Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 4.0,28(IN)

Facility

$1,360.45

Service Code	HCPCS C1713
Hospital Charge Code	270656693
Hospital Revenue Code	278
Min. Negotiated Rate	$32.79
Max. Negotiated Rate	$680.23
Rate for Payer: Aetna Commercial	$516.97
Rate for Payer: Aetna Medicare Advantage	$408.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$346.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$346.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$272.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$346.91
Rate for Payer: Cigna Commercial	$680.23
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
Rate for Payer: UnitedHealthcare Community & State	$32.79
Rate for Payer: Wellpoint Medicaid Managed Care	$36.05

SCREW 4.0, 46 (IN)

Facility

$924.00

Service Code	HCPCS C1713
Hospital Charge Code	270656695
Hospital Revenue Code	278
Min. Negotiated Rate	$22.27
Max. Negotiated Rate	$462.00
Rate for Payer: Aetna Commercial	$351.12
Rate for Payer: Aetna Medicare Advantage	$277.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$235.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$235.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$184.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$235.62
Rate for Payer: Cigna Commercial	$462.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$223.61
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$203.28
Rate for Payer: Qualcare PPO/HMO/WC	$138.60
Rate for Payer: UnitedHealthcare Community & State	$22.27
Rate for Payer: Wellpoint Medicaid Managed Care	$24.49

SCREW 4.0, 46 (IN)

Facility

$924.00

Service Code	HCPCS C1713
Hospital Charge Code	270656695
Hospital Revenue Code	278
Min. Negotiated Rate	$138.60
Max. Negotiated Rate	$223.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$184.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$223.61
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$203.28
Rate for Payer: Qualcare PPO/HMO/WC	$138.60

SCREW 4.0*65MM CANC LOCKING

Facility

$805.00

Hospital Charge Code	270648244
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 4.0*65MM CANC LOCKING

Facility

$805.00

Hospital Charge Code	270648244
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 40 6.5X90MM CANN CANC

Facility

$1,765.00

Hospital Charge Code	270662007
Hospital Revenue Code	278
Min. Negotiated Rate	$264.75
Max. Negotiated Rate	$427.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$353.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$427.13
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$388.30
Rate for Payer: Qualcare PPO/HMO/WC	$264.75

SCREW 40 6.5X90MM CANN CANC

Facility

$1,765.00

Hospital Charge Code	270662007
Hospital Revenue Code	278
Min. Negotiated Rate	$42.54
Max. Negotiated Rate	$882.50
Rate for Payer: Aetna Commercial	$670.70
Rate for Payer: Aetna Medicare Advantage	$529.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$450.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$450.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$353.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$450.07
Rate for Payer: Cigna Commercial	$882.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$427.13
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$388.30
Rate for Payer: Qualcare PPO/HMO/WC	$264.75
Rate for Payer: UnitedHealthcare Community & State	$42.54
Rate for Payer: Wellpoint Medicaid Managed Care	$46.77

SCREW 40 6.5X95MM CANN CANC

Facility

$1,765.00

Hospital Charge Code	270662012
Hospital Revenue Code	278
Min. Negotiated Rate	$264.75
Max. Negotiated Rate	$427.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$353.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$427.13
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$388.30
Rate for Payer: Qualcare PPO/HMO/WC	$264.75

SCREW 40 6.5X95MM CANN CANC

Facility

$1,765.00

Hospital Charge Code	270662012
Hospital Revenue Code	278
Min. Negotiated Rate	$42.54
Max. Negotiated Rate	$882.50
Rate for Payer: Aetna Commercial	$670.70
Rate for Payer: Aetna Medicare Advantage	$529.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$450.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$450.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$353.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$450.07
Rate for Payer: Cigna Commercial	$882.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$427.13
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$388.30
Rate for Payer: Qualcare PPO/HMO/WC	$264.75
Rate for Payer: UnitedHealthcare Community & State	$42.54
Rate for Payer: Wellpoint Medicaid Managed Care	$46.77

SCREW 406.5X95MM CANN CANC

Facility

$1,765.00

Hospital Charge Code	270662006
Hospital Revenue Code	278
Min. Negotiated Rate	$264.75
Max. Negotiated Rate	$427.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$353.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$427.13
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$388.30
Rate for Payer: Qualcare PPO/HMO/WC	$264.75

SCREW 406.5X95MM CANN CANC

Facility

$1,765.00

Hospital Charge Code	270662006
Hospital Revenue Code	278
Min. Negotiated Rate	$42.54
Max. Negotiated Rate	$882.50
Rate for Payer: Aetna Commercial	$670.70
Rate for Payer: Aetna Medicare Advantage	$529.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$450.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$450.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$353.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$450.07
Rate for Payer: Cigna Commercial	$882.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$427.13
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$388.30
Rate for Payer: Qualcare PPO/HMO/WC	$264.75
Rate for Payer: UnitedHealthcare Community & State	$42.54
Rate for Payer: Wellpoint Medicaid Managed Care	$46.77

SCREW 4.0*70MM CANC LOCKING

Facility

$805.00

Hospital Charge Code	270648301
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 4.0*70MM CANC LOCKING

Facility

$805.00

Hospital Charge Code	270648301
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 4.0*75MM CANC LOCKING

Facility

$805.00

Hospital Charge Code	270648297
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 4.0*75MM CANC LOCKING

Facility

$805.00

Hospital Charge Code	270648297
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 4.0*85MM CANC LOCKING

Facility

$805.00

Hospital Charge Code	270648300
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 4.0*85MM CANC LOCKING

Facility

$805.00

Hospital Charge Code	270648300
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 4.0880MM CANC LOCKING

Facility

$805.00

Hospital Charge Code	270648298
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 4.0880MM CANC LOCKING

Facility

$805.00

Hospital Charge Code	270648298
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 4.0 CANCELLOUS 12mm

Facility

$49.50

Service Code	HCPCS C1713
Hospital Charge Code	270601858
Hospital Revenue Code	278
Min. Negotiated Rate	$1.19
Max. Negotiated Rate	$24.75
Rate for Payer: Aetna Commercial	$18.81
Rate for Payer: Aetna Medicare Advantage	$14.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.62
Rate for Payer: Cigna Commercial	$24.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.98
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$10.89
Rate for Payer: Qualcare PPO/HMO/WC	$7.42
Rate for Payer: UnitedHealthcare Community & State	$1.19
Rate for Payer: Wellpoint Medicaid Managed Care	$1.31

SCREW 4.0 CANCELLOUS 12mm

Facility

$49.50

Service Code	HCPCS C1713
Hospital Charge Code	270601858
Hospital Revenue Code	278
Min. Negotiated Rate	$7.42
Max. Negotiated Rate	$11.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.98
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$10.89
Rate for Payer: Qualcare PPO/HMO/WC	$7.42

SCREW 4.0 CANCELLOUS 26mm

Facility

$49.50

Service Code	HCPCS C1713
Hospital Charge Code	270601865
Hospital Revenue Code	278
Min. Negotiated Rate	$1.19
Max. Negotiated Rate	$24.75
Rate for Payer: Aetna Commercial	$18.81
Rate for Payer: Aetna Medicare Advantage	$14.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.62
Rate for Payer: Cigna Commercial	$24.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.98
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$10.89
Rate for Payer: Qualcare PPO/HMO/WC	$7.42
Rate for Payer: UnitedHealthcare Community & State	$1.19
Rate for Payer: Wellpoint Medicaid Managed Care	$1.31

SCREW 4.0 CANCELLOUS 26mm

Facility

$49.50

Service Code	HCPCS C1713
Hospital Charge Code	270601865
Hospital Revenue Code	278
Min. Negotiated Rate	$7.42
Max. Negotiated Rate	$11.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.98
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$10.89
Rate for Payer: Qualcare PPO/HMO/WC	$7.42

SCREW 4.0 CANCELLOUS 28mm

Facility

$49.50

Service Code	HCPCS C1713
Hospital Charge Code	270601866
Hospital Revenue Code	278
Min. Negotiated Rate	$1.19
Max. Negotiated Rate	$24.75
Rate for Payer: Aetna Commercial	$18.81
Rate for Payer: Aetna Medicare Advantage	$14.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.62
Rate for Payer: Cigna Commercial	$24.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.98
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$10.89
Rate for Payer: Qualcare PPO/HMO/WC	$7.42
Rate for Payer: UnitedHealthcare Community & State	$1.19
Rate for Payer: Wellpoint Medicaid Managed Care	$1.31

SCREW 4.0 CANCELLOUS 28mm

Facility

$49.50

Service Code	HCPCS C1713
Hospital Charge Code	270601866
Hospital Revenue Code	278
Min. Negotiated Rate	$7.42
Max. Negotiated Rate	$11.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.98
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$10.89
Rate for Payer: Qualcare PPO/HMO/WC	$7.42

Know your out-of-pocket cost for care.

All Charges