Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 3.5x14MM POLY

Facility

$4,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270657223
Hospital Revenue Code	278
Min. Negotiated Rate	$114.47
Max. Negotiated Rate	$2,375.00
Rate for Payer: Aetna Commercial	$1,805.00
Rate for Payer: Aetna Medicare Advantage	$1,425.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$950.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,211.25
Rate for Payer: Cigna Commercial	$2,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,149.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,045.00
Rate for Payer: Qualcare PPO/HMO/WC	$712.50
Rate for Payer: UnitedHealthcare Community & State	$114.47
Rate for Payer: Wellpoint Medicaid Managed Care	$125.88

SCREW 3.5x14MM POLY

Facility

$4,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270657223
Hospital Revenue Code	278
Min. Negotiated Rate	$712.50
Max. Negotiated Rate	$1,149.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,149.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,045.00
Rate for Payer: Qualcare PPO/HMO/WC	$712.50

SCREW 3.5X16

Facility

$2,505.00

Service Code	HCPCS C1713
Hospital Charge Code	270693296
Hospital Revenue Code	278
Min. Negotiated Rate	$60.37
Max. Negotiated Rate	$1,252.50
Rate for Payer: Aetna Commercial	$951.90
Rate for Payer: Aetna Medicare Advantage	$751.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$638.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$638.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$501.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$638.77
Rate for Payer: Cigna Commercial	$1,252.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$606.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$551.10
Rate for Payer: Qualcare PPO/HMO/WC	$375.75
Rate for Payer: UnitedHealthcare Community & State	$60.37
Rate for Payer: Wellpoint Medicaid Managed Care	$66.38

SCREW 3.5X16

Facility

$2,505.00

Service Code	HCPCS C1713
Hospital Charge Code	270693296
Hospital Revenue Code	278
Min. Negotiated Rate	$375.75
Max. Negotiated Rate	$606.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$501.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$606.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$551.10
Rate for Payer: Qualcare PPO/HMO/WC	$375.75

SCREW 3.5X16MM

Facility

$1,250.00

Hospital Charge Code	270703473
Hospital Revenue Code	278
Min. Negotiated Rate	$30.12
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$475.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$275.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Community & State	$30.12
Rate for Payer: Wellpoint Medicaid Managed Care	$33.12

SCREW 3.5X16MM

Facility

$1,250.00

Hospital Charge Code	270693119
Hospital Revenue Code	278
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$302.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$275.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

SCREW 3.5X16MM

Facility

$1,250.00

Hospital Charge Code	270693119
Hospital Revenue Code	278
Min. Negotiated Rate	$30.12
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$475.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$275.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Community & State	$30.12
Rate for Payer: Wellpoint Medicaid Managed Care	$33.12

SCREW 3.5X16MM

Facility

$1,250.00

Hospital Charge Code	270703473
Hospital Revenue Code	278
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$302.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$275.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

SCREW 3.5X16 SYMPHONY

Facility

$7,836.15

Service Code	HCPCS C1713
Hospital Charge Code	270693354
Hospital Revenue Code	278
Min. Negotiated Rate	$1,175.42
Max. Negotiated Rate	$1,896.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,567.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,896.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,723.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,175.42

SCREW 3.5X16 SYMPHONY

Facility

$7,836.15

Service Code	HCPCS C1713
Hospital Charge Code	270693354
Hospital Revenue Code	278
Min. Negotiated Rate	$188.85
Max. Negotiated Rate	$3,918.07
Rate for Payer: Aetna Commercial	$2,977.74
Rate for Payer: Aetna Medicare Advantage	$2,350.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,998.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,998.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,567.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,998.22
Rate for Payer: Cigna Commercial	$3,918.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,896.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,723.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,175.42
Rate for Payer: UnitedHealthcare Community & State	$188.85
Rate for Payer: Wellpoint Medicaid Managed Care	$207.66

SCREW 3.5X18

Facility

$200.00

Hospital Charge Code	270661845
Hospital Revenue Code	278
Min. Negotiated Rate	$4.82
Max. Negotiated Rate	$100.00
Rate for Payer: Aetna Commercial	$76.00
Rate for Payer: Aetna Medicare Advantage	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.00
Rate for Payer: Cigna Commercial	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$44.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00
Rate for Payer: UnitedHealthcare Community & State	$4.82
Rate for Payer: Wellpoint Medicaid Managed Care	$5.30

SCREW 3.5X18

Facility

$200.00

Hospital Charge Code	270661845
Hospital Revenue Code	278
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$48.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$44.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

SCREW 3.5X1.8 CORT NON LOCKING

Facility

$350.00

Hospital Charge Code	270648916
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 3.5X1.8 CORT NON LOCKING

Facility

$350.00

Hospital Charge Code	270648916
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 3.5X18 LOCKING

Facility

$247.50

Service Code	HCPCS C1713
Hospital Charge Code	270648920
Hospital Revenue Code	278
Min. Negotiated Rate	$37.12
Max. Negotiated Rate	$59.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$54.45
Rate for Payer: Qualcare PPO/HMO/WC	$37.12

SCREW 3.5X18 LOCKING

Facility

$247.50

Service Code	HCPCS C1713
Hospital Charge Code	270648920
Hospital Revenue Code	278
Min. Negotiated Rate	$5.96
Max. Negotiated Rate	$123.75
Rate for Payer: Aetna Commercial	$94.05
Rate for Payer: Aetna Medicare Advantage	$74.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.11
Rate for Payer: Cigna Commercial	$123.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$54.45
Rate for Payer: Qualcare PPO/HMO/WC	$37.12
Rate for Payer: UnitedHealthcare Community & State	$5.96
Rate for Payer: Wellpoint Medicaid Managed Care	$6.56

SCREW 3.5 X 18 MM

Facility

$200.00

Hospital Charge Code	270648659
Hospital Revenue Code	278
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$48.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$44.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

SCREW 3.5 X 18 MM

Facility

$200.00

Hospital Charge Code	270648659
Hospital Revenue Code	278
Min. Negotiated Rate	$4.82
Max. Negotiated Rate	$100.00
Rate for Payer: Aetna Commercial	$76.00
Rate for Payer: Aetna Medicare Advantage	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.00
Rate for Payer: Cigna Commercial	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$44.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00
Rate for Payer: UnitedHealthcare Community & State	$4.82
Rate for Payer: Wellpoint Medicaid Managed Care	$5.30

SCREW 3.5X20 LOCKING LP

Facility

$180.00

Hospital Charge Code	270648913
Hospital Revenue Code	278
Min. Negotiated Rate	$4.34
Max. Negotiated Rate	$90.00
Rate for Payer: Aetna Commercial	$68.40
Rate for Payer: Aetna Medicare Advantage	$54.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.90
Rate for Payer: Cigna Commercial	$90.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$39.60
Rate for Payer: Qualcare PPO/HMO/WC	$27.00
Rate for Payer: UnitedHealthcare Community & State	$4.34
Rate for Payer: Wellpoint Medicaid Managed Care	$4.77

SCREW 3.5X20 LOCKING LP

Facility

$180.00

Hospital Charge Code	270648913
Hospital Revenue Code	278
Min. Negotiated Rate	$27.00
Max. Negotiated Rate	$43.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$39.60
Rate for Payer: Qualcare PPO/HMO/WC	$27.00

SCREW 3.5X20MM

Facility

$3,675.00

Service Code	HCPCS C1713
Hospital Charge Code	270704445
Hospital Revenue Code	278
Min. Negotiated Rate	$88.57
Max. Negotiated Rate	$1,837.50
Rate for Payer: Aetna Commercial	$1,396.50
Rate for Payer: Aetna Medicare Advantage	$1,102.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$937.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$937.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$735.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$937.12
Rate for Payer: Cigna Commercial	$1,837.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$889.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$808.50
Rate for Payer: Qualcare PPO/HMO/WC	$551.25
Rate for Payer: UnitedHealthcare Community & State	$88.57
Rate for Payer: Wellpoint Medicaid Managed Care	$97.39

SCREW 3.5X20MM

Facility

$3,675.00

Service Code	HCPCS C1713
Hospital Charge Code	270704445
Hospital Revenue Code	278
Min. Negotiated Rate	$551.25
Max. Negotiated Rate	$889.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$735.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$889.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$808.50
Rate for Payer: Qualcare PPO/HMO/WC	$551.25

SCREW 3.5X22

Facility

$225.00

Service Code	HCPCS C1713
Hospital Charge Code	270661842
Hospital Revenue Code	278
Min. Negotiated Rate	$5.42
Max. Negotiated Rate	$112.50
Rate for Payer: Aetna Commercial	$85.50
Rate for Payer: Aetna Medicare Advantage	$67.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.38
Rate for Payer: Cigna Commercial	$112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$49.50
Rate for Payer: Qualcare PPO/HMO/WC	$33.75
Rate for Payer: UnitedHealthcare Community & State	$5.42
Rate for Payer: Wellpoint Medicaid Managed Care	$5.96

SCREW 3.5X22

Facility

$225.00

Service Code	HCPCS C1713
Hospital Charge Code	270661842
Hospital Revenue Code	278
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$54.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$49.50
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

SCREW 3.5X22MM

Facility

$3,675.00

Service Code	HCPCS C1713
Hospital Charge Code	270704444
Hospital Revenue Code	278
Min. Negotiated Rate	$551.25
Max. Negotiated Rate	$889.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$735.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$889.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$808.50
Rate for Payer: Qualcare PPO/HMO/WC	$551.25

Know your out-of-pocket cost for care.

All Charges