare Community & State	$4.42
Rate for Payer: Wellpoint Medicaid Managed Care	$3.97

SCREW CORTEX SELF TAP 2.7MMX24

Facility

$139.80

Service Code	HCPCS C1713
Hospital Charge Code	270656906
Hospital Revenue Code	278
Min. Negotiated Rate	$20.97
Max. Negotiated Rate	$33.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.83
Rate for Payer: Qualcare PPO/HMO/WC	$20.97

SCREW CORTEX SELF TAP 2.7x12MM

Facility

$135.75

Service Code	HCPCS C1713
Hospital Charge Code	270656896
Hospital Revenue Code	278
Min. Negotiated Rate	$20.36
Max. Negotiated Rate	$32.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.85
Rate for Payer: Qualcare PPO/HMO/WC	$20.36

SCREW CORTEX SELF TAP 2.7x12MM

Facility

$135.75

Service Code	HCPCS C1713
Hospital Charge Code	270656896
Hospital Revenue Code	278
Min. Negotiated Rate	$3.86
Max. Negotiated Rate	$67.88
Rate for Payer: Aetna Commercial	$51.59
Rate for Payer: Aetna Medicare Advantage	$40.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.62
Rate for Payer: Cigna Commercial	$67.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.85
Rate for Payer: Qualcare PPO/HMO/WC	$20.36
Rate for Payer: UnitedHealthcare Community & State	$4.29
Rate for Payer: Wellpoint Medicaid Managed Care	$3.86

SCREW CORTEX SELFTAP 2.7x14MM

Facility

$139.80

Service Code	HCPCS C1713
Hospital Charge Code	270656898
Hospital Revenue Code	278
Min. Negotiated Rate	$20.97
Max. Negotiated Rate	$33.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.83
Rate for Payer: Qualcare PPO/HMO/WC	$20.97

SCREW CORTEX SELFTAP 2.7x14MM

Facility

$139.80

Service Code	HCPCS C1713
Hospital Charge Code	270656898
Hospital Revenue Code	278
Min. Negotiated Rate	$3.97
Max. Negotiated Rate	$69.90
Rate for Payer: Aetna Commercial	$53.12
Rate for Payer: Aetna Medicare Advantage	$41.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.65
Rate for Payer: Cigna Commercial	$69.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.83
Rate for Payer: Qualcare PPO/HMO/WC	$20.97
Rate for Payer: UnitedHealthcare Community & State	$4.42
Rate for Payer: Wellpoint Medicaid Managed Care	$3.97

SCREW CORTEX SELFTAP 2.7x16MM

Facility

$139.80

Service Code	HCPCS C1713
Hospital Charge Code	270656899
Hospital Revenue Code	278
Min. Negotiated Rate	$20.97
Max. Negotiated Rate	$33.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.83
Rate for Payer: Qualcare PPO/HMO/WC	$20.97

SCREW CORTEX SELFTAP 2.7x16MM

Facility

$139.80

Service Code	HCPCS C1713
Hospital Charge Code	270656899
Hospital Revenue Code	278
Min. Negotiated Rate	$3.97
Max. Negotiated Rate	$69.90
Rate for Payer: Aetna Commercial	$53.12
Rate for Payer: Aetna Medicare Advantage	$41.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.65
Rate for Payer: Cigna Commercial	$69.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.83
Rate for Payer: Qualcare PPO/HMO/WC	$20.97
Rate for Payer: UnitedHealthcare Community & State	$4.42
Rate for Payer: Wellpoint Medicaid Managed Care	$3.97

SCREW CORTEX SELFTAP 2.7x6mm

Facility

$135.75

Hospital Charge Code	270673149
Hospital Revenue Code	278
Min. Negotiated Rate	$20.36
Max. Negotiated Rate	$32.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.85
Rate for Payer: Qualcare PPO/HMO/WC	$20.36

SCREW CORTEX SELFTAP 2.7x6mm

Facility

$135.75

Hospital Charge Code	270673149
Hospital Revenue Code	278
Min. Negotiated Rate	$3.86
Max. Negotiated Rate	$67.88
Rate for Payer: Aetna Commercial	$51.59
Rate for Payer: Aetna Medicare Advantage	$40.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.62
Rate for Payer: Cigna Commercial	$67.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.85
Rate for Payer: Qualcare PPO/HMO/WC	$20.36
Rate for Payer: UnitedHealthcare Community & State	$4.29
Rate for Payer: Wellpoint Medicaid Managed Care	$3.86

SCREW CORTEX SELFTAP 2.7x8mm

Facility

$135.75

Hospital Charge Code	270673150
Hospital Revenue Code	278
Min. Negotiated Rate	$20.36
Max. Negotiated Rate	$32.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.85
Rate for Payer: Qualcare PPO/HMO/WC	$20.36

SCREW CORTEX SELFTAP 2.7x8mm

Facility

$135.75

Hospital Charge Code	270673150
Hospital Revenue Code	278
Min. Negotiated Rate	$3.86
Max. Negotiated Rate	$67.88
Rate for Payer: Aetna Commercial	$51.59
Rate for Payer: Aetna Medicare Advantage	$40.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.62
Rate for Payer: Cigna Commercial	$67.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.85
Rate for Payer: Qualcare PPO/HMO/WC	$20.36
Rate for Payer: UnitedHealthcare Community & State	$4.29
Rate for Payer: Wellpoint Medicaid Managed Care	$3.86

SCREW CORTEX SELF TAP 2x13MM

Facility

$143.25

Hospital Charge Code	270675317
Hospital Revenue Code	278
Min. Negotiated Rate	$4.07
Max. Negotiated Rate	$71.62
Rate for Payer: Aetna Commercial	$54.44
Rate for Payer: Aetna Medicare Advantage	$42.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.53
Rate for Payer: Cigna Commercial	$71.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.67
Rate for Payer: Qualcare PPO/HMO/WC	$21.49
Rate for Payer: UnitedHealthcare Community & State	$4.53
Rate for Payer: Wellpoint Medicaid Managed Care	$4.07

SCREW CORTEX SELF TAP 2x13MM

Facility

$143.25

Hospital Charge Code	270675317
Hospital Revenue Code	278
Min. Negotiated Rate	$21.49
Max. Negotiated Rate	$34.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.67
Rate for Payer: Qualcare PPO/HMO/WC	$21.49

SCREW CORTEX SELFTAP 2x18MM

Facility

$155.15

Service Code	HCPCS C1713
Hospital Charge Code	270675623
Hospital Revenue Code	278
Min. Negotiated Rate	$23.27
Max. Negotiated Rate	$37.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.55
Rate for Payer: Qualcare PPO/HMO/WC	$23.27

SCREW CORTEX SELFTAP 2x18MM

Facility

$155.15

Service Code	HCPCS C1713
Hospital Charge Code	270675623
Hospital Revenue Code	278
Min. Negotiated Rate	$4.41
Max. Negotiated Rate	$77.58
Rate for Payer: Aetna Commercial	$58.96
Rate for Payer: Aetna Medicare Advantage	$46.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.56
Rate for Payer: Cigna Commercial	$77.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.55
Rate for Payer: Qualcare PPO/HMO/WC	$23.27
Rate for Payer: UnitedHealthcare Community & State	$4.90
Rate for Payer: Wellpoint Medicaid Managed Care	$4.41

SCREW CORTEX SELFTAP 2x24MM

Facility

$150.65

Service Code	HCPCS C1713
Hospital Charge Code	270641312
Hospital Revenue Code	278
Min. Negotiated Rate	$4.28
Max. Negotiated Rate	$75.33
Rate for Payer: Aetna Commercial	$57.25
Rate for Payer: Aetna Medicare Advantage	$45.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.42
Rate for Payer: Cigna Commercial	$75.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.46
Rate for Payer: Qualcare PPO/HMO/WC	$22.60
Rate for Payer: UnitedHealthcare Community & State	$4.76
Rate for Payer: Wellpoint Medicaid Managed Care	$4.28

SCREW CORTEX SELFTAP 2x24MM

Facility

$150.65

Service Code	HCPCS C1713
Hospital Charge Code	270641312
Hospital Revenue Code	278
Min. Negotiated Rate	$22.60
Max. Negotiated Rate	$36.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.46
Rate for Payer: Qualcare PPO/HMO/WC	$22.60

SCREW CORTEX SELFTAP 2x26MM

Facility

$150.65

Service Code	HCPCS C1713
Hospital Charge Code	270641313
Hospital Revenue Code	278
Min. Negotiated Rate	$4.28
Max. Negotiated Rate	$75.33
Rate for Payer: Aetna Commercial	$57.25
Rate for Payer: Aetna Medicare Advantage	$45.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.42
Rate for Payer: Cigna Commercial	$75.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.46
Rate for Payer: Qualcare PPO/HMO/WC	$22.60
Rate for Payer: UnitedHealthcare Community & State	$4.76
Rate for Payer: Wellpoint Medicaid Managed Care	$4.28

SCREW CORTEX SELFTAP 2x26MM

Facility

$150.65

Service Code	HCPCS C1713
Hospital Charge Code	270641313
Hospital Revenue Code	278
Min. Negotiated Rate	$22.60
Max. Negotiated Rate	$36.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.46
Rate for Payer: Qualcare PPO/HMO/WC	$22.60

Know your out-of-pocket cost for care.

All Charges