Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW BNE 1.7MMx14MM 58-17014E

Facility

$550.00

Hospital Charge Code	270655371
Hospital Revenue Code	278
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$133.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

SCREW BNE 1.7MMx14MM 58-17014E

Facility

$550.00

Hospital Charge Code	270655371
Hospital Revenue Code	278
Min. Negotiated Rate	$13.26
Max. Negotiated Rate	$275.00
Rate for Payer: Aetna Commercial	$209.00
Rate for Payer: Aetna Medicare Advantage	$165.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$82.50
Rate for Payer: UnitedHealthcare Community & State	$13.26
Rate for Payer: Wellpoint Medicaid Managed Care	$14.57

SCREW BNE 1.7MM x8MM 58-17008E

Facility

$550.00

Hospital Charge Code	270655353
Hospital Revenue Code	278
Min. Negotiated Rate	$13.26
Max. Negotiated Rate	$275.00
Rate for Payer: Aetna Commercial	$209.00
Rate for Payer: Aetna Medicare Advantage	$165.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$82.50
Rate for Payer: UnitedHealthcare Community & State	$13.26
Rate for Payer: Wellpoint Medicaid Managed Care	$14.57

SCREW BNE 1.7MM x8MM 58-17008E

Facility

$550.00

Hospital Charge Code	270655353
Hospital Revenue Code	278
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$133.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

SCREW BNE 3.5x34mm NNLCK 26734

Facility

$270.00

Hospital Charge Code	270643351
Hospital Revenue Code	278
Min. Negotiated Rate	$6.51
Max. Negotiated Rate	$135.00
Rate for Payer: Aetna Commercial	$102.60
Rate for Payer: Aetna Medicare Advantage	$81.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.85
Rate for Payer: Cigna Commercial	$135.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$59.40
Rate for Payer: Qualcare PPO/HMO/WC	$40.50
Rate for Payer: UnitedHealthcare Community & State	$6.51
Rate for Payer: Wellpoint Medicaid Managed Care	$7.16

SCREW BNE 3.5x34mm NNLCK 26734

Facility

$270.00

Hospital Charge Code	270643351
Hospital Revenue Code	278
Min. Negotiated Rate	$40.50
Max. Negotiated Rate	$65.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$59.40
Rate for Payer: Qualcare PPO/HMO/WC	$40.50

SCREW BNE 3.5x34mm NNLCK 26742

Facility

$270.00

Hospital Charge Code	270643352
Hospital Revenue Code	278
Min. Negotiated Rate	$6.51
Max. Negotiated Rate	$135.00
Rate for Payer: Aetna Commercial	$102.60
Rate for Payer: Aetna Medicare Advantage	$81.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.85
Rate for Payer: Cigna Commercial	$135.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$59.40
Rate for Payer: Qualcare PPO/HMO/WC	$40.50
Rate for Payer: UnitedHealthcare Community & State	$6.51
Rate for Payer: Wellpoint Medicaid Managed Care	$7.16

SCREW BNE 3.5x34mm NNLCK 26742

Facility

$270.00

Hospital Charge Code	270643352
Hospital Revenue Code	278
Min. Negotiated Rate	$40.50
Max. Negotiated Rate	$65.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$59.40
Rate for Payer: Qualcare PPO/HMO/WC	$40.50

SCREW BOLT 2 PIECE SCHANZ

Facility

$1,144.90

Hospital Charge Code	270691905
Hospital Revenue Code	272
Min. Negotiated Rate	$27.59
Max. Negotiated Rate	$572.45
Rate for Payer: Aetna Commercial	$435.06
Rate for Payer: Aetna Medicare Advantage	$343.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$291.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$291.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$291.95
Rate for Payer: Cigna Commercial	$572.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$343.47
Rate for Payer: Oxford Commercial	$228.98
Rate for Payer: Qualcare PPO/HMO/WC	$171.74
Rate for Payer: UnitedHealthcare Commercial	$228.98
Rate for Payer: UnitedHealthcare Community & State	$27.59
Rate for Payer: Wellpoint Medicaid Managed Care	$30.34

SCREW BOLT 2 PIECE SCHANZ

Facility

$1,144.90

Hospital Charge Code	270691905
Hospital Revenue Code	272
Min. Negotiated Rate	$171.74
Max. Negotiated Rate	$171.74
Rate for Payer: Qualcare PPO/HMO/WC	$171.74

SCREW BOLT CANN POSTMNT SCHANZ

Facility

$1,265.90

Hospital Charge Code	270691906
Hospital Revenue Code	272
Min. Negotiated Rate	$189.88
Max. Negotiated Rate	$189.88
Rate for Payer: Qualcare PPO/HMO/WC	$189.88

SCREW BOLT CANN POSTMNT SCHANZ

Facility

$1,265.90

Hospital Charge Code	270691906
Hospital Revenue Code	272
Min. Negotiated Rate	$30.51
Max. Negotiated Rate	$632.95
Rate for Payer: Aetna Commercial	$481.04
Rate for Payer: Aetna Medicare Advantage	$379.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$322.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$322.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$322.80
Rate for Payer: Cigna Commercial	$632.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$379.77
Rate for Payer: Oxford Commercial	$253.18
Rate for Payer: Qualcare PPO/HMO/WC	$189.88
Rate for Payer: UnitedHealthcare Commercial	$253.18
Rate for Payer: UnitedHealthcare Community & State	$30.51
Rate for Payer: Wellpoint Medicaid Managed Care	$33.55

SCREW BOLT POST MOUNT SCHANZ

Facility

$1,232.00

Hospital Charge Code	270691904
Hospital Revenue Code	272
Min. Negotiated Rate	$29.69
Max. Negotiated Rate	$616.00
Rate for Payer: Aetna Commercial	$468.16
Rate for Payer: Aetna Medicare Advantage	$369.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$314.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$314.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$314.16
Rate for Payer: Cigna Commercial	$616.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$369.60
Rate for Payer: Oxford Commercial	$246.40
Rate for Payer: Qualcare PPO/HMO/WC	$184.80
Rate for Payer: UnitedHealthcare Commercial	$246.40
Rate for Payer: UnitedHealthcare Community & State	$29.69
Rate for Payer: Wellpoint Medicaid Managed Care	$32.65

SCREW BOLT POST MOUNT SCHANZ

Facility

$1,232.00

Hospital Charge Code	270691904
Hospital Revenue Code	272
Min. Negotiated Rate	$184.80
Max. Negotiated Rate	$184.80
Rate for Payer: Qualcare PPO/HMO/WC	$184.80

SCREW BONE 16.0MM ACUTRAK

Facility

$2,695.00

Service Code	HCPCS C1713
Hospital Charge Code	270682431
Hospital Revenue Code	278
Min. Negotiated Rate	$404.25
Max. Negotiated Rate	$652.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$539.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$652.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$592.90
Rate for Payer: Qualcare PPO/HMO/WC	$404.25

SCREW BONE 16.0MM ACUTRAK

Facility

$2,695.00

Service Code	HCPCS C1713
Hospital Charge Code	270682431
Hospital Revenue Code	278
Min. Negotiated Rate	$64.95
Max. Negotiated Rate	$1,347.50
Rate for Payer: Aetna Commercial	$1,024.10
Rate for Payer: Aetna Medicare Advantage	$808.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$687.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$687.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$539.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$687.23
Rate for Payer: Cigna Commercial	$1,347.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$652.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$592.90
Rate for Payer: Qualcare PPO/HMO/WC	$404.25
Rate for Payer: UnitedHealthcare Community & State	$64.95
Rate for Payer: Wellpoint Medicaid Managed Care	$71.42

SCREW BONE 1.7MMx9MM 58-17009E

Facility

$550.00

Hospital Charge Code	270655368
Hospital Revenue Code	278
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$133.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

SCREW BONE 1.7MMx9MM 58-17009E

Facility

$550.00

Hospital Charge Code	270655368
Hospital Revenue Code	278
Min. Negotiated Rate	$13.26
Max. Negotiated Rate	$275.00
Rate for Payer: Aetna Commercial	$209.00
Rate for Payer: Aetna Medicare Advantage	$165.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$82.50
Rate for Payer: UnitedHealthcare Community & State	$13.26
Rate for Payer: Wellpoint Medicaid Managed Care	$14.57

SCREW BONE 180/50 A6018050

Facility

$420.00

Hospital Charge Code	270639792
Hospital Revenue Code	278
Min. Negotiated Rate	$10.12
Max. Negotiated Rate	$210.00
Rate for Payer: Aetna Commercial	$159.60
Rate for Payer: Aetna Medicare Advantage	$126.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.10
Rate for Payer: Cigna Commercial	$210.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.64
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$92.40
Rate for Payer: Qualcare PPO/HMO/WC	$63.00
Rate for Payer: UnitedHealthcare Community & State	$10.12
Rate for Payer: Wellpoint Medicaid Managed Care	$11.13

SCREW BONE 180/50 A6018050

Facility

$420.00

Hospital Charge Code	270639792
Hospital Revenue Code	278
Min. Negotiated Rate	$63.00
Max. Negotiated Rate	$101.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.64
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$92.40
Rate for Payer: Qualcare PPO/HMO/WC	$63.00

SCREW BONE 20MMx2.7MM 52-27620

Facility

$525.00

Hospital Charge Code	270640885
Hospital Revenue Code	278
Min. Negotiated Rate	$12.65
Max. Negotiated Rate	$262.50
Rate for Payer: Aetna Commercial	$199.50
Rate for Payer: Aetna Medicare Advantage	$157.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$105.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.88
Rate for Payer: Cigna Commercial	$262.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$115.50
Rate for Payer: Qualcare PPO/HMO/WC	$78.75
Rate for Payer: UnitedHealthcare Community & State	$12.65
Rate for Payer: Wellpoint Medicaid Managed Care	$13.91

SCREW BONE 20MMx2.7MM 52-27620

Facility

$525.00

Hospital Charge Code	270640885
Hospital Revenue Code	278
Min. Negotiated Rate	$78.75
Max. Negotiated Rate	$127.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$105.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$115.50
Rate for Payer: Qualcare PPO/HMO/WC	$78.75

SCREW BONE 2.3MM X 14MM

Facility

$675.00

Hospital Charge Code	270667224
Hospital Revenue Code	278
Min. Negotiated Rate	$16.27
Max. Negotiated Rate	$337.50
Rate for Payer: Aetna Commercial	$256.50
Rate for Payer: Aetna Medicare Advantage	$202.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$172.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$172.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$135.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$172.12
Rate for Payer: Cigna Commercial	$337.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$163.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$148.50
Rate for Payer: Qualcare PPO/HMO/WC	$101.25
Rate for Payer: UnitedHealthcare Community & State	$16.27
Rate for Payer: Wellpoint Medicaid Managed Care	$17.89

SCREW BONE 2.3MM X 14MM

Facility

$675.00

Hospital Charge Code	270667224
Hospital Revenue Code	278
Min. Negotiated Rate	$101.25
Max. Negotiated Rate	$163.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$135.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$163.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$148.50
Rate for Payer: Qualcare PPO/HMO/WC	$101.25

SCREW BONE 2.3x13MM

Facility

$555.00

Service Code	HCPCS C1713
Hospital Charge Code	270657987
Hospital Revenue Code	278
Min. Negotiated Rate	$13.38
Max. Negotiated Rate	$277.50
Rate for Payer: Aetna Commercial	$210.90
Rate for Payer: Aetna Medicare Advantage	$166.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$141.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$141.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$111.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$141.53
Rate for Payer: Cigna Commercial	$277.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$134.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$122.10
Rate for Payer: Qualcare PPO/HMO/WC	$83.25
Rate for Payer: UnitedHealthcare Community & State	$13.38
Rate for Payer: Wellpoint Medicaid Managed Care	$14.71

Know your out-of-pocket cost for care.

All Charges