Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CANC 4.0x6 815341016

Facility

$129.00

Hospital Charge Code	270632511
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 4.0x70mm

Facility

$195.00

Hospital Charge Code	270663678
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 4.0x70mm

Facility

$195.00

Hospital Charge Code	270663678
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 4.0x75mm

Facility

$195.00

Hospital Charge Code	270663714
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 4.0x75mm

Facility

$195.00

Hospital Charge Code	270663714
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 4X26mm F2480-026-41

Facility

$200.50

Hospital Charge Code	270634934
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 4X26mm F2480-026-41

Facility

$200.50

Hospital Charge Code	270634934
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 5.0 32 RD156932

Facility

$713.65

Hospital Charge Code	270621707
Hospital Revenue Code	278
Min. Negotiated Rate	$17.20
Max. Negotiated Rate	$356.82
Rate for Payer: Aetna Commercial	$271.19
Rate for Payer: Aetna Medicare Advantage	$214.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$181.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$181.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$142.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$181.98
Rate for Payer: Cigna Commercial	$356.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$172.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$157.00
Rate for Payer: Qualcare PPO/HMO/WC	$107.05
Rate for Payer: UnitedHealthcare Community & State	$17.20
Rate for Payer: Wellpoint Medicaid Managed Care	$18.91

SCREW CANC 5.0 32 RD156932

Facility

$713.65

Hospital Charge Code	270621707
Hospital Revenue Code	278
Min. Negotiated Rate	$107.05
Max. Negotiated Rate	$172.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$142.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$172.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$157.00
Rate for Payer: Qualcare PPO/HMO/WC	$107.05

SCREW CANC 5X25MM

Facility

$1,339.00

Service Code	HCPCS C1713
Hospital Charge Code	270705903
Hospital Revenue Code	278
Min. Negotiated Rate	$200.85
Max. Negotiated Rate	$324.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$267.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$294.58
Rate for Payer: Qualcare PPO/HMO/WC	$200.85

SCREW CANC 5X25MM

Facility

$1,339.00

Service Code	HCPCS C1713
Hospital Charge Code	270705903
Hospital Revenue Code	278
Min. Negotiated Rate	$32.27
Max. Negotiated Rate	$669.50
Rate for Payer: Aetna Commercial	$508.82
Rate for Payer: Aetna Medicare Advantage	$401.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$341.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$341.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$267.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$341.44
Rate for Payer: Cigna Commercial	$669.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$294.58
Rate for Payer: Qualcare PPO/HMO/WC	$200.85
Rate for Payer: UnitedHealthcare Community & State	$32.27
Rate for Payer: Wellpoint Medicaid Managed Care	$35.48

SCREW CANC 5X30MM

Facility

$1,339.00

Service Code	HCPCS C1713
Hospital Charge Code	270705904
Hospital Revenue Code	278
Min. Negotiated Rate	$200.85
Max. Negotiated Rate	$324.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$267.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$294.58
Rate for Payer: Qualcare PPO/HMO/WC	$200.85

SCREW CANC 5X30MM

Facility

$1,339.00

Service Code	HCPCS C1713
Hospital Charge Code	270705904
Hospital Revenue Code	278
Min. Negotiated Rate	$32.27
Max. Negotiated Rate	$669.50
Rate for Payer: Aetna Commercial	$508.82
Rate for Payer: Aetna Medicare Advantage	$401.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$341.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$341.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$267.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$341.44
Rate for Payer: Cigna Commercial	$669.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$294.58
Rate for Payer: Qualcare PPO/HMO/WC	$200.85
Rate for Payer: UnitedHealthcare Community & State	$32.27
Rate for Payer: Wellpoint Medicaid Managed Care	$35.48

SCREW CANC 5X35MM

Facility

$1,339.00

Service Code	HCPCS C1713
Hospital Charge Code	270705905
Hospital Revenue Code	278
Min. Negotiated Rate	$32.27
Max. Negotiated Rate	$669.50
Rate for Payer: Aetna Commercial	$508.82
Rate for Payer: Aetna Medicare Advantage	$401.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$341.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$341.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$267.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$341.44
Rate for Payer: Cigna Commercial	$669.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$294.58
Rate for Payer: Qualcare PPO/HMO/WC	$200.85
Rate for Payer: UnitedHealthcare Community & State	$32.27
Rate for Payer: Wellpoint Medicaid Managed Care	$35.48

SCREW CANC 5X35MM

Facility

$1,339.00

Service Code	HCPCS C1713
Hospital Charge Code	270705905
Hospital Revenue Code	278
Min. Negotiated Rate	$200.85
Max. Negotiated Rate	$324.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$267.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$294.58
Rate for Payer: Qualcare PPO/HMO/WC	$200.85

SCREW CANC 6.5SS 16X80

Facility

$295.00

Hospital Charge Code	270638321
Hospital Revenue Code	278
Min. Negotiated Rate	$7.11
Max. Negotiated Rate	$147.50
Rate for Payer: Aetna Commercial	$112.10
Rate for Payer: Aetna Medicare Advantage	$88.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$75.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$75.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$59.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$75.22
Rate for Payer: Cigna Commercial	$147.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$64.90
Rate for Payer: Qualcare PPO/HMO/WC	$44.25
Rate for Payer: UnitedHealthcare Community & State	$7.11
Rate for Payer: Wellpoint Medicaid Managed Care	$7.82

SCREW CANC 6.5SS 16X80

Facility

$295.00

Hospital Charge Code	270638321
Hospital Revenue Code	278
Min. Negotiated Rate	$44.25
Max. Negotiated Rate	$71.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$59.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$64.90
Rate for Payer: Qualcare PPO/HMO/WC	$44.25

SCREW CANC 6.5X100MM

Facility

$1,890.00

Hospital Charge Code	270648951
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 CANC 6.5X100MM

Facility

$1,890.00

Hospital Charge Code	270648951
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 CANC 6.5X30MM

Facility

$1,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270698258
Hospital Revenue Code	278
Min. Negotiated Rate	$30.12
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$475.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$275.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Community & State	$30.12
Rate for Payer: Wellpoint Medicaid Managed Care	$33.12

SCREW CANC 6.5X30MM

Facility

$1,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270698258
Hospital Revenue Code	278
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$302.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$275.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

SCREW CANC 6.6X95MM

Facility

$1,890.00

Hospital Charge Code	270648950
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 CANC 6.6X95MM

Facility

$1,890.00

Hospital Charge Code	270648950
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 CANC BONE 6.5X25

Facility

$250.00

Service Code	HCPCS C1713
Hospital Charge Code	270694023
Hospital Revenue Code	278
Min. Negotiated Rate	$6.03
Max. Negotiated Rate	$125.00
Rate for Payer: Aetna Commercial	$95.00
Rate for Payer: Aetna Medicare Advantage	$75.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.75
Rate for Payer: Cigna Commercial	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$55.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.50
Rate for Payer: UnitedHealthcare Community & State	$6.03
Rate for Payer: Wellpoint Medicaid Managed Care	$6.62

SCREW CANC BONE 6.5X25

Facility

$250.00

Service Code	HCPCS C1713
Hospital Charge Code	270694023
Hospital Revenue Code	278
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$60.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$55.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

Know your out-of-pocket cost for care.

All Charges