Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 8.5X55MM.

Facility

$4,450.00

Service Code	HCPCS C1713
Hospital Charge Code	270705908
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 8 MULTIAX 5.5x35 8695535

Facility

$5,927.25

Hospital Charge Code	270632420
Hospital Revenue Code	278
Min. Negotiated Rate	$889.09
Max. Negotiated Rate	$1,434.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,185.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,434.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,303.99
Rate for Payer: Qualcare PPO/HMO/WC	$889.09

SCREW 8 MULTIAX 5.5x35 8695535

Facility

$5,927.25

Hospital Charge Code	270632420
Hospital Revenue Code	278
Min. Negotiated Rate	$142.85
Max. Negotiated Rate	$2,963.62
Rate for Payer: Aetna Commercial	$2,252.36
Rate for Payer: Aetna Medicare Advantage	$1,778.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,511.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,511.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,185.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,511.45
Rate for Payer: Cigna Commercial	$2,963.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,434.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,303.99
Rate for Payer: Qualcare PPO/HMO/WC	$889.09
Rate for Payer: UnitedHealthcare Community & State	$142.85
Rate for Payer: Wellpoint Medicaid Managed Care	$157.07

SCREW ACD ACUTRAK 22.5 AT1225S

Facility

$1,630.45

Hospital Charge Code	270629585
Hospital Revenue Code	278
Min. Negotiated Rate	$244.57
Max. Negotiated Rate	$394.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$326.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$394.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$358.70
Rate for Payer: Qualcare PPO/HMO/WC	$244.57

SCREW ACD ACUTRAK 22.5 AT1225S

Facility

$1,630.45

Hospital Charge Code	270629585
Hospital Revenue Code	278
Min. Negotiated Rate	$39.29
Max. Negotiated Rate	$815.23
Rate for Payer: Aetna Commercial	$619.57
Rate for Payer: Aetna Medicare Advantage	$489.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$415.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$415.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$326.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$415.76
Rate for Payer: Cigna Commercial	$815.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$394.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$358.70
Rate for Payer: Qualcare PPO/HMO/WC	$244.57
Rate for Payer: UnitedHealthcare Community & State	$39.29
Rate for Payer: Wellpoint Medicaid Managed Care	$43.21

SCREW ACETABULAR 6.5x40MM

Facility

$400.00

Hospital Charge Code	270612169
Hospital Revenue Code	278
Min. Negotiated Rate	$9.64
Max. Negotiated Rate	$200.00
Rate for Payer: Aetna Commercial	$152.00
Rate for Payer: Aetna Medicare Advantage	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$80.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$102.00
Rate for Payer: Cigna Commercial	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$88.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.00
Rate for Payer: UnitedHealthcare Community & State	$9.64
Rate for Payer: Wellpoint Medicaid Managed Care	$10.60

SCREW ACETABULAR 6.5x40MM

Facility

$400.00

Hospital Charge Code	270612169
Hospital Revenue Code	278
Min. Negotiated Rate	$60.00
Max. Negotiated Rate	$96.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$80.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$88.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.00

SCREW ACP 3.5X13MM SDV

Facility

$3,865.00

Service Code	HCPCS C1713
Hospital Charge Code	270693081
Hospital Revenue Code	278
Min. Negotiated Rate	$93.15
Max. Negotiated Rate	$1,932.50
Rate for Payer: Aetna Commercial	$1,468.70
Rate for Payer: Aetna Medicare Advantage	$1,159.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$985.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$985.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$773.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$985.58
Rate for Payer: Cigna Commercial	$1,932.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$935.33
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$850.30
Rate for Payer: Qualcare PPO/HMO/WC	$579.75
Rate for Payer: UnitedHealthcare Community & State	$93.15
Rate for Payer: Wellpoint Medicaid Managed Care	$102.42

SCREW ACP 3.5X13MM SDV

Facility

$3,865.00

Service Code	HCPCS C1713
Hospital Charge Code	270693081
Hospital Revenue Code	278
Min. Negotiated Rate	$579.75
Max. Negotiated Rate	$935.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$773.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$935.33
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$850.30
Rate for Payer: Qualcare PPO/HMO/WC	$579.75

SCREW ACP 3.5X13MM SELF TAP

Facility

$12,144.00

Service Code	HCPCS C1713
Hospital Charge Code	270693941
Hospital Revenue Code	278
Min. Negotiated Rate	$1,821.60
Max. Negotiated Rate	$2,938.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,428.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,938.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,671.68
Rate for Payer: Qualcare PPO/HMO/WC	$1,821.60

SCREW ACP 3.5X13MM SELF TAP

Facility

$12,144.00

Service Code	HCPCS C1713
Hospital Charge Code	270693941
Hospital Revenue Code	278
Min. Negotiated Rate	$292.67
Max. Negotiated Rate	$6,072.00
Rate for Payer: Aetna Commercial	$4,614.72
Rate for Payer: Aetna Medicare Advantage	$3,643.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,096.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,096.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,428.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,096.72
Rate for Payer: Cigna Commercial	$6,072.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,938.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,671.68
Rate for Payer: Qualcare PPO/HMO/WC	$1,821.60
Rate for Payer: UnitedHealthcare Community & State	$292.67
Rate for Payer: Wellpoint Medicaid Managed Care	$321.82

SCREW ACP SD FIXED 3.5X15MM

Facility

$1,515.00

Service Code	HCPCS C1713
Hospital Charge Code	270698446
Hospital Revenue Code	278
Min. Negotiated Rate	$36.51
Max. Negotiated Rate	$757.50
Rate for Payer: Aetna Commercial	$575.70
Rate for Payer: Aetna Medicare Advantage	$454.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$386.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$386.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$386.32
Rate for Payer: Cigna Commercial	$757.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$366.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$333.30
Rate for Payer: Qualcare PPO/HMO/WC	$227.25
Rate for Payer: UnitedHealthcare Community & State	$36.51
Rate for Payer: Wellpoint Medicaid Managed Care	$40.15

SCREW ACP SD FIXED 3.5X15MM

Facility

$1,515.00

Service Code	HCPCS C1713
Hospital Charge Code	270698446
Hospital Revenue Code	278
Min. Negotiated Rate	$227.25
Max. Negotiated Rate	$366.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$366.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$333.30
Rate for Payer: Qualcare PPO/HMO/WC	$227.25

SCREW ACP SDV 3.5X11MM

Facility

$1,515.00

Service Code	HCPCS C1713
Hospital Charge Code	270695818
Hospital Revenue Code	278
Min. Negotiated Rate	$227.25
Max. Negotiated Rate	$366.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$366.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$333.30
Rate for Payer: Qualcare PPO/HMO/WC	$227.25

SCREW ACP SDV 3.5X11MM

Facility

$1,515.00

Service Code	HCPCS C1713
Hospital Charge Code	270695818
Hospital Revenue Code	278
Min. Negotiated Rate	$36.51
Max. Negotiated Rate	$757.50
Rate for Payer: Aetna Commercial	$575.70
Rate for Payer: Aetna Medicare Advantage	$454.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$386.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$386.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$386.32
Rate for Payer: Cigna Commercial	$757.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$366.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$333.30
Rate for Payer: Qualcare PPO/HMO/WC	$227.25
Rate for Payer: UnitedHealthcare Community & State	$36.51
Rate for Payer: Wellpoint Medicaid Managed Care	$40.15

SCREW ACP SDV 3.5X15MM

Facility

$30,932.00

Service Code	HCPCS C1713
Hospital Charge Code	270695129
Hospital Revenue Code	278
Min. Negotiated Rate	$4,639.80
Max. Negotiated Rate	$7,485.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,186.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,485.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,805.04
Rate for Payer: Qualcare PPO/HMO/WC	$4,639.80

SCREW ACP SDV 3.5X15MM

Facility

$30,932.00

Service Code	HCPCS C1713
Hospital Charge Code	270695129
Hospital Revenue Code	278
Min. Negotiated Rate	$745.46
Max. Negotiated Rate	$15,466.00
Rate for Payer: Aetna Commercial	$11,754.16
Rate for Payer: Aetna Medicare Advantage	$9,279.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,887.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,887.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,186.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,887.66
Rate for Payer: Cigna Commercial	$15,466.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,485.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,805.04
Rate for Payer: Qualcare PPO/HMO/WC	$4,639.80
Rate for Payer: UnitedHealthcare Community & State	$745.46
Rate for Payer: Wellpoint Medicaid Managed Care	$819.70

SCREW ACP SELF TAP VA 3.5X11MM

Facility

$3,866.50

Service Code	HCPCS C1713
Hospital Charge Code	270695382
Hospital Revenue Code	278
Min. Negotiated Rate	$579.98
Max. Negotiated Rate	$935.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$773.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$935.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$850.63
Rate for Payer: Qualcare PPO/HMO/WC	$579.98

SCREW ACP SELF TAP VA 3.5X11MM

Facility

$3,866.50

Service Code	HCPCS C1713
Hospital Charge Code	270695382
Hospital Revenue Code	278
Min. Negotiated Rate	$93.18
Max. Negotiated Rate	$1,933.25
Rate for Payer: Aetna Commercial	$1,469.27
Rate for Payer: Aetna Medicare Advantage	$1,159.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$985.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$985.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$773.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$985.96
Rate for Payer: Cigna Commercial	$1,933.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$935.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$850.63
Rate for Payer: Qualcare PPO/HMO/WC	$579.98
Rate for Payer: UnitedHealthcare Community & State	$93.18
Rate for Payer: Wellpoint Medicaid Managed Care	$102.46

SCREW ACP SELF TAP VAR 4X15MM

Facility

$720.00

Service Code	HCPCS C1713
Hospital Charge Code	270696624
Hospital Revenue Code	278
Min. Negotiated Rate	$108.00
Max. Negotiated Rate	$174.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$144.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$158.40
Rate for Payer: Qualcare PPO/HMO/WC	$108.00

SCREW ACP SELF TAP VAR 4X15MM

Facility

$720.00

Service Code	HCPCS C1713
Hospital Charge Code	270696624
Hospital Revenue Code	278
Min. Negotiated Rate	$17.35
Max. Negotiated Rate	$360.00
Rate for Payer: Aetna Commercial	$273.60
Rate for Payer: Aetna Medicare Advantage	$216.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$183.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$183.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$144.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$183.60
Rate for Payer: Cigna Commercial	$360.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$158.40
Rate for Payer: Qualcare PPO/HMO/WC	$108.00
Rate for Payer: UnitedHealthcare Community & State	$17.35
Rate for Payer: Wellpoint Medicaid Managed Care	$19.08

SCREW ACP SLF TAP VAR 3.5X11MM

Facility

$3,866.50

Service Code	HCPCS C1713
Hospital Charge Code	270695409
Hospital Revenue Code	278
Min. Negotiated Rate	$579.98
Max. Negotiated Rate	$935.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$773.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$935.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$850.63
Rate for Payer: Qualcare PPO/HMO/WC	$579.98

SCREW ACP SLF TAP VAR 3.5X11MM

Facility

$3,866.50

Service Code	HCPCS C1713
Hospital Charge Code	270695409
Hospital Revenue Code	278
Min. Negotiated Rate	$93.18
Max. Negotiated Rate	$1,933.25
Rate for Payer: Aetna Commercial	$1,469.27
Rate for Payer: Aetna Medicare Advantage	$1,159.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$985.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$985.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$773.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$985.96
Rate for Payer: Cigna Commercial	$1,933.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$935.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$850.63
Rate for Payer: Qualcare PPO/HMO/WC	$579.98
Rate for Payer: UnitedHealthcare Community & State	$93.18
Rate for Payer: Wellpoint Medicaid Managed Care	$102.46

SCREW ACR 6.25 40MM 2223-2840

Facility

$2,483.25

Hospital Charge Code	270608048
Hospital Revenue Code	278
Min. Negotiated Rate	$372.49
Max. Negotiated Rate	$600.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$496.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$600.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$546.32
Rate for Payer: Qualcare PPO/HMO/WC	$372.49

SCREW ACR 6.25 40MM 2223-2840

Facility

$2,483.25

Hospital Charge Code	270608048
Hospital Revenue Code	278
Min. Negotiated Rate	$59.85
Max. Negotiated Rate	$1,241.62
Rate for Payer: Aetna Commercial	$943.63
Rate for Payer: Aetna Medicare Advantage	$744.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$633.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$633.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$496.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$633.23
Rate for Payer: Cigna Commercial	$1,241.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$600.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$546.32
Rate for Payer: Qualcare PPO/HMO/WC	$372.49
Rate for Payer: UnitedHealthcare Community & State	$59.85
Rate for Payer: Wellpoint Medicaid Managed Care	$65.81

Know your out-of-pocket cost for care.

All Charges