Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CORTEX 3.5X32MM

Facility

$267.65

Service Code	HCPCS C1713
Hospital Charge Code	270705011
Hospital Revenue Code	278
Min. Negotiated Rate	$40.15
Max. Negotiated Rate	$64.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$53.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.77
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$58.88
Rate for Payer: Qualcare PPO/HMO/WC	$40.15

SCREW CORTEX 3.5 X34

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270681336
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 3.5 X34

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270681336
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 3.5 X36

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270681338
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 3.5 X36

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270681338
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 3.5x36MM

Facility

$64.90

Service Code	HCPCS C1713
Hospital Charge Code	270604215
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 3.5x36MM

Facility

$64.90

Service Code	HCPCS C1713
Hospital Charge Code	270604215
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 3.5 X 38 MM

Facility

$148.50

Hospital Charge Code	270668003
Hospital Revenue Code	278
Min. Negotiated Rate	$22.27
Max. Negotiated Rate	$35.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$32.67
Rate for Payer: Qualcare PPO/HMO/WC	$22.27

SCREW CORTEX 3.5 X 38 MM

Facility

$148.50

Hospital Charge Code	270668003
Hospital Revenue Code	278
Min. Negotiated Rate	$3.58
Max. Negotiated Rate	$74.25
Rate for Payer: Aetna Commercial	$56.43
Rate for Payer: Aetna Medicare Advantage	$44.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.87
Rate for Payer: Cigna Commercial	$74.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$32.67
Rate for Payer: Qualcare PPO/HMO/WC	$22.27
Rate for Payer: UnitedHealthcare Community & State	$3.58
Rate for Payer: Wellpoint Medicaid Managed Care	$3.94

SCREW CORTEX 3.5x40mm

Facility

$148.50

Service Code	HCPCS C1713
Hospital Charge Code	270672091
Hospital Revenue Code	278
Min. Negotiated Rate	$3.58
Max. Negotiated Rate	$74.25
Rate for Payer: Aetna Commercial	$56.43
Rate for Payer: Aetna Medicare Advantage	$44.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.87
Rate for Payer: Cigna Commercial	$74.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$32.67
Rate for Payer: Qualcare PPO/HMO/WC	$22.27
Rate for Payer: UnitedHealthcare Community & State	$3.58
Rate for Payer: Wellpoint Medicaid Managed Care	$3.94

SCREW CORTEX 3.5x40mm

Facility

$148.50

Service Code	HCPCS C1713
Hospital Charge Code	270672091
Hospital Revenue Code	278
Min. Negotiated Rate	$22.27
Max. Negotiated Rate	$35.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$32.67
Rate for Payer: Qualcare PPO/HMO/WC	$22.27

SCREW CORTEX 3.5x40MM

Facility

$148.20

Service Code	HCPCS C1713
Hospital Charge Code	270674956
Hospital Revenue Code	278
Min. Negotiated Rate	$3.57
Max. Negotiated Rate	$74.10
Rate for Payer: Aetna Commercial	$56.32
Rate for Payer: Aetna Medicare Advantage	$44.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.79
Rate for Payer: Cigna Commercial	$74.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$32.60
Rate for Payer: Qualcare PPO/HMO/WC	$22.23
Rate for Payer: UnitedHealthcare Community & State	$3.57
Rate for Payer: Wellpoint Medicaid Managed Care	$3.93

SCREW CORTEX 3.5x40MM

Facility

$148.20

Service Code	HCPCS C1713
Hospital Charge Code	270674956
Hospital Revenue Code	278
Min. Negotiated Rate	$22.23
Max. Negotiated Rate	$35.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$32.60
Rate for Payer: Qualcare PPO/HMO/WC	$22.23

SCREW CORTEX 3.5 X 44

Facility

$425.00

Service Code	HCPCS C1713
Hospital Charge Code	270681375
Hospital Revenue Code	278
Min. Negotiated Rate	$10.24
Max. Negotiated Rate	$212.50
Rate for Payer: Aetna Commercial	$161.50
Rate for Payer: Aetna Medicare Advantage	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$85.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$108.38
Rate for Payer: Cigna Commercial	$212.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$93.50
Rate for Payer: Qualcare PPO/HMO/WC	$63.75
Rate for Payer: UnitedHealthcare Community & State	$10.24
Rate for Payer: Wellpoint Medicaid Managed Care	$11.26

SCREW CORTEX 3.5 X 44

Facility

$425.00

Service Code	HCPCS C1713
Hospital Charge Code	270681375
Hospital Revenue Code	278
Min. Negotiated Rate	$63.75
Max. Negotiated Rate	$102.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$85.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$93.50
Rate for Payer: Qualcare PPO/HMO/WC	$63.75

SCREW CORTEX 3.5x60MM

Facility

$148.20

Service Code	HCPCS C1713
Hospital Charge Code	270674957
Hospital Revenue Code	278
Min. Negotiated Rate	$3.57
Max. Negotiated Rate	$74.10
Rate for Payer: Aetna Commercial	$56.32
Rate for Payer: Aetna Medicare Advantage	$44.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.79
Rate for Payer: Cigna Commercial	$74.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$32.60
Rate for Payer: Qualcare PPO/HMO/WC	$22.23
Rate for Payer: UnitedHealthcare Community & State	$3.57
Rate for Payer: Wellpoint Medicaid Managed Care	$3.93

SCREW CORTEX 3.5x60MM

Facility

$148.20

Service Code	HCPCS C1713
Hospital Charge Code	270674957
Hospital Revenue Code	278
Min. Negotiated Rate	$22.23
Max. Negotiated Rate	$35.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$32.60
Rate for Payer: Qualcare PPO/HMO/WC	$22.23

SCREW CORTEX 3.5X70MM

Facility

$627.90

Service Code	HCPCS C1713
Hospital Charge Code	270704636
Hospital Revenue Code	360
Min. Negotiated Rate	$94.19
Max. Negotiated Rate	$94.19
Rate for Payer: Qualcare PPO/HMO/WC	$94.19

SCREW CORTEX 3.5X70MM

Facility

$627.90

Service Code	HCPCS C1713
Hospital Charge Code	270704636
Hospital Revenue Code	360
Min. Negotiated Rate	$15.13
Max. Negotiated Rate	$1,626.00
Rate for Payer: Aetna Commercial	$238.60
Rate for Payer: Aetna Medicare Advantage	$188.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$160.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$160.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$160.11
Rate for Payer: Cigna Commercial	$313.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$188.37
Rate for Payer: Qualcare PPO/HMO/WC	$94.19
Rate for Payer: UnitedHealthcare Community & State	$15.13
Rate for Payer: Wellpoint Medicaid Managed Care	$16.64

SCREW CORTEX 3.5X70MM

Facility

$235.00

Hospital Charge Code	270669928
Hospital Revenue Code	278
Min. Negotiated Rate	$5.66
Max. Negotiated Rate	$117.50
Rate for Payer: Aetna Commercial	$89.30
Rate for Payer: Aetna Medicare Advantage	$70.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.92
Rate for Payer: Cigna Commercial	$117.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.87
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$51.70
Rate for Payer: Qualcare PPO/HMO/WC	$35.25
Rate for Payer: UnitedHealthcare Community & State	$5.66
Rate for Payer: Wellpoint Medicaid Managed Care	$6.23

SCREW CORTEX 3.5X70MM

Facility

$235.00

Hospital Charge Code	270669928
Hospital Revenue Code	278
Min. Negotiated Rate	$35.25
Max. Negotiated Rate	$56.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.87
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$51.70
Rate for Payer: Qualcare PPO/HMO/WC	$35.25

SCREW CORTEX 3.5X75mm SELF TAP

Facility

$225.00

Hospital Charge Code	270667325
Hospital Revenue Code	278
Min. Negotiated Rate	$5.42
Max. Negotiated Rate	$112.50
Rate for Payer: Aetna Commercial	$85.50
Rate for Payer: Aetna Medicare Advantage	$67.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.38
Rate for Payer: Cigna Commercial	$112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$49.50
Rate for Payer: Qualcare PPO/HMO/WC	$33.75
Rate for Payer: UnitedHealthcare Community & State	$5.42
Rate for Payer: Wellpoint Medicaid Managed Care	$5.96

SCREW CORTEX 3.5X75mm SELF TAP

Facility

$225.00

Hospital Charge Code	270667325
Hospital Revenue Code	278
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$54.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$49.50
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

SCREW CORTEX 3.5x80MM

Facility

$148.50

Hospital Charge Code	270677105
Hospital Revenue Code	278
Min. Negotiated Rate	$3.58
Max. Negotiated Rate	$74.25
Rate for Payer: Aetna Commercial	$56.43
Rate for Payer: Aetna Medicare Advantage	$44.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.87
Rate for Payer: Cigna Commercial	$74.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$32.67
Rate for Payer: Qualcare PPO/HMO/WC	$22.27
Rate for Payer: UnitedHealthcare Community & State	$3.58
Rate for Payer: Wellpoint Medicaid Managed Care	$3.94

SCREW CORTEX 3.5x80MM

Facility

$148.50

Hospital Charge Code	270677105
Hospital Revenue Code	278
Min. Negotiated Rate	$22.27
Max. Negotiated Rate	$35.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$32.67
Rate for Payer: Qualcare PPO/HMO/WC	$22.27

Know your out-of-pocket cost for care.

All Charges