Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CANC 4.0mmX24mm 24802441

Facility

$191.35

Hospital Charge Code	270634824
Hospital Revenue Code	278
Min. Negotiated Rate	$4.61
Max. Negotiated Rate	$95.67
Rate for Payer: Aetna Commercial	$72.71
Rate for Payer: Aetna Medicare Advantage	$57.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.79
Rate for Payer: Cigna Commercial	$95.67
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
Rate for Payer: UnitedHealthcare Community & State	$4.61
Rate for Payer: Wellpoint Medicaid Managed Care	$5.07

SCREW CANC 4.0mmX30mm 24803041

Facility

$191.35

Hospital Charge Code	270634825
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

SCREW CANC 4.0mmX30mm 24803041

Facility

$191.35

Hospital Charge Code	270634825
Hospital Revenue Code	278
Min. Negotiated Rate	$4.61
Max. Negotiated Rate	$95.67
Rate for Payer: Aetna Commercial	$72.71
Rate for Payer: Aetna Medicare Advantage	$57.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.79
Rate for Payer: Cigna Commercial	$95.67
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
Rate for Payer: UnitedHealthcare Community & State	$4.61
Rate for Payer: Wellpoint Medicaid Managed Care	$5.07

SCREW CANC 4.0mmX32mm 28403241

Facility

$191.35

Hospital Charge Code	270634826
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

SCREW CANC 4.0mmX32mm 28403241

Facility

$191.35

Hospital Charge Code	270634826
Hospital Revenue Code	278
Min. Negotiated Rate	$4.61
Max. Negotiated Rate	$95.67
Rate for Payer: Aetna Commercial	$72.71
Rate for Payer: Aetna Medicare Advantage	$57.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.79
Rate for Payer: Cigna Commercial	$95.67
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
Rate for Payer: UnitedHealthcare Community & State	$4.61
Rate for Payer: Wellpoint Medicaid Managed Care	$5.07

SCREW CANC 4.0mmX34mm 24803441

Facility

$191.35

Hospital Charge Code	270634827
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

SCREW CANC 4.0mmX34mm 24803441

Facility

$191.35

Hospital Charge Code	270634827
Hospital Revenue Code	278
Min. Negotiated Rate	$4.61
Max. Negotiated Rate	$95.67
Rate for Payer: Aetna Commercial	$72.71
Rate for Payer: Aetna Medicare Advantage	$57.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.79
Rate for Payer: Cigna Commercial	$95.67
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
Rate for Payer: UnitedHealthcare Community & State	$4.61
Rate for Payer: Wellpoint Medicaid Managed Care	$5.07

SCREW CANC 4.0mmX40mm 24804041

Facility

$191.35

Service Code	HCPCS C1713
Hospital Charge Code	270634828
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

SCREW CANC 4.0mmX40mm 24804041

Facility

$191.35

Service Code	HCPCS C1713
Hospital Charge Code	270634828
Hospital Revenue Code	278
Min. Negotiated Rate	$4.61
Max. Negotiated Rate	$95.67
Rate for Payer: Aetna Commercial	$72.71
Rate for Payer: Aetna Medicare Advantage	$57.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.79
Rate for Payer: Cigna Commercial	$95.67
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
Rate for Payer: UnitedHealthcare Community & State	$4.61
Rate for Payer: Wellpoint Medicaid Managed Care	$5.07

SCREW CANC 4.0x10 FTE 24801041

Facility

$184.00

Hospital Charge Code	270632918
Hospital Revenue Code	278
Min. Negotiated Rate	$4.43
Max. Negotiated Rate	$92.00
Rate for Payer: Aetna Commercial	$69.92
Rate for Payer: Aetna Medicare Advantage	$55.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.92
Rate for Payer: Cigna Commercial	$92.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$40.48
Rate for Payer: Qualcare PPO/HMO/WC	$27.60
Rate for Payer: UnitedHealthcare Community & State	$4.43
Rate for Payer: Wellpoint Medicaid Managed Care	$4.88

SCREW CANC 4.0x10 FTE 24801041

Facility

$184.00

Hospital Charge Code	270632918
Hospital Revenue Code	278
Min. Negotiated Rate	$27.60
Max. Negotiated Rate	$44.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$40.48
Rate for Payer: Qualcare PPO/HMO/WC	$27.60

SCREW CANC 4.0x12 FTE 24801241

Facility

$184.00

Hospital Charge Code	270632919
Hospital Revenue Code	278
Min. Negotiated Rate	$27.60
Max. Negotiated Rate	$44.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$40.48
Rate for Payer: Qualcare PPO/HMO/WC	$27.60

SCREW CANC 4.0x12 FTE 24801241

Facility

$184.00

Hospital Charge Code	270632919
Hospital Revenue Code	278
Min. Negotiated Rate	$4.43
Max. Negotiated Rate	$92.00
Rate for Payer: Aetna Commercial	$69.92
Rate for Payer: Aetna Medicare Advantage	$55.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.92
Rate for Payer: Cigna Commercial	$92.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$40.48
Rate for Payer: Qualcare PPO/HMO/WC	$27.60
Rate for Payer: UnitedHealthcare Community & State	$4.43
Rate for Payer: Wellpoint Medicaid Managed Care	$4.88

SCREW CANC 4.0x14 815341014

Facility

$129.00

Hospital Charge Code	270632510
Hospital Revenue Code	278
Min. Negotiated Rate	$3.11
Max. Negotiated Rate	$64.50
Rate for Payer: Aetna Commercial	$49.02
Rate for Payer: Aetna Medicare Advantage	$38.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.90
Rate for Payer: Cigna Commercial	$64.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$28.38
Rate for Payer: Qualcare PPO/HMO/WC	$19.35
Rate for Payer: UnitedHealthcare Community & State	$3.11
Rate for Payer: Wellpoint Medicaid Managed Care	$3.42

SCREW CANC 4.0x14 815341014

Facility

$129.00

Hospital Charge Code	270632510
Hospital Revenue Code	278
Min. Negotiated Rate	$19.35
Max. Negotiated Rate	$31.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$28.38
Rate for Payer: Qualcare PPO/HMO/WC	$19.35

SCREW CANC 4.0x14 FO 248001441

Facility

$184.00

Hospital Charge Code	270632809
Hospital Revenue Code	278
Min. Negotiated Rate	$4.43
Max. Negotiated Rate	$92.00
Rate for Payer: Aetna Commercial	$69.92
Rate for Payer: Aetna Medicare Advantage	$55.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.92
Rate for Payer: Cigna Commercial	$92.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$40.48
Rate for Payer: Qualcare PPO/HMO/WC	$27.60
Rate for Payer: UnitedHealthcare Community & State	$4.43
Rate for Payer: Wellpoint Medicaid Managed Care	$4.88

SCREW CANC 4.0x14 FO 248001441

Facility

$184.00

Hospital Charge Code	270632809
Hospital Revenue Code	278
Min. Negotiated Rate	$27.60
Max. Negotiated Rate	$44.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$40.48
Rate for Payer: Qualcare PPO/HMO/WC	$27.60

SCREW CANC 4.0x14 FTE 24801441

Facility

$184.00

Hospital Charge Code	270632920
Hospital Revenue Code	278
Min. Negotiated Rate	$27.60
Max. Negotiated Rate	$44.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$40.48
Rate for Payer: Qualcare PPO/HMO/WC	$27.60

SCREW CANC 4.0x14 FTE 24801441

Facility

$184.00

Hospital Charge Code	270632920
Hospital Revenue Code	278
Min. Negotiated Rate	$4.43
Max. Negotiated Rate	$92.00
Rate for Payer: Aetna Commercial	$69.92
Rate for Payer: Aetna Medicare Advantage	$55.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.92
Rate for Payer: Cigna Commercial	$92.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$40.48
Rate for Payer: Qualcare PPO/HMO/WC	$27.60
Rate for Payer: UnitedHealthcare Community & State	$4.43
Rate for Payer: Wellpoint Medicaid Managed Care	$4.88

SCREW CANC 4.0x14mm

Facility

$340.00

Hospital Charge Code	270673023
Hospital Revenue Code	278
Min. Negotiated Rate	$51.00
Max. Negotiated Rate	$82.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$68.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.28
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$74.80
Rate for Payer: Qualcare PPO/HMO/WC	$51.00

SCREW CANC 4.0x14mm

Facility

$340.00

Hospital Charge Code	270673023
Hospital Revenue Code	278
Min. Negotiated Rate	$8.19
Max. Negotiated Rate	$170.00
Rate for Payer: Aetna Commercial	$129.20
Rate for Payer: Aetna Medicare Advantage	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$68.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.70
Rate for Payer: Cigna Commercial	$170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.28
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$74.80
Rate for Payer: Qualcare PPO/HMO/WC	$51.00
Rate for Payer: UnitedHealthcare Community & State	$8.19
Rate for Payer: Wellpoint Medicaid Managed Care	$9.01

SCREW CANC 4.0x150mm

Facility

$195.00

Hospital Charge Code	270663679
Hospital Revenue Code	278
Min. Negotiated Rate	$29.25
Max. Negotiated Rate	$47.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$42.90
Rate for Payer: Qualcare PPO/HMO/WC	$29.25

SCREW CANC 4.0x150mm

Facility

$195.00

Hospital Charge Code	270663679
Hospital Revenue Code	278
Min. Negotiated Rate	$4.70
Max. Negotiated Rate	$97.50
Rate for Payer: Aetna Commercial	$74.10
Rate for Payer: Aetna Medicare Advantage	$58.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.73
Rate for Payer: Cigna Commercial	$97.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$42.90
Rate for Payer: Qualcare PPO/HMO/WC	$29.25
Rate for Payer: UnitedHealthcare Community & State	$4.70
Rate for Payer: Wellpoint Medicaid Managed Care	$5.17

SCREW CANC 4.0x16 FO 248001641

Facility

$128.15

Hospital Charge Code	270632810
Hospital Revenue Code	278
Min. Negotiated Rate	$19.22
Max. Negotiated Rate	$31.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.01
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$28.19
Rate for Payer: Qualcare PPO/HMO/WC	$19.22

SCREW CANC 4.0x16 FO 248001641

Facility

$128.15

Hospital Charge Code	270632810
Hospital Revenue Code	278
Min. Negotiated Rate	$3.09
Max. Negotiated Rate	$64.08
Rate for Payer: Aetna Commercial	$48.70
Rate for Payer: Aetna Medicare Advantage	$38.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.68
Rate for Payer: Cigna Commercial	$64.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.01
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$28.19
Rate for Payer: Qualcare PPO/HMO/WC	$19.22
Rate for Payer: UnitedHealthcare Community & State	$3.09
Rate for Payer: Wellpoint Medicaid Managed Care	$3.40

Know your out-of-pocket cost for care.

All Charges