Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CANCELLOUS LO PRO 4x60MM

Facility

$175.00

Hospital Charge Code	270671975
Hospital Revenue Code	278
Min. Negotiated Rate	$4.22
Max. Negotiated Rate	$87.50
Rate for Payer: Aetna Commercial	$66.50
Rate for Payer: Aetna Medicare Advantage	$52.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.62
Rate for Payer: Cigna Commercial	$87.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$38.50
Rate for Payer: Qualcare PPO/HMO/WC	$26.25
Rate for Payer: UnitedHealthcare Community & State	$4.22
Rate for Payer: Wellpoint Medicaid Managed Care	$4.64

SCREW CANCELLOUS LO PRO 4x60MM

Facility

$175.00

Hospital Charge Code	270671975
Hospital Revenue Code	278
Min. Negotiated Rate	$26.25
Max. Negotiated Rate	$42.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$38.50
Rate for Payer: Qualcare PPO/HMO/WC	$26.25

SCREW CANCELLOUS PT 32 MM

Facility

$175.00

Hospital Charge Code	270662561
Hospital Revenue Code	278
Min. Negotiated Rate	$4.22
Max. Negotiated Rate	$87.50
Rate for Payer: Aetna Commercial	$66.50
Rate for Payer: Aetna Medicare Advantage	$52.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.62
Rate for Payer: Cigna Commercial	$87.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$38.50
Rate for Payer: Qualcare PPO/HMO/WC	$26.25
Rate for Payer: UnitedHealthcare Community & State	$4.22
Rate for Payer: Wellpoint Medicaid Managed Care	$4.64

SCREW CANCELLOUS PT 32 MM

Facility

$175.00

Hospital Charge Code	270662561
Hospital Revenue Code	278
Min. Negotiated Rate	$26.25
Max. Negotiated Rate	$42.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$38.50
Rate for Payer: Qualcare PPO/HMO/WC	$26.25

SCREW CANCELLOUS THD HEX 36MM

Facility

$205.00

Hospital Charge Code	270670935
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 CANCELLOUS THD HEX 36MM

Facility

$205.00

Hospital Charge Code	270670935
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 CANCELLOUS TI 4X65MM

Facility

$258.40

Service Code	HCPCS C1713
Hospital Charge Code	270692169
Hospital Revenue Code	278
Min. Negotiated Rate	$6.23
Max. Negotiated Rate	$129.20
Rate for Payer: Aetna Commercial	$98.19
Rate for Payer: Aetna Medicare Advantage	$77.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.89
Rate for Payer: Cigna Commercial	$129.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$56.85
Rate for Payer: Qualcare PPO/HMO/WC	$38.76
Rate for Payer: UnitedHealthcare Community & State	$6.23
Rate for Payer: Wellpoint Medicaid Managed Care	$6.85

SCREW CANCELLOUS TI 4X65MM

Facility

$258.40

Service Code	HCPCS C1713
Hospital Charge Code	270692169
Hospital Revenue Code	278
Min. Negotiated Rate	$38.76
Max. Negotiated Rate	$62.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$56.85
Rate for Payer: Qualcare PPO/HMO/WC	$38.76

SCREW CANCELLOUS TI 4X70MM

Facility

$258.40

Service Code	HCPCS C1713
Hospital Charge Code	270692170
Hospital Revenue Code	278
Min. Negotiated Rate	$6.23
Max. Negotiated Rate	$129.20
Rate for Payer: Aetna Commercial	$98.19
Rate for Payer: Aetna Medicare Advantage	$77.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.89
Rate for Payer: Cigna Commercial	$129.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$56.85
Rate for Payer: Qualcare PPO/HMO/WC	$38.76
Rate for Payer: UnitedHealthcare Community & State	$6.23
Rate for Payer: Wellpoint Medicaid Managed Care	$6.85

SCREW CANCELLOUS TI 4X70MM

Facility

$258.40

Service Code	HCPCS C1713
Hospital Charge Code	270692170
Hospital Revenue Code	278
Min. Negotiated Rate	$38.76
Max. Negotiated Rate	$62.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$56.85
Rate for Payer: Qualcare PPO/HMO/WC	$38.76

SCREW CANCELLS 110X40 B6011040

Facility

$540.70

Hospital Charge Code	270634732
Hospital Revenue Code	278
Min. Negotiated Rate	$81.11
Max. Negotiated Rate	$130.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$118.95
Rate for Payer: Qualcare PPO/HMO/WC	$81.11

SCREW CANCELLS 110X40 B6011040

Facility

$540.70

Hospital Charge Code	270634732
Hospital Revenue Code	278
Min. Negotiated Rate	$13.03
Max. Negotiated Rate	$270.35
Rate for Payer: Aetna Commercial	$205.47
Rate for Payer: Aetna Medicare Advantage	$162.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$137.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$137.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$137.88
Rate for Payer: Cigna Commercial	$270.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$118.95
Rate for Payer: Qualcare PPO/HMO/WC	$81.11
Rate for Payer: UnitedHealthcare Community & State	$13.03
Rate for Payer: Wellpoint Medicaid Managed Care	$14.33

SCREW CANCELLS 110X50 B6011050

Facility

$540.70

Hospital Charge Code	270634731
Hospital Revenue Code	278
Min. Negotiated Rate	$13.03
Max. Negotiated Rate	$270.35
Rate for Payer: Aetna Commercial	$205.47
Rate for Payer: Aetna Medicare Advantage	$162.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$137.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$137.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$137.88
Rate for Payer: Cigna Commercial	$270.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$118.95
Rate for Payer: Qualcare PPO/HMO/WC	$81.11
Rate for Payer: UnitedHealthcare Community & State	$13.03
Rate for Payer: Wellpoint Medicaid Managed Care	$14.33

SCREW CANCELLS 110X50 B6011050

Facility

$540.70

Hospital Charge Code	270634731
Hospital Revenue Code	278
Min. Negotiated Rate	$81.11
Max. Negotiated Rate	$130.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$118.95
Rate for Payer: Qualcare PPO/HMO/WC	$81.11

SCREW CANCELLUS 5x364 RD156936

Facility

$1,056.50

Hospital Charge Code	270632872
Hospital Revenue Code	278
Min. Negotiated Rate	$158.47
Max. Negotiated Rate	$255.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$211.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$255.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$232.43
Rate for Payer: Qualcare PPO/HMO/WC	$158.47

SCREW CANCELLUS 5x364 RD156936

Facility

$1,056.50

Hospital Charge Code	270632872
Hospital Revenue Code	278
Min. Negotiated Rate	$25.46
Max. Negotiated Rate	$528.25
Rate for Payer: Aetna Commercial	$401.47
Rate for Payer: Aetna Medicare Advantage	$316.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$269.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$269.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$211.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$269.41
Rate for Payer: Cigna Commercial	$528.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$255.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$232.43
Rate for Payer: Qualcare PPO/HMO/WC	$158.47
Rate for Payer: UnitedHealthcare Community & State	$25.46
Rate for Payer: Wellpoint Medicaid Managed Care	$28.00

SCREW CANCELOUS 16X40 16235240

Facility

$203.25

Hospital Charge Code	270629706
Hospital Revenue Code	278
Min. Negotiated Rate	$30.49
Max. Negotiated Rate	$49.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$44.72
Rate for Payer: Qualcare PPO/HMO/WC	$30.49

SCREW CANCELOUS 16X40 16235240

Facility

$203.25

Hospital Charge Code	270629706
Hospital Revenue Code	278
Min. Negotiated Rate	$4.90
Max. Negotiated Rate	$101.62
Rate for Payer: Aetna Commercial	$77.23
Rate for Payer: Aetna Medicare Advantage	$60.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.83
Rate for Payer: Cigna Commercial	$101.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$44.72
Rate for Payer: Qualcare PPO/HMO/WC	$30.49
Rate for Payer: UnitedHealthcare Community & State	$4.90
Rate for Payer: Wellpoint Medicaid Managed Care	$5.39

SCREW CANC FT 12 NN 4 MM

Facility

$247.50

Service Code	HCPCS C1713
Hospital Charge Code	270684093
Hospital Revenue Code	278
Min. Negotiated Rate	$5.96
Max. Negotiated Rate	$123.75
Rate for Payer: Aetna Commercial	$94.05
Rate for Payer: Aetna Medicare Advantage	$74.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.11
Rate for Payer: Cigna Commercial	$123.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$54.45
Rate for Payer: Qualcare PPO/HMO/WC	$37.12
Rate for Payer: UnitedHealthcare Community & State	$5.96
Rate for Payer: Wellpoint Medicaid Managed Care	$6.56

SCREW CANC FT 12 NN 4 MM

Facility

$247.50

Service Code	HCPCS C1713
Hospital Charge Code	270684093
Hospital Revenue Code	278
Min. Negotiated Rate	$37.12
Max. Negotiated Rate	$59.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$54.45
Rate for Payer: Qualcare PPO/HMO/WC	$37.12

SCREW CANC F/THRD 3.5x10MM

Facility

$825.05

Service Code	HCPCS C1713
Hospital Charge Code	270655871
Hospital Revenue Code	278
Min. Negotiated Rate	$19.88
Max. Negotiated Rate	$412.52
Rate for Payer: Aetna Commercial	$313.52
Rate for Payer: Aetna Medicare Advantage	$247.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$210.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$210.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$165.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$210.39
Rate for Payer: Cigna Commercial	$412.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$199.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$181.51
Rate for Payer: Qualcare PPO/HMO/WC	$123.76
Rate for Payer: UnitedHealthcare Community & State	$19.88
Rate for Payer: Wellpoint Medicaid Managed Care	$21.86

SCREW CANC F/THRD 3.5x10MM

Facility

$825.05

Service Code	HCPCS C1713
Hospital Charge Code	270655871
Hospital Revenue Code	278
Min. Negotiated Rate	$123.76
Max. Negotiated Rate	$199.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$165.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$199.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$181.51
Rate for Payer: Qualcare PPO/HMO/WC	$123.76

SCREW CANC F/THRD 3.5x12MM

Facility

$825.05

Service Code	HCPCS C1713
Hospital Charge Code	270655873
Hospital Revenue Code	278
Min. Negotiated Rate	$123.76
Max. Negotiated Rate	$199.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$165.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$199.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$181.51
Rate for Payer: Qualcare PPO/HMO/WC	$123.76

SCREW CANC F/THRD 3.5x12MM

Facility

$825.05

Service Code	HCPCS C1713
Hospital Charge Code	270655873
Hospital Revenue Code	278
Min. Negotiated Rate	$19.88
Max. Negotiated Rate	$412.52
Rate for Payer: Aetna Commercial	$313.52
Rate for Payer: Aetna Medicare Advantage	$247.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$210.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$210.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$165.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$210.39
Rate for Payer: Cigna Commercial	$412.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$199.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$181.51
Rate for Payer: Qualcare PPO/HMO/WC	$123.76
Rate for Payer: UnitedHealthcare Community & State	$19.88
Rate for Payer: Wellpoint Medicaid Managed Care	$21.86

SCREW CANC F/THRD 3.5x14MM

Facility

$825.05

Service Code	HCPCS C1713
Hospital Charge Code	270655875
Hospital Revenue Code	278
Min. Negotiated Rate	$19.88
Max. Negotiated Rate	$412.52
Rate for Payer: Aetna Commercial	$313.52
Rate for Payer: Aetna Medicare Advantage	$247.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$210.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$210.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$165.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$210.39
Rate for Payer: Cigna Commercial	$412.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$199.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$181.51
Rate for Payer: Qualcare PPO/HMO/WC	$123.76
Rate for Payer: UnitedHealthcare Community & State	$19.88
Rate for Payer: Wellpoint Medicaid Managed Care	$21.86

Know your out-of-pocket cost for care.

All Charges