Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CORTEX ST T8 SD 2.4X16MM

Facility

$405.55

Service Code	HCPCS C1713
Hospital Charge Code	270697638
Hospital Revenue Code	278
Min. Negotiated Rate	$11.52
Max. Negotiated Rate	$202.78
Rate for Payer: Aetna Commercial	$154.11
Rate for Payer: Aetna Medicare Advantage	$121.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$103.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$103.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$81.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$103.42
Rate for Payer: Cigna Commercial	$202.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.14
Rate for Payer: Qualcare PPO/HMO/WC	$60.83
Rate for Payer: UnitedHealthcare Community & State	$12.82
Rate for Payer: Wellpoint Medicaid Managed Care	$11.52

SCREW CORTEX ST T8 SS 2.4X12MM

Facility

$405.55

Service Code	HCPCS C1713
Hospital Charge Code	270697616
Hospital Revenue Code	278
Min. Negotiated Rate	$60.83
Max. Negotiated Rate	$98.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$81.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.14
Rate for Payer: Qualcare PPO/HMO/WC	$60.83

SCREW CORTEX ST T8 SS 2.4X12MM

Facility

$405.55

Service Code	HCPCS C1713
Hospital Charge Code	270697616
Hospital Revenue Code	278
Min. Negotiated Rate	$11.52
Max. Negotiated Rate	$202.78
Rate for Payer: Aetna Commercial	$154.11
Rate for Payer: Aetna Medicare Advantage	$121.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$103.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$103.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$81.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$103.42
Rate for Payer: Cigna Commercial	$202.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.14
Rate for Payer: Qualcare PPO/HMO/WC	$60.83
Rate for Payer: UnitedHealthcare Community & State	$12.82
Rate for Payer: Wellpoint Medicaid Managed Care	$11.52

SCREW CORTEX T6 STAR 2x36MM

Facility

$146.25

Hospital Charge Code	270672969
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

SCREW CORTEX T6 STAR 2x36MM

Facility

$146.25

Hospital Charge Code	270672969
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 T8 STAR

Facility

$168.65

Service Code	HCPCS C1713
Hospital Charge Code	270659771
Hospital Revenue Code	278
Min. Negotiated Rate	$25.30
Max. Negotiated Rate	$40.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$33.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.81
Rate for Payer: Qualcare PPO/HMO/WC	$25.30

SCREW CORTEX T8 STAR

Facility

$168.65

Service Code	HCPCS C1713
Hospital Charge Code	270659771
Hospital Revenue Code	278
Min. Negotiated Rate	$4.79
Max. Negotiated Rate	$84.33
Rate for Payer: Aetna Commercial	$64.09
Rate for Payer: Aetna Medicare Advantage	$50.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$33.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.01
Rate for Payer: Cigna Commercial	$84.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.81
Rate for Payer: Qualcare PPO/HMO/WC	$25.30
Rate for Payer: UnitedHealthcare Community & State	$5.33
Rate for Payer: Wellpoint Medicaid Managed Care	$4.79

SCREW CORTEX T8 STAR 2.4x10MM

Facility

$239.50

Service Code	HCPCS C1713
Hospital Charge Code	270667137
Hospital Revenue Code	278
Min. Negotiated Rate	$35.92
Max. Negotiated Rate	$57.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.96
Rate for Payer: Qualcare PPO/HMO/WC	$35.92

SCREW CORTEX T8 STAR 2.4x10MM

Facility

$239.50

Service Code	HCPCS C1713
Hospital Charge Code	270667137
Hospital Revenue Code	278
Min. Negotiated Rate	$6.80
Max. Negotiated Rate	$119.75
Rate for Payer: Aetna Commercial	$91.01
Rate for Payer: Aetna Medicare Advantage	$71.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.07
Rate for Payer: Cigna Commercial	$119.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.96
Rate for Payer: Qualcare PPO/HMO/WC	$35.92
Rate for Payer: UnitedHealthcare Community & State	$7.57
Rate for Payer: Wellpoint Medicaid Managed Care	$6.80

SCREW CORTEX T8 STAR 2.4x11MM

Facility

$232.50

Hospital Charge Code	270672970
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 T8 STAR 2.4x11MM

Facility

$232.50

Hospital Charge Code	270672970
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 T8 STAR 2.4x14MM

Facility

$246.70

Service Code	HCPCS C1713
Hospital Charge Code	270637242
Hospital Revenue Code	278
Min. Negotiated Rate	$7.01
Max. Negotiated Rate	$123.35
Rate for Payer: Aetna Commercial	$93.75
Rate for Payer: Aetna Medicare Advantage	$74.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.91
Rate for Payer: Cigna Commercial	$123.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.70
Rate for Payer: Qualcare PPO/HMO/WC	$37.01
Rate for Payer: UnitedHealthcare Community & State	$7.80
Rate for Payer: Wellpoint Medicaid Managed Care	$7.01

SCREW CORTEX T8 STAR 2.4x14MM

Facility

$246.70

Service Code	HCPCS C1713
Hospital Charge Code	270637242
Hospital Revenue Code	278
Min. Negotiated Rate	$37.01
Max. Negotiated Rate	$59.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.70
Rate for Payer: Qualcare PPO/HMO/WC	$37.01

SCREW CORTEX T8 STAR 2.4x16MM

Facility

$246.70

Service Code	HCPCS C1713
Hospital Charge Code	270637240
Hospital Revenue Code	278
Min. Negotiated Rate	$37.01
Max. Negotiated Rate	$59.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.70
Rate for Payer: Qualcare PPO/HMO/WC	$37.01

SCREW CORTEX T8 STAR 2.4x16MM

Facility

$246.70

Service Code	HCPCS C1713
Hospital Charge Code	270637240
Hospital Revenue Code	278
Min. Negotiated Rate	$7.01
Max. Negotiated Rate	$123.35
Rate for Payer: Aetna Commercial	$93.75
Rate for Payer: Aetna Medicare Advantage	$74.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.91
Rate for Payer: Cigna Commercial	$123.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.70
Rate for Payer: Qualcare PPO/HMO/WC	$37.01
Rate for Payer: UnitedHealthcare Community & State	$7.80
Rate for Payer: Wellpoint Medicaid Managed Care	$7.01

SCREW CORTEX T8 STAR 2.4x18MM

Facility

$246.70

Service Code	HCPCS C1713
Hospital Charge Code	270665341
Hospital Revenue Code	278
Min. Negotiated Rate	$37.01
Max. Negotiated Rate	$59.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.70
Rate for Payer: Qualcare PPO/HMO/WC	$37.01

SCREW CORTEX T8 STAR 2.4x18MM

Facility

$246.70

Service Code	HCPCS C1713
Hospital Charge Code	270665341
Hospital Revenue Code	278
Min. Negotiated Rate	$7.01
Max. Negotiated Rate	$123.35
Rate for Payer: Aetna Commercial	$93.75
Rate for Payer: Aetna Medicare Advantage	$74.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.91
Rate for Payer: Cigna Commercial	$123.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.70
Rate for Payer: Qualcare PPO/HMO/WC	$37.01
Rate for Payer: UnitedHealthcare Community & State	$7.80
Rate for Payer: Wellpoint Medicaid Managed Care	$7.01

SCREW CORTEX T8 STAR 2.4x20MM

Facility

$239.50

Service Code	HCPCS C1713
Hospital Charge Code	270664091
Hospital Revenue Code	278
Min. Negotiated Rate	$6.80
Max. Negotiated Rate	$119.75
Rate for Payer: Aetna Commercial	$91.01
Rate for Payer: Aetna Medicare Advantage	$71.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.07
Rate for Payer: Cigna Commercial	$119.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.96
Rate for Payer: Qualcare PPO/HMO/WC	$35.92
Rate for Payer: UnitedHealthcare Community & State	$7.57
Rate for Payer: Wellpoint Medicaid Managed Care	$6.80

SCREW CORTEX T8 STAR 2.4x20MM

Facility

$239.50

Service Code	HCPCS C1713
Hospital Charge Code	270664091
Hospital Revenue Code	278
Min. Negotiated Rate	$35.92
Max. Negotiated Rate	$57.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.96
Rate for Payer: Qualcare PPO/HMO/WC	$35.92

SCREW CORTEX T8 STAR 2.4x22MM

Facility

$232.50

Service Code	HCPCS C1713
Hospital Charge Code	270663937
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 T8 STAR 2.4x22MM

Facility

$232.50

Service Code	HCPCS C1713
Hospital Charge Code	270663937
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 T8 STAR 2.4x24mm

Facility

$239.50

Service Code	HCPCS C1713
Hospital Charge Code	270637243
Hospital Revenue Code	278
Min. Negotiated Rate	$35.92
Max. Negotiated Rate	$57.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.96
Rate for Payer: Qualcare PPO/HMO/WC	$35.92

SCREW CORTEX T8 STAR 2.4x24mm

Facility

$239.50

Service Code	HCPCS C1713
Hospital Charge Code	270637243
Hospital Revenue Code	278
Min. Negotiated Rate	$6.80
Max. Negotiated Rate	$119.75
Rate for Payer: Aetna Commercial	$91.01
Rate for Payer: Aetna Medicare Advantage	$71.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.07
Rate for Payer: Cigna Commercial	$119.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.96
Rate for Payer: Qualcare PPO/HMO/WC	$35.92
Rate for Payer: UnitedHealthcare Community & State	$7.57
Rate for Payer: Wellpoint Medicaid Managed Care	$6.80

SCREW CORTEX T8 STAR 2.4x26MM

Facility

$232.50

Hospital Charge Code	270664958
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 T8 STAR 2.4x26MM

Facility

$232.50

Hospital Charge Code	270664958
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

Know your out-of-pocket cost for care.

All Charges