Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 6.5 CAN 16 TH 35 2332036

Facility

$79.45

Hospital Charge Code	270610368
Hospital Revenue Code	278
Min. Negotiated Rate	$1.91
Max. Negotiated Rate	$39.73
Rate for Payer: Aetna Commercial	$30.19
Rate for Payer: Aetna Medicare Advantage	$23.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.26
Rate for Payer: Cigna Commercial	$39.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.23
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$17.48
Rate for Payer: Qualcare PPO/HMO/WC	$11.92
Rate for Payer: UnitedHealthcare Community & State	$1.91
Rate for Payer: Wellpoint Medicaid Managed Care	$2.11

SCREW 6.5 CAN 16 TH 35 2332036

Facility

$79.45

Hospital Charge Code	270610368
Hospital Revenue Code	278
Min. Negotiated Rate	$11.92
Max. Negotiated Rate	$19.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.23
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$17.48
Rate for Payer: Qualcare PPO/HMO/WC	$11.92

SCREW 6.5 CAN 16 TH 55 2332056

Facility

$95.00

Service Code	HCPCS C1713
Hospital Charge Code	270610372
Hospital Revenue Code	278
Min. Negotiated Rate	$2.29
Max. Negotiated Rate	$47.50
Rate for Payer: Aetna Commercial	$36.10
Rate for Payer: Aetna Medicare Advantage	$28.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.23
Rate for Payer: Cigna Commercial	$47.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.99
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$20.90
Rate for Payer: Qualcare PPO/HMO/WC	$14.25
Rate for Payer: UnitedHealthcare Community & State	$2.29
Rate for Payer: Wellpoint Medicaid Managed Care	$2.52

SCREW 6.5 CAN 16 TH 55 2332056

Facility

$95.00

Service Code	HCPCS C1713
Hospital Charge Code	270610372
Hospital Revenue Code	278
Min. Negotiated Rate	$14.25
Max. Negotiated Rate	$22.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.99
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$20.90
Rate for Payer: Qualcare PPO/HMO/WC	$14.25

SCREW 6.5 CANC 26 X 65 THD

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270687892
Hospital Revenue Code	278
Min. Negotiated Rate	$3.35
Max. Negotiated Rate	$69.53
Rate for Payer: Aetna Commercial	$52.84
Rate for Payer: Aetna Medicare Advantage	$41.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.46
Rate for Payer: Cigna Commercial	$69.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$30.59
Rate for Payer: Qualcare PPO/HMO/WC	$20.86
Rate for Payer: UnitedHealthcare Community & State	$3.35
Rate for Payer: Wellpoint Medicaid Managed Care	$3.68

SCREW 6.5 CANC 26 X 65 THD

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270687892
Hospital Revenue Code	278
Min. Negotiated Rate	$20.86
Max. Negotiated Rate	$33.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$30.59
Rate for Payer: Qualcare PPO/HMO/WC	$20.86

SCREW 6.5 CANC 32 X 60 THD

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270687891
Hospital Revenue Code	278
Min. Negotiated Rate	$3.35
Max. Negotiated Rate	$69.53
Rate for Payer: Aetna Commercial	$52.84
Rate for Payer: Aetna Medicare Advantage	$41.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.46
Rate for Payer: Cigna Commercial	$69.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$30.59
Rate for Payer: Qualcare PPO/HMO/WC	$20.86
Rate for Payer: UnitedHealthcare Community & State	$3.35
Rate for Payer: Wellpoint Medicaid Managed Care	$3.68

SCREW 6.5 CANC 32 X 60 THD

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270687891
Hospital Revenue Code	278
Min. Negotiated Rate	$20.86
Max. Negotiated Rate	$33.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$30.59
Rate for Payer: Qualcare PPO/HMO/WC	$20.86

SCREW 6.5 CANN 16MM THR 95M

Facility

$1,139.10

Service Code	HCPCS C1713
Hospital Charge Code	270693463
Hospital Revenue Code	278
Min. Negotiated Rate	$170.87
Max. Negotiated Rate	$275.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$227.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$250.60
Rate for Payer: Qualcare PPO/HMO/WC	$170.87

SCREW 6.5 CANN 16MM THR 95M

Facility

$1,139.10

Service Code	HCPCS C1713
Hospital Charge Code	270693463
Hospital Revenue Code	278
Min. Negotiated Rate	$27.45
Max. Negotiated Rate	$569.55
Rate for Payer: Aetna Commercial	$432.86
Rate for Payer: Aetna Medicare Advantage	$341.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$290.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$290.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$227.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$290.47
Rate for Payer: Cigna Commercial	$569.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$250.60
Rate for Payer: Qualcare PPO/HMO/WC	$170.87
Rate for Payer: UnitedHealthcare Community & State	$27.45
Rate for Payer: Wellpoint Medicaid Managed Care	$30.19

SCREW 6.5 CANN FULL THR 55MM

Facility

$1,173.00

Service Code	HCPCS C1713
Hospital Charge Code	270693732
Hospital Revenue Code	278
Min. Negotiated Rate	$175.95
Max. Negotiated Rate	$283.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$234.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$283.87
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$258.06
Rate for Payer: Qualcare PPO/HMO/WC	$175.95

SCREW 6.5 CANN FULL THR 55MM

Facility

$1,173.00

Service Code	HCPCS C1713
Hospital Charge Code	270693732
Hospital Revenue Code	278
Min. Negotiated Rate	$28.27
Max. Negotiated Rate	$586.50
Rate for Payer: Aetna Commercial	$445.74
Rate for Payer: Aetna Medicare Advantage	$351.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$299.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$299.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$234.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$299.12
Rate for Payer: Cigna Commercial	$586.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$283.87
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$258.06
Rate for Payer: Qualcare PPO/HMO/WC	$175.95
Rate for Payer: UnitedHealthcare Community & State	$28.27
Rate for Payer: Wellpoint Medicaid Managed Care	$31.08

SCREW 6.5 CANN FULL THR 85MM

Facility

$1,173.00

Service Code	HCPCS C1713
Hospital Charge Code	270693731
Hospital Revenue Code	278
Min. Negotiated Rate	$28.27
Max. Negotiated Rate	$586.50
Rate for Payer: Aetna Commercial	$445.74
Rate for Payer: Aetna Medicare Advantage	$351.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$299.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$299.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$234.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$299.12
Rate for Payer: Cigna Commercial	$586.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$283.87
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$258.06
Rate for Payer: Qualcare PPO/HMO/WC	$175.95
Rate for Payer: UnitedHealthcare Community & State	$28.27
Rate for Payer: Wellpoint Medicaid Managed Care	$31.08

SCREW 6.5 CANN FULL THR 85MM

Facility

$1,173.00

Service Code	HCPCS C1713
Hospital Charge Code	270693731
Hospital Revenue Code	278
Min. Negotiated Rate	$175.95
Max. Negotiated Rate	$283.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$234.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$283.87
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$258.06
Rate for Payer: Qualcare PPO/HMO/WC	$175.95

SCREW 6.5mm CAN 16x100 2332101

Facility

$87.35

Hospital Charge Code	270610381
Hospital Revenue Code	278
Min. Negotiated Rate	$13.10
Max. Negotiated Rate	$21.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$19.22
Rate for Payer: Qualcare PPO/HMO/WC	$13.10

SCREW 6.5mm CAN 16x100 2332101

Facility

$87.35

Hospital Charge Code	270610381
Hospital Revenue Code	278
Min. Negotiated Rate	$2.11
Max. Negotiated Rate	$43.67
Rate for Payer: Aetna Commercial	$33.19
Rate for Payer: Aetna Medicare Advantage	$26.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.27
Rate for Payer: Cigna Commercial	$43.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$19.22
Rate for Payer: Qualcare PPO/HMO/WC	$13.10
Rate for Payer: UnitedHealthcare Community & State	$2.11
Rate for Payer: Wellpoint Medicaid Managed Care	$2.31

SCREW 6.5mm CAN 16X105 2332106

Facility

$87.35

Hospital Charge Code	270610382
Hospital Revenue Code	278
Min. Negotiated Rate	$2.11
Max. Negotiated Rate	$43.67
Rate for Payer: Aetna Commercial	$33.19
Rate for Payer: Aetna Medicare Advantage	$26.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.27
Rate for Payer: Cigna Commercial	$43.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$19.22
Rate for Payer: Qualcare PPO/HMO/WC	$13.10
Rate for Payer: UnitedHealthcare Community & State	$2.11
Rate for Payer: Wellpoint Medicaid Managed Care	$2.31

SCREW 6.5mm CAN 16X105 2332106

Facility

$87.35

Hospital Charge Code	270610382
Hospital Revenue Code	278
Min. Negotiated Rate	$13.10
Max. Negotiated Rate	$21.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$19.22
Rate for Payer: Qualcare PPO/HMO/WC	$13.10

SCREW 6.5mm CAN 16X110 2332111

Facility

$87.35

Hospital Charge Code	270610383
Hospital Revenue Code	278
Min. Negotiated Rate	$2.11
Max. Negotiated Rate	$43.67
Rate for Payer: Aetna Commercial	$33.19
Rate for Payer: Aetna Medicare Advantage	$26.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.27
Rate for Payer: Cigna Commercial	$43.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$19.22
Rate for Payer: Qualcare PPO/HMO/WC	$13.10
Rate for Payer: UnitedHealthcare Community & State	$2.11
Rate for Payer: Wellpoint Medicaid Managed Care	$2.31

SCREW 6.5mm CAN 16X110 2332111

Facility

$87.35

Hospital Charge Code	270610383
Hospital Revenue Code	278
Min. Negotiated Rate	$13.10
Max. Negotiated Rate	$21.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$19.22
Rate for Payer: Qualcare PPO/HMO/WC	$13.10

SCREW 6.5mm CAN 32X100 2333101

Facility

$58.50

Hospital Charge Code	270610394
Hospital Revenue Code	278
Min. Negotiated Rate	$8.78
Max. Negotiated Rate	$14.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.16
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$12.87
Rate for Payer: Qualcare PPO/HMO/WC	$8.78

SCREW 6.5mm CAN 32X100 2333101

Facility

$58.50

Hospital Charge Code	270610394
Hospital Revenue Code	278
Min. Negotiated Rate	$1.41
Max. Negotiated Rate	$29.25
Rate for Payer: Aetna Commercial	$22.23
Rate for Payer: Aetna Medicare Advantage	$17.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.92
Rate for Payer: Cigna Commercial	$29.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.16
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$12.87
Rate for Payer: Qualcare PPO/HMO/WC	$8.78
Rate for Payer: UnitedHealthcare Community & State	$1.41
Rate for Payer: Wellpoint Medicaid Managed Care	$1.55

SCREW 6.5mm CAN 32X105 2333106

Facility

$109.70

Hospital Charge Code	270610395
Hospital Revenue Code	278
Min. Negotiated Rate	$16.45
Max. Negotiated Rate	$26.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$24.13
Rate for Payer: Qualcare PPO/HMO/WC	$16.45

SCREW 6.5mm CAN 32X105 2333106

Facility

$109.70

Hospital Charge Code	270610395
Hospital Revenue Code	278
Min. Negotiated Rate	$2.64
Max. Negotiated Rate	$54.85
Rate for Payer: Aetna Commercial	$41.69
Rate for Payer: Aetna Medicare Advantage	$32.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.97
Rate for Payer: Cigna Commercial	$54.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$24.13
Rate for Payer: Qualcare PPO/HMO/WC	$16.45
Rate for Payer: UnitedHealthcare Community & State	$2.64
Rate for Payer: Wellpoint Medicaid Managed Care	$2.91

SCREW 6.5mm CAN 32X110 2333111

Facility

$109.70

Hospital Charge Code	270610396
Hospital Revenue Code	278
Min. Negotiated Rate	$16.45
Max. Negotiated Rate	$26.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$24.13
Rate for Payer: Qualcare PPO/HMO/WC	$16.45

Know your out-of-pocket cost for care.

All Charges