Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CANC LOCK 44MM

Facility

$1,155.00

Hospital Charge Code	270702010
Hospital Revenue Code	278
Min. Negotiated Rate	$27.84
Max. Negotiated Rate	$577.50
Rate for Payer: Aetna Commercial	$438.90
Rate for Payer: Aetna Medicare Advantage	$346.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$294.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$294.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$231.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$294.52
Rate for Payer: Cigna Commercial	$577.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$279.51
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$254.10
Rate for Payer: Qualcare PPO/HMO/WC	$173.25
Rate for Payer: UnitedHealthcare Community & State	$27.84
Rate for Payer: Wellpoint Medicaid Managed Care	$30.61

SCREW CANC LOCK 48MM

Facility

$1,155.00

Service Code	HCPCS C1713
Hospital Charge Code	270702011
Hospital Revenue Code	278
Min. Negotiated Rate	$27.84
Max. Negotiated Rate	$577.50
Rate for Payer: Aetna Commercial	$438.90
Rate for Payer: Aetna Medicare Advantage	$346.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$294.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$294.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$231.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$294.52
Rate for Payer: Cigna Commercial	$577.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$279.51
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$254.10
Rate for Payer: Qualcare PPO/HMO/WC	$173.25
Rate for Payer: UnitedHealthcare Community & State	$27.84
Rate for Payer: Wellpoint Medicaid Managed Care	$30.61

SCREW CANC LOCK 48MM

Facility

$1,155.00

Service Code	HCPCS C1713
Hospital Charge Code	270702011
Hospital Revenue Code	278
Min. Negotiated Rate	$173.25
Max. Negotiated Rate	$279.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$231.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$279.51
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$254.10
Rate for Payer: Qualcare PPO/HMO/WC	$173.25

SCREW CANC LOCK 55MM

Facility

$1,155.00

Service Code	HCPCS C1713
Hospital Charge Code	270702012
Hospital Revenue Code	278
Min. Negotiated Rate	$173.25
Max. Negotiated Rate	$279.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$231.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$279.51
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$254.10
Rate for Payer: Qualcare PPO/HMO/WC	$173.25

SCREW CANC LOCK 55MM

Facility

$1,155.00

Service Code	HCPCS C1713
Hospital Charge Code	270702012
Hospital Revenue Code	278
Min. Negotiated Rate	$27.84
Max. Negotiated Rate	$577.50
Rate for Payer: Aetna Commercial	$438.90
Rate for Payer: Aetna Medicare Advantage	$346.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$294.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$294.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$231.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$294.52
Rate for Payer: Cigna Commercial	$577.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$279.51
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$254.10
Rate for Payer: Qualcare PPO/HMO/WC	$173.25
Rate for Payer: UnitedHealthcare Community & State	$27.84
Rate for Payer: Wellpoint Medicaid Managed Care	$30.61

SCREW CANC LOCK 60MM

Facility

$1,155.00

Service Code	HCPCS C1713
Hospital Charge Code	270702013
Hospital Revenue Code	278
Min. Negotiated Rate	$173.25
Max. Negotiated Rate	$279.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$231.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$279.51
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$254.10
Rate for Payer: Qualcare PPO/HMO/WC	$173.25

SCREW CANC LOCK 60MM

Facility

$1,155.00

Service Code	HCPCS C1713
Hospital Charge Code	270702013
Hospital Revenue Code	278
Min. Negotiated Rate	$27.84
Max. Negotiated Rate	$577.50
Rate for Payer: Aetna Commercial	$438.90
Rate for Payer: Aetna Medicare Advantage	$346.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$294.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$294.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$231.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$294.52
Rate for Payer: Cigna Commercial	$577.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$279.51
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$254.10
Rate for Payer: Qualcare PPO/HMO/WC	$173.25
Rate for Payer: UnitedHealthcare Community & State	$27.84
Rate for Payer: Wellpoint Medicaid Managed Care	$30.61

SCREW CANCL Ti 6.5X60 AR13260T

Facility

$496.00

Hospital Charge Code	270636946
Hospital Revenue Code	278
Min. Negotiated Rate	$74.40
Max. Negotiated Rate	$120.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.03
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$109.12
Rate for Payer: Qualcare PPO/HMO/WC	$74.40

SCREW CANCL Ti 6.5X60 AR13260T

Facility

$496.00

Hospital Charge Code	270636946
Hospital Revenue Code	278
Min. Negotiated Rate	$11.95
Max. Negotiated Rate	$248.00
Rate for Payer: Aetna Commercial	$188.48
Rate for Payer: Aetna Medicare Advantage	$148.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.48
Rate for Payer: Cigna Commercial	$248.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.03
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$109.12
Rate for Payer: Qualcare PPO/HMO/WC	$74.40
Rate for Payer: UnitedHealthcare Community & State	$11.95
Rate for Payer: Wellpoint Medicaid Managed Care	$13.14

SCREW CANC NON LOCK 4x50MM

Facility

$340.00

Service Code	HCPCS C1713
Hospital Charge Code	270673653
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 NON LOCK 4x50MM

Facility

$340.00

Service Code	HCPCS C1713
Hospital Charge Code	270673653
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 NON LOCK 4x55MM

Facility

$340.00

Service Code	HCPCS C1713
Hospital Charge Code	270673654
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 NON LOCK 4x55MM

Facility

$340.00

Service Code	HCPCS C1713
Hospital Charge Code	270673654
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 NO PROFLE 50 905406

Facility

$724.25

Hospital Charge Code	270633601
Hospital Revenue Code	278
Min. Negotiated Rate	$17.45
Max. Negotiated Rate	$362.12
Rate for Payer: Aetna Commercial	$275.21
Rate for Payer: Aetna Medicare Advantage	$217.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$184.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$184.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$144.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$184.68
Rate for Payer: Cigna Commercial	$362.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$175.27
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$159.34
Rate for Payer: Qualcare PPO/HMO/WC	$108.64
Rate for Payer: UnitedHealthcare Community & State	$17.45
Rate for Payer: Wellpoint Medicaid Managed Care	$19.19

SCREW CANC NO PROFLE 50 905406

Facility

$724.25

Hospital Charge Code	270633601
Hospital Revenue Code	278
Min. Negotiated Rate	$108.64
Max. Negotiated Rate	$175.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$144.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$175.27
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$159.34
Rate for Payer: Qualcare PPO/HMO/WC	$108.64

SCREWCANCOMPHDLS6.5MMTIST110MM

Facility

$3,382.50

Service Code	HCPCS C1713
Hospital Charge Code	270694435
Hospital Revenue Code	278
Min. Negotiated Rate	$81.52
Max. Negotiated Rate	$1,691.25
Rate for Payer: Aetna Commercial	$1,285.35
Rate for Payer: Aetna Medicare Advantage	$1,014.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$862.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$862.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$676.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$862.54
Rate for Payer: Cigna Commercial	$1,691.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$818.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$744.15
Rate for Payer: Qualcare PPO/HMO/WC	$507.38
Rate for Payer: UnitedHealthcare Community & State	$81.52
Rate for Payer: Wellpoint Medicaid Managed Care	$89.64

SCREWCANCOMPHDLS6.5MMTIST110MM

Facility

$3,382.50

Service Code	HCPCS C1713
Hospital Charge Code	270694435
Hospital Revenue Code	278
Min. Negotiated Rate	$507.38
Max. Negotiated Rate	$818.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$676.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$818.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$744.15
Rate for Payer: Qualcare PPO/HMO/WC	$507.38

SCREW CAN COMP HDLS 6.5TIX85MM

Facility

$1,066.00

Service Code	HCPCS C1713
Hospital Charge Code	270692295
Hospital Revenue Code	278
Min. Negotiated Rate	$159.90
Max. Negotiated Rate	$257.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$213.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$257.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$234.52
Rate for Payer: Qualcare PPO/HMO/WC	$159.90

SCREW CAN COMP HDLS 6.5TIX85MM

Facility

$1,066.00

Service Code	HCPCS C1713
Hospital Charge Code	270692295
Hospital Revenue Code	278
Min. Negotiated Rate	$25.69
Max. Negotiated Rate	$533.00
Rate for Payer: Aetna Commercial	$405.08
Rate for Payer: Aetna Medicare Advantage	$319.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$271.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$271.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$213.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$271.83
Rate for Payer: Cigna Commercial	$533.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$257.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$234.52
Rate for Payer: Qualcare PPO/HMO/WC	$159.90
Rate for Payer: UnitedHealthcare Community & State	$25.69
Rate for Payer: Wellpoint Medicaid Managed Care	$28.25

SCREW CAN COMP HDLS 6.5TIX90MM

Facility

$1,066.00

Service Code	HCPCS C1713
Hospital Charge Code	270692296
Hospital Revenue Code	278
Min. Negotiated Rate	$25.69
Max. Negotiated Rate	$533.00
Rate for Payer: Aetna Commercial	$405.08
Rate for Payer: Aetna Medicare Advantage	$319.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$271.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$271.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$213.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$271.83
Rate for Payer: Cigna Commercial	$533.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$257.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$234.52
Rate for Payer: Qualcare PPO/HMO/WC	$159.90
Rate for Payer: UnitedHealthcare Community & State	$25.69
Rate for Payer: Wellpoint Medicaid Managed Care	$28.25

SCREW CAN COMP HDLS 6.5TIX90MM

Facility

$1,066.00

Service Code	HCPCS C1713
Hospital Charge Code	270692296
Hospital Revenue Code	278
Min. Negotiated Rate	$159.90
Max. Negotiated Rate	$257.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$213.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$257.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$234.52
Rate for Payer: Qualcare PPO/HMO/WC	$159.90

SCREW CAN COMP HDLS 6.5TIX95MM

Facility

$1,066.00

Service Code	HCPCS C1713
Hospital Charge Code	270692297
Hospital Revenue Code	278
Min. Negotiated Rate	$25.69
Max. Negotiated Rate	$533.00
Rate for Payer: Aetna Commercial	$405.08
Rate for Payer: Aetna Medicare Advantage	$319.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$271.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$271.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$213.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$271.83
Rate for Payer: Cigna Commercial	$533.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$257.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$234.52
Rate for Payer: Qualcare PPO/HMO/WC	$159.90
Rate for Payer: UnitedHealthcare Community & State	$25.69
Rate for Payer: Wellpoint Medicaid Managed Care	$28.25

SCREW CAN COMP HDLS 6.5TIX95MM

Facility

$1,066.00

Service Code	HCPCS C1713
Hospital Charge Code	270692297
Hospital Revenue Code	278
Min. Negotiated Rate	$159.90
Max. Negotiated Rate	$257.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$213.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$257.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$234.52
Rate for Payer: Qualcare PPO/HMO/WC	$159.90

SCREWCANCOMPHDLS7.5MMTIST120MM

Facility

$3,382.50

Service Code	HCPCS C1713
Hospital Charge Code	270694436
Hospital Revenue Code	278
Min. Negotiated Rate	$507.38
Max. Negotiated Rate	$818.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$676.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$818.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$744.15
Rate for Payer: Qualcare PPO/HMO/WC	$507.38

SCREWCANCOMPHDLS7.5MMTIST120MM

Facility

$3,382.50

Service Code	HCPCS C1713
Hospital Charge Code	270694436
Hospital Revenue Code	278
Min. Negotiated Rate	$81.52
Max. Negotiated Rate	$1,691.25
Rate for Payer: Aetna Commercial	$1,285.35
Rate for Payer: Aetna Medicare Advantage	$1,014.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$862.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$862.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$676.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$862.54
Rate for Payer: Cigna Commercial	$1,691.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$818.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$744.15
Rate for Payer: Qualcare PPO/HMO/WC	$507.38
Rate for Payer: UnitedHealthcare Community & State	$81.52
Rate for Payer: Wellpoint Medicaid Managed Care	$89.64

Know your out-of-pocket cost for care.

All Charges