Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CORTEX T8 STAR 2.4x6MM

Facility

$239.50

Service Code	HCPCS C1713
Hospital Charge Code	270648520
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 2.4x8MM

Facility

$232.50

Hospital Charge Code	270661616
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 2.4x8MM

Facility

$232.50

Hospital Charge Code	270661616
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 2.4x9MM

Facility

$232.50

Hospital Charge Code	270670542
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 2.4x9MM

Facility

$232.50

Hospital Charge Code	270670542
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 2.7x10MM

Facility

$159.00

Service Code	HCPCS C1713
Hospital Charge Code	270671348
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 T8 STAR 2.7x10MM

Facility

$159.00

Hospital Charge Code	270673130
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 T8 STAR 2.7x10MM

Facility

$159.00

Hospital Charge Code	270673130
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 T8 STAR 2.7x10MM

Facility

$159.00

Service Code	HCPCS C1713
Hospital Charge Code	270671348
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 T8 STAR 2.7x12MM

Facility

$168.65

Service Code	HCPCS C1713
Hospital Charge Code	270659774
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 2.7x12MM

Facility

$168.65

Service Code	HCPCS C1713
Hospital Charge Code	270659774
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 2.7x18MM

Facility

$159.00

Service Code	HCPCS C1713
Hospital Charge Code	270667169
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 T8 STAR 2.7x18MM

Facility

$159.00

Service Code	HCPCS C1713
Hospital Charge Code	270667169
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 T8 STAR 2.7x22MM

Facility

$168.65

Service Code	HCPCS C1713
Hospital Charge Code	270676294
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 2.7x22MM

Facility

$168.65

Service Code	HCPCS C1713
Hospital Charge Code	270676294
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 2.7x26MM

Facility

$163.75

Service Code	HCPCS C1713
Hospital Charge Code	270676262
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 T8 STAR 2.7x26MM

Facility

$163.75

Service Code	HCPCS C1713
Hospital Charge Code	270676262
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 T8 STAR 2.7x26MM

Facility

$163.75

Service Code	HCPCS C1713
Hospital Charge Code	270676262N
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 T8 STAR 2.7x26MM

Facility

$163.75

Service Code	HCPCS C1713
Hospital Charge Code	270676262N
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 T8 STAR 2.7x28MM

Facility

$159.00

Service Code	HCPCS C1713
Hospital Charge Code	270667168
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 T8 STAR 2.7x28MM

Facility

$159.00

Service Code	HCPCS C1713
Hospital Charge Code	270667168
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 T8 STAR 2.7x34MM

Facility

$159.00

Hospital Charge Code	270676980
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 T8 STAR 2.7x34MM

Facility

$159.00

Hospital Charge Code	270676980
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 T8 STAR 2.7x38MM

Facility

$168.65

Service Code	HCPCS C1713
Hospital Charge Code	270684227
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 2.7x38MM

Facility

$168.65

Service Code	HCPCS C1713
Hospital Charge Code	270684227
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

Know your out-of-pocket cost for care.

All Charges