Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

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

SCREW ASNIS 3 CANNULATED

Facility

$2,020.00

Hospital Charge Code	270663877
Hospital Revenue Code	278
Min. Negotiated Rate	$303.00
Max. Negotiated Rate	$488.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$404.00
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

SCREW ASNIS 3x24MM

Facility

$1,385.00

Service Code	HCPCS C1713
Hospital Charge Code	270661034
Hospital Revenue Code	278
Min. Negotiated Rate	$207.75
Max. Negotiated Rate	$335.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$277.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$335.17
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$304.70
Rate for Payer: Qualcare PPO/HMO/WC	$207.75

SCREW ASNIS 3x24MM

Facility

$1,385.00

Service Code	HCPCS C1713
Hospital Charge Code	270661034
Hospital Revenue Code	278
Min. Negotiated Rate	$33.38
Max. Negotiated Rate	$692.50
Rate for Payer: Aetna Commercial	$526.30
Rate for Payer: Aetna Medicare Advantage	$415.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$353.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$353.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$277.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$353.18
Rate for Payer: Cigna Commercial	$692.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$335.17
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$304.70
Rate for Payer: Qualcare PPO/HMO/WC	$207.75
Rate for Payer: UnitedHealthcare Community & State	$33.38
Rate for Payer: Wellpoint Medicaid Managed Care	$36.70

SCREW ASNIS 3x30MM

Facility

$1,385.00

Service Code	HCPCS C1713
Hospital Charge Code	270661033
Hospital Revenue Code	278
Min. Negotiated Rate	$207.75
Max. Negotiated Rate	$335.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$277.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$335.17
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$304.70
Rate for Payer: Qualcare PPO/HMO/WC	$207.75

SCREW ASNIS 3x30MM

Facility

$1,385.00

Service Code	HCPCS C1713
Hospital Charge Code	270661033
Hospital Revenue Code	278
Min. Negotiated Rate	$33.38
Max. Negotiated Rate	$692.50
Rate for Payer: Aetna Commercial	$526.30
Rate for Payer: Aetna Medicare Advantage	$415.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$353.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$353.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$277.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$353.18
Rate for Payer: Cigna Commercial	$692.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$335.17
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$304.70
Rate for Payer: Qualcare PPO/HMO/WC	$207.75
Rate for Payer: UnitedHealthcare Community & State	$33.38
Rate for Payer: Wellpoint Medicaid Managed Care	$36.70

SCREW ASNIS 4X44MM PRTIAL THD

Facility

$931.20

Hospital Charge Code	270671204
Hospital Revenue Code	278
Min. Negotiated Rate	$22.44
Max. Negotiated Rate	$465.60
Rate for Payer: Aetna Commercial	$353.86
Rate for Payer: Aetna Medicare Advantage	$279.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$237.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$237.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$186.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$237.46
Rate for Payer: Cigna Commercial	$465.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$204.86
Rate for Payer: Qualcare PPO/HMO/WC	$139.68
Rate for Payer: UnitedHealthcare Community & State	$22.44
Rate for Payer: Wellpoint Medicaid Managed Care	$24.68

SCREW ASNIS 4X44MM PRTIAL THD

Facility

$931.20

Hospital Charge Code	270671204
Hospital Revenue Code	278
Min. Negotiated Rate	$139.68
Max. Negotiated Rate	$225.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$186.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$204.86
Rate for Payer: Qualcare PPO/HMO/WC	$139.68

SCREW ASNIS CANN 3.0 6.0X28MM

Facility

$2,360.00

Service Code	HCPCS C1713
Hospital Charge Code	270697325
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 CANN 3.0 6.0X28MM

Facility

$2,360.00

Service Code	HCPCS C1713
Hospital Charge Code	270697325
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 CANULATED 4.0X70MM

Facility

$1,295.00

Service Code	HCPCS C1713
Hospital Charge Code	270668344
Hospital Revenue Code	278
Min. Negotiated Rate	$31.21
Max. Negotiated Rate	$647.50
Rate for Payer: Aetna Commercial	$492.10
Rate for Payer: Aetna Medicare Advantage	$388.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$330.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$330.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$259.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$330.23
Rate for Payer: Cigna Commercial	$647.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$313.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$284.90
Rate for Payer: Qualcare PPO/HMO/WC	$194.25
Rate for Payer: UnitedHealthcare Community & State	$31.21
Rate for Payer: Wellpoint Medicaid Managed Care	$34.32

SCREW ASNIS CANULATED 4.0X70MM

Facility

$1,295.00

Service Code	HCPCS C1713
Hospital Charge Code	270668344
Hospital Revenue Code	278
Min. Negotiated Rate	$194.25
Max. Negotiated Rate	$313.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$259.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$313.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$284.90
Rate for Payer: Qualcare PPO/HMO/WC	$194.25

SCREW ASNIS MICRO 6X26MM

Facility

$1,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270699182
Hospital Revenue Code	278
Min. Negotiated Rate	$28.92
Max. Negotiated Rate	$600.00
Rate for Payer: Aetna Commercial	$456.00
Rate for Payer: Aetna Medicare Advantage	$360.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$306.00
Rate for Payer: Cigna Commercial	$600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$264.00
Rate for Payer: Qualcare PPO/HMO/WC	$180.00
Rate for Payer: UnitedHealthcare Community & State	$28.92
Rate for Payer: Wellpoint Medicaid Managed Care	$31.80

SCREW ASNIS MICRO 6X26MM

Facility

$1,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270699182
Hospital Revenue Code	278
Min. Negotiated Rate	$180.00
Max. Negotiated Rate	$290.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$240.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$264.00
Rate for Payer: Qualcare PPO/HMO/WC	$180.00

SCREW ASNIS PART THD 4X50MM

Facility

$1,360.00

Hospital Charge Code	270669927
Hospital Revenue Code	278
Min. Negotiated Rate	$204.00
Max. Negotiated Rate	$329.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$272.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$329.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$299.20
Rate for Payer: Qualcare PPO/HMO/WC	$204.00

SCREW ASNIS PART THD 4X50MM

Facility

$1,360.00

Hospital Charge Code	270669927
Hospital Revenue Code	278
Min. Negotiated Rate	$32.78
Max. Negotiated Rate	$680.00
Rate for Payer: Aetna Commercial	$516.80
Rate for Payer: Aetna Medicare Advantage	$408.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$346.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$346.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$272.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$346.80
Rate for Payer: Cigna Commercial	$680.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$329.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$299.20
Rate for Payer: Qualcare PPO/HMO/WC	$204.00
Rate for Payer: UnitedHealthcare Community & State	$32.78
Rate for Payer: Wellpoint Medicaid Managed Care	$36.04

SCREW ASNIS PART THD 4X55MM

Facility

$1,360.00

Hospital Charge Code	270669926
Hospital Revenue Code	278
Min. Negotiated Rate	$32.78
Max. Negotiated Rate	$680.00
Rate for Payer: Aetna Commercial	$516.80
Rate for Payer: Aetna Medicare Advantage	$408.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$346.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$346.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$272.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$346.80
Rate for Payer: Cigna Commercial	$680.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$329.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$299.20
Rate for Payer: Qualcare PPO/HMO/WC	$204.00
Rate for Payer: UnitedHealthcare Community & State	$32.78
Rate for Payer: Wellpoint Medicaid Managed Care	$36.04

SCREW ASNIS PART THD 4X55MM

Facility

$1,360.00

Hospital Charge Code	270669926
Hospital Revenue Code	278
Min. Negotiated Rate	$204.00
Max. Negotiated Rate	$329.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$272.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$329.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$299.20
Rate for Payer: Qualcare PPO/HMO/WC	$204.00

SCREW ASNIS TI 3X32MM

Facility

$1,385.00

Service Code	HCPCS C1713
Hospital Charge Code	270661035
Hospital Revenue Code	278
Min. Negotiated Rate	$33.38
Max. Negotiated Rate	$692.50
Rate for Payer: Aetna Commercial	$526.30
Rate for Payer: Aetna Medicare Advantage	$415.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$353.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$353.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$277.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$353.18
Rate for Payer: Cigna Commercial	$692.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$335.17
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$304.70
Rate for Payer: Qualcare PPO/HMO/WC	$207.75
Rate for Payer: UnitedHealthcare Community & State	$33.38
Rate for Payer: Wellpoint Medicaid Managed Care	$36.70

SCREW ASNIS TI 3X32MM

Facility

$1,385.00

Service Code	HCPCS C1713
Hospital Charge Code	270661035
Hospital Revenue Code	278
Min. Negotiated Rate	$207.75
Max. Negotiated Rate	$335.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$277.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$335.17
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$304.70
Rate for Payer: Qualcare PPO/HMO/WC	$207.75

SCREW ATHX BIO 10 23 AR1400B

Facility

$1,153.65

Hospital Charge Code	270621865
Hospital Revenue Code	278
Min. Negotiated Rate	$173.05
Max. Negotiated Rate	$279.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$230.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$279.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$253.80
Rate for Payer: Qualcare PPO/HMO/WC	$173.05

SCREW ATHX BIO 10 23 AR1400B

Facility

$1,153.65

Hospital Charge Code	270621865
Hospital Revenue Code	278
Min. Negotiated Rate	$27.80
Max. Negotiated Rate	$576.83
Rate for Payer: Aetna Commercial	$438.39
Rate for Payer: Aetna Medicare Advantage	$346.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$294.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$294.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$230.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$294.18
Rate for Payer: Cigna Commercial	$576.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$279.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$253.80
Rate for Payer: Qualcare PPO/HMO/WC	$173.05
Rate for Payer: UnitedHealthcare Community & State	$27.80
Rate for Payer: Wellpoint Medicaid Managed Care	$30.57

SCREW ATHX BIO 10 28 AR1400TB

Facility

$1,035.25

Hospital Charge Code	270610588
Hospital Revenue Code	278
Min. Negotiated Rate	$155.29
Max. Negotiated Rate	$250.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$207.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$250.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$227.75
Rate for Payer: Qualcare PPO/HMO/WC	$155.29

SCREW ATHX BIO 10 28 AR1400TB

Facility

$1,035.25

Hospital Charge Code	270610588
Hospital Revenue Code	278
Min. Negotiated Rate	$24.95
Max. Negotiated Rate	$517.62
Rate for Payer: Aetna Commercial	$393.39
Rate for Payer: Aetna Medicare Advantage	$310.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$263.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$263.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$207.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$263.99
Rate for Payer: Cigna Commercial	$517.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$250.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$227.75
Rate for Payer: Qualcare PPO/HMO/WC	$155.29
Rate for Payer: UnitedHealthcare Community & State	$24.95
Rate for Payer: Wellpoint Medicaid Managed Care	$27.43

SCREW ATHX BIO 11 28 AR1403TB

Facility

$1,153.65

Hospital Charge Code	270623145
Hospital Revenue Code	278
Min. Negotiated Rate	$27.80
Max. Negotiated Rate	$576.83
Rate for Payer: Aetna Commercial	$438.39
Rate for Payer: Aetna Medicare Advantage	$346.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$294.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$294.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$230.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$294.18
Rate for Payer: Cigna Commercial	$576.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$279.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$253.80
Rate for Payer: Qualcare PPO/HMO/WC	$173.05
Rate for Payer: UnitedHealthcare Community & State	$27.80
Rate for Payer: Wellpoint Medicaid Managed Care	$30.57

Know your out-of-pocket cost for care.

All Charges