Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CORTEX S/TAP 2.7x40MM

Facility

$139.80

Service Code	HCPCS C1713
Hospital Charge Code	270648930
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 2.7x45MM

Facility

$139.80

Service Code	HCPCS C1713
Hospital Charge Code	270678295
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 2.7x45MM

Facility

$139.80

Service Code	HCPCS C1713
Hospital Charge Code	270678295
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 2.7x50MM

Facility

$139.80

Hospital Charge Code	270678296
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 2.7x50MM

Facility

$139.80

Hospital Charge Code	270678296
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 3.5x24mm

Facility

$87.75

Hospital Charge Code	270656912
Hospital Revenue Code	278
Min. Negotiated Rate	$2.11
Max. Negotiated Rate	$43.88
Rate for Payer: Aetna Commercial	$33.34
Rate for Payer: Aetna Medicare Advantage	$26.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.38
Rate for Payer: Cigna Commercial	$43.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$19.30
Rate for Payer: Qualcare PPO/HMO/WC	$13.16
Rate for Payer: UnitedHealthcare Community & State	$2.11
Rate for Payer: Wellpoint Medicaid Managed Care	$2.33

SCREW CORTEX S/TAP 3.5x24mm

Facility

$87.75

Hospital Charge Code	270656912
Hospital Revenue Code	278
Min. Negotiated Rate	$13.16
Max. Negotiated Rate	$21.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$19.30
Rate for Payer: Qualcare PPO/HMO/WC	$13.16

SCREW CORTEX S/TAP T8 2.7x20MM

Facility

$163.75

Service Code	HCPCS C1713
Hospital Charge Code	270674354
Hospital Revenue Code	278
Min. Negotiated Rate	$3.95
Max. Negotiated Rate	$81.88
Rate for Payer: Aetna Commercial	$62.23
Rate for Payer: Aetna Medicare Advantage	$49.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$32.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.76
Rate for Payer: Cigna Commercial	$81.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$36.02
Rate for Payer: Qualcare PPO/HMO/WC	$24.56
Rate for Payer: UnitedHealthcare Community & State	$3.95
Rate for Payer: Wellpoint Medicaid Managed Care	$4.34

SCREW CORTEX S/TAP T8 2.7x20MM

Facility

$163.75

Service Code	HCPCS C1713
Hospital Charge Code	270674354
Hospital Revenue Code	278
Min. Negotiated Rate	$24.56
Max. Negotiated Rate	$39.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$32.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$36.02
Rate for Payer: Qualcare PPO/HMO/WC	$24.56

SCREW CORTEX S/TAP T8 2.7x24MM

Facility

$163.75

Service Code	HCPCS C1713
Hospital Charge Code	270676261
Hospital Revenue Code	278
Min. Negotiated Rate	$3.95
Max. Negotiated Rate	$81.88
Rate for Payer: Aetna Commercial	$62.23
Rate for Payer: Aetna Medicare Advantage	$49.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$32.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.76
Rate for Payer: Cigna Commercial	$81.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$36.02
Rate for Payer: Qualcare PPO/HMO/WC	$24.56
Rate for Payer: UnitedHealthcare Community & State	$3.95
Rate for Payer: Wellpoint Medicaid Managed Care	$4.34

SCREW CORTEX S/TAP T8 2.7x24MM

Facility

$163.75

Service Code	HCPCS C1713
Hospital Charge Code	270676261
Hospital Revenue Code	278
Min. Negotiated Rate	$24.56
Max. Negotiated Rate	$39.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$32.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$36.02
Rate for Payer: Qualcare PPO/HMO/WC	$24.56

SCREW CORTEX S/TAP T8 2.7x30MM

Facility

$159.00

Service Code	HCPCS C1713
Hospital Charge Code	270676245
Hospital Revenue Code	278
Min. Negotiated Rate	$23.85
Max. Negotiated Rate	$38.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$34.98
Rate for Payer: Qualcare PPO/HMO/WC	$23.85

SCREW CORTEX S/TAP T8 2.7x30MM

Facility

$159.00

Service Code	HCPCS C1713
Hospital Charge Code	270676245
Hospital Revenue Code	278
Min. Negotiated Rate	$3.83
Max. Negotiated Rate	$79.50
Rate for Payer: Aetna Commercial	$60.42
Rate for Payer: Aetna Medicare Advantage	$47.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.55
Rate for Payer: Cigna Commercial	$79.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$34.98
Rate for Payer: Qualcare PPO/HMO/WC	$23.85
Rate for Payer: UnitedHealthcare Community & State	$3.83
Rate for Payer: Wellpoint Medicaid Managed Care	$4.21

SCREW CORTEX S/TAP T8 2.7x35MM

Facility

$159.00

Hospital Charge Code	270676246
Hospital Revenue Code	278
Min. Negotiated Rate	$3.83
Max. Negotiated Rate	$79.50
Rate for Payer: Aetna Commercial	$60.42
Rate for Payer: Aetna Medicare Advantage	$47.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.55
Rate for Payer: Cigna Commercial	$79.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$34.98
Rate for Payer: Qualcare PPO/HMO/WC	$23.85
Rate for Payer: UnitedHealthcare Community & State	$3.83
Rate for Payer: Wellpoint Medicaid Managed Care	$4.21

SCREW CORTEX S/TAP T8 2.7x35MM

Facility

$159.00

Hospital Charge Code	270676246
Hospital Revenue Code	278
Min. Negotiated Rate	$23.85
Max. Negotiated Rate	$38.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$34.98
Rate for Payer: Qualcare PPO/HMO/WC	$23.85

SCREW CORTEX STARDRIV 2.7x16MM

Facility

$168.65

Service Code	HCPCS C1713
Hospital Charge Code	270659773
Hospital Revenue Code	278
Min. Negotiated Rate	$4.06
Max. Negotiated Rate	$84.33
Rate for Payer: Aetna Commercial	$64.09
Rate for Payer: Aetna Medicare Advantage	$50.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$33.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.01
Rate for Payer: Cigna Commercial	$84.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.81
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$37.10
Rate for Payer: Qualcare PPO/HMO/WC	$25.30
Rate for Payer: UnitedHealthcare Community & State	$4.06
Rate for Payer: Wellpoint Medicaid Managed Care	$4.47

SCREW CORTEX STARDRIV 2.7x16MM

Facility

$168.65

Service Code	HCPCS C1713
Hospital Charge Code	270659773
Hospital Revenue Code	278
Min. Negotiated Rate	$25.30
Max. Negotiated Rate	$40.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$33.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.81
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$37.10
Rate for Payer: Qualcare PPO/HMO/WC	$25.30

SCREW CORTEX STARDRIVE 2.4X9MM

Facility

$332.10

Hospital Charge Code	270670056
Hospital Revenue Code	278
Min. Negotiated Rate	$49.81
Max. Negotiated Rate	$80.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$66.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.37
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$73.06
Rate for Payer: Qualcare PPO/HMO/WC	$49.81

SCREW CORTEX STARDRIVE 2.4X9MM

Facility

$332.10

Hospital Charge Code	270670056
Hospital Revenue Code	278
Min. Negotiated Rate	$8.00
Max. Negotiated Rate	$166.05
Rate for Payer: Aetna Commercial	$126.20
Rate for Payer: Aetna Medicare Advantage	$99.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$66.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.69
Rate for Payer: Cigna Commercial	$166.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.37
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$73.06
Rate for Payer: Qualcare PPO/HMO/WC	$49.81
Rate for Payer: UnitedHealthcare Community & State	$8.00
Rate for Payer: Wellpoint Medicaid Managed Care	$8.80

SCREW CORTEX ST T8 SD 2.4X16MM

Facility

$405.55

Service Code	HCPCS C1713
Hospital Charge Code	270697638
Hospital Revenue Code	278
Min. Negotiated Rate	$9.77
Max. Negotiated Rate	$202.78
Rate for Payer: Aetna Commercial	$154.11
Rate for Payer: Aetna Medicare Advantage	$121.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$103.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$103.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$81.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$103.42
Rate for Payer: Cigna Commercial	$202.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$89.22
Rate for Payer: Qualcare PPO/HMO/WC	$60.83
Rate for Payer: UnitedHealthcare Community & State	$9.77
Rate for Payer: Wellpoint Medicaid Managed Care	$10.75

SCREW CORTEX ST T8 SD 2.4X16MM

Facility

$405.55

Service Code	HCPCS C1713
Hospital Charge Code	270697638
Hospital Revenue Code	278
Min. Negotiated Rate	$60.83
Max. Negotiated Rate	$98.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$81.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$89.22
Rate for Payer: Qualcare PPO/HMO/WC	$60.83

SCREW CORTEX ST T8 SS 2.4X12MM

Facility

$405.55

Service Code	HCPCS C1713
Hospital Charge Code	270697616
Hospital Revenue Code	278
Min. Negotiated Rate	$9.77
Max. Negotiated Rate	$202.78
Rate for Payer: Aetna Commercial	$154.11
Rate for Payer: Aetna Medicare Advantage	$121.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$103.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$103.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$81.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$103.42
Rate for Payer: Cigna Commercial	$202.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$89.22
Rate for Payer: Qualcare PPO/HMO/WC	$60.83
Rate for Payer: UnitedHealthcare Community & State	$9.77
Rate for Payer: Wellpoint Medicaid Managed Care	$10.75

SCREW CORTEX ST T8 SS 2.4X12MM

Facility

$405.55

Service Code	HCPCS C1713
Hospital Charge Code	270697616
Hospital Revenue Code	278
Min. Negotiated Rate	$60.83
Max. Negotiated Rate	$98.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$81.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$89.22
Rate for Payer: Qualcare PPO/HMO/WC	$60.83

SCREW CORTEX T6 STAR 2x36MM

Facility

$146.25

Hospital Charge Code	270672969
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 T6 STAR 2x36MM

Facility

$146.25

Hospital Charge Code	270672969
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

Know your out-of-pocket cost for care.

All Charges