Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CORTEX TITAN 1.5x20mm

Facility

$123.60

Service Code	HCPCS C1713
Hospital Charge Code	270603958
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 1.5x20mm

Facility

$123.60

Service Code	HCPCS C1713
Hospital Charge Code	270603958
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 1.5x22mm

Facility

$123.60

Service Code	HCPCS C1713
Hospital Charge Code	270603959
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 1.5x22mm

Facility

$123.60

Service Code	HCPCS C1713
Hospital Charge Code	270603959
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 1.5x24mm

Facility

$123.60

Service Code	HCPCS C1713
Hospital Charge Code	270603960
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 1.5x24mm

Facility

$123.60

Service Code	HCPCS C1713
Hospital Charge Code	270603960
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 1.5x6mm

Facility

$123.60

Service Code	HCPCS C1713
Hospital Charge Code	270603948
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 1.5x6mm

Facility

$123.60

Service Code	HCPCS C1713
Hospital Charge Code	270603948
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 1.5x7mm

Facility

$173.35

Service Code	HCPCS C1713
Hospital Charge Code	270602972
Hospital Revenue Code	278
Min. Negotiated Rate	$26.00
Max. Negotiated Rate	$41.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$38.14
Rate for Payer: Qualcare PPO/HMO/WC	$26.00

SCREW CORTEX TITAN 1.5x7mm

Facility

$173.35

Service Code	HCPCS C1713
Hospital Charge Code	270602972
Hospital Revenue Code	278
Min. Negotiated Rate	$4.18
Max. Negotiated Rate	$86.67
Rate for Payer: Aetna Commercial	$65.87
Rate for Payer: Aetna Medicare Advantage	$52.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.20
Rate for Payer: Cigna Commercial	$86.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$38.14
Rate for Payer: Qualcare PPO/HMO/WC	$26.00
Rate for Payer: UnitedHealthcare Community & State	$4.18
Rate for Payer: Wellpoint Medicaid Managed Care	$4.59

SCREW CORTEX TITAN 1.5x8mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270602973
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 1.5x8mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270602973
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 1.5x9mm

Facility

$123.60

Service Code	HCPCS C1713
Hospital Charge Code	270603951
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 1.5x9mm

Facility

$123.60

Service Code	HCPCS C1713
Hospital Charge Code	270603951
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 2.0x6mm

Facility

$122.05

Service Code	HCPCS C1713
Hospital Charge Code	270603961
Hospital Revenue Code	278
Min. Negotiated Rate	$18.31
Max. Negotiated Rate	$29.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$26.85
Rate for Payer: Qualcare PPO/HMO/WC	$18.31

SCREW CORTEX TITAN 2.0x6mm

Facility

$122.05

Service Code	HCPCS C1713
Hospital Charge Code	270603961
Hospital Revenue Code	278
Min. Negotiated Rate	$2.94
Max. Negotiated Rate	$61.02
Rate for Payer: Aetna Commercial	$46.38
Rate for Payer: Aetna Medicare Advantage	$36.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.12
Rate for Payer: Cigna Commercial	$61.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$26.85
Rate for Payer: Qualcare PPO/HMO/WC	$18.31
Rate for Payer: UnitedHealthcare Community & State	$2.94
Rate for Payer: Wellpoint Medicaid Managed Care	$3.23

SCREW CORT FAZ NAIL 5.0X32.

Facility

$1,010.00

Hospital Charge Code	270661014
Hospital Revenue Code	278
Min. Negotiated Rate	$24.34
Max. Negotiated Rate	$505.00
Rate for Payer: Aetna Commercial	$383.80
Rate for Payer: Aetna Medicare Advantage	$303.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$257.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$257.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$202.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$257.55
Rate for Payer: Cigna Commercial	$505.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$244.42
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$222.20
Rate for Payer: Qualcare PPO/HMO/WC	$151.50
Rate for Payer: UnitedHealthcare Community & State	$24.34
Rate for Payer: Wellpoint Medicaid Managed Care	$26.77

SCREW CORT FAZ NAIL 5.0X32.

Facility

$1,010.00

Hospital Charge Code	270661014
Hospital Revenue Code	278
Min. Negotiated Rate	$151.50
Max. Negotiated Rate	$244.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$202.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$244.42
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$222.20
Rate for Payer: Qualcare PPO/HMO/WC	$151.50

SCREW CORT HYB MTP 3.0X14MM

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270694410
Hospital Revenue Code	278
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$151.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$137.50
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

SCREW CORT HYB MTP 3.0X14MM

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270694410
Hospital Revenue Code	278
Min. Negotiated Rate	$15.06
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$237.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$137.50
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Community & State	$15.06
Rate for Payer: Wellpoint Medicaid Managed Care	$16.56

SCREW CORT HYB MTP 3.0X16MM

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270694411
Hospital Revenue Code	278
Min. Negotiated Rate	$15.06
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$237.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$137.50
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Community & State	$15.06
Rate for Payer: Wellpoint Medicaid Managed Care	$16.56

SCREW CORT HYB MTP 3.0X16MM

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270694411
Hospital Revenue Code	278
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$151.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$137.50
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

SCREW CORT HYB MTP 3.0X18MM

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270694412
Hospital Revenue Code	278
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$151.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$137.50
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

SCREW CORT HYB MTP 3.0X18MM

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270694412
Hospital Revenue Code	278
Min. Negotiated Rate	$15.06
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$237.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$137.50
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Community & State	$15.06
Rate for Payer: Wellpoint Medicaid Managed Care	$16.56

SCREW COR TI 5x50 DBL 14405050

Facility

$905.00

Service Code	HCPCS C1713
Hospital Charge Code	270641911
Hospital Revenue Code	278
Min. Negotiated Rate	$135.75
Max. Negotiated Rate	$219.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.01
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$199.10
Rate for Payer: Qualcare PPO/HMO/WC	$135.75

Know your out-of-pocket cost for care.

All Charges