Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 4X46 CANN SM 1802-48-046

Facility

$1,045.00

Hospital Charge Code	270661693
Hospital Revenue Code	278
Min. Negotiated Rate	$25.18
Max. Negotiated Rate	$522.50
Rate for Payer: Aetna Commercial	$397.10
Rate for Payer: Aetna Medicare Advantage	$313.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$266.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$266.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$209.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$266.48
Rate for Payer: Cigna Commercial	$522.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$252.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$229.90
Rate for Payer: Qualcare PPO/HMO/WC	$156.75
Rate for Payer: UnitedHealthcare Community & State	$25.18
Rate for Payer: Wellpoint Medicaid Managed Care	$27.69

SCREW 4X46 CANN SM 1802-48-046

Facility

$1,045.00

Hospital Charge Code	270661693
Hospital Revenue Code	278
Min. Negotiated Rate	$156.75
Max. Negotiated Rate	$252.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$209.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$252.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$229.90
Rate for Payer: Qualcare PPO/HMO/WC	$156.75

SCREW 4X50 CANN SM 1802-48-050

Facility

$1,045.00

Hospital Charge Code	270661694
Hospital Revenue Code	278
Min. Negotiated Rate	$25.18
Max. Negotiated Rate	$522.50
Rate for Payer: Aetna Commercial	$397.10
Rate for Payer: Aetna Medicare Advantage	$313.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$266.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$266.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$209.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$266.48
Rate for Payer: Cigna Commercial	$522.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$252.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$229.90
Rate for Payer: Qualcare PPO/HMO/WC	$156.75
Rate for Payer: UnitedHealthcare Community & State	$25.18
Rate for Payer: Wellpoint Medicaid Managed Care	$27.69

SCREW 4X50 CANN SM 1802-48-050

Facility

$1,045.00

Hospital Charge Code	270661694
Hospital Revenue Code	278
Min. Negotiated Rate	$156.75
Max. Negotiated Rate	$252.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$209.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$252.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$229.90
Rate for Payer: Qualcare PPO/HMO/WC	$156.75

SCREW 4X50MM CHAMFER

Facility

$4,812.50

Service Code	HCPCS C1713
Hospital Charge Code	270706185
Hospital Revenue Code	278
Min. Negotiated Rate	$115.98
Max. Negotiated Rate	$2,406.25
Rate for Payer: Aetna Commercial	$1,828.75
Rate for Payer: Aetna Medicare Advantage	$1,443.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,227.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,227.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$962.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,227.19
Rate for Payer: Cigna Commercial	$2,406.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,164.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,058.75
Rate for Payer: Qualcare PPO/HMO/WC	$721.88
Rate for Payer: UnitedHealthcare Community & State	$115.98
Rate for Payer: Wellpoint Medicaid Managed Care	$127.53

SCREW 4X50MM CHAMFER

Facility

$4,812.50

Service Code	HCPCS C1713
Hospital Charge Code	270706185
Hospital Revenue Code	278
Min. Negotiated Rate	$721.88
Max. Negotiated Rate	$1,164.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$962.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,164.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,058.75
Rate for Payer: Qualcare PPO/HMO/WC	$721.88

SCREW 5.0 CANNULATED CONICAL

Facility

$717.00

Hospital Charge Code	270657151
Hospital Revenue Code	278
Min. Negotiated Rate	$107.55
Max. Negotiated Rate	$173.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$143.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.51
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$157.74
Rate for Payer: Qualcare PPO/HMO/WC	$107.55

SCREW 5.0 CANNULATED CONICAL

Facility

$717.00

Hospital Charge Code	270657155
Hospital Revenue Code	278
Min. Negotiated Rate	$17.28
Max. Negotiated Rate	$358.50
Rate for Payer: Aetna Commercial	$272.46
Rate for Payer: Aetna Medicare Advantage	$215.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$182.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$182.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$143.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$182.84
Rate for Payer: Cigna Commercial	$358.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.51
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$157.74
Rate for Payer: Qualcare PPO/HMO/WC	$107.55
Rate for Payer: UnitedHealthcare Community & State	$17.28
Rate for Payer: Wellpoint Medicaid Managed Care	$19.00

SCREW 5.0 CANNULATED CONICAL

Facility

$717.00

Hospital Charge Code	270657161
Hospital Revenue Code	278
Min. Negotiated Rate	$107.55
Max. Negotiated Rate	$173.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$143.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.51
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$157.74
Rate for Payer: Qualcare PPO/HMO/WC	$107.55

SCREW 5.0 CANNULATED CONICAL

Facility

$717.00

Hospital Charge Code	270657143
Hospital Revenue Code	278
Min. Negotiated Rate	$107.55
Max. Negotiated Rate	$173.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$143.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.51
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$157.74
Rate for Payer: Qualcare PPO/HMO/WC	$107.55

SCREW 5.0 CANNULATED CONICAL

Facility

$717.00

Hospital Charge Code	270657146
Hospital Revenue Code	278
Min. Negotiated Rate	$107.55
Max. Negotiated Rate	$173.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$143.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.51
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$157.74
Rate for Payer: Qualcare PPO/HMO/WC	$107.55

SCREW 5.0 CANNULATED CONICAL

Facility

$717.00

Hospital Charge Code	270657146
Hospital Revenue Code	278
Min. Negotiated Rate	$17.28
Max. Negotiated Rate	$358.50
Rate for Payer: Aetna Commercial	$272.46
Rate for Payer: Aetna Medicare Advantage	$215.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$182.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$182.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$143.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$182.84
Rate for Payer: Cigna Commercial	$358.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.51
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$157.74
Rate for Payer: Qualcare PPO/HMO/WC	$107.55
Rate for Payer: UnitedHealthcare Community & State	$17.28
Rate for Payer: Wellpoint Medicaid Managed Care	$19.00

SCREW 5.0 CANNULATED CONICAL

Facility

$717.00

Hospital Charge Code	270657163
Hospital Revenue Code	278
Min. Negotiated Rate	$17.28
Max. Negotiated Rate	$358.50
Rate for Payer: Aetna Commercial	$272.46
Rate for Payer: Aetna Medicare Advantage	$215.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$182.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$182.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$143.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$182.84
Rate for Payer: Cigna Commercial	$358.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.51
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$157.74
Rate for Payer: Qualcare PPO/HMO/WC	$107.55
Rate for Payer: UnitedHealthcare Community & State	$17.28
Rate for Payer: Wellpoint Medicaid Managed Care	$19.00

SCREW 5.0 CANNULATED CONICAL

Facility

$717.00

Hospital Charge Code	270657143
Hospital Revenue Code	278
Min. Negotiated Rate	$17.28
Max. Negotiated Rate	$358.50
Rate for Payer: Aetna Commercial	$272.46
Rate for Payer: Aetna Medicare Advantage	$215.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$182.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$182.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$143.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$182.84
Rate for Payer: Cigna Commercial	$358.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.51
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$157.74
Rate for Payer: Qualcare PPO/HMO/WC	$107.55
Rate for Payer: UnitedHealthcare Community & State	$17.28
Rate for Payer: Wellpoint Medicaid Managed Care	$19.00

SCREW 5.0 CANNULATED CONICAL

Facility

$717.00

Hospital Charge Code	270657151
Hospital Revenue Code	278
Min. Negotiated Rate	$17.28
Max. Negotiated Rate	$358.50
Rate for Payer: Aetna Commercial	$272.46
Rate for Payer: Aetna Medicare Advantage	$215.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$182.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$182.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$143.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$182.84
Rate for Payer: Cigna Commercial	$358.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.51
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$157.74
Rate for Payer: Qualcare PPO/HMO/WC	$107.55
Rate for Payer: UnitedHealthcare Community & State	$17.28
Rate for Payer: Wellpoint Medicaid Managed Care	$19.00

SCREW 5.0 CANNULATED CONICAL

Facility

$717.00

Hospital Charge Code	270657153
Hospital Revenue Code	278
Min. Negotiated Rate	$17.28
Max. Negotiated Rate	$358.50
Rate for Payer: Aetna Commercial	$272.46
Rate for Payer: Aetna Medicare Advantage	$215.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$182.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$182.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$143.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$182.84
Rate for Payer: Cigna Commercial	$358.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.51
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$157.74
Rate for Payer: Qualcare PPO/HMO/WC	$107.55
Rate for Payer: UnitedHealthcare Community & State	$17.28
Rate for Payer: Wellpoint Medicaid Managed Care	$19.00

SCREW 5.0 CANNULATED CONICAL

Facility

$717.00

Hospital Charge Code	270657153
Hospital Revenue Code	278
Min. Negotiated Rate	$107.55
Max. Negotiated Rate	$173.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$143.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.51
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$157.74
Rate for Payer: Qualcare PPO/HMO/WC	$107.55

SCREW 5.0 CANNULATED CONICAL

Facility

$717.00

Hospital Charge Code	270657155
Hospital Revenue Code	278
Min. Negotiated Rate	$107.55
Max. Negotiated Rate	$173.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$143.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.51
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$157.74
Rate for Payer: Qualcare PPO/HMO/WC	$107.55

SCREW 5.0 CANNULATED CONICAL

Facility

$717.00

Hospital Charge Code	270657161
Hospital Revenue Code	278
Min. Negotiated Rate	$17.28
Max. Negotiated Rate	$358.50
Rate for Payer: Aetna Commercial	$272.46
Rate for Payer: Aetna Medicare Advantage	$215.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$182.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$182.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$143.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$182.84
Rate for Payer: Cigna Commercial	$358.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.51
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$157.74
Rate for Payer: Qualcare PPO/HMO/WC	$107.55
Rate for Payer: UnitedHealthcare Community & State	$17.28
Rate for Payer: Wellpoint Medicaid Managed Care	$19.00

SCREW 5.0 CANNULATED CONICAL

Facility

$717.00

Hospital Charge Code	270657163
Hospital Revenue Code	278
Min. Negotiated Rate	$107.55
Max. Negotiated Rate	$173.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$143.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.51
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$157.74
Rate for Payer: Qualcare PPO/HMO/WC	$107.55

SCREW 5.0 LG 36 MM

Facility

$2,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270691766
Hospital Revenue Code	278
Min. Negotiated Rate	$356.25
Max. Negotiated Rate	$574.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$574.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$522.50
Rate for Payer: Qualcare PPO/HMO/WC	$356.25

SCREW 5.0 LG 36 MM

Facility

$2,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270691766
Hospital Revenue Code	278
Min. Negotiated Rate	$57.24
Max. Negotiated Rate	$1,187.50
Rate for Payer: Aetna Commercial	$902.50
Rate for Payer: Aetna Medicare Advantage	$712.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$605.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$605.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$475.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$605.62
Rate for Payer: Cigna Commercial	$1,187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$574.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$522.50
Rate for Payer: Qualcare PPO/HMO/WC	$356.25
Rate for Payer: UnitedHealthcare Community & State	$57.24
Rate for Payer: Wellpoint Medicaid Managed Care	$62.94

SCREW 5.0MM X 22MM VAL OPTILIN

Facility

$907.85

Service Code	HCPCS C1713
Hospital Charge Code	270690757
Hospital Revenue Code	278
Min. Negotiated Rate	$21.88
Max. Negotiated Rate	$453.93
Rate for Payer: Aetna Commercial	$344.98
Rate for Payer: Aetna Medicare Advantage	$272.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$231.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$231.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$231.50
Rate for Payer: Cigna Commercial	$453.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$199.73
Rate for Payer: Qualcare PPO/HMO/WC	$136.18
Rate for Payer: UnitedHealthcare Community & State	$21.88
Rate for Payer: Wellpoint Medicaid Managed Care	$24.06

SCREW 5.0MM X 22MM VAL OPTILIN

Facility

$907.85

Service Code	HCPCS C1713
Hospital Charge Code	270690757
Hospital Revenue Code	278
Min. Negotiated Rate	$136.18
Max. Negotiated Rate	$219.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$199.73
Rate for Payer: Qualcare PPO/HMO/WC	$136.18

SCREW 5.0MM X 26MM VAL OPTILIN

Facility

$907.85

Service Code	HCPCS C1713
Hospital Charge Code	270690756
Hospital Revenue Code	278
Min. Negotiated Rate	$136.18
Max. Negotiated Rate	$219.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$199.73
Rate for Payer: Qualcare PPO/HMO/WC	$136.18

Know your out-of-pocket cost for care.

All Charges