Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CORTEX SCREW 2.4X18MM

Facility

$568.40

Service Code	HCPCS C1713
Hospital Charge Code	270704716
Hospital Revenue Code	278
Min. Negotiated Rate	$85.26
Max. Negotiated Rate	$137.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$125.05
Rate for Payer: Qualcare PPO/HMO/WC	$85.26

CORTEX SCREW 2.4X24MM

Facility

$568.40

Service Code	HCPCS C1713
Hospital Charge Code	270704717
Hospital Revenue Code	278
Min. Negotiated Rate	$13.70
Max. Negotiated Rate	$284.20
Rate for Payer: Aetna Commercial	$215.99
Rate for Payer: Aetna Medicare Advantage	$170.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.94
Rate for Payer: Cigna Commercial	$284.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$125.05
Rate for Payer: Qualcare PPO/HMO/WC	$85.26
Rate for Payer: UnitedHealthcare Community & State	$13.70
Rate for Payer: Wellpoint Medicaid Managed Care	$15.06

CORTEX SCREW 2.4X24MM

Facility

$568.40

Service Code	HCPCS C1713
Hospital Charge Code	270704717
Hospital Revenue Code	278
Min. Negotiated Rate	$85.26
Max. Negotiated Rate	$137.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$125.05
Rate for Payer: Qualcare PPO/HMO/WC	$85.26

CORTEX SCREW 3.5MM X 20 MM LOW

Facility

$187.60

Hospital Charge Code	27063831
Hospital Revenue Code	278
Min. Negotiated Rate	$28.14
Max. Negotiated Rate	$45.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$41.27
Rate for Payer: Qualcare PPO/HMO/WC	$28.14

CORTEX SCREW 3.5MM X 20 MM LOW

Facility

$187.60

Hospital Charge Code	27063831
Hospital Revenue Code	278
Min. Negotiated Rate	$4.52
Max. Negotiated Rate	$93.80
Rate for Payer: Aetna Commercial	$71.29
Rate for Payer: Aetna Medicare Advantage	$56.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.84
Rate for Payer: Cigna Commercial	$93.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$41.27
Rate for Payer: Qualcare PPO/HMO/WC	$28.14
Rate for Payer: UnitedHealthcare Community & State	$4.52
Rate for Payer: Wellpoint Medicaid Managed Care	$4.97

CORTEX SCREW 3.5 X 28

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270675955
Hospital Revenue Code	278
Min. Negotiated Rate	$18.07
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$165.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Community & State	$18.07
Rate for Payer: Wellpoint Medicaid Managed Care	$19.88

CORTEX SCREW 3.5 X 28

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270675955
Hospital Revenue Code	278
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$181.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$165.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

CORTEX SCREW 3.5X30MM

Facility

$629.00

Service Code	HCPCS C1713
Hospital Charge Code	270705121
Hospital Revenue Code	278
Min. Negotiated Rate	$15.16
Max. Negotiated Rate	$314.50
Rate for Payer: Aetna Commercial	$239.02
Rate for Payer: Aetna Medicare Advantage	$188.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$160.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$160.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$160.40
Rate for Payer: Cigna Commercial	$314.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$152.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$138.38
Rate for Payer: Qualcare PPO/HMO/WC	$94.35
Rate for Payer: UnitedHealthcare Community & State	$15.16
Rate for Payer: Wellpoint Medicaid Managed Care	$16.67

CORTEX SCREW 3.5X30MM

Facility

$629.00

Service Code	HCPCS C1713
Hospital Charge Code	270705121
Hospital Revenue Code	278
Min. Negotiated Rate	$94.35
Max. Negotiated Rate	$152.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$152.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$138.38
Rate for Payer: Qualcare PPO/HMO/WC	$94.35

CORTEX SCREW 3.5 X 32

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270681376
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$72.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$66.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

CORTEX SCREW 3.5 X 32

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270681376
Hospital Revenue Code	278
Min. Negotiated Rate	$7.23
Max. Negotiated Rate	$150.00
Rate for Payer: Aetna Commercial	$114.00
Rate for Payer: Aetna Medicare Advantage	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$66.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00
Rate for Payer: UnitedHealthcare Community & State	$7.23
Rate for Payer: Wellpoint Medicaid Managed Care	$7.95

CORTEX SCREW 3.5X34MM

Facility

$455.15

Service Code	HCPCS C1713
Hospital Charge Code	270699289
Hospital Revenue Code	278
Min. Negotiated Rate	$68.27
Max. Negotiated Rate	$110.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$100.13
Rate for Payer: Qualcare PPO/HMO/WC	$68.27

CORTEX SCREW 3.5X34MM

Facility

$455.15

Service Code	HCPCS C1713
Hospital Charge Code	270699289
Hospital Revenue Code	278
Min. Negotiated Rate	$10.97
Max. Negotiated Rate	$227.57
Rate for Payer: Aetna Commercial	$172.96
Rate for Payer: Aetna Medicare Advantage	$136.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$116.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$116.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$116.06
Rate for Payer: Cigna Commercial	$227.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$100.13
Rate for Payer: Qualcare PPO/HMO/WC	$68.27
Rate for Payer: UnitedHealthcare Community & State	$10.97
Rate for Payer: Wellpoint Medicaid Managed Care	$12.06

CORTEX SCREW 3.5 X 38

Facility

$249.30

Service Code	HCPCS C1713
Hospital Charge Code	270681320
Hospital Revenue Code	278
Min. Negotiated Rate	$37.40
Max. Negotiated Rate	$60.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.33
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$54.85
Rate for Payer: Qualcare PPO/HMO/WC	$37.40

CORTEX SCREW 3.5 X 38

Facility

$249.30

Service Code	HCPCS C1713
Hospital Charge Code	270681320
Hospital Revenue Code	278
Min. Negotiated Rate	$6.01
Max. Negotiated Rate	$124.65
Rate for Payer: Aetna Commercial	$94.73
Rate for Payer: Aetna Medicare Advantage	$74.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.57
Rate for Payer: Cigna Commercial	$124.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.33
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$54.85
Rate for Payer: Qualcare PPO/HMO/WC	$37.40
Rate for Payer: UnitedHealthcare Community & State	$6.01
Rate for Payer: Wellpoint Medicaid Managed Care	$6.61

CORTEX SCREW 3.5 X 40

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270681400
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$72.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$66.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

CORTEX SCREW 3.5 X 40

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270681400
Hospital Revenue Code	278
Min. Negotiated Rate	$7.23
Max. Negotiated Rate	$150.00
Rate for Payer: Aetna Commercial	$114.00
Rate for Payer: Aetna Medicare Advantage	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$66.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00
Rate for Payer: UnitedHealthcare Community & State	$7.23
Rate for Payer: Wellpoint Medicaid Managed Care	$7.95

CORTEX SCREW 3.5X46MM

Facility

$260.00

Service Code	HCPCS C1713
Hospital Charge Code	270693014
Hospital Revenue Code	278
Min. Negotiated Rate	$39.00
Max. Negotiated Rate	$62.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$52.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.92
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$57.20
Rate for Payer: Qualcare PPO/HMO/WC	$39.00

CORTEX SCREW 3.5X46MM

Facility

$260.00

Service Code	HCPCS C1713
Hospital Charge Code	270693014
Hospital Revenue Code	278
Min. Negotiated Rate	$6.27
Max. Negotiated Rate	$130.00
Rate for Payer: Aetna Commercial	$98.80
Rate for Payer: Aetna Medicare Advantage	$78.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$52.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.30
Rate for Payer: Cigna Commercial	$130.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.92
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$57.20
Rate for Payer: Qualcare PPO/HMO/WC	$39.00
Rate for Payer: UnitedHealthcare Community & State	$6.27
Rate for Payer: Wellpoint Medicaid Managed Care	$6.89

CORTEX SCREW 3.5X48MM

Facility

$260.40

Service Code	HCPCS C1713
Hospital Charge Code	270704453
Hospital Revenue Code	278
Min. Negotiated Rate	$39.06
Max. Negotiated Rate	$63.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$52.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$57.29
Rate for Payer: Qualcare PPO/HMO/WC	$39.06

CORTEX SCREW 3.5X48MM

Facility

$260.40

Service Code	HCPCS C1713
Hospital Charge Code	270704453
Hospital Revenue Code	278
Min. Negotiated Rate	$6.28
Max. Negotiated Rate	$130.20
Rate for Payer: Aetna Commercial	$98.95
Rate for Payer: Aetna Medicare Advantage	$78.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$52.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.40
Rate for Payer: Cigna Commercial	$130.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$57.29
Rate for Payer: Qualcare PPO/HMO/WC	$39.06
Rate for Payer: UnitedHealthcare Community & State	$6.28
Rate for Payer: Wellpoint Medicaid Managed Care	$6.90

CORTEX SCREW 3.5X50MM

Facility

$455.15

Service Code	HCPCS C1713
Hospital Charge Code	270699291
Hospital Revenue Code	278
Min. Negotiated Rate	$68.27
Max. Negotiated Rate	$110.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$100.13
Rate for Payer: Qualcare PPO/HMO/WC	$68.27

CORTEX SCREW 3.5X50MM

Facility

$455.15

Service Code	HCPCS C1713
Hospital Charge Code	270699291
Hospital Revenue Code	278
Min. Negotiated Rate	$10.97
Max. Negotiated Rate	$227.57
Rate for Payer: Aetna Commercial	$172.96
Rate for Payer: Aetna Medicare Advantage	$136.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$116.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$116.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$116.06
Rate for Payer: Cigna Commercial	$227.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$100.13
Rate for Payer: Qualcare PPO/HMO/WC	$68.27
Rate for Payer: UnitedHealthcare Community & State	$10.97
Rate for Payer: Wellpoint Medicaid Managed Care	$12.06

CORTEX SCREW SELF TAP 18

Facility

$353.30

Service Code	HCPCS C1713
Hospital Charge Code	270680931
Hospital Revenue Code	278
Min. Negotiated Rate	$8.51
Max. Negotiated Rate	$176.65
Rate for Payer: Aetna Commercial	$134.25
Rate for Payer: Aetna Medicare Advantage	$105.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$90.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$90.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$70.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$90.09
Rate for Payer: Cigna Commercial	$176.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$77.73
Rate for Payer: Qualcare PPO/HMO/WC	$52.99
Rate for Payer: UnitedHealthcare Community & State	$8.51
Rate for Payer: Wellpoint Medicaid Managed Care	$9.36

CORTEX SCREW SELF TAP 18

Facility

$353.30

Service Code	HCPCS C1713
Hospital Charge Code	270680931
Hospital Revenue Code	278
Min. Negotiated Rate	$52.99
Max. Negotiated Rate	$85.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$70.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$77.73
Rate for Payer: Qualcare PPO/HMO/WC	$52.99

Know your out-of-pocket cost for care.

All Charges