Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 2.0 CORTEX SELF TAP

Facility

$143.25

Hospital Charge Code	270656713
Hospital Revenue Code	278
Min. Negotiated Rate	$3.45
Max. Negotiated Rate	$71.62
Rate for Payer: Aetna Commercial	$54.44
Rate for Payer: Aetna Medicare Advantage	$42.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.53
Rate for Payer: Cigna Commercial	$71.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.52
Rate for Payer: Qualcare PPO/HMO/WC	$21.49
Rate for Payer: UnitedHealthcare Community & State	$3.45
Rate for Payer: Wellpoint Medicaid Managed Care	$3.80

SCREW 2.0 CORTEX SELF TAP

Facility

$143.25

Hospital Charge Code	270656716
Hospital Revenue Code	278
Min. Negotiated Rate	$3.45
Max. Negotiated Rate	$71.62
Rate for Payer: Aetna Commercial	$54.44
Rate for Payer: Aetna Medicare Advantage	$42.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.53
Rate for Payer: Cigna Commercial	$71.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.52
Rate for Payer: Qualcare PPO/HMO/WC	$21.49
Rate for Payer: UnitedHealthcare Community & State	$3.45
Rate for Payer: Wellpoint Medicaid Managed Care	$3.80

SCREW 2.0 CORTEX SELF TAP

Facility

$143.25

Service Code	HCPCS C1713
Hospital Charge Code	270656707
Hospital Revenue Code	278
Min. Negotiated Rate	$21.49
Max. Negotiated Rate	$34.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.52
Rate for Payer: Qualcare PPO/HMO/WC	$21.49

SCREW 2.0 CORTEX SELF TAP

Facility

$143.25

Hospital Charge Code	270656714
Hospital Revenue Code	278
Min. Negotiated Rate	$21.49
Max. Negotiated Rate	$34.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.52
Rate for Payer: Qualcare PPO/HMO/WC	$21.49

SCREW 2.0 CORTICAL 12m 2320013

Facility

$50.15

Hospital Charge Code	270610113
Hospital Revenue Code	278
Min. Negotiated Rate	$7.52
Max. Negotiated Rate	$12.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$11.03
Rate for Payer: Qualcare PPO/HMO/WC	$7.52

SCREW 2.0 CORTICAL 12m 2320013

Facility

$50.15

Hospital Charge Code	270610113
Hospital Revenue Code	278
Min. Negotiated Rate	$1.21
Max. Negotiated Rate	$25.07
Rate for Payer: Aetna Commercial	$19.06
Rate for Payer: Aetna Medicare Advantage	$15.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.79
Rate for Payer: Cigna Commercial	$25.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$11.03
Rate for Payer: Qualcare PPO/HMO/WC	$7.52
Rate for Payer: UnitedHealthcare Community & State	$1.21
Rate for Payer: Wellpoint Medicaid Managed Care	$1.33

SCREW 2.0 CORTICAL 14 2320015

Facility

$37.75

Service Code	HCPCS C1713
Hospital Charge Code	270610114
Hospital Revenue Code	278
Min. Negotiated Rate	$0.91
Max. Negotiated Rate	$18.88
Rate for Payer: Aetna Commercial	$14.35
Rate for Payer: Aetna Medicare Advantage	$11.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.63
Rate for Payer: Cigna Commercial	$18.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8.30
Rate for Payer: Qualcare PPO/HMO/WC	$5.66
Rate for Payer: UnitedHealthcare Community & State	$0.91
Rate for Payer: Wellpoint Medicaid Managed Care	$1.00

SCREW 2.0 CORTICAL 14 2320015

Facility

$37.75

Service Code	HCPCS C1713
Hospital Charge Code	270610114
Hospital Revenue Code	278
Min. Negotiated Rate	$5.66
Max. Negotiated Rate	$9.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8.30
Rate for Payer: Qualcare PPO/HMO/WC	$5.66

SCREW 2 0 CORTICAL 16m 2310017

Facility

$38.00

Hospital Charge Code	270610115
Hospital Revenue Code	278
Min. Negotiated Rate	$5.70
Max. Negotiated Rate	$9.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8.36
Rate for Payer: Qualcare PPO/HMO/WC	$5.70

SCREW 2 0 CORTICAL 16m 2310017

Facility

$38.00

Hospital Charge Code	270610115
Hospital Revenue Code	278
Min. Negotiated Rate	$0.92
Max. Negotiated Rate	$19.00
Rate for Payer: Aetna Commercial	$14.44
Rate for Payer: Aetna Medicare Advantage	$11.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.69
Rate for Payer: Cigna Commercial	$19.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8.36
Rate for Payer: Qualcare PPO/HMO/WC	$5.70
Rate for Payer: UnitedHealthcare Community & State	$0.92
Rate for Payer: Wellpoint Medicaid Managed Care	$1.01

SCREW 2.0m CORTICAL 10 2320011

Facility

$37.75

Hospital Charge Code	270610112
Hospital Revenue Code	278
Min. Negotiated Rate	$5.66
Max. Negotiated Rate	$9.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8.30
Rate for Payer: Qualcare PPO/HMO/WC	$5.66

SCREW 2.0m CORTICAL 10 2320011

Facility

$37.75

Hospital Charge Code	270610112
Hospital Revenue Code	278
Min. Negotiated Rate	$0.91
Max. Negotiated Rate	$18.88
Rate for Payer: Aetna Commercial	$14.35
Rate for Payer: Aetna Medicare Advantage	$11.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.63
Rate for Payer: Cigna Commercial	$18.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8.30
Rate for Payer: Qualcare PPO/HMO/WC	$5.66
Rate for Payer: UnitedHealthcare Community & State	$0.91
Rate for Payer: Wellpoint Medicaid Managed Care	$1.00

SCREW 20 MM 4.5 MM TI

Facility

$1,348.90

Service Code	HCPCS C1713
Hospital Charge Code	270688997
Hospital Revenue Code	278
Min. Negotiated Rate	$202.34
Max. Negotiated Rate	$326.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$269.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$326.43
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$296.76
Rate for Payer: Qualcare PPO/HMO/WC	$202.34

SCREW 20 MM 4.5 MM TI

Facility

$1,348.90

Service Code	HCPCS C1713
Hospital Charge Code	270688997
Hospital Revenue Code	278
Min. Negotiated Rate	$32.51
Max. Negotiated Rate	$674.45
Rate for Payer: Aetna Commercial	$512.58
Rate for Payer: Aetna Medicare Advantage	$404.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$343.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$343.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$269.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$343.97
Rate for Payer: Cigna Commercial	$674.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$326.43
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$296.76
Rate for Payer: Qualcare PPO/HMO/WC	$202.34
Rate for Payer: UnitedHealthcare Community & State	$32.51
Rate for Payer: Wellpoint Medicaid Managed Care	$35.75

SCREW 2.0MM CORTEX SELF TAP

Facility

$143.25

Hospital Charge Code	270656888
Hospital Revenue Code	278
Min. Negotiated Rate	$21.49
Max. Negotiated Rate	$34.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.52
Rate for Payer: Qualcare PPO/HMO/WC	$21.49

SCREW 2.0MM CORTEX SELF TAP

Facility

$147.55

Service Code	HCPCS C1713
Hospital Charge Code	270656871
Hospital Revenue Code	278
Min. Negotiated Rate	$22.13
Max. Negotiated Rate	$35.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$32.46
Rate for Payer: Qualcare PPO/HMO/WC	$22.13

SCREW 2.0MM CORTEX SELF TAP

Facility

$143.25

Hospital Charge Code	270656888
Hospital Revenue Code	278
Min. Negotiated Rate	$3.45
Max. Negotiated Rate	$71.62
Rate for Payer: Aetna Commercial	$54.44
Rate for Payer: Aetna Medicare Advantage	$42.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.53
Rate for Payer: Cigna Commercial	$71.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.52
Rate for Payer: Qualcare PPO/HMO/WC	$21.49
Rate for Payer: UnitedHealthcare Community & State	$3.45
Rate for Payer: Wellpoint Medicaid Managed Care	$3.80

SCREW 2.0MM CORTEX SELF TAP

Facility

$147.55

Service Code	HCPCS C1713
Hospital Charge Code	270656871
Hospital Revenue Code	278
Min. Negotiated Rate	$3.56
Max. Negotiated Rate	$73.78
Rate for Payer: Aetna Commercial	$56.07
Rate for Payer: Aetna Medicare Advantage	$44.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.63
Rate for Payer: Cigna Commercial	$73.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$32.46
Rate for Payer: Qualcare PPO/HMO/WC	$22.13
Rate for Payer: UnitedHealthcare Community & State	$3.56
Rate for Payer: Wellpoint Medicaid Managed Care	$3.91

SCREW 2.0MM CORTEX SELF TAP

Facility

$143.25

Hospital Charge Code	270656881
Hospital Revenue Code	278
Min. Negotiated Rate	$3.45
Max. Negotiated Rate	$71.62
Rate for Payer: Aetna Commercial	$54.44
Rate for Payer: Aetna Medicare Advantage	$42.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.53
Rate for Payer: Cigna Commercial	$71.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.52
Rate for Payer: Qualcare PPO/HMO/WC	$21.49
Rate for Payer: UnitedHealthcare Community & State	$3.45
Rate for Payer: Wellpoint Medicaid Managed Care	$3.80

SCREW 2.0MM CORTEX SELF TAP

Facility

$143.25

Hospital Charge Code	270656881
Hospital Revenue Code	278
Min. Negotiated Rate	$21.49
Max. Negotiated Rate	$34.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.52
Rate for Payer: Qualcare PPO/HMO/WC	$21.49

SCREW 2.0MM CORTEX SELF TAP

Facility

$143.25

Service Code	HCPCS C1713
Hospital Charge Code	270656873
Hospital Revenue Code	278
Min. Negotiated Rate	$21.49
Max. Negotiated Rate	$34.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.52
Rate for Payer: Qualcare PPO/HMO/WC	$21.49

SCREW 2.0MM CORTEX SELF TAP

Facility

$143.25

Service Code	HCPCS C1713
Hospital Charge Code	270656873
Hospital Revenue Code	278
Min. Negotiated Rate	$3.45
Max. Negotiated Rate	$71.62
Rate for Payer: Aetna Commercial	$54.44
Rate for Payer: Aetna Medicare Advantage	$42.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.53
Rate for Payer: Cigna Commercial	$71.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.52
Rate for Payer: Qualcare PPO/HMO/WC	$21.49
Rate for Payer: UnitedHealthcare Community & State	$3.45
Rate for Payer: Wellpoint Medicaid Managed Care	$3.80

SCREW 2.0MM CORTEX SELF TAP 6M

Facility

$143.25

Hospital Charge Code	270656820
Hospital Revenue Code	278
Min. Negotiated Rate	$21.49
Max. Negotiated Rate	$34.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.52
Rate for Payer: Qualcare PPO/HMO/WC	$21.49

SCREW 2.0MM CORTEX SELF TAP 6M

Facility

$143.25

Hospital Charge Code	270656820
Hospital Revenue Code	278
Min. Negotiated Rate	$3.45
Max. Negotiated Rate	$71.62
Rate for Payer: Aetna Commercial	$54.44
Rate for Payer: Aetna Medicare Advantage	$42.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.53
Rate for Payer: Cigna Commercial	$71.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.52
Rate for Payer: Qualcare PPO/HMO/WC	$21.49
Rate for Payer: UnitedHealthcare Community & State	$3.45
Rate for Payer: Wellpoint Medicaid Managed Care	$3.80

SCREW 2.0MM CORTEX SELF TAP 9M

Facility

$143.25

Hospital Charge Code	270656869
Hospital Revenue Code	278
Min. Negotiated Rate	$3.45
Max. Negotiated Rate	$71.62
Rate for Payer: Aetna Commercial	$54.44
Rate for Payer: Aetna Medicare Advantage	$42.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.53
Rate for Payer: Cigna Commercial	$71.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.52
Rate for Payer: Qualcare PPO/HMO/WC	$21.49
Rate for Payer: UnitedHealthcare Community & State	$3.45
Rate for Payer: Wellpoint Medicaid Managed Care	$3.80

Know your out-of-pocket cost for care.

All Charges