Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CORTEX T8 STAR 2.7x28MM

Facility

$159.00

Service Code	HCPCS C1713
Hospital Charge Code	270667168
Hospital Revenue Code	278
Min. Negotiated Rate	$23.85
Max. Negotiated Rate	$38.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.48
Rate for Payer: Qualcare PPO/HMO/WC	$23.85

SCREW CORTEX T8 STAR 2.7x34MM

Facility

$159.00

Hospital Charge Code	270676980
Hospital Revenue Code	278
Min. Negotiated Rate	$23.85
Max. Negotiated Rate	$38.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.48
Rate for Payer: Qualcare PPO/HMO/WC	$23.85

SCREW CORTEX T8 STAR 2.7x34MM

Facility

$159.00

Hospital Charge Code	270676980
Hospital Revenue Code	278
Min. Negotiated Rate	$4.52
Max. Negotiated Rate	$79.50
Rate for Payer: Aetna Commercial	$60.42
Rate for Payer: Aetna Medicare Advantage	$47.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.55
Rate for Payer: Cigna Commercial	$79.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.48
Rate for Payer: Qualcare PPO/HMO/WC	$23.85
Rate for Payer: UnitedHealthcare Community & State	$5.02
Rate for Payer: Wellpoint Medicaid Managed Care	$4.52

SCREW CORTEX T8 STAR 2.7x38MM

Facility

$168.65

Service Code	HCPCS C1713
Hospital Charge Code	270684227
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 2.7x38MM

Facility

$168.65

Service Code	HCPCS C1713
Hospital Charge Code	270684227
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 2.7x40MM

Facility

$163.75

Service Code	HCPCS C1713
Hospital Charge Code	270678884
Hospital Revenue Code	278
Min. Negotiated Rate	$24.56
Max. Negotiated Rate	$39.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$32.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.63
Rate for Payer: Qualcare PPO/HMO/WC	$24.56

SCREW CORTEX T8 STAR 2.7x40MM

Facility

$163.75

Service Code	HCPCS C1713
Hospital Charge Code	270678884
Hospital Revenue Code	278
Min. Negotiated Rate	$4.65
Max. Negotiated Rate	$81.88
Rate for Payer: Aetna Commercial	$62.23
Rate for Payer: Aetna Medicare Advantage	$49.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$32.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.76
Rate for Payer: Cigna Commercial	$81.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.63
Rate for Payer: Qualcare PPO/HMO/WC	$24.56
Rate for Payer: UnitedHealthcare Community & State	$5.17
Rate for Payer: Wellpoint Medicaid Managed Care	$4.65

SCREW CORTEX T8 STAR 2.7x42MM

Facility

$159.00

Hospital Charge Code	270676295
Hospital Revenue Code	278
Min. Negotiated Rate	$4.52
Max. Negotiated Rate	$79.50
Rate for Payer: Aetna Commercial	$60.42
Rate for Payer: Aetna Medicare Advantage	$47.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.55
Rate for Payer: Cigna Commercial	$79.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.48
Rate for Payer: Qualcare PPO/HMO/WC	$23.85
Rate for Payer: UnitedHealthcare Community & State	$5.02
Rate for Payer: Wellpoint Medicaid Managed Care	$4.52

SCREW CORTEX T8 STAR 2.7x42MM

Facility

$159.00

Hospital Charge Code	270676295
Hospital Revenue Code	278
Min. Negotiated Rate	$23.85
Max. Negotiated Rate	$38.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.48
Rate for Payer: Qualcare PPO/HMO/WC	$23.85

SCREW CORTEX T8 STAR 2.7x46MM

Facility

$159.00

Service Code	HCPCS C1713
Hospital Charge Code	270676981
Hospital Revenue Code	278
Min. Negotiated Rate	$23.85
Max. Negotiated Rate	$38.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.48
Rate for Payer: Qualcare PPO/HMO/WC	$23.85

SCREW CORTEX T8 STAR 2.7x46MM

Facility

$159.00

Service Code	HCPCS C1713
Hospital Charge Code	270676981
Hospital Revenue Code	278
Min. Negotiated Rate	$4.52
Max. Negotiated Rate	$79.50
Rate for Payer: Aetna Commercial	$60.42
Rate for Payer: Aetna Medicare Advantage	$47.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.55
Rate for Payer: Cigna Commercial	$79.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.48
Rate for Payer: Qualcare PPO/HMO/WC	$23.85
Rate for Payer: UnitedHealthcare Community & State	$5.02
Rate for Payer: Wellpoint Medicaid Managed Care	$4.52

SCREW CORTEX T8 STAR 2.7x50MM

Facility

$163.75

Service Code	HCPCS C1713
Hospital Charge Code	270678883
Hospital Revenue Code	278
Min. Negotiated Rate	$24.56
Max. Negotiated Rate	$39.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$32.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.63
Rate for Payer: Qualcare PPO/HMO/WC	$24.56

SCREW CORTEX T8 STAR 2.7x50MM

Facility

$163.75

Service Code	HCPCS C1713
Hospital Charge Code	270678883
Hospital Revenue Code	278
Min. Negotiated Rate	$4.65
Max. Negotiated Rate	$81.88
Rate for Payer: Aetna Commercial	$62.23
Rate for Payer: Aetna Medicare Advantage	$49.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$32.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.76
Rate for Payer: Cigna Commercial	$81.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.63
Rate for Payer: Qualcare PPO/HMO/WC	$24.56
Rate for Payer: UnitedHealthcare Community & State	$5.17
Rate for Payer: Wellpoint Medicaid Managed Care	$4.65

SCREW CORTEX TI 1.5 24

Facility

$144.00

Hospital Charge Code	270661897
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 TI 1.5 24

Facility

$144.00

Hospital Charge Code	270661897
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 Ti 2.0x10mm

Facility

$147.55

Service Code	HCPCS C1713
Hospital Charge Code	270633431
Hospital Revenue Code	278
Min. Negotiated Rate	$22.13
Max. Negotiated Rate	$35.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.71
Rate for Payer: Qualcare PPO/HMO/WC	$22.13

SCREW CORTEX Ti 2.0x10mm

Facility

$147.55

Service Code	HCPCS C1713
Hospital Charge Code	270633431
Hospital Revenue Code	278
Min. Negotiated Rate	$4.19
Max. Negotiated Rate	$73.78
Rate for Payer: Aetna Commercial	$56.07
Rate for Payer: Aetna Medicare Advantage	$44.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.63
Rate for Payer: Cigna Commercial	$73.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.71
Rate for Payer: Qualcare PPO/HMO/WC	$22.13
Rate for Payer: UnitedHealthcare Community & State	$4.66
Rate for Payer: Wellpoint Medicaid Managed Care	$4.19

SCREW CORTEX TI 2.4x28mm

Facility

$333.00

Hospital Charge Code	270656615
Hospital Revenue Code	278
Min. Negotiated Rate	$9.46
Max. Negotiated Rate	$166.50
Rate for Payer: Aetna Commercial	$126.54
Rate for Payer: Aetna Medicare Advantage	$99.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$66.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.92
Rate for Payer: Cigna Commercial	$166.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.59
Rate for Payer: Qualcare PPO/HMO/WC	$49.95
Rate for Payer: UnitedHealthcare Community & State	$10.52
Rate for Payer: Wellpoint Medicaid Managed Care	$9.46

SCREW CORTEX TI 2.4x28mm

Facility

$333.00

Hospital Charge Code	270656615
Hospital Revenue Code	278
Min. Negotiated Rate	$49.95
Max. Negotiated Rate	$80.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$66.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.59
Rate for Payer: Qualcare PPO/HMO/WC	$49.95

SCREW CORTEX TI 2.4x32mm

Facility

$333.00

Hospital Charge Code	270656618
Hospital Revenue Code	278
Min. Negotiated Rate	$9.46
Max. Negotiated Rate	$166.50
Rate for Payer: Aetna Commercial	$126.54
Rate for Payer: Aetna Medicare Advantage	$99.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$66.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.92
Rate for Payer: Cigna Commercial	$166.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.59
Rate for Payer: Qualcare PPO/HMO/WC	$49.95
Rate for Payer: UnitedHealthcare Community & State	$10.52
Rate for Payer: Wellpoint Medicaid Managed Care	$9.46

SCREW CORTEX TI 2.4x32mm

Facility

$333.00

Hospital Charge Code	270656618
Hospital Revenue Code	278
Min. Negotiated Rate	$49.95
Max. Negotiated Rate	$80.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$66.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.59
Rate for Payer: Qualcare PPO/HMO/WC	$49.95

SCREW CORTEX Ti 2 X 14MM

Facility

$236.25

Service Code	HCPCS C1713
Hospital Charge Code	270637441
Hospital Revenue Code	278
Min. Negotiated Rate	$35.44
Max. Negotiated Rate	$57.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.17
Rate for Payer: Qualcare PPO/HMO/WC	$35.44

SCREW CORTEX Ti 2 X 14MM

Facility

$236.25

Service Code	HCPCS C1713
Hospital Charge Code	270637441
Hospital Revenue Code	278
Min. Negotiated Rate	$6.71
Max. Negotiated Rate	$118.12
Rate for Payer: Aetna Commercial	$89.78
Rate for Payer: Aetna Medicare Advantage	$70.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.24
Rate for Payer: Cigna Commercial	$118.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.17
Rate for Payer: Qualcare PPO/HMO/WC	$35.44
Rate for Payer: UnitedHealthcare Community & State	$7.47
Rate for Payer: Wellpoint Medicaid Managed Care	$6.71

SCREW CORTEX TI 3.5X38MM

Facility

$238.50

Service Code	HCPCS C1713
Hospital Charge Code	270692181
Hospital Revenue Code	278
Min. Negotiated Rate	$6.77
Max. Negotiated Rate	$119.25
Rate for Payer: Aetna Commercial	$90.63
Rate for Payer: Aetna Medicare Advantage	$71.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.82
Rate for Payer: Cigna Commercial	$119.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.72
Rate for Payer: Qualcare PPO/HMO/WC	$35.77
Rate for Payer: UnitedHealthcare Community & State	$7.54
Rate for Payer: Wellpoint Medicaid Managed Care	$6.77

SCREW CORTEX TI 3.5X38MM

Facility

$238.50

Service Code	HCPCS C1713
Hospital Charge Code	270692181
Hospital Revenue Code	278
Min. Negotiated Rate	$35.77
Max. Negotiated Rate	$57.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.72
Rate for Payer: Qualcare PPO/HMO/WC	$35.77

Know your out-of-pocket cost for care.

All Charges