Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 3.7MM CANN CONICAL 40MM

Facility

$886.90

Service Code	HCPCS C1713
Hospital Charge Code	270696114
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 44MM

Facility

$886.90

Service Code	HCPCS C1713
Hospital Charge Code	270696115
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 44MM

Facility

$886.90

Service Code	HCPCS C1713
Hospital Charge Code	270696115
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 75MM

Facility

$886.90

Service Code	HCPCS C1713
Hospital Charge Code	270696101
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 75MM

Facility

$886.90

Service Code	HCPCS C1713
Hospital Charge Code	270696101
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 LOCKING 30MM

Facility

$1,009.45

Service Code	HCPCS C1713
Hospital Charge Code	270696111
Hospital Revenue Code	278
Min. Negotiated Rate	$151.42
Max. Negotiated Rate	$244.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$201.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$244.29
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$222.08
Rate for Payer: Qualcare PPO/HMO/WC	$151.42

SCREW 3.7MM CANN LOCKING 30MM

Facility

$1,009.45

Service Code	HCPCS C1713
Hospital Charge Code	270696111
Hospital Revenue Code	278
Min. Negotiated Rate	$24.33
Max. Negotiated Rate	$504.73
Rate for Payer: Aetna Commercial	$383.59
Rate for Payer: Aetna Medicare Advantage	$302.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$257.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$257.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$201.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$257.41
Rate for Payer: Cigna Commercial	$504.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$244.29
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$222.08
Rate for Payer: Qualcare PPO/HMO/WC	$151.42
Rate for Payer: UnitedHealthcare Community & State	$24.33
Rate for Payer: Wellpoint Medicaid Managed Care	$26.75

SCREW 3.7MM CANN LOCKING 34MM

Facility

$1,009.45

Service Code	HCPCS C1713
Hospital Charge Code	270696110
Hospital Revenue Code	278
Min. Negotiated Rate	$24.33
Max. Negotiated Rate	$504.73
Rate for Payer: Aetna Commercial	$383.59
Rate for Payer: Aetna Medicare Advantage	$302.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$257.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$257.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$201.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$257.41
Rate for Payer: Cigna Commercial	$504.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$244.29
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$222.08
Rate for Payer: Qualcare PPO/HMO/WC	$151.42
Rate for Payer: UnitedHealthcare Community & State	$24.33
Rate for Payer: Wellpoint Medicaid Managed Care	$26.75

SCREW 3.7MM CANN LOCKING 34MM

Facility

$1,009.45

Service Code	HCPCS C1713
Hospital Charge Code	270696110
Hospital Revenue Code	278
Min. Negotiated Rate	$151.42
Max. Negotiated Rate	$244.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$201.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$244.29
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$222.08
Rate for Payer: Qualcare PPO/HMO/WC	$151.42

SCREW 3.7mm CANN LOCKING 36mm

Facility

$812.65

Service Code	HCPCS C1713
Hospital Charge Code	270645728
Hospital Revenue Code	278
Min. Negotiated Rate	$19.58
Max. Negotiated Rate	$406.32
Rate for Payer: Aetna Commercial	$308.81
Rate for Payer: Aetna Medicare Advantage	$243.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$207.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$207.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$207.23
Rate for Payer: Cigna Commercial	$406.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$178.78
Rate for Payer: Qualcare PPO/HMO/WC	$121.90
Rate for Payer: UnitedHealthcare Community & State	$19.58
Rate for Payer: Wellpoint Medicaid Managed Care	$21.54

SCREW 3.7mm CANN LOCKING 36mm

Facility

$812.65

Service Code	HCPCS C1713
Hospital Charge Code	270645728
Hospital Revenue Code	278
Min. Negotiated Rate	$121.90
Max. Negotiated Rate	$196.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$178.78
Rate for Payer: Qualcare PPO/HMO/WC	$121.90

SCREW 3.7MM CANN LOCKING 46MM

Facility

$1,009.45

Service Code	HCPCS C1713
Hospital Charge Code	270696108
Hospital Revenue Code	278
Min. Negotiated Rate	$24.33
Max. Negotiated Rate	$504.73
Rate for Payer: Aetna Commercial	$383.59
Rate for Payer: Aetna Medicare Advantage	$302.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$257.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$257.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$201.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$257.41
Rate for Payer: Cigna Commercial	$504.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$244.29
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$222.08
Rate for Payer: Qualcare PPO/HMO/WC	$151.42
Rate for Payer: UnitedHealthcare Community & State	$24.33
Rate for Payer: Wellpoint Medicaid Managed Care	$26.75

SCREW 3.7MM CANN LOCKING 46MM

Facility

$1,009.45

Service Code	HCPCS C1713
Hospital Charge Code	270696108
Hospital Revenue Code	278
Min. Negotiated Rate	$151.42
Max. Negotiated Rate	$244.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$201.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$244.29
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$222.08
Rate for Payer: Qualcare PPO/HMO/WC	$151.42

SCREW 3.7mm CANN LOCKING 54mm

Facility

$812.65

Service Code	HCPCS C1713
Hospital Charge Code	270645823
Hospital Revenue Code	278
Min. Negotiated Rate	$121.90
Max. Negotiated Rate	$196.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$178.78
Rate for Payer: Qualcare PPO/HMO/WC	$121.90

SCREW 3.7mm CANN LOCKING 54mm

Facility

$812.65

Service Code	HCPCS C1713
Hospital Charge Code	270645823
Hospital Revenue Code	278
Min. Negotiated Rate	$19.58
Max. Negotiated Rate	$406.32
Rate for Payer: Aetna Commercial	$308.81
Rate for Payer: Aetna Medicare Advantage	$243.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$207.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$207.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$207.23
Rate for Payer: Cigna Commercial	$406.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$178.78
Rate for Payer: Qualcare PPO/HMO/WC	$121.90
Rate for Payer: UnitedHealthcare Community & State	$19.58
Rate for Payer: Wellpoint Medicaid Managed Care	$21.54

SCREW 3.7mm CANN LOCKING 56mm

Facility

$812.65

Service Code	HCPCS C1713
Hospital Charge Code	270645822
Hospital Revenue Code	278
Min. Negotiated Rate	$121.90
Max. Negotiated Rate	$196.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$178.78
Rate for Payer: Qualcare PPO/HMO/WC	$121.90

SCREW 3.7mm CANN LOCKING 56mm

Facility

$812.65

Service Code	HCPCS C1713
Hospital Charge Code	270645822
Hospital Revenue Code	278
Min. Negotiated Rate	$19.58
Max. Negotiated Rate	$406.32
Rate for Payer: Aetna Commercial	$308.81
Rate for Payer: Aetna Medicare Advantage	$243.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$207.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$207.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$207.23
Rate for Payer: Cigna Commercial	$406.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$178.78
Rate for Payer: Qualcare PPO/HMO/WC	$121.90
Rate for Payer: UnitedHealthcare Community & State	$19.58
Rate for Payer: Wellpoint Medicaid Managed Care	$21.54

SCREW 3.7mm CANN LOCKING 58mm

Facility

$812.65

Service Code	HCPCS C1713
Hospital Charge Code	270645821
Hospital Revenue Code	278
Min. Negotiated Rate	$121.90
Max. Negotiated Rate	$196.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$178.78
Rate for Payer: Qualcare PPO/HMO/WC	$121.90

SCREW 3.7mm CANN LOCKING 58mm

Facility

$812.65

Service Code	HCPCS C1713
Hospital Charge Code	270645821
Hospital Revenue Code	278
Min. Negotiated Rate	$19.58
Max. Negotiated Rate	$406.32
Rate for Payer: Aetna Commercial	$308.81
Rate for Payer: Aetna Medicare Advantage	$243.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$207.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$207.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$207.23
Rate for Payer: Cigna Commercial	$406.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$178.78
Rate for Payer: Qualcare PPO/HMO/WC	$121.90
Rate for Payer: UnitedHealthcare Community & State	$19.58
Rate for Payer: Wellpoint Medicaid Managed Care	$21.54

SCREW 3.7mm CANN LOCKING 60mm

Facility

$812.65

Service Code	HCPCS C1713
Hospital Charge Code	270645729
Hospital Revenue Code	278
Min. Negotiated Rate	$19.58
Max. Negotiated Rate	$406.32
Rate for Payer: Aetna Commercial	$308.81
Rate for Payer: Aetna Medicare Advantage	$243.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$207.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$207.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$207.23
Rate for Payer: Cigna Commercial	$406.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$178.78
Rate for Payer: Qualcare PPO/HMO/WC	$121.90
Rate for Payer: UnitedHealthcare Community & State	$19.58
Rate for Payer: Wellpoint Medicaid Managed Care	$21.54

SCREW 3.7mm CANN LOCKING 60mm

Facility

$812.65

Service Code	HCPCS C1713
Hospital Charge Code	270645729
Hospital Revenue Code	278
Min. Negotiated Rate	$121.90
Max. Negotiated Rate	$196.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$178.78
Rate for Payer: Qualcare PPO/HMO/WC	$121.90

SCREW 3.7mm CANN LOCKING 65mm

Facility

$812.65

Service Code	HCPCS C1713
Hospital Charge Code	270645726
Hospital Revenue Code	278
Min. Negotiated Rate	$19.58
Max. Negotiated Rate	$406.32
Rate for Payer: Aetna Commercial	$308.81
Rate for Payer: Aetna Medicare Advantage	$243.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$207.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$207.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$207.23
Rate for Payer: Cigna Commercial	$406.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$178.78
Rate for Payer: Qualcare PPO/HMO/WC	$121.90
Rate for Payer: UnitedHealthcare Community & State	$19.58
Rate for Payer: Wellpoint Medicaid Managed Care	$21.54

SCREW 3.7mm CANN LOCKING 65mm

Facility

$812.65

Service Code	HCPCS C1713
Hospital Charge Code	270645726
Hospital Revenue Code	278
Min. Negotiated Rate	$121.90
Max. Negotiated Rate	$196.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$178.78
Rate for Payer: Qualcare PPO/HMO/WC	$121.90

SCREW 3.7mm CANN LOCKING 70mm

Facility

$812.65

Service Code	HCPCS C1713
Hospital Charge Code	270645727
Hospital Revenue Code	278
Min. Negotiated Rate	$19.58
Max. Negotiated Rate	$406.32
Rate for Payer: Aetna Commercial	$308.81
Rate for Payer: Aetna Medicare Advantage	$243.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$207.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$207.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$207.23
Rate for Payer: Cigna Commercial	$406.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$178.78
Rate for Payer: Qualcare PPO/HMO/WC	$121.90
Rate for Payer: UnitedHealthcare Community & State	$19.58
Rate for Payer: Wellpoint Medicaid Managed Care	$21.54

SCREW 3.7mm CANN LOCKING 70mm

Facility

$812.65

Service Code	HCPCS C1713
Hospital Charge Code	270645727
Hospital Revenue Code	278
Min. Negotiated Rate	$121.90
Max. Negotiated Rate	$196.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$178.78
Rate for Payer: Qualcare PPO/HMO/WC	$121.90

Know your out-of-pocket cost for care.

All Charges