Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 6.5mm CAN 32X110 2333111

Facility

$109.70

Hospital Charge Code	270610396
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 CANC 105MM

Facility

$149.85

Service Code	HCPCS C1713
Hospital Charge Code	270656175
Hospital Revenue Code	278
Min. Negotiated Rate	$22.48
Max. Negotiated Rate	$36.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.26
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$32.97
Rate for Payer: Qualcare PPO/HMO/WC	$22.48

SCREW 6.5MM CANC 105MM

Facility

$149.85

Service Code	HCPCS C1713
Hospital Charge Code	270656175
Hospital Revenue Code	278
Min. Negotiated Rate	$3.61
Max. Negotiated Rate	$74.92
Rate for Payer: Aetna Commercial	$56.94
Rate for Payer: Aetna Medicare Advantage	$44.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.21
Rate for Payer: Cigna Commercial	$74.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.26
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$32.97
Rate for Payer: Qualcare PPO/HMO/WC	$22.48
Rate for Payer: UnitedHealthcare Community & State	$3.61
Rate for Payer: Wellpoint Medicaid Managed Care	$3.97

SCREW 6.5MM CANC 110MM

Facility

$145.50

Hospital Charge Code	270656192
Hospital Revenue Code	278
Min. Negotiated Rate	$3.51
Max. Negotiated Rate	$72.75
Rate for Payer: Aetna Commercial	$55.29
Rate for Payer: Aetna Medicare Advantage	$43.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.10
Rate for Payer: Cigna Commercial	$72.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$32.01
Rate for Payer: Qualcare PPO/HMO/WC	$21.82
Rate for Payer: UnitedHealthcare Community & State	$3.51
Rate for Payer: Wellpoint Medicaid Managed Care	$3.86

SCREW 6.5MM CANC 110MM

Facility

$145.50

Hospital Charge Code	270656192
Hospital Revenue Code	278
Min. Negotiated Rate	$21.82
Max. Negotiated Rate	$35.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$32.01
Rate for Payer: Qualcare PPO/HMO/WC	$21.82

SCREW 6.5MM CANC 110MM

Facility

$149.85

Service Code	HCPCS C1713
Hospital Charge Code	270656176
Hospital Revenue Code	278
Min. Negotiated Rate	$3.61
Max. Negotiated Rate	$74.92
Rate for Payer: Aetna Commercial	$56.94
Rate for Payer: Aetna Medicare Advantage	$44.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.21
Rate for Payer: Cigna Commercial	$74.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.26
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$32.97
Rate for Payer: Qualcare PPO/HMO/WC	$22.48
Rate for Payer: UnitedHealthcare Community & State	$3.61
Rate for Payer: Wellpoint Medicaid Managed Care	$3.97

SCREW 6.5MM CANC 110MM

Facility

$149.85

Service Code	HCPCS C1713
Hospital Charge Code	270656176
Hospital Revenue Code	278
Min. Negotiated Rate	$22.48
Max. Negotiated Rate	$36.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.26
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$32.97
Rate for Payer: Qualcare PPO/HMO/WC	$22.48

SCREW 6.5MM CANC 16MM

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270655828
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 6.5MM CANC 16MM

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270655827
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 6.5MM CANC 16MM

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270655830
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 6.5MM CANC 16MM

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270655834
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 6.5MM CANC 16MM

Facility

$158.75

Hospital Charge Code	270655853
Hospital Revenue Code	278
Min. Negotiated Rate	$3.83
Max. Negotiated Rate	$79.38
Rate for Payer: Aetna Commercial	$60.33
Rate for Payer: Aetna Medicare Advantage	$47.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.48
Rate for Payer: Cigna Commercial	$79.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.42
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$34.92
Rate for Payer: Qualcare PPO/HMO/WC	$23.81
Rate for Payer: UnitedHealthcare Community & State	$3.83
Rate for Payer: Wellpoint Medicaid Managed Care	$4.21

SCREW 6.5MM CANC 16MM

Facility

$158.75

Hospital Charge Code	270655853
Hospital Revenue Code	278
Min. Negotiated Rate	$23.81
Max. Negotiated Rate	$38.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.42
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$34.92
Rate for Payer: Qualcare PPO/HMO/WC	$23.81

SCREW 6.5MM CANC 16MM

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270655834
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 6.5MM CANC 16MM

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270655828
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 6.5MM CANC 16MM

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270655832
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 6.5MM CANC 16MM

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270655830
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 6.5MM CANC 16MM

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270655846
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 6.5MM CANC 16MM

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270655846
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 6.5MM CANC 16MM

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270655832
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 6.5MM CANC 16MM

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270655827
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 6.5MM CANC 16MM

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270655831
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 6.5MM CANC 16MM

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270655831
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

SCREW6.5MM CANC 16MM

Facility

$149.85

Service Code	HCPCS C1713
Hospital Charge Code	270655852
Hospital Revenue Code	278
Min. Negotiated Rate	$3.61
Max. Negotiated Rate	$74.92
Rate for Payer: Aetna Commercial	$56.94
Rate for Payer: Aetna Medicare Advantage	$44.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.21
Rate for Payer: Cigna Commercial	$74.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.26
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$32.97
Rate for Payer: Qualcare PPO/HMO/WC	$22.48
Rate for Payer: UnitedHealthcare Community & State	$3.61
Rate for Payer: Wellpoint Medicaid Managed Care	$3.97

SCREW6.5MM CANC 16MM

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270655845
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

Know your out-of-pocket cost for care.

All Charges