Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CORTEX SLF TAP 3.5x28MM

Facility

$93.10

Service Code	HCPCS C1713
Hospital Charge Code	270603167
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 SLF TAP 3.5x28MM

Facility

$93.10

Service Code	HCPCS C1713
Hospital Charge Code	270603167
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 SLF TAP 3.5x30MM

Facility

$93.10

Service Code	HCPCS C1713
Hospital Charge Code	270603168
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 SLF TAP 3.5x30MM

Facility

$93.10

Service Code	HCPCS C1713
Hospital Charge Code	270603168
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 SLF TAP 3.5x32MM

Facility

$93.10

Service Code	HCPCS C1713
Hospital Charge Code	270603169
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 SLF TAP 3.5x32MM

Facility

$93.10

Service Code	HCPCS C1713
Hospital Charge Code	270603169
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 SLF TAP 3.5x34MM

Facility

$93.10

Service Code	HCPCS C1713
Hospital Charge Code	270603170
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 SLF TAP 3.5x34MM

Facility

$93.10

Service Code	HCPCS C1713
Hospital Charge Code	270603170
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 SLF TAP 3.5x36MM

Facility

$93.10

Service Code	HCPCS C1713
Hospital Charge Code	270603171
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 SLF TAP 3.5x36MM

Facility

$93.10

Service Code	HCPCS C1713
Hospital Charge Code	270603171
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 SLF TAP 3.5x38MM

Facility

$93.10

Service Code	HCPCS C1713
Hospital Charge Code	270603172
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 SLF TAP 3.5x38MM

Facility

$93.10

Service Code	HCPCS C1713
Hospital Charge Code	270603172
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 SLF TAP 3.5x40MM

Facility

$93.10

Service Code	HCPCS C1713
Hospital Charge Code	270603173
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 SLF TAP 3.5x40MM

Facility

$93.10

Service Code	HCPCS C1713
Hospital Charge Code	270603173
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 SLF TAP 3.5x45MM

Facility

$93.10

Service Code	HCPCS C1713
Hospital Charge Code	270603174
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 SLF TAP 3.5x45MM

Facility

$93.10

Service Code	HCPCS C1713
Hospital Charge Code	270603174
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 SLF TAP 3.5x50MM

Facility

$93.10

Service Code	HCPCS C1713
Hospital Charge Code	270603175
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 SLF TAP 3.5x50MM

Facility

$93.10

Service Code	HCPCS C1713
Hospital Charge Code	270603175
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 SLF TAP 3.5x55MM

Facility

$93.10

Service Code	HCPCS C1713
Hospital Charge Code	270645930
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 SLF TAP 3.5x55MM

Facility

$93.10

Service Code	HCPCS C1713
Hospital Charge Code	270645930
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 SLF TAP 3.5x65MM

Facility

$93.10

Service Code	HCPCS C1713
Hospital Charge Code	270680478
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 SLF TAP 3.5x65MM

Facility

$93.10

Service Code	HCPCS C1713
Hospital Charge Code	270680478
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 SLF TAP 3.5x75MM

Facility

$93.10

Service Code	HCPCS C1713
Hospital Charge Code	270680479
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 SLF TAP 3.5x75MM

Facility

$93.10

Service Code	HCPCS C1713
Hospital Charge Code	270680479
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 SLF TAP 3.5x80MM

Facility

$93.10

Service Code	HCPCS C1713
Hospital Charge Code	270686779
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

Know your out-of-pocket cost for care.

All Charges