Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 3.5x48 MD 8163-35-052

Facility

$1,180.00

Hospital Charge Code	270658912
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

SCREW 3.5x48 MD 8163-35-052

Facility

$1,180.00

Hospital Charge Code	270658912
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 3.5X 50MM LAPIDUS

Facility

$1,380.00

Service Code	HCPCS C1713
Hospital Charge Code	270686977
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 3.5X 50MM LAPIDUS

Facility

$1,380.00

Service Code	HCPCS C1713
Hospital Charge Code	270686977
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 3.5x55 LPNL 1312-18-055

Facility

$350.00

Hospital Charge Code	270658915
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 3.5x55 LPNL 1312-18-055

Facility

$350.00

Hospital Charge Code	270658915
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 3.5x56 LCK 8161-35-056

Facility

$805.00

Hospital Charge Code	270658907
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 3.5x56 LCK 8161-35-056

Facility

$805.00

Hospital Charge Code	270658907
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 3.5x56 MD 8163-35-056

Facility

$1,180.00

Hospital Charge Code	270658914
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

SCREW 3.5x56 MD 8163-35-056

Facility

$1,180.00

Hospital Charge Code	270658914
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 3.5x60 LCK 8016-35-060

Facility

$805.00

Hospital Charge Code	270658904
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 3.5x60 LCK 8016-35-060

Facility

$805.00

Hospital Charge Code	270658904
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 36MM LOW PROFILE

Facility

$350.00

Hospital Charge Code	270648241
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 36MM LOW PROFILE

Facility

$350.00

Hospital Charge Code	270648241
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 3.75X12MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270705834
Hospital Revenue Code	278
Min. Negotiated Rate	$24.10
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$380.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$220.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00
Rate for Payer: UnitedHealthcare Community & State	$24.10
Rate for Payer: Wellpoint Medicaid Managed Care	$26.50

SCREW 3.75X12MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270705834
Hospital Revenue Code	278
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$242.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$220.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

SCREW 3.75X14MM

Facility

$5,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270706108
Hospital Revenue Code	278
Min. Negotiated Rate	$787.50
Max. Negotiated Rate	$1,270.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,155.00
Rate for Payer: Qualcare PPO/HMO/WC	$787.50

SCREW 3.75X14MM

Facility

$5,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270706108
Hospital Revenue Code	278
Min. Negotiated Rate	$126.53
Max. Negotiated Rate	$2,625.00
Rate for Payer: Aetna Commercial	$1,995.00
Rate for Payer: Aetna Medicare Advantage	$1,575.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,338.75
Rate for Payer: Cigna Commercial	$2,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,155.00
Rate for Payer: Qualcare PPO/HMO/WC	$787.50
Rate for Payer: UnitedHealthcare Community & State	$126.53
Rate for Payer: Wellpoint Medicaid Managed Care	$139.12

SCREW 3.75X16MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270706123
Hospital Revenue Code	278
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$242.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$220.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

SCREW 3.75X16MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270706123
Hospital Revenue Code	278
Min. Negotiated Rate	$24.10
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$380.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$220.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00
Rate for Payer: UnitedHealthcare Community & State	$24.10
Rate for Payer: Wellpoint Medicaid Managed Care	$26.50

SCREW 3.7MM CANN CONICAL 36MM

Facility

$886.90

Service Code	HCPCS C1713
Hospital Charge Code	270696112
Hospital Revenue Code	278
Min. Negotiated Rate	$133.03
Max. Negotiated Rate	$214.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$177.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$195.12
Rate for Payer: Qualcare PPO/HMO/WC	$133.03

SCREW 3.7MM CANN CONICAL 36MM

Facility

$886.90

Service Code	HCPCS C1713
Hospital Charge Code	270696112
Hospital Revenue Code	278
Min. Negotiated Rate	$21.37
Max. Negotiated Rate	$443.45
Rate for Payer: Aetna Commercial	$337.02
Rate for Payer: Aetna Medicare Advantage	$266.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$226.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$226.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$177.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$226.16
Rate for Payer: Cigna Commercial	$443.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$195.12
Rate for Payer: Qualcare PPO/HMO/WC	$133.03
Rate for Payer: UnitedHealthcare Community & State	$21.37
Rate for Payer: Wellpoint Medicaid Managed Care	$23.50

SCREW 3.7MM CANN CONICAL 38MM

Facility

$886.90

Service Code	HCPCS C1713
Hospital Charge Code	270696113
Hospital Revenue Code	278
Min. Negotiated Rate	$133.03
Max. Negotiated Rate	$214.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$177.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$195.12
Rate for Payer: Qualcare PPO/HMO/WC	$133.03

SCREW 3.7MM CANN CONICAL 38MM

Facility

$886.90

Service Code	HCPCS C1713
Hospital Charge Code	270696113
Hospital Revenue Code	278
Min. Negotiated Rate	$21.37
Max. Negotiated Rate	$443.45
Rate for Payer: Aetna Commercial	$337.02
Rate for Payer: Aetna Medicare Advantage	$266.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$226.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$226.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$177.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$226.16
Rate for Payer: Cigna Commercial	$443.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$195.12
Rate for Payer: Qualcare PPO/HMO/WC	$133.03
Rate for Payer: UnitedHealthcare Community & State	$21.37
Rate for Payer: Wellpoint Medicaid Managed Care	$23.50

SCREW 3.7MM CANN CONICAL 40MM

Facility

$886.90

Service Code	HCPCS C1713
Hospital Charge Code	270696114
Hospital Revenue Code	278
Min. Negotiated Rate	$133.03
Max. Negotiated Rate	$214.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$177.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$195.12
Rate for Payer: Qualcare PPO/HMO/WC	$133.03

Know your out-of-pocket cost for care.

All Charges