Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 2.0MM CORTEX SELF TAP 9M

Facility

$143.25

Hospital Charge Code	270656869
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 20MM MPACT DOME

Facility

$250.00

Service Code	HCPCS C1713
Hospital Charge Code	270684310
Hospital Revenue Code	278
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$60.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$55.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

SCREW 20MM MPACT DOME

Facility

$250.00

Service Code	HCPCS C1713
Hospital Charge Code	270684310
Hospital Revenue Code	278
Min. Negotiated Rate	$6.03
Max. Negotiated Rate	$125.00
Rate for Payer: Aetna Commercial	$95.00
Rate for Payer: Aetna Medicare Advantage	$75.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.75
Rate for Payer: Cigna Commercial	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$55.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.50
Rate for Payer: UnitedHealthcare Community & State	$6.03
Rate for Payer: Wellpoint Medicaid Managed Care	$6.62

SCREW2.0MMTICANNCOMPLT30MM

Facility

$2,007.50

Service Code	HCPCS C1713
Hospital Charge Code	270697771
Hospital Revenue Code	278
Min. Negotiated Rate	$48.38
Max. Negotiated Rate	$1,003.75
Rate for Payer: Aetna Commercial	$762.85
Rate for Payer: Aetna Medicare Advantage	$602.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$511.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$511.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$401.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$511.91
Rate for Payer: Cigna Commercial	$1,003.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$485.81
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$441.65
Rate for Payer: Qualcare PPO/HMO/WC	$301.12
Rate for Payer: UnitedHealthcare Community & State	$48.38
Rate for Payer: Wellpoint Medicaid Managed Care	$53.20

SCREW2.0MMTICANNCOMPLT30MM

Facility

$2,007.50

Service Code	HCPCS C1713
Hospital Charge Code	270697771
Hospital Revenue Code	278
Min. Negotiated Rate	$301.12
Max. Negotiated Rate	$485.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$401.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$485.81
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$441.65
Rate for Payer: Qualcare PPO/HMO/WC	$301.12

SCREW 2.0mm Ti CORTEX 16mm SE-

Facility

$207.40

Hospital Charge Code	270635517
Hospital Revenue Code	278
Min. Negotiated Rate	$31.11
Max. Negotiated Rate	$50.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$41.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$45.63
Rate for Payer: Qualcare PPO/HMO/WC	$31.11

SCREW 2.0mm Ti CORTEX 16mm SE-

Facility

$207.40

Hospital Charge Code	270635517
Hospital Revenue Code	278
Min. Negotiated Rate	$5.00
Max. Negotiated Rate	$103.70
Rate for Payer: Aetna Commercial	$78.81
Rate for Payer: Aetna Medicare Advantage	$62.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$41.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.89
Rate for Payer: Cigna Commercial	$103.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$45.63
Rate for Payer: Qualcare PPO/HMO/WC	$31.11
Rate for Payer: UnitedHealthcare Community & State	$5.00
Rate for Payer: Wellpoint Medicaid Managed Care	$5.50

SCREW 2.0mm Ti CORTEX 18mm SE-

Facility

$207.40

Hospital Charge Code	270635516
Hospital Revenue Code	278
Min. Negotiated Rate	$31.11
Max. Negotiated Rate	$50.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$41.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$45.63
Rate for Payer: Qualcare PPO/HMO/WC	$31.11

SCREW 2.0mm Ti CORTEX 18mm SE-

Facility

$207.40

Hospital Charge Code	270635516
Hospital Revenue Code	278
Min. Negotiated Rate	$5.00
Max. Negotiated Rate	$103.70
Rate for Payer: Aetna Commercial	$78.81
Rate for Payer: Aetna Medicare Advantage	$62.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$41.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.89
Rate for Payer: Cigna Commercial	$103.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$45.63
Rate for Payer: Qualcare PPO/HMO/WC	$31.11
Rate for Payer: UnitedHealthcare Community & State	$5.00
Rate for Payer: Wellpoint Medicaid Managed Care	$5.50

SCREW 2.0mm TITAN CORTEX 10mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603030
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: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$27.23
Rate for Payer: Qualcare PPO/HMO/WC	$18.56

SCREW 2.0mm TITAN CORTEX 10mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603030
Hospital Revenue Code	278
Min. Negotiated Rate	$2.98
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: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$27.23
Rate for Payer: Qualcare PPO/HMO/WC	$18.56
Rate for Payer: UnitedHealthcare Community & State	$2.98
Rate for Payer: Wellpoint Medicaid Managed Care	$3.28

SCREW 2.0mm TITAN CORTEX 12mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603031
Hospital Revenue Code	278
Min. Negotiated Rate	$2.98
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: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$27.23
Rate for Payer: Qualcare PPO/HMO/WC	$18.56
Rate for Payer: UnitedHealthcare Community & State	$2.98
Rate for Payer: Wellpoint Medicaid Managed Care	$3.28

SCREW 2.0mm TITAN CORTEX 12mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603031
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: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$27.23
Rate for Payer: Qualcare PPO/HMO/WC	$18.56

SCREW 2.0mm TITAN CORTEX 14mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603032
Hospital Revenue Code	278
Min. Negotiated Rate	$2.98
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: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$27.23
Rate for Payer: Qualcare PPO/HMO/WC	$18.56
Rate for Payer: UnitedHealthcare Community & State	$2.98
Rate for Payer: Wellpoint Medicaid Managed Care	$3.28

SCREW 2.0mm TITAN CORTEX 14mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603032
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: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$27.23
Rate for Payer: Qualcare PPO/HMO/WC	$18.56

SCREW 2.0mm TITAN CORTEX 16mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603033
Hospital Revenue Code	278
Min. Negotiated Rate	$2.98
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: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$27.23
Rate for Payer: Qualcare PPO/HMO/WC	$18.56
Rate for Payer: UnitedHealthcare Community & State	$2.98
Rate for Payer: Wellpoint Medicaid Managed Care	$3.28

SCREW 2.0mm TITAN CORTEX 16mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603033
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: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$27.23
Rate for Payer: Qualcare PPO/HMO/WC	$18.56

SCREW 2.0mm TITAN CORTEX 18mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603034
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: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$27.23
Rate for Payer: Qualcare PPO/HMO/WC	$18.56

SCREW 2.0mm TITAN CORTEX 18mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603034
Hospital Revenue Code	278
Min. Negotiated Rate	$2.98
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: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$27.23
Rate for Payer: Qualcare PPO/HMO/WC	$18.56
Rate for Payer: UnitedHealthcare Community & State	$2.98
Rate for Payer: Wellpoint Medicaid Managed Care	$3.28

SCREW 2.0mm TITAN CORTEX 20mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603035
Hospital Revenue Code	278
Min. Negotiated Rate	$2.98
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: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$27.23
Rate for Payer: Qualcare PPO/HMO/WC	$18.56
Rate for Payer: UnitedHealthcare Community & State	$2.98
Rate for Payer: Wellpoint Medicaid Managed Care	$3.28

SCREW 2.0mm TITAN CORTEX 20mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603035
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: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$27.23
Rate for Payer: Qualcare PPO/HMO/WC	$18.56

SCREW 2.0mm TITAN CORTEX 22mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603036
Hospital Revenue Code	278
Min. Negotiated Rate	$2.98
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: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$27.23
Rate for Payer: Qualcare PPO/HMO/WC	$18.56
Rate for Payer: UnitedHealthcare Community & State	$2.98
Rate for Payer: Wellpoint Medicaid Managed Care	$3.28

SCREW 2.0mm TITAN CORTEX 22mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603036
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: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$27.23
Rate for Payer: Qualcare PPO/HMO/WC	$18.56

SCREW 2.0mm TITAN CORTEX 24mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603037
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: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$27.23
Rate for Payer: Qualcare PPO/HMO/WC	$18.56

SCREW 2.0mm TITAN CORTEX 24mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603037
Hospital Revenue Code	278
Min. Negotiated Rate	$2.98
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: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$27.23
Rate for Payer: Qualcare PPO/HMO/WC	$18.56
Rate for Payer: UnitedHealthcare Community & State	$2.98
Rate for Payer: Wellpoint Medicaid Managed Care	$3.28

Know your out-of-pocket cost for care.

All Charges