Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CORTEX Ti 2 X 20MM

Facility

$236.25

Hospital Charge Code	270637439
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 8MM

Facility

$236.25

Hospital Charge Code	270637442
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 8MM

Facility

$236.25

Hospital Charge Code	270637442
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 3.5X38MM

Facility

$238.50

Service Code	HCPCS C1713
Hospital Charge Code	270692181
Hospital Revenue Code	278
Min. Negotiated Rate	$5.75
Max. Negotiated Rate	$119.25
Rate for Payer: Aetna Commercial	$90.63
Rate for Payer: Aetna Medicare Advantage	$71.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.82
Rate for Payer: Cigna Commercial	$119.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.72
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$52.47
Rate for Payer: Qualcare PPO/HMO/WC	$35.77
Rate for Payer: UnitedHealthcare Community & State	$5.75
Rate for Payer: Wellpoint Medicaid Managed Care	$6.32

SCREW CORTEX TI 3.5X38MM

Facility

$238.50

Service Code	HCPCS C1713
Hospital Charge Code	270692181
Hospital Revenue Code	278
Min. Negotiated Rate	$35.77
Max. Negotiated Rate	$57.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.72
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$52.47
Rate for Payer: Qualcare PPO/HMO/WC	$35.77

SCREW CORTEX TI 3.5x80MM

Facility

$200.00

Service Code	HCPCS C1713
Hospital Charge Code	270673954
Hospital Revenue Code	278
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$48.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$44.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

SCREW CORTEX TI 3.5x80MM

Facility

$200.00

Service Code	HCPCS C1713
Hospital Charge Code	270673954
Hospital Revenue Code	278
Min. Negotiated Rate	$4.82
Max. Negotiated Rate	$100.00
Rate for Payer: Aetna Commercial	$76.00
Rate for Payer: Aetna Medicare Advantage	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.00
Rate for Payer: Cigna Commercial	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$44.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00
Rate for Payer: UnitedHealthcare Community & State	$4.82
Rate for Payer: Wellpoint Medicaid Managed Care	$5.30

SCREW CORTEX TI 3.5x90MM

Facility

$200.00

Service Code	HCPCS C1713
Hospital Charge Code	270673953
Hospital Revenue Code	278
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$48.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$44.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

SCREW CORTEX TI 3.5x90MM

Facility

$200.00

Service Code	HCPCS C1713
Hospital Charge Code	270673953
Hospital Revenue Code	278
Min. Negotiated Rate	$4.82
Max. Negotiated Rate	$100.00
Rate for Payer: Aetna Commercial	$76.00
Rate for Payer: Aetna Medicare Advantage	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.00
Rate for Payer: Cigna Commercial	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$44.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00
Rate for Payer: UnitedHealthcare Community & State	$4.82
Rate for Payer: Wellpoint Medicaid Managed Care	$5.30

SCREW CORTEX TI 3.5XL36MM

Facility

$238.50

Service Code	HCPCS C1713
Hospital Charge Code	270692179
Hospital Revenue Code	278
Min. Negotiated Rate	$35.77
Max. Negotiated Rate	$57.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.72
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$52.47
Rate for Payer: Qualcare PPO/HMO/WC	$35.77

SCREW CORTEX TI 3.5XL36MM

Facility

$238.50

Service Code	HCPCS C1713
Hospital Charge Code	270692179
Hospital Revenue Code	278
Min. Negotiated Rate	$5.75
Max. Negotiated Rate	$119.25
Rate for Payer: Aetna Commercial	$90.63
Rate for Payer: Aetna Medicare Advantage	$71.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.82
Rate for Payer: Cigna Commercial	$119.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.72
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$52.47
Rate for Payer: Qualcare PPO/HMO/WC	$35.77
Rate for Payer: UnitedHealthcare Community & State	$5.75
Rate for Payer: Wellpoint Medicaid Managed Care	$6.32

SCREW CORTEX TI S/TAP 1.5x7mm

Facility

$148.30

Service Code	HCPCS C1713
Hospital Charge Code	270656854
Hospital Revenue Code	278
Min. Negotiated Rate	$22.25
Max. Negotiated Rate	$35.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$32.63
Rate for Payer: Qualcare PPO/HMO/WC	$22.25

SCREW CORTEX TI S/TAP 1.5x7mm

Facility

$148.30

Service Code	HCPCS C1713
Hospital Charge Code	270656854
Hospital Revenue Code	278
Min. Negotiated Rate	$3.57
Max. Negotiated Rate	$74.15
Rate for Payer: Aetna Commercial	$56.35
Rate for Payer: Aetna Medicare Advantage	$44.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.82
Rate for Payer: Cigna Commercial	$74.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$32.63
Rate for Payer: Qualcare PPO/HMO/WC	$22.25
Rate for Payer: UnitedHealthcare Community & State	$3.57
Rate for Payer: Wellpoint Medicaid Managed Care	$3.93

SCREW CORTEX TITAN 1.5x10mm

Facility

$123.60

Service Code	HCPCS C1713
Hospital Charge Code	270603952
Hospital Revenue Code	278
Min. Negotiated Rate	$2.98
Max. Negotiated Rate	$61.80
Rate for Payer: Aetna Commercial	$46.97
Rate for Payer: Aetna Medicare Advantage	$37.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.52
Rate for Payer: Cigna Commercial	$61.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.91
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$27.19
Rate for Payer: Qualcare PPO/HMO/WC	$18.54
Rate for Payer: UnitedHealthcare Community & State	$2.98
Rate for Payer: Wellpoint Medicaid Managed Care	$3.28

SCREW CORTEX TITAN 1.5x10mm

Facility

$123.60

Service Code	HCPCS C1713
Hospital Charge Code	270603952
Hospital Revenue Code	278
Min. Negotiated Rate	$18.54
Max. Negotiated Rate	$29.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.91
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$27.19
Rate for Payer: Qualcare PPO/HMO/WC	$18.54

SCREW CORTEX TITAN 1.5x11mm

Facility

$123.60

Service Code	HCPCS C1713
Hospital Charge Code	270603953
Hospital Revenue Code	278
Min. Negotiated Rate	$2.98
Max. Negotiated Rate	$61.80
Rate for Payer: Aetna Commercial	$46.97
Rate for Payer: Aetna Medicare Advantage	$37.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.52
Rate for Payer: Cigna Commercial	$61.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.91
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$27.19
Rate for Payer: Qualcare PPO/HMO/WC	$18.54
Rate for Payer: UnitedHealthcare Community & State	$2.98
Rate for Payer: Wellpoint Medicaid Managed Care	$3.28

SCREW CORTEX TITAN 1.5x11mm

Facility

$123.60

Service Code	HCPCS C1713
Hospital Charge Code	270603953
Hospital Revenue Code	278
Min. Negotiated Rate	$18.54
Max. Negotiated Rate	$29.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.91
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$27.19
Rate for Payer: Qualcare PPO/HMO/WC	$18.54

SCREW CORTEX TITAN 1.5x12mm

Facility

$123.60

Service Code	HCPCS C1713
Hospital Charge Code	270603954
Hospital Revenue Code	278
Min. Negotiated Rate	$2.98
Max. Negotiated Rate	$61.80
Rate for Payer: Aetna Commercial	$46.97
Rate for Payer: Aetna Medicare Advantage	$37.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.52
Rate for Payer: Cigna Commercial	$61.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.91
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$27.19
Rate for Payer: Qualcare PPO/HMO/WC	$18.54
Rate for Payer: UnitedHealthcare Community & State	$2.98
Rate for Payer: Wellpoint Medicaid Managed Care	$3.28

SCREW CORTEX TITAN 1.5x12mm

Facility

$123.60

Service Code	HCPCS C1713
Hospital Charge Code	270603954
Hospital Revenue Code	278
Min. Negotiated Rate	$18.54
Max. Negotiated Rate	$29.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.91
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$27.19
Rate for Payer: Qualcare PPO/HMO/WC	$18.54

SCREW CORTEX TITAN 1.5x14mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603955
Hospital Revenue Code	278
Min. Negotiated Rate	$2.98
Max. Negotiated Rate	$61.88
Rate for Payer: Aetna Commercial	$47.02
Rate for Payer: Aetna Medicare Advantage	$37.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.56
Rate for Payer: Cigna Commercial	$61.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$27.23
Rate for Payer: Qualcare PPO/HMO/WC	$18.56
Rate for Payer: UnitedHealthcare Community & State	$2.98
Rate for Payer: Wellpoint Medicaid Managed Care	$3.28

SCREW CORTEX TITAN 1.5x14mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603955
Hospital Revenue Code	278
Min. Negotiated Rate	$18.56
Max. Negotiated Rate	$29.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$27.23
Rate for Payer: Qualcare PPO/HMO/WC	$18.56

SCREW CORTEX TITAN 1.5x16mm

Facility

$123.60

Service Code	HCPCS C1713
Hospital Charge Code	270603956
Hospital Revenue Code	278
Min. Negotiated Rate	$18.54
Max. Negotiated Rate	$29.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.91
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$27.19
Rate for Payer: Qualcare PPO/HMO/WC	$18.54

SCREW CORTEX TITAN 1.5x16mm

Facility

$123.60

Service Code	HCPCS C1713
Hospital Charge Code	270603956
Hospital Revenue Code	278
Min. Negotiated Rate	$2.98
Max. Negotiated Rate	$61.80
Rate for Payer: Aetna Commercial	$46.97
Rate for Payer: Aetna Medicare Advantage	$37.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.52
Rate for Payer: Cigna Commercial	$61.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.91
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$27.19
Rate for Payer: Qualcare PPO/HMO/WC	$18.54
Rate for Payer: UnitedHealthcare Community & State	$2.98
Rate for Payer: Wellpoint Medicaid Managed Care	$3.28

SCREW CORTEX TITAN 1.5x18mm

Facility

$123.60

Service Code	HCPCS C1713
Hospital Charge Code	270603957
Hospital Revenue Code	278
Min. Negotiated Rate	$18.54
Max. Negotiated Rate	$29.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.91
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$27.19
Rate for Payer: Qualcare PPO/HMO/WC	$18.54

SCREW CORTEX TITAN 1.5x18mm

Facility

$123.60

Service Code	HCPCS C1713
Hospital Charge Code	270603957
Hospital Revenue Code	278
Min. Negotiated Rate	$2.98
Max. Negotiated Rate	$61.80
Rate for Payer: Aetna Commercial	$46.97
Rate for Payer: Aetna Medicare Advantage	$37.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.52
Rate for Payer: Cigna Commercial	$61.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.91
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$27.19
Rate for Payer: Qualcare PPO/HMO/WC	$18.54
Rate for Payer: UnitedHealthcare Community & State	$2.98
Rate for Payer: Wellpoint Medicaid Managed Care	$3.28

Know your out-of-pocket cost for care.

All Charges