Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 2.0mm TITAN CORTEX 26mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603038
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 26mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603038
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 28mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603039
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 28mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603039
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 30mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603040
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 30mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603040
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 32mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603041
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 32mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603041
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 34mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603042
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 34mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603042
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 36mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603043
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 36mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603043
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 38mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603044
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 38mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603044
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 20 MM VERSATRIO

Facility

$250.00

Service Code	HCPCS C1713
Hospital Charge Code	270683287
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 20 MM VERSATRIO

Facility

$250.00

Service Code	HCPCS C1713
Hospital Charge Code	270683287
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

SCREW 2.0MM X 12MM

Facility

$1,990.45

Hospital Charge Code	270668724
Hospital Revenue Code	278
Min. Negotiated Rate	$47.97
Max. Negotiated Rate	$995.23
Rate for Payer: Aetna Commercial	$756.37
Rate for Payer: Aetna Medicare Advantage	$597.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$507.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$507.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$398.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$507.56
Rate for Payer: Cigna Commercial	$995.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$481.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$437.90
Rate for Payer: Qualcare PPO/HMO/WC	$298.57
Rate for Payer: UnitedHealthcare Community & State	$47.97
Rate for Payer: Wellpoint Medicaid Managed Care	$52.75

SCREW 2.0MM X 12MM

Facility

$1,990.45

Hospital Charge Code	270668724
Hospital Revenue Code	278
Min. Negotiated Rate	$298.57
Max. Negotiated Rate	$481.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$398.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$481.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$437.90
Rate for Payer: Qualcare PPO/HMO/WC	$298.57

SCREW 2.0x11 SNAP OFF NSO-2011

Facility

$1,340.00

Service Code	HCPCS C1713
Hospital Charge Code	270653383
Hospital Revenue Code	278
Min. Negotiated Rate	$32.29
Max. Negotiated Rate	$670.00
Rate for Payer: Aetna Commercial	$509.20
Rate for Payer: Aetna Medicare Advantage	$402.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$341.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$341.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$268.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$341.70
Rate for Payer: Cigna Commercial	$670.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.28
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$294.80
Rate for Payer: Qualcare PPO/HMO/WC	$201.00
Rate for Payer: UnitedHealthcare Community & State	$32.29
Rate for Payer: Wellpoint Medicaid Managed Care	$35.51

SCREW 2.0x11 SNAP OFF NSO-2011

Facility

$1,340.00

Service Code	HCPCS C1713
Hospital Charge Code	270653383
Hospital Revenue Code	278
Min. Negotiated Rate	$201.00
Max. Negotiated Rate	$324.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$268.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.28
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$294.80
Rate for Payer: Qualcare PPO/HMO/WC	$201.00

SCREW 2.0x13 SNAP OFF NSO-2013

Facility

$1,340.00

Service Code	HCPCS C1713
Hospital Charge Code	270653384
Hospital Revenue Code	278
Min. Negotiated Rate	$201.00
Max. Negotiated Rate	$324.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$268.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.28
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$294.80
Rate for Payer: Qualcare PPO/HMO/WC	$201.00

SCREW 2.0x13 SNAP OFF NSO-2013

Facility

$1,340.00

Service Code	HCPCS C1713
Hospital Charge Code	270653384
Hospital Revenue Code	278
Min. Negotiated Rate	$32.29
Max. Negotiated Rate	$670.00
Rate for Payer: Aetna Commercial	$509.20
Rate for Payer: Aetna Medicare Advantage	$402.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$341.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$341.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$268.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$341.70
Rate for Payer: Cigna Commercial	$670.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.28
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$294.80
Rate for Payer: Qualcare PPO/HMO/WC	$201.00
Rate for Payer: UnitedHealthcare Community & State	$32.29
Rate for Payer: Wellpoint Medicaid Managed Care	$35.51

SCREW 2.0x14 LAG CANNULATED

Facility

$800.00

Service Code	HCPCS C1713
Hospital Charge Code	270648357
Hospital Revenue Code	278
Min. Negotiated Rate	$19.28
Max. Negotiated Rate	$400.00
Rate for Payer: Aetna Commercial	$304.00
Rate for Payer: Aetna Medicare Advantage	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.00
Rate for Payer: Cigna Commercial	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$176.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00
Rate for Payer: UnitedHealthcare Community & State	$19.28
Rate for Payer: Wellpoint Medicaid Managed Care	$21.20

SCREW 2.0x14 LAG CANNULATED

Facility

$800.00

Service Code	HCPCS C1713
Hospital Charge Code	270648357
Hospital Revenue Code	278
Min. Negotiated Rate	$120.00
Max. Negotiated Rate	$193.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$176.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00

SCREW 2.0 X 14MM .5 THREAD

Facility

$1,069.75

Service Code	HCPCS C1713
Hospital Charge Code	270701201
Hospital Revenue Code	278
Min. Negotiated Rate	$25.78
Max. Negotiated Rate	$534.88
Rate for Payer: Aetna Commercial	$406.50
Rate for Payer: Aetna Medicare Advantage	$320.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$272.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$272.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$213.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$272.79
Rate for Payer: Cigna Commercial	$534.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$258.88
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$235.34
Rate for Payer: Qualcare PPO/HMO/WC	$160.46
Rate for Payer: UnitedHealthcare Community & State	$25.78
Rate for Payer: Wellpoint Medicaid Managed Care	$28.35

Know your out-of-pocket cost for care.

All Charges