Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 2.0 X 14MM .5 THREAD

Facility

$1,069.75

Service Code	HCPCS C1713
Hospital Charge Code	270701201
Hospital Revenue Code	278
Min. Negotiated Rate	$160.46
Max. Negotiated Rate	$258.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$213.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$258.88
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$235.34
Rate for Payer: Qualcare PPO/HMO/WC	$160.46

SCREW 2.0x16 LAG CANNULATED

Facility

$800.00

Service Code	HCPCS C1713
Hospital Charge Code	270648358
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 2.0x16 LAG CANNULATED

Facility

$800.00

Service Code	HCPCS C1713
Hospital Charge Code	270648358
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 2.0X38 LAG CANNULATED

Facility

$1,575.00

Hospital Charge Code	270648907
Hospital Revenue Code	278
Min. Negotiated Rate	$37.96
Max. Negotiated Rate	$787.50
Rate for Payer: Aetna Commercial	$598.50
Rate for Payer: Aetna Medicare Advantage	$472.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$401.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$401.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$315.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$401.62
Rate for Payer: Cigna Commercial	$787.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$381.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$346.50
Rate for Payer: Qualcare PPO/HMO/WC	$236.25
Rate for Payer: UnitedHealthcare Community & State	$37.96
Rate for Payer: Wellpoint Medicaid Managed Care	$41.74

SCREW 2.0X38 LAG CANNULATED

Facility

$1,575.00

Hospital Charge Code	270648907
Hospital Revenue Code	278
Min. Negotiated Rate	$236.25
Max. Negotiated Rate	$381.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$315.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$381.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$346.50
Rate for Payer: Qualcare PPO/HMO/WC	$236.25

SCREW 2.0X4MM

Facility

$1,750.00

Hospital Charge Code	270702376
Hospital Revenue Code	278
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$423.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$385.00
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

SCREW 2.0X4MM

Facility

$1,750.00

Hospital Charge Code	270702376
Hospital Revenue Code	278
Min. Negotiated Rate	$42.17
Max. Negotiated Rate	$875.00
Rate for Payer: Aetna Commercial	$665.00
Rate for Payer: Aetna Medicare Advantage	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.25
Rate for Payer: Cigna Commercial	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$385.00
Rate for Payer: Qualcare PPO/HMO/WC	$262.50
Rate for Payer: UnitedHealthcare Community & State	$42.17
Rate for Payer: Wellpoint Medicaid Managed Care	$46.38

SCREW 2.0X6MM

Facility

$1,750.00

Hospital Charge Code	270702377
Hospital Revenue Code	278
Min. Negotiated Rate	$42.17
Max. Negotiated Rate	$875.00
Rate for Payer: Aetna Commercial	$665.00
Rate for Payer: Aetna Medicare Advantage	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.25
Rate for Payer: Cigna Commercial	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$385.00
Rate for Payer: Qualcare PPO/HMO/WC	$262.50
Rate for Payer: UnitedHealthcare Community & State	$42.17
Rate for Payer: Wellpoint Medicaid Managed Care	$46.38

SCREW 2.0X6MM

Facility

$1,750.00

Hospital Charge Code	270702377
Hospital Revenue Code	278
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$423.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$385.00
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

SCREW 2.2 12X3.0X5MM

Facility

$2,796.40

Service Code	HCPCS C1713
Hospital Charge Code	698349
Hospital Revenue Code	278
Min. Negotiated Rate	$419.46
Max. Negotiated Rate	$676.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$559.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$676.73
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$615.21
Rate for Payer: Qualcare PPO/HMO/WC	$419.46

SCREW 2.2 12X3.0X5MM

Facility

$2,796.40

Service Code	HCPCS C1713
Hospital Charge Code	270698349
Hospital Revenue Code	278
Min. Negotiated Rate	$419.46
Max. Negotiated Rate	$676.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$559.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$676.73
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$615.21
Rate for Payer: Qualcare PPO/HMO/WC	$419.46

SCREW 2.2 12X3.0X5MM

Facility

$2,796.40

Service Code	HCPCS C1713
Hospital Charge Code	698349
Hospital Revenue Code	278
Min. Negotiated Rate	$67.39
Max. Negotiated Rate	$1,398.20
Rate for Payer: Aetna Commercial	$1,062.63
Rate for Payer: Aetna Medicare Advantage	$838.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$713.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$713.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$559.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$713.08
Rate for Payer: Cigna Commercial	$1,398.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$676.73
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$615.21
Rate for Payer: Qualcare PPO/HMO/WC	$419.46
Rate for Payer: UnitedHealthcare Community & State	$67.39
Rate for Payer: Wellpoint Medicaid Managed Care	$74.10

SCREW 2.2 12X3.0X5MM

Facility

$2,796.40

Service Code	HCPCS C1713
Hospital Charge Code	270698347
Hospital Revenue Code	278
Min. Negotiated Rate	$67.39
Max. Negotiated Rate	$1,398.20
Rate for Payer: Aetna Commercial	$1,062.63
Rate for Payer: Aetna Medicare Advantage	$838.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$713.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$713.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$559.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$713.08
Rate for Payer: Cigna Commercial	$1,398.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$676.73
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$615.21
Rate for Payer: Qualcare PPO/HMO/WC	$419.46
Rate for Payer: UnitedHealthcare Community & State	$67.39
Rate for Payer: Wellpoint Medicaid Managed Care	$74.10

SCREW 2.2 12X3.0X5MM

Facility

$2,796.40

Service Code	HCPCS C1713
Hospital Charge Code	698347
Hospital Revenue Code	278
Min. Negotiated Rate	$419.46
Max. Negotiated Rate	$676.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$559.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$676.73
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$615.21
Rate for Payer: Qualcare PPO/HMO/WC	$419.46

SCREW 2.2 12X3.0X5MM

Facility

$2,796.40

Service Code	HCPCS C1713
Hospital Charge Code	270698349
Hospital Revenue Code	278
Min. Negotiated Rate	$67.39
Max. Negotiated Rate	$1,398.20
Rate for Payer: Aetna Commercial	$1,062.63
Rate for Payer: Aetna Medicare Advantage	$838.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$713.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$713.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$559.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$713.08
Rate for Payer: Cigna Commercial	$1,398.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$676.73
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$615.21
Rate for Payer: Qualcare PPO/HMO/WC	$419.46
Rate for Payer: UnitedHealthcare Community & State	$67.39
Rate for Payer: Wellpoint Medicaid Managed Care	$74.10

SCREW 2.2 12X3.0X5MM

Facility

$2,796.40

Service Code	HCPCS C1713
Hospital Charge Code	270698347
Hospital Revenue Code	278
Min. Negotiated Rate	$419.46
Max. Negotiated Rate	$676.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$559.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$676.73
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$615.21
Rate for Payer: Qualcare PPO/HMO/WC	$419.46

SCREW 2.2 12X3.0X5MM

Facility

$2,796.40

Service Code	HCPCS C1713
Hospital Charge Code	698347
Hospital Revenue Code	278
Min. Negotiated Rate	$67.39
Max. Negotiated Rate	$1,398.20
Rate for Payer: Aetna Commercial	$1,062.63
Rate for Payer: Aetna Medicare Advantage	$838.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$713.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$713.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$559.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$713.08
Rate for Payer: Cigna Commercial	$1,398.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$676.73
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$615.21
Rate for Payer: Qualcare PPO/HMO/WC	$419.46
Rate for Payer: UnitedHealthcare Community & State	$67.39
Rate for Payer: Wellpoint Medicaid Managed Care	$74.10

SCREW 2.2 14X3.0X5MM

Facility

$2,796.40

Service Code	HCPCS C1713
Hospital Charge Code	270698348
Hospital Revenue Code	278
Min. Negotiated Rate	$419.46
Max. Negotiated Rate	$676.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$559.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$676.73
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$615.21
Rate for Payer: Qualcare PPO/HMO/WC	$419.46

SCREW 2.2 14X3.0X5MM

Facility

$2,796.40

Service Code	HCPCS C1713
Hospital Charge Code	270698348
Hospital Revenue Code	278
Min. Negotiated Rate	$67.39
Max. Negotiated Rate	$1,398.20
Rate for Payer: Aetna Commercial	$1,062.63
Rate for Payer: Aetna Medicare Advantage	$838.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$713.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$713.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$559.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$713.08
Rate for Payer: Cigna Commercial	$1,398.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$676.73
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$615.21
Rate for Payer: Qualcare PPO/HMO/WC	$419.46
Rate for Payer: UnitedHealthcare Community & State	$67.39
Rate for Payer: Wellpoint Medicaid Managed Care	$74.10

SCREW 2.2 14X3.0X5MM

Facility

$2,796.40

Service Code	HCPCS C1713
Hospital Charge Code	698348
Hospital Revenue Code	278
Min. Negotiated Rate	$67.39
Max. Negotiated Rate	$1,398.20
Rate for Payer: Aetna Commercial	$1,062.63
Rate for Payer: Aetna Medicare Advantage	$838.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$713.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$713.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$559.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$713.08
Rate for Payer: Cigna Commercial	$1,398.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$676.73
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$615.21
Rate for Payer: Qualcare PPO/HMO/WC	$419.46
Rate for Payer: UnitedHealthcare Community & State	$67.39
Rate for Payer: Wellpoint Medicaid Managed Care	$74.10

SCREW 2.2 14X3.0X5MM

Facility

$2,796.40

Service Code	HCPCS C1713
Hospital Charge Code	698348
Hospital Revenue Code	278
Min. Negotiated Rate	$419.46
Max. Negotiated Rate	$676.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$559.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$676.73
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$615.21
Rate for Payer: Qualcare PPO/HMO/WC	$419.46

SCREW 22 6.5X100MM CANN CANC

Facility

$1,765.00

Hospital Charge Code	270662005
Hospital Revenue Code	278
Min. Negotiated Rate	$264.75
Max. Negotiated Rate	$427.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$353.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$427.13
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$388.30
Rate for Payer: Qualcare PPO/HMO/WC	$264.75

SCREW 22 6.5X100MM CANN CANC

Facility

$1,765.00

Hospital Charge Code	270662005
Hospital Revenue Code	278
Min. Negotiated Rate	$42.54
Max. Negotiated Rate	$882.50
Rate for Payer: Aetna Commercial	$670.70
Rate for Payer: Aetna Medicare Advantage	$529.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$450.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$450.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$353.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$450.07
Rate for Payer: Cigna Commercial	$882.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$427.13
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$388.30
Rate for Payer: Qualcare PPO/HMO/WC	$264.75
Rate for Payer: UnitedHealthcare Community & State	$42.54
Rate for Payer: Wellpoint Medicaid Managed Care	$46.77

SCREW 2.3 X 12 SOLID

Facility

$465.00

Hospital Charge Code	270652223
Hospital Revenue Code	278
Min. Negotiated Rate	$11.21
Max. Negotiated Rate	$232.50
Rate for Payer: Aetna Commercial	$176.70
Rate for Payer: Aetna Medicare Advantage	$139.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$118.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$118.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$93.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$118.58
Rate for Payer: Cigna Commercial	$232.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$112.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$102.30
Rate for Payer: Qualcare PPO/HMO/WC	$69.75
Rate for Payer: UnitedHealthcare Community & State	$11.21
Rate for Payer: Wellpoint Medicaid Managed Care	$12.32

SCREW 2.3 X 12 SOLID

Facility

$465.00

Hospital Charge Code	270652223
Hospital Revenue Code	278
Min. Negotiated Rate	$69.75
Max. Negotiated Rate	$112.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$93.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$112.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$102.30
Rate for Payer: Qualcare PPO/HMO/WC	$69.75

Know your out-of-pocket cost for care.

All Charges