Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 6.5mm CANC 16X85 2332086

Facility

$87.35

Hospital Charge Code	270610378
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 CANC 16X90 2332091

Facility

$87.35

Hospital Charge Code	270610379
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 CANC 16X90 2332091

Facility

$87.35

Hospital Charge Code	270610379
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 CANC 16x95 2332096

Facility

$87.35

Hospital Charge Code	270610380
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 CANC 16x95 2332096

Facility

$87.35

Hospital Charge Code	270610380
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 CANC 32mm THR 45mm

Facility

$80.00

Hospital Charge Code	270610384
Hospital Revenue Code	278
Min. Negotiated Rate	$1.93
Max. Negotiated Rate	$40.00
Rate for Payer: Aetna Commercial	$30.40
Rate for Payer: Aetna Medicare Advantage	$24.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.40
Rate for Payer: Cigna Commercial	$40.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$17.60
Rate for Payer: Qualcare PPO/HMO/WC	$12.00
Rate for Payer: UnitedHealthcare Community & State	$1.93
Rate for Payer: Wellpoint Medicaid Managed Care	$2.12

SCREW 6.5mm CANC 32mm THR 45mm

Facility

$80.00

Hospital Charge Code	270610384
Hospital Revenue Code	278
Min. Negotiated Rate	$12.00
Max. Negotiated Rate	$19.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$17.60
Rate for Payer: Qualcare PPO/HMO/WC	$12.00

SCREW 6.5mm CANC 32X90 2333091

Facility

$109.70

Hospital Charge Code	270610392
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 32X90 2333091

Facility

$109.70

Hospital Charge Code	270610392
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 CANC 32X95 2333096

Facility

$109.70

Hospital Charge Code	270610393
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 32X95 2333096

Facility

$109.70

Hospital Charge Code	270610393
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 CANC 60mm 2332061

Facility

$79.45

Hospital Charge Code	270610373
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 60mm 2332061

Facility

$79.45

Hospital Charge Code	270610373
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 CANCELLOUS 100MM

Facility

$145.50

Hospital Charge Code	270656190
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 CANCELLOUS 100MM

Facility

$145.50

Hospital Charge Code	270656190
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 CANCELLOUS 105MM

Facility

$145.50

Hospital Charge Code	270656191
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 CANCELLOUS 105MM

Facility

$145.50

Hospital Charge Code	270656191
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 CANCELLOUS 115MM

Facility

$186.95

Service Code	HCPCS C1713
Hospital Charge Code	270656177
Hospital Revenue Code	278
Min. Negotiated Rate	$4.51
Max. Negotiated Rate	$93.47
Rate for Payer: Aetna Commercial	$71.04
Rate for Payer: Aetna Medicare Advantage	$56.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.67
Rate for Payer: Cigna Commercial	$93.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$41.13
Rate for Payer: Qualcare PPO/HMO/WC	$28.04
Rate for Payer: UnitedHealthcare Community & State	$4.51
Rate for Payer: Wellpoint Medicaid Managed Care	$4.95

SCREW 6.5MM CANCELLOUS 115MM

Facility

$186.95

Service Code	HCPCS C1713
Hospital Charge Code	270656177
Hospital Revenue Code	278
Min. Negotiated Rate	$28.04
Max. Negotiated Rate	$45.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$41.13
Rate for Payer: Qualcare PPO/HMO/WC	$28.04

SCREW 6.5MM CANCELLOUS 120MM

Facility

$186.95

Service Code	HCPCS C1713
Hospital Charge Code	270656178
Hospital Revenue Code	278
Min. Negotiated Rate	$4.51
Max. Negotiated Rate	$93.47
Rate for Payer: Aetna Commercial	$71.04
Rate for Payer: Aetna Medicare Advantage	$56.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.67
Rate for Payer: Cigna Commercial	$93.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$41.13
Rate for Payer: Qualcare PPO/HMO/WC	$28.04
Rate for Payer: UnitedHealthcare Community & State	$4.51
Rate for Payer: Wellpoint Medicaid Managed Care	$4.95

SCREW 6.5MM CANCELLOUS 120MM

Facility

$186.95

Service Code	HCPCS C1713
Hospital Charge Code	270656178
Hospital Revenue Code	278
Min. Negotiated Rate	$28.04
Max. Negotiated Rate	$45.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$41.13
Rate for Payer: Qualcare PPO/HMO/WC	$28.04

SCREW 6.5MM CANCELLOUS 45MM

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270656179
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 CANCELLOUS 45MM

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270656179
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 CANCELLOUS 50MM

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270656180
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 CANCELLOUS 50MM

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270656180
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

Know your out-of-pocket cost for care.

All Charges