Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CORTICAL SCREW 3.5 X 55MM

Facility

$247.50

Service Code	HCPCS C1713
Hospital Charge Code	270676100
Hospital Revenue Code	278
Min. Negotiated Rate	$5.96
Max. Negotiated Rate	$123.75
Rate for Payer: Aetna Commercial	$94.05
Rate for Payer: Aetna Medicare Advantage	$74.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.11
Rate for Payer: Cigna Commercial	$123.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$54.45
Rate for Payer: Qualcare PPO/HMO/WC	$37.12
Rate for Payer: UnitedHealthcare Community & State	$5.96
Rate for Payer: Wellpoint Medicaid Managed Care	$6.56

CORTICAL SCREW 4.0MM X 32MM

Facility

$539.25

Hospital Charge Code	270657815
Hospital Revenue Code	278
Min. Negotiated Rate	$13.00
Max. Negotiated Rate	$269.62
Rate for Payer: Aetna Commercial	$204.91
Rate for Payer: Aetna Medicare Advantage	$161.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$137.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$137.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$107.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$137.51
Rate for Payer: Cigna Commercial	$269.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$118.64
Rate for Payer: Qualcare PPO/HMO/WC	$80.89
Rate for Payer: UnitedHealthcare Community & State	$13.00
Rate for Payer: Wellpoint Medicaid Managed Care	$14.29

CORTICAL SCREW 4.0MM X 32MM

Facility

$539.25

Hospital Charge Code	270657815
Hospital Revenue Code	278
Min. Negotiated Rate	$80.89
Max. Negotiated Rate	$130.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$107.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$118.64
Rate for Payer: Qualcare PPO/HMO/WC	$80.89

CORTICAL SCREW 4.0MM X 34MM

Facility

$539.25

Hospital Charge Code	270657816
Hospital Revenue Code	278
Min. Negotiated Rate	$13.00
Max. Negotiated Rate	$269.62
Rate for Payer: Aetna Commercial	$204.91
Rate for Payer: Aetna Medicare Advantage	$161.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$137.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$137.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$107.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$137.51
Rate for Payer: Cigna Commercial	$269.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$118.64
Rate for Payer: Qualcare PPO/HMO/WC	$80.89
Rate for Payer: UnitedHealthcare Community & State	$13.00
Rate for Payer: Wellpoint Medicaid Managed Care	$14.29

CORTICAL SCREW 4.0MM X 34MM

Facility

$539.25

Hospital Charge Code	270657816
Hospital Revenue Code	278
Min. Negotiated Rate	$80.89
Max. Negotiated Rate	$130.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$107.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$118.64
Rate for Payer: Qualcare PPO/HMO/WC	$80.89

CORTICAL SCREW 4.0MM X 38MM

Facility

$539.25

Hospital Charge Code	270657818
Hospital Revenue Code	278
Min. Negotiated Rate	$80.89
Max. Negotiated Rate	$130.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$107.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$118.64
Rate for Payer: Qualcare PPO/HMO/WC	$80.89

CORTICAL SCREW 4.0MM X 38MM

Facility

$539.25

Hospital Charge Code	270657818
Hospital Revenue Code	278
Min. Negotiated Rate	$13.00
Max. Negotiated Rate	$269.62
Rate for Payer: Aetna Commercial	$204.91
Rate for Payer: Aetna Medicare Advantage	$161.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$137.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$137.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$107.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$137.51
Rate for Payer: Cigna Commercial	$269.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$118.64
Rate for Payer: Qualcare PPO/HMO/WC	$80.89
Rate for Payer: UnitedHealthcare Community & State	$13.00
Rate for Payer: Wellpoint Medicaid Managed Care	$14.29

CORTICAL SCREW 5.0MM X 30MM

Facility

$1,107.95

Hospital Charge Code	270657800
Hospital Revenue Code	278
Min. Negotiated Rate	$26.70
Max. Negotiated Rate	$553.98
Rate for Payer: Aetna Commercial	$421.02
Rate for Payer: Aetna Medicare Advantage	$332.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$282.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$282.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$221.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$282.53
Rate for Payer: Cigna Commercial	$553.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$268.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$243.75
Rate for Payer: Qualcare PPO/HMO/WC	$166.19
Rate for Payer: UnitedHealthcare Community & State	$26.70
Rate for Payer: Wellpoint Medicaid Managed Care	$29.36

CORTICAL SCREW 5.0MM X 30MM

Facility

$1,107.95

Hospital Charge Code	270657800
Hospital Revenue Code	278
Min. Negotiated Rate	$166.19
Max. Negotiated Rate	$268.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$221.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$268.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$243.75
Rate for Payer: Qualcare PPO/HMO/WC	$166.19

CORTICAL SCREW 5.0MM X 42.5MM

Facility

$1,107.95

Hospital Charge Code	270657801
Hospital Revenue Code	278
Min. Negotiated Rate	$166.19
Max. Negotiated Rate	$268.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$221.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$268.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$243.75
Rate for Payer: Qualcare PPO/HMO/WC	$166.19

CORTICAL SCREW 5.0MM X 42.5MM

Facility

$1,107.95

Hospital Charge Code	270657801
Hospital Revenue Code	278
Min. Negotiated Rate	$26.70
Max. Negotiated Rate	$553.98
Rate for Payer: Aetna Commercial	$421.02
Rate for Payer: Aetna Medicare Advantage	$332.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$282.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$282.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$221.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$282.53
Rate for Payer: Cigna Commercial	$553.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$268.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$243.75
Rate for Payer: Qualcare PPO/HMO/WC	$166.19
Rate for Payer: UnitedHealthcare Community & State	$26.70
Rate for Payer: Wellpoint Medicaid Managed Care	$29.36

CORTICAL SCREW 5.0MM X 50MM

Facility

$1,107.95

Hospital Charge Code	270657840
Hospital Revenue Code	278
Min. Negotiated Rate	$26.70
Max. Negotiated Rate	$553.98
Rate for Payer: Aetna Commercial	$421.02
Rate for Payer: Aetna Medicare Advantage	$332.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$282.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$282.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$221.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$282.53
Rate for Payer: Cigna Commercial	$553.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$268.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$243.75
Rate for Payer: Qualcare PPO/HMO/WC	$166.19
Rate for Payer: UnitedHealthcare Community & State	$26.70
Rate for Payer: Wellpoint Medicaid Managed Care	$29.36

CORTICAL SCREW 5.0MM X 50MM

Facility

$1,107.95

Hospital Charge Code	270657840
Hospital Revenue Code	278
Min. Negotiated Rate	$166.19
Max. Negotiated Rate	$268.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$221.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$268.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$243.75
Rate for Payer: Qualcare PPO/HMO/WC	$166.19

CORTICAL SCREW 5.0,, X 40MM

Facility

$1,107.95

Hospital Charge Code	270657806
Hospital Revenue Code	278
Min. Negotiated Rate	$166.19
Max. Negotiated Rate	$268.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$221.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$268.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$243.75
Rate for Payer: Qualcare PPO/HMO/WC	$166.19

CORTICAL SCREW 5.0,, X 40MM

Facility

$1,107.95

Hospital Charge Code	270657806
Hospital Revenue Code	278
Min. Negotiated Rate	$26.70
Max. Negotiated Rate	$553.98
Rate for Payer: Aetna Commercial	$421.02
Rate for Payer: Aetna Medicare Advantage	$332.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$282.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$282.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$221.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$282.53
Rate for Payer: Cigna Commercial	$553.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$268.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$243.75
Rate for Payer: Qualcare PPO/HMO/WC	$166.19
Rate for Payer: UnitedHealthcare Community & State	$26.70
Rate for Payer: Wellpoint Medicaid Managed Care	$29.36

CORTICALSCREWSELFCAP3.5X34MM

Facility

$234.30

Hospital Charge Code	270656402
Hospital Revenue Code	278
Min. Negotiated Rate	$35.15
Max. Negotiated Rate	$56.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$51.55
Rate for Payer: Qualcare PPO/HMO/WC	$35.15

CORTICALSCREWSELFCAP3.5X34MM

Facility

$234.30

Hospital Charge Code	270656402
Hospital Revenue Code	278
Min. Negotiated Rate	$5.65
Max. Negotiated Rate	$117.15
Rate for Payer: Aetna Commercial	$89.03
Rate for Payer: Aetna Medicare Advantage	$70.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.75
Rate for Payer: Cigna Commercial	$117.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$51.55
Rate for Payer: Qualcare PPO/HMO/WC	$35.15
Rate for Payer: UnitedHealthcare Community & State	$5.65
Rate for Payer: Wellpoint Medicaid Managed Care	$6.21

CORTICAL STRUT FEMORAL

Facility

$2,180.00

Service Code	HCPCS C1776
Hospital Charge Code	270681921
Hospital Revenue Code	278
Min. Negotiated Rate	$52.54
Max. Negotiated Rate	$1,090.00
Rate for Payer: Aetna Commercial	$828.40
Rate for Payer: Aetna Medicare Advantage	$654.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$555.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$555.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$436.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$555.90
Rate for Payer: Cigna Commercial	$1,090.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$527.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$479.60
Rate for Payer: Qualcare PPO/HMO/WC	$327.00
Rate for Payer: UnitedHealthcare Community & State	$52.54
Rate for Payer: Wellpoint Medicaid Managed Care	$57.77

CORTICAL STRUT FEMORAL

Facility

$2,180.00

Service Code	HCPCS C1776
Hospital Charge Code	270681921
Hospital Revenue Code	278
Min. Negotiated Rate	$327.00
Max. Negotiated Rate	$527.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$436.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$527.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$479.60
Rate for Payer: Qualcare PPO/HMO/WC	$327.00

CORTICOTROPIN RELATED HORMONE

Facility

$585.17

Service Code	HCPCS 83519
Hospital Charge Code	3035084
Hospital Revenue Code	300
Min. Negotiated Rate	$87.78
Max. Negotiated Rate	$87.78
Rate for Payer: Qualcare PPO/HMO/WC	$87.78

CORTICOTROPIN RELATED HORMONE

Facility

$585.17

Service Code	HCPCS 83519
Hospital Charge Code	3035084
Hospital Revenue Code	300
Min. Negotiated Rate	$14.72
Max. Negotiated Rate	$292.58
Rate for Payer: Aetna Commercial	$50.05
Rate for Payer: Aetna Medicare Advantage	$59.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.42
Rate for Payer: Cigna Commercial	$292.58
Rate for Payer: Cigna Medicare Advantage	$18.40
Rate for Payer: Clover Medicare Advantage	$17.48
Rate for Payer: EmblemHealth Commercial	$55.20
Rate for Payer: Humana Medicare Advantage	$18.95
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$18.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$175.55
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$87.78
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$14.72
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.40
Rate for Payer: Wellcare Medicare Advantage	$18.40
Rate for Payer: Wellpoint Medicaid Managed Care	$15.51

CORTICOTROPIN REP INJ 400U/5ML

Facility

$375.05

Hospital Charge Code	60628244
Hospital Revenue Code	636
Min. Negotiated Rate	$56.26
Max. Negotiated Rate	$90.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.76
Rate for Payer: Qualcare PPO/HMO/WC	$56.26

CORTICOTROPIN REP INJ 400U/5ML

Facility

$375.05

Hospital Charge Code	60628244
Hospital Revenue Code	636
Min. Negotiated Rate	$9.04
Max. Negotiated Rate	$187.53
Rate for Payer: Aetna Commercial	$142.52
Rate for Payer: Aetna Medicare Advantage	$112.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.64
Rate for Payer: Cigna Commercial	$187.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.76
Rate for Payer: Qualcare PPO/HMO/WC	$56.26
Rate for Payer: UnitedHealthcare Community & State	$9.04
Rate for Payer: Wellpoint Medicaid Managed Care	$9.94

Cortisol

Facility

$667.59

Service Code	HCPCS 82533
Hospital Charge Code	39888016
Hospital Revenue Code	301
Min. Negotiated Rate	$100.14
Max. Negotiated Rate	$100.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.14

Cortisol

Facility

$667.59

Service Code	HCPCS 82533
Hospital Charge Code	39888016
Hospital Revenue Code	301
Min. Negotiated Rate	$13.04
Max. Negotiated Rate	$333.80
Rate for Payer: Aetna Commercial	$44.34
Rate for Payer: Aetna Medicare Advantage	$52.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$32.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.84
Rate for Payer: Cigna Commercial	$333.80
Rate for Payer: Cigna Medicare Advantage	$16.30
Rate for Payer: Clover Medicare Advantage	$15.48
Rate for Payer: EmblemHealth Commercial	$48.90
Rate for Payer: Humana Medicare Advantage	$16.79
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$16.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$200.28
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$100.14
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$13.04
Rate for Payer: UnitedHealthcare Medicare Advantage	$16.30
Rate for Payer: Wellcare Medicare Advantage	$16.30
Rate for Payer: Wellpoint Medicaid Managed Care	$17.69

Know your out-of-pocket cost for care.

All Charges