Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 3.7MM CANN LOCKING 75MM

Facility

$1,009.45

Service Code	HCPCS C1713
Hospital Charge Code	270696102
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 75MM

Facility

$1,009.45

Service Code	HCPCS C1713
Hospital Charge Code	270696102
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 3.7 X 28 MM

Facility

$5,460.00

Service Code	HCPCS C1713
Hospital Charge Code	270686305
Hospital Revenue Code	278
Min. Negotiated Rate	$819.00
Max. Negotiated Rate	$1,321.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,092.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,321.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,201.20
Rate for Payer: Qualcare PPO/HMO/WC	$819.00

SCREW 3.7 X 28 MM

Facility

$5,460.00

Service Code	HCPCS C1713
Hospital Charge Code	270686298
Hospital Revenue Code	278
Min. Negotiated Rate	$819.00
Max. Negotiated Rate	$1,321.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,092.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,321.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,201.20
Rate for Payer: Qualcare PPO/HMO/WC	$819.00

SCREW 3.7 X 28 MM

Facility

$5,460.00

Service Code	HCPCS C1713
Hospital Charge Code	270686305
Hospital Revenue Code	278
Min. Negotiated Rate	$131.59
Max. Negotiated Rate	$2,730.00
Rate for Payer: Aetna Commercial	$2,074.80
Rate for Payer: Aetna Medicare Advantage	$1,638.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,392.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,392.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,092.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,392.30
Rate for Payer: Cigna Commercial	$2,730.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,321.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,201.20
Rate for Payer: Qualcare PPO/HMO/WC	$819.00
Rate for Payer: UnitedHealthcare Community & State	$131.59
Rate for Payer: Wellpoint Medicaid Managed Care	$144.69

SCREW 3.7 X 28 MM

Facility

$5,460.00

Service Code	HCPCS C1713
Hospital Charge Code	270686298
Hospital Revenue Code	278
Min. Negotiated Rate	$131.59
Max. Negotiated Rate	$2,730.00
Rate for Payer: Aetna Commercial	$2,074.80
Rate for Payer: Aetna Medicare Advantage	$1,638.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,392.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,392.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,092.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,392.30
Rate for Payer: Cigna Commercial	$2,730.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,321.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,201.20
Rate for Payer: Qualcare PPO/HMO/WC	$819.00
Rate for Payer: UnitedHealthcare Community & State	$131.59
Rate for Payer: Wellpoint Medicaid Managed Care	$144.69

SCREW 3.8X10MM

Facility

$4,275.00

Service Code	HCPCS C1713
Hospital Charge Code	270704792
Hospital Revenue Code	278
Min. Negotiated Rate	$641.25
Max. Negotiated Rate	$1,034.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$855.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,034.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$940.50
Rate for Payer: Qualcare PPO/HMO/WC	$641.25

SCREW 3.8X10MM

Facility

$4,275.00

Service Code	HCPCS C1713
Hospital Charge Code	270704792
Hospital Revenue Code	278
Min. Negotiated Rate	$103.03
Max. Negotiated Rate	$2,137.50
Rate for Payer: Aetna Commercial	$1,624.50
Rate for Payer: Aetna Medicare Advantage	$1,282.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,090.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,090.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$855.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,090.12
Rate for Payer: Cigna Commercial	$2,137.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,034.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$940.50
Rate for Payer: Qualcare PPO/HMO/WC	$641.25
Rate for Payer: UnitedHealthcare Community & State	$103.03
Rate for Payer: Wellpoint Medicaid Managed Care	$113.29

SCREW 3.8X12MM

Facility

$4,275.00

Service Code	HCPCS C1713
Hospital Charge Code	270704791
Hospital Revenue Code	278
Min. Negotiated Rate	$103.03
Max. Negotiated Rate	$2,137.50
Rate for Payer: Aetna Commercial	$1,624.50
Rate for Payer: Aetna Medicare Advantage	$1,282.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,090.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,090.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$855.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,090.12
Rate for Payer: Cigna Commercial	$2,137.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,034.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$940.50
Rate for Payer: Qualcare PPO/HMO/WC	$641.25
Rate for Payer: UnitedHealthcare Community & State	$103.03
Rate for Payer: Wellpoint Medicaid Managed Care	$113.29

SCREW 3.8X12MM

Facility

$4,275.00

Service Code	HCPCS C1713
Hospital Charge Code	270704791
Hospital Revenue Code	278
Min. Negotiated Rate	$641.25
Max. Negotiated Rate	$1,034.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$855.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,034.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$940.50
Rate for Payer: Qualcare PPO/HMO/WC	$641.25

SCREW 3.8X20MM

Facility

$4,275.00

Service Code	HCPCS C1713
Hospital Charge Code	270704790
Hospital Revenue Code	278
Min. Negotiated Rate	$103.03
Max. Negotiated Rate	$2,137.50
Rate for Payer: Aetna Commercial	$1,624.50
Rate for Payer: Aetna Medicare Advantage	$1,282.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,090.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,090.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$855.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,090.12
Rate for Payer: Cigna Commercial	$2,137.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,034.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$940.50
Rate for Payer: Qualcare PPO/HMO/WC	$641.25
Rate for Payer: UnitedHealthcare Community & State	$103.03
Rate for Payer: Wellpoint Medicaid Managed Care	$113.29

SCREW 3.8X20MM

Facility

$4,275.00

Service Code	HCPCS C1713
Hospital Charge Code	270704790
Hospital Revenue Code	278
Min. Negotiated Rate	$641.25
Max. Negotiated Rate	$1,034.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$855.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,034.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$940.50
Rate for Payer: Qualcare PPO/HMO/WC	$641.25

SCREW 3DI LKG 3.5X12MM

Facility

$1,050.60

Service Code	HCPCS C1713
Hospital Charge Code	270700368
Hospital Revenue Code	278
Min. Negotiated Rate	$157.59
Max. Negotiated Rate	$254.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$210.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$254.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$231.13
Rate for Payer: Qualcare PPO/HMO/WC	$157.59

SCREW 3DI LKG 3.5X12MM

Facility

$1,050.60

Service Code	HCPCS C1713
Hospital Charge Code	270700368
Hospital Revenue Code	278
Min. Negotiated Rate	$25.32
Max. Negotiated Rate	$525.30
Rate for Payer: Aetna Commercial	$399.23
Rate for Payer: Aetna Medicare Advantage	$315.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$267.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$267.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$210.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$267.90
Rate for Payer: Cigna Commercial	$525.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$254.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$231.13
Rate for Payer: Qualcare PPO/HMO/WC	$157.59
Rate for Payer: UnitedHealthcare Community & State	$25.32
Rate for Payer: Wellpoint Medicaid Managed Care	$27.84

SCREW 3DI NL FT 3.5X14MM

Facility

$535.60

Service Code	HCPCS C1713
Hospital Charge Code	270699442
Hospital Revenue Code	278
Min. Negotiated Rate	$12.91
Max. Negotiated Rate	$267.80
Rate for Payer: Aetna Commercial	$203.53
Rate for Payer: Aetna Medicare Advantage	$160.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$107.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.58
Rate for Payer: Cigna Commercial	$267.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$117.83
Rate for Payer: Qualcare PPO/HMO/WC	$80.34
Rate for Payer: UnitedHealthcare Community & State	$12.91
Rate for Payer: Wellpoint Medicaid Managed Care	$14.19

SCREW 3DI NL FT 3.5X14MM

Facility

$535.60

Service Code	HCPCS C1713
Hospital Charge Code	270699442
Hospital Revenue Code	278
Min. Negotiated Rate	$80.34
Max. Negotiated Rate	$129.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$107.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$117.83
Rate for Payer: Qualcare PPO/HMO/WC	$80.34

SCREW 3DI NL LP ST 3.5X12MM

Facility

$535.60

Service Code	HCPCS C1713
Hospital Charge Code	270700369
Hospital Revenue Code	278
Min. Negotiated Rate	$80.34
Max. Negotiated Rate	$129.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$107.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$117.83
Rate for Payer: Qualcare PPO/HMO/WC	$80.34

SCREW 3DI NL LP ST 3.5X12MM

Facility

$535.60

Service Code	HCPCS C1713
Hospital Charge Code	270700369
Hospital Revenue Code	278
Min. Negotiated Rate	$12.91
Max. Negotiated Rate	$267.80
Rate for Payer: Aetna Commercial	$203.53
Rate for Payer: Aetna Medicare Advantage	$160.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$107.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.58
Rate for Payer: Cigna Commercial	$267.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$117.83
Rate for Payer: Qualcare PPO/HMO/WC	$80.34
Rate for Payer: UnitedHealthcare Community & State	$12.91
Rate for Payer: Wellpoint Medicaid Managed Care	$14.19

SCREW 3 HEADLESS CONVER 34MM

Facility

$1,410.00

Hospital Charge Code	270663958
Hospital Revenue Code	278
Min. Negotiated Rate	$33.98
Max. Negotiated Rate	$705.00
Rate for Payer: Aetna Commercial	$535.80
Rate for Payer: Aetna Medicare Advantage	$423.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$359.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$359.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$282.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$359.55
Rate for Payer: Cigna Commercial	$705.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$341.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$310.20
Rate for Payer: Qualcare PPO/HMO/WC	$211.50
Rate for Payer: UnitedHealthcare Community & State	$33.98
Rate for Payer: Wellpoint Medicaid Managed Care	$37.37

SCREW 3 HEADLESS CONVER 34MM

Facility

$1,410.00

Hospital Charge Code	270663958
Hospital Revenue Code	278
Min. Negotiated Rate	$211.50
Max. Negotiated Rate	$341.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$282.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$341.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$310.20
Rate for Payer: Qualcare PPO/HMO/WC	$211.50

SCREW 3 X 46 MM

Facility

$1,000.00

Hospital Charge Code	270703452
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 X 46 MM

Facility

$1,000.00

Hospital Charge Code	270703452
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 4.00MM CANC FULL THREAD

Facility

$72.00

Hospital Charge Code	270656940
Hospital Revenue Code	278
Min. Negotiated Rate	$10.80
Max. Negotiated Rate	$17.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.42
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$15.84
Rate for Payer: Qualcare PPO/HMO/WC	$10.80

SCREW 4.00MM CANC FULL THREAD

Facility

$72.00

Hospital Charge Code	270656940
Hospital Revenue Code	278
Min. Negotiated Rate	$1.74
Max. Negotiated Rate	$36.00
Rate for Payer: Aetna Commercial	$27.36
Rate for Payer: Aetna Medicare Advantage	$21.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.36
Rate for Payer: Cigna Commercial	$36.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.42
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$15.84
Rate for Payer: Qualcare PPO/HMO/WC	$10.80
Rate for Payer: UnitedHealthcare Community & State	$1.74
Rate for Payer: Wellpoint Medicaid Managed Care	$1.91

SCREW 4.0,28(IN)

Facility

$1,360.45

Service Code	HCPCS C1713
Hospital Charge Code	270656693
Hospital Revenue Code	278
Min. Negotiated Rate	$204.07
Max. Negotiated Rate	$329.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$272.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$329.23
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$299.30
Rate for Payer: Qualcare PPO/HMO/WC	$204.07

Know your out-of-pocket cost for care.

All Charges