Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW AXSOS CANN 4.0X50MM

Facility

$272.70

Service Code	HCPCS C1713
Hospital Charge Code	270699449
Hospital Revenue Code	278
Min. Negotiated Rate	$6.57
Max. Negotiated Rate	$136.35
Rate for Payer: Aetna Commercial	$103.63
Rate for Payer: Aetna Medicare Advantage	$81.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$69.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$69.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$69.54
Rate for Payer: Cigna Commercial	$136.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.99
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$59.99
Rate for Payer: Qualcare PPO/HMO/WC	$40.91
Rate for Payer: UnitedHealthcare Community & State	$6.57
Rate for Payer: Wellpoint Medicaid Managed Care	$7.23

SCREW AXSOS CORTEX TI 4.5X40MM

Facility

$287.85

Service Code	HCPCS C1713
Hospital Charge Code	270697985
Hospital Revenue Code	278
Min. Negotiated Rate	$6.94
Max. Negotiated Rate	$143.93
Rate for Payer: Aetna Commercial	$109.38
Rate for Payer: Aetna Medicare Advantage	$86.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$73.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$73.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$57.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$73.40
Rate for Payer: Cigna Commercial	$143.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$63.33
Rate for Payer: Qualcare PPO/HMO/WC	$43.18
Rate for Payer: UnitedHealthcare Community & State	$6.94
Rate for Payer: Wellpoint Medicaid Managed Care	$7.63

SCREW AXSOS CORTEX TI 4.5X40MM

Facility

$287.85

Service Code	HCPCS C1713
Hospital Charge Code	270697985
Hospital Revenue Code	278
Min. Negotiated Rate	$43.18
Max. Negotiated Rate	$69.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$57.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$63.33
Rate for Payer: Qualcare PPO/HMO/WC	$43.18

SCREW AXSOS CORTEX TI 4.5X46MM

Facility

$287.85

Service Code	HCPCS C1713
Hospital Charge Code	270697984
Hospital Revenue Code	278
Min. Negotiated Rate	$6.94
Max. Negotiated Rate	$143.93
Rate for Payer: Aetna Commercial	$109.38
Rate for Payer: Aetna Medicare Advantage	$86.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$73.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$73.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$57.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$73.40
Rate for Payer: Cigna Commercial	$143.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$63.33
Rate for Payer: Qualcare PPO/HMO/WC	$43.18
Rate for Payer: UnitedHealthcare Community & State	$6.94
Rate for Payer: Wellpoint Medicaid Managed Care	$7.63

SCREW AXSOS CORTEX TI 4.5X46MM

Facility

$287.85

Service Code	HCPCS C1713
Hospital Charge Code	270697984
Hospital Revenue Code	278
Min. Negotiated Rate	$43.18
Max. Negotiated Rate	$69.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$57.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$63.33
Rate for Payer: Qualcare PPO/HMO/WC	$43.18

SCREW AXSOS LKG 5.0X30MM

Facility

$1,272.60

Service Code	HCPCS C1713
Hospital Charge Code	270661130
Hospital Revenue Code	278
Min. Negotiated Rate	$190.89
Max. Negotiated Rate	$307.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$254.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$307.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$279.97
Rate for Payer: Qualcare PPO/HMO/WC	$190.89

SCREW AXSOS LKG 5.0X30MM

Facility

$1,272.60

Service Code	HCPCS C1713
Hospital Charge Code	270661130
Hospital Revenue Code	278
Min. Negotiated Rate	$30.67
Max. Negotiated Rate	$636.30
Rate for Payer: Aetna Commercial	$483.59
Rate for Payer: Aetna Medicare Advantage	$381.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$324.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$324.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$254.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$324.51
Rate for Payer: Cigna Commercial	$636.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$307.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$279.97
Rate for Payer: Qualcare PPO/HMO/WC	$190.89
Rate for Payer: UnitedHealthcare Community & State	$30.67
Rate for Payer: Wellpoint Medicaid Managed Care	$33.72

SCREW AXSOS LKG 5.0X30MM

Facility

$1,272.60

Service Code	HCPCS C1713
Hospital Charge Code	270697353
Hospital Revenue Code	278
Min. Negotiated Rate	$30.67
Max. Negotiated Rate	$636.30
Rate for Payer: Aetna Commercial	$483.59
Rate for Payer: Aetna Medicare Advantage	$381.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$324.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$324.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$254.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$324.51
Rate for Payer: Cigna Commercial	$636.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$307.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$279.97
Rate for Payer: Qualcare PPO/HMO/WC	$190.89
Rate for Payer: UnitedHealthcare Community & State	$30.67
Rate for Payer: Wellpoint Medicaid Managed Care	$33.72

SCREW AXSOS LKG 5.0X30MM

Facility

$1,272.60

Service Code	HCPCS C1713
Hospital Charge Code	270697353
Hospital Revenue Code	278
Min. Negotiated Rate	$190.89
Max. Negotiated Rate	$307.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$254.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$307.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$279.97
Rate for Payer: Qualcare PPO/HMO/WC	$190.89

SCREW AXSOS LKG 5.0X36MM

Facility

$1,272.60

Service Code	HCPCS C1713
Hospital Charge Code	270697355
Hospital Revenue Code	278
Min. Negotiated Rate	$30.67
Max. Negotiated Rate	$636.30
Rate for Payer: Aetna Commercial	$483.59
Rate for Payer: Aetna Medicare Advantage	$381.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$324.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$324.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$254.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$324.51
Rate for Payer: Cigna Commercial	$636.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$307.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$279.97
Rate for Payer: Qualcare PPO/HMO/WC	$190.89
Rate for Payer: UnitedHealthcare Community & State	$30.67
Rate for Payer: Wellpoint Medicaid Managed Care	$33.72

SCREW AXSOS LKG 5.0X36MM

Facility

$1,272.60

Service Code	HCPCS C1713
Hospital Charge Code	270697355
Hospital Revenue Code	278
Min. Negotiated Rate	$190.89
Max. Negotiated Rate	$307.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$254.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$307.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$279.97
Rate for Payer: Qualcare PPO/HMO/WC	$190.89

SCREW AXSOS LKG 5.0X50MM

Facility

$1,272.60

Service Code	HCPCS C1713
Hospital Charge Code	270697356
Hospital Revenue Code	278
Min. Negotiated Rate	$190.89
Max. Negotiated Rate	$307.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$254.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$307.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$279.97
Rate for Payer: Qualcare PPO/HMO/WC	$190.89

SCREW AXSOS LKG 5.0X50MM

Facility

$1,272.60

Service Code	HCPCS C1713
Hospital Charge Code	270697356
Hospital Revenue Code	278
Min. Negotiated Rate	$30.67
Max. Negotiated Rate	$636.30
Rate for Payer: Aetna Commercial	$483.59
Rate for Payer: Aetna Medicare Advantage	$381.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$324.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$324.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$254.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$324.51
Rate for Payer: Cigna Commercial	$636.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$307.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$279.97
Rate for Payer: Qualcare PPO/HMO/WC	$190.89
Rate for Payer: UnitedHealthcare Community & State	$30.67
Rate for Payer: Wellpoint Medicaid Managed Care	$33.72

SCREW AXSOS LKG TI ST 5X34MM

Facility

$1,272.60

Service Code	HCPCS C1713
Hospital Charge Code	270697354
Hospital Revenue Code	278
Min. Negotiated Rate	$190.89
Max. Negotiated Rate	$307.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$254.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$307.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$279.97
Rate for Payer: Qualcare PPO/HMO/WC	$190.89

SCREW AXSOS LKG TI ST 5X34MM

Facility

$1,272.60

Service Code	HCPCS C1713
Hospital Charge Code	270697354
Hospital Revenue Code	278
Min. Negotiated Rate	$30.67
Max. Negotiated Rate	$636.30
Rate for Payer: Aetna Commercial	$483.59
Rate for Payer: Aetna Medicare Advantage	$381.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$324.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$324.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$254.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$324.51
Rate for Payer: Cigna Commercial	$636.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$307.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$279.97
Rate for Payer: Qualcare PPO/HMO/WC	$190.89
Rate for Payer: UnitedHealthcare Community & State	$30.67
Rate for Payer: Wellpoint Medicaid Managed Care	$33.72

SCREW AXSOS LKG TI ST 5X40MM

Facility

$984.20

Service Code	HCPCS C1713
Hospital Charge Code	270673770
Hospital Revenue Code	278
Min. Negotiated Rate	$23.72
Max. Negotiated Rate	$492.10
Rate for Payer: Aetna Commercial	$374.00
Rate for Payer: Aetna Medicare Advantage	$295.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$250.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$250.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$250.97
Rate for Payer: Cigna Commercial	$492.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$238.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$216.52
Rate for Payer: Qualcare PPO/HMO/WC	$147.63
Rate for Payer: UnitedHealthcare Community & State	$23.72
Rate for Payer: Wellpoint Medicaid Managed Care	$26.08

SCREW AXSOS LKG TI ST 5X40MM

Facility

$984.20

Service Code	HCPCS C1713
Hospital Charge Code	270673770
Hospital Revenue Code	278
Min. Negotiated Rate	$147.63
Max. Negotiated Rate	$238.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$238.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$216.52
Rate for Payer: Qualcare PPO/HMO/WC	$147.63

SCREW AXSOS LKG TI ST 5X60MM

Facility

$984.20

Service Code	HCPCS C1713
Hospital Charge Code	270673769
Hospital Revenue Code	278
Min. Negotiated Rate	$147.63
Max. Negotiated Rate	$238.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$238.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$216.52
Rate for Payer: Qualcare PPO/HMO/WC	$147.63

SCREW AXSOS LKG TI ST 5X60MM

Facility

$984.20

Service Code	HCPCS C1713
Hospital Charge Code	270673769
Hospital Revenue Code	278
Min. Negotiated Rate	$23.72
Max. Negotiated Rate	$492.10
Rate for Payer: Aetna Commercial	$374.00
Rate for Payer: Aetna Medicare Advantage	$295.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$250.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$250.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$250.97
Rate for Payer: Cigna Commercial	$492.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$238.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$216.52
Rate for Payer: Qualcare PPO/HMO/WC	$147.63
Rate for Payer: UnitedHealthcare Community & State	$23.72
Rate for Payer: Wellpoint Medicaid Managed Care	$26.08

SCREW AXSOS LKG TI ST 5X65MM

Facility

$984.20

Service Code	HCPCS C1713
Hospital Charge Code	270673766
Hospital Revenue Code	278
Min. Negotiated Rate	$147.63
Max. Negotiated Rate	$238.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$238.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$216.52
Rate for Payer: Qualcare PPO/HMO/WC	$147.63

SCREW AXSOS LKG TI ST 5X65MM

Facility

$984.20

Service Code	HCPCS C1713
Hospital Charge Code	270673766
Hospital Revenue Code	278
Min. Negotiated Rate	$23.72
Max. Negotiated Rate	$492.10
Rate for Payer: Aetna Commercial	$374.00
Rate for Payer: Aetna Medicare Advantage	$295.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$250.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$250.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$250.97
Rate for Payer: Cigna Commercial	$492.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$238.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$216.52
Rate for Payer: Qualcare PPO/HMO/WC	$147.63
Rate for Payer: UnitedHealthcare Community & State	$23.72
Rate for Payer: Wellpoint Medicaid Managed Care	$26.08

SCREW AXSOS LOCKING 4X16MM

Facility

$1,206.95

Service Code	HCPCS C1713
Hospital Charge Code	270699638
Hospital Revenue Code	278
Min. Negotiated Rate	$29.09
Max. Negotiated Rate	$603.48
Rate for Payer: Aetna Commercial	$458.64
Rate for Payer: Aetna Medicare Advantage	$362.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$307.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$307.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$241.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$307.77
Rate for Payer: Cigna Commercial	$603.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$292.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$265.53
Rate for Payer: Qualcare PPO/HMO/WC	$181.04
Rate for Payer: UnitedHealthcare Community & State	$29.09
Rate for Payer: Wellpoint Medicaid Managed Care	$31.98

SCREW AXSOS LOCKING 4X16MM

Facility

$1,206.95

Service Code	HCPCS C1713
Hospital Charge Code	270699638
Hospital Revenue Code	278
Min. Negotiated Rate	$181.04
Max. Negotiated Rate	$292.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$241.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$292.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$265.53
Rate for Payer: Qualcare PPO/HMO/WC	$181.04

SCREW AXSOS LOCKING 4X20MM

Facility

$1,206.95

Service Code	HCPCS C1713
Hospital Charge Code	270699639
Hospital Revenue Code	278
Min. Negotiated Rate	$181.04
Max. Negotiated Rate	$292.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$241.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$292.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$265.53
Rate for Payer: Qualcare PPO/HMO/WC	$181.04

SCREW AXSOS LOCKING 4X20MM

Facility

$1,206.95

Service Code	HCPCS C1713
Hospital Charge Code	270699639
Hospital Revenue Code	278
Min. Negotiated Rate	$29.09
Max. Negotiated Rate	$603.48
Rate for Payer: Aetna Commercial	$458.64
Rate for Payer: Aetna Medicare Advantage	$362.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$307.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$307.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$241.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$307.77
Rate for Payer: Cigna Commercial	$603.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$292.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$265.53
Rate for Payer: Qualcare PPO/HMO/WC	$181.04
Rate for Payer: UnitedHealthcare Community & State	$29.09
Rate for Payer: Wellpoint Medicaid Managed Care	$31.98

Know your out-of-pocket cost for care.

All Charges