Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 2.7 CORTEX SELF TAPPING

Facility

$135.75

Hospital Charge Code	270656719
Hospital Revenue Code	278
Min. Negotiated Rate	$20.36
Max. Negotiated Rate	$32.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$29.86
Rate for Payer: Qualcare PPO/HMO/WC	$20.36

SCREW 2.7 CORTEX SELF TAPPING

Facility

$135.75

Hospital Charge Code	270656721
Hospital Revenue Code	278
Min. Negotiated Rate	$3.27
Max. Negotiated Rate	$67.88
Rate for Payer: Aetna Commercial	$51.59
Rate for Payer: Aetna Medicare Advantage	$40.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.62
Rate for Payer: Cigna Commercial	$67.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$29.86
Rate for Payer: Qualcare PPO/HMO/WC	$20.36
Rate for Payer: UnitedHealthcare Community & State	$3.27
Rate for Payer: Wellpoint Medicaid Managed Care	$3.60

SCREW 2.7 CORTEX SELF TAPPING

Facility

$135.75

Hospital Charge Code	270656725
Hospital Revenue Code	278
Min. Negotiated Rate	$3.27
Max. Negotiated Rate	$67.88
Rate for Payer: Aetna Commercial	$51.59
Rate for Payer: Aetna Medicare Advantage	$40.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.62
Rate for Payer: Cigna Commercial	$67.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$29.86
Rate for Payer: Qualcare PPO/HMO/WC	$20.36
Rate for Payer: UnitedHealthcare Community & State	$3.27
Rate for Payer: Wellpoint Medicaid Managed Care	$3.60

SCREW 2.7 CORTEX SELF TAPPING

Facility

$135.75

Hospital Charge Code	270656722
Hospital Revenue Code	278
Min. Negotiated Rate	$3.27
Max. Negotiated Rate	$67.88
Rate for Payer: Aetna Commercial	$51.59
Rate for Payer: Aetna Medicare Advantage	$40.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.62
Rate for Payer: Cigna Commercial	$67.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$29.86
Rate for Payer: Qualcare PPO/HMO/WC	$20.36
Rate for Payer: UnitedHealthcare Community & State	$3.27
Rate for Payer: Wellpoint Medicaid Managed Care	$3.60

SCREW 2.7 CORTEX SELF TAPPING

Facility

$135.75

Hospital Charge Code	270656721
Hospital Revenue Code	278
Min. Negotiated Rate	$20.36
Max. Negotiated Rate	$32.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$29.86
Rate for Payer: Qualcare PPO/HMO/WC	$20.36

SCREW 2.7 CORTEX SELF TAPPING

Facility

$135.75

Hospital Charge Code	270656723
Hospital Revenue Code	278
Min. Negotiated Rate	$20.36
Max. Negotiated Rate	$32.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$29.86
Rate for Payer: Qualcare PPO/HMO/WC	$20.36

SCREW 2.7 CORTEX SELF TAPPING

Facility

$135.75

Hospital Charge Code	270657221
Hospital Revenue Code	278
Min. Negotiated Rate	$3.27
Max. Negotiated Rate	$67.88
Rate for Payer: Aetna Commercial	$51.59
Rate for Payer: Aetna Medicare Advantage	$40.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.62
Rate for Payer: Cigna Commercial	$67.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$29.86
Rate for Payer: Qualcare PPO/HMO/WC	$20.36
Rate for Payer: UnitedHealthcare Community & State	$3.27
Rate for Payer: Wellpoint Medicaid Managed Care	$3.60

SCREW 2.7 CORTEX SLEF TAPPING

Facility

$135.75

Hospital Charge Code	270656718
Hospital Revenue Code	278
Min. Negotiated Rate	$20.36
Max. Negotiated Rate	$32.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$29.86
Rate for Payer: Qualcare PPO/HMO/WC	$20.36

SCREW 2.7 CORTEX SLEF TAPPING

Facility

$135.75

Hospital Charge Code	270656718
Hospital Revenue Code	278
Min. Negotiated Rate	$3.27
Max. Negotiated Rate	$67.88
Rate for Payer: Aetna Commercial	$51.59
Rate for Payer: Aetna Medicare Advantage	$40.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.62
Rate for Payer: Cigna Commercial	$67.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$29.86
Rate for Payer: Qualcare PPO/HMO/WC	$20.36
Rate for Payer: UnitedHealthcare Community & State	$3.27
Rate for Payer: Wellpoint Medicaid Managed Care	$3.60

SCREW 2.7 CORTEX TITANIUM 14MM

Facility

$124.50

Hospital Charge Code	270656717
Hospital Revenue Code	278
Min. Negotiated Rate	$18.68
Max. Negotiated Rate	$30.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.13
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$27.39
Rate for Payer: Qualcare PPO/HMO/WC	$18.68

SCREW 2.7 CORTEX TITANIUM 14MM

Facility

$124.50

Hospital Charge Code	270656717
Hospital Revenue Code	278
Min. Negotiated Rate	$3.00
Max. Negotiated Rate	$62.25
Rate for Payer: Aetna Commercial	$47.31
Rate for Payer: Aetna Medicare Advantage	$37.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.75
Rate for Payer: Cigna Commercial	$62.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.13
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$27.39
Rate for Payer: Qualcare PPO/HMO/WC	$18.68
Rate for Payer: UnitedHealthcare Community & State	$3.00
Rate for Payer: Wellpoint Medicaid Managed Care	$3.30

SCREW 2.7 CORTICAL 20 2324021

Facility

$44.70

Hospital Charge Code	270610127
Hospital Revenue Code	278
Min. Negotiated Rate	$6.71
Max. Negotiated Rate	$10.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.82
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$9.83
Rate for Payer: Qualcare PPO/HMO/WC	$6.71

SCREW 2.7 CORTICAL 20 2324021

Facility

$44.70

Hospital Charge Code	270610127
Hospital Revenue Code	278
Min. Negotiated Rate	$1.08
Max. Negotiated Rate	$22.35
Rate for Payer: Aetna Commercial	$16.99
Rate for Payer: Aetna Medicare Advantage	$13.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.40
Rate for Payer: Cigna Commercial	$22.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.82
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$9.83
Rate for Payer: Qualcare PPO/HMO/WC	$6.71
Rate for Payer: UnitedHealthcare Community & State	$1.08
Rate for Payer: Wellpoint Medicaid Managed Care	$1.18

SCREW 2.7m CORTICL 14m 2324015

Facility

$36.25

Hospital Charge Code	270610122
Hospital Revenue Code	278
Min. Negotiated Rate	$5.44
Max. Negotiated Rate	$8.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.77
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$7.97
Rate for Payer: Qualcare PPO/HMO/WC	$5.44

SCREW 2.7m CORTICL 14m 2324015

Facility

$36.25

Hospital Charge Code	270610122
Hospital Revenue Code	278
Min. Negotiated Rate	$0.87
Max. Negotiated Rate	$18.12
Rate for Payer: Aetna Commercial	$13.78
Rate for Payer: Aetna Medicare Advantage	$10.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.24
Rate for Payer: Cigna Commercial	$18.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.77
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$7.97
Rate for Payer: Qualcare PPO/HMO/WC	$5.44
Rate for Payer: UnitedHealthcare Community & State	$0.87
Rate for Payer: Wellpoint Medicaid Managed Care	$0.96

SCREW 2.7m CORTICL 18m 2324019

Facility

$36.25

Hospital Charge Code	270610125
Hospital Revenue Code	278
Min. Negotiated Rate	$0.87
Max. Negotiated Rate	$18.12
Rate for Payer: Aetna Commercial	$13.78
Rate for Payer: Aetna Medicare Advantage	$10.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.24
Rate for Payer: Cigna Commercial	$18.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.77
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$7.97
Rate for Payer: Qualcare PPO/HMO/WC	$5.44
Rate for Payer: UnitedHealthcare Community & State	$0.87
Rate for Payer: Wellpoint Medicaid Managed Care	$0.96

SCREW 2.7m CORTICL 18m 2324019

Facility

$36.25

Hospital Charge Code	270610125
Hospital Revenue Code	278
Min. Negotiated Rate	$5.44
Max. Negotiated Rate	$8.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.77
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$7.97
Rate for Payer: Qualcare PPO/HMO/WC	$5.44

SCREW 2.7 METAPHYSEAL SLF-TPNG

Facility

$200.50

Service Code	HCPCS C1713
Hospital Charge Code	270677649
Hospital Revenue Code	278
Min. Negotiated Rate	$30.07
Max. Negotiated Rate	$48.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$44.11
Rate for Payer: Qualcare PPO/HMO/WC	$30.07

SCREW 2.7 METAPHYSEAL SLF-TPNG

Facility

$189.00

Service Code	HCPCS C1713
Hospital Charge Code	270660905
Hospital Revenue Code	278
Min. Negotiated Rate	$4.55
Max. Negotiated Rate	$94.50
Rate for Payer: Aetna Commercial	$71.82
Rate for Payer: Aetna Medicare Advantage	$56.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.20
Rate for Payer: Cigna Commercial	$94.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$41.58
Rate for Payer: Qualcare PPO/HMO/WC	$28.35
Rate for Payer: UnitedHealthcare Community & State	$4.55
Rate for Payer: Wellpoint Medicaid Managed Care	$5.01

SCREW 2.7 METAPHYSEAL SLF-TPNG

Facility

$189.00

Service Code	HCPCS C1713
Hospital Charge Code	270660905
Hospital Revenue Code	278
Min. Negotiated Rate	$28.35
Max. Negotiated Rate	$45.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$41.58
Rate for Payer: Qualcare PPO/HMO/WC	$28.35

SCREW 2.7 METAPHYSEAL SLF-TPNG

Facility

$200.50

Service Code	HCPCS C1713
Hospital Charge Code	270677649
Hospital Revenue Code	278
Min. Negotiated Rate	$4.83
Max. Negotiated Rate	$100.25
Rate for Payer: Aetna Commercial	$76.19
Rate for Payer: Aetna Medicare Advantage	$60.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.13
Rate for Payer: Cigna Commercial	$100.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$44.11
Rate for Payer: Qualcare PPO/HMO/WC	$30.07
Rate for Payer: UnitedHealthcare Community & State	$4.83
Rate for Payer: Wellpoint Medicaid Managed Care	$5.31

SCREW 2.7MM CORTEX SELF TAP

Facility

$135.75

Hospital Charge Code	270656890
Hospital Revenue Code	278
Min. Negotiated Rate	$3.27
Max. Negotiated Rate	$67.88
Rate for Payer: Aetna Commercial	$51.59
Rate for Payer: Aetna Medicare Advantage	$40.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.62
Rate for Payer: Cigna Commercial	$67.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$29.86
Rate for Payer: Qualcare PPO/HMO/WC	$20.36
Rate for Payer: UnitedHealthcare Community & State	$3.27
Rate for Payer: Wellpoint Medicaid Managed Care	$3.60

SCREW 2.7MM CORTEX SELF TAP

Facility

$135.75

Hospital Charge Code	270656890
Hospital Revenue Code	278
Min. Negotiated Rate	$20.36
Max. Negotiated Rate	$32.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$29.86
Rate for Payer: Qualcare PPO/HMO/WC	$20.36

SCREW 2.7MM CORTEX SELF TAP

Facility

$135.75

Hospital Charge Code	270656892
Hospital Revenue Code	278
Min. Negotiated Rate	$20.36
Max. Negotiated Rate	$32.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$29.86
Rate for Payer: Qualcare PPO/HMO/WC	$20.36

SCREW 2.7MM CORTEX SELF TAP

Facility

$135.75

Hospital Charge Code	270656892
Hospital Revenue Code	278
Min. Negotiated Rate	$3.27
Max. Negotiated Rate	$67.88
Rate for Payer: Aetna Commercial	$51.59
Rate for Payer: Aetna Medicare Advantage	$40.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.62
Rate for Payer: Cigna Commercial	$67.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$29.86
Rate for Payer: Qualcare PPO/HMO/WC	$20.36
Rate for Payer: UnitedHealthcare Community & State	$3.27
Rate for Payer: Wellpoint Medicaid Managed Care	$3.60

Know your out-of-pocket cost for care.

All Charges