Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CORTEX TI 3.5x80MM

Facility

$200.00

Service Code	HCPCS C1713
Hospital Charge Code	270673954
Hospital Revenue Code	278
Min. Negotiated Rate	$5.68
Max. Negotiated Rate	$100.00
Rate for Payer: Aetna Commercial	$76.00
Rate for Payer: Aetna Medicare Advantage	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.00
Rate for Payer: Cigna Commercial	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.40
Rate for Payer: Qualcare PPO/HMO/WC	$30.00
Rate for Payer: UnitedHealthcare Community & State	$6.32
Rate for Payer: Wellpoint Medicaid Managed Care	$5.68

SCREW CORTEX TI 3.5x80MM

Facility

$200.00

Service Code	HCPCS C1713
Hospital Charge Code	270673954
Hospital Revenue Code	278
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$48.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.40
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

SCREW CORTEX TI 3.5x90MM

Facility

$200.00

Service Code	HCPCS C1713
Hospital Charge Code	270673953
Hospital Revenue Code	278
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$48.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.40
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

SCREW CORTEX TI 3.5x90MM

Facility

$200.00

Service Code	HCPCS C1713
Hospital Charge Code	270673953
Hospital Revenue Code	278
Min. Negotiated Rate	$5.68
Max. Negotiated Rate	$100.00
Rate for Payer: Aetna Commercial	$76.00
Rate for Payer: Aetna Medicare Advantage	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.00
Rate for Payer: Cigna Commercial	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.40
Rate for Payer: Qualcare PPO/HMO/WC	$30.00
Rate for Payer: UnitedHealthcare Community & State	$6.32
Rate for Payer: Wellpoint Medicaid Managed Care	$5.68

SCREW CORTEX TI 3.5XL36MM

Facility

$238.50

Service Code	HCPCS C1713
Hospital Charge Code	270692179
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 3.5XL36MM

Facility

$238.50

Service Code	HCPCS C1713
Hospital Charge Code	270692179
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

SCREW CORTEX TI S/TAP 1.5x7mm

Facility

$148.30

Service Code	HCPCS C1713
Hospital Charge Code	270656854
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 TI S/TAP 1.5x7mm

Facility

$148.30

Service Code	HCPCS C1713
Hospital Charge Code	270656854
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 TITAN 1.5x10mm

Facility

$123.60

Service Code	HCPCS C1713
Hospital Charge Code	270603952
Hospital Revenue Code	278
Min. Negotiated Rate	$18.54
Max. Negotiated Rate	$29.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.91
Rate for Payer: Qualcare PPO/HMO/WC	$18.54

SCREW CORTEX TITAN 1.5x10mm

Facility

$123.60

Service Code	HCPCS C1713
Hospital Charge Code	270603952
Hospital Revenue Code	278
Min. Negotiated Rate	$3.51
Max. Negotiated Rate	$61.80
Rate for Payer: Aetna Commercial	$46.97
Rate for Payer: Aetna Medicare Advantage	$37.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.52
Rate for Payer: Cigna Commercial	$61.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.91
Rate for Payer: Qualcare PPO/HMO/WC	$18.54
Rate for Payer: UnitedHealthcare Community & State	$3.91
Rate for Payer: Wellpoint Medicaid Managed Care	$3.51

SCREW CORTEX TITAN 1.5x11mm

Facility

$123.60

Service Code	HCPCS C1713
Hospital Charge Code	270603953
Hospital Revenue Code	278
Min. Negotiated Rate	$3.51
Max. Negotiated Rate	$61.80
Rate for Payer: Aetna Commercial	$46.97
Rate for Payer: Aetna Medicare Advantage	$37.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.52
Rate for Payer: Cigna Commercial	$61.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.91
Rate for Payer: Qualcare PPO/HMO/WC	$18.54
Rate for Payer: UnitedHealthcare Community & State	$3.91
Rate for Payer: Wellpoint Medicaid Managed Care	$3.51

SCREW CORTEX TITAN 1.5x11mm

Facility

$123.60

Service Code	HCPCS C1713
Hospital Charge Code	270603953
Hospital Revenue Code	278
Min. Negotiated Rate	$18.54
Max. Negotiated Rate	$29.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.91
Rate for Payer: Qualcare PPO/HMO/WC	$18.54

SCREW CORTEX TITAN 1.5x12mm

Facility

$123.60

Service Code	HCPCS C1713
Hospital Charge Code	270603954
Hospital Revenue Code	278
Min. Negotiated Rate	$18.54
Max. Negotiated Rate	$29.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.91
Rate for Payer: Qualcare PPO/HMO/WC	$18.54

SCREW CORTEX TITAN 1.5x12mm

Facility

$123.60

Service Code	HCPCS C1713
Hospital Charge Code	270603954
Hospital Revenue Code	278
Min. Negotiated Rate	$3.51
Max. Negotiated Rate	$61.80
Rate for Payer: Aetna Commercial	$46.97
Rate for Payer: Aetna Medicare Advantage	$37.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.52
Rate for Payer: Cigna Commercial	$61.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.91
Rate for Payer: Qualcare PPO/HMO/WC	$18.54
Rate for Payer: UnitedHealthcare Community & State	$3.91
Rate for Payer: Wellpoint Medicaid Managed Care	$3.51

SCREW CORTEX TITAN 1.5x14mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603955
Hospital Revenue Code	278
Min. Negotiated Rate	$18.56
Max. Negotiated Rate	$29.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.95
Rate for Payer: Qualcare PPO/HMO/WC	$18.56

SCREW CORTEX TITAN 1.5x14mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603955
Hospital Revenue Code	278
Min. Negotiated Rate	$3.51
Max. Negotiated Rate	$61.88
Rate for Payer: Aetna Commercial	$47.02
Rate for Payer: Aetna Medicare Advantage	$37.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.56
Rate for Payer: Cigna Commercial	$61.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.95
Rate for Payer: Qualcare PPO/HMO/WC	$18.56
Rate for Payer: UnitedHealthcare Community & State	$3.91
Rate for Payer: Wellpoint Medicaid Managed Care	$3.51

SCREW CORTEX TITAN 1.5x16mm

Facility

$123.60

Service Code	HCPCS C1713
Hospital Charge Code	270603956
Hospital Revenue Code	278
Min. Negotiated Rate	$18.54
Max. Negotiated Rate	$29.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.91
Rate for Payer: Qualcare PPO/HMO/WC	$18.54

SCREW CORTEX TITAN 1.5x16mm

Facility

$123.60

Service Code	HCPCS C1713
Hospital Charge Code	270603956
Hospital Revenue Code	278
Min. Negotiated Rate	$3.51
Max. Negotiated Rate	$61.80
Rate for Payer: Aetna Commercial	$46.97
Rate for Payer: Aetna Medicare Advantage	$37.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.52
Rate for Payer: Cigna Commercial	$61.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.91
Rate for Payer: Qualcare PPO/HMO/WC	$18.54
Rate for Payer: UnitedHealthcare Community & State	$3.91
Rate for Payer: Wellpoint Medicaid Managed Care	$3.51

SCREW CORTEX TITAN 1.5x18mm

Facility

$123.60

Service Code	HCPCS C1713
Hospital Charge Code	270603957
Hospital Revenue Code	278
Min. Negotiated Rate	$18.54
Max. Negotiated Rate	$29.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.91
Rate for Payer: Qualcare PPO/HMO/WC	$18.54

SCREW CORTEX TITAN 1.5x18mm

Facility

$123.60

Service Code	HCPCS C1713
Hospital Charge Code	270603957
Hospital Revenue Code	278
Min. Negotiated Rate	$3.51
Max. Negotiated Rate	$61.80
Rate for Payer: Aetna Commercial	$46.97
Rate for Payer: Aetna Medicare Advantage	$37.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.52
Rate for Payer: Cigna Commercial	$61.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.91
Rate for Payer: Qualcare PPO/HMO/WC	$18.54
Rate for Payer: UnitedHealthcare Community & State	$3.91
Rate for Payer: Wellpoint Medicaid Managed Care	$3.51

SCREW CORTEX TITAN 1.5x20mm

Facility

$123.60

Service Code	HCPCS C1713
Hospital Charge Code	270603958
Hospital Revenue Code	278
Min. Negotiated Rate	$18.54
Max. Negotiated Rate	$29.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.91
Rate for Payer: Qualcare PPO/HMO/WC	$18.54

SCREW CORTEX TITAN 1.5x20mm

Facility

$123.60

Service Code	HCPCS C1713
Hospital Charge Code	270603958
Hospital Revenue Code	278
Min. Negotiated Rate	$3.51
Max. Negotiated Rate	$61.80
Rate for Payer: Aetna Commercial	$46.97
Rate for Payer: Aetna Medicare Advantage	$37.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.52
Rate for Payer: Cigna Commercial	$61.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.91
Rate for Payer: Qualcare PPO/HMO/WC	$18.54
Rate for Payer: UnitedHealthcare Community & State	$3.91
Rate for Payer: Wellpoint Medicaid Managed Care	$3.51

SCREW CORTEX TITAN 1.5x22mm

Facility

$123.60

Service Code	HCPCS C1713
Hospital Charge Code	270603959
Hospital Revenue Code	278
Min. Negotiated Rate	$18.54
Max. Negotiated Rate	$29.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.91
Rate for Payer: Qualcare PPO/HMO/WC	$18.54

SCREW CORTEX TITAN 1.5x22mm

Facility

$123.60

Service Code	HCPCS C1713
Hospital Charge Code	270603959
Hospital Revenue Code	278
Min. Negotiated Rate	$3.51
Max. Negotiated Rate	$61.80
Rate for Payer: Aetna Commercial	$46.97
Rate for Payer: Aetna Medicare Advantage	$37.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.52
Rate for Payer: Cigna Commercial	$61.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.91
Rate for Payer: Qualcare PPO/HMO/WC	$18.54
Rate for Payer: UnitedHealthcare Community & State	$3.91
Rate for Payer: Wellpoint Medicaid Managed Care	$3.51

SCREW CORTEX TITAN 1.5x24mm

Facility

$123.60

Service Code	HCPCS C1713
Hospital Charge Code	270603960
Hospital Revenue Code	278
Min. Negotiated Rate	$3.51
Max. Negotiated Rate	$61.80
Rate for Payer: Aetna Commercial	$46.97
Rate for Payer: Aetna Medicare Advantage	$37.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.52
Rate for Payer: Cigna Commercial	$61.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.91
Rate for Payer: Qualcare PPO/HMO/WC	$18.54
Rate for Payer: UnitedHealthcare Community & State	$3.91
Rate for Payer: Wellpoint Medicaid Managed Care	$3.51

Know your out-of-pocket cost for care.

All Charges