Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

HEAD LEFT 24 MM TR

Facility

$17,775.00

Service Code	HCPCS C1776
Hospital Charge Code	270682763
Hospital Revenue Code	278
Min. Negotiated Rate	$2,666.25
Max. Negotiated Rate	$4,301.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,555.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,301.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,910.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,666.25

HEADLESS BIPOLAR 32 MM

Facility

$8,286.00

Service Code	HCPCS C1776
Hospital Charge Code	270689637
Hospital Revenue Code	278
Min. Negotiated Rate	$1,242.90
Max. Negotiated Rate	$2,005.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,657.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,005.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,822.92
Rate for Payer: Qualcare PPO/HMO/WC	$1,242.90

HEADLESS BIPOLAR 32 MM

Facility

$8,286.00

Service Code	HCPCS C1776
Hospital Charge Code	270689637
Hospital Revenue Code	278
Min. Negotiated Rate	$199.69
Max. Negotiated Rate	$4,143.00
Rate for Payer: Aetna Commercial	$3,148.68
Rate for Payer: Aetna Medicare Advantage	$2,485.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,112.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,112.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,657.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,112.93
Rate for Payer: Cigna Commercial	$4,143.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,005.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,822.92
Rate for Payer: Qualcare PPO/HMO/WC	$1,242.90
Rate for Payer: UnitedHealthcare Community & State	$199.69
Rate for Payer: Wellpoint Medicaid Managed Care	$219.58

HEADLESS COMPRES SCRW 4.3X46MM

Facility

$1,931.25

Service Code	HCPCS C1713
Hospital Charge Code	270702071
Hospital Revenue Code	278
Min. Negotiated Rate	$289.69
Max. Negotiated Rate	$467.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$386.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$467.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$424.88
Rate for Payer: Qualcare PPO/HMO/WC	$289.69

HEADLESS COMPRES SCRW 4.3X46MM

Facility

$1,931.25

Service Code	HCPCS C1713
Hospital Charge Code	270702071
Hospital Revenue Code	278
Min. Negotiated Rate	$46.54
Max. Negotiated Rate	$965.62
Rate for Payer: Aetna Commercial	$733.88
Rate for Payer: Aetna Medicare Advantage	$579.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$492.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$492.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$386.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$492.47
Rate for Payer: Cigna Commercial	$965.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$467.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$424.88
Rate for Payer: Qualcare PPO/HMO/WC	$289.69
Rate for Payer: UnitedHealthcare Community & State	$46.54
Rate for Payer: Wellpoint Medicaid Managed Care	$51.18

HEADLESS COMPRESS SRW 6.5X85MM

Facility

$2,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270686472
Hospital Revenue Code	278
Min. Negotiated Rate	$69.29
Max. Negotiated Rate	$1,437.50
Rate for Payer: Aetna Commercial	$1,092.50
Rate for Payer: Aetna Medicare Advantage	$862.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$733.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$733.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$575.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$733.12
Rate for Payer: Cigna Commercial	$1,437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$695.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$632.50
Rate for Payer: Qualcare PPO/HMO/WC	$431.25
Rate for Payer: UnitedHealthcare Community & State	$69.29
Rate for Payer: Wellpoint Medicaid Managed Care	$76.19

HEADLESS COMPRESS SRW 6.5X85MM

Facility

$2,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270686472
Hospital Revenue Code	278
Min. Negotiated Rate	$431.25
Max. Negotiated Rate	$695.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$575.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$695.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$632.50
Rate for Payer: Qualcare PPO/HMO/WC	$431.25

HEADLESS COMPR SCREW 4.0MMXL32

Facility

$2,135.00

Service Code	HCPCS C1713
Hospital Charge Code	270700426
Hospital Revenue Code	278
Min. Negotiated Rate	$320.25
Max. Negotiated Rate	$516.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$427.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$516.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$469.70
Rate for Payer: Qualcare PPO/HMO/WC	$320.25

HEADLESS COMPR SCREW 4.0MMXL32

Facility

$2,135.00

Service Code	HCPCS C1713
Hospital Charge Code	270700426
Hospital Revenue Code	278
Min. Negotiated Rate	$51.45
Max. Negotiated Rate	$1,067.50
Rate for Payer: Aetna Commercial	$811.30
Rate for Payer: Aetna Medicare Advantage	$640.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$544.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$544.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$427.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$544.42
Rate for Payer: Cigna Commercial	$1,067.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$516.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$469.70
Rate for Payer: Qualcare PPO/HMO/WC	$320.25
Rate for Payer: UnitedHealthcare Community & State	$51.45
Rate for Payer: Wellpoint Medicaid Managed Care	$56.58

HEADLESS COMPR SCREW 4.0MMXL42

Facility

$2,135.00

Service Code	HCPCS C1713
Hospital Charge Code	270700427
Hospital Revenue Code	278
Min. Negotiated Rate	$320.25
Max. Negotiated Rate	$516.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$427.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$516.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$469.70
Rate for Payer: Qualcare PPO/HMO/WC	$320.25

HEADLESS COMPR SCREW 4.0MMXL42

Facility

$2,135.00

Service Code	HCPCS C1713
Hospital Charge Code	270700427
Hospital Revenue Code	278
Min. Negotiated Rate	$51.45
Max. Negotiated Rate	$1,067.50
Rate for Payer: Aetna Commercial	$811.30
Rate for Payer: Aetna Medicare Advantage	$640.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$544.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$544.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$427.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$544.42
Rate for Payer: Cigna Commercial	$1,067.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$516.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$469.70
Rate for Payer: Qualcare PPO/HMO/WC	$320.25
Rate for Payer: UnitedHealthcare Community & State	$51.45
Rate for Payer: Wellpoint Medicaid Managed Care	$56.58

HEADLESS COMP SCREW 4.3 X 28MM

Facility

$1,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270688011
Hospital Revenue Code	278
Min. Negotiated Rate	$45.19
Max. Negotiated Rate	$937.50
Rate for Payer: Aetna Commercial	$712.50
Rate for Payer: Aetna Medicare Advantage	$562.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$478.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$478.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$478.12
Rate for Payer: Cigna Commercial	$937.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$453.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$412.50
Rate for Payer: Qualcare PPO/HMO/WC	$281.25
Rate for Payer: UnitedHealthcare Community & State	$45.19
Rate for Payer: Wellpoint Medicaid Managed Care	$49.69

HEADLESS COMP SCREW 4.3 X 28MM

Facility

$1,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270688011
Hospital Revenue Code	278
Min. Negotiated Rate	$281.25
Max. Negotiated Rate	$453.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$453.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$412.50
Rate for Payer: Qualcare PPO/HMO/WC	$281.25

HEADLESS COUNTERSINK 3.0

Facility

$375.00

Hospital Charge Code	270677436
Hospital Revenue Code	272
Min. Negotiated Rate	$9.04
Max. Negotiated Rate	$187.50
Rate for Payer: Aetna Commercial	$142.50
Rate for Payer: Aetna Medicare Advantage	$112.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.62
Rate for Payer: Cigna Commercial	$187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$112.50
Rate for Payer: Oxford Commercial	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$56.25
Rate for Payer: UnitedHealthcare Commercial	$75.00
Rate for Payer: UnitedHealthcare Community & State	$9.04
Rate for Payer: Wellpoint Medicaid Managed Care	$9.94

HEADLESS COUNTERSINK 3.0

Facility

$375.00

Hospital Charge Code	270677436
Hospital Revenue Code	272
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$56.25
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

HEADLESS COUNTSINK 5.5 MM

Facility

$1,975.00

Hospital Charge Code	270690333
Hospital Revenue Code	272
Min. Negotiated Rate	$296.25
Max. Negotiated Rate	$296.25
Rate for Payer: Qualcare PPO/HMO/WC	$296.25

HEADLESS COUNTSINK 5.5 MM

Facility

$1,975.00

Hospital Charge Code	270690333
Hospital Revenue Code	272
Min. Negotiated Rate	$47.60
Max. Negotiated Rate	$987.50
Rate for Payer: Aetna Commercial	$750.50
Rate for Payer: Aetna Medicare Advantage	$592.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$503.62
Rate for Payer: Cigna Commercial	$987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$592.50
Rate for Payer: Oxford Commercial	$395.00
Rate for Payer: Qualcare PPO/HMO/WC	$296.25
Rate for Payer: UnitedHealthcare Commercial	$395.00
Rate for Payer: UnitedHealthcare Community & State	$47.60
Rate for Payer: Wellpoint Medicaid Managed Care	$52.34

HEADLESS SCREW 2.5X18MM

Facility

$1,140.00

Hospital Charge Code	270702744
Hospital Revenue Code	278
Min. Negotiated Rate	$171.00
Max. Negotiated Rate	$275.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$228.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.88
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$250.80
Rate for Payer: Qualcare PPO/HMO/WC	$171.00

HEADLESS SCREW 2.5X18MM

Facility

$1,140.00

Hospital Charge Code	270702744
Hospital Revenue Code	278
Min. Negotiated Rate	$27.47
Max. Negotiated Rate	$570.00
Rate for Payer: Aetna Commercial	$433.20
Rate for Payer: Aetna Medicare Advantage	$342.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$290.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$290.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$228.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$290.70
Rate for Payer: Cigna Commercial	$570.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.88
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$250.80
Rate for Payer: Qualcare PPO/HMO/WC	$171.00
Rate for Payer: UnitedHealthcare Community & State	$27.47
Rate for Payer: Wellpoint Medicaid Managed Care	$30.21

HEADLESS SCREW 2.5X22MM

Facility

$1,140.00

Hospital Charge Code	270702745
Hospital Revenue Code	278
Min. Negotiated Rate	$27.47
Max. Negotiated Rate	$570.00
Rate for Payer: Aetna Commercial	$433.20
Rate for Payer: Aetna Medicare Advantage	$342.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$290.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$290.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$228.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$290.70
Rate for Payer: Cigna Commercial	$570.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.88
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$250.80
Rate for Payer: Qualcare PPO/HMO/WC	$171.00
Rate for Payer: UnitedHealthcare Community & State	$27.47
Rate for Payer: Wellpoint Medicaid Managed Care	$30.21

HEADLESS SCREW 2.5X22MM

Facility

$1,140.00

Hospital Charge Code	270702745
Hospital Revenue Code	278
Min. Negotiated Rate	$171.00
Max. Negotiated Rate	$275.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$228.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.88
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$250.80
Rate for Payer: Qualcare PPO/HMO/WC	$171.00

HEADLESSSCREW 4X34MM

Facility

$1,802.50

Service Code	HCPCS C1713
Hospital Charge Code	270702065
Hospital Revenue Code	278
Min. Negotiated Rate	$43.44
Max. Negotiated Rate	$901.25
Rate for Payer: Aetna Commercial	$684.95
Rate for Payer: Aetna Medicare Advantage	$540.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$459.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$459.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$360.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$459.64
Rate for Payer: Cigna Commercial	$901.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$436.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$396.55
Rate for Payer: Qualcare PPO/HMO/WC	$270.38
Rate for Payer: UnitedHealthcare Community & State	$43.44
Rate for Payer: Wellpoint Medicaid Managed Care	$47.77

HEADLESSSCREW 4X34MM

Facility

$1,802.50

Service Code	HCPCS C1713
Hospital Charge Code	270702065
Hospital Revenue Code	278
Min. Negotiated Rate	$270.38
Max. Negotiated Rate	$436.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$360.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$436.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$396.55
Rate for Payer: Qualcare PPO/HMO/WC	$270.38

HEADLESS SCREW CAN 4.3 X 42 MM

Facility

$1,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270682611
Hospital Revenue Code	278
Min. Negotiated Rate	$45.19
Max. Negotiated Rate	$937.50
Rate for Payer: Aetna Commercial	$712.50
Rate for Payer: Aetna Medicare Advantage	$562.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$478.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$478.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$478.12
Rate for Payer: Cigna Commercial	$937.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$453.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$412.50
Rate for Payer: Qualcare PPO/HMO/WC	$281.25
Rate for Payer: UnitedHealthcare Community & State	$45.19
Rate for Payer: Wellpoint Medicaid Managed Care	$49.69

HEADLESS SCREW CAN 4.3 X 42 MM

Facility

$1,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270682611
Hospital Revenue Code	278
Min. Negotiated Rate	$281.25
Max. Negotiated Rate	$453.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$453.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$412.50
Rate for Payer: Qualcare PPO/HMO/WC	$281.25

Know your out-of-pocket cost for care.

All Charges