Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 4.5MM CORTEX SELFTAP46MM

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270655743
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 SELFTAP48MM

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270655746
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 SELFTAP48MM

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270655746
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 SELFTAP50MM

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270655748
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 SELFTAP50MM

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270655748
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 SELFTAP52MM

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270655751
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 SELFTAP52MM

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270655751
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 SELFTAP54MM

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270655754
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 SELFTAP54MM

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270655754
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 SELFTAP56MM

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270655756
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 SELFTAP56MM

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270655756
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 SELFTAP58MM

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270655759
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 SELFTAP58MM

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270655759
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 SELFTAP60MM

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270655761
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 SELFTAP60MM

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270655761
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 SELFTAP62MM

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270655764
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 SELFTAP62MM

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270655764
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 SELFTAP64MM

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270655775
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 SELFTAP64MM

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270655775
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 SELFTAP66MM

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270655778
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 SELFTAP66MM

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270655778
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 SELFTAP68MM

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270655780
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 SELFTAP68MM

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270655780
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 SELFTAP70MM

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270655782
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 SELFTAP70MM

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270655782
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

Know your out-of-pocket cost for care.

All Charges