Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CORTEX 2.7X 24

Facility

$525.00

Service Code	HCPCS C1713
Hospital Charge Code	270687190
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 2.7x24mm

Facility

$124.50

Service Code	HCPCS C1713
Hospital Charge Code	270665018
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 CORTEX 2.7x24mm

Facility

$124.50

Service Code	HCPCS C1713
Hospital Charge Code	270665018
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 CORTEX 2.7X38MM SLF TAP

Facility

$135.75

Hospital Charge Code	270670541
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 CORTEX 2.7X38MM SLF TAP

Facility

$135.75

Hospital Charge Code	270670541
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 CORTEX 2.7x55MM

Facility

$135.75

Service Code	HCPCS C1713
Hospital Charge Code	270660329
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 CORTEX 2.7x55MM

Facility

$135.75

Service Code	HCPCS C1713
Hospital Charge Code	270660329
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 CORTEX 2.7x6MM

Facility

$128.25

Service Code	HCPCS C1713
Hospital Charge Code	270604184
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 2.7x6MM

Facility

$128.25

Service Code	HCPCS C1713
Hospital Charge Code	270604184
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 3.5 MM

Facility

$93.35

Service Code	HCPCS C1713
Hospital Charge Code	270690440
Hospital Revenue Code	278
Min. Negotiated Rate	$14.00
Max. Negotiated Rate	$22.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$20.54
Rate for Payer: Qualcare PPO/HMO/WC	$14.00

SCREW CORTEX 3.5 MM

Facility

$93.35

Service Code	HCPCS C1713
Hospital Charge Code	270690440
Hospital Revenue Code	278
Min. Negotiated Rate	$2.25
Max. Negotiated Rate	$46.67
Rate for Payer: Aetna Commercial	$35.47
Rate for Payer: Aetna Medicare Advantage	$28.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.80
Rate for Payer: Cigna Commercial	$46.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$20.54
Rate for Payer: Qualcare PPO/HMO/WC	$14.00
Rate for Payer: UnitedHealthcare Community & State	$2.25
Rate for Payer: Wellpoint Medicaid Managed Care	$2.47

SCREW CORTEX 3.5MMx14MM

Facility

$132.00

Hospital Charge Code	270647947
Hospital Revenue Code	278
Min. Negotiated Rate	$3.18
Max. Negotiated Rate	$66.00
Rate for Payer: Aetna Commercial	$50.16
Rate for Payer: Aetna Medicare Advantage	$39.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.66
Rate for Payer: Cigna Commercial	$66.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$29.04
Rate for Payer: Qualcare PPO/HMO/WC	$19.80
Rate for Payer: UnitedHealthcare Community & State	$3.18
Rate for Payer: Wellpoint Medicaid Managed Care	$3.50

SCREW CORTEX 3.5MMx14MM

Facility

$132.00

Hospital Charge Code	270647947
Hospital Revenue Code	278
Min. Negotiated Rate	$19.80
Max. Negotiated Rate	$31.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$29.04
Rate for Payer: Qualcare PPO/HMO/WC	$19.80

SCREW CORTEX 3.5MMx14MM

Facility

$132.00

Hospital Charge Code	270647947C
Hospital Revenue Code	278
Min. Negotiated Rate	$3.18
Max. Negotiated Rate	$66.00
Rate for Payer: Aetna Commercial	$50.16
Rate for Payer: Aetna Medicare Advantage	$39.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.66
Rate for Payer: Cigna Commercial	$66.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$29.04
Rate for Payer: Qualcare PPO/HMO/WC	$19.80
Rate for Payer: UnitedHealthcare Community & State	$3.18
Rate for Payer: Wellpoint Medicaid Managed Care	$3.50

SCREW CORTEX 3.5MMx14MM

Facility

$132.00

Hospital Charge Code	270647947C
Hospital Revenue Code	278
Min. Negotiated Rate	$19.80
Max. Negotiated Rate	$31.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$29.04
Rate for Payer: Qualcare PPO/HMO/WC	$19.80

SCREW CORTEX 3.5MMx16MM

Facility

$132.00

Hospital Charge Code	270647946
Hospital Revenue Code	278
Min. Negotiated Rate	$19.80
Max. Negotiated Rate	$31.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$29.04
Rate for Payer: Qualcare PPO/HMO/WC	$19.80

SCREW CORTEX 3.5MMx16MM

Facility

$132.00

Hospital Charge Code	270647946C
Hospital Revenue Code	278
Min. Negotiated Rate	$19.80
Max. Negotiated Rate	$31.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$29.04
Rate for Payer: Qualcare PPO/HMO/WC	$19.80

SCREW CORTEX 3.5MMx16MM

Facility

$132.00

Hospital Charge Code	270647946C
Hospital Revenue Code	278
Min. Negotiated Rate	$3.18
Max. Negotiated Rate	$66.00
Rate for Payer: Aetna Commercial	$50.16
Rate for Payer: Aetna Medicare Advantage	$39.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.66
Rate for Payer: Cigna Commercial	$66.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$29.04
Rate for Payer: Qualcare PPO/HMO/WC	$19.80
Rate for Payer: UnitedHealthcare Community & State	$3.18
Rate for Payer: Wellpoint Medicaid Managed Care	$3.50

SCREW CORTEX 3.5MMx16MM

Facility

$132.00

Hospital Charge Code	270647946
Hospital Revenue Code	278
Min. Negotiated Rate	$3.18
Max. Negotiated Rate	$66.00
Rate for Payer: Aetna Commercial	$50.16
Rate for Payer: Aetna Medicare Advantage	$39.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.66
Rate for Payer: Cigna Commercial	$66.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$29.04
Rate for Payer: Qualcare PPO/HMO/WC	$19.80
Rate for Payer: UnitedHealthcare Community & State	$3.18
Rate for Payer: Wellpoint Medicaid Managed Care	$3.50

SCREW CORTEX 3.5MM x 42MM

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270681335
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$72.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$66.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

SCREW CORTEX 3.5MM x 42MM

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270681335
Hospital Revenue Code	278
Min. Negotiated Rate	$7.23
Max. Negotiated Rate	$150.00
Rate for Payer: Aetna Commercial	$114.00
Rate for Payer: Aetna Medicare Advantage	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$66.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00
Rate for Payer: UnitedHealthcare Community & State	$7.23
Rate for Payer: Wellpoint Medicaid Managed Care	$7.95

SCREW CORTEX 3.5x10mm

Facility

$64.90

Service Code	HCPCS C1713
Hospital Charge Code	270604202
Hospital Revenue Code	278
Min. Negotiated Rate	$1.56
Max. Negotiated Rate	$32.45
Rate for Payer: Aetna Commercial	$24.66
Rate for Payer: Aetna Medicare Advantage	$19.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.55
Rate for Payer: Cigna Commercial	$32.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$14.28
Rate for Payer: Qualcare PPO/HMO/WC	$9.73
Rate for Payer: UnitedHealthcare Community & State	$1.56
Rate for Payer: Wellpoint Medicaid Managed Care	$1.72

SCREW CORTEX 3.5x10mm

Facility

$64.90

Service Code	HCPCS C1713
Hospital Charge Code	270604202
Hospital Revenue Code	278
Min. Negotiated Rate	$9.73
Max. Negotiated Rate	$15.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$14.28
Rate for Payer: Qualcare PPO/HMO/WC	$9.73

SCREW CORTEX 3.5x12mm

Facility

$64.90

Service Code	HCPCS C1713
Hospital Charge Code	270604203
Hospital Revenue Code	278
Min. Negotiated Rate	$9.73
Max. Negotiated Rate	$15.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$14.28
Rate for Payer: Qualcare PPO/HMO/WC	$9.73

SCREW CORTEX 3.5x12mm

Facility

$64.90

Service Code	HCPCS C1713
Hospital Charge Code	270604203
Hospital Revenue Code	278
Min. Negotiated Rate	$1.56
Max. Negotiated Rate	$32.45
Rate for Payer: Aetna Commercial	$24.66
Rate for Payer: Aetna Medicare Advantage	$19.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.55
Rate for Payer: Cigna Commercial	$32.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$14.28
Rate for Payer: Qualcare PPO/HMO/WC	$9.73
Rate for Payer: UnitedHealthcare Community & State	$1.56
Rate for Payer: Wellpoint Medicaid Managed Care	$1.72

Know your out-of-pocket cost for care.

All Charges