Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW BIO-COMPRESSION 3x20MM

Facility

$1,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270664580
Hospital Revenue Code	278
Min. Negotiated Rate	$296.25
Max. Negotiated Rate	$477.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$477.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$434.50
Rate for Payer: Qualcare PPO/HMO/WC	$296.25

SCREW BIO-COMPRESSION 3x20MM

Facility

$1,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270664580
Hospital Revenue Code	278
Min. Negotiated Rate	$47.60
Max. Negotiated Rate	$987.50
Rate for Payer: Aetna Commercial	$750.50
Rate for Payer: Aetna Medicare Advantage	$592.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$395.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$503.62
Rate for Payer: Cigna Commercial	$987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$477.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$434.50
Rate for Payer: Qualcare PPO/HMO/WC	$296.25
Rate for Payer: UnitedHealthcare Community & State	$47.60
Rate for Payer: Wellpoint Medicaid Managed Care	$52.34

SCREW BIO-COMPRESSION 3x22MM

Facility

$1,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270669242
Hospital Revenue Code	278
Min. Negotiated Rate	$47.60
Max. Negotiated Rate	$987.50
Rate for Payer: Aetna Commercial	$750.50
Rate for Payer: Aetna Medicare Advantage	$592.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$395.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$503.62
Rate for Payer: Cigna Commercial	$987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$477.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$434.50
Rate for Payer: Qualcare PPO/HMO/WC	$296.25
Rate for Payer: UnitedHealthcare Community & State	$47.60
Rate for Payer: Wellpoint Medicaid Managed Care	$52.34

SCREW BIO-COMPRESSION 3x22MM

Facility

$1,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270669242
Hospital Revenue Code	278
Min. Negotiated Rate	$296.25
Max. Negotiated Rate	$477.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$477.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$434.50
Rate for Payer: Qualcare PPO/HMO/WC	$296.25

SCREW BIO-COMPRESSION 3x24MM

Facility

$1,975.00

Hospital Charge Code	270661621
Hospital Revenue Code	278
Min. Negotiated Rate	$47.60
Max. Negotiated Rate	$987.50
Rate for Payer: Aetna Commercial	$750.50
Rate for Payer: Aetna Medicare Advantage	$592.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$395.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$503.62
Rate for Payer: Cigna Commercial	$987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$477.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$434.50
Rate for Payer: Qualcare PPO/HMO/WC	$296.25
Rate for Payer: UnitedHealthcare Community & State	$47.60
Rate for Payer: Wellpoint Medicaid Managed Care	$52.34

SCREW BIO-COMPRESSION 3x24MM

Facility

$1,975.00

Hospital Charge Code	270661621
Hospital Revenue Code	278
Min. Negotiated Rate	$296.25
Max. Negotiated Rate	$477.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$477.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$434.50
Rate for Payer: Qualcare PPO/HMO/WC	$296.25

SCREW BIO-COMPRESSION 3x26MM

Facility

$1,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270664579
Hospital Revenue Code	278
Min. Negotiated Rate	$47.60
Max. Negotiated Rate	$987.50
Rate for Payer: Aetna Commercial	$750.50
Rate for Payer: Aetna Medicare Advantage	$592.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$395.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$503.62
Rate for Payer: Cigna Commercial	$987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$477.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$434.50
Rate for Payer: Qualcare PPO/HMO/WC	$296.25
Rate for Payer: UnitedHealthcare Community & State	$47.60
Rate for Payer: Wellpoint Medicaid Managed Care	$52.34

SCREW BIO-COMPRESSION 3x26MM

Facility

$1,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270664579
Hospital Revenue Code	278
Min. Negotiated Rate	$296.25
Max. Negotiated Rate	$477.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$477.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$434.50
Rate for Payer: Qualcare PPO/HMO/WC	$296.25

SCREW BIO IFIX TAPR 6-8 254623

Facility

$917.65

Hospital Charge Code	270635267
Hospital Revenue Code	278
Min. Negotiated Rate	$137.65
Max. Negotiated Rate	$222.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$183.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$222.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$201.88
Rate for Payer: Qualcare PPO/HMO/WC	$137.65

SCREW BIO IFIX TAPR 6-8 254623

Facility

$917.65

Hospital Charge Code	270635267
Hospital Revenue Code	278
Min. Negotiated Rate	$22.12
Max. Negotiated Rate	$458.82
Rate for Payer: Aetna Commercial	$348.71
Rate for Payer: Aetna Medicare Advantage	$275.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$234.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$234.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$183.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$234.00
Rate for Payer: Cigna Commercial	$458.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$222.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$201.88
Rate for Payer: Qualcare PPO/HMO/WC	$137.65
Rate for Payer: UnitedHealthcare Community & State	$22.12
Rate for Payer: Wellpoint Medicaid Managed Care	$24.32

SCREW BIOINTERFER 9x23 AR1390C

Facility

$1,750.00

Hospital Charge Code	270641552
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 BIOINTERFER 9x23 AR1390C

Facility

$1,750.00

Hospital Charge Code	270641552
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 BIO-INTERFERENCE 9X23MM

Facility

$710.00

Service Code	HCPCS C1713
Hospital Charge Code	270621136
Hospital Revenue Code	278
Min. Negotiated Rate	$17.11
Max. Negotiated Rate	$355.00
Rate for Payer: Aetna Commercial	$269.80
Rate for Payer: Aetna Medicare Advantage	$213.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$181.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$181.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$142.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$181.05
Rate for Payer: Cigna Commercial	$355.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$171.82
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$156.20
Rate for Payer: Qualcare PPO/HMO/WC	$106.50
Rate for Payer: UnitedHealthcare Community & State	$17.11
Rate for Payer: Wellpoint Medicaid Managed Care	$18.82

SCREW BIO-INTERFERENCE 9X23MM

Facility

$710.00

Service Code	HCPCS C1713
Hospital Charge Code	270621136
Hospital Revenue Code	278
Min. Negotiated Rate	$106.50
Max. Negotiated Rate	$171.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$142.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$171.82
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$156.20
Rate for Payer: Qualcare PPO/HMO/WC	$106.50

SCREW BIO-INTERFR 7X23 AR1370B

Facility

$669.65

Hospital Charge Code	270625521
Hospital Revenue Code	278
Min. Negotiated Rate	$16.14
Max. Negotiated Rate	$334.82
Rate for Payer: Aetna Commercial	$254.47
Rate for Payer: Aetna Medicare Advantage	$200.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$170.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$170.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$133.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$170.76
Rate for Payer: Cigna Commercial	$334.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$147.32
Rate for Payer: Qualcare PPO/HMO/WC	$100.45
Rate for Payer: UnitedHealthcare Community & State	$16.14
Rate for Payer: Wellpoint Medicaid Managed Care	$17.75

SCREW BIO-INTERFR 7X23 AR1370B

Facility

$669.65

Hospital Charge Code	270625521
Hospital Revenue Code	278
Min. Negotiated Rate	$100.45
Max. Negotiated Rate	$162.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$133.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$147.32
Rate for Payer: Qualcare PPO/HMO/WC	$100.45

SCREW BIO INTRAFIX 6-7mm

Facility

$1,075.00

Hospital Charge Code	270640007
Hospital Revenue Code	278
Min. Negotiated Rate	$25.91
Max. Negotiated Rate	$537.50
Rate for Payer: Aetna Commercial	$408.50
Rate for Payer: Aetna Medicare Advantage	$322.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$274.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$274.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$215.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$274.12
Rate for Payer: Cigna Commercial	$537.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$260.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$236.50
Rate for Payer: Qualcare PPO/HMO/WC	$161.25
Rate for Payer: UnitedHealthcare Community & State	$25.91
Rate for Payer: Wellpoint Medicaid Managed Care	$28.49

SCREW BIO INTRAFIX 6-7mm

Facility

$1,075.00

Hospital Charge Code	270640007
Hospital Revenue Code	278
Min. Negotiated Rate	$161.25
Max. Negotiated Rate	$260.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$215.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$260.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$236.50
Rate for Payer: Qualcare PPO/HMO/WC	$161.25

SCREW BIO INTRAFIX TAPER 7-9mm

Facility

$917.65

Hospital Charge Code	270636917
Hospital Revenue Code	278
Min. Negotiated Rate	$22.12
Max. Negotiated Rate	$458.82
Rate for Payer: Aetna Commercial	$348.71
Rate for Payer: Aetna Medicare Advantage	$275.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$234.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$234.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$183.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$234.00
Rate for Payer: Cigna Commercial	$458.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$222.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$201.88
Rate for Payer: Qualcare PPO/HMO/WC	$137.65
Rate for Payer: UnitedHealthcare Community & State	$22.12
Rate for Payer: Wellpoint Medicaid Managed Care	$24.32

SCREW BIO INTRAFIX TAPER 7-9mm

Facility

$917.65

Hospital Charge Code	270636917
Hospital Revenue Code	278
Min. Negotiated Rate	$137.65
Max. Negotiated Rate	$222.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$183.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$222.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$201.88
Rate for Payer: Qualcare PPO/HMO/WC	$137.65

SCREW BIO RCI-HA 7x25 7207674

Facility

$991.35

Hospital Charge Code	270635330
Hospital Revenue Code	278
Min. Negotiated Rate	$23.89
Max. Negotiated Rate	$495.68
Rate for Payer: Aetna Commercial	$376.71
Rate for Payer: Aetna Medicare Advantage	$297.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$252.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$252.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$198.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$252.79
Rate for Payer: Cigna Commercial	$495.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$239.91
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$218.10
Rate for Payer: Qualcare PPO/HMO/WC	$148.70
Rate for Payer: UnitedHealthcare Community & State	$23.89
Rate for Payer: Wellpoint Medicaid Managed Care	$26.27

SCREW BIO RCI-HA 7x25 7207674

Facility

$991.35

Hospital Charge Code	270635330
Hospital Revenue Code	278
Min. Negotiated Rate	$148.70
Max. Negotiated Rate	$239.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$198.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$239.91
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$218.10
Rate for Payer: Qualcare PPO/HMO/WC	$148.70

SCREW BIO RCI-HA 8x20

Facility

$1,310.00

Hospital Charge Code	270635331
Hospital Revenue Code	278
Min. Negotiated Rate	$196.50
Max. Negotiated Rate	$317.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$262.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$317.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$288.20
Rate for Payer: Qualcare PPO/HMO/WC	$196.50

SCREW BIO RCI-HA 8x20

Facility

$1,310.00

Hospital Charge Code	270635331
Hospital Revenue Code	278
Min. Negotiated Rate	$31.57
Max. Negotiated Rate	$655.00
Rate for Payer: Aetna Commercial	$497.80
Rate for Payer: Aetna Medicare Advantage	$393.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$334.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$334.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$262.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$334.05
Rate for Payer: Cigna Commercial	$655.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$317.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$288.20
Rate for Payer: Qualcare PPO/HMO/WC	$196.50
Rate for Payer: UnitedHealthcare Community & State	$31.57
Rate for Payer: Wellpoint Medicaid Managed Care	$34.72

SCREW BIO TENODESIS AR-1680B

Facility

$1,837.50

Hospital Charge Code	270638708
Hospital Revenue Code	278
Min. Negotiated Rate	$44.28
Max. Negotiated Rate	$918.75
Rate for Payer: Aetna Commercial	$698.25
Rate for Payer: Aetna Medicare Advantage	$551.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$468.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$468.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$367.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$468.56
Rate for Payer: Cigna Commercial	$918.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$444.68
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$404.25
Rate for Payer: Qualcare PPO/HMO/WC	$275.62
Rate for Payer: UnitedHealthcare Community & State	$44.28
Rate for Payer: Wellpoint Medicaid Managed Care	$48.69

Know your out-of-pocket cost for care.

All Charges