Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 16 MM 1.5

Facility

$1,980.00

Hospital Charge Code	270702799
Hospital Revenue Code	278
Min. Negotiated Rate	$297.00
Max. Negotiated Rate	$479.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$396.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$479.16
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$435.60
Rate for Payer: Qualcare PPO/HMO/WC	$297.00

SCREW 16MM 2.0

Facility

$2,132.00

Service Code	HCPCS C1713
Hospital Charge Code	270692336
Hospital Revenue Code	278
Min. Negotiated Rate	$319.80
Max. Negotiated Rate	$515.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$426.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$515.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$469.04
Rate for Payer: Qualcare PPO/HMO/WC	$319.80

SCREW 16MM 2.0

Facility

$2,132.00

Service Code	HCPCS C1713
Hospital Charge Code	270692336
Hospital Revenue Code	278
Min. Negotiated Rate	$51.38
Max. Negotiated Rate	$1,066.00
Rate for Payer: Aetna Commercial	$810.16
Rate for Payer: Aetna Medicare Advantage	$639.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$543.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$543.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$426.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$543.66
Rate for Payer: Cigna Commercial	$1,066.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$515.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$469.04
Rate for Payer: Qualcare PPO/HMO/WC	$319.80
Rate for Payer: UnitedHealthcare Community & State	$51.38
Rate for Payer: Wellpoint Medicaid Managed Care	$56.50

SCREW 16 MM 2.4 MM LOCKING

Facility

$800.00

Service Code	HCPCS C1713
Hospital Charge Code	270688564
Hospital Revenue Code	278
Min. Negotiated Rate	$19.28
Max. Negotiated Rate	$400.00
Rate for Payer: Aetna Commercial	$304.00
Rate for Payer: Aetna Medicare Advantage	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.00
Rate for Payer: Cigna Commercial	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$176.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00
Rate for Payer: UnitedHealthcare Community & State	$19.28
Rate for Payer: Wellpoint Medicaid Managed Care	$21.20

SCREW 16 MM 2.4 MM LOCKING

Facility

$800.00

Service Code	HCPCS C1713
Hospital Charge Code	270688564
Hospital Revenue Code	278
Min. Negotiated Rate	$120.00
Max. Negotiated Rate	$193.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$176.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00

SCREW 16MM 24MM NON LOCK

Facility

$455.00

Service Code	HCPCS C1713
Hospital Charge Code	270680993
Hospital Revenue Code	278
Min. Negotiated Rate	$10.97
Max. Negotiated Rate	$227.50
Rate for Payer: Aetna Commercial	$172.90
Rate for Payer: Aetna Medicare Advantage	$136.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$116.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$116.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$116.03
Rate for Payer: Cigna Commercial	$227.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.11
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$100.10
Rate for Payer: Qualcare PPO/HMO/WC	$68.25
Rate for Payer: UnitedHealthcare Community & State	$10.97
Rate for Payer: Wellpoint Medicaid Managed Care	$12.06

SCREW 16MM 24MM NON LOCK

Facility

$455.00

Service Code	HCPCS C1713
Hospital Charge Code	270680993
Hospital Revenue Code	278
Min. Negotiated Rate	$68.25
Max. Negotiated Rate	$110.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.11
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$100.10
Rate for Payer: Qualcare PPO/HMO/WC	$68.25

SCREW 16MM FIXED

Facility

$0.01

Service Code	HCPCS C1713
Hospital Charge Code	270689966
Hospital Revenue Code	278
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$0.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$0.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

SCREW 16MM FIXED

Facility

$0.01

Service Code	HCPCS C1713
Hospital Charge Code	270689966
Hospital Revenue Code	278
Max. Negotiated Rate	$0.01
Rate for Payer: Aetna Commercial	$0.00
Rate for Payer: Aetna Medicare Advantage	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.00
Rate for Payer: Cigna Commercial	$0.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$0.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00
Rate for Payer: UnitedHealthcare Community & State	$0.00
Rate for Payer: Wellpoint Medicaid Managed Care	$0.00

SCREW 16MM ST VARIABLE CURE

Facility

$1,827.00

Service Code	HCPCS C1713
Hospital Charge Code	270698844
Hospital Revenue Code	278
Min. Negotiated Rate	$44.03
Max. Negotiated Rate	$913.50
Rate for Payer: Aetna Commercial	$694.26
Rate for Payer: Aetna Medicare Advantage	$548.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$465.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$465.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$365.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$465.88
Rate for Payer: Cigna Commercial	$913.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$442.13
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$401.94
Rate for Payer: Qualcare PPO/HMO/WC	$274.05
Rate for Payer: UnitedHealthcare Community & State	$44.03
Rate for Payer: Wellpoint Medicaid Managed Care	$48.42

SCREW 16MM ST VARIABLE CURE

Facility

$1,827.00

Service Code	HCPCS C1713
Hospital Charge Code	270698844
Hospital Revenue Code	278
Min. Negotiated Rate	$274.05
Max. Negotiated Rate	$442.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$365.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$442.13
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$401.94
Rate for Payer: Qualcare PPO/HMO/WC	$274.05

SCREW 16 MM X 4 MM

Facility

$1,895.00

Service Code	HCPCS C1713
Hospital Charge Code	270691460
Hospital Revenue Code	278
Min. Negotiated Rate	$284.25
Max. Negotiated Rate	$458.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$379.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$458.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$416.90
Rate for Payer: Qualcare PPO/HMO/WC	$284.25

SCREW 16 MM X 4 MM

Facility

$1,895.00

Service Code	HCPCS C1713
Hospital Charge Code	270691460
Hospital Revenue Code	278
Min. Negotiated Rate	$45.67
Max. Negotiated Rate	$947.50
Rate for Payer: Aetna Commercial	$720.10
Rate for Payer: Aetna Medicare Advantage	$568.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$483.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$483.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$379.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$483.23
Rate for Payer: Cigna Commercial	$947.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$458.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$416.90
Rate for Payer: Qualcare PPO/HMO/WC	$284.25
Rate for Payer: UnitedHealthcare Community & State	$45.67
Rate for Payer: Wellpoint Medicaid Managed Care	$50.22

SCREW 18MM 1.5 MM

Facility

$660.00

Hospital Charge Code	270702800
Hospital Revenue Code	278
Min. Negotiated Rate	$15.91
Max. Negotiated Rate	$330.00
Rate for Payer: Aetna Commercial	$250.80
Rate for Payer: Aetna Medicare Advantage	$198.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.30
Rate for Payer: Cigna Commercial	$330.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.72
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.00
Rate for Payer: UnitedHealthcare Community & State	$15.91
Rate for Payer: Wellpoint Medicaid Managed Care	$17.49

SCREW 18MM 1.5 MM

Facility

$660.00

Hospital Charge Code	270702800
Hospital Revenue Code	278
Min. Negotiated Rate	$99.00
Max. Negotiated Rate	$159.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.72
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.00

SCREW 1PERIPH VAL OPTILINK 14M

Facility

$1,569.50

Service Code	HCPCS C1713
Hospital Charge Code	270693772
Hospital Revenue Code	278
Min. Negotiated Rate	$235.43
Max. Negotiated Rate	$379.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$313.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$379.82
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$345.29
Rate for Payer: Qualcare PPO/HMO/WC	$235.43

SCREW 1PERIPH VAL OPTILINK 14M

Facility

$1,569.50

Service Code	HCPCS C1713
Hospital Charge Code	270693772
Hospital Revenue Code	278
Min. Negotiated Rate	$37.82
Max. Negotiated Rate	$784.75
Rate for Payer: Aetna Commercial	$596.41
Rate for Payer: Aetna Medicare Advantage	$470.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$400.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$400.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$313.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$400.22
Rate for Payer: Cigna Commercial	$784.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$379.82
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$345.29
Rate for Payer: Qualcare PPO/HMO/WC	$235.43
Rate for Payer: UnitedHealthcare Community & State	$37.82
Rate for Payer: Wellpoint Medicaid Managed Care	$41.59

SCREW 2.0 CORTEX SELF TAP

Facility

$143.25

Service Code	HCPCS C1713
Hospital Charge Code	270656707
Hospital Revenue Code	278
Min. Negotiated Rate	$3.45
Max. Negotiated Rate	$71.62
Rate for Payer: Aetna Commercial	$54.44
Rate for Payer: Aetna Medicare Advantage	$42.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.53
Rate for Payer: Cigna Commercial	$71.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.52
Rate for Payer: Qualcare PPO/HMO/WC	$21.49
Rate for Payer: UnitedHealthcare Community & State	$3.45
Rate for Payer: Wellpoint Medicaid Managed Care	$3.80

SCREW 2.0 CORTEX SELF TAP

Facility

$143.25

Hospital Charge Code	270656715
Hospital Revenue Code	278
Min. Negotiated Rate	$3.45
Max. Negotiated Rate	$71.62
Rate for Payer: Aetna Commercial	$54.44
Rate for Payer: Aetna Medicare Advantage	$42.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.53
Rate for Payer: Cigna Commercial	$71.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.52
Rate for Payer: Qualcare PPO/HMO/WC	$21.49
Rate for Payer: UnitedHealthcare Community & State	$3.45
Rate for Payer: Wellpoint Medicaid Managed Care	$3.80

SCREW 2.0 CORTEX SELF TAP

Facility

$143.25

Hospital Charge Code	270656715
Hospital Revenue Code	278
Min. Negotiated Rate	$21.49
Max. Negotiated Rate	$34.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.52
Rate for Payer: Qualcare PPO/HMO/WC	$21.49

SCREW 2.0 CORTEX SELF TAP

Facility

$143.25

Service Code	HCPCS C1713
Hospital Charge Code	270656712
Hospital Revenue Code	278
Min. Negotiated Rate	$3.45
Max. Negotiated Rate	$71.62
Rate for Payer: Aetna Commercial	$54.44
Rate for Payer: Aetna Medicare Advantage	$42.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.53
Rate for Payer: Cigna Commercial	$71.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.52
Rate for Payer: Qualcare PPO/HMO/WC	$21.49
Rate for Payer: UnitedHealthcare Community & State	$3.45
Rate for Payer: Wellpoint Medicaid Managed Care	$3.80

SCREW 2.0 CORTEX SELF TAP

Facility

$143.25

Hospital Charge Code	270656713
Hospital Revenue Code	278
Min. Negotiated Rate	$21.49
Max. Negotiated Rate	$34.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.52
Rate for Payer: Qualcare PPO/HMO/WC	$21.49

SCREW 2.0 CORTEX SELF TAP

Facility

$143.25

Hospital Charge Code	270656714
Hospital Revenue Code	278
Min. Negotiated Rate	$3.45
Max. Negotiated Rate	$71.62
Rate for Payer: Aetna Commercial	$54.44
Rate for Payer: Aetna Medicare Advantage	$42.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.53
Rate for Payer: Cigna Commercial	$71.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.52
Rate for Payer: Qualcare PPO/HMO/WC	$21.49
Rate for Payer: UnitedHealthcare Community & State	$3.45
Rate for Payer: Wellpoint Medicaid Managed Care	$3.80

SCREW 2.0 CORTEX SELF TAP

Facility

$143.25

Hospital Charge Code	270656716
Hospital Revenue Code	278
Min. Negotiated Rate	$21.49
Max. Negotiated Rate	$34.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.52
Rate for Payer: Qualcare PPO/HMO/WC	$21.49

SCREW 2.0 CORTEX SELF TAP

Facility

$143.25

Service Code	HCPCS C1713
Hospital Charge Code	270656712
Hospital Revenue Code	278
Min. Negotiated Rate	$21.49
Max. Negotiated Rate	$34.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.52
Rate for Payer: Qualcare PPO/HMO/WC	$21.49

Know your out-of-pocket cost for care.

All Charges