Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CORTEX SELFTAP 2.0x32MM

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270654793
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 2.0x32MM

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270654793
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 SELF TAP 2.0 X 6M

Facility

$143.25

Hospital Charge Code	270667563
Hospital Revenue Code	278
Min. Negotiated Rate	$3.45
Max. Negotiated Rate	$71.62
Rate for Payer: Aetna Commercial	$54.44
Rate for Payer: Aetna Medicare Advantage	$42.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.53
Rate for Payer: Cigna Commercial	$71.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.52
Rate for Payer: Qualcare PPO/HMO/WC	$21.49
Rate for Payer: UnitedHealthcare Community & State	$3.45
Rate for Payer: Wellpoint Medicaid Managed Care	$3.80

SCREW CORTEX SELF TAP 2.0 X 6M

Facility

$143.25

Hospital Charge Code	270667563
Hospital Revenue Code	278
Min. Negotiated Rate	$21.49
Max. Negotiated Rate	$34.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.52
Rate for Payer: Qualcare PPO/HMO/WC	$21.49

SCREW CORTEX SELFTAP 2.0x6MM

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270654754
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 2.0x6MM

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270654754
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 SELF TAP 2.0x7mm

Facility

$143.25

Service Code	HCPCS C1713
Hospital Charge Code	270656861
Hospital Revenue Code	278
Min. Negotiated Rate	$3.45
Max. Negotiated Rate	$71.62
Rate for Payer: Aetna Commercial	$54.44
Rate for Payer: Aetna Medicare Advantage	$42.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.53
Rate for Payer: Cigna Commercial	$71.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.52
Rate for Payer: Qualcare PPO/HMO/WC	$21.49
Rate for Payer: UnitedHealthcare Community & State	$3.45
Rate for Payer: Wellpoint Medicaid Managed Care	$3.80

SCREW CORTEX SELF TAP 2.0x7mm

Facility

$143.25

Service Code	HCPCS C1713
Hospital Charge Code	270656861
Hospital Revenue Code	278
Min. Negotiated Rate	$21.49
Max. Negotiated Rate	$34.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.52
Rate for Payer: Qualcare PPO/HMO/WC	$21.49

SCREW CORTEX SELFTAP 2.0x7mm

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270654759
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 2.0x7mm

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270654759
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 SELF TAP 2.0 X 8M

Facility

$218.30

Hospital Charge Code	270668256
Hospital Revenue Code	278
Min. Negotiated Rate	$32.74
Max. Negotiated Rate	$52.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$43.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$48.03
Rate for Payer: Qualcare PPO/HMO/WC	$32.74

SCREW CORTEX SELF TAP 2.0 X 8M

Facility

$218.30

Hospital Charge Code	270668256
Hospital Revenue Code	278
Min. Negotiated Rate	$5.26
Max. Negotiated Rate	$109.15
Rate for Payer: Aetna Commercial	$82.95
Rate for Payer: Aetna Medicare Advantage	$65.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$43.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55.67
Rate for Payer: Cigna Commercial	$109.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$48.03
Rate for Payer: Qualcare PPO/HMO/WC	$32.74
Rate for Payer: UnitedHealthcare Community & State	$5.26
Rate for Payer: Wellpoint Medicaid Managed Care	$5.78

SCREW CORTEX SELFTAP 2.0x8mm

Facility

$143.25

Hospital Charge Code	270656864
Hospital Revenue Code	278
Min. Negotiated Rate	$3.45
Max. Negotiated Rate	$71.62
Rate for Payer: Aetna Commercial	$54.44
Rate for Payer: Aetna Medicare Advantage	$42.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.53
Rate for Payer: Cigna Commercial	$71.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.52
Rate for Payer: Qualcare PPO/HMO/WC	$21.49
Rate for Payer: UnitedHealthcare Community & State	$3.45
Rate for Payer: Wellpoint Medicaid Managed Care	$3.80

SCREW CORTEX SELFTAP 2.0x8mm

Facility

$142.45

Service Code	HCPCS C1713
Hospital Charge Code	270654760
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 2.0x8mm

Facility

$143.25

Hospital Charge Code	270656864
Hospital Revenue Code	278
Min. Negotiated Rate	$21.49
Max. Negotiated Rate	$34.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.52
Rate for Payer: Qualcare PPO/HMO/WC	$21.49

SCREW CORTEX SELFTAP 2.0x8mm

Facility

$142.45

Service Code	HCPCS C1713
Hospital Charge Code	270654760
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 2.0x9mm

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270654762
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 2.0x9mm

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270654762
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 2.4x10mm

Facility

$204.00

Service Code	HCPCS C1713
Hospital Charge Code	270656278
Hospital Revenue Code	278
Min. Negotiated Rate	$4.92
Max. Negotiated Rate	$102.00
Rate for Payer: Aetna Commercial	$77.52
Rate for Payer: Aetna Medicare Advantage	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.02
Rate for Payer: Cigna Commercial	$102.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.37
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$44.88
Rate for Payer: Qualcare PPO/HMO/WC	$30.60
Rate for Payer: UnitedHealthcare Community & State	$4.92
Rate for Payer: Wellpoint Medicaid Managed Care	$5.41

SCREW CORTEX SELFTAP 2.4x10mm

Facility

$204.00

Service Code	HCPCS C1713
Hospital Charge Code	270656278
Hospital Revenue Code	278
Min. Negotiated Rate	$30.60
Max. Negotiated Rate	$49.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.37
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$44.88
Rate for Payer: Qualcare PPO/HMO/WC	$30.60

SCREW CORTEX SELFTAP 2.4x11mm

Facility

$204.00

Service Code	HCPCS C1713
Hospital Charge Code	270656280
Hospital Revenue Code	278
Min. Negotiated Rate	$30.60
Max. Negotiated Rate	$49.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.37
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$44.88
Rate for Payer: Qualcare PPO/HMO/WC	$30.60

SCREW CORTEX SELFTAP 2.4x11mm

Facility

$204.00

Service Code	HCPCS C1713
Hospital Charge Code	270656280
Hospital Revenue Code	278
Min. Negotiated Rate	$4.92
Max. Negotiated Rate	$102.00
Rate for Payer: Aetna Commercial	$77.52
Rate for Payer: Aetna Medicare Advantage	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.02
Rate for Payer: Cigna Commercial	$102.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.37
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$44.88
Rate for Payer: Qualcare PPO/HMO/WC	$30.60
Rate for Payer: UnitedHealthcare Community & State	$4.92
Rate for Payer: Wellpoint Medicaid Managed Care	$5.41

SCREW CORTEX SELFTAP 2.4x12mm

Facility

$198.00

Service Code	HCPCS C1713
Hospital Charge Code	270656282
Hospital Revenue Code	278
Min. Negotiated Rate	$4.77
Max. Negotiated Rate	$99.00
Rate for Payer: Aetna Commercial	$75.24
Rate for Payer: Aetna Medicare Advantage	$59.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.49
Rate for Payer: Cigna Commercial	$99.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.92
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$43.56
Rate for Payer: Qualcare PPO/HMO/WC	$29.70
Rate for Payer: UnitedHealthcare Community & State	$4.77
Rate for Payer: Wellpoint Medicaid Managed Care	$5.25

SCREW CORTEX SELFTAP 2.4x12mm

Facility

$198.00

Service Code	HCPCS C1713
Hospital Charge Code	270656282
Hospital Revenue Code	278
Min. Negotiated Rate	$29.70
Max. Negotiated Rate	$47.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.92
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$43.56
Rate for Payer: Qualcare PPO/HMO/WC	$29.70

SCREW CORTEX SELFTAP 2.4x13mm

Facility

$204.00

Hospital Charge Code	270656285
Hospital Revenue Code	278
Min. Negotiated Rate	$30.60
Max. Negotiated Rate	$49.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.37
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$44.88
Rate for Payer: Qualcare PPO/HMO/WC	$30.60

Know your out-of-pocket cost for care.

All Charges