Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CORTEX SLF TAP 3.5x80MM

Facility

$93.10

Service Code	HCPCS C1713
Hospital Charge Code	270679098
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	270679098
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 3.5x80MM

Facility

$93.10

Service Code	HCPCS C1713
Hospital Charge Code	270686779
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 4.5x42MM

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270603617
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 SLF TAP 4.5x42MM

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270603617
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 SLF TAP 4.5x48MM

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270603621
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 SLF TAP 4.5x48MM

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270603621
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 SLF TAP 4.5x54MM

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270603625
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 SLF TAP 4.5x54MM

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270603625
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 SLF TAP 4.5x58MM

Facility

$88.50

Hospital Charge Code	270675551
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 TAP 4.5x58MM

Facility

$88.50

Hospital Charge Code	270675551
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 ST 3.5X20

Facility

$200.00

Service Code	HCPCS C1713
Hospital Charge Code	270661841
Hospital Revenue Code	278
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$48.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$44.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

SCREW CORTEX ST 3.5X20

Facility

$200.00

Service Code	HCPCS C1713
Hospital Charge Code	270661841
Hospital Revenue Code	278
Min. Negotiated Rate	$4.82
Max. Negotiated Rate	$100.00
Rate for Payer: Aetna Commercial	$76.00
Rate for Payer: Aetna Medicare Advantage	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.00
Rate for Payer: Cigna Commercial	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$44.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00
Rate for Payer: UnitedHealthcare Community & State	$4.82
Rate for Payer: Wellpoint Medicaid Managed Care	$5.30

SCREW CORTEX ST 3.5x26MM

Facility

$405.00

Service Code	HCPCS C1713
Hospital Charge Code	270603166
Hospital Revenue Code	278
Min. Negotiated Rate	$9.76
Max. Negotiated Rate	$202.50
Rate for Payer: Aetna Commercial	$153.90
Rate for Payer: Aetna Medicare Advantage	$121.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$103.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$103.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$81.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$103.28
Rate for Payer: Cigna Commercial	$202.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.01
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$89.10
Rate for Payer: Qualcare PPO/HMO/WC	$60.75
Rate for Payer: UnitedHealthcare Community & State	$9.76
Rate for Payer: Wellpoint Medicaid Managed Care	$10.73

SCREW CORTEX ST 3.5x26MM

Facility

$405.00

Service Code	HCPCS C1713
Hospital Charge Code	270603166
Hospital Revenue Code	278
Min. Negotiated Rate	$60.75
Max. Negotiated Rate	$98.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$81.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.01
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$89.10
Rate for Payer: Qualcare PPO/HMO/WC	$60.75

SCREW CORTEX S/TAP 2.7x10MM

Facility

$144.00

Service Code	HCPCS C1713
Hospital Charge Code	270639828
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 S/TAP 2.7x10MM

Facility

$144.00

Service Code	HCPCS C1713
Hospital Charge Code	270639828
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 S/TAP 2.7x12MM

Facility

$144.00

Service Code	HCPCS C1713
Hospital Charge Code	270639829
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 S/TAP 2.7x12MM

Facility

$144.00

Service Code	HCPCS C1713
Hospital Charge Code	270639829
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 S/TAP 2.7x14mm

Facility

$144.00

Service Code	HCPCS C1713
Hospital Charge Code	270639830
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 S/TAP 2.7x14mm

Facility

$144.00

Service Code	HCPCS C1713
Hospital Charge Code	270639830
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 S/TAP 2.7x16mm

Facility

$144.00

Service Code	HCPCS C1713
Hospital Charge Code	270643841
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 S/TAP 2.7x16mm

Facility

$144.00

Service Code	HCPCS C1713
Hospital Charge Code	270643841
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 S/TAP 2.7x18 MM

Facility

$2,855.00

Service Code	HCPCS C1713
Hospital Charge Code	270700807
Hospital Revenue Code	278
Min. Negotiated Rate	$68.81
Max. Negotiated Rate	$1,427.50
Rate for Payer: Aetna Commercial	$1,084.90
Rate for Payer: Aetna Medicare Advantage	$856.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$728.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$728.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$571.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$728.02
Rate for Payer: Cigna Commercial	$1,427.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$690.91
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$628.10
Rate for Payer: Qualcare PPO/HMO/WC	$428.25
Rate for Payer: UnitedHealthcare Community & State	$68.81
Rate for Payer: Wellpoint Medicaid Managed Care	$75.66

SCREW CORTEX S/TAP 2.7x18 MM

Facility

$2,855.00

Service Code	HCPCS C1713
Hospital Charge Code	270700807
Hospital Revenue Code	278
Min. Negotiated Rate	$428.25
Max. Negotiated Rate	$690.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$571.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$690.91
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$628.10
Rate for Payer: Qualcare PPO/HMO/WC	$428.25

Know your out-of-pocket cost for care.

All Charges