Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CORT LO PRO 2.4x26MM

Facility

$550.00

Hospital Charge Code	270677129
Hospital Revenue Code	278
Min. Negotiated Rate	$15.62
Max. Negotiated Rate	$275.00
Rate for Payer: Aetna Commercial	$209.00
Rate for Payer: Aetna Medicare Advantage	$165.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: Qualcare PPO/HMO/WC	$82.50
Rate for Payer: UnitedHealthcare Community & State	$17.38
Rate for Payer: Wellpoint Medicaid Managed Care	$15.62

SCREW CORT LO PRO 2.4x28MM

Facility

$550.00

Service Code	HCPCS C1713
Hospital Charge Code	270677695
Hospital Revenue Code	278
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$133.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

SCREW CORT LO PRO 2.4x28MM

Facility

$550.00

Service Code	HCPCS C1713
Hospital Charge Code	270677695
Hospital Revenue Code	278
Min. Negotiated Rate	$15.62
Max. Negotiated Rate	$275.00
Rate for Payer: Aetna Commercial	$209.00
Rate for Payer: Aetna Medicare Advantage	$165.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: Qualcare PPO/HMO/WC	$82.50
Rate for Payer: UnitedHealthcare Community & State	$17.38
Rate for Payer: Wellpoint Medicaid Managed Care	$15.62

SCREW CORT LO PROF 3.5x12MM

Facility

$157.55

Service Code	HCPCS C1713
Hospital Charge Code	270663167
Hospital Revenue Code	278
Min. Negotiated Rate	$4.47
Max. Negotiated Rate	$78.78
Rate for Payer: Aetna Commercial	$59.87
Rate for Payer: Aetna Medicare Advantage	$47.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.18
Rate for Payer: Cigna Commercial	$78.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.13
Rate for Payer: Qualcare PPO/HMO/WC	$23.63
Rate for Payer: UnitedHealthcare Community & State	$4.98
Rate for Payer: Wellpoint Medicaid Managed Care	$4.47

SCREW CORT LO PROF 3.5x12MM

Facility

$148.50

Service Code	HCPCS C1713
Hospital Charge Code	270663163
Hospital Revenue Code	278
Min. Negotiated Rate	$4.22
Max. Negotiated Rate	$74.25
Rate for Payer: Aetna Commercial	$56.43
Rate for Payer: Aetna Medicare Advantage	$44.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.87
Rate for Payer: Cigna Commercial	$74.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.94
Rate for Payer: Qualcare PPO/HMO/WC	$22.27
Rate for Payer: UnitedHealthcare Community & State	$4.69
Rate for Payer: Wellpoint Medicaid Managed Care	$4.22

SCREW CORT LO PROF 3.5x12MM

Facility

$148.50

Service Code	HCPCS C1713
Hospital Charge Code	270663163
Hospital Revenue Code	278
Min. Negotiated Rate	$22.27
Max. Negotiated Rate	$35.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.94
Rate for Payer: Qualcare PPO/HMO/WC	$22.27

SCREW CORT LO PROF 3.5x12MM

Facility

$157.55

Service Code	HCPCS C1713
Hospital Charge Code	270663167
Hospital Revenue Code	278
Min. Negotiated Rate	$23.63
Max. Negotiated Rate	$38.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.13
Rate for Payer: Qualcare PPO/HMO/WC	$23.63

SCREW CORT LO PROF 3.5x12MM ST

Facility

$372.40

Service Code	HCPCS C1713
Hospital Charge Code	270685246
Hospital Revenue Code	278
Min. Negotiated Rate	$55.86
Max. Negotiated Rate	$90.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.12
Rate for Payer: Qualcare PPO/HMO/WC	$55.86

SCREW CORT LO PROF 3.5x12MM ST

Facility

$372.40

Service Code	HCPCS C1713
Hospital Charge Code	270685246
Hospital Revenue Code	278
Min. Negotiated Rate	$10.58
Max. Negotiated Rate	$186.20
Rate for Payer: Aetna Commercial	$141.51
Rate for Payer: Aetna Medicare Advantage	$111.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.96
Rate for Payer: Cigna Commercial	$186.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.12
Rate for Payer: Qualcare PPO/HMO/WC	$55.86
Rate for Payer: UnitedHealthcare Community & State	$11.77
Rate for Payer: Wellpoint Medicaid Managed Care	$10.58

SCREW CORT LO PROF 3.5x14MM ST

Facility

$372.40

Service Code	HCPCS C1713
Hospital Charge Code	270685247
Hospital Revenue Code	278
Min. Negotiated Rate	$55.86
Max. Negotiated Rate	$90.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.12
Rate for Payer: Qualcare PPO/HMO/WC	$55.86

SCREW CORT LO PROF 3.5x14MM ST

Facility

$372.40

Service Code	HCPCS C1713
Hospital Charge Code	270685247
Hospital Revenue Code	278
Min. Negotiated Rate	$10.58
Max. Negotiated Rate	$186.20
Rate for Payer: Aetna Commercial	$141.51
Rate for Payer: Aetna Medicare Advantage	$111.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.96
Rate for Payer: Cigna Commercial	$186.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.12
Rate for Payer: Qualcare PPO/HMO/WC	$55.86
Rate for Payer: UnitedHealthcare Community & State	$11.77
Rate for Payer: Wellpoint Medicaid Managed Care	$10.58

SCREW CORT LO PROF 3.5x18MM ST

Facility

$372.40

Service Code	HCPCS C1713
Hospital Charge Code	270685248
Hospital Revenue Code	278
Min. Negotiated Rate	$55.86
Max. Negotiated Rate	$90.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.12
Rate for Payer: Qualcare PPO/HMO/WC	$55.86

SCREW CORT LO PROF 3.5x18MM ST

Facility

$372.40

Service Code	HCPCS C1713
Hospital Charge Code	270685248
Hospital Revenue Code	278
Min. Negotiated Rate	$10.58
Max. Negotiated Rate	$186.20
Rate for Payer: Aetna Commercial	$141.51
Rate for Payer: Aetna Medicare Advantage	$111.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.96
Rate for Payer: Cigna Commercial	$186.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.12
Rate for Payer: Qualcare PPO/HMO/WC	$55.86
Rate for Payer: UnitedHealthcare Community & State	$11.77
Rate for Payer: Wellpoint Medicaid Managed Care	$10.58

SCREW CORT LO PROF 3.5x20MM ST

Facility

$372.40

Service Code	HCPCS C1713
Hospital Charge Code	270685249
Hospital Revenue Code	278
Min. Negotiated Rate	$55.86
Max. Negotiated Rate	$90.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.12
Rate for Payer: Qualcare PPO/HMO/WC	$55.86

SCREW CORT LO PROF 3.5x20MM ST

Facility

$372.40

Service Code	HCPCS C1713
Hospital Charge Code	270685249
Hospital Revenue Code	278
Min. Negotiated Rate	$10.58
Max. Negotiated Rate	$186.20
Rate for Payer: Aetna Commercial	$141.51
Rate for Payer: Aetna Medicare Advantage	$111.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.96
Rate for Payer: Cigna Commercial	$186.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.12
Rate for Payer: Qualcare PPO/HMO/WC	$55.86
Rate for Payer: UnitedHealthcare Community & State	$11.77
Rate for Payer: Wellpoint Medicaid Managed Care	$10.58

SCREW CORT LO PROF 3.5x32MM

Facility

$157.55

Service Code	HCPCS C1713
Hospital Charge Code	270678671
Hospital Revenue Code	278
Min. Negotiated Rate	$23.63
Max. Negotiated Rate	$38.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.13
Rate for Payer: Qualcare PPO/HMO/WC	$23.63

SCREW CORT LO PROF 3.5x32MM

Facility

$157.55

Service Code	HCPCS C1713
Hospital Charge Code	270678671
Hospital Revenue Code	278
Min. Negotiated Rate	$4.47
Max. Negotiated Rate	$78.78
Rate for Payer: Aetna Commercial	$59.87
Rate for Payer: Aetna Medicare Advantage	$47.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.18
Rate for Payer: Cigna Commercial	$78.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.13
Rate for Payer: Qualcare PPO/HMO/WC	$23.63
Rate for Payer: UnitedHealthcare Community & State	$4.98
Rate for Payer: Wellpoint Medicaid Managed Care	$4.47

SCREW CORT LO PROF 3.5x50MM

Facility

$152.95

Service Code	HCPCS C1713
Hospital Charge Code	270679061
Hospital Revenue Code	278
Min. Negotiated Rate	$22.94
Max. Negotiated Rate	$37.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.01
Rate for Payer: Qualcare PPO/HMO/WC	$22.94

SCREW CORT LO PROF 3.5x50MM

Facility

$152.95

Service Code	HCPCS C1713
Hospital Charge Code	270679061
Hospital Revenue Code	278
Min. Negotiated Rate	$4.34
Max. Negotiated Rate	$76.47
Rate for Payer: Aetna Commercial	$58.12
Rate for Payer: Aetna Medicare Advantage	$45.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.00
Rate for Payer: Cigna Commercial	$76.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.01
Rate for Payer: Qualcare PPO/HMO/WC	$22.94
Rate for Payer: UnitedHealthcare Community & State	$4.83
Rate for Payer: Wellpoint Medicaid Managed Care	$4.34

SCREW CORT LOW 2.7X20MM ORTHOL

Facility

$465.00

Hospital Charge Code	270702878
Hospital Revenue Code	278
Min. Negotiated Rate	$69.75
Max. Negotiated Rate	$112.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$93.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$112.53
Rate for Payer: Qualcare PPO/HMO/WC	$69.75

SCREW CORT LOW 2.7X20MM ORTHOL

Facility

$465.00

Hospital Charge Code	270702878
Hospital Revenue Code	278
Min. Negotiated Rate	$13.21
Max. Negotiated Rate	$232.50
Rate for Payer: Aetna Commercial	$176.70
Rate for Payer: Aetna Medicare Advantage	$139.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$118.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$118.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$93.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$118.58
Rate for Payer: Cigna Commercial	$232.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$112.53
Rate for Payer: Qualcare PPO/HMO/WC	$69.75
Rate for Payer: UnitedHealthcare Community & State	$14.69
Rate for Payer: Wellpoint Medicaid Managed Care	$13.21

SCREW CORT LP 2.0X6MM

Facility

$550.00

Service Code	HCPCS C1713
Hospital Charge Code	270695107
Hospital Revenue Code	278
Min. Negotiated Rate	$15.62
Max. Negotiated Rate	$275.00
Rate for Payer: Aetna Commercial	$209.00
Rate for Payer: Aetna Medicare Advantage	$165.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: Qualcare PPO/HMO/WC	$82.50
Rate for Payer: UnitedHealthcare Community & State	$17.38
Rate for Payer: Wellpoint Medicaid Managed Care	$15.62

SCREW CORT LP 2.0X6MM

Facility

$550.00

Service Code	HCPCS C1713
Hospital Charge Code	270695107
Hospital Revenue Code	278
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$133.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

SCREW CORT LP SS 3.5X44MM

Facility

$175.00

Service Code	HCPCS C1713
Hospital Charge Code	270671939
Hospital Revenue Code	278
Min. Negotiated Rate	$4.97
Max. Negotiated Rate	$87.50
Rate for Payer: Aetna Commercial	$66.50
Rate for Payer: Aetna Medicare Advantage	$52.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.62
Rate for Payer: Cigna Commercial	$87.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.35
Rate for Payer: Qualcare PPO/HMO/WC	$26.25
Rate for Payer: UnitedHealthcare Community & State	$5.53
Rate for Payer: Wellpoint Medicaid Managed Care	$4.97

SCREW CORT LP SS 3.5X44MM

Facility

$175.00

Service Code	HCPCS C1713
Hospital Charge Code	270671939
Hospital Revenue Code	278
Min. Negotiated Rate	$26.25
Max. Negotiated Rate	$42.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.35
Rate for Payer: Qualcare PPO/HMO/WC	$26.25

Know your out-of-pocket cost for care.

All Charges