Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CORTEX 4.0 X 36 MM

Facility

$108.75

Hospital Charge Code	270668005
Hospital Revenue Code	278
Min. Negotiated Rate	$2.62
Max. Negotiated Rate	$54.38
Rate for Payer: Aetna Commercial	$41.33
Rate for Payer: Aetna Medicare Advantage	$32.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.73
Rate for Payer: Cigna Commercial	$54.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$23.93
Rate for Payer: Qualcare PPO/HMO/WC	$16.31
Rate for Payer: UnitedHealthcare Community & State	$2.62
Rate for Payer: Wellpoint Medicaid Managed Care	$2.88

SCREW CORTEX 4.0 X 36 MM

Facility

$108.75

Hospital Charge Code	270668005
Hospital Revenue Code	278
Min. Negotiated Rate	$16.31
Max. Negotiated Rate	$26.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$23.93
Rate for Payer: Qualcare PPO/HMO/WC	$16.31

SCREW CORTEX 4.5mmx50mm

Facility

$91.15

Hospital Charge Code	270603623
Hospital Revenue Code	272
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) PPO	$23.24
Rate for Payer: Cigna Commercial	$45.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.34
Rate for Payer: Oxford Commercial	$18.23
Rate for Payer: Qualcare PPO/HMO/WC	$13.67
Rate for Payer: UnitedHealthcare Commercial	$18.23
Rate for Payer: UnitedHealthcare Community & State	$2.20
Rate for Payer: Wellpoint Medicaid Managed Care	$2.42

SCREW CORTEX 4.5mmx50mm

Facility

$91.15

Hospital Charge Code	270603623
Hospital Revenue Code	272
Min. Negotiated Rate	$13.67
Max. Negotiated Rate	$13.67
Rate for Payer: Qualcare PPO/HMO/WC	$13.67

SCREW CORTEX 4.5x36mm

Facility

$69.55

Service Code	HCPCS C1713
Hospital Charge Code	270603731
Hospital Revenue Code	278
Min. Negotiated Rate	$1.68
Max. Negotiated Rate	$34.77
Rate for Payer: Aetna Commercial	$26.43
Rate for Payer: Aetna Medicare Advantage	$20.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.74
Rate for Payer: Cigna Commercial	$34.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$15.30
Rate for Payer: Qualcare PPO/HMO/WC	$10.43
Rate for Payer: UnitedHealthcare Community & State	$1.68
Rate for Payer: Wellpoint Medicaid Managed Care	$1.84

SCREW CORTEX 4.5x36mm

Facility

$69.55

Service Code	HCPCS C1713
Hospital Charge Code	270603731
Hospital Revenue Code	278
Min. Negotiated Rate	$10.43
Max. Negotiated Rate	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$15.30
Rate for Payer: Qualcare PPO/HMO/WC	$10.43

SCREW CORTEX 4.5x40mm

Facility

$69.55

Service Code	HCPCS C1713
Hospital Charge Code	270603733
Hospital Revenue Code	278
Min. Negotiated Rate	$1.68
Max. Negotiated Rate	$34.77
Rate for Payer: Aetna Commercial	$26.43
Rate for Payer: Aetna Medicare Advantage	$20.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.74
Rate for Payer: Cigna Commercial	$34.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$15.30
Rate for Payer: Qualcare PPO/HMO/WC	$10.43
Rate for Payer: UnitedHealthcare Community & State	$1.68
Rate for Payer: Wellpoint Medicaid Managed Care	$1.84

SCREW CORTEX 4.5x40mm

Facility

$69.55

Service Code	HCPCS C1713
Hospital Charge Code	270603733
Hospital Revenue Code	278
Min. Negotiated Rate	$10.43
Max. Negotiated Rate	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$15.30
Rate for Payer: Qualcare PPO/HMO/WC	$10.43

SCREW CORTEX 4.5x44mm

Facility

$69.55

Service Code	HCPCS C1713
Hospital Charge Code	270603735
Hospital Revenue Code	278
Min. Negotiated Rate	$1.68
Max. Negotiated Rate	$34.77
Rate for Payer: Aetna Commercial	$26.43
Rate for Payer: Aetna Medicare Advantage	$20.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.74
Rate for Payer: Cigna Commercial	$34.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$15.30
Rate for Payer: Qualcare PPO/HMO/WC	$10.43
Rate for Payer: UnitedHealthcare Community & State	$1.68
Rate for Payer: Wellpoint Medicaid Managed Care	$1.84

SCREW CORTEX 4.5x44mm

Facility

$69.55

Service Code	HCPCS C1713
Hospital Charge Code	270603735
Hospital Revenue Code	278
Min. Negotiated Rate	$10.43
Max. Negotiated Rate	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$15.30
Rate for Payer: Qualcare PPO/HMO/WC	$10.43

SCREW CORTEX 4.5x54mm

Facility

$69.55

Service Code	HCPCS C1713
Hospital Charge Code	270603740
Hospital Revenue Code	278
Min. Negotiated Rate	$10.43
Max. Negotiated Rate	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$15.30
Rate for Payer: Qualcare PPO/HMO/WC	$10.43

SCREW CORTEX 4.5x54mm

Facility

$69.55

Service Code	HCPCS C1713
Hospital Charge Code	270603740
Hospital Revenue Code	278
Min. Negotiated Rate	$1.68
Max. Negotiated Rate	$34.77
Rate for Payer: Aetna Commercial	$26.43
Rate for Payer: Aetna Medicare Advantage	$20.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.74
Rate for Payer: Cigna Commercial	$34.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$15.30
Rate for Payer: Qualcare PPO/HMO/WC	$10.43
Rate for Payer: UnitedHealthcare Community & State	$1.68
Rate for Payer: Wellpoint Medicaid Managed Care	$1.84

SCREW CORTEX 4.5x62mm

Facility

$69.55

Service Code	HCPCS C1713
Hospital Charge Code	270603744
Hospital Revenue Code	278
Min. Negotiated Rate	$1.68
Max. Negotiated Rate	$34.77
Rate for Payer: Aetna Commercial	$26.43
Rate for Payer: Aetna Medicare Advantage	$20.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.74
Rate for Payer: Cigna Commercial	$34.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$15.30
Rate for Payer: Qualcare PPO/HMO/WC	$10.43
Rate for Payer: UnitedHealthcare Community & State	$1.68
Rate for Payer: Wellpoint Medicaid Managed Care	$1.84

SCREW CORTEX 4.5x62mm

Facility

$69.55

Service Code	HCPCS C1713
Hospital Charge Code	270603744
Hospital Revenue Code	278
Min. Negotiated Rate	$10.43
Max. Negotiated Rate	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$15.30
Rate for Payer: Qualcare PPO/HMO/WC	$10.43

SCREW CORTEX 4.5x64mm

Facility

$69.55

Service Code	HCPCS C1713
Hospital Charge Code	270603745
Hospital Revenue Code	278
Min. Negotiated Rate	$1.68
Max. Negotiated Rate	$34.77
Rate for Payer: Aetna Commercial	$26.43
Rate for Payer: Aetna Medicare Advantage	$20.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.74
Rate for Payer: Cigna Commercial	$34.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$15.30
Rate for Payer: Qualcare PPO/HMO/WC	$10.43
Rate for Payer: UnitedHealthcare Community & State	$1.68
Rate for Payer: Wellpoint Medicaid Managed Care	$1.84

SCREW CORTEX 4.5x64mm

Facility

$69.55

Service Code	HCPCS C1713
Hospital Charge Code	270603745
Hospital Revenue Code	278
Min. Negotiated Rate	$10.43
Max. Negotiated Rate	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$15.30
Rate for Payer: Qualcare PPO/HMO/WC	$10.43

SCREW CORTEX 4.5x66mm

Facility

$69.55

Service Code	HCPCS C1713
Hospital Charge Code	270603746
Hospital Revenue Code	278
Min. Negotiated Rate	$1.68
Max. Negotiated Rate	$34.77
Rate for Payer: Aetna Commercial	$26.43
Rate for Payer: Aetna Medicare Advantage	$20.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.74
Rate for Payer: Cigna Commercial	$34.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$15.30
Rate for Payer: Qualcare PPO/HMO/WC	$10.43
Rate for Payer: UnitedHealthcare Community & State	$1.68
Rate for Payer: Wellpoint Medicaid Managed Care	$1.84

SCREW CORTEX 4.5x66mm

Facility

$69.55

Service Code	HCPCS C1713
Hospital Charge Code	270603746
Hospital Revenue Code	278
Min. Negotiated Rate	$10.43
Max. Negotiated Rate	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$15.30
Rate for Payer: Qualcare PPO/HMO/WC	$10.43

SCREW CORTEX 4.5x66MM

Facility

$88.50

Service Code	HCPCS C1713
Hospital Charge Code	270675832
Hospital Revenue Code	278
Min. Negotiated Rate	$2.13
Max. Negotiated Rate	$44.25
Rate for Payer: Aetna Commercial	$33.63
Rate for Payer: Aetna Medicare Advantage	$26.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.57
Rate for Payer: Cigna Commercial	$44.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.42
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$19.47
Rate for Payer: Qualcare PPO/HMO/WC	$13.28
Rate for Payer: UnitedHealthcare Community & State	$2.13
Rate for Payer: Wellpoint Medicaid Managed Care	$2.35

SCREW CORTEX 4.5x66MM

Facility

$88.50

Service Code	HCPCS C1713
Hospital Charge Code	270675832
Hospital Revenue Code	278
Min. Negotiated Rate	$13.28
Max. Negotiated Rate	$21.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.42
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$19.47
Rate for Payer: Qualcare PPO/HMO/WC	$13.28

SCREW CORTEX 4.5x68mm

Facility

$69.55

Service Code	HCPCS C1713
Hospital Charge Code	270603747
Hospital Revenue Code	278
Min. Negotiated Rate	$10.43
Max. Negotiated Rate	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$15.30
Rate for Payer: Qualcare PPO/HMO/WC	$10.43

SCREW CORTEX 4.5x68mm

Facility

$69.55

Service Code	HCPCS C1713
Hospital Charge Code	270603747
Hospital Revenue Code	278
Min. Negotiated Rate	$1.68
Max. Negotiated Rate	$34.77
Rate for Payer: Aetna Commercial	$26.43
Rate for Payer: Aetna Medicare Advantage	$20.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.74
Rate for Payer: Cigna Commercial	$34.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$15.30
Rate for Payer: Qualcare PPO/HMO/WC	$10.43
Rate for Payer: UnitedHealthcare Community & State	$1.68
Rate for Payer: Wellpoint Medicaid Managed Care	$1.84

SCREW CORTEX 4.5x70mm

Facility

$69.55

Service Code	HCPCS C1713
Hospital Charge Code	270603748
Hospital Revenue Code	278
Min. Negotiated Rate	$10.43
Max. Negotiated Rate	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$15.30
Rate for Payer: Qualcare PPO/HMO/WC	$10.43

SCREW CORTEX 4.5x70mm

Facility

$69.55

Service Code	HCPCS C1713
Hospital Charge Code	270603748
Hospital Revenue Code	278
Min. Negotiated Rate	$1.68
Max. Negotiated Rate	$34.77
Rate for Payer: Aetna Commercial	$26.43
Rate for Payer: Aetna Medicare Advantage	$20.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.74
Rate for Payer: Cigna Commercial	$34.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$15.30
Rate for Payer: Qualcare PPO/HMO/WC	$10.43
Rate for Payer: UnitedHealthcare Community & State	$1.68
Rate for Payer: Wellpoint Medicaid Managed Care	$1.84

SCREW CORTEX 4.5x90 214.890

Facility

$100.50

Hospital Charge Code	270631343
Hospital Revenue Code	278
Min. Negotiated Rate	$2.42
Max. Negotiated Rate	$50.25
Rate for Payer: Aetna Commercial	$38.19
Rate for Payer: Aetna Medicare Advantage	$30.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.63
Rate for Payer: Cigna Commercial	$50.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$22.11
Rate for Payer: Qualcare PPO/HMO/WC	$15.07
Rate for Payer: UnitedHealthcare Community & State	$2.42
Rate for Payer: Wellpoint Medicaid Managed Care	$2.66

Know your out-of-pocket cost for care.

All Charges