Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CORTEX T8 STAR

Facility

$168.65

Service Code	HCPCS C1713
Hospital Charge Code	270659771
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 T8 STAR

Facility

$168.65

Service Code	HCPCS C1713
Hospital Charge Code	270659771
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 T8 STAR 2.4x10MM

Facility

$239.50

Service Code	HCPCS C1713
Hospital Charge Code	270667137
Hospital Revenue Code	278
Min. Negotiated Rate	$5.77
Max. Negotiated Rate	$119.75
Rate for Payer: Aetna Commercial	$91.01
Rate for Payer: Aetna Medicare Advantage	$71.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.07
Rate for Payer: Cigna Commercial	$119.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$52.69
Rate for Payer: Qualcare PPO/HMO/WC	$35.92
Rate for Payer: UnitedHealthcare Community & State	$5.77
Rate for Payer: Wellpoint Medicaid Managed Care	$6.35

SCREW CORTEX T8 STAR 2.4x10MM

Facility

$239.50

Service Code	HCPCS C1713
Hospital Charge Code	270667137
Hospital Revenue Code	278
Min. Negotiated Rate	$35.92
Max. Negotiated Rate	$57.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$52.69
Rate for Payer: Qualcare PPO/HMO/WC	$35.92

SCREW CORTEX T8 STAR 2.4x11MM

Facility

$232.50

Hospital Charge Code	270672970
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 T8 STAR 2.4x11MM

Facility

$232.50

Hospital Charge Code	270672970
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 T8 STAR 2.4x14MM

Facility

$246.70

Service Code	HCPCS C1713
Hospital Charge Code	270637242
Hospital Revenue Code	278
Min. Negotiated Rate	$37.01
Max. Negotiated Rate	$59.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$54.27
Rate for Payer: Qualcare PPO/HMO/WC	$37.01

SCREW CORTEX T8 STAR 2.4x14MM

Facility

$246.70

Service Code	HCPCS C1713
Hospital Charge Code	270637242
Hospital Revenue Code	278
Min. Negotiated Rate	$5.95
Max. Negotiated Rate	$123.35
Rate for Payer: Aetna Commercial	$93.75
Rate for Payer: Aetna Medicare Advantage	$74.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.91
Rate for Payer: Cigna Commercial	$123.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$54.27
Rate for Payer: Qualcare PPO/HMO/WC	$37.01
Rate for Payer: UnitedHealthcare Community & State	$5.95
Rate for Payer: Wellpoint Medicaid Managed Care	$6.54

SCREW CORTEX T8 STAR 2.4x16MM

Facility

$246.70

Service Code	HCPCS C1713
Hospital Charge Code	270637240
Hospital Revenue Code	278
Min. Negotiated Rate	$5.95
Max. Negotiated Rate	$123.35
Rate for Payer: Aetna Commercial	$93.75
Rate for Payer: Aetna Medicare Advantage	$74.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.91
Rate for Payer: Cigna Commercial	$123.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$54.27
Rate for Payer: Qualcare PPO/HMO/WC	$37.01
Rate for Payer: UnitedHealthcare Community & State	$5.95
Rate for Payer: Wellpoint Medicaid Managed Care	$6.54

SCREW CORTEX T8 STAR 2.4x16MM

Facility

$246.70

Service Code	HCPCS C1713
Hospital Charge Code	270637240
Hospital Revenue Code	278
Min. Negotiated Rate	$37.01
Max. Negotiated Rate	$59.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$54.27
Rate for Payer: Qualcare PPO/HMO/WC	$37.01

SCREW CORTEX T8 STAR 2.4x18MM

Facility

$246.70

Service Code	HCPCS C1713
Hospital Charge Code	270665341
Hospital Revenue Code	278
Min. Negotiated Rate	$37.01
Max. Negotiated Rate	$59.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$54.27
Rate for Payer: Qualcare PPO/HMO/WC	$37.01

SCREW CORTEX T8 STAR 2.4x18MM

Facility

$246.70

Service Code	HCPCS C1713
Hospital Charge Code	270665341
Hospital Revenue Code	278
Min. Negotiated Rate	$5.95
Max. Negotiated Rate	$123.35
Rate for Payer: Aetna Commercial	$93.75
Rate for Payer: Aetna Medicare Advantage	$74.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.91
Rate for Payer: Cigna Commercial	$123.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$54.27
Rate for Payer: Qualcare PPO/HMO/WC	$37.01
Rate for Payer: UnitedHealthcare Community & State	$5.95
Rate for Payer: Wellpoint Medicaid Managed Care	$6.54

SCREW CORTEX T8 STAR 2.4x20MM

Facility

$239.50

Service Code	HCPCS C1713
Hospital Charge Code	270664091
Hospital Revenue Code	278
Min. Negotiated Rate	$35.92
Max. Negotiated Rate	$57.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$52.69
Rate for Payer: Qualcare PPO/HMO/WC	$35.92

SCREW CORTEX T8 STAR 2.4x20MM

Facility

$239.50

Service Code	HCPCS C1713
Hospital Charge Code	270664091
Hospital Revenue Code	278
Min. Negotiated Rate	$5.77
Max. Negotiated Rate	$119.75
Rate for Payer: Aetna Commercial	$91.01
Rate for Payer: Aetna Medicare Advantage	$71.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.07
Rate for Payer: Cigna Commercial	$119.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$52.69
Rate for Payer: Qualcare PPO/HMO/WC	$35.92
Rate for Payer: UnitedHealthcare Community & State	$5.77
Rate for Payer: Wellpoint Medicaid Managed Care	$6.35

SCREW CORTEX T8 STAR 2.4x22MM

Facility

$232.50

Service Code	HCPCS C1713
Hospital Charge Code	270663937
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 T8 STAR 2.4x22MM

Facility

$232.50

Service Code	HCPCS C1713
Hospital Charge Code	270663937
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 T8 STAR 2.4x24mm

Facility

$239.50

Service Code	HCPCS C1713
Hospital Charge Code	270637243
Hospital Revenue Code	278
Min. Negotiated Rate	$5.77
Max. Negotiated Rate	$119.75
Rate for Payer: Aetna Commercial	$91.01
Rate for Payer: Aetna Medicare Advantage	$71.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.07
Rate for Payer: Cigna Commercial	$119.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$52.69
Rate for Payer: Qualcare PPO/HMO/WC	$35.92
Rate for Payer: UnitedHealthcare Community & State	$5.77
Rate for Payer: Wellpoint Medicaid Managed Care	$6.35

SCREW CORTEX T8 STAR 2.4x24mm

Facility

$239.50

Service Code	HCPCS C1713
Hospital Charge Code	270637243
Hospital Revenue Code	278
Min. Negotiated Rate	$35.92
Max. Negotiated Rate	$57.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$52.69
Rate for Payer: Qualcare PPO/HMO/WC	$35.92

SCREW CORTEX T8 STAR 2.4x26MM

Facility

$232.50

Hospital Charge Code	270664958
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 T8 STAR 2.4x26MM

Facility

$232.50

Hospital Charge Code	270664958
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 T8 STAR 2.4x28mm

Facility

$232.50

Service Code	HCPCS C1713
Hospital Charge Code	270661260
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 T8 STAR 2.4x28mm

Facility

$232.50

Service Code	HCPCS C1713
Hospital Charge Code	270661260
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 T8 STAR 2.4x36MM

Facility

$232.50

Hospital Charge Code	270676477
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 T8 STAR 2.4x36MM

Facility

$232.50

Hospital Charge Code	270676477
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 T8 STAR 2.4x6MM

Facility

$239.50

Service Code	HCPCS C1713
Hospital Charge Code	270648520
Hospital Revenue Code	278
Min. Negotiated Rate	$5.77
Max. Negotiated Rate	$119.75
Rate for Payer: Aetna Commercial	$91.01
Rate for Payer: Aetna Medicare Advantage	$71.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.07
Rate for Payer: Cigna Commercial	$119.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$52.69
Rate for Payer: Qualcare PPO/HMO/WC	$35.92
Rate for Payer: UnitedHealthcare Community & State	$5.77
Rate for Payer: Wellpoint Medicaid Managed Care	$6.35

Know your out-of-pocket cost for care.

All Charges