Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CORT DOUBLE

Facility

$2,700.00

Service Code	HCPCS C1713
Hospital Charge Code	270705498
Hospital Revenue Code	278
Min. Negotiated Rate	$65.07
Max. Negotiated Rate	$1,350.00
Rate for Payer: Aetna Commercial	$1,026.00
Rate for Payer: Aetna Medicare Advantage	$810.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$688.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$688.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$540.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$688.50
Rate for Payer: Cigna Commercial	$1,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$653.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$594.00
Rate for Payer: Qualcare PPO/HMO/WC	$405.00
Rate for Payer: UnitedHealthcare Community & State	$65.07
Rate for Payer: Wellpoint Medicaid Managed Care	$71.55

SCREW CORT DOUBLE

Facility

$2,700.00

Service Code	HCPCS C1713
Hospital Charge Code	270705498
Hospital Revenue Code	278
Min. Negotiated Rate	$405.00
Max. Negotiated Rate	$653.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$540.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$653.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$594.00
Rate for Payer: Qualcare PPO/HMO/WC	$405.00

SCREW CORTEX 1.3 X 7MM

Facility

$179.20

Service Code	HCPCS C1713
Hospital Charge Code	270681687
Hospital Revenue Code	278
Min. Negotiated Rate	$26.88
Max. Negotiated Rate	$43.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.37
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$39.42
Rate for Payer: Qualcare PPO/HMO/WC	$26.88

SCREW CORTEX 1.3 X 7MM

Facility

$179.20

Service Code	HCPCS C1713
Hospital Charge Code	270681687
Hospital Revenue Code	278
Min. Negotiated Rate	$4.32
Max. Negotiated Rate	$89.60
Rate for Payer: Aetna Commercial	$68.10
Rate for Payer: Aetna Medicare Advantage	$53.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.70
Rate for Payer: Cigna Commercial	$89.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.37
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$39.42
Rate for Payer: Qualcare PPO/HMO/WC	$26.88
Rate for Payer: UnitedHealthcare Community & State	$4.32
Rate for Payer: Wellpoint Medicaid Managed Care	$4.75

SCREW CORTEX 1.5 X 10MM

Facility

$197.35

Service Code	HCPCS C1713
Hospital Charge Code	270666008
Hospital Revenue Code	278
Min. Negotiated Rate	$4.76
Max. Negotiated Rate	$98.67
Rate for Payer: Aetna Commercial	$74.99
Rate for Payer: Aetna Medicare Advantage	$59.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.32
Rate for Payer: Cigna Commercial	$98.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$43.42
Rate for Payer: Qualcare PPO/HMO/WC	$29.60
Rate for Payer: UnitedHealthcare Community & State	$4.76
Rate for Payer: Wellpoint Medicaid Managed Care	$5.23

SCREW CORTEX 1.5 X 10MM

Facility

$197.35

Service Code	HCPCS C1713
Hospital Charge Code	270666008
Hospital Revenue Code	278
Min. Negotiated Rate	$29.60
Max. Negotiated Rate	$47.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$43.42
Rate for Payer: Qualcare PPO/HMO/WC	$29.60

SCREW CORTEX 1.5 X 11 MM

Facility

$186.00

Service Code	HCPCS C1713
Hospital Charge Code	270666009
Hospital Revenue Code	278
Min. Negotiated Rate	$4.48
Max. Negotiated Rate	$93.00
Rate for Payer: Aetna Commercial	$70.68
Rate for Payer: Aetna Medicare Advantage	$55.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.43
Rate for Payer: Cigna Commercial	$93.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.01
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$40.92
Rate for Payer: Qualcare PPO/HMO/WC	$27.90
Rate for Payer: UnitedHealthcare Community & State	$4.48
Rate for Payer: Wellpoint Medicaid Managed Care	$4.93

SCREW CORTEX 1.5 X 11 MM

Facility

$186.00

Service Code	HCPCS C1713
Hospital Charge Code	270666009
Hospital Revenue Code	278
Min. Negotiated Rate	$27.90
Max. Negotiated Rate	$45.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.01
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$40.92
Rate for Payer: Qualcare PPO/HMO/WC	$27.90

SCREW CORTEX 1.5 X12MM

Facility

$186.00

Service Code	HCPCS C1713
Hospital Charge Code	270685256
Hospital Revenue Code	278
Min. Negotiated Rate	$27.90
Max. Negotiated Rate	$45.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.01
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$40.92
Rate for Payer: Qualcare PPO/HMO/WC	$27.90

SCREW CORTEX 1.5 X12MM

Facility

$186.00

Service Code	HCPCS C1713
Hospital Charge Code	270685341
Hospital Revenue Code	278
Min. Negotiated Rate	$4.48
Max. Negotiated Rate	$93.00
Rate for Payer: Aetna Commercial	$70.68
Rate for Payer: Aetna Medicare Advantage	$55.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.43
Rate for Payer: Cigna Commercial	$93.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.01
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$40.92
Rate for Payer: Qualcare PPO/HMO/WC	$27.90
Rate for Payer: UnitedHealthcare Community & State	$4.48
Rate for Payer: Wellpoint Medicaid Managed Care	$4.93

SCREW CORTEX 1.5 X12MM

Facility

$186.00

Service Code	HCPCS C1713
Hospital Charge Code	270685341
Hospital Revenue Code	278
Min. Negotiated Rate	$27.90
Max. Negotiated Rate	$45.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.01
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$40.92
Rate for Payer: Qualcare PPO/HMO/WC	$27.90

SCREW CORTEX 1.5 X12MM

Facility

$186.00

Service Code	HCPCS C1713
Hospital Charge Code	270685256
Hospital Revenue Code	278
Min. Negotiated Rate	$4.48
Max. Negotiated Rate	$93.00
Rate for Payer: Aetna Commercial	$70.68
Rate for Payer: Aetna Medicare Advantage	$55.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.43
Rate for Payer: Cigna Commercial	$93.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.01
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$40.92
Rate for Payer: Qualcare PPO/HMO/WC	$27.90
Rate for Payer: UnitedHealthcare Community & State	$4.48
Rate for Payer: Wellpoint Medicaid Managed Care	$4.93

SCREW CORTEX 1.5x14MM

Facility

$123.60

Service Code	HCPCS C1713
Hospital Charge Code	270604166
Hospital Revenue Code	278
Min. Negotiated Rate	$18.54
Max. Negotiated Rate	$29.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.91
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$27.19
Rate for Payer: Qualcare PPO/HMO/WC	$18.54

SCREW CORTEX 1.5x14MM

Facility

$123.60

Service Code	HCPCS C1713
Hospital Charge Code	270604166
Hospital Revenue Code	278
Min. Negotiated Rate	$2.98
Max. Negotiated Rate	$61.80
Rate for Payer: Aetna Commercial	$46.97
Rate for Payer: Aetna Medicare Advantage	$37.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.52
Rate for Payer: Cigna Commercial	$61.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.91
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$27.19
Rate for Payer: Qualcare PPO/HMO/WC	$18.54
Rate for Payer: UnitedHealthcare Community & State	$2.98
Rate for Payer: Wellpoint Medicaid Managed Care	$3.28

SCREW CORTEX 1.5 X 6MM

Facility

$197.35

Service Code	HCPCS C1713
Hospital Charge Code	270681685
Hospital Revenue Code	278
Min. Negotiated Rate	$4.76
Max. Negotiated Rate	$98.67
Rate for Payer: Aetna Commercial	$74.99
Rate for Payer: Aetna Medicare Advantage	$59.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.32
Rate for Payer: Cigna Commercial	$98.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$43.42
Rate for Payer: Qualcare PPO/HMO/WC	$29.60
Rate for Payer: UnitedHealthcare Community & State	$4.76
Rate for Payer: Wellpoint Medicaid Managed Care	$5.23

SCREW CORTEX 1.5 X 6MM

Facility

$197.35

Service Code	HCPCS C1713
Hospital Charge Code	270681685
Hospital Revenue Code	278
Min. Negotiated Rate	$29.60
Max. Negotiated Rate	$47.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$43.42
Rate for Payer: Qualcare PPO/HMO/WC	$29.60

SCREW CORTEX 1.5 X 7 MM

Facility

$197.35

Service Code	HCPCS C1713
Hospital Charge Code	270686490
Hospital Revenue Code	278
Min. Negotiated Rate	$29.60
Max. Negotiated Rate	$47.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$43.42
Rate for Payer: Qualcare PPO/HMO/WC	$29.60

SCREW CORTEX 1.5 X 7 MM

Facility

$197.35

Service Code	HCPCS C1713
Hospital Charge Code	270686490
Hospital Revenue Code	278
Min. Negotiated Rate	$4.76
Max. Negotiated Rate	$98.67
Rate for Payer: Aetna Commercial	$74.99
Rate for Payer: Aetna Medicare Advantage	$59.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.32
Rate for Payer: Cigna Commercial	$98.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$43.42
Rate for Payer: Qualcare PPO/HMO/WC	$29.60
Rate for Payer: UnitedHealthcare Community & State	$4.76
Rate for Payer: Wellpoint Medicaid Managed Care	$5.23

SCREW CORTEX 1.5 X 8 MM

Facility

$197.35

Service Code	HCPCS C1713
Hospital Charge Code	270681684
Hospital Revenue Code	278
Min. Negotiated Rate	$29.60
Max. Negotiated Rate	$47.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$43.42
Rate for Payer: Qualcare PPO/HMO/WC	$29.60

SCREW CORTEX 1.5 X 8 MM

Facility

$197.35

Service Code	HCPCS C1713
Hospital Charge Code	270681684
Hospital Revenue Code	278
Min. Negotiated Rate	$4.76
Max. Negotiated Rate	$98.67
Rate for Payer: Aetna Commercial	$74.99
Rate for Payer: Aetna Medicare Advantage	$59.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.32
Rate for Payer: Cigna Commercial	$98.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$43.42
Rate for Payer: Qualcare PPO/HMO/WC	$29.60
Rate for Payer: UnitedHealthcare Community & State	$4.76
Rate for Payer: Wellpoint Medicaid Managed Care	$5.23

SCREW CORTEX 1.5 X 9 MM

Facility

$197.35

Service Code	HCPCS C1713
Hospital Charge Code	270666007
Hospital Revenue Code	278
Min. Negotiated Rate	$29.60
Max. Negotiated Rate	$47.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$43.42
Rate for Payer: Qualcare PPO/HMO/WC	$29.60

SCREW CORTEX 1.5 X 9 MM

Facility

$197.35

Service Code	HCPCS C1713
Hospital Charge Code	270666007
Hospital Revenue Code	278
Min. Negotiated Rate	$4.76
Max. Negotiated Rate	$98.67
Rate for Payer: Aetna Commercial	$74.99
Rate for Payer: Aetna Medicare Advantage	$59.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.32
Rate for Payer: Cigna Commercial	$98.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$43.42
Rate for Payer: Qualcare PPO/HMO/WC	$29.60
Rate for Payer: UnitedHealthcare Community & State	$4.76
Rate for Payer: Wellpoint Medicaid Managed Care	$5.23

SCREW CORTEX 1.5x9MM

Facility

$123.60

Service Code	HCPCS C1713
Hospital Charge Code	270604162
Hospital Revenue Code	278
Min. Negotiated Rate	$18.54
Max. Negotiated Rate	$29.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.91
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$27.19
Rate for Payer: Qualcare PPO/HMO/WC	$18.54

SCREW CORTEX 1.5x9MM

Facility

$123.60

Service Code	HCPCS C1713
Hospital Charge Code	270604162
Hospital Revenue Code	278
Min. Negotiated Rate	$2.98
Max. Negotiated Rate	$61.80
Rate for Payer: Aetna Commercial	$46.97
Rate for Payer: Aetna Medicare Advantage	$37.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.52
Rate for Payer: Cigna Commercial	$61.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.91
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$27.19
Rate for Payer: Qualcare PPO/HMO/WC	$18.54
Rate for Payer: UnitedHealthcare Community & State	$2.98
Rate for Payer: Wellpoint Medicaid Managed Care	$3.28

SCREW CORTEX 2.0/16MM SELF TAP

Facility

$147.55

Service Code	HCPCS C1713
Hospital Charge Code	270652392
Hospital Revenue Code	278
Min. Negotiated Rate	$22.13
Max. Negotiated Rate	$35.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$32.46
Rate for Payer: Qualcare PPO/HMO/WC	$22.13

Know your out-of-pocket cost for care.

All Charges