Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW AXSOS LOCKING 4X30MM

Facility

$1,725.00

Service Code	HCPCS C1713
Hospital Charge Code	270696727
Hospital Revenue Code	278
Min. Negotiated Rate	$258.75
Max. Negotiated Rate	$417.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$345.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$417.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$379.50
Rate for Payer: Qualcare PPO/HMO/WC	$258.75

SCREW AXSOS LOCKING 4X30MM

Facility

$1,725.00

Service Code	HCPCS C1713
Hospital Charge Code	270696727
Hospital Revenue Code	278
Min. Negotiated Rate	$41.57
Max. Negotiated Rate	$862.50
Rate for Payer: Aetna Commercial	$655.50
Rate for Payer: Aetna Medicare Advantage	$517.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$439.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$439.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$345.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$439.88
Rate for Payer: Cigna Commercial	$862.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$417.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$379.50
Rate for Payer: Qualcare PPO/HMO/WC	$258.75
Rate for Payer: UnitedHealthcare Community & State	$41.57
Rate for Payer: Wellpoint Medicaid Managed Care	$45.71

SCREW AXSOS LOCKING 4X32MM

Facility

$1,725.00

Service Code	HCPCS C1713
Hospital Charge Code	270696728
Hospital Revenue Code	278
Min. Negotiated Rate	$258.75
Max. Negotiated Rate	$417.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$345.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$417.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$379.50
Rate for Payer: Qualcare PPO/HMO/WC	$258.75

SCREW AXSOS LOCKING 4X32MM

Facility

$1,725.00

Service Code	HCPCS C1713
Hospital Charge Code	270696728
Hospital Revenue Code	278
Min. Negotiated Rate	$41.57
Max. Negotiated Rate	$862.50
Rate for Payer: Aetna Commercial	$655.50
Rate for Payer: Aetna Medicare Advantage	$517.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$439.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$439.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$345.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$439.88
Rate for Payer: Cigna Commercial	$862.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$417.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$379.50
Rate for Payer: Qualcare PPO/HMO/WC	$258.75
Rate for Payer: UnitedHealthcare Community & State	$41.57
Rate for Payer: Wellpoint Medicaid Managed Care	$45.71

SCREW AXSOS LOCKING 4X75MM

Facility

$1,725.00

Service Code	HCPCS C1713
Hospital Charge Code	270696746
Hospital Revenue Code	278
Min. Negotiated Rate	$258.75
Max. Negotiated Rate	$417.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$345.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$417.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$379.50
Rate for Payer: Qualcare PPO/HMO/WC	$258.75

SCREW AXSOS LOCKING 4X75MM

Facility

$1,725.00

Service Code	HCPCS C1713
Hospital Charge Code	270696746
Hospital Revenue Code	278
Min. Negotiated Rate	$41.57
Max. Negotiated Rate	$862.50
Rate for Payer: Aetna Commercial	$655.50
Rate for Payer: Aetna Medicare Advantage	$517.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$439.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$439.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$345.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$439.88
Rate for Payer: Cigna Commercial	$862.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$417.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$379.50
Rate for Payer: Qualcare PPO/HMO/WC	$258.75
Rate for Payer: UnitedHealthcare Community & State	$41.57
Rate for Payer: Wellpoint Medicaid Managed Care	$45.71

SCREW AXSOS LOCKING 5.0X50MM

Facility

$1,272.60

Service Code	HCPCS C1713
Hospital Charge Code	270697988
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 LOCKING 5.0X50MM

Facility

$1,272.60

Service Code	HCPCS C1713
Hospital Charge Code	270697988
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 LOCKING 5.0X85MM

Facility

$1,272.60

Service Code	HCPCS C1713
Hospital Charge Code	270697987
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 LOCKING 5.0X85MM

Facility

$1,272.60

Service Code	HCPCS C1713
Hospital Charge Code	270697987
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 LOCKING 5.0X90MM

Facility

$1,272.60

Service Code	HCPCS C1713
Hospital Charge Code	270697986
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 LOCKING 5.0X90MM

Facility

$1,272.60

Service Code	HCPCS C1713
Hospital Charge Code	270697986
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 BENT DYNANITE BENT 12MM

Facility

$9,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270691639
Hospital Revenue Code	278
Min. Negotiated Rate	$228.35
Max. Negotiated Rate	$4,737.50
Rate for Payer: Aetna Commercial	$3,600.50
Rate for Payer: Aetna Medicare Advantage	$2,842.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,416.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,416.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,895.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,416.12
Rate for Payer: Cigna Commercial	$4,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,292.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,084.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,421.25
Rate for Payer: UnitedHealthcare Community & State	$228.35
Rate for Payer: Wellpoint Medicaid Managed Care	$251.09

SCREW BENT DYNANITE BENT 12MM

Facility

$9,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270691639
Hospital Revenue Code	278
Min. Negotiated Rate	$1,421.25
Max. Negotiated Rate	$2,292.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,895.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,292.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,084.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,421.25

SCREW BG LOCKING 2 X 10MM

Facility

$893.75

Service Code	HCPCS C1713
Hospital Charge Code	270701755
Hospital Revenue Code	278
Min. Negotiated Rate	$21.54
Max. Negotiated Rate	$446.88
Rate for Payer: Aetna Commercial	$339.62
Rate for Payer: Aetna Medicare Advantage	$268.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$227.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$227.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$178.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$227.91
Rate for Payer: Cigna Commercial	$446.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$216.29
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$196.62
Rate for Payer: Qualcare PPO/HMO/WC	$134.06
Rate for Payer: UnitedHealthcare Community & State	$21.54
Rate for Payer: Wellpoint Medicaid Managed Care	$23.68

SCREW BG LOCKING 2 X 10MM

Facility

$893.75

Service Code	HCPCS C1713
Hospital Charge Code	270701755
Hospital Revenue Code	278
Min. Negotiated Rate	$134.06
Max. Negotiated Rate	$216.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$178.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$216.29
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$196.62
Rate for Payer: Qualcare PPO/HMO/WC	$134.06

SCREW BG LOCKING 2 X 8MM

Facility

$893.75

Hospital Charge Code	270701754
Hospital Revenue Code	278
Min. Negotiated Rate	$134.06
Max. Negotiated Rate	$216.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$178.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$216.29
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$196.62
Rate for Payer: Qualcare PPO/HMO/WC	$134.06

SCREW BG LOCKING 2 X 8MM

Facility

$893.75

Hospital Charge Code	270701754
Hospital Revenue Code	278
Min. Negotiated Rate	$21.54
Max. Negotiated Rate	$446.88
Rate for Payer: Aetna Commercial	$339.62
Rate for Payer: Aetna Medicare Advantage	$268.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$227.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$227.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$178.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$227.91
Rate for Payer: Cigna Commercial	$446.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$216.29
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$196.62
Rate for Payer: Qualcare PPO/HMO/WC	$134.06
Rate for Payer: UnitedHealthcare Community & State	$21.54
Rate for Payer: Wellpoint Medicaid Managed Care	$23.68

SCREW BI INTR TAPER 7-9 254625

Facility

$925.00

Hospital Charge Code	270637723
Hospital Revenue Code	278
Min. Negotiated Rate	$22.29
Max. Negotiated Rate	$462.50
Rate for Payer: Aetna Commercial	$351.50
Rate for Payer: Aetna Medicare Advantage	$277.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$235.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$235.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$185.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$235.88
Rate for Payer: Cigna Commercial	$462.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$223.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$203.50
Rate for Payer: Qualcare PPO/HMO/WC	$138.75
Rate for Payer: UnitedHealthcare Community & State	$22.29
Rate for Payer: Wellpoint Medicaid Managed Care	$24.51

SCREW BI INTR TAPER 7-9 254625

Facility

$925.00

Hospital Charge Code	270637723
Hospital Revenue Code	278
Min. Negotiated Rate	$138.75
Max. Negotiated Rate	$223.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$185.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$223.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$203.50
Rate for Payer: Qualcare PPO/HMO/WC	$138.75

SCREW BIOCOMP 9 X 28MM

Facility

$1,610.00

Service Code	HCPCS C1713
Hospital Charge Code	270661069
Hospital Revenue Code	278
Min. Negotiated Rate	$241.50
Max. Negotiated Rate	$389.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$322.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$389.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$354.20
Rate for Payer: Qualcare PPO/HMO/WC	$241.50

SCREW BIOCOMP 9 X 28MM

Facility

$1,610.00

Service Code	HCPCS C1713
Hospital Charge Code	270661069
Hospital Revenue Code	278
Min. Negotiated Rate	$38.80
Max. Negotiated Rate	$805.00
Rate for Payer: Aetna Commercial	$611.80
Rate for Payer: Aetna Medicare Advantage	$483.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$410.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$410.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$322.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$410.55
Rate for Payer: Cigna Commercial	$805.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$389.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$354.20
Rate for Payer: Qualcare PPO/HMO/WC	$241.50
Rate for Payer: UnitedHealthcare Community & State	$38.80
Rate for Payer: Wellpoint Medicaid Managed Care	$42.66

SCREW BIOCOMPOS 10x28 AR1400TC

Facility

$1,750.00

Hospital Charge Code	270641553
Hospital Revenue Code	278
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$423.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$385.00
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

SCREW BIOCOMPOS 10x28 AR1400TC

Facility

$1,750.00

Hospital Charge Code	270641553
Hospital Revenue Code	278
Min. Negotiated Rate	$42.17
Max. Negotiated Rate	$875.00
Rate for Payer: Aetna Commercial	$665.00
Rate for Payer: Aetna Medicare Advantage	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.25
Rate for Payer: Cigna Commercial	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$385.00
Rate for Payer: Qualcare PPO/HMO/WC	$262.50
Rate for Payer: UnitedHealthcare Community & State	$42.17
Rate for Payer: Wellpoint Medicaid Managed Care	$46.38

SCREW BIOCOMPOSITE 10 X 23MM

Facility

$1,175.00

Service Code	HCPCS C1713
Hospital Charge Code	270664572
Hospital Revenue Code	278
Min. Negotiated Rate	$176.25
Max. Negotiated Rate	$284.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$235.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$284.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$258.50
Rate for Payer: Qualcare PPO/HMO/WC	$176.25

Know your out-of-pocket cost for care.

All Charges