Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CORTEX SELFTAP 2.0x16MM

Facility

$147.55

Service Code	HCPCS C1713
Hospital Charge Code	270634476
Hospital Revenue Code	278
Min. Negotiated Rate	$3.56
Max. Negotiated Rate	$73.78
Rate for Payer: Aetna Commercial	$56.07
Rate for Payer: Aetna Medicare Advantage	$44.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.63
Rate for Payer: Cigna Commercial	$73.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$32.46
Rate for Payer: Qualcare PPO/HMO/WC	$22.13
Rate for Payer: UnitedHealthcare Community & State	$3.56
Rate for Payer: Wellpoint Medicaid Managed Care	$3.91

SCREW CORTEX SELFTAP 2.0x16MM

Facility

$147.55

Service Code	HCPCS C1713
Hospital Charge Code	270634476
Hospital Revenue Code	278
Min. Negotiated Rate	$22.13
Max. Negotiated Rate	$35.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$32.46
Rate for Payer: Qualcare PPO/HMO/WC	$22.13

SCREW CORTEX SELFTAP 2.0x16MM

Facility

$142.45

Service Code	HCPCS C1713
Hospital Charge Code	270654776
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 2.0x18mm

Facility

$142.45

Service Code	HCPCS C1713
Hospital Charge Code	270654778
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 2.0x18mm

Facility

$142.45

Service Code	HCPCS C1713
Hospital Charge Code	270654778
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 2.0x18MM

Facility

$147.55

Service Code	HCPCS C1713
Hospital Charge Code	270634477
Hospital Revenue Code	278
Min. Negotiated Rate	$3.56
Max. Negotiated Rate	$73.78
Rate for Payer: Aetna Commercial	$56.07
Rate for Payer: Aetna Medicare Advantage	$44.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.63
Rate for Payer: Cigna Commercial	$73.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$32.46
Rate for Payer: Qualcare PPO/HMO/WC	$22.13
Rate for Payer: UnitedHealthcare Community & State	$3.56
Rate for Payer: Wellpoint Medicaid Managed Care	$3.91

SCREW CORTEX SELFTAP 2.0x18MM

Facility

$152.00

Service Code	HCPCS C1713
Hospital Charge Code	270634486
Hospital Revenue Code	278
Min. Negotiated Rate	$22.80
Max. Negotiated Rate	$36.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.78
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$33.44
Rate for Payer: Qualcare PPO/HMO/WC	$22.80

SCREW CORTEX SELFTAP 2.0x18MM

Facility

$152.00

Service Code	HCPCS C1713
Hospital Charge Code	270634486
Hospital Revenue Code	278
Min. Negotiated Rate	$3.66
Max. Negotiated Rate	$76.00
Rate for Payer: Aetna Commercial	$57.76
Rate for Payer: Aetna Medicare Advantage	$45.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.76
Rate for Payer: Cigna Commercial	$76.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.78
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$33.44
Rate for Payer: Qualcare PPO/HMO/WC	$22.80
Rate for Payer: UnitedHealthcare Community & State	$3.66
Rate for Payer: Wellpoint Medicaid Managed Care	$4.03

SCREW CORTEX SELFTAP 2.0x18MM

Facility

$147.55

Service Code	HCPCS C1713
Hospital Charge Code	270634477
Hospital Revenue Code	278
Min. Negotiated Rate	$22.13
Max. Negotiated Rate	$35.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$32.46
Rate for Payer: Qualcare PPO/HMO/WC	$22.13

SCREW CORTEX SELFTAP 2.0x20MM

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270654780
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 2.0x20MM

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270654780
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 2.0x22mm

Facility

$147.55

Service Code	HCPCS C1713
Hospital Charge Code	270634478
Hospital Revenue Code	278
Min. Negotiated Rate	$22.13
Max. Negotiated Rate	$35.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$32.46
Rate for Payer: Qualcare PPO/HMO/WC	$22.13

SCREW CORTEX SELFTAP 2.0x22mm

Facility

$147.55

Service Code	HCPCS C1713
Hospital Charge Code	270634478
Hospital Revenue Code	278
Min. Negotiated Rate	$3.56
Max. Negotiated Rate	$73.78
Rate for Payer: Aetna Commercial	$56.07
Rate for Payer: Aetna Medicare Advantage	$44.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.63
Rate for Payer: Cigna Commercial	$73.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$32.46
Rate for Payer: Qualcare PPO/HMO/WC	$22.13
Rate for Payer: UnitedHealthcare Community & State	$3.56
Rate for Payer: Wellpoint Medicaid Managed Care	$3.91

SCREW CORTEX SELFTAP 2.0x22MM

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270654782
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 2.0x22MM

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270654782
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 2.0x24mm

Facility

$147.55

Service Code	HCPCS C1713
Hospital Charge Code	270634479
Hospital Revenue Code	278
Min. Negotiated Rate	$22.13
Max. Negotiated Rate	$35.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$32.46
Rate for Payer: Qualcare PPO/HMO/WC	$22.13

SCREW CORTEX SELFTAP 2.0x24mm

Facility

$147.55

Service Code	HCPCS C1713
Hospital Charge Code	270634479
Hospital Revenue Code	278
Min. Negotiated Rate	$3.56
Max. Negotiated Rate	$73.78
Rate for Payer: Aetna Commercial	$56.07
Rate for Payer: Aetna Medicare Advantage	$44.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.63
Rate for Payer: Cigna Commercial	$73.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$32.46
Rate for Payer: Qualcare PPO/HMO/WC	$22.13
Rate for Payer: UnitedHealthcare Community & State	$3.56
Rate for Payer: Wellpoint Medicaid Managed Care	$3.91

SCREW CORTEX SELFTAP 2.0x24MM

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270654785
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 2.0x24MM

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270654785
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 2.0x26MM

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270654786
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 2.0x26MM

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270654786
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 2.0x28MM

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270654787
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 2.0x28MM

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270654787
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 2.0x30MM

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270654788
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 2.0x30MM

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270654788
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

Know your out-of-pocket cost for care.

All Charges