Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 4.5MMCORTEX SELFTAP105MM

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655805
Hospital Revenue Code	278
Min. Negotiated Rate	$3.50
Max. Negotiated Rate	$72.62
Rate for Payer: Aetna Commercial	$55.20
Rate for Payer: Aetna Medicare Advantage	$43.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.04
Rate for Payer: Cigna Commercial	$72.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.95
Rate for Payer: Qualcare PPO/HMO/WC	$21.79
Rate for Payer: UnitedHealthcare Community & State	$3.50
Rate for Payer: Wellpoint Medicaid Managed Care	$3.85

SCREW 4.5MMCORTEX SELFTAP110MM

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655807
Hospital Revenue Code	278
Min. Negotiated Rate	$21.79
Max. Negotiated Rate	$35.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.95
Rate for Payer: Qualcare PPO/HMO/WC	$21.79

SCREW 4.5MMCORTEX SELFTAP110MM

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655807
Hospital Revenue Code	278
Min. Negotiated Rate	$3.50
Max. Negotiated Rate	$72.62
Rate for Payer: Aetna Commercial	$55.20
Rate for Payer: Aetna Medicare Advantage	$43.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.04
Rate for Payer: Cigna Commercial	$72.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.95
Rate for Payer: Qualcare PPO/HMO/WC	$21.79
Rate for Payer: UnitedHealthcare Community & State	$3.50
Rate for Payer: Wellpoint Medicaid Managed Care	$3.85

SCREW 4.5MMCORTEX SELFTAP115MM

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655810
Hospital Revenue Code	278
Min. Negotiated Rate	$3.50
Max. Negotiated Rate	$72.62
Rate for Payer: Aetna Commercial	$55.20
Rate for Payer: Aetna Medicare Advantage	$43.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.04
Rate for Payer: Cigna Commercial	$72.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.95
Rate for Payer: Qualcare PPO/HMO/WC	$21.79
Rate for Payer: UnitedHealthcare Community & State	$3.50
Rate for Payer: Wellpoint Medicaid Managed Care	$3.85

SCREW 4.5MMCORTEX SELFTAP115MM

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655810
Hospital Revenue Code	278
Min. Negotiated Rate	$21.79
Max. Negotiated Rate	$35.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.95
Rate for Payer: Qualcare PPO/HMO/WC	$21.79

SCREW 4.5MMCORTEX SELFTAP120MM

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655813
Hospital Revenue Code	278
Min. Negotiated Rate	$21.79
Max. Negotiated Rate	$35.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.95
Rate for Payer: Qualcare PPO/HMO/WC	$21.79

SCREW 4.5MMCORTEX SELFTAP120MM

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655813
Hospital Revenue Code	278
Min. Negotiated Rate	$3.50
Max. Negotiated Rate	$72.62
Rate for Payer: Aetna Commercial	$55.20
Rate for Payer: Aetna Medicare Advantage	$43.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.04
Rate for Payer: Cigna Commercial	$72.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.95
Rate for Payer: Qualcare PPO/HMO/WC	$21.79
Rate for Payer: UnitedHealthcare Community & State	$3.50
Rate for Payer: Wellpoint Medicaid Managed Care	$3.85

SCREW 4.5MMCORTEX SELFTAP120MM

Facility

$166.25

Hospital Charge Code	270665813
Hospital Revenue Code	278
Min. Negotiated Rate	$24.94
Max. Negotiated Rate	$40.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$33.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.23
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$36.58
Rate for Payer: Qualcare PPO/HMO/WC	$24.94

SCREW 4.5MMCORTEX SELFTAP120MM

Facility

$166.25

Hospital Charge Code	270665813
Hospital Revenue Code	278
Min. Negotiated Rate	$4.01
Max. Negotiated Rate	$83.12
Rate for Payer: Aetna Commercial	$63.17
Rate for Payer: Aetna Medicare Advantage	$49.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$33.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.39
Rate for Payer: Cigna Commercial	$83.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.23
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$36.58
Rate for Payer: Qualcare PPO/HMO/WC	$24.94
Rate for Payer: UnitedHealthcare Community & State	$4.01
Rate for Payer: Wellpoint Medicaid Managed Care	$4.41

SCREW 4.5MMCORTEX SELFTAP125MM

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655815
Hospital Revenue Code	278
Min. Negotiated Rate	$3.50
Max. Negotiated Rate	$72.62
Rate for Payer: Aetna Commercial	$55.20
Rate for Payer: Aetna Medicare Advantage	$43.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.04
Rate for Payer: Cigna Commercial	$72.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.95
Rate for Payer: Qualcare PPO/HMO/WC	$21.79
Rate for Payer: UnitedHealthcare Community & State	$3.50
Rate for Payer: Wellpoint Medicaid Managed Care	$3.85

SCREW 4.5MMCORTEX SELFTAP125MM

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655815
Hospital Revenue Code	278
Min. Negotiated Rate	$21.79
Max. Negotiated Rate	$35.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.95
Rate for Payer: Qualcare PPO/HMO/WC	$21.79

SCREW 4.5MMCORTEX SELFTAP130MM

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655818
Hospital Revenue Code	278
Min. Negotiated Rate	$3.50
Max. Negotiated Rate	$72.62
Rate for Payer: Aetna Commercial	$55.20
Rate for Payer: Aetna Medicare Advantage	$43.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.04
Rate for Payer: Cigna Commercial	$72.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.95
Rate for Payer: Qualcare PPO/HMO/WC	$21.79
Rate for Payer: UnitedHealthcare Community & State	$3.50
Rate for Payer: Wellpoint Medicaid Managed Care	$3.85

SCREW 4.5MMCORTEX SELFTAP130MM

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655818
Hospital Revenue Code	278
Min. Negotiated Rate	$21.79
Max. Negotiated Rate	$35.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.95
Rate for Payer: Qualcare PPO/HMO/WC	$21.79

SCREW 4.5MMCORTEX SELFTAP135MM

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655820
Hospital Revenue Code	278
Min. Negotiated Rate	$21.79
Max. Negotiated Rate	$35.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.95
Rate for Payer: Qualcare PPO/HMO/WC	$21.79

SCREW 4.5MMCORTEX SELFTAP135MM

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655820
Hospital Revenue Code	278
Min. Negotiated Rate	$3.50
Max. Negotiated Rate	$72.62
Rate for Payer: Aetna Commercial	$55.20
Rate for Payer: Aetna Medicare Advantage	$43.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.04
Rate for Payer: Cigna Commercial	$72.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.95
Rate for Payer: Qualcare PPO/HMO/WC	$21.79
Rate for Payer: UnitedHealthcare Community & State	$3.50
Rate for Payer: Wellpoint Medicaid Managed Care	$3.85

SCREW 4.5MMCORTEX SELFTAP140MM

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655824
Hospital Revenue Code	278
Min. Negotiated Rate	$21.79
Max. Negotiated Rate	$35.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.95
Rate for Payer: Qualcare PPO/HMO/WC	$21.79

SCREW 4.5MMCORTEX SELFTAP140MM

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655824
Hospital Revenue Code	278
Min. Negotiated Rate	$3.50
Max. Negotiated Rate	$72.62
Rate for Payer: Aetna Commercial	$55.20
Rate for Payer: Aetna Medicare Advantage	$43.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.04
Rate for Payer: Cigna Commercial	$72.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.95
Rate for Payer: Qualcare PPO/HMO/WC	$21.79
Rate for Payer: UnitedHealthcare Community & State	$3.50
Rate for Payer: Wellpoint Medicaid Managed Care	$3.85

SCREW 4.5MMCORTEX SELFTAP145MM

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655825
Hospital Revenue Code	278
Min. Negotiated Rate	$21.79
Max. Negotiated Rate	$35.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.95
Rate for Payer: Qualcare PPO/HMO/WC	$21.79

SCREW 4.5MMCORTEX SELFTAP145MM

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655825
Hospital Revenue Code	278
Min. Negotiated Rate	$3.50
Max. Negotiated Rate	$72.62
Rate for Payer: Aetna Commercial	$55.20
Rate for Payer: Aetna Medicare Advantage	$43.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.04
Rate for Payer: Cigna Commercial	$72.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.95
Rate for Payer: Qualcare PPO/HMO/WC	$21.79
Rate for Payer: UnitedHealthcare Community & State	$3.50
Rate for Payer: Wellpoint Medicaid Managed Care	$3.85

SCREW 4.5MM CORTEX SELFTAP14MM

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270655718
Hospital Revenue Code	278
Min. Negotiated Rate	$13.67
Max. Negotiated Rate	$22.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$20.05
Rate for Payer: Qualcare PPO/HMO/WC	$13.67

SCREW 4.5MM CORTEX SELFTAP14MM

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270655718
Hospital Revenue Code	278
Min. Negotiated Rate	$2.20
Max. Negotiated Rate	$45.58
Rate for Payer: Aetna Commercial	$34.64
Rate for Payer: Aetna Medicare Advantage	$27.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.24
Rate for Payer: Cigna Commercial	$45.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$20.05
Rate for Payer: Qualcare PPO/HMO/WC	$13.67
Rate for Payer: UnitedHealthcare Community & State	$2.20
Rate for Payer: Wellpoint Medicaid Managed Care	$2.42

SCREW 4.5MM CORTEX SELFTAP16MM

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270655719
Hospital Revenue Code	278
Min. Negotiated Rate	$13.67
Max. Negotiated Rate	$22.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$20.05
Rate for Payer: Qualcare PPO/HMO/WC	$13.67

SCREW 4.5MM CORTEX SELFTAP16MM

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270655719
Hospital Revenue Code	278
Min. Negotiated Rate	$2.20
Max. Negotiated Rate	$45.58
Rate for Payer: Aetna Commercial	$34.64
Rate for Payer: Aetna Medicare Advantage	$27.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.24
Rate for Payer: Cigna Commercial	$45.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$20.05
Rate for Payer: Qualcare PPO/HMO/WC	$13.67
Rate for Payer: UnitedHealthcare Community & State	$2.20
Rate for Payer: Wellpoint Medicaid Managed Care	$2.42

SCREW 4.5MM CORTEX SELFTAP18MM

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270655720
Hospital Revenue Code	278
Min. Negotiated Rate	$2.20
Max. Negotiated Rate	$45.58
Rate for Payer: Aetna Commercial	$34.64
Rate for Payer: Aetna Medicare Advantage	$27.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.24
Rate for Payer: Cigna Commercial	$45.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$20.05
Rate for Payer: Qualcare PPO/HMO/WC	$13.67
Rate for Payer: UnitedHealthcare Community & State	$2.20
Rate for Payer: Wellpoint Medicaid Managed Care	$2.42

SCREW 4.5MM CORTEX SELFTAP18MM

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270655720
Hospital Revenue Code	278
Min. Negotiated Rate	$13.67
Max. Negotiated Rate	$22.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$20.05
Rate for Payer: Qualcare PPO/HMO/WC	$13.67

Know your out-of-pocket cost for care.

All Charges