Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW C0RT LGE 5.5X60 22536055

Facility

$587.60

Hospital Charge Code	270625983
Hospital Revenue Code	278
Min. Negotiated Rate	$14.16
Max. Negotiated Rate	$293.80
Rate for Payer: Aetna Commercial	$223.29
Rate for Payer: Aetna Medicare Advantage	$176.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$149.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$149.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$117.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$149.84
Rate for Payer: Cigna Commercial	$293.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$142.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$129.27
Rate for Payer: Qualcare PPO/HMO/WC	$88.14
Rate for Payer: UnitedHealthcare Community & State	$14.16
Rate for Payer: Wellpoint Medicaid Managed Care	$15.57

SCREW C0RT LGE 5.5X60 22536055

Facility

$587.60

Hospital Charge Code	270625983
Hospital Revenue Code	278
Min. Negotiated Rate	$88.14
Max. Negotiated Rate	$142.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$117.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$142.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$129.27
Rate for Payer: Qualcare PPO/HMO/WC	$88.14

SCREW CAMC 6.5X95MM

Facility

$1,890.00

Hospital Charge Code	270648952
Hospital Revenue Code	278
Min. Negotiated Rate	$283.50
Max. Negotiated Rate	$457.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$378.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$457.38
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$415.80
Rate for Payer: Qualcare PPO/HMO/WC	$283.50

SCREW CAMC 6.5X95MM

Facility

$1,890.00

Hospital Charge Code	270648952
Hospital Revenue Code	278
Min. Negotiated Rate	$45.55
Max. Negotiated Rate	$945.00
Rate for Payer: Aetna Commercial	$718.20
Rate for Payer: Aetna Medicare Advantage	$567.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$481.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$481.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$378.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$481.95
Rate for Payer: Cigna Commercial	$945.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$457.38
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$415.80
Rate for Payer: Qualcare PPO/HMO/WC	$283.50
Rate for Payer: UnitedHealthcare Community & State	$45.55
Rate for Payer: Wellpoint Medicaid Managed Care	$50.09

SCREW CAN 2.4 18 LONG 3 211818

Facility

$754.00

Service Code	HCPCS C1713
Hospital Charge Code	270634247
Hospital Revenue Code	278
Min. Negotiated Rate	$18.17
Max. Negotiated Rate	$377.00
Rate for Payer: Aetna Commercial	$286.52
Rate for Payer: Aetna Medicare Advantage	$226.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.27
Rate for Payer: Cigna Commercial	$377.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$165.88
Rate for Payer: Qualcare PPO/HMO/WC	$113.10
Rate for Payer: UnitedHealthcare Community & State	$18.17
Rate for Payer: Wellpoint Medicaid Managed Care	$19.98

SCREW CAN 2.4 18 LONG 3 211818

Facility

$942.40

Hospital Charge Code	70634247
Hospital Revenue Code	278
Min. Negotiated Rate	$22.71
Max. Negotiated Rate	$471.20
Rate for Payer: Aetna Commercial	$358.11
Rate for Payer: Aetna Medicare Advantage	$282.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$240.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$240.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$188.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$240.31
Rate for Payer: Cigna Commercial	$471.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$228.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$207.33
Rate for Payer: Qualcare PPO/HMO/WC	$141.36
Rate for Payer: UnitedHealthcare Community & State	$22.71
Rate for Payer: Wellpoint Medicaid Managed Care	$24.97

SCREW CAN 2.4 18 LONG 3 211818

Facility

$942.40

Hospital Charge Code	70634247
Hospital Revenue Code	278
Min. Negotiated Rate	$141.36
Max. Negotiated Rate	$228.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$188.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$228.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$207.33
Rate for Payer: Qualcare PPO/HMO/WC	$141.36

SCREW CAN 2.4 18 LONG 3 211818

Facility

$754.00

Service Code	HCPCS C1713
Hospital Charge Code	270634247
Hospital Revenue Code	278
Min. Negotiated Rate	$113.10
Max. Negotiated Rate	$182.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$165.88
Rate for Payer: Qualcare PPO/HMO/WC	$113.10

SCREW CAN 2.4 20 LONG 3 211820

Facility

$754.00

Service Code	HCPCS C1713
Hospital Charge Code	270634248
Hospital Revenue Code	278
Min. Negotiated Rate	$113.10
Max. Negotiated Rate	$182.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$165.88
Rate for Payer: Qualcare PPO/HMO/WC	$113.10

SCREW CAN 2.4 20 LONG 3 211820

Facility

$754.00

Service Code	HCPCS C1713
Hospital Charge Code	270634248
Hospital Revenue Code	278
Min. Negotiated Rate	$18.17
Max. Negotiated Rate	$377.00
Rate for Payer: Aetna Commercial	$286.52
Rate for Payer: Aetna Medicare Advantage	$226.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.27
Rate for Payer: Cigna Commercial	$377.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$165.88
Rate for Payer: Qualcare PPO/HMO/WC	$113.10
Rate for Payer: UnitedHealthcare Community & State	$18.17
Rate for Payer: Wellpoint Medicaid Managed Care	$19.98

SCREW CAN 4X28 FORTE 248002841

Facility

$200.50

Hospital Charge Code	270638865
Hospital Revenue Code	278
Min. Negotiated Rate	$4.83
Max. Negotiated Rate	$100.25
Rate for Payer: Aetna Commercial	$76.19
Rate for Payer: Aetna Medicare Advantage	$60.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.13
Rate for Payer: Cigna Commercial	$100.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$44.11
Rate for Payer: Qualcare PPO/HMO/WC	$30.07
Rate for Payer: UnitedHealthcare Community & State	$4.83
Rate for Payer: Wellpoint Medicaid Managed Care	$5.31

SCREW CAN 4X28 FORTE 248002841

Facility

$200.50

Hospital Charge Code	270638865
Hospital Revenue Code	278
Min. Negotiated Rate	$30.07
Max. Negotiated Rate	$48.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$44.11
Rate for Payer: Qualcare PPO/HMO/WC	$30.07

SCREW CAN 8.0MM X 80MM X 16MM

Facility

$2,509.10

Service Code	HCPCS C1713
Hospital Charge Code	270704915
Hospital Revenue Code	278
Min. Negotiated Rate	$60.47
Max. Negotiated Rate	$1,254.55
Rate for Payer: Aetna Commercial	$953.46
Rate for Payer: Aetna Medicare Advantage	$752.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$639.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$639.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$501.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$639.82
Rate for Payer: Cigna Commercial	$1,254.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$607.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$552.00
Rate for Payer: Qualcare PPO/HMO/WC	$376.37
Rate for Payer: UnitedHealthcare Community & State	$60.47
Rate for Payer: Wellpoint Medicaid Managed Care	$66.49

SCREW CAN 8.0MM X 80MM X 16MM

Facility

$2,509.10

Service Code	HCPCS C1713
Hospital Charge Code	270704915
Hospital Revenue Code	278
Min. Negotiated Rate	$376.37
Max. Negotiated Rate	$607.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$501.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$607.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$552.00
Rate for Payer: Qualcare PPO/HMO/WC	$376.37

SCREW CANC 16MM THD 6.5X60MM

Facility

$335.00

Hospital Charge Code	270670997
Hospital Revenue Code	278
Min. Negotiated Rate	$8.07
Max. Negotiated Rate	$167.50
Rate for Payer: Aetna Commercial	$127.30
Rate for Payer: Aetna Medicare Advantage	$100.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$85.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$85.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$67.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$85.42
Rate for Payer: Cigna Commercial	$167.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$73.70
Rate for Payer: Qualcare PPO/HMO/WC	$50.25
Rate for Payer: UnitedHealthcare Community & State	$8.07
Rate for Payer: Wellpoint Medicaid Managed Care	$8.88

SCREW CANC 16MM THD 6.5X60MM

Facility

$335.00

Hospital Charge Code	270670997
Hospital Revenue Code	278
Min. Negotiated Rate	$50.25
Max. Negotiated Rate	$81.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$67.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$73.70
Rate for Payer: Qualcare PPO/HMO/WC	$50.25

SCREW CANC 16MM THD 6.5X70MM

Facility

$335.00

Hospital Charge Code	270670998
Hospital Revenue Code	278
Min. Negotiated Rate	$50.25
Max. Negotiated Rate	$81.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$67.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$73.70
Rate for Payer: Qualcare PPO/HMO/WC	$50.25

SCREW CANC 16MM THD 6.5X70MM

Facility

$335.00

Hospital Charge Code	270670998
Hospital Revenue Code	278
Min. Negotiated Rate	$8.07
Max. Negotiated Rate	$167.50
Rate for Payer: Aetna Commercial	$127.30
Rate for Payer: Aetna Medicare Advantage	$100.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$85.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$85.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$67.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$85.42
Rate for Payer: Cigna Commercial	$167.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$73.70
Rate for Payer: Qualcare PPO/HMO/WC	$50.25
Rate for Payer: UnitedHealthcare Community & State	$8.07
Rate for Payer: Wellpoint Medicaid Managed Care	$8.88

SCREW CANC 2.5 HEX 4x22MM

Facility

$205.00

Service Code	HCPCS C1713
Hospital Charge Code	270673717
Hospital Revenue Code	278
Min. Negotiated Rate	$4.94
Max. Negotiated Rate	$102.50
Rate for Payer: Aetna Commercial	$77.90
Rate for Payer: Aetna Medicare Advantage	$61.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$41.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.27
Rate for Payer: Cigna Commercial	$102.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.61
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$45.10
Rate for Payer: Qualcare PPO/HMO/WC	$30.75
Rate for Payer: UnitedHealthcare Community & State	$4.94
Rate for Payer: Wellpoint Medicaid Managed Care	$5.43

SCREW CANC 2.5 HEX 4x22MM

Facility

$205.00

Service Code	HCPCS C1713
Hospital Charge Code	270673717
Hospital Revenue Code	278
Min. Negotiated Rate	$30.75
Max. Negotiated Rate	$49.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$41.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.61
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$45.10
Rate for Payer: Qualcare PPO/HMO/WC	$30.75

SCREW CANC 32MM THD 6.5x65MM

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270627314
Hospital Revenue Code	278
Min. Negotiated Rate	$3.35
Max. Negotiated Rate	$69.53
Rate for Payer: Aetna Commercial	$52.84
Rate for Payer: Aetna Medicare Advantage	$41.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.46
Rate for Payer: Cigna Commercial	$69.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$30.59
Rate for Payer: Qualcare PPO/HMO/WC	$20.86
Rate for Payer: UnitedHealthcare Community & State	$3.35
Rate for Payer: Wellpoint Medicaid Managed Care	$3.68

SCREW CANC 32MM THD 6.5x65MM

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270627314
Hospital Revenue Code	278
Min. Negotiated Rate	$20.86
Max. Negotiated Rate	$33.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$30.59
Rate for Payer: Qualcare PPO/HMO/WC	$20.86

SCREW CANC 4.0MM, SM HEX, 4

Facility

$110.00

Hospital Charge Code	270667690
Hospital Revenue Code	278
Min. Negotiated Rate	$16.50
Max. Negotiated Rate	$26.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$24.20
Rate for Payer: Qualcare PPO/HMO/WC	$16.50

SCREW CANC 4.0MM, SM HEX, 4

Facility

$110.00

Hospital Charge Code	270667690
Hospital Revenue Code	278
Min. Negotiated Rate	$2.65
Max. Negotiated Rate	$55.00
Rate for Payer: Aetna Commercial	$41.80
Rate for Payer: Aetna Medicare Advantage	$33.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.05
Rate for Payer: Cigna Commercial	$55.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$24.20
Rate for Payer: Qualcare PPO/HMO/WC	$16.50
Rate for Payer: UnitedHealthcare Community & State	$2.65
Rate for Payer: Wellpoint Medicaid Managed Care	$2.92

SCREW CANC 4.0mmX24mm 24802441

Facility

$191.35

Hospital Charge Code	270634824
Hospital Revenue Code	278
Min. Negotiated Rate	$28.70
Max. Negotiated Rate	$46.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$42.10
Rate for Payer: Qualcare PPO/HMO/WC	$28.70

Know your out-of-pocket cost for care.

All Charges