Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CORTEX T8 STAR 2.7x40MM

Facility

$163.75

Service Code	HCPCS C1713
Hospital Charge Code	270678884
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 2.7x40MM

Facility

$163.75

Service Code	HCPCS C1713
Hospital Charge Code	270678884
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 2.7x42MM

Facility

$159.00

Hospital Charge Code	270676295
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 2.7x42MM

Facility

$159.00

Hospital Charge Code	270676295
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 2.7x46MM

Facility

$159.00

Service Code	HCPCS C1713
Hospital Charge Code	270676981
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 2.7x46MM

Facility

$159.00

Service Code	HCPCS C1713
Hospital Charge Code	270676981
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 2.7x50MM

Facility

$163.75

Service Code	HCPCS C1713
Hospital Charge Code	270678883
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 2.7x50MM

Facility

$163.75

Service Code	HCPCS C1713
Hospital Charge Code	270678883
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 TI 1.5 24

Facility

$144.00

Hospital Charge Code	270661897
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 TI 1.5 24

Facility

$144.00

Hospital Charge Code	270661897
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 Ti 2.0x10mm

Facility

$147.55

Service Code	HCPCS C1713
Hospital Charge Code	270633431
Hospital Revenue Code	278
Min. Negotiated Rate	$3.56
Max. Negotiated Rate	$73.78
Rate for Payer: Aetna Commercial	$56.07
Rate for Payer: Aetna Medicare Advantage	$44.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.63
Rate for Payer: Cigna Commercial	$73.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$32.46
Rate for Payer: Qualcare PPO/HMO/WC	$22.13
Rate for Payer: UnitedHealthcare Community & State	$3.56
Rate for Payer: Wellpoint Medicaid Managed Care	$3.91

SCREW CORTEX Ti 2.0x10mm

Facility

$147.55

Service Code	HCPCS C1713
Hospital Charge Code	270633431
Hospital Revenue Code	278
Min. Negotiated Rate	$22.13
Max. Negotiated Rate	$35.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$32.46
Rate for Payer: Qualcare PPO/HMO/WC	$22.13

SCREW CORTEX Ti 2.4 12MM

Facility

$320.00

Hospital Charge Code	270637592
Hospital Revenue Code	278
Min. Negotiated Rate	$7.71
Max. Negotiated Rate	$160.00
Rate for Payer: Aetna Commercial	$121.60
Rate for Payer: Aetna Medicare Advantage	$96.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$64.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.60
Rate for Payer: Cigna Commercial	$160.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$70.40
Rate for Payer: Qualcare PPO/HMO/WC	$48.00
Rate for Payer: UnitedHealthcare Community & State	$7.71
Rate for Payer: Wellpoint Medicaid Managed Care	$8.48

SCREW CORTEX Ti 2.4 12MM

Facility

$320.00

Hospital Charge Code	270637592
Hospital Revenue Code	278
Min. Negotiated Rate	$48.00
Max. Negotiated Rate	$77.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$64.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$70.40
Rate for Payer: Qualcare PPO/HMO/WC	$48.00

SCREW CORTEX Ti 2.4 14MM

Facility

$377.50

Hospital Charge Code	270637593
Hospital Revenue Code	278
Min. Negotiated Rate	$56.62
Max. Negotiated Rate	$91.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$83.05
Rate for Payer: Qualcare PPO/HMO/WC	$56.62

SCREW CORTEX Ti 2.4 14MM

Facility

$377.50

Hospital Charge Code	270637593
Hospital Revenue Code	278
Min. Negotiated Rate	$9.10
Max. Negotiated Rate	$188.75
Rate for Payer: Aetna Commercial	$143.45
Rate for Payer: Aetna Medicare Advantage	$113.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$96.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$96.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$96.26
Rate for Payer: Cigna Commercial	$188.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$83.05
Rate for Payer: Qualcare PPO/HMO/WC	$56.62
Rate for Payer: UnitedHealthcare Community & State	$9.10
Rate for Payer: Wellpoint Medicaid Managed Care	$10.00

SCREW CORTEX TI 2.4x28mm

Facility

$333.00

Hospital Charge Code	270656615
Hospital Revenue Code	278
Min. Negotiated Rate	$8.03
Max. Negotiated Rate	$166.50
Rate for Payer: Aetna Commercial	$126.54
Rate for Payer: Aetna Medicare Advantage	$99.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$66.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.92
Rate for Payer: Cigna Commercial	$166.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$73.26
Rate for Payer: Qualcare PPO/HMO/WC	$49.95
Rate for Payer: UnitedHealthcare Community & State	$8.03
Rate for Payer: Wellpoint Medicaid Managed Care	$8.82

SCREW CORTEX TI 2.4x28mm

Facility

$333.00

Hospital Charge Code	270656615
Hospital Revenue Code	278
Min. Negotiated Rate	$49.95
Max. Negotiated Rate	$80.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$66.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$73.26
Rate for Payer: Qualcare PPO/HMO/WC	$49.95

SCREW CORTEX TI 2.4x32mm

Facility

$333.00

Hospital Charge Code	270656618
Hospital Revenue Code	278
Min. Negotiated Rate	$8.03
Max. Negotiated Rate	$166.50
Rate for Payer: Aetna Commercial	$126.54
Rate for Payer: Aetna Medicare Advantage	$99.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$66.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.92
Rate for Payer: Cigna Commercial	$166.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$73.26
Rate for Payer: Qualcare PPO/HMO/WC	$49.95
Rate for Payer: UnitedHealthcare Community & State	$8.03
Rate for Payer: Wellpoint Medicaid Managed Care	$8.82

SCREW CORTEX TI 2.4x32mm

Facility

$333.00

Hospital Charge Code	270656618
Hospital Revenue Code	278
Min. Negotiated Rate	$49.95
Max. Negotiated Rate	$80.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$66.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$73.26
Rate for Payer: Qualcare PPO/HMO/WC	$49.95

SCREW CORTEX Ti 2 X 12MM

Facility

$222.50

Hospital Charge Code	270637440
Hospital Revenue Code	278
Min. Negotiated Rate	$5.36
Max. Negotiated Rate	$111.25
Rate for Payer: Aetna Commercial	$84.55
Rate for Payer: Aetna Medicare Advantage	$66.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.74
Rate for Payer: Cigna Commercial	$111.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$48.95
Rate for Payer: Qualcare PPO/HMO/WC	$33.38
Rate for Payer: UnitedHealthcare Community & State	$5.36
Rate for Payer: Wellpoint Medicaid Managed Care	$5.90

SCREW CORTEX Ti 2 X 12MM

Facility

$222.50

Hospital Charge Code	270637440
Hospital Revenue Code	278
Min. Negotiated Rate	$33.38
Max. Negotiated Rate	$53.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$48.95
Rate for Payer: Qualcare PPO/HMO/WC	$33.38

SCREW CORTEX Ti 2 X 14MM

Facility

$236.25

Service Code	HCPCS C1713
Hospital Charge Code	270637441
Hospital Revenue Code	278
Min. Negotiated Rate	$5.69
Max. Negotiated Rate	$118.12
Rate for Payer: Aetna Commercial	$89.78
Rate for Payer: Aetna Medicare Advantage	$70.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.24
Rate for Payer: Cigna Commercial	$118.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.17
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$51.98
Rate for Payer: Qualcare PPO/HMO/WC	$35.44
Rate for Payer: UnitedHealthcare Community & State	$5.69
Rate for Payer: Wellpoint Medicaid Managed Care	$6.26

SCREW CORTEX Ti 2 X 14MM

Facility

$236.25

Service Code	HCPCS C1713
Hospital Charge Code	270637441
Hospital Revenue Code	278
Min. Negotiated Rate	$35.44
Max. Negotiated Rate	$57.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.17
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$51.98
Rate for Payer: Qualcare PPO/HMO/WC	$35.44

SCREW CORTEX Ti 2 X 20MM

Facility

$236.25

Hospital Charge Code	270637439
Hospital Revenue Code	278
Min. Negotiated Rate	$5.69
Max. Negotiated Rate	$118.12
Rate for Payer: Aetna Commercial	$89.78
Rate for Payer: Aetna Medicare Advantage	$70.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.24
Rate for Payer: Cigna Commercial	$118.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.17
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$51.98
Rate for Payer: Qualcare PPO/HMO/WC	$35.44
Rate for Payer: UnitedHealthcare Community & State	$5.69
Rate for Payer: Wellpoint Medicaid Managed Care	$6.26

Know your out-of-pocket cost for care.

All Charges