Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 3.5X22MM

Facility

$3,675.00

Service Code	HCPCS C1713
Hospital Charge Code	270704444
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 3.5X23/26MM TRANSVERSE

Facility

$2,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270690867
Hospital Revenue Code	278
Min. Negotiated Rate	$446.25
Max. Negotiated Rate	$719.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$595.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$719.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$654.50
Rate for Payer: Qualcare PPO/HMO/WC	$446.25

SCREW 3.5X23/26MM TRANSVERSE

Facility

$2,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270690867
Hospital Revenue Code	278
Min. Negotiated Rate	$71.70
Max. Negotiated Rate	$1,487.50
Rate for Payer: Aetna Commercial	$1,130.50
Rate for Payer: Aetna Medicare Advantage	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$758.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$758.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$595.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$758.62
Rate for Payer: Cigna Commercial	$1,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$719.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$654.50
Rate for Payer: Qualcare PPO/HMO/WC	$446.25
Rate for Payer: UnitedHealthcare Community & State	$71.70
Rate for Payer: Wellpoint Medicaid Managed Care	$78.84

SCREW 3.5x24 LCK8161-35-024

Facility

$805.00

Hospital Charge Code	270658903
Hospital Revenue Code	278
Min. Negotiated Rate	$120.75
Max. Negotiated Rate	$194.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$161.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.81
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$177.10
Rate for Payer: Qualcare PPO/HMO/WC	$120.75

SCREW 3.5x24 LCK8161-35-024

Facility

$805.00

Hospital Charge Code	270658903
Hospital Revenue Code	278
Min. Negotiated Rate	$19.40
Max. Negotiated Rate	$402.50
Rate for Payer: Aetna Commercial	$305.90
Rate for Payer: Aetna Medicare Advantage	$241.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$205.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$205.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$161.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$205.28
Rate for Payer: Cigna Commercial	$402.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.81
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$177.10
Rate for Payer: Qualcare PPO/HMO/WC	$120.75
Rate for Payer: UnitedHealthcare Community & State	$19.40
Rate for Payer: Wellpoint Medicaid Managed Care	$21.33

SCREW 3.5X24MM NONLOCKING

Facility

$1,220.00

Service Code	HCPCS C1713
Hospital Charge Code	270705398
Hospital Revenue Code	278
Min. Negotiated Rate	$183.00
Max. Negotiated Rate	$295.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$244.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$295.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$268.40
Rate for Payer: Qualcare PPO/HMO/WC	$183.00

SCREW 3.5X24MM NONLOCKING

Facility

$1,220.00

Service Code	HCPCS C1713
Hospital Charge Code	270705398
Hospital Revenue Code	278
Min. Negotiated Rate	$29.40
Max. Negotiated Rate	$610.00
Rate for Payer: Aetna Commercial	$463.60
Rate for Payer: Aetna Medicare Advantage	$366.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$311.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$311.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$244.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$311.10
Rate for Payer: Cigna Commercial	$610.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$295.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$268.40
Rate for Payer: Qualcare PPO/HMO/WC	$183.00
Rate for Payer: UnitedHealthcare Community & State	$29.40
Rate for Payer: Wellpoint Medicaid Managed Care	$32.33

SCREW 3.5X24 NON LOCKING

Facility

$320.00

Hospital Charge Code	270664864
Hospital Revenue Code	278
Min. Negotiated Rate	$48.00
Max. Negotiated Rate	$77.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$64.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$70.40
Rate for Payer: Qualcare PPO/HMO/WC	$48.00

SCREW 3.5X24 NON LOCKING

Facility

$320.00

Hospital Charge Code	270664864
Hospital Revenue Code	278
Min. Negotiated Rate	$7.71
Max. Negotiated Rate	$160.00
Rate for Payer: Aetna Commercial	$121.60
Rate for Payer: Aetna Medicare Advantage	$96.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$64.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.60
Rate for Payer: Cigna Commercial	$160.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$70.40
Rate for Payer: Qualcare PPO/HMO/WC	$48.00
Rate for Payer: UnitedHealthcare Community & State	$7.71
Rate for Payer: Wellpoint Medicaid Managed Care	$8.48

SCREW 3.5X26MM

Facility

$3,675.00

Service Code	HCPCS C1713
Hospital Charge Code	270704443
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 3.5X26MM

Facility

$3,675.00

Service Code	HCPCS C1713
Hospital Charge Code	270704443
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 3.5X26 NON LOCKING

Facility

$320.00

Hospital Charge Code	270664860
Hospital Revenue Code	278
Min. Negotiated Rate	$7.71
Max. Negotiated Rate	$160.00
Rate for Payer: Aetna Commercial	$121.60
Rate for Payer: Aetna Medicare Advantage	$96.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$64.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.60
Rate for Payer: Cigna Commercial	$160.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$70.40
Rate for Payer: Qualcare PPO/HMO/WC	$48.00
Rate for Payer: UnitedHealthcare Community & State	$7.71
Rate for Payer: Wellpoint Medicaid Managed Care	$8.48

SCREW 3.5X26 NON LOCKING

Facility

$320.00

Hospital Charge Code	270664860
Hospital Revenue Code	278
Min. Negotiated Rate	$48.00
Max. Negotiated Rate	$77.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$64.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$70.40
Rate for Payer: Qualcare PPO/HMO/WC	$48.00

SCREW 3.5 X 32 MM

Facility

$1,898.00

Service Code	HCPCS C1713
Hospital Charge Code	270691652
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 3.5 X 32 MM

Facility

$1,898.00

Service Code	HCPCS C1713
Hospital Charge Code	270691652
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 3.5 X 32MM

Facility

$1,380.00

Service Code	HCPCS C1713
Hospital Charge Code	270686979
Hospital Revenue Code	278
Min. Negotiated Rate	$33.26
Max. Negotiated Rate	$690.00
Rate for Payer: Aetna Commercial	$524.40
Rate for Payer: Aetna Medicare Advantage	$414.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$351.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$351.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$276.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$351.90
Rate for Payer: Cigna Commercial	$690.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$333.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$303.60
Rate for Payer: Qualcare PPO/HMO/WC	$207.00
Rate for Payer: UnitedHealthcare Community & State	$33.26
Rate for Payer: Wellpoint Medicaid Managed Care	$36.57

SCREW 3.5 X 32MM

Facility

$1,380.00

Service Code	HCPCS C1713
Hospital Charge Code	270686979
Hospital Revenue Code	278
Min. Negotiated Rate	$207.00
Max. Negotiated Rate	$333.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$276.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$333.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$303.60
Rate for Payer: Qualcare PPO/HMO/WC	$207.00

SCREW 3.5X32MM NONLOCKING

Facility

$1,220.00

Service Code	HCPCS C1713
Hospital Charge Code	270705399
Hospital Revenue Code	278
Min. Negotiated Rate	$183.00
Max. Negotiated Rate	$295.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$244.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$295.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$268.40
Rate for Payer: Qualcare PPO/HMO/WC	$183.00

SCREW 3.5X32MM NONLOCKING

Facility

$1,220.00

Service Code	HCPCS C1713
Hospital Charge Code	270705399
Hospital Revenue Code	278
Min. Negotiated Rate	$29.40
Max. Negotiated Rate	$610.00
Rate for Payer: Aetna Commercial	$463.60
Rate for Payer: Aetna Medicare Advantage	$366.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$311.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$311.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$244.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$311.10
Rate for Payer: Cigna Commercial	$610.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$295.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$268.40
Rate for Payer: Qualcare PPO/HMO/WC	$183.00
Rate for Payer: UnitedHealthcare Community & State	$29.40
Rate for Payer: Wellpoint Medicaid Managed Care	$32.33

SCREW 3.5 X 44 NON LOCKING

Facility

$1,365.00

Service Code	HCPCS C1713
Hospital Charge Code	270701273
Hospital Revenue Code	278
Min. Negotiated Rate	$204.75
Max. Negotiated Rate	$330.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$273.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$330.33
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$300.30
Rate for Payer: Qualcare PPO/HMO/WC	$204.75

SCREW 3.5 X 44 NON LOCKING

Facility

$1,365.00

Service Code	HCPCS C1713
Hospital Charge Code	270704596
Hospital Revenue Code	278
Min. Negotiated Rate	$204.75
Max. Negotiated Rate	$330.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$273.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$330.33
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$300.30
Rate for Payer: Qualcare PPO/HMO/WC	$204.75

SCREW 3.5 X 44 NON LOCKING

Facility

$1,365.00

Service Code	HCPCS C1713
Hospital Charge Code	270701273
Hospital Revenue Code	278
Min. Negotiated Rate	$32.90
Max. Negotiated Rate	$682.50
Rate for Payer: Aetna Commercial	$518.70
Rate for Payer: Aetna Medicare Advantage	$409.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$348.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$348.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$273.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$348.07
Rate for Payer: Cigna Commercial	$682.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$330.33
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$300.30
Rate for Payer: Qualcare PPO/HMO/WC	$204.75
Rate for Payer: UnitedHealthcare Community & State	$32.90
Rate for Payer: Wellpoint Medicaid Managed Care	$36.17

SCREW 3.5 X 44 NON LOCKING

Facility

$1,365.00

Service Code	HCPCS C1713
Hospital Charge Code	270704596
Hospital Revenue Code	278
Min. Negotiated Rate	$32.90
Max. Negotiated Rate	$682.50
Rate for Payer: Aetna Commercial	$518.70
Rate for Payer: Aetna Medicare Advantage	$409.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$348.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$348.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$273.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$348.07
Rate for Payer: Cigna Commercial	$682.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$330.33
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$300.30
Rate for Payer: Qualcare PPO/HMO/WC	$204.75
Rate for Payer: UnitedHealthcare Community & State	$32.90
Rate for Payer: Wellpoint Medicaid Managed Care	$36.17

SCREW 3.5x48 MD 8163-35-048

Facility

$1,180.00

Hospital Charge Code	270658911
Hospital Revenue Code	278
Min. Negotiated Rate	$177.00
Max. Negotiated Rate	$285.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$236.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$285.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$259.60
Rate for Payer: Qualcare PPO/HMO/WC	$177.00

SCREW 3.5x48 MD 8163-35-048

Facility

$1,180.00

Hospital Charge Code	270658911
Hospital Revenue Code	278
Min. Negotiated Rate	$28.44
Max. Negotiated Rate	$590.00
Rate for Payer: Aetna Commercial	$448.40
Rate for Payer: Aetna Medicare Advantage	$354.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$300.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$300.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$236.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$300.90
Rate for Payer: Cigna Commercial	$590.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$285.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$259.60
Rate for Payer: Qualcare PPO/HMO/WC	$177.00
Rate for Payer: UnitedHealthcare Community & State	$28.44
Rate for Payer: Wellpoint Medicaid Managed Care	$31.27

Know your out-of-pocket cost for care.

All Charges