Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CORT NON LOCKNG 3.5x12MM

Facility

$442.00

Service Code	HCPCS C1713
Hospital Charge Code	270661775
Hospital Revenue Code	278
Min. Negotiated Rate	$66.30
Max. Negotiated Rate	$106.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$88.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$106.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$97.24
Rate for Payer: Qualcare PPO/HMO/WC	$66.30

SCREW CORT ORTHOLOC 3.5X38MM

Facility

$535.60

Service Code	HCPCS C1713
Hospital Charge Code	270700375
Hospital Revenue Code	278
Min. Negotiated Rate	$80.34
Max. Negotiated Rate	$129.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$107.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$117.83
Rate for Payer: Qualcare PPO/HMO/WC	$80.34

SCREW CORT ORTHOLOC 3.5X38MM

Facility

$535.60

Service Code	HCPCS C1713
Hospital Charge Code	270700375
Hospital Revenue Code	278
Min. Negotiated Rate	$12.91
Max. Negotiated Rate	$267.80
Rate for Payer: Aetna Commercial	$203.53
Rate for Payer: Aetna Medicare Advantage	$160.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$107.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.58
Rate for Payer: Cigna Commercial	$267.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$117.83
Rate for Payer: Qualcare PPO/HMO/WC	$80.34
Rate for Payer: UnitedHealthcare Community & State	$12.91
Rate for Payer: Wellpoint Medicaid Managed Care	$14.19

SCREW CORT SELFTAP 1.5x10mm

Facility

$152.75

Hospital Charge Code	270656591
Hospital Revenue Code	278
Min. Negotiated Rate	$22.91
Max. Negotiated Rate	$36.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$33.60
Rate for Payer: Qualcare PPO/HMO/WC	$22.91

SCREW CORT SELFTAP 1.5x10mm

Facility

$152.75

Hospital Charge Code	270656591
Hospital Revenue Code	278
Min. Negotiated Rate	$3.68
Max. Negotiated Rate	$76.38
Rate for Payer: Aetna Commercial	$58.05
Rate for Payer: Aetna Medicare Advantage	$45.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.95
Rate for Payer: Cigna Commercial	$76.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$33.60
Rate for Payer: Qualcare PPO/HMO/WC	$22.91
Rate for Payer: UnitedHealthcare Community & State	$3.68
Rate for Payer: Wellpoint Medicaid Managed Care	$4.05

SCREW CORT SELFTAP 1.5x12mm

Facility

$144.00

Hospital Charge Code	270656592
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 CORT SELFTAP 1.5x12mm

Facility

$144.00

Hospital Charge Code	270656592
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 CORT SELFTAP 1.5x14mm

Facility

$144.00

Hospital Charge Code	270656593
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 CORT SELFTAP 1.5x14mm

Facility

$144.00

Hospital Charge Code	270656593
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 CORT SELF/TAP 2.7x16mm

Facility

$136.50

Hospital Charge Code	270671848
Hospital Revenue Code	278
Min. Negotiated Rate	$3.29
Max. Negotiated Rate	$68.25
Rate for Payer: Aetna Commercial	$51.87
Rate for Payer: Aetna Medicare Advantage	$40.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.81
Rate for Payer: Cigna Commercial	$68.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.03
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$30.03
Rate for Payer: Qualcare PPO/HMO/WC	$20.48
Rate for Payer: UnitedHealthcare Community & State	$3.29
Rate for Payer: Wellpoint Medicaid Managed Care	$3.62

SCREW CORT SELF/TAP 2.7x16mm

Facility

$136.50

Hospital Charge Code	270671848
Hospital Revenue Code	278
Min. Negotiated Rate	$20.48
Max. Negotiated Rate	$33.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.03
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$30.03
Rate for Payer: Qualcare PPO/HMO/WC	$20.48

SCREW CORT SELF TAP 2.7x24MM

Facility

$220.00

Service Code	HCPCS C1713
Hospital Charge Code	270672959
Hospital Revenue Code	278
Min. Negotiated Rate	$33.00
Max. Negotiated Rate	$53.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$48.40
Rate for Payer: Qualcare PPO/HMO/WC	$33.00

SCREW CORT SELF TAP 2.7x24MM

Facility

$220.00

Service Code	HCPCS C1713
Hospital Charge Code	270672959
Hospital Revenue Code	278
Min. Negotiated Rate	$5.30
Max. Negotiated Rate	$110.00
Rate for Payer: Aetna Commercial	$83.60
Rate for Payer: Aetna Medicare Advantage	$66.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.10
Rate for Payer: Cigna Commercial	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$48.40
Rate for Payer: Qualcare PPO/HMO/WC	$33.00
Rate for Payer: UnitedHealthcare Community & State	$5.30
Rate for Payer: Wellpoint Medicaid Managed Care	$5.83

SCREW CORT SF TP 4.5/40MM

Facility

$32.64

Hospital Charge Code	270605549
Hospital Revenue Code	279
Min. Negotiated Rate	$0.79
Max. Negotiated Rate	$16.32
Rate for Payer: Aetna Commercial	$12.40
Rate for Payer: Aetna Medicare Advantage	$9.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.32
Rate for Payer: Cigna Commercial	$16.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.79
Rate for Payer: Oxford Commercial	$6.53
Rate for Payer: Qualcare PPO/HMO/WC	$4.90
Rate for Payer: UnitedHealthcare Commercial	$6.53
Rate for Payer: UnitedHealthcare Community & State	$0.79
Rate for Payer: Wellpoint Medicaid Managed Care	$0.86

SCREW CORT SF TP 4.5/40MM

Facility

$32.64

Hospital Charge Code	270605549
Hospital Revenue Code	279
Min. Negotiated Rate	$4.90
Max. Negotiated Rate	$4.90
Rate for Payer: Qualcare PPO/HMO/WC	$4.90

SCREW CORT TI 3.5X46MM

Facility

$252.50

Service Code	HCPCS C1713
Hospital Charge Code	270699451
Hospital Revenue Code	278
Min. Negotiated Rate	$6.09
Max. Negotiated Rate	$126.25
Rate for Payer: Aetna Commercial	$95.95
Rate for Payer: Aetna Medicare Advantage	$75.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$64.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$64.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$64.39
Rate for Payer: Cigna Commercial	$126.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$55.55
Rate for Payer: Qualcare PPO/HMO/WC	$37.88
Rate for Payer: UnitedHealthcare Community & State	$6.09
Rate for Payer: Wellpoint Medicaid Managed Care	$6.69

SCREW CORT TI 3.5X46MM

Facility

$252.50

Service Code	HCPCS C1713
Hospital Charge Code	270699451
Hospital Revenue Code	278
Min. Negotiated Rate	$37.88
Max. Negotiated Rate	$61.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$55.55
Rate for Payer: Qualcare PPO/HMO/WC	$37.88

SCREW CORT TI 4.5x36mm

Facility

$171.00

Hospital Charge Code	270673764
Hospital Revenue Code	278
Min. Negotiated Rate	$25.65
Max. Negotiated Rate	$41.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.38
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$37.62
Rate for Payer: Qualcare PPO/HMO/WC	$25.65

SCREW CORT TI 4.5x36mm

Facility

$171.00

Hospital Charge Code	270673764
Hospital Revenue Code	278
Min. Negotiated Rate	$4.12
Max. Negotiated Rate	$85.50
Rate for Payer: Aetna Commercial	$64.98
Rate for Payer: Aetna Medicare Advantage	$51.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.60
Rate for Payer: Cigna Commercial	$85.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.38
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$37.62
Rate for Payer: Qualcare PPO/HMO/WC	$25.65
Rate for Payer: UnitedHealthcare Community & State	$4.12
Rate for Payer: Wellpoint Medicaid Managed Care	$4.53

SCREW CORT Ti 4.5x40MM 345340

Facility

$730.00

Hospital Charge Code	270642957
Hospital Revenue Code	278
Min. Negotiated Rate	$17.59
Max. Negotiated Rate	$365.00
Rate for Payer: Aetna Commercial	$277.40
Rate for Payer: Aetna Medicare Advantage	$219.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$186.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$186.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$146.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$186.15
Rate for Payer: Cigna Commercial	$365.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$176.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$160.60
Rate for Payer: Qualcare PPO/HMO/WC	$109.50
Rate for Payer: UnitedHealthcare Community & State	$17.59
Rate for Payer: Wellpoint Medicaid Managed Care	$19.34

SCREW CORT Ti 4.5x40MM 345340

Facility

$730.00

Hospital Charge Code	270642957
Hospital Revenue Code	278
Min. Negotiated Rate	$109.50
Max. Negotiated Rate	$176.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$146.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$176.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$160.60
Rate for Payer: Qualcare PPO/HMO/WC	$109.50

SCREW CORT TI 4.5X46MM

Facility

$830.00

Hospital Charge Code	270646398
Hospital Revenue Code	278
Min. Negotiated Rate	$124.50
Max. Negotiated Rate	$200.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$166.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$200.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$182.60
Rate for Payer: Qualcare PPO/HMO/WC	$124.50

SCREW CORT TI 4.5X46MM

Facility

$830.00

Hospital Charge Code	270646398
Hospital Revenue Code	278
Min. Negotiated Rate	$20.00
Max. Negotiated Rate	$415.00
Rate for Payer: Aetna Commercial	$315.40
Rate for Payer: Aetna Medicare Advantage	$249.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$211.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$211.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$166.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$211.65
Rate for Payer: Cigna Commercial	$415.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$200.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$182.60
Rate for Payer: Qualcare PPO/HMO/WC	$124.50
Rate for Payer: UnitedHealthcare Community & State	$20.00
Rate for Payer: Wellpoint Medicaid Managed Care	$22.00

SCREW CORT TI 4.5x65mm

Facility

$171.00

Hospital Charge Code	270673765
Hospital Revenue Code	278
Min. Negotiated Rate	$4.12
Max. Negotiated Rate	$85.50
Rate for Payer: Aetna Commercial	$64.98
Rate for Payer: Aetna Medicare Advantage	$51.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.60
Rate for Payer: Cigna Commercial	$85.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.38
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$37.62
Rate for Payer: Qualcare PPO/HMO/WC	$25.65
Rate for Payer: UnitedHealthcare Community & State	$4.12
Rate for Payer: Wellpoint Medicaid Managed Care	$4.53

SCREW CORT TI 4.5x65mm

Facility

$171.00

Hospital Charge Code	270673765
Hospital Revenue Code	278
Min. Negotiated Rate	$25.65
Max. Negotiated Rate	$41.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.38
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$37.62
Rate for Payer: Qualcare PPO/HMO/WC	$25.65

Know your out-of-pocket cost for care.

All Charges