Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CORTEX 2.4mm 12MM

Facility

$525.00

Service Code	HCPCS C1713
Hospital Charge Code	270683774
Hospital Revenue Code	278
Min. Negotiated Rate	$12.65
Max. Negotiated Rate	$262.50
Rate for Payer: Aetna Commercial	$199.50
Rate for Payer: Aetna Medicare Advantage	$157.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$105.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.88
Rate for Payer: Cigna Commercial	$262.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$115.50
Rate for Payer: Qualcare PPO/HMO/WC	$78.75
Rate for Payer: UnitedHealthcare Community & State	$12.65
Rate for Payer: Wellpoint Medicaid Managed Care	$13.91

SCREW CORTEX 2.4mm 12MM

Facility

$525.00

Service Code	HCPCS C1713
Hospital Charge Code	270683774
Hospital Revenue Code	278
Min. Negotiated Rate	$78.75
Max. Negotiated Rate	$127.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$105.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$115.50
Rate for Payer: Qualcare PPO/HMO/WC	$78.75

SCREW CORTEX 2.4 MM SLF T8 14

Facility

$326.65

Service Code	HCPCS C1713
Hospital Charge Code	270688277
Hospital Revenue Code	278
Min. Negotiated Rate	$7.87
Max. Negotiated Rate	$163.32
Rate for Payer: Aetna Commercial	$124.13
Rate for Payer: Aetna Medicare Advantage	$98.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$65.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.30
Rate for Payer: Cigna Commercial	$163.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$71.86
Rate for Payer: Qualcare PPO/HMO/WC	$49.00
Rate for Payer: UnitedHealthcare Community & State	$7.87
Rate for Payer: Wellpoint Medicaid Managed Care	$8.66

SCREW CORTEX 2.4 MM SLF T8 14

Facility

$326.65

Service Code	HCPCS C1713
Hospital Charge Code	270688277
Hospital Revenue Code	278
Min. Negotiated Rate	$49.00
Max. Negotiated Rate	$79.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$65.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$71.86
Rate for Payer: Qualcare PPO/HMO/WC	$49.00

SCREW CORTEX 2.4MM X 16MM

Facility

$332.10

Hospital Charge Code	270661258
Hospital Revenue Code	278
Min. Negotiated Rate	$8.00
Max. Negotiated Rate	$166.05
Rate for Payer: Aetna Commercial	$126.20
Rate for Payer: Aetna Medicare Advantage	$99.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$66.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.69
Rate for Payer: Cigna Commercial	$166.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.37
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$73.06
Rate for Payer: Qualcare PPO/HMO/WC	$49.81
Rate for Payer: UnitedHealthcare Community & State	$8.00
Rate for Payer: Wellpoint Medicaid Managed Care	$8.80

SCREW CORTEX 2.4MM X 16MM

Facility

$332.10

Hospital Charge Code	270661258
Hospital Revenue Code	278
Min. Negotiated Rate	$49.81
Max. Negotiated Rate	$80.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$66.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.37
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$73.06
Rate for Payer: Qualcare PPO/HMO/WC	$49.81

SCREW CORTEX 2.4x14MM

Facility

$326.65

Service Code	HCPCS C1713
Hospital Charge Code	270687795
Hospital Revenue Code	278
Min. Negotiated Rate	$49.00
Max. Negotiated Rate	$79.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$65.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$71.86
Rate for Payer: Qualcare PPO/HMO/WC	$49.00

SCREW CORTEX 2.4x14MM

Facility

$326.65

Service Code	HCPCS C1713
Hospital Charge Code	270687795
Hospital Revenue Code	278
Min. Negotiated Rate	$7.87
Max. Negotiated Rate	$163.32
Rate for Payer: Aetna Commercial	$124.13
Rate for Payer: Aetna Medicare Advantage	$98.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$65.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.30
Rate for Payer: Cigna Commercial	$163.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$71.86
Rate for Payer: Qualcare PPO/HMO/WC	$49.00
Rate for Payer: UnitedHealthcare Community & State	$7.87
Rate for Payer: Wellpoint Medicaid Managed Care	$8.66

SCREW CORTEX 2.4X 14 MM

Facility

$568.40

Hospital Charge Code	270703506
Hospital Revenue Code	278
Min. Negotiated Rate	$13.70
Max. Negotiated Rate	$284.20
Rate for Payer: Aetna Commercial	$215.99
Rate for Payer: Aetna Medicare Advantage	$170.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.94
Rate for Payer: Cigna Commercial	$284.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$125.05
Rate for Payer: Qualcare PPO/HMO/WC	$85.26
Rate for Payer: UnitedHealthcare Community & State	$13.70
Rate for Payer: Wellpoint Medicaid Managed Care	$15.06

SCREW CORTEX 2.4X 14 MM

Facility

$568.40

Hospital Charge Code	270703506
Hospital Revenue Code	278
Min. Negotiated Rate	$85.26
Max. Negotiated Rate	$137.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$125.05
Rate for Payer: Qualcare PPO/HMO/WC	$85.26

SCREW CORTEX 2.4 X 16 MM

Facility

$568.40

Hospital Charge Code	270703507
Hospital Revenue Code	278
Min. Negotiated Rate	$85.26
Max. Negotiated Rate	$137.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$125.05
Rate for Payer: Qualcare PPO/HMO/WC	$85.26

SCREW CORTEX 2.4 X 16 MM

Facility

$568.40

Hospital Charge Code	270703507
Hospital Revenue Code	278
Min. Negotiated Rate	$13.70
Max. Negotiated Rate	$284.20
Rate for Payer: Aetna Commercial	$215.99
Rate for Payer: Aetna Medicare Advantage	$170.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.94
Rate for Payer: Cigna Commercial	$284.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$125.05
Rate for Payer: Qualcare PPO/HMO/WC	$85.26
Rate for Payer: UnitedHealthcare Community & State	$13.70
Rate for Payer: Wellpoint Medicaid Managed Care	$15.06

SCREW CORTEX 2.4 X 16MM

Facility

$210.05

Service Code	HCPCS C1713
Hospital Charge Code	270685567
Hospital Revenue Code	278
Min. Negotiated Rate	$31.51
Max. Negotiated Rate	$50.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$42.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$46.21
Rate for Payer: Qualcare PPO/HMO/WC	$31.51

SCREW CORTEX 2.4 X 16MM

Facility

$210.05

Service Code	HCPCS C1713
Hospital Charge Code	270685567
Hospital Revenue Code	278
Min. Negotiated Rate	$5.06
Max. Negotiated Rate	$105.03
Rate for Payer: Aetna Commercial	$79.82
Rate for Payer: Aetna Medicare Advantage	$63.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$42.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.56
Rate for Payer: Cigna Commercial	$105.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$46.21
Rate for Payer: Qualcare PPO/HMO/WC	$31.51
Rate for Payer: UnitedHealthcare Community & State	$5.06
Rate for Payer: Wellpoint Medicaid Managed Care	$5.57

SCREW CORTEX 2.4X18MM

Facility

$980.00

Service Code	HCPCS C1713
Hospital Charge Code	270700359
Hospital Revenue Code	278
Min. Negotiated Rate	$147.00
Max. Negotiated Rate	$237.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.16
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$215.60
Rate for Payer: Qualcare PPO/HMO/WC	$147.00

SCREW CORTEX 2.4X18MM

Facility

$980.00

Service Code	HCPCS C1713
Hospital Charge Code	270700359
Hospital Revenue Code	278
Min. Negotiated Rate	$23.62
Max. Negotiated Rate	$490.00
Rate for Payer: Aetna Commercial	$372.40
Rate for Payer: Aetna Medicare Advantage	$294.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$249.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$249.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$249.90
Rate for Payer: Cigna Commercial	$490.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.16
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$215.60
Rate for Payer: Qualcare PPO/HMO/WC	$147.00
Rate for Payer: UnitedHealthcare Community & State	$23.62
Rate for Payer: Wellpoint Medicaid Managed Care	$25.97

SCREW CORTEX 2.7x14MM

Facility

$128.25

Service Code	HCPCS C1713
Hospital Charge Code	270604188
Hospital Revenue Code	278
Min. Negotiated Rate	$19.24
Max. Negotiated Rate	$31.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$28.21
Rate for Payer: Qualcare PPO/HMO/WC	$19.24

SCREW CORTEX 2.7x14MM

Facility

$128.25

Service Code	HCPCS C1713
Hospital Charge Code	270604188
Hospital Revenue Code	278
Min. Negotiated Rate	$3.09
Max. Negotiated Rate	$64.12
Rate for Payer: Aetna Commercial	$48.73
Rate for Payer: Aetna Medicare Advantage	$38.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.70
Rate for Payer: Cigna Commercial	$64.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$28.21
Rate for Payer: Qualcare PPO/HMO/WC	$19.24
Rate for Payer: UnitedHealthcare Community & State	$3.09
Rate for Payer: Wellpoint Medicaid Managed Care	$3.40

SCREW CORTEX 2.7X14 MM

Facility

$568.40

Hospital Charge Code	270703508
Hospital Revenue Code	278
Min. Negotiated Rate	$85.26
Max. Negotiated Rate	$137.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$125.05
Rate for Payer: Qualcare PPO/HMO/WC	$85.26

SCREW CORTEX 2.7X14 MM

Facility

$568.40

Hospital Charge Code	270703508
Hospital Revenue Code	278
Min. Negotiated Rate	$13.70
Max. Negotiated Rate	$284.20
Rate for Payer: Aetna Commercial	$215.99
Rate for Payer: Aetna Medicare Advantage	$170.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.94
Rate for Payer: Cigna Commercial	$284.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$125.05
Rate for Payer: Qualcare PPO/HMO/WC	$85.26
Rate for Payer: UnitedHealthcare Community & State	$13.70
Rate for Payer: Wellpoint Medicaid Managed Care	$15.06

SCREW CORTEX 2.7x18MM

Facility

$128.25

Service Code	HCPCS C1713
Hospital Charge Code	270604190
Hospital Revenue Code	278
Min. Negotiated Rate	$3.09
Max. Negotiated Rate	$64.12
Rate for Payer: Aetna Commercial	$48.73
Rate for Payer: Aetna Medicare Advantage	$38.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.70
Rate for Payer: Cigna Commercial	$64.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$28.21
Rate for Payer: Qualcare PPO/HMO/WC	$19.24
Rate for Payer: UnitedHealthcare Community & State	$3.09
Rate for Payer: Wellpoint Medicaid Managed Care	$3.40

SCREW CORTEX 2.7x18MM

Facility

$128.25

Service Code	HCPCS C1713
Hospital Charge Code	270604190
Hospital Revenue Code	278
Min. Negotiated Rate	$19.24
Max. Negotiated Rate	$31.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$28.21
Rate for Payer: Qualcare PPO/HMO/WC	$19.24

SCREW CORTEX 2.7x20MM

Facility

$128.25

Service Code	HCPCS C1713
Hospital Charge Code	270604193
Hospital Revenue Code	278
Min. Negotiated Rate	$3.09
Max. Negotiated Rate	$64.12
Rate for Payer: Aetna Commercial	$48.73
Rate for Payer: Aetna Medicare Advantage	$38.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.70
Rate for Payer: Cigna Commercial	$64.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$28.21
Rate for Payer: Qualcare PPO/HMO/WC	$19.24
Rate for Payer: UnitedHealthcare Community & State	$3.09
Rate for Payer: Wellpoint Medicaid Managed Care	$3.40

SCREW CORTEX 2.7x20MM

Facility

$128.25

Service Code	HCPCS C1713
Hospital Charge Code	270604193
Hospital Revenue Code	278
Min. Negotiated Rate	$19.24
Max. Negotiated Rate	$31.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$28.21
Rate for Payer: Qualcare PPO/HMO/WC	$19.24

SCREW CORTEX 2.7X 24

Facility

$525.00

Service Code	HCPCS C1713
Hospital Charge Code	270687190
Hospital Revenue Code	278
Min. Negotiated Rate	$12.65
Max. Negotiated Rate	$262.50
Rate for Payer: Aetna Commercial	$199.50
Rate for Payer: Aetna Medicare Advantage	$157.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$105.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.88
Rate for Payer: Cigna Commercial	$262.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$115.50
Rate for Payer: Qualcare PPO/HMO/WC	$78.75
Rate for Payer: UnitedHealthcare Community & State	$12.65
Rate for Payer: Wellpoint Medicaid Managed Care	$13.91

Know your out-of-pocket cost for care.

All Charges