Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CANC 4.0x18 815341018

Facility

$129.00

Hospital Charge Code	270632512
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 4.0x18 815341018

Facility

$129.00

Hospital Charge Code	270632512
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 4.0x18 FTE 24801841

Facility

$184.00

Hospital Charge Code	270632922
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 4.0x18 FTE 24801841

Facility

$184.00

Hospital Charge Code	270632922
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 4.0x18mm F/THREAD

Facility

$74.15

Service Code	HCPCS C1713
Hospital Charge Code	270604236
Hospital Revenue Code	278
Min. Negotiated Rate	$1.79
Max. Negotiated Rate	$37.08
Rate for Payer: Aetna Commercial	$28.18
Rate for Payer: Aetna Medicare Advantage	$22.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.91
Rate for Payer: Cigna Commercial	$37.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$16.31
Rate for Payer: Qualcare PPO/HMO/WC	$11.12
Rate for Payer: UnitedHealthcare Community & State	$1.79
Rate for Payer: Wellpoint Medicaid Managed Care	$1.96

SCREW CANC 4.0x18mm F/THREAD

Facility

$74.15

Service Code	HCPCS C1713
Hospital Charge Code	270604236
Hospital Revenue Code	278
Min. Negotiated Rate	$11.12
Max. Negotiated Rate	$17.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$16.31
Rate for Payer: Qualcare PPO/HMO/WC	$11.12

SCREW CANC 4.0x22 FO 248002241

Facility

$200.50

Hospital Charge Code	270632811
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 CANC 4.0x22 FO 248002241

Facility

$200.50

Hospital Charge Code	270632811
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 CANC 4.0x24mm

Facility

$340.00

Hospital Charge Code	270673024
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 4.0x24mm

Facility

$340.00

Hospital Charge Code	270673024
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 4.0x28mm

Facility

$340.00

Hospital Charge Code	270673025
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 4.0x28mm

Facility

$340.00

Hospital Charge Code	270673025
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 4.0x34 815341034

Facility

$153.85

Hospital Charge Code	270632514
Hospital Revenue Code	278
Min. Negotiated Rate	$23.08
Max. Negotiated Rate	$37.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.23
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$33.85
Rate for Payer: Qualcare PPO/HMO/WC	$23.08

SCREW CANC 4.0x34 815341034

Facility

$153.85

Hospital Charge Code	270632514
Hospital Revenue Code	278
Min. Negotiated Rate	$3.71
Max. Negotiated Rate	$76.92
Rate for Payer: Aetna Commercial	$58.46
Rate for Payer: Aetna Medicare Advantage	$46.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.23
Rate for Payer: Cigna Commercial	$76.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.23
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$33.85
Rate for Payer: Qualcare PPO/HMO/WC	$23.08
Rate for Payer: UnitedHealthcare Community & State	$3.71
Rate for Payer: Wellpoint Medicaid Managed Care	$4.08

SCREW CANC 4.0X36 FT 815341036

Facility

$153.85

Service Code	HCPCS C1713
Hospital Charge Code	270632802
Hospital Revenue Code	278
Min. Negotiated Rate	$3.71
Max. Negotiated Rate	$76.92
Rate for Payer: Aetna Commercial	$58.46
Rate for Payer: Aetna Medicare Advantage	$46.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.23
Rate for Payer: Cigna Commercial	$76.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.23
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$33.85
Rate for Payer: Qualcare PPO/HMO/WC	$23.08
Rate for Payer: UnitedHealthcare Community & State	$3.71
Rate for Payer: Wellpoint Medicaid Managed Care	$4.08

SCREW CANC 4.0X36 FT 815341036

Facility

$153.85

Service Code	HCPCS C1713
Hospital Charge Code	270632802
Hospital Revenue Code	278
Min. Negotiated Rate	$23.08
Max. Negotiated Rate	$37.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.23
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$33.85
Rate for Payer: Qualcare PPO/HMO/WC	$23.08

SCREW CANC 4.0x38mm

Facility

$340.00

Hospital Charge Code	270673026
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 4.0x38mm

Facility

$340.00

Hospital Charge Code	270673026
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 4.0x40 FT 815341040

Facility

$153.85

Hospital Charge Code	270632803
Hospital Revenue Code	278
Min. Negotiated Rate	$3.71
Max. Negotiated Rate	$76.92
Rate for Payer: Aetna Commercial	$58.46
Rate for Payer: Aetna Medicare Advantage	$46.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.23
Rate for Payer: Cigna Commercial	$76.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.23
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$33.85
Rate for Payer: Qualcare PPO/HMO/WC	$23.08
Rate for Payer: UnitedHealthcare Community & State	$3.71
Rate for Payer: Wellpoint Medicaid Managed Care	$4.08

SCREW CANC 4.0x40 FT 815341040

Facility

$153.85

Hospital Charge Code	270632803
Hospital Revenue Code	278
Min. Negotiated Rate	$23.08
Max. Negotiated Rate	$37.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.23
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$33.85
Rate for Payer: Qualcare PPO/HMO/WC	$23.08

SCREW CANC 4.0x42 815341042

Facility

$153.85

Hospital Charge Code	270632518
Hospital Revenue Code	278
Min. Negotiated Rate	$23.08
Max. Negotiated Rate	$37.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.23
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$33.85
Rate for Payer: Qualcare PPO/HMO/WC	$23.08

SCREW CANC 4.0x42 815341042

Facility

$153.85

Hospital Charge Code	270632518
Hospital Revenue Code	278
Min. Negotiated Rate	$3.71
Max. Negotiated Rate	$76.92
Rate for Payer: Aetna Commercial	$58.46
Rate for Payer: Aetna Medicare Advantage	$46.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.23
Rate for Payer: Cigna Commercial	$76.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.23
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$33.85
Rate for Payer: Qualcare PPO/HMO/WC	$23.08
Rate for Payer: UnitedHealthcare Community & State	$3.71
Rate for Payer: Wellpoint Medicaid Managed Care	$4.08

SCREW CANC 4.0x44 815341044

Facility

$153.85

Hospital Charge Code	270632515
Hospital Revenue Code	278
Min. Negotiated Rate	$23.08
Max. Negotiated Rate	$37.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.23
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$33.85
Rate for Payer: Qualcare PPO/HMO/WC	$23.08

SCREW CANC 4.0x44 815341044

Facility

$153.85

Hospital Charge Code	270632515
Hospital Revenue Code	278
Min. Negotiated Rate	$3.71
Max. Negotiated Rate	$76.92
Rate for Payer: Aetna Commercial	$58.46
Rate for Payer: Aetna Medicare Advantage	$46.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.23
Rate for Payer: Cigna Commercial	$76.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.23
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$33.85
Rate for Payer: Qualcare PPO/HMO/WC	$23.08
Rate for Payer: UnitedHealthcare Community & State	$3.71
Rate for Payer: Wellpoint Medicaid Managed Care	$4.08

SCREW CANC 4.0x6 815341016

Facility

$129.00

Hospital Charge Code	270632511
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

Know your out-of-pocket cost for care.

All Charges