Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 3.0 CCHS 32 MM LT

Facility

$1,898.00

Service Code	HCPCS C1713
Hospital Charge Code	270691550
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 32 MM LT

Facility

$1,898.00

Service Code	HCPCS C1713
Hospital Charge Code	270691550
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

SCREW 3.0 CCHS 32 MMM

Facility

$4,868.60

Service Code	HCPCS C1713
Hospital Charge Code	270691569
Hospital Revenue Code	278
Min. Negotiated Rate	$117.33
Max. Negotiated Rate	$2,434.30
Rate for Payer: Aetna Commercial	$1,850.07
Rate for Payer: Aetna Medicare Advantage	$1,460.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,241.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,241.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$973.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,241.49
Rate for Payer: Cigna Commercial	$2,434.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,178.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,071.09
Rate for Payer: Qualcare PPO/HMO/WC	$730.29
Rate for Payer: UnitedHealthcare Community & State	$117.33
Rate for Payer: Wellpoint Medicaid Managed Care	$129.02

SCREW 3.0 CCHS 32 MMM

Facility

$4,868.60

Service Code	HCPCS C1713
Hospital Charge Code	270691569
Hospital Revenue Code	278
Min. Negotiated Rate	$730.29
Max. Negotiated Rate	$1,178.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$973.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,178.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,071.09
Rate for Payer: Qualcare PPO/HMO/WC	$730.29

SCREW 3.0MM 32 mm LONG THREAD

Facility

$1,495.85

Service Code	HCPCS C1713
Hospital Charge Code	270680968
Hospital Revenue Code	278
Min. Negotiated Rate	$224.38
Max. Negotiated Rate	$362.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$299.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$362.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$329.09
Rate for Payer: Qualcare PPO/HMO/WC	$224.38

SCREW 3.0MM 32 mm LONG THREAD

Facility

$1,495.85

Service Code	HCPCS C1713
Hospital Charge Code	270680968
Hospital Revenue Code	278
Min. Negotiated Rate	$36.05
Max. Negotiated Rate	$747.92
Rate for Payer: Aetna Commercial	$568.42
Rate for Payer: Aetna Medicare Advantage	$448.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$381.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$381.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$299.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$381.44
Rate for Payer: Cigna Commercial	$747.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$362.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$329.09
Rate for Payer: Qualcare PPO/HMO/WC	$224.38
Rate for Payer: UnitedHealthcare Community & State	$36.05
Rate for Payer: Wellpoint Medicaid Managed Care	$39.64

SCREW 3.0 X 10 VAR LOCKING

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270683493
Hospital Revenue Code	278
Min. Negotiated Rate	$16.87
Max. Negotiated Rate	$350.00
Rate for Payer: Aetna Commercial	$266.00
Rate for Payer: Aetna Medicare Advantage	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.50
Rate for Payer: Cigna Commercial	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$154.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00
Rate for Payer: UnitedHealthcare Community & State	$16.87
Rate for Payer: Wellpoint Medicaid Managed Care	$18.55

SCREW 3.0 X 10 VAR LOCKING

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270683493
Hospital Revenue Code	278
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$169.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$154.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

SCREW 3.0X14MM

Facility

$700.00

Hospital Charge Code	270669680
Hospital Revenue Code	278
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$169.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$154.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

SCREW 3.0X14MM

Facility

$700.00

Hospital Charge Code	270669680
Hospital Revenue Code	278
Min. Negotiated Rate	$16.87
Max. Negotiated Rate	$350.00
Rate for Payer: Aetna Commercial	$266.00
Rate for Payer: Aetna Medicare Advantage	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.50
Rate for Payer: Cigna Commercial	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$154.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00
Rate for Payer: UnitedHealthcare Community & State	$16.87
Rate for Payer: Wellpoint Medicaid Managed Care	$18.55

SCREW 3.0 X 18 MM HEADLESS

Facility

$2,110.00

Service Code	HCPCS C1713
Hospital Charge Code	270684001
Hospital Revenue Code	278
Min. Negotiated Rate	$316.50
Max. Negotiated Rate	$510.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$422.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$510.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$464.20
Rate for Payer: Qualcare PPO/HMO/WC	$316.50

SCREW 3.0 X 18 MM HEADLESS

Facility

$2,110.00

Service Code	HCPCS C1713
Hospital Charge Code	270684001
Hospital Revenue Code	278
Min. Negotiated Rate	$50.85
Max. Negotiated Rate	$1,055.00
Rate for Payer: Aetna Commercial	$801.80
Rate for Payer: Aetna Medicare Advantage	$633.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$538.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$538.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$422.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$538.05
Rate for Payer: Cigna Commercial	$1,055.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$510.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$464.20
Rate for Payer: Qualcare PPO/HMO/WC	$316.50
Rate for Payer: UnitedHealthcare Community & State	$50.85
Rate for Payer: Wellpoint Medicaid Managed Care	$55.91

SCREW 3.0 X 28 MM

Facility

$1,898.00

Service Code	HCPCS C1713
Hospital Charge Code	270691653
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

SCREW 3.0 X 28 MM

Facility

$1,898.00

Service Code	HCPCS C1713
Hospital Charge Code	270691653
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 3.0X36MM INTERFRAG

Facility

$2,725.00

Service Code	HCPCS C1713
Hospital Charge Code	270690866
Hospital Revenue Code	278
Min. Negotiated Rate	$65.67
Max. Negotiated Rate	$1,362.50
Rate for Payer: Aetna Commercial	$1,035.50
Rate for Payer: Aetna Medicare Advantage	$817.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$694.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$694.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$545.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$694.88
Rate for Payer: Cigna Commercial	$1,362.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$659.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$599.50
Rate for Payer: Qualcare PPO/HMO/WC	$408.75
Rate for Payer: UnitedHealthcare Community & State	$65.67
Rate for Payer: Wellpoint Medicaid Managed Care	$72.21

SCREW 3.0X36MM INTERFRAG

Facility

$2,725.00

Service Code	HCPCS C1713
Hospital Charge Code	270690866
Hospital Revenue Code	278
Min. Negotiated Rate	$408.75
Max. Negotiated Rate	$659.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$545.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$659.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$599.50
Rate for Payer: Qualcare PPO/HMO/WC	$408.75

SCREW 30x5.5mm

Facility

$3,176.25

Service Code	HCPCS C1713
Hospital Charge Code	270679297
Hospital Revenue Code	278
Min. Negotiated Rate	$76.55
Max. Negotiated Rate	$1,588.12
Rate for Payer: Aetna Commercial	$1,206.97
Rate for Payer: Aetna Medicare Advantage	$952.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$809.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$809.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$635.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$809.94
Rate for Payer: Cigna Commercial	$1,588.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$768.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$698.77
Rate for Payer: Qualcare PPO/HMO/WC	$476.44
Rate for Payer: UnitedHealthcare Community & State	$76.55
Rate for Payer: Wellpoint Medicaid Managed Care	$84.17

SCREW 30x5.5mm

Facility

$3,176.25

Service Code	HCPCS C1713
Hospital Charge Code	270679297
Hospital Revenue Code	278
Min. Negotiated Rate	$476.44
Max. Negotiated Rate	$768.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$635.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$768.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$698.77
Rate for Payer: Qualcare PPO/HMO/WC	$476.44

SCREW 3.5*38MM CORT NONLOCKING

Facility

$300.00

Hospital Charge Code	270648295
Hospital Revenue Code	278
Min. Negotiated Rate	$7.23
Max. Negotiated Rate	$150.00
Rate for Payer: Aetna Commercial	$114.00
Rate for Payer: Aetna Medicare Advantage	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$66.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00
Rate for Payer: UnitedHealthcare Community & State	$7.23
Rate for Payer: Wellpoint Medicaid Managed Care	$7.95

SCREW 3.5*38MM CORT NONLOCKING

Facility

$300.00

Hospital Charge Code	270648295
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$72.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$66.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

SCREW 3.5*40MM CORT NONLOCKING

Facility

$300.00

Hospital Charge Code	270648296
Hospital Revenue Code	278
Min. Negotiated Rate	$7.23
Max. Negotiated Rate	$150.00
Rate for Payer: Aetna Commercial	$114.00
Rate for Payer: Aetna Medicare Advantage	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$66.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00
Rate for Payer: UnitedHealthcare Community & State	$7.23
Rate for Payer: Wellpoint Medicaid Managed Care	$7.95

SCREW 3.5*40MM CORT NONLOCKING

Facility

$300.00

Hospital Charge Code	270648296
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$72.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$66.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

SCREW 3.5*80MM LP NONLOCKING

Facility

$350.00

Hospital Charge Code	270648294
Hospital Revenue Code	278
Min. Negotiated Rate	$8.44
Max. Negotiated Rate	$175.00
Rate for Payer: Aetna Commercial	$133.00
Rate for Payer: Aetna Medicare Advantage	$105.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$70.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.25
Rate for Payer: Cigna Commercial	$175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$77.00
Rate for Payer: Qualcare PPO/HMO/WC	$52.50
Rate for Payer: UnitedHealthcare Community & State	$8.44
Rate for Payer: Wellpoint Medicaid Managed Care	$9.28

SCREW 3.5*80MM LP NONLOCKING

Facility

$350.00

Hospital Charge Code	270648294
Hospital Revenue Code	278
Min. Negotiated Rate	$52.50
Max. Negotiated Rate	$84.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$70.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$77.00
Rate for Payer: Qualcare PPO/HMO/WC	$52.50

SCREW 3.5*85MM LP NONLOCKING

Facility

$350.00

Hospital Charge Code	270648293
Hospital Revenue Code	278
Min. Negotiated Rate	$8.44
Max. Negotiated Rate	$175.00
Rate for Payer: Aetna Commercial	$133.00
Rate for Payer: Aetna Medicare Advantage	$105.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$70.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.25
Rate for Payer: Cigna Commercial	$175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$77.00
Rate for Payer: Qualcare PPO/HMO/WC	$52.50
Rate for Payer: UnitedHealthcare Community & State	$8.44
Rate for Payer: Wellpoint Medicaid Managed Care	$9.28

Know your out-of-pocket cost for care.

All Charges