Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CORTEX S/TAP 2.7x18MM

Facility

$144.00

Service Code	HCPCS C1713
Hospital Charge Code	270640062
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 2.7x18MM

Facility

$144.00

Service Code	HCPCS C1713
Hospital Charge Code	270640062
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 2.7x20mm

Facility

$139.80

Service Code	HCPCS C1713
Hospital Charge Code	270643582
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 S/TAP 2.7x20mm

Facility

$139.80

Service Code	HCPCS C1713
Hospital Charge Code	270643582
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 S/TAP 2.7 X 22 MM

Facility

$2,855.00

Service Code	HCPCS C1713
Hospital Charge Code	270700808
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

SCREW CORTEX S/TAP 2.7 X 22 MM

Facility

$2,855.00

Service Code	HCPCS C1713
Hospital Charge Code	270700808
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 2.7x22mm

Facility

$139.80

Service Code	HCPCS C1713
Hospital Charge Code	270643581
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 S/TAP 2.7x22mm

Facility

$139.80

Service Code	HCPCS C1713
Hospital Charge Code	270643581
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 S/TAP 2.7x24MM

Facility

$144.00

Service Code	HCPCS C1713
Hospital Charge Code	270673151
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 2.7x24MM

Facility

$144.00

Service Code	HCPCS C1713
Hospital Charge Code	270673151
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 2.7x26MM

Facility

$139.80

Service Code	HCPCS C1713
Hospital Charge Code	270678290
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 S/TAP 2.7x26MM

Facility

$139.80

Service Code	HCPCS C1713
Hospital Charge Code	270678290
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 S/TAP 2.7x28MM

Facility

$139.80

Hospital Charge Code	270678291
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 S/TAP 2.7x28MM

Facility

$139.80

Hospital Charge Code	270678291
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 S/TAP 2.7x30MM

Facility

$139.80

Service Code	HCPCS C1713
Hospital Charge Code	270648929
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 S/TAP 2.7x30MM

Facility

$139.80

Service Code	HCPCS C1713
Hospital Charge Code	270648929
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 S/TAP 2.7x32mm

Facility

$135.75

Hospital Charge Code	270656720
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 S/TAP 2.7x32mm

Facility

$135.75

Hospital Charge Code	270656720
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 S/TAP 2.7x32MM

Facility

$139.80

Hospital Charge Code	270678293
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 S/TAP 2.7x32MM

Facility

$139.80

Hospital Charge Code	270678293
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 S/TAP 2.7x34MM

Facility

$139.80

Hospital Charge Code	270678292
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 S/TAP 2.7x34MM

Facility

$139.80

Hospital Charge Code	270678292
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 S/TAP 2.7x36MM

Facility

$139.80

Hospital Charge Code	270678294
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 S/TAP 2.7x36MM

Facility

$139.80

Hospital Charge Code	270678294
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 S/TAP 2.7x40MM

Facility

$139.80

Service Code	HCPCS C1713
Hospital Charge Code	270648930
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

Know your out-of-pocket cost for care.

All Charges