Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

2.7 LOKCING 22MM

Facility

$518.75

Hospital Charge Code	270656866
Hospital Revenue Code	278
Min. Negotiated Rate	$12.50
Max. Negotiated Rate	$259.38
Rate for Payer: Aetna Commercial	$197.12
Rate for Payer: Aetna Medicare Advantage	$155.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.28
Rate for Payer: Cigna Commercial	$259.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$114.12
Rate for Payer: Qualcare PPO/HMO/WC	$77.81
Rate for Payer: UnitedHealthcare Community & State	$12.50
Rate for Payer: Wellpoint Medicaid Managed Care	$13.75

2.7MM 12MM SCREW

Facility

$190.15

Hospital Charge Code	270604187
Hospital Revenue Code	278
Min. Negotiated Rate	$4.58
Max. Negotiated Rate	$95.08
Rate for Payer: Aetna Commercial	$72.26
Rate for Payer: Aetna Medicare Advantage	$57.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.49
Rate for Payer: Cigna Commercial	$95.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$41.83
Rate for Payer: Qualcare PPO/HMO/WC	$28.52
Rate for Payer: UnitedHealthcare Community & State	$4.58
Rate for Payer: Wellpoint Medicaid Managed Care	$5.04

2.7MM 12MM SCREW

Facility

$190.15

Hospital Charge Code	270604187
Hospital Revenue Code	278
Min. Negotiated Rate	$28.52
Max. Negotiated Rate	$46.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$41.83
Rate for Payer: Qualcare PPO/HMO/WC	$28.52

2.7MM CALIB DRILL BIT

Facility

$495.00

Hospital Charge Code	270658916
Hospital Revenue Code	272
Min. Negotiated Rate	$74.25
Max. Negotiated Rate	$74.25
Rate for Payer: Qualcare PPO/HMO/WC	$74.25

2.7MM CALIB DRILL BIT

Facility

$495.00

Hospital Charge Code	270648303
Hospital Revenue Code	272
Min. Negotiated Rate	$11.93
Max. Negotiated Rate	$247.50
Rate for Payer: Aetna Commercial	$188.10
Rate for Payer: Aetna Medicare Advantage	$148.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.22
Rate for Payer: Cigna Commercial	$247.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.50
Rate for Payer: Oxford Commercial	$99.00
Rate for Payer: Qualcare PPO/HMO/WC	$74.25
Rate for Payer: UnitedHealthcare Commercial	$99.00
Rate for Payer: UnitedHealthcare Community & State	$11.93
Rate for Payer: Wellpoint Medicaid Managed Care	$13.12

2.7MM CALIB DRILL BIT

Facility

$495.00

Hospital Charge Code	270648303
Hospital Revenue Code	272
Min. Negotiated Rate	$74.25
Max. Negotiated Rate	$74.25
Rate for Payer: Qualcare PPO/HMO/WC	$74.25

2.7MM CALIB DRILL BIT

Facility

$495.00

Hospital Charge Code	270658916
Hospital Revenue Code	272
Min. Negotiated Rate	$11.93
Max. Negotiated Rate	$247.50
Rate for Payer: Aetna Commercial	$188.10
Rate for Payer: Aetna Medicare Advantage	$148.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.22
Rate for Payer: Cigna Commercial	$247.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.50
Rate for Payer: Oxford Commercial	$99.00
Rate for Payer: Qualcare PPO/HMO/WC	$74.25
Rate for Payer: UnitedHealthcare Commercial	$99.00
Rate for Payer: UnitedHealthcare Community & State	$11.93
Rate for Payer: Wellpoint Medicaid Managed Care	$13.12

2.7MM CORTEX SCREW L30MM

Facility

$585.00

Service Code	HCPCS C1713
Hospital Charge Code	270704201
Hospital Revenue Code	278
Min. Negotiated Rate	$14.10
Max. Negotiated Rate	$292.50
Rate for Payer: Aetna Commercial	$222.30
Rate for Payer: Aetna Medicare Advantage	$175.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$149.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$149.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$149.18
Rate for Payer: Cigna Commercial	$292.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$128.70
Rate for Payer: Qualcare PPO/HMO/WC	$87.75
Rate for Payer: UnitedHealthcare Community & State	$14.10
Rate for Payer: Wellpoint Medicaid Managed Care	$15.50

2.7MM CORTEX SCREW L30MM

Facility

$585.00

Service Code	HCPCS C1713
Hospital Charge Code	270704201
Hospital Revenue Code	278
Min. Negotiated Rate	$87.75
Max. Negotiated Rate	$141.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$117.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$128.70
Rate for Payer: Qualcare PPO/HMO/WC	$87.75

2.7MM CORTICAL SCREW 16MM LONG

Facility

$1,065.00

Service Code	HCPCS C1713
Hospital Charge Code	270676507
Hospital Revenue Code	278
Min. Negotiated Rate	$159.75
Max. Negotiated Rate	$257.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$213.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$257.73
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$234.30
Rate for Payer: Qualcare PPO/HMO/WC	$159.75

2.7MM CORTICAL SCREW 16MM LONG

Facility

$1,065.00

Service Code	HCPCS C1713
Hospital Charge Code	270676507
Hospital Revenue Code	278
Min. Negotiated Rate	$25.67
Max. Negotiated Rate	$532.50
Rate for Payer: Aetna Commercial	$404.70
Rate for Payer: Aetna Medicare Advantage	$319.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$271.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$271.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$213.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$271.57
Rate for Payer: Cigna Commercial	$532.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$257.73
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$234.30
Rate for Payer: Qualcare PPO/HMO/WC	$159.75
Rate for Payer: UnitedHealthcare Community & State	$25.67
Rate for Payer: Wellpoint Medicaid Managed Care	$28.22

2.7MM LOCKING SCREW 16MM

Facility

$558.00

Hospital Charge Code	270665471
Hospital Revenue Code	278
Min. Negotiated Rate	$13.45
Max. Negotiated Rate	$279.00
Rate for Payer: Aetna Commercial	$212.04
Rate for Payer: Aetna Medicare Advantage	$167.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$142.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$142.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$111.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$142.29
Rate for Payer: Cigna Commercial	$279.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$122.76
Rate for Payer: Qualcare PPO/HMO/WC	$83.70
Rate for Payer: UnitedHealthcare Community & State	$13.45
Rate for Payer: Wellpoint Medicaid Managed Care	$14.79

2.7MM LOCKING SCREW 16MM

Facility

$558.00

Hospital Charge Code	270665471
Hospital Revenue Code	278
Min. Negotiated Rate	$83.70
Max. Negotiated Rate	$135.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$111.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$122.76
Rate for Payer: Qualcare PPO/HMO/WC	$83.70

2.7MM LOCKING SCREW 18MM

Facility

$558.00

Service Code	HCPCS C1713
Hospital Charge Code	270665472
Hospital Revenue Code	278
Min. Negotiated Rate	$13.45
Max. Negotiated Rate	$279.00
Rate for Payer: Aetna Commercial	$212.04
Rate for Payer: Aetna Medicare Advantage	$167.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$142.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$142.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$111.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$142.29
Rate for Payer: Cigna Commercial	$279.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$122.76
Rate for Payer: Qualcare PPO/HMO/WC	$83.70
Rate for Payer: UnitedHealthcare Community & State	$13.45
Rate for Payer: Wellpoint Medicaid Managed Care	$14.79

2.7MM LOCKING SCREW 18MM

Facility

$558.00

Service Code	HCPCS C1713
Hospital Charge Code	270665472
Hospital Revenue Code	278
Min. Negotiated Rate	$83.70
Max. Negotiated Rate	$135.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$111.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$122.76
Rate for Payer: Qualcare PPO/HMO/WC	$83.70

2.7MM LOCKING SCREW 20MM

Facility

$558.00

Hospital Charge Code	270665473
Hospital Revenue Code	278
Min. Negotiated Rate	$13.45
Max. Negotiated Rate	$279.00
Rate for Payer: Aetna Commercial	$212.04
Rate for Payer: Aetna Medicare Advantage	$167.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$142.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$142.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$111.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$142.29
Rate for Payer: Cigna Commercial	$279.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$122.76
Rate for Payer: Qualcare PPO/HMO/WC	$83.70
Rate for Payer: UnitedHealthcare Community & State	$13.45
Rate for Payer: Wellpoint Medicaid Managed Care	$14.79

2.7MM LOCKING SCREW 20MM

Facility

$558.00

Hospital Charge Code	270665473
Hospital Revenue Code	278
Min. Negotiated Rate	$83.70
Max. Negotiated Rate	$135.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$111.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$122.76
Rate for Payer: Qualcare PPO/HMO/WC	$83.70

2.7MM LOCKING SCREW L16MM

Facility

$1,465.00

Service Code	HCPCS C1713
Hospital Charge Code	270704200
Hospital Revenue Code	278
Min. Negotiated Rate	$35.31
Max. Negotiated Rate	$732.50
Rate for Payer: Aetna Commercial	$556.70
Rate for Payer: Aetna Medicare Advantage	$439.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$373.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$373.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$293.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$373.57
Rate for Payer: Cigna Commercial	$732.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$354.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$322.30
Rate for Payer: Qualcare PPO/HMO/WC	$219.75
Rate for Payer: UnitedHealthcare Community & State	$35.31
Rate for Payer: Wellpoint Medicaid Managed Care	$38.82

2.7MM LOCKING SCREW L16MM

Facility

$1,465.00

Service Code	HCPCS C1713
Hospital Charge Code	270704200
Hospital Revenue Code	278
Min. Negotiated Rate	$219.75
Max. Negotiated Rate	$354.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$293.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$354.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$322.30
Rate for Payer: Qualcare PPO/HMO/WC	$219.75

2.7MM MEASURING DRILL SLEEVE

Facility

$550.00

Hospital Charge Code	270680676
Hospital Revenue Code	272
Min. Negotiated Rate	$13.26
Max. Negotiated Rate	$275.00
Rate for Payer: Aetna Commercial	$209.00
Rate for Payer: Aetna Medicare Advantage	$165.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$165.00
Rate for Payer: Oxford Commercial	$110.00
Rate for Payer: Qualcare PPO/HMO/WC	$82.50
Rate for Payer: UnitedHealthcare Commercial	$110.00
Rate for Payer: UnitedHealthcare Community & State	$13.26
Rate for Payer: Wellpoint Medicaid Managed Care	$14.57

2.7MM MEASURING DRILL SLEEVE

Facility

$550.00

Hospital Charge Code	270680676
Hospital Revenue Code	272
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$82.50
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

2.7MM VA-LOCKING CALCANEAL PLA

Facility

$4,690.00

Service Code	HCPCS C1713
Hospital Charge Code	270689446
Hospital Revenue Code	278
Min. Negotiated Rate	$113.03
Max. Negotiated Rate	$2,345.00
Rate for Payer: Aetna Commercial	$1,782.20
Rate for Payer: Aetna Medicare Advantage	$1,407.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,195.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,195.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$938.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,195.95
Rate for Payer: Cigna Commercial	$2,345.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,134.98
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,031.80
Rate for Payer: Qualcare PPO/HMO/WC	$703.50
Rate for Payer: UnitedHealthcare Community & State	$113.03
Rate for Payer: Wellpoint Medicaid Managed Care	$124.28

2.7MM VA-LOCKING CALCANEAL PLA

Facility

$4,690.00

Service Code	HCPCS C1713
Hospital Charge Code	270689446
Hospital Revenue Code	278
Min. Negotiated Rate	$703.50
Max. Negotiated Rate	$1,134.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$938.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,134.98
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,031.80
Rate for Payer: Qualcare PPO/HMO/WC	$703.50

2.7MM X 18MM CORTICAL SCREW

Facility

$225.00

Service Code	HCPCS C1713
Hospital Charge Code	270671909
Hospital Revenue Code	278
Min. Negotiated Rate	$5.42
Max. Negotiated Rate	$112.50
Rate for Payer: Aetna Commercial	$85.50
Rate for Payer: Aetna Medicare Advantage	$67.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.38
Rate for Payer: Cigna Commercial	$112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$49.50
Rate for Payer: Qualcare PPO/HMO/WC	$33.75
Rate for Payer: UnitedHealthcare Community & State	$5.42
Rate for Payer: Wellpoint Medicaid Managed Care	$5.96

2.7MM X 18MM CORTICAL SCREW

Facility

$225.00

Service Code	HCPCS C1713
Hospital Charge Code	270671909
Hospital Revenue Code	278
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$54.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$49.50
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

Know your out-of-pocket cost for care.

All Charges