Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW ANTIROTAT 80MM

Facility

$1,298.30

Service Code	HCPCS C1713
Hospital Charge Code	270696899
Hospital Revenue Code	278
Min. Negotiated Rate	$194.75
Max. Negotiated Rate	$314.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$259.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$314.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$285.63
Rate for Payer: Qualcare PPO/HMO/WC	$194.75

SCREW ANTIROTATION FEM 110MM

Facility

$1,335.00

Service Code	HCPCS C1713
Hospital Charge Code	270699632
Hospital Revenue Code	278
Min. Negotiated Rate	$32.17
Max. Negotiated Rate	$667.50
Rate for Payer: Aetna Commercial	$507.30
Rate for Payer: Aetna Medicare Advantage	$400.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$340.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$340.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$267.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$340.43
Rate for Payer: Cigna Commercial	$667.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$323.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$293.70
Rate for Payer: Qualcare PPO/HMO/WC	$200.25
Rate for Payer: UnitedHealthcare Community & State	$32.17
Rate for Payer: Wellpoint Medicaid Managed Care	$35.38

SCREW ANTIROTATION FEM 110MM

Facility

$1,335.00

Service Code	HCPCS C1713
Hospital Charge Code	270699632
Hospital Revenue Code	278
Min. Negotiated Rate	$200.25
Max. Negotiated Rate	$323.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$267.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$323.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$293.70
Rate for Payer: Qualcare PPO/HMO/WC	$200.25

SCREW ANTIROT FEM NK SYS 95MM

Facility

$1,335.00

Service Code	HCPCS C1713
Hospital Charge Code	270697921
Hospital Revenue Code	278
Min. Negotiated Rate	$32.17
Max. Negotiated Rate	$667.50
Rate for Payer: Aetna Commercial	$507.30
Rate for Payer: Aetna Medicare Advantage	$400.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$340.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$340.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$267.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$340.43
Rate for Payer: Cigna Commercial	$667.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$323.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$293.70
Rate for Payer: Qualcare PPO/HMO/WC	$200.25
Rate for Payer: UnitedHealthcare Community & State	$32.17
Rate for Payer: Wellpoint Medicaid Managed Care	$35.38

SCREW ANTIROT FEM NK SYS 95MM

Facility

$1,335.00

Service Code	HCPCS C1713
Hospital Charge Code	270697921
Hospital Revenue Code	278
Min. Negotiated Rate	$200.25
Max. Negotiated Rate	$323.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$267.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$323.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$293.70
Rate for Payer: Qualcare PPO/HMO/WC	$200.25

SCREW APERFIX 2 TIBIA 10X30MM

Facility

$2,320.00

Service Code	HCPCS C1713
Hospital Charge Code	270699555
Hospital Revenue Code	278
Min. Negotiated Rate	$55.91
Max. Negotiated Rate	$1,160.00
Rate for Payer: Aetna Commercial	$881.60
Rate for Payer: Aetna Medicare Advantage	$696.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$591.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$591.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$464.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$591.60
Rate for Payer: Cigna Commercial	$1,160.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$561.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$510.40
Rate for Payer: Qualcare PPO/HMO/WC	$348.00
Rate for Payer: UnitedHealthcare Community & State	$55.91
Rate for Payer: Wellpoint Medicaid Managed Care	$61.48

SCREW APERFIX 2 TIBIA 10X30MM

Facility

$2,320.00

Service Code	HCPCS C1713
Hospital Charge Code	270699555
Hospital Revenue Code	278
Min. Negotiated Rate	$348.00
Max. Negotiated Rate	$561.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$464.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$561.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$510.40
Rate for Payer: Qualcare PPO/HMO/WC	$348.00

SCREW APTITUDE SD VAR 4.0X14MM

Facility

$2,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270695375
Hospital Revenue Code	278
Min. Negotiated Rate	$337.50
Max. Negotiated Rate	$544.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$544.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$495.00
Rate for Payer: Qualcare PPO/HMO/WC	$337.50

SCREW APTITUDE SD VAR 4.0X14MM

Facility

$2,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270695375
Hospital Revenue Code	278
Min. Negotiated Rate	$54.23
Max. Negotiated Rate	$1,125.00
Rate for Payer: Aetna Commercial	$855.00
Rate for Payer: Aetna Medicare Advantage	$675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$573.75
Rate for Payer: Cigna Commercial	$1,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$544.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$495.00
Rate for Payer: Qualcare PPO/HMO/WC	$337.50
Rate for Payer: UnitedHealthcare Community & State	$54.23
Rate for Payer: Wellpoint Medicaid Managed Care	$59.62

SCREW ARCHON 4.0X13MM ST VAR

Facility

$1,512.50

Service Code	HCPCS C1713
Hospital Charge Code	270693071
Hospital Revenue Code	278
Min. Negotiated Rate	$226.88
Max. Negotiated Rate	$366.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$302.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$366.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$332.75
Rate for Payer: Qualcare PPO/HMO/WC	$226.88

SCREW ARCHON 4.0X13MM ST VAR

Facility

$1,512.50

Service Code	HCPCS C1713
Hospital Charge Code	270693071
Hospital Revenue Code	278
Min. Negotiated Rate	$36.45
Max. Negotiated Rate	$756.25
Rate for Payer: Aetna Commercial	$574.75
Rate for Payer: Aetna Medicare Advantage	$453.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$385.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$385.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$302.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$385.69
Rate for Payer: Cigna Commercial	$756.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$366.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$332.75
Rate for Payer: Qualcare PPO/HMO/WC	$226.88
Rate for Payer: UnitedHealthcare Community & State	$36.45
Rate for Payer: Wellpoint Medicaid Managed Care	$40.08

SCREWARCHONSDVSPINAL4.0X13MM

Facility

$1,512.50

Service Code	HCPCS C1713
Hospital Charge Code	270694180
Hospital Revenue Code	278
Min. Negotiated Rate	$36.45
Max. Negotiated Rate	$756.25
Rate for Payer: Aetna Commercial	$574.75
Rate for Payer: Aetna Medicare Advantage	$453.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$385.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$385.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$302.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$385.69
Rate for Payer: Cigna Commercial	$756.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$366.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$332.75
Rate for Payer: Qualcare PPO/HMO/WC	$226.88
Rate for Payer: UnitedHealthcare Community & State	$36.45
Rate for Payer: Wellpoint Medicaid Managed Care	$40.08

SCREWARCHONSDVSPINAL4.0X13MM

Facility

$1,512.50

Service Code	HCPCS C1713
Hospital Charge Code	270694180
Hospital Revenue Code	278
Min. Negotiated Rate	$226.88
Max. Negotiated Rate	$366.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$302.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$366.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$332.75
Rate for Payer: Qualcare PPO/HMO/WC	$226.88

SCREW ARCHON ST VAR 4.0X11MM

Facility

$1,512.50

Service Code	HCPCS C1713
Hospital Charge Code	270693342
Hospital Revenue Code	278
Min. Negotiated Rate	$226.88
Max. Negotiated Rate	$366.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$302.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$366.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$332.75
Rate for Payer: Qualcare PPO/HMO/WC	$226.88

SCREW ARCHON ST VAR 4.0X11MM

Facility

$1,512.50

Service Code	HCPCS C1713
Hospital Charge Code	270693342
Hospital Revenue Code	278
Min. Negotiated Rate	$36.45
Max. Negotiated Rate	$756.25
Rate for Payer: Aetna Commercial	$574.75
Rate for Payer: Aetna Medicare Advantage	$453.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$385.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$385.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$302.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$385.69
Rate for Payer: Cigna Commercial	$756.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$366.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$332.75
Rate for Payer: Qualcare PPO/HMO/WC	$226.88
Rate for Payer: UnitedHealthcare Community & State	$36.45
Rate for Payer: Wellpoint Medicaid Managed Care	$40.08

SCREW ASNIS 2.0x15mm

Facility

$1,470.00

Hospital Charge Code	270668751
Hospital Revenue Code	278
Min. Negotiated Rate	$220.50
Max. Negotiated Rate	$355.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$294.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$355.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$323.40
Rate for Payer: Qualcare PPO/HMO/WC	$220.50

SCREW ASNIS 2.0x15mm

Facility

$1,470.00

Hospital Charge Code	270668751
Hospital Revenue Code	278
Min. Negotiated Rate	$35.43
Max. Negotiated Rate	$735.00
Rate for Payer: Aetna Commercial	$558.60
Rate for Payer: Aetna Medicare Advantage	$441.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$374.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$374.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$294.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$374.85
Rate for Payer: Cigna Commercial	$735.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$355.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$323.40
Rate for Payer: Qualcare PPO/HMO/WC	$220.50
Rate for Payer: UnitedHealthcare Community & State	$35.43
Rate for Payer: Wellpoint Medicaid Managed Care	$38.95

SCREW ASNIS 2.0x28mm

Facility

$1,470.00

Hospital Charge Code	270665990
Hospital Revenue Code	278
Min. Negotiated Rate	$220.50
Max. Negotiated Rate	$355.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$294.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$355.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$323.40
Rate for Payer: Qualcare PPO/HMO/WC	$220.50

SCREW ASNIS 2.0x28mm

Facility

$1,470.00

Hospital Charge Code	270665990
Hospital Revenue Code	278
Min. Negotiated Rate	$35.43
Max. Negotiated Rate	$735.00
Rate for Payer: Aetna Commercial	$558.60
Rate for Payer: Aetna Medicare Advantage	$441.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$374.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$374.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$294.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$374.85
Rate for Payer: Cigna Commercial	$735.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$355.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$323.40
Rate for Payer: Qualcare PPO/HMO/WC	$220.50
Rate for Payer: UnitedHealthcare Community & State	$35.43
Rate for Payer: Wellpoint Medicaid Managed Care	$38.95

SCREW ASNIS 3.0MM 16X14MM

Facility

$2,360.00

Service Code	HCPCS C1713
Hospital Charge Code	270697484
Hospital Revenue Code	278
Min. Negotiated Rate	$354.00
Max. Negotiated Rate	$571.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$472.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$571.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$519.20
Rate for Payer: Qualcare PPO/HMO/WC	$354.00

SCREW ASNIS 3.0MM 16X14MM

Facility

$2,360.00

Service Code	HCPCS C1713
Hospital Charge Code	270697484
Hospital Revenue Code	278
Min. Negotiated Rate	$56.88
Max. Negotiated Rate	$1,180.00
Rate for Payer: Aetna Commercial	$896.80
Rate for Payer: Aetna Medicare Advantage	$708.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$601.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$601.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$472.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$601.80
Rate for Payer: Cigna Commercial	$1,180.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$571.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$519.20
Rate for Payer: Qualcare PPO/HMO/WC	$354.00
Rate for Payer: UnitedHealthcare Community & State	$56.88
Rate for Payer: Wellpoint Medicaid Managed Care	$62.54

SCREW ASNIS 3.0x36mm

Facility

$1,470.00

Hospital Charge Code	270665991
Hospital Revenue Code	278
Min. Negotiated Rate	$220.50
Max. Negotiated Rate	$355.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$294.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$355.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$323.40
Rate for Payer: Qualcare PPO/HMO/WC	$220.50

SCREW ASNIS 3.0x36mm

Facility

$1,470.00

Hospital Charge Code	270665991
Hospital Revenue Code	278
Min. Negotiated Rate	$35.43
Max. Negotiated Rate	$735.00
Rate for Payer: Aetna Commercial	$558.60
Rate for Payer: Aetna Medicare Advantage	$441.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$374.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$374.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$294.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$374.85
Rate for Payer: Cigna Commercial	$735.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$355.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$323.40
Rate for Payer: Qualcare PPO/HMO/WC	$220.50
Rate for Payer: UnitedHealthcare Community & State	$35.43
Rate for Payer: Wellpoint Medicaid Managed Care	$38.95

SCREW ASNIS 3 CANNULATED

Facility

$2,020.00

Hospital Charge Code	270663877
Hospital Revenue Code	278
Min. Negotiated Rate	$48.68
Max. Negotiated Rate	$1,010.00
Rate for Payer: Aetna Commercial	$767.60
Rate for Payer: Aetna Medicare Advantage	$606.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$515.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$515.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$404.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$515.10
Rate for Payer: Cigna Commercial	$1,010.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$488.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$444.40
Rate for Payer: Qualcare PPO/HMO/WC	$303.00
Rate for Payer: UnitedHealthcare Community & State	$48.68
Rate for Payer: Wellpoint Medicaid Managed Care	$53.53

SCREW ASNIS 3 CANNULATED

Facility

$2,020.00

Hospital Charge Code	270663876
Hospital Revenue Code	278
Min. Negotiated Rate	$48.68
Max. Negotiated Rate	$1,010.00
Rate for Payer: Aetna Commercial	$767.60
Rate for Payer: Aetna Medicare Advantage	$606.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$515.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$515.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$404.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$515.10
Rate for Payer: Cigna Commercial	$1,010.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$488.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$444.40
Rate for Payer: Qualcare PPO/HMO/WC	$303.00
Rate for Payer: UnitedHealthcare Community & State	$48.68
Rate for Payer: Wellpoint Medicaid Managed Care	$53.53

Know your out-of-pocket cost for care.

All Charges