Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CORTEX SELFTAP 1.3x8mm

Facility

$318.00

Hospital Charge Code	270656247
Hospital Revenue Code	278
Min. Negotiated Rate	$47.70
Max. Negotiated Rate	$76.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$69.96
Rate for Payer: Qualcare PPO/HMO/WC	$47.70

SCREW CORTEX SELFTAP 1.3x9mm

Facility

$318.00

Hospital Charge Code	270656249
Hospital Revenue Code	278
Min. Negotiated Rate	$7.66
Max. Negotiated Rate	$159.00
Rate for Payer: Aetna Commercial	$120.84
Rate for Payer: Aetna Medicare Advantage	$95.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.09
Rate for Payer: Cigna Commercial	$159.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$69.96
Rate for Payer: Qualcare PPO/HMO/WC	$47.70
Rate for Payer: UnitedHealthcare Community & State	$7.66
Rate for Payer: Wellpoint Medicaid Managed Care	$8.43

SCREW CORTEX SELFTAP 1.3x9mm

Facility

$318.00

Hospital Charge Code	270656249
Hospital Revenue Code	278
Min. Negotiated Rate	$47.70
Max. Negotiated Rate	$76.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$69.96
Rate for Payer: Qualcare PPO/HMO/WC	$47.70

SCREW CORTEX SELFTAP 1.5x10mm

Facility

$142.45

Service Code	HCPCS C1713
Hospital Charge Code	270656262
Hospital Revenue Code	278
Min. Negotiated Rate	$21.37
Max. Negotiated Rate	$34.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.34
Rate for Payer: Qualcare PPO/HMO/WC	$21.37

SCREW CORTEX SELFTAP 1.5x10mm

Facility

$142.45

Service Code	HCPCS C1713
Hospital Charge Code	270656262
Hospital Revenue Code	278
Min. Negotiated Rate	$3.43
Max. Negotiated Rate	$71.22
Rate for Payer: Aetna Commercial	$54.13
Rate for Payer: Aetna Medicare Advantage	$42.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.32
Rate for Payer: Cigna Commercial	$71.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.34
Rate for Payer: Qualcare PPO/HMO/WC	$21.37
Rate for Payer: UnitedHealthcare Community & State	$3.43
Rate for Payer: Wellpoint Medicaid Managed Care	$3.77

SCREW CORTEX SELFTAP 1.5x11mm

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270656263
Hospital Revenue Code	278
Min. Negotiated Rate	$3.33
Max. Negotiated Rate	$69.15
Rate for Payer: Aetna Commercial	$52.55
Rate for Payer: Aetna Medicare Advantage	$41.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.27
Rate for Payer: Cigna Commercial	$69.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$30.43
Rate for Payer: Qualcare PPO/HMO/WC	$20.75
Rate for Payer: UnitedHealthcare Community & State	$3.33
Rate for Payer: Wellpoint Medicaid Managed Care	$3.66

SCREW CORTEX SELFTAP 1.5x11mm

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270656263
Hospital Revenue Code	278
Min. Negotiated Rate	$20.75
Max. Negotiated Rate	$33.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$30.43
Rate for Payer: Qualcare PPO/HMO/WC	$20.75

SCREW CORTEX SELFTAP 1.5x12mm

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270656265
Hospital Revenue Code	278
Min. Negotiated Rate	$20.75
Max. Negotiated Rate	$33.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$30.43
Rate for Payer: Qualcare PPO/HMO/WC	$20.75

SCREW CORTEX SELFTAP 1.5x12mm

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270656265
Hospital Revenue Code	278
Min. Negotiated Rate	$3.33
Max. Negotiated Rate	$69.15
Rate for Payer: Aetna Commercial	$52.55
Rate for Payer: Aetna Medicare Advantage	$41.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.27
Rate for Payer: Cigna Commercial	$69.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$30.43
Rate for Payer: Qualcare PPO/HMO/WC	$20.75
Rate for Payer: UnitedHealthcare Community & State	$3.33
Rate for Payer: Wellpoint Medicaid Managed Care	$3.66

SCREW CORTEX SELFTAP 1.5x13mm

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270656266
Hospital Revenue Code	278
Min. Negotiated Rate	$20.75
Max. Negotiated Rate	$33.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$30.43
Rate for Payer: Qualcare PPO/HMO/WC	$20.75

SCREW CORTEX SELFTAP 1.5x13mm

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270656266
Hospital Revenue Code	278
Min. Negotiated Rate	$3.33
Max. Negotiated Rate	$69.15
Rate for Payer: Aetna Commercial	$52.55
Rate for Payer: Aetna Medicare Advantage	$41.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.27
Rate for Payer: Cigna Commercial	$69.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$30.43
Rate for Payer: Qualcare PPO/HMO/WC	$20.75
Rate for Payer: UnitedHealthcare Community & State	$3.33
Rate for Payer: Wellpoint Medicaid Managed Care	$3.66

SCREW CORTEX SELFTAP 1.5x14mm

Facility

$142.45

Service Code	HCPCS C1713
Hospital Charge Code	270656268
Hospital Revenue Code	278
Min. Negotiated Rate	$21.37
Max. Negotiated Rate	$34.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.34
Rate for Payer: Qualcare PPO/HMO/WC	$21.37

SCREW CORTEX SELFTAP 1.5x14mm

Facility

$142.45

Service Code	HCPCS C1713
Hospital Charge Code	270656268
Hospital Revenue Code	278
Min. Negotiated Rate	$3.43
Max. Negotiated Rate	$71.22
Rate for Payer: Aetna Commercial	$54.13
Rate for Payer: Aetna Medicare Advantage	$42.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.32
Rate for Payer: Cigna Commercial	$71.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.34
Rate for Payer: Qualcare PPO/HMO/WC	$21.37
Rate for Payer: UnitedHealthcare Community & State	$3.43
Rate for Payer: Wellpoint Medicaid Managed Care	$3.77

SCREW CORTEX SELFTAP 1.5x14MM

Facility

$148.30

Service Code	HCPCS C1713
Hospital Charge Code	270656825
Hospital Revenue Code	278
Min. Negotiated Rate	$22.25
Max. Negotiated Rate	$35.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$32.63
Rate for Payer: Qualcare PPO/HMO/WC	$22.25

SCREW CORTEX SELFTAP 1.5x14MM

Facility

$148.30

Service Code	HCPCS C1713
Hospital Charge Code	270656825
Hospital Revenue Code	278
Min. Negotiated Rate	$3.57
Max. Negotiated Rate	$74.15
Rate for Payer: Aetna Commercial	$56.35
Rate for Payer: Aetna Medicare Advantage	$44.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.82
Rate for Payer: Cigna Commercial	$74.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$32.63
Rate for Payer: Qualcare PPO/HMO/WC	$22.25
Rate for Payer: UnitedHealthcare Community & State	$3.57
Rate for Payer: Wellpoint Medicaid Managed Care	$3.93

SCREW CORTEX SELFTAP 1.5x16mm

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270656269
Hospital Revenue Code	278
Min. Negotiated Rate	$20.75
Max. Negotiated Rate	$33.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$30.43
Rate for Payer: Qualcare PPO/HMO/WC	$20.75

SCREW CORTEX SELFTAP 1.5x16mm

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270656269
Hospital Revenue Code	278
Min. Negotiated Rate	$3.33
Max. Negotiated Rate	$69.15
Rate for Payer: Aetna Commercial	$52.55
Rate for Payer: Aetna Medicare Advantage	$41.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.27
Rate for Payer: Cigna Commercial	$69.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$30.43
Rate for Payer: Qualcare PPO/HMO/WC	$20.75
Rate for Payer: UnitedHealthcare Community & State	$3.33
Rate for Payer: Wellpoint Medicaid Managed Care	$3.66

SCREW CORTEX SELFTAP 1.5x18mm

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270656270
Hospital Revenue Code	278
Min. Negotiated Rate	$3.33
Max. Negotiated Rate	$69.15
Rate for Payer: Aetna Commercial	$52.55
Rate for Payer: Aetna Medicare Advantage	$41.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.27
Rate for Payer: Cigna Commercial	$69.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$30.43
Rate for Payer: Qualcare PPO/HMO/WC	$20.75
Rate for Payer: UnitedHealthcare Community & State	$3.33
Rate for Payer: Wellpoint Medicaid Managed Care	$3.66

SCREW CORTEX SELFTAP 1.5x18mm

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270656270
Hospital Revenue Code	278
Min. Negotiated Rate	$20.75
Max. Negotiated Rate	$33.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$30.43
Rate for Payer: Qualcare PPO/HMO/WC	$20.75

SCREW CORTEX SELFTAP 1.5x20mm

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270656272
Hospital Revenue Code	278
Min. Negotiated Rate	$3.33
Max. Negotiated Rate	$69.15
Rate for Payer: Aetna Commercial	$52.55
Rate for Payer: Aetna Medicare Advantage	$41.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.27
Rate for Payer: Cigna Commercial	$69.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$30.43
Rate for Payer: Qualcare PPO/HMO/WC	$20.75
Rate for Payer: UnitedHealthcare Community & State	$3.33
Rate for Payer: Wellpoint Medicaid Managed Care	$3.66

SCREW CORTEX SELFTAP 1.5x20mm

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270656272
Hospital Revenue Code	278
Min. Negotiated Rate	$20.75
Max. Negotiated Rate	$33.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$30.43
Rate for Payer: Qualcare PPO/HMO/WC	$20.75

SCREW CORTEX SELFTAP 1.5x22mm

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270656273
Hospital Revenue Code	278
Min. Negotiated Rate	$20.75
Max. Negotiated Rate	$33.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$30.43
Rate for Payer: Qualcare PPO/HMO/WC	$20.75

SCREW CORTEX SELFTAP 1.5x22mm

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270656273
Hospital Revenue Code	278
Min. Negotiated Rate	$3.33
Max. Negotiated Rate	$69.15
Rate for Payer: Aetna Commercial	$52.55
Rate for Payer: Aetna Medicare Advantage	$41.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.27
Rate for Payer: Cigna Commercial	$69.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$30.43
Rate for Payer: Qualcare PPO/HMO/WC	$20.75
Rate for Payer: UnitedHealthcare Community & State	$3.33
Rate for Payer: Wellpoint Medicaid Managed Care	$3.66

SCREW CORTEX SELFTAP 1.5x24mm

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270656274
Hospital Revenue Code	278
Min. Negotiated Rate	$20.75
Max. Negotiated Rate	$33.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$30.43
Rate for Payer: Qualcare PPO/HMO/WC	$20.75

SCREW CORTEX SELFTAP 1.5x24mm

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270656274
Hospital Revenue Code	278
Min. Negotiated Rate	$3.33
Max. Negotiated Rate	$69.15
Rate for Payer: Aetna Commercial	$52.55
Rate for Payer: Aetna Medicare Advantage	$41.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.27
Rate for Payer: Cigna Commercial	$69.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$30.43
Rate for Payer: Qualcare PPO/HMO/WC	$20.75
Rate for Payer: UnitedHealthcare Community & State	$3.33
Rate for Payer: Wellpoint Medicaid Managed Care	$3.66

Know your out-of-pocket cost for care.

All Charges