Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 6.5X45MM ACCELUS

Facility

$2,000.00

Hospital Charge Code	270703471
Hospital Revenue Code	278
Min. Negotiated Rate	$300.00
Max. Negotiated Rate	$484.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$484.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$440.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00

SCREW 6.5X45MM ACCELUS

Facility

$2,000.00

Hospital Charge Code	270703471
Hospital Revenue Code	278
Min. Negotiated Rate	$48.20
Max. Negotiated Rate	$1,000.00
Rate for Payer: Aetna Commercial	$760.00
Rate for Payer: Aetna Medicare Advantage	$600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$510.00
Rate for Payer: Cigna Commercial	$1,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$484.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$440.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00
Rate for Payer: UnitedHealthcare Community & State	$48.20
Rate for Payer: Wellpoint Medicaid Managed Care	$53.00

SCREW 6.5X45MM POLYAXIAL

Facility

$10,285.00

Hospital Charge Code	270662658
Hospital Revenue Code	278
Min. Negotiated Rate	$1,542.75
Max. Negotiated Rate	$2,488.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,057.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,488.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,262.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,542.75

SCREW 6.5X45MM POLYAXIAL

Facility

$10,285.00

Hospital Charge Code	270662658
Hospital Revenue Code	278
Min. Negotiated Rate	$247.87
Max. Negotiated Rate	$5,142.50
Rate for Payer: Aetna Commercial	$3,908.30
Rate for Payer: Aetna Medicare Advantage	$3,085.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,622.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,622.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,057.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,622.68
Rate for Payer: Cigna Commercial	$5,142.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,488.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,262.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,542.75
Rate for Payer: UnitedHealthcare Community & State	$247.87
Rate for Payer: Wellpoint Medicaid Managed Care	$272.55

SCREW 6.5X45MM POLY RELINE 2C

Facility

$385.00

Service Code	HCPCS C1713
Hospital Charge Code	270691823
Hospital Revenue Code	278
Min. Negotiated Rate	$57.75
Max. Negotiated Rate	$93.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$77.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$93.17
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$84.70
Rate for Payer: Qualcare PPO/HMO/WC	$57.75

SCREW 6.5X45MM POLY RELINE 2C

Facility

$385.00

Service Code	HCPCS C1713
Hospital Charge Code	270691823
Hospital Revenue Code	278
Min. Negotiated Rate	$9.28
Max. Negotiated Rate	$192.50
Rate for Payer: Aetna Commercial	$146.30
Rate for Payer: Aetna Medicare Advantage	$115.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$98.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$98.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$77.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$98.17
Rate for Payer: Cigna Commercial	$192.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$93.17
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$84.70
Rate for Payer: Qualcare PPO/HMO/WC	$57.75
Rate for Payer: UnitedHealthcare Community & State	$9.28
Rate for Payer: Wellpoint Medicaid Managed Care	$10.20

SCREW 6.5 X 45 MM RELINE

Facility

$9,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270682865
Hospital Revenue Code	278
Min. Negotiated Rate	$1,350.00
Max. Negotiated Rate	$2,178.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,178.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,980.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,350.00

SCREW 6.5 X 45 MM RELINE

Facility

$9,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270682865
Hospital Revenue Code	278
Min. Negotiated Rate	$216.90
Max. Negotiated Rate	$4,500.00
Rate for Payer: Aetna Commercial	$3,420.00
Rate for Payer: Aetna Medicare Advantage	$2,700.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,295.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,295.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,295.00
Rate for Payer: Cigna Commercial	$4,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,178.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,980.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,350.00
Rate for Payer: UnitedHealthcare Community & State	$216.90
Rate for Payer: Wellpoint Medicaid Managed Care	$238.50

SCREW 6.5X50

Facility

$11,205.60

Service Code	HCPCS C1713
Hospital Charge Code	270699238
Hospital Revenue Code	278
Min. Negotiated Rate	$270.05
Max. Negotiated Rate	$5,602.80
Rate for Payer: Aetna Commercial	$4,258.13
Rate for Payer: Aetna Medicare Advantage	$3,361.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,857.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,857.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,241.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,857.43
Rate for Payer: Cigna Commercial	$5,602.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,711.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,465.23
Rate for Payer: Qualcare PPO/HMO/WC	$1,680.84
Rate for Payer: UnitedHealthcare Community & State	$270.05
Rate for Payer: Wellpoint Medicaid Managed Care	$296.95

SCREW 6.5X50

Facility

$11,205.60

Service Code	HCPCS C1713
Hospital Charge Code	270699238
Hospital Revenue Code	278
Min. Negotiated Rate	$1,680.84
Max. Negotiated Rate	$2,711.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,241.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,711.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,465.23
Rate for Payer: Qualcare PPO/HMO/WC	$1,680.84

SCREW 6.5 X 50HDLESS COMP THD

Facility

$1,468.35

Service Code	HCPCS C1713
Hospital Charge Code	270688270
Hospital Revenue Code	278
Min. Negotiated Rate	$35.39
Max. Negotiated Rate	$734.17
Rate for Payer: Aetna Commercial	$557.97
Rate for Payer: Aetna Medicare Advantage	$440.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$374.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$374.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$293.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$374.43
Rate for Payer: Cigna Commercial	$734.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$355.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$323.04
Rate for Payer: Qualcare PPO/HMO/WC	$220.25
Rate for Payer: UnitedHealthcare Community & State	$35.39
Rate for Payer: Wellpoint Medicaid Managed Care	$38.91

SCREW 6.5 X 50HDLESS COMP THD

Facility

$1,468.35

Service Code	HCPCS C1713
Hospital Charge Code	270688270
Hospital Revenue Code	278
Min. Negotiated Rate	$220.25
Max. Negotiated Rate	$355.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$293.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$355.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$323.04
Rate for Payer: Qualcare PPO/HMO/WC	$220.25

SCREW 6.5X50MM

Facility

$2,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270704743
Hospital Revenue Code	278
Min. Negotiated Rate	$330.00
Max. Negotiated Rate	$532.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$440.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$532.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$484.00
Rate for Payer: Qualcare PPO/HMO/WC	$330.00

SCREW 6.5X50MM

Facility

$3,625.00

Hospital Charge Code	270702661
Hospital Revenue Code	278
Min. Negotiated Rate	$87.36
Max. Negotiated Rate	$1,812.50
Rate for Payer: Aetna Commercial	$1,377.50
Rate for Payer: Aetna Medicare Advantage	$1,087.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$924.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$924.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$725.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$924.38
Rate for Payer: Cigna Commercial	$1,812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$877.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$797.50
Rate for Payer: Qualcare PPO/HMO/WC	$543.75
Rate for Payer: UnitedHealthcare Community & State	$87.36
Rate for Payer: Wellpoint Medicaid Managed Care	$96.06

SCREW 6.5X50MM

Facility

$2,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270704743
Hospital Revenue Code	278
Min. Negotiated Rate	$53.02
Max. Negotiated Rate	$1,100.00
Rate for Payer: Aetna Commercial	$836.00
Rate for Payer: Aetna Medicare Advantage	$660.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$561.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$561.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$440.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$561.00
Rate for Payer: Cigna Commercial	$1,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$532.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$484.00
Rate for Payer: Qualcare PPO/HMO/WC	$330.00
Rate for Payer: UnitedHealthcare Community & State	$53.02
Rate for Payer: Wellpoint Medicaid Managed Care	$58.30

SCREW 6.5X50MM

Facility

$3,625.00

Hospital Charge Code	270702661
Hospital Revenue Code	278
Min. Negotiated Rate	$543.75
Max. Negotiated Rate	$877.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$877.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$797.50
Rate for Payer: Qualcare PPO/HMO/WC	$543.75

SCREW 6.5 X 60MM

Facility

$4,450.00

Service Code	HCPCS C1713
Hospital Charge Code	270690702
Hospital Revenue Code	278
Min. Negotiated Rate	$667.50
Max. Negotiated Rate	$1,076.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$890.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,076.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$979.00
Rate for Payer: Qualcare PPO/HMO/WC	$667.50

SCREW 6.5 X 60MM

Facility

$4,450.00

Service Code	HCPCS C1713
Hospital Charge Code	270690702
Hospital Revenue Code	278
Min. Negotiated Rate	$107.25
Max. Negotiated Rate	$2,225.00
Rate for Payer: Aetna Commercial	$1,691.00
Rate for Payer: Aetna Medicare Advantage	$1,335.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,134.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,134.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$890.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,134.75
Rate for Payer: Cigna Commercial	$2,225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,076.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$979.00
Rate for Payer: Qualcare PPO/HMO/WC	$667.50
Rate for Payer: UnitedHealthcare Community & State	$107.25
Rate for Payer: Wellpoint Medicaid Managed Care	$117.92

SCREW 6.5X60MM

Facility

$4,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270698967
Hospital Revenue Code	278
Min. Negotiated Rate	$114.47
Max. Negotiated Rate	$2,375.00
Rate for Payer: Aetna Commercial	$1,805.00
Rate for Payer: Aetna Medicare Advantage	$1,425.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$950.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,211.25
Rate for Payer: Cigna Commercial	$2,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,149.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,045.00
Rate for Payer: Qualcare PPO/HMO/WC	$712.50
Rate for Payer: UnitedHealthcare Community & State	$114.47
Rate for Payer: Wellpoint Medicaid Managed Care	$125.88

SCREW 6.5X60MM

Facility

$2,301.80

Service Code	HCPCS C1713
Hospital Charge Code	270705663
Hospital Revenue Code	278
Min. Negotiated Rate	$345.27
Max. Negotiated Rate	$557.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$460.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$557.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$506.40
Rate for Payer: Qualcare PPO/HMO/WC	$345.27

SCREW 6.5X60MM

Facility

$4,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270698967
Hospital Revenue Code	278
Min. Negotiated Rate	$712.50
Max. Negotiated Rate	$1,149.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,149.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,045.00
Rate for Payer: Qualcare PPO/HMO/WC	$712.50

SCREW 6.5X60MM

Facility

$2,301.80

Service Code	HCPCS C1713
Hospital Charge Code	270705663
Hospital Revenue Code	278
Min. Negotiated Rate	$55.47
Max. Negotiated Rate	$1,150.90
Rate for Payer: Aetna Commercial	$874.68
Rate for Payer: Aetna Medicare Advantage	$690.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$586.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$586.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$460.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$586.96
Rate for Payer: Cigna Commercial	$1,150.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$557.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$506.40
Rate for Payer: Qualcare PPO/HMO/WC	$345.27
Rate for Payer: UnitedHealthcare Community & State	$55.47
Rate for Payer: Wellpoint Medicaid Managed Care	$61.00

SCREW 6.5 X 65MM

Facility

$3,525.00

Service Code	HCPCS C1713
Hospital Charge Code	270686222
Hospital Revenue Code	278
Min. Negotiated Rate	$528.75
Max. Negotiated Rate	$853.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$705.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$853.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$775.50
Rate for Payer: Qualcare PPO/HMO/WC	$528.75

SCREW 6.5 X 65MM

Facility

$3,525.00

Service Code	HCPCS C1713
Hospital Charge Code	270686222
Hospital Revenue Code	278
Min. Negotiated Rate	$84.95
Max. Negotiated Rate	$1,762.50
Rate for Payer: Aetna Commercial	$1,339.50
Rate for Payer: Aetna Medicare Advantage	$1,057.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$898.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$898.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$705.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$898.88
Rate for Payer: Cigna Commercial	$1,762.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$853.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$775.50
Rate for Payer: Qualcare PPO/HMO/WC	$528.75
Rate for Payer: UnitedHealthcare Community & State	$84.95
Rate for Payer: Wellpoint Medicaid Managed Care	$93.41

SCREW 6.5X65MM 015.3287

Facility

$4,450.00

Hospital Charge Code	270702564
Hospital Revenue Code	278
Min. Negotiated Rate	$107.25
Max. Negotiated Rate	$2,225.00
Rate for Payer: Aetna Commercial	$1,691.00
Rate for Payer: Aetna Medicare Advantage	$1,335.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,134.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,134.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$890.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,134.75
Rate for Payer: Cigna Commercial	$2,225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,076.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$979.00
Rate for Payer: Qualcare PPO/HMO/WC	$667.50
Rate for Payer: UnitedHealthcare Community & State	$107.25
Rate for Payer: Wellpoint Medicaid Managed Care	$117.92

Know your out-of-pocket cost for care.

All Charges