Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 2.7X22MM NON-LOCKING

Facility

$770.85

Service Code	HCPCS C1713
Hospital Charge Code	270706030
Hospital Revenue Code	278
Min. Negotiated Rate	$18.58
Max. Negotiated Rate	$385.43
Rate for Payer: Aetna Commercial	$292.92
Rate for Payer: Aetna Medicare Advantage	$231.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$196.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$196.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$154.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$196.57
Rate for Payer: Cigna Commercial	$385.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$186.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$169.59
Rate for Payer: Qualcare PPO/HMO/WC	$115.63
Rate for Payer: UnitedHealthcare Community & State	$18.58
Rate for Payer: Wellpoint Medicaid Managed Care	$20.43

SCREW 2.7X22 SCREW

Facility

$1,316.85

Hospital Charge Code	270656322
Hospital Revenue Code	278
Min. Negotiated Rate	$197.53
Max. Negotiated Rate	$318.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$263.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$318.68
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$289.71
Rate for Payer: Qualcare PPO/HMO/WC	$197.53

SCREW 2.7X22 SCREW

Facility

$1,316.85

Hospital Charge Code	270656322
Hospital Revenue Code	278
Min. Negotiated Rate	$31.74
Max. Negotiated Rate	$658.42
Rate for Payer: Aetna Commercial	$500.40
Rate for Payer: Aetna Medicare Advantage	$395.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$335.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$335.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$263.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$335.80
Rate for Payer: Cigna Commercial	$658.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$318.68
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$289.71
Rate for Payer: Qualcare PPO/HMO/WC	$197.53
Rate for Payer: UnitedHealthcare Community & State	$31.74
Rate for Payer: Wellpoint Medicaid Managed Care	$34.90

SCREW 2.7X24MM LOCKING

Facility

$1,316.85

Service Code	HCPCS C1713
Hospital Charge Code	270703218
Hospital Revenue Code	278
Min. Negotiated Rate	$197.53
Max. Negotiated Rate	$318.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$263.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$318.68
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$289.71
Rate for Payer: Qualcare PPO/HMO/WC	$197.53

SCREW 2.7X24MM LOCKING

Facility

$1,316.85

Service Code	HCPCS C1713
Hospital Charge Code	270703218
Hospital Revenue Code	278
Min. Negotiated Rate	$31.74
Max. Negotiated Rate	$658.42
Rate for Payer: Aetna Commercial	$500.40
Rate for Payer: Aetna Medicare Advantage	$395.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$335.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$335.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$263.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$335.80
Rate for Payer: Cigna Commercial	$658.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$318.68
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$289.71
Rate for Payer: Qualcare PPO/HMO/WC	$197.53
Rate for Payer: UnitedHealthcare Community & State	$31.74
Rate for Payer: Wellpoint Medicaid Managed Care	$34.90

SCREW 2.7X24MM NL

Facility

$370.00

Hospital Charge Code	270703493
Hospital Revenue Code	278
Min. Negotiated Rate	$8.92
Max. Negotiated Rate	$185.00
Rate for Payer: Aetna Commercial	$140.60
Rate for Payer: Aetna Medicare Advantage	$111.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.35
Rate for Payer: Cigna Commercial	$185.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$81.40
Rate for Payer: Qualcare PPO/HMO/WC	$55.50
Rate for Payer: UnitedHealthcare Community & State	$8.92
Rate for Payer: Wellpoint Medicaid Managed Care	$9.80

SCREW 2.7X24MM NL

Facility

$370.00

Hospital Charge Code	270703493
Hospital Revenue Code	278
Min. Negotiated Rate	$55.50
Max. Negotiated Rate	$89.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$81.40
Rate for Payer: Qualcare PPO/HMO/WC	$55.50

SCREW 2.7X26MM L

Facility

$630.00

Hospital Charge Code	270703495
Hospital Revenue Code	278
Min. Negotiated Rate	$15.18
Max. Negotiated Rate	$315.00
Rate for Payer: Aetna Commercial	$239.40
Rate for Payer: Aetna Medicare Advantage	$189.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$160.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$160.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$126.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$160.65
Rate for Payer: Cigna Commercial	$315.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$152.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$138.60
Rate for Payer: Qualcare PPO/HMO/WC	$94.50
Rate for Payer: UnitedHealthcare Community & State	$15.18
Rate for Payer: Wellpoint Medicaid Managed Care	$16.70

SCREW 2.7X26MM L

Facility

$630.00

Hospital Charge Code	270703495
Hospital Revenue Code	278
Min. Negotiated Rate	$94.50
Max. Negotiated Rate	$152.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$126.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$152.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$138.60
Rate for Payer: Qualcare PPO/HMO/WC	$94.50

SCREW 2.8mm Ti EMERGENCY 16mm

Facility

$220.25

Hospital Charge Code	270635518
Hospital Revenue Code	278
Min. Negotiated Rate	$5.31
Max. Negotiated Rate	$110.12
Rate for Payer: Aetna Commercial	$83.69
Rate for Payer: Aetna Medicare Advantage	$66.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.16
Rate for Payer: Cigna Commercial	$110.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$48.45
Rate for Payer: Qualcare PPO/HMO/WC	$33.04
Rate for Payer: UnitedHealthcare Community & State	$5.31
Rate for Payer: Wellpoint Medicaid Managed Care	$5.84

SCREW 2.8mm Ti EMERGENCY 16mm

Facility

$220.25

Hospital Charge Code	270635518
Hospital Revenue Code	278
Min. Negotiated Rate	$33.04
Max. Negotiated Rate	$53.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$48.45
Rate for Payer: Qualcare PPO/HMO/WC	$33.04

SCREW 2.8mm Ti EMERGENCY 18mm

Facility

$220.25

Hospital Charge Code	270635519
Hospital Revenue Code	278
Min. Negotiated Rate	$33.04
Max. Negotiated Rate	$53.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$48.45
Rate for Payer: Qualcare PPO/HMO/WC	$33.04

SCREW 2.8mm Ti EMERGENCY 18mm

Facility

$220.25

Hospital Charge Code	270635519
Hospital Revenue Code	278
Min. Negotiated Rate	$5.31
Max. Negotiated Rate	$110.12
Rate for Payer: Aetna Commercial	$83.69
Rate for Payer: Aetna Medicare Advantage	$66.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.16
Rate for Payer: Cigna Commercial	$110.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$48.45
Rate for Payer: Qualcare PPO/HMO/WC	$33.04
Rate for Payer: UnitedHealthcare Community & State	$5.31
Rate for Payer: Wellpoint Medicaid Managed Care	$5.84

SCREW 2.8X8MM

Facility

$2,425.00

Service Code	HCPCS C1713
Hospital Charge Code	270695109
Hospital Revenue Code	278
Min. Negotiated Rate	$363.75
Max. Negotiated Rate	$586.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$485.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$586.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$533.50
Rate for Payer: Qualcare PPO/HMO/WC	$363.75

SCREW 2.8X8MM

Facility

$2,425.00

Service Code	HCPCS C1713
Hospital Charge Code	270695109
Hospital Revenue Code	278
Min. Negotiated Rate	$58.44
Max. Negotiated Rate	$1,212.50
Rate for Payer: Aetna Commercial	$921.50
Rate for Payer: Aetna Medicare Advantage	$727.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$618.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$618.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$485.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$618.38
Rate for Payer: Cigna Commercial	$1,212.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$586.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$533.50
Rate for Payer: Qualcare PPO/HMO/WC	$363.75
Rate for Payer: UnitedHealthcare Community & State	$58.44
Rate for Payer: Wellpoint Medicaid Managed Care	$64.26

SCREW 2X14MM NON-LOCKING

Facility

$420.00

Service Code	HCPCS C1713
Hospital Charge Code	270705005
Hospital Revenue Code	278
Min. Negotiated Rate	$10.12
Max. Negotiated Rate	$210.00
Rate for Payer: Aetna Commercial	$159.60
Rate for Payer: Aetna Medicare Advantage	$126.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.10
Rate for Payer: Cigna Commercial	$210.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.64
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$92.40
Rate for Payer: Qualcare PPO/HMO/WC	$63.00
Rate for Payer: UnitedHealthcare Community & State	$10.12
Rate for Payer: Wellpoint Medicaid Managed Care	$11.13

SCREW 2X14MM NON-LOCKING

Facility

$420.00

Service Code	HCPCS C1713
Hospital Charge Code	270705005
Hospital Revenue Code	278
Min. Negotiated Rate	$63.00
Max. Negotiated Rate	$101.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.64
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$92.40
Rate for Payer: Qualcare PPO/HMO/WC	$63.00

SCREW 2X14MM NON-LOCKING

Facility

$420.00

Service Code	HCPCS C1713
Hospital Charge Code	270706005
Hospital Revenue Code	278
Min. Negotiated Rate	$63.00
Max. Negotiated Rate	$101.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.64
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$92.40
Rate for Payer: Qualcare PPO/HMO/WC	$63.00

SCREW 2X14MM NON-LOCKING

Facility

$420.00

Service Code	HCPCS C1713
Hospital Charge Code	270706005
Hospital Revenue Code	278
Min. Negotiated Rate	$10.12
Max. Negotiated Rate	$210.00
Rate for Payer: Aetna Commercial	$159.60
Rate for Payer: Aetna Medicare Advantage	$126.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.10
Rate for Payer: Cigna Commercial	$210.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.64
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$92.40
Rate for Payer: Qualcare PPO/HMO/WC	$63.00
Rate for Payer: UnitedHealthcare Community & State	$10.12
Rate for Payer: Wellpoint Medicaid Managed Care	$11.13

SCREW 3 0 ACUTRAK AT1300S

Facility

$1,540.00

Hospital Charge Code	270638180
Hospital Revenue Code	278
Min. Negotiated Rate	$231.00
Max. Negotiated Rate	$372.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$308.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$372.68
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$338.80
Rate for Payer: Qualcare PPO/HMO/WC	$231.00

SCREW 3 0 ACUTRAK AT1300S

Facility

$1,540.00

Hospital Charge Code	270638180
Hospital Revenue Code	278
Min. Negotiated Rate	$37.11
Max. Negotiated Rate	$770.00
Rate for Payer: Aetna Commercial	$585.20
Rate for Payer: Aetna Medicare Advantage	$462.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$392.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$392.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$308.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$392.70
Rate for Payer: Cigna Commercial	$770.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$372.68
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$338.80
Rate for Payer: Qualcare PPO/HMO/WC	$231.00
Rate for Payer: UnitedHealthcare Community & State	$37.11
Rate for Payer: Wellpoint Medicaid Managed Care	$40.81

SCREW 3 0 ACUTRAK FIX AM0030S

Facility

$1,540.00

Hospital Charge Code	270638177
Hospital Revenue Code	278
Min. Negotiated Rate	$37.11
Max. Negotiated Rate	$770.00
Rate for Payer: Aetna Commercial	$585.20
Rate for Payer: Aetna Medicare Advantage	$462.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$392.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$392.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$308.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$392.70
Rate for Payer: Cigna Commercial	$770.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$372.68
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$338.80
Rate for Payer: Qualcare PPO/HMO/WC	$231.00
Rate for Payer: UnitedHealthcare Community & State	$37.11
Rate for Payer: Wellpoint Medicaid Managed Care	$40.81

SCREW 3 0 ACUTRAK FIX AM0030S

Facility

$1,540.00

Hospital Charge Code	270638177
Hospital Revenue Code	278
Min. Negotiated Rate	$231.00
Max. Negotiated Rate	$372.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$308.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$372.68
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$338.80
Rate for Payer: Qualcare PPO/HMO/WC	$231.00

SCREW 3.0 CCHS 26 MM LT

Facility

$1,898.00

Service Code	HCPCS C1713
Hospital Charge Code	270691549
Hospital Revenue Code	278
Min. Negotiated Rate	$284.70
Max. Negotiated Rate	$459.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$379.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$417.56
Rate for Payer: Qualcare PPO/HMO/WC	$284.70

SCREW 3.0 CCHS 26 MM LT

Facility

$1,898.00

Service Code	HCPCS C1713
Hospital Charge Code	270691549
Hospital Revenue Code	278
Min. Negotiated Rate	$45.74
Max. Negotiated Rate	$949.00
Rate for Payer: Aetna Commercial	$721.24
Rate for Payer: Aetna Medicare Advantage	$569.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$483.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$483.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$379.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$483.99
Rate for Payer: Cigna Commercial	$949.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$417.56
Rate for Payer: Qualcare PPO/HMO/WC	$284.70
Rate for Payer: UnitedHealthcare Community & State	$45.74
Rate for Payer: Wellpoint Medicaid Managed Care	$50.30

Know your out-of-pocket cost for care.

All Charges