Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CORTEX TITAN 1.5x24mm

Facility

$123.60

Service Code	HCPCS C1713
Hospital Charge Code	270603960
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 1.5x6mm

Facility

$123.60

Service Code	HCPCS C1713
Hospital Charge Code	270603948
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 1.5x6mm

Facility

$123.60

Service Code	HCPCS C1713
Hospital Charge Code	270603948
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 1.5x7mm

Facility

$173.35

Service Code	HCPCS C1713
Hospital Charge Code	270602972
Hospital Revenue Code	278
Min. Negotiated Rate	$26.00
Max. Negotiated Rate	$41.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.95
Rate for Payer: Qualcare PPO/HMO/WC	$26.00

SCREW CORTEX TITAN 1.5x7mm

Facility

$173.35

Service Code	HCPCS C1713
Hospital Charge Code	270602972
Hospital Revenue Code	278
Min. Negotiated Rate	$4.92
Max. Negotiated Rate	$86.67
Rate for Payer: Aetna Commercial	$65.87
Rate for Payer: Aetna Medicare Advantage	$52.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.20
Rate for Payer: Cigna Commercial	$86.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.95
Rate for Payer: Qualcare PPO/HMO/WC	$26.00
Rate for Payer: UnitedHealthcare Community & State	$5.48
Rate for Payer: Wellpoint Medicaid Managed Care	$4.92

SCREW CORTEX TITAN 1.5x8mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270602973
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 1.5x8mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270602973
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 1.5x9mm

Facility

$123.60

Service Code	HCPCS C1713
Hospital Charge Code	270603951
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 1.5x9mm

Facility

$123.60

Service Code	HCPCS C1713
Hospital Charge Code	270603951
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 2.0x6mm

Facility

$122.05

Service Code	HCPCS C1713
Hospital Charge Code	270603961
Hospital Revenue Code	278
Min. Negotiated Rate	$18.31
Max. Negotiated Rate	$29.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.54
Rate for Payer: Qualcare PPO/HMO/WC	$18.31

SCREW CORTEX TITAN 2.0x6mm

Facility

$122.05

Service Code	HCPCS C1713
Hospital Charge Code	270603961
Hospital Revenue Code	278
Min. Negotiated Rate	$3.47
Max. Negotiated Rate	$61.02
Rate for Payer: Aetna Commercial	$46.38
Rate for Payer: Aetna Medicare Advantage	$36.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.12
Rate for Payer: Cigna Commercial	$61.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.54
Rate for Payer: Qualcare PPO/HMO/WC	$18.31
Rate for Payer: UnitedHealthcare Community & State	$3.86
Rate for Payer: Wellpoint Medicaid Managed Care	$3.47

SCREW CORT FAZ NAIL 5.0X32.

Facility

$1,010.00

Hospital Charge Code	270661014
Hospital Revenue Code	278
Min. Negotiated Rate	$151.50
Max. Negotiated Rate	$244.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$202.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$244.42
Rate for Payer: Qualcare PPO/HMO/WC	$151.50

SCREW CORT FAZ NAIL 5.0X32.

Facility

$1,010.00

Hospital Charge Code	270661014
Hospital Revenue Code	278
Min. Negotiated Rate	$28.68
Max. Negotiated Rate	$505.00
Rate for Payer: Aetna Commercial	$383.80
Rate for Payer: Aetna Medicare Advantage	$303.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$257.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$257.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$202.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$257.55
Rate for Payer: Cigna Commercial	$505.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$244.42
Rate for Payer: Qualcare PPO/HMO/WC	$151.50
Rate for Payer: UnitedHealthcare Community & State	$31.92
Rate for Payer: Wellpoint Medicaid Managed Care	$28.68

SCREW CORT HYB MTP 3.0X14MM

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270694410
Hospital Revenue Code	278
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$151.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

SCREW CORT HYB MTP 3.0X14MM

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270694410
Hospital Revenue Code	278
Min. Negotiated Rate	$17.75
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$237.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Community & State	$19.75
Rate for Payer: Wellpoint Medicaid Managed Care	$17.75

SCREW CORT HYB MTP 3.0X16MM

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270694411
Hospital Revenue Code	278
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$151.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

SCREW CORT HYB MTP 3.0X16MM

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270694411
Hospital Revenue Code	278
Min. Negotiated Rate	$17.75
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$237.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Community & State	$19.75
Rate for Payer: Wellpoint Medicaid Managed Care	$17.75

SCREW CORT HYB MTP 3.0X18MM

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270694412
Hospital Revenue Code	278
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$151.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

SCREW CORT HYB MTP 3.0X18MM

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270694412
Hospital Revenue Code	278
Min. Negotiated Rate	$17.75
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$237.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Community & State	$19.75
Rate for Payer: Wellpoint Medicaid Managed Care	$17.75

SCREW CORTICAL

Facility

$1,540.00

Hospital Charge Code	270668100
Hospital Revenue Code	278
Min. Negotiated Rate	$43.74
Max. Negotiated Rate	$770.00
Rate for Payer: Aetna Commercial	$585.20
Rate for Payer: Aetna Medicare Advantage	$462.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$392.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$392.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$308.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$392.70
Rate for Payer: Cigna Commercial	$770.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$372.68
Rate for Payer: Qualcare PPO/HMO/WC	$231.00
Rate for Payer: UnitedHealthcare Community & State	$48.66
Rate for Payer: Wellpoint Medicaid Managed Care	$43.74

SCREW CORTICAL

Facility

$1,540.00

Hospital Charge Code	270668100
Hospital Revenue Code	278
Min. Negotiated Rate	$231.00
Max. Negotiated Rate	$372.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$308.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$372.68
Rate for Payer: Qualcare PPO/HMO/WC	$231.00

SCREW CORTICAL 20-50MM ALTA

Facility

$346.00

Hospital Charge Code	270335176
Hospital Revenue Code	278
Min. Negotiated Rate	$51.90
Max. Negotiated Rate	$83.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.73
Rate for Payer: Qualcare PPO/HMO/WC	$51.90

SCREW CORTICAL 20-50MM ALTA

Facility

$346.00

Hospital Charge Code	270335176
Hospital Revenue Code	278
Min. Negotiated Rate	$9.83
Max. Negotiated Rate	$173.00
Rate for Payer: Aetna Commercial	$131.48
Rate for Payer: Aetna Medicare Advantage	$103.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$88.23
Rate for Payer: Cigna Commercial	$173.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.73
Rate for Payer: Qualcare PPO/HMO/WC	$51.90
Rate for Payer: UnitedHealthcare Community & State	$10.93
Rate for Payer: Wellpoint Medicaid Managed Care	$9.83

SCREW CORTICAL 2.3 X 10

Facility

$6,965.00

Hospital Charge Code	270656419
Hospital Revenue Code	278
Min. Negotiated Rate	$1,044.75
Max. Negotiated Rate	$1,685.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,393.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,685.53
Rate for Payer: Qualcare PPO/HMO/WC	$1,044.75

SCREW CORTICAL 2.3 X 10

Facility

$6,965.00

Hospital Charge Code	270656419
Hospital Revenue Code	278
Min. Negotiated Rate	$197.81
Max. Negotiated Rate	$3,482.50
Rate for Payer: Aetna Commercial	$2,646.70
Rate for Payer: Aetna Medicare Advantage	$2,089.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,776.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,776.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,393.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,776.08
Rate for Payer: Cigna Commercial	$3,482.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,685.53
Rate for Payer: Qualcare PPO/HMO/WC	$1,044.75
Rate for Payer: UnitedHealthcare Community & State	$220.09
Rate for Payer: Wellpoint Medicaid Managed Care	$197.81

Know your out-of-pocket cost for care.

All Charges