Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW6.5MM CANC 16MM

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270655844
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

SCREW6.5MM CANC 16MM

Facility

$149.85

Service Code	HCPCS C1713
Hospital Charge Code	270655855
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

SCREW6.5MM CANC 16MM

Facility

$145.50

Hospital Charge Code	270655856
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

SCREW6.5MM CANC 16MM

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270655844
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	270655855
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

$145.50

Hospital Charge Code	270655856
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

SCREW6.5MM CANC 16MM

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270655850
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

SCREW6.5MM CANC 16MM

Facility

$149.85

Service Code	HCPCS C1713
Hospital Charge Code	270655852
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

SCREW6.5MM CANC 16MM

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270655850
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

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270655845
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

SCREW6.5MM CANC 16MM

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270655848
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

SCREW6.5MM CANC 16MM

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270655848
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 16 THRD 65MM

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270687941
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 16 THRD 65MM

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270687941
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 16X50 2332051

Facility

$79.45

Service Code	HCPCS C1713
Hospital Charge Code	270610371
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 6.5mm CANC 16X50 2332051

Facility

$79.45

Service Code	HCPCS C1713
Hospital Charge Code	270610371
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 6.5mm CANC 16X65 2332066

Facility

$79.45

Hospital Charge Code	270610374
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 6.5mm CANC 16X65 2332066

Facility

$79.45

Hospital Charge Code	270610374
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 6.5mm CANC 16X70 2332071

Facility

$79.45

Hospital Charge Code	270610375
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 6.5mm CANC 16X70 2332071

Facility

$79.45

Hospital Charge Code	270610375
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 6.5mm CANC 16X75 2332076

Facility

$79.45

Hospital Charge Code	270610376
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 6.5mm CANC 16X75 2332076

Facility

$79.45

Hospital Charge Code	270610376
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 6.5mm CANC 16X80 2332081

Facility

$79.45

Hospital Charge Code	270610377
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 6.5mm CANC 16X80 2332081

Facility

$79.45

Hospital Charge Code	270610377
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 6.5mm CANC 16X85 2332086

Facility

$87.35

Hospital Charge Code	270610378
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

Know your out-of-pocket cost for care.

All Charges