Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CORTEX SELF TAP 2.7x12MM

Facility

$137.55

Service Code	HCPCS C1713
Hospital Charge Code	270656896
Hospital Revenue Code	278
Min. Negotiated Rate	$20.63
Max. Negotiated Rate	$33.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.29
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$30.26
Rate for Payer: Qualcare PPO/HMO/WC	$20.63

SCREW CORTEX SELF TAP 2.7x12MM

Facility

$137.55

Service Code	HCPCS C1713
Hospital Charge Code	270656896
Hospital Revenue Code	278
Min. Negotiated Rate	$3.31
Max. Negotiated Rate	$68.78
Rate for Payer: Aetna Commercial	$52.27
Rate for Payer: Aetna Medicare Advantage	$41.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.08
Rate for Payer: Cigna Commercial	$68.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.29
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$30.26
Rate for Payer: Qualcare PPO/HMO/WC	$20.63
Rate for Payer: UnitedHealthcare Community & State	$3.31
Rate for Payer: Wellpoint Medicaid Managed Care	$3.65

SCREW CORTEX SELFTAP 2.7x14MM

Facility

$139.80

Service Code	HCPCS C1713
Hospital Charge Code	270656898
Hospital Revenue Code	278
Min. Negotiated Rate	$20.97
Max. Negotiated Rate	$33.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$30.76
Rate for Payer: Qualcare PPO/HMO/WC	$20.97

SCREW CORTEX SELFTAP 2.7x14MM

Facility

$139.80

Service Code	HCPCS C1713
Hospital Charge Code	270656898
Hospital Revenue Code	278
Min. Negotiated Rate	$3.37
Max. Negotiated Rate	$69.90
Rate for Payer: Aetna Commercial	$53.12
Rate for Payer: Aetna Medicare Advantage	$41.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.65
Rate for Payer: Cigna Commercial	$69.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$30.76
Rate for Payer: Qualcare PPO/HMO/WC	$20.97
Rate for Payer: UnitedHealthcare Community & State	$3.37
Rate for Payer: Wellpoint Medicaid Managed Care	$3.70

SCREW CORTEX SELFTAP 2.7x16MM

Facility

$139.80

Service Code	HCPCS C1713
Hospital Charge Code	270656899
Hospital Revenue Code	278
Min. Negotiated Rate	$3.37
Max. Negotiated Rate	$69.90
Rate for Payer: Aetna Commercial	$53.12
Rate for Payer: Aetna Medicare Advantage	$41.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.65
Rate for Payer: Cigna Commercial	$69.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$30.76
Rate for Payer: Qualcare PPO/HMO/WC	$20.97
Rate for Payer: UnitedHealthcare Community & State	$3.37
Rate for Payer: Wellpoint Medicaid Managed Care	$3.70

SCREW CORTEX SELFTAP 2.7x16MM

Facility

$139.80

Service Code	HCPCS C1713
Hospital Charge Code	270656899
Hospital Revenue Code	278
Min. Negotiated Rate	$20.97
Max. Negotiated Rate	$33.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$30.76
Rate for Payer: Qualcare PPO/HMO/WC	$20.97

SCREW CORTEX SELFTAP 2.7x6mm

Facility

$135.75

Hospital Charge Code	270673149
Hospital Revenue Code	278
Min. Negotiated Rate	$3.27
Max. Negotiated Rate	$67.88
Rate for Payer: Aetna Commercial	$51.59
Rate for Payer: Aetna Medicare Advantage	$40.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.62
Rate for Payer: Cigna Commercial	$67.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$29.86
Rate for Payer: Qualcare PPO/HMO/WC	$20.36
Rate for Payer: UnitedHealthcare Community & State	$3.27
Rate for Payer: Wellpoint Medicaid Managed Care	$3.60

SCREW CORTEX SELFTAP 2.7x6mm

Facility

$135.75

Hospital Charge Code	270673149
Hospital Revenue Code	278
Min. Negotiated Rate	$20.36
Max. Negotiated Rate	$32.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$29.86
Rate for Payer: Qualcare PPO/HMO/WC	$20.36

SCREW CORTEX SELFTAP 2.7x8mm

Facility

$135.75

Hospital Charge Code	270673150
Hospital Revenue Code	278
Min. Negotiated Rate	$20.36
Max. Negotiated Rate	$32.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$29.86
Rate for Payer: Qualcare PPO/HMO/WC	$20.36

SCREW CORTEX SELFTAP 2.7x8mm

Facility

$135.75

Hospital Charge Code	270673150
Hospital Revenue Code	278
Min. Negotiated Rate	$3.27
Max. Negotiated Rate	$67.88
Rate for Payer: Aetna Commercial	$51.59
Rate for Payer: Aetna Medicare Advantage	$40.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.62
Rate for Payer: Cigna Commercial	$67.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$29.86
Rate for Payer: Qualcare PPO/HMO/WC	$20.36
Rate for Payer: UnitedHealthcare Community & State	$3.27
Rate for Payer: Wellpoint Medicaid Managed Care	$3.60

SCREW CORTEX SELF TAP 2x13MM

Facility

$143.25

Hospital Charge Code	270675317
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 2x13MM

Facility

$143.25

Hospital Charge Code	270675317
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 2x18MM

Facility

$155.15

Service Code	HCPCS C1713
Hospital Charge Code	270675623
Hospital Revenue Code	278
Min. Negotiated Rate	$3.74
Max. Negotiated Rate	$77.58
Rate for Payer: Aetna Commercial	$58.96
Rate for Payer: Aetna Medicare Advantage	$46.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.56
Rate for Payer: Cigna Commercial	$77.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$34.13
Rate for Payer: Qualcare PPO/HMO/WC	$23.27
Rate for Payer: UnitedHealthcare Community & State	$3.74
Rate for Payer: Wellpoint Medicaid Managed Care	$4.11

SCREW CORTEX SELFTAP 2x18MM

Facility

$155.15

Service Code	HCPCS C1713
Hospital Charge Code	270675623
Hospital Revenue Code	278
Min. Negotiated Rate	$23.27
Max. Negotiated Rate	$37.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$34.13
Rate for Payer: Qualcare PPO/HMO/WC	$23.27

SCREW CORTEX SELFTAP 2x24MM

Facility

$150.65

Service Code	HCPCS C1713
Hospital Charge Code	270641312
Hospital Revenue Code	278
Min. Negotiated Rate	$3.63
Max. Negotiated Rate	$75.33
Rate for Payer: Aetna Commercial	$57.25
Rate for Payer: Aetna Medicare Advantage	$45.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.42
Rate for Payer: Cigna Commercial	$75.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$33.14
Rate for Payer: Qualcare PPO/HMO/WC	$22.60
Rate for Payer: UnitedHealthcare Community & State	$3.63
Rate for Payer: Wellpoint Medicaid Managed Care	$3.99

SCREW CORTEX SELFTAP 2x24MM

Facility

$150.65

Service Code	HCPCS C1713
Hospital Charge Code	270641312
Hospital Revenue Code	278
Min. Negotiated Rate	$22.60
Max. Negotiated Rate	$36.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$33.14
Rate for Payer: Qualcare PPO/HMO/WC	$22.60

SCREW CORTEX SELFTAP 2x26MM

Facility

$150.65

Service Code	HCPCS C1713
Hospital Charge Code	270641313
Hospital Revenue Code	278
Min. Negotiated Rate	$3.63
Max. Negotiated Rate	$75.33
Rate for Payer: Aetna Commercial	$57.25
Rate for Payer: Aetna Medicare Advantage	$45.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.42
Rate for Payer: Cigna Commercial	$75.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$33.14
Rate for Payer: Qualcare PPO/HMO/WC	$22.60
Rate for Payer: UnitedHealthcare Community & State	$3.63
Rate for Payer: Wellpoint Medicaid Managed Care	$3.99

SCREW CORTEX SELFTAP 2x26MM

Facility

$150.65

Service Code	HCPCS C1713
Hospital Charge Code	270641313
Hospital Revenue Code	278
Min. Negotiated Rate	$22.60
Max. Negotiated Rate	$36.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$33.14
Rate for Payer: Qualcare PPO/HMO/WC	$22.60

SCREW CORTEX SELF TAP 3.5x20MM

Facility

$93.10

Service Code	HCPCS C1713
Hospital Charge Code	270603163
Hospital Revenue Code	278
Min. Negotiated Rate	$13.96
Max. Negotiated Rate	$22.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$20.48
Rate for Payer: Qualcare PPO/HMO/WC	$13.96

SCREW CORTEX SELF TAP 3.5x20MM

Facility

$93.10

Service Code	HCPCS C1713
Hospital Charge Code	270603163
Hospital Revenue Code	278
Min. Negotiated Rate	$2.24
Max. Negotiated Rate	$46.55
Rate for Payer: Aetna Commercial	$35.38
Rate for Payer: Aetna Medicare Advantage	$27.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.74
Rate for Payer: Cigna Commercial	$46.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$20.48
Rate for Payer: Qualcare PPO/HMO/WC	$13.96
Rate for Payer: UnitedHealthcare Community & State	$2.24
Rate for Payer: Wellpoint Medicaid Managed Care	$2.47

SCREW CORTEX SELFTAP 4.5x14mm

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270665857
Hospital Revenue Code	278
Min. Negotiated Rate	$13.67
Max. Negotiated Rate	$22.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$20.05
Rate for Payer: Qualcare PPO/HMO/WC	$13.67

SCREW CORTEX SELFTAP 4.5x14mm

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270665857
Hospital Revenue Code	278
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) NJ Health	$18.23
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	$22.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$20.05
Rate for Payer: Qualcare PPO/HMO/WC	$13.67
Rate for Payer: UnitedHealthcare Community & State	$2.20
Rate for Payer: Wellpoint Medicaid Managed Care	$2.42

SCREW CORTEX SELF TAP 4.5X16MM

Facility

$88.50

Hospital Charge Code	270673126
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 SELF TAP 4.5X16MM

Facility

$88.50

Hospital Charge Code	270673126
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 SELF TAP 4.5x20MM

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270677482
Hospital Revenue Code	278
Min. Negotiated Rate	$13.67
Max. Negotiated Rate	$22.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$20.05
Rate for Payer: Qualcare PPO/HMO/WC	$13.67

Know your out-of-pocket cost for care.

All Charges