Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW

Facility

$117.80

Hospital Charge Code	270657081
Hospital Revenue Code	278
Min. Negotiated Rate	$17.67
Max. Negotiated Rate	$28.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.51
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$25.92
Rate for Payer: Qualcare PPO/HMO/WC	$17.67

SCREW

Facility

$117.80

Hospital Charge Code	270657080
Hospital Revenue Code	278
Min. Negotiated Rate	$2.84
Max. Negotiated Rate	$58.90
Rate for Payer: Aetna Commercial	$44.76
Rate for Payer: Aetna Medicare Advantage	$35.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.04
Rate for Payer: Cigna Commercial	$58.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.51
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$25.92
Rate for Payer: Qualcare PPO/HMO/WC	$17.67
Rate for Payer: UnitedHealthcare Community & State	$2.84
Rate for Payer: Wellpoint Medicaid Managed Care	$3.12

SCREW

Facility

$450.00

Hospital Charge Code	270703022
Hospital Revenue Code	270
Min. Negotiated Rate	$10.85
Max. Negotiated Rate	$225.00
Rate for Payer: Aetna Commercial	$171.00
Rate for Payer: Aetna Medicare Advantage	$135.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.75
Rate for Payer: Cigna Commercial	$225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.00
Rate for Payer: Oxford Commercial	$90.00
Rate for Payer: Qualcare PPO/HMO/WC	$67.50
Rate for Payer: UnitedHealthcare Commercial	$90.00
Rate for Payer: UnitedHealthcare Community & State	$10.85
Rate for Payer: Wellpoint Medicaid Managed Care	$11.93

SCREW

Facility

$450.00

Hospital Charge Code	270703022
Hospital Revenue Code	270
Min. Negotiated Rate	$67.50
Max. Negotiated Rate	$67.50
Rate for Payer: Qualcare PPO/HMO/WC	$67.50

SCREW

Facility

$515.00

Hospital Charge Code	270660700
Hospital Revenue Code	278
Min. Negotiated Rate	$77.25
Max. Negotiated Rate	$124.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$124.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$113.30
Rate for Payer: Qualcare PPO/HMO/WC	$77.25

SCREW

Facility

$515.00

Service Code	HCPCS C1713
Hospital Charge Code	270660699
Hospital Revenue Code	278
Min. Negotiated Rate	$12.41
Max. Negotiated Rate	$257.50
Rate for Payer: Aetna Commercial	$195.70
Rate for Payer: Aetna Medicare Advantage	$154.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$131.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$131.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$131.32
Rate for Payer: Cigna Commercial	$257.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$124.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$113.30
Rate for Payer: Qualcare PPO/HMO/WC	$77.25
Rate for Payer: UnitedHealthcare Community & State	$12.41
Rate for Payer: Wellpoint Medicaid Managed Care	$13.65

SCREW

Facility

$117.80

Hospital Charge Code	270657083
Hospital Revenue Code	278
Min. Negotiated Rate	$2.84
Max. Negotiated Rate	$58.90
Rate for Payer: Aetna Commercial	$44.76
Rate for Payer: Aetna Medicare Advantage	$35.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.04
Rate for Payer: Cigna Commercial	$58.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.51
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$25.92
Rate for Payer: Qualcare PPO/HMO/WC	$17.67
Rate for Payer: UnitedHealthcare Community & State	$2.84
Rate for Payer: Wellpoint Medicaid Managed Care	$3.12

SCREW

Facility

$117.80

Hospital Charge Code	270657080
Hospital Revenue Code	278
Min. Negotiated Rate	$17.67
Max. Negotiated Rate	$28.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.51
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$25.92
Rate for Payer: Qualcare PPO/HMO/WC	$17.67

SCREW

Facility

$352.50

Hospital Charge Code	270659681
Hospital Revenue Code	278
Min. Negotiated Rate	$8.50
Max. Negotiated Rate	$176.25
Rate for Payer: Aetna Commercial	$133.95
Rate for Payer: Aetna Medicare Advantage	$105.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$70.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.89
Rate for Payer: Cigna Commercial	$176.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$77.55
Rate for Payer: Qualcare PPO/HMO/WC	$52.88
Rate for Payer: UnitedHealthcare Community & State	$8.50
Rate for Payer: Wellpoint Medicaid Managed Care	$9.34

SCREW

Facility

$396.00

Hospital Charge Code	270339475
Hospital Revenue Code	278
Min. Negotiated Rate	$9.54
Max. Negotiated Rate	$198.00
Rate for Payer: Aetna Commercial	$150.48
Rate for Payer: Aetna Medicare Advantage	$118.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$79.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100.98
Rate for Payer: Cigna Commercial	$198.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$95.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$87.12
Rate for Payer: Qualcare PPO/HMO/WC	$59.40
Rate for Payer: UnitedHealthcare Community & State	$9.54
Rate for Payer: Wellpoint Medicaid Managed Care	$10.49

SCREW

Facility

$117.80

Hospital Charge Code	270657081
Hospital Revenue Code	278
Min. Negotiated Rate	$2.84
Max. Negotiated Rate	$58.90
Rate for Payer: Aetna Commercial	$44.76
Rate for Payer: Aetna Medicare Advantage	$35.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.04
Rate for Payer: Cigna Commercial	$58.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.51
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$25.92
Rate for Payer: Qualcare PPO/HMO/WC	$17.67
Rate for Payer: UnitedHealthcare Community & State	$2.84
Rate for Payer: Wellpoint Medicaid Managed Care	$3.12

SCREW

Facility

$7,678.35

Service Code	HCPCS C1713
Hospital Charge Code	270685047
Hospital Revenue Code	278
Min. Negotiated Rate	$1,151.75
Max. Negotiated Rate	$1,858.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,535.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,858.16
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,689.24
Rate for Payer: Qualcare PPO/HMO/WC	$1,151.75

SCREW

Facility

$515.00

Hospital Charge Code	270660700
Hospital Revenue Code	278
Min. Negotiated Rate	$12.41
Max. Negotiated Rate	$257.50
Rate for Payer: Aetna Commercial	$195.70
Rate for Payer: Aetna Medicare Advantage	$154.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$131.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$131.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$131.32
Rate for Payer: Cigna Commercial	$257.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$124.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$113.30
Rate for Payer: Qualcare PPO/HMO/WC	$77.25
Rate for Payer: UnitedHealthcare Community & State	$12.41
Rate for Payer: Wellpoint Medicaid Managed Care	$13.65

SCREW

Facility

$655.20

Hospital Charge Code	270339473
Hospital Revenue Code	278
Min. Negotiated Rate	$98.28
Max. Negotiated Rate	$158.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$131.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$158.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$144.14
Rate for Payer: Qualcare PPO/HMO/WC	$98.28

SCREW

Facility

$515.00

Service Code	HCPCS C1713
Hospital Charge Code	270660699
Hospital Revenue Code	278
Min. Negotiated Rate	$77.25
Max. Negotiated Rate	$124.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$124.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$113.30
Rate for Payer: Qualcare PPO/HMO/WC	$77.25

SCREW

Facility

$352.50

Hospital Charge Code	270659681
Hospital Revenue Code	278
Min. Negotiated Rate	$52.88
Max. Negotiated Rate	$85.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$70.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$77.55
Rate for Payer: Qualcare PPO/HMO/WC	$52.88

SCREW

Facility

$117.80

Hospital Charge Code	270657083
Hospital Revenue Code	278
Min. Negotiated Rate	$17.67
Max. Negotiated Rate	$28.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.51
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$25.92
Rate for Payer: Qualcare PPO/HMO/WC	$17.67

SCREW

Facility

$396.00

Hospital Charge Code	270339475
Hospital Revenue Code	278
Min. Negotiated Rate	$59.40
Max. Negotiated Rate	$95.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$79.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$95.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$87.12
Rate for Payer: Qualcare PPO/HMO/WC	$59.40

SCREW

Facility

$655.20

Hospital Charge Code	270339473
Hospital Revenue Code	278
Min. Negotiated Rate	$15.79
Max. Negotiated Rate	$327.60
Rate for Payer: Aetna Commercial	$248.98
Rate for Payer: Aetna Medicare Advantage	$196.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$167.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$167.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$131.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$167.08
Rate for Payer: Cigna Commercial	$327.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$158.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$144.14
Rate for Payer: Qualcare PPO/HMO/WC	$98.28
Rate for Payer: UnitedHealthcare Community & State	$15.79
Rate for Payer: Wellpoint Medicaid Managed Care	$17.36

SCREW 10MM X 20 MM BC VENTED

Facility

$1,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270688544
Hospital Revenue Code	278
Min. Negotiated Rate	$221.25
Max. Negotiated Rate	$356.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$295.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$324.50
Rate for Payer: Qualcare PPO/HMO/WC	$221.25

SCREW 10MM X 20 MM BC VENTED

Facility

$1,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270688544
Hospital Revenue Code	278
Min. Negotiated Rate	$35.55
Max. Negotiated Rate	$737.50
Rate for Payer: Aetna Commercial	$560.50
Rate for Payer: Aetna Medicare Advantage	$442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$295.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$376.12
Rate for Payer: Cigna Commercial	$737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$324.50
Rate for Payer: Qualcare PPO/HMO/WC	$221.25
Rate for Payer: UnitedHealthcare Community & State	$35.55
Rate for Payer: Wellpoint Medicaid Managed Care	$39.09

SCREW 10X40MM

Facility

$9,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270705841
Hospital Revenue Code	278
Min. Negotiated Rate	$1,350.00
Max. Negotiated Rate	$2,178.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,178.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,980.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,350.00

SCREW 10X40MM

Facility

$9,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270705841
Hospital Revenue Code	278
Min. Negotiated Rate	$216.90
Max. Negotiated Rate	$4,500.00
Rate for Payer: Aetna Commercial	$3,420.00
Rate for Payer: Aetna Medicare Advantage	$2,700.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,295.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,295.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,295.00
Rate for Payer: Cigna Commercial	$4,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,178.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,980.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,350.00
Rate for Payer: UnitedHealthcare Community & State	$216.90
Rate for Payer: Wellpoint Medicaid Managed Care	$238.50

SCREW 10X45MM

Facility

$9,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270705840
Hospital Revenue Code	278
Min. Negotiated Rate	$216.90
Max. Negotiated Rate	$4,500.00
Rate for Payer: Aetna Commercial	$3,420.00
Rate for Payer: Aetna Medicare Advantage	$2,700.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,295.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,295.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,295.00
Rate for Payer: Cigna Commercial	$4,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,178.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,980.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,350.00
Rate for Payer: UnitedHealthcare Community & State	$216.90
Rate for Payer: Wellpoint Medicaid Managed Care	$238.50

SCREW 10X45MM

Facility

$9,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270705840
Hospital Revenue Code	278
Min. Negotiated Rate	$1,350.00
Max. Negotiated Rate	$2,178.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,178.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,980.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,350.00

Know your out-of-pocket cost for care.

All Charges