Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CORTEX SELFTAP 4.5x38MM

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270606028
Hospital Revenue Code	278
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) NJ Health	$18.23
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	$22.06
Rate for Payer: Qualcare PPO/HMO/WC	$13.67
Rate for Payer: UnitedHealthcare Community & State	$2.88
Rate for Payer: Wellpoint Medicaid Managed Care	$2.59

SCREW CORTEX SELFTAP 4.5x40MM

Facility

$93.90

Service Code	HCPCS C1713
Hospital Charge Code	270603613
Hospital Revenue Code	278
Min. Negotiated Rate	$14.09
Max. Negotiated Rate	$22.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.72
Rate for Payer: Qualcare PPO/HMO/WC	$14.09

SCREW CORTEX SELFTAP 4.5x40MM

Facility

$93.90

Service Code	HCPCS C1713
Hospital Charge Code	270603613
Hospital Revenue Code	278
Min. Negotiated Rate	$2.67
Max. Negotiated Rate	$46.95
Rate for Payer: Aetna Commercial	$35.68
Rate for Payer: Aetna Medicare Advantage	$28.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.94
Rate for Payer: Cigna Commercial	$46.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.72
Rate for Payer: Qualcare PPO/HMO/WC	$14.09
Rate for Payer: UnitedHealthcare Community & State	$2.97
Rate for Payer: Wellpoint Medicaid Managed Care	$2.67

SCREW CORTEX SELFTAP 4.5x44mm

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270603618
Hospital Revenue Code	278
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) NJ Health	$18.23
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	$22.06
Rate for Payer: Qualcare PPO/HMO/WC	$13.67
Rate for Payer: UnitedHealthcare Community & State	$2.88
Rate for Payer: Wellpoint Medicaid Managed Care	$2.59

SCREW CORTEX SELFTAP 4.5x44mm

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270603618
Hospital Revenue Code	278
Min. Negotiated Rate	$13.67
Max. Negotiated Rate	$22.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.06
Rate for Payer: Qualcare PPO/HMO/WC	$13.67

SCREW CORTEX SELFTAP 4.5x46mm

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270603619
Hospital Revenue Code	278
Min. Negotiated Rate	$13.67
Max. Negotiated Rate	$22.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.06
Rate for Payer: Qualcare PPO/HMO/WC	$13.67

SCREW CORTEX SELFTAP 4.5x46mm

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270603619
Hospital Revenue Code	278
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) NJ Health	$18.23
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	$22.06
Rate for Payer: Qualcare PPO/HMO/WC	$13.67
Rate for Payer: UnitedHealthcare Community & State	$2.88
Rate for Payer: Wellpoint Medicaid Managed Care	$2.59

SCREW CORTEX SELFTAP 4.5x52MM

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270603624
Hospital Revenue Code	278
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) NJ Health	$18.23
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	$22.06
Rate for Payer: Qualcare PPO/HMO/WC	$13.67
Rate for Payer: UnitedHealthcare Community & State	$2.88
Rate for Payer: Wellpoint Medicaid Managed Care	$2.59

SCREW CORTEX SELFTAP 4.5x52MM

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270603624
Hospital Revenue Code	278
Min. Negotiated Rate	$13.67
Max. Negotiated Rate	$22.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.06
Rate for Payer: Qualcare PPO/HMO/WC	$13.67

SCREW CORTEX SELFTAP 4.5x56mm

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270645543
Hospital Revenue Code	278
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) NJ Health	$18.23
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	$22.06
Rate for Payer: Qualcare PPO/HMO/WC	$13.67
Rate for Payer: UnitedHealthcare Community & State	$2.88
Rate for Payer: Wellpoint Medicaid Managed Care	$2.59

SCREW CORTEX SELFTAP 4.5x56mm

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270645543
Hospital Revenue Code	278
Min. Negotiated Rate	$13.67
Max. Negotiated Rate	$22.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.06
Rate for Payer: Qualcare PPO/HMO/WC	$13.67

SCREW CORTEX SELFTAP 4.5x64MM

Facility

$88.50

Hospital Charge Code	270676983
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 SELFTAP 4.5x64MM

Facility

$88.50

Hospital Charge Code	270676983
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 SELFTAP 4.5x70mm

Facility

$88.50

Service Code	HCPCS C1713
Hospital Charge Code	270645544
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 SELFTAP 4.5x70mm

Facility

$88.50

Service Code	HCPCS C1713
Hospital Charge Code	270645544
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 SLF 30 MM 2.4 MM

Facility

$232.50

Service Code	HCPCS C1713
Hospital Charge Code	270659709
Hospital Revenue Code	278
Min. Negotiated Rate	$6.60
Max. Negotiated Rate	$116.25
Rate for Payer: Aetna Commercial	$88.35
Rate for Payer: Aetna Medicare Advantage	$69.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.29
Rate for Payer: Cigna Commercial	$116.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.27
Rate for Payer: Qualcare PPO/HMO/WC	$34.88
Rate for Payer: UnitedHealthcare Community & State	$7.35
Rate for Payer: Wellpoint Medicaid Managed Care	$6.60

SCREW CORTEX SLF 30 MM 2.4 MM

Facility

$232.50

Service Code	HCPCS C1713
Hospital Charge Code	270659709
Hospital Revenue Code	278
Min. Negotiated Rate	$34.88
Max. Negotiated Rate	$56.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.27
Rate for Payer: Qualcare PPO/HMO/WC	$34.88

SCREW CORTEX SLF TAP 1.5x6MM

Facility

$148.30

Service Code	HCPCS C1713
Hospital Charge Code	270606011
Hospital Revenue Code	278
Min. Negotiated Rate	$4.21
Max. Negotiated Rate	$74.15
Rate for Payer: Aetna Commercial	$56.35
Rate for Payer: Aetna Medicare Advantage	$44.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.82
Rate for Payer: Cigna Commercial	$74.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.89
Rate for Payer: Qualcare PPO/HMO/WC	$22.25
Rate for Payer: UnitedHealthcare Community & State	$4.69
Rate for Payer: Wellpoint Medicaid Managed Care	$4.21

SCREW CORTEX SLF TAP 1.5x6MM

Facility

$148.30

Service Code	HCPCS C1713
Hospital Charge Code	270606011
Hospital Revenue Code	278
Min. Negotiated Rate	$22.25
Max. Negotiated Rate	$35.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.89
Rate for Payer: Qualcare PPO/HMO/WC	$22.25

SCREW CORTEX SLF TAP 1.5x8MM

Facility

$144.00

Hospital Charge Code	270675503
Hospital Revenue Code	278
Min. Negotiated Rate	$21.60
Max. Negotiated Rate	$34.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.85
Rate for Payer: Qualcare PPO/HMO/WC	$21.60

SCREW CORTEX SLF TAP 1.5x8MM

Facility

$144.00

Hospital Charge Code	270675503
Hospital Revenue Code	278
Min. Negotiated Rate	$4.09
Max. Negotiated Rate	$72.00
Rate for Payer: Aetna Commercial	$54.72
Rate for Payer: Aetna Medicare Advantage	$43.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.72
Rate for Payer: Cigna Commercial	$72.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.85
Rate for Payer: Qualcare PPO/HMO/WC	$21.60
Rate for Payer: UnitedHealthcare Community & State	$4.55
Rate for Payer: Wellpoint Medicaid Managed Care	$4.09

SCREW CORTEX SLF TAP 2.0x20MM

Facility

$150.65

Service Code	HCPCS C1713
Hospital Charge Code	270676259
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 SLF TAP 2.0x20MM

Facility

$150.65

Service Code	HCPCS C1713
Hospital Charge Code	270676259
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 SLF TAP 2.0x22MM

Facility

$146.25

Hospital Charge Code	270676260
Hospital Revenue Code	278
Min. Negotiated Rate	$21.94
Max. Negotiated Rate	$35.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.39
Rate for Payer: Qualcare PPO/HMO/WC	$21.94

SCREW CORTEX SLF TAP 2.0x22MM

Facility

$146.25

Hospital Charge Code	270676260
Hospital Revenue Code	278
Min. Negotiated Rate	$4.15
Max. Negotiated Rate	$73.12
Rate for Payer: Aetna Commercial	$55.58
Rate for Payer: Aetna Medicare Advantage	$43.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.29
Rate for Payer: Cigna Commercial	$73.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.39
Rate for Payer: Qualcare PPO/HMO/WC	$21.94
Rate for Payer: UnitedHealthcare Community & State	$4.62
Rate for Payer: Wellpoint Medicaid Managed Care	$4.15

Know your out-of-pocket cost for care.

All Charges