Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CORTEX SELFTAP 4.5x52MM

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270603624
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 4.5x52MM

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270603624
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 SELFTAP 4.5x56mm

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270645543
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 4.5x56mm

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270645543
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 SELFTAP 4.5x64MM

Facility

$88.50

Hospital Charge Code	270676983
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 SELFTAP 4.5x64MM

Facility

$88.50

Hospital Charge Code	270676983
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 SELFTAP 4.5x70mm

Facility

$88.50

Service Code	HCPCS C1713
Hospital Charge Code	270645544
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 SELFTAP 4.5x70mm

Facility

$88.50

Service Code	HCPCS C1713
Hospital Charge Code	270645544
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 SLF 30 MM 2.4 MM

Facility

$232.50

Service Code	HCPCS C1713
Hospital Charge Code	270659709
Hospital Revenue Code	278
Min. Negotiated Rate	$5.60
Max. Negotiated Rate	$116.25
Rate for Payer: Aetna Commercial	$88.35
Rate for Payer: Aetna Medicare Advantage	$69.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.29
Rate for Payer: Cigna Commercial	$116.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.27
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$51.15
Rate for Payer: Qualcare PPO/HMO/WC	$34.88
Rate for Payer: UnitedHealthcare Community & State	$5.60
Rate for Payer: Wellpoint Medicaid Managed Care	$6.16

SCREW CORTEX SLF 30 MM 2.4 MM

Facility

$232.50

Service Code	HCPCS C1713
Hospital Charge Code	270659709
Hospital Revenue Code	278
Min. Negotiated Rate	$34.88
Max. Negotiated Rate	$56.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.27
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$51.15
Rate for Payer: Qualcare PPO/HMO/WC	$34.88

SCREW CORTEX SLF TAP 1.5x6MM

Facility

$148.30

Service Code	HCPCS C1713
Hospital Charge Code	270606011
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 SLF TAP 1.5x6MM

Facility

$148.30

Service Code	HCPCS C1713
Hospital Charge Code	270606011
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 SLF TAP 1.5x8MM

Facility

$144.00

Hospital Charge Code	270675503
Hospital Revenue Code	278
Min. Negotiated Rate	$3.47
Max. Negotiated Rate	$72.00
Rate for Payer: Aetna Commercial	$54.72
Rate for Payer: Aetna Medicare Advantage	$43.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.72
Rate for Payer: Cigna Commercial	$72.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.68
Rate for Payer: Qualcare PPO/HMO/WC	$21.60
Rate for Payer: UnitedHealthcare Community & State	$3.47
Rate for Payer: Wellpoint Medicaid Managed Care	$3.82

SCREW CORTEX SLF TAP 1.5x8MM

Facility

$144.00

Hospital Charge Code	270675503
Hospital Revenue Code	278
Min. Negotiated Rate	$21.60
Max. Negotiated Rate	$34.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.68
Rate for Payer: Qualcare PPO/HMO/WC	$21.60

SCREW CORTEX SLF TAP 2.0x20MM

Facility

$150.65

Service Code	HCPCS C1713
Hospital Charge Code	270676259
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 SLF TAP 2.0x20MM

Facility

$150.65

Service Code	HCPCS C1713
Hospital Charge Code	270676259
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 SLF TAP 2.0x22MM

Facility

$146.25

Hospital Charge Code	270676260
Hospital Revenue Code	278
Min. Negotiated Rate	$3.52
Max. Negotiated Rate	$73.12
Rate for Payer: Aetna Commercial	$55.58
Rate for Payer: Aetna Medicare Advantage	$43.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.29
Rate for Payer: Cigna Commercial	$73.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$32.17
Rate for Payer: Qualcare PPO/HMO/WC	$21.94
Rate for Payer: UnitedHealthcare Community & State	$3.52
Rate for Payer: Wellpoint Medicaid Managed Care	$3.88

SCREW CORTEX SLF TAP 2.0x22MM

Facility

$146.25

Hospital Charge Code	270676260
Hospital Revenue Code	278
Min. Negotiated Rate	$21.94
Max. Negotiated Rate	$35.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$32.17
Rate for Payer: Qualcare PPO/HMO/WC	$21.94

SCREW CORTEX SLF TAP 2x10MM

Facility

$155.15

Service Code	HCPCS C1713
Hospital Charge Code	270671210
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 SLF TAP 2x10MM

Facility

$155.15

Service Code	HCPCS C1713
Hospital Charge Code	270671210
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 SLF TAP 2x11MM

Facility

$155.15

Service Code	HCPCS C1713
Hospital Charge Code	270671211
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 SLF TAP 2x11MM

Facility

$155.15

Service Code	HCPCS C1713
Hospital Charge Code	270671211
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 SLF TAP 2x12MM

Facility

$155.15

Service Code	HCPCS C1713
Hospital Charge Code	270666012
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 SLF TAP 2x12MM

Facility

$155.15

Service Code	HCPCS C1713
Hospital Charge Code	270666012
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 SLF TAP 2x13MM

Facility

$155.15

Service Code	HCPCS C1713
Hospital Charge Code	270666013
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

Know your out-of-pocket cost for care.

All Charges