Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CANN 3.5x40MM

Facility

$1,071.00

Hospital Charge Code	270676288
Hospital Revenue Code	278
Min. Negotiated Rate	$160.65
Max. Negotiated Rate	$259.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$235.62
Rate for Payer: Qualcare PPO/HMO/WC	$160.65

SCREW CANN 3.5x40MM

Facility

$1,071.00

Hospital Charge Code	270676288
Hospital Revenue Code	278
Min. Negotiated Rate	$25.81
Max. Negotiated Rate	$535.50
Rate for Payer: Aetna Commercial	$406.98
Rate for Payer: Aetna Medicare Advantage	$321.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$273.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$273.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$273.11
Rate for Payer: Cigna Commercial	$535.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$235.62
Rate for Payer: Qualcare PPO/HMO/WC	$160.65
Rate for Payer: UnitedHealthcare Community & State	$25.81
Rate for Payer: Wellpoint Medicaid Managed Care	$28.38

SCREW CANN 3.7MM LOCKING 44MM

Facility

$1,009.45

Service Code	HCPCS C1713
Hospital Charge Code	270696109
Hospital Revenue Code	278
Min. Negotiated Rate	$24.33
Max. Negotiated Rate	$504.73
Rate for Payer: Aetna Commercial	$383.59
Rate for Payer: Aetna Medicare Advantage	$302.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$257.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$257.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$201.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$257.41
Rate for Payer: Cigna Commercial	$504.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$244.29
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$222.08
Rate for Payer: Qualcare PPO/HMO/WC	$151.42
Rate for Payer: UnitedHealthcare Community & State	$24.33
Rate for Payer: Wellpoint Medicaid Managed Care	$26.75

SCREW CANN 3.7MM LOCKING 44MM

Facility

$1,009.45

Service Code	HCPCS C1713
Hospital Charge Code	270696109
Hospital Revenue Code	278
Min. Negotiated Rate	$151.42
Max. Negotiated Rate	$244.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$201.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$244.29
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$222.08
Rate for Payer: Qualcare PPO/HMO/WC	$151.42

SCREW CANN 4.0 L4.0 FULL THD

Facility

$790.00

Hospital Charge Code	270669445
Hospital Revenue Code	278
Min. Negotiated Rate	$118.50
Max. Negotiated Rate	$191.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$173.80
Rate for Payer: Qualcare PPO/HMO/WC	$118.50

SCREW CANN 4.0 L4.0 FULL THD

Facility

$790.00

Hospital Charge Code	270669445
Hospital Revenue Code	278
Min. Negotiated Rate	$19.04
Max. Negotiated Rate	$395.00
Rate for Payer: Aetna Commercial	$300.20
Rate for Payer: Aetna Medicare Advantage	$237.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$201.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$201.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$201.45
Rate for Payer: Cigna Commercial	$395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$173.80
Rate for Payer: Qualcare PPO/HMO/WC	$118.50
Rate for Payer: UnitedHealthcare Community & State	$19.04
Rate for Payer: Wellpoint Medicaid Managed Care	$20.93

SCREW CANN 40MM THD 6.5x75MM

Facility

$2,120.00

Hospital Charge Code	270674055
Hospital Revenue Code	278
Min. Negotiated Rate	$318.00
Max. Negotiated Rate	$513.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$424.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$513.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$466.40
Rate for Payer: Qualcare PPO/HMO/WC	$318.00

SCREW CANN 40MM THD 6.5x75MM

Facility

$2,120.00

Hospital Charge Code	270674055
Hospital Revenue Code	278
Min. Negotiated Rate	$51.09
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$805.60
Rate for Payer: Aetna Medicare Advantage	$636.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$540.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$540.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$424.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$540.60
Rate for Payer: Cigna Commercial	$1,060.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$513.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$466.40
Rate for Payer: Qualcare PPO/HMO/WC	$318.00
Rate for Payer: UnitedHealthcare Community & State	$51.09
Rate for Payer: Wellpoint Medicaid Managed Care	$56.18

SCREW CANN 4.0x20mm LONG THRD

Facility

$810.00

Hospital Charge Code	270657122
Hospital Revenue Code	278
Min. Negotiated Rate	$19.52
Max. Negotiated Rate	$405.00
Rate for Payer: Aetna Commercial	$307.80
Rate for Payer: Aetna Medicare Advantage	$243.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$206.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$206.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$206.55
Rate for Payer: Cigna Commercial	$405.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$178.20
Rate for Payer: Qualcare PPO/HMO/WC	$121.50
Rate for Payer: UnitedHealthcare Community & State	$19.52
Rate for Payer: Wellpoint Medicaid Managed Care	$21.46

SCREW CANN 4.0x20mm LONG THRD

Facility

$810.00

Hospital Charge Code	270657122
Hospital Revenue Code	278
Min. Negotiated Rate	$121.50
Max. Negotiated Rate	$196.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$178.20
Rate for Payer: Qualcare PPO/HMO/WC	$121.50

SCREW CANN 4.0X35MM ORTLOC SYS

Facility

$468.00

Service Code	HCPCS C1713
Hospital Charge Code	270704107
Hospital Revenue Code	278
Min. Negotiated Rate	$70.20
Max. Negotiated Rate	$113.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$93.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.26
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$102.96
Rate for Payer: Qualcare PPO/HMO/WC	$70.20

SCREW CANN 4.0X35MM ORTLOC SYS

Facility

$468.00

Service Code	HCPCS C1713
Hospital Charge Code	270704107
Hospital Revenue Code	278
Min. Negotiated Rate	$11.28
Max. Negotiated Rate	$234.00
Rate for Payer: Aetna Commercial	$177.84
Rate for Payer: Aetna Medicare Advantage	$140.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$93.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$119.34
Rate for Payer: Cigna Commercial	$234.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.26
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$102.96
Rate for Payer: Qualcare PPO/HMO/WC	$70.20
Rate for Payer: UnitedHealthcare Community & State	$11.28
Rate for Payer: Wellpoint Medicaid Managed Care	$12.40

SCREW CANN 4.0X40MMHEADLSSCOMP

Facility

$2,132.00

Service Code	HCPCS C1713
Hospital Charge Code	270692647
Hospital Revenue Code	278
Min. Negotiated Rate	$319.80
Max. Negotiated Rate	$515.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$426.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$515.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$469.04
Rate for Payer: Qualcare PPO/HMO/WC	$319.80

SCREW CANN 4.0X40MMHEADLSSCOMP

Facility

$2,132.00

Service Code	HCPCS C1713
Hospital Charge Code	270692647
Hospital Revenue Code	278
Min. Negotiated Rate	$51.38
Max. Negotiated Rate	$1,066.00
Rate for Payer: Aetna Commercial	$810.16
Rate for Payer: Aetna Medicare Advantage	$639.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$543.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$543.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$426.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$543.66
Rate for Payer: Cigna Commercial	$1,066.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$515.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$469.04
Rate for Payer: Qualcare PPO/HMO/WC	$319.80
Rate for Payer: UnitedHealthcare Community & State	$51.38
Rate for Payer: Wellpoint Medicaid Managed Care	$56.50

SCREW CANN 4.0X44MMHEADLSSCOMP

Facility

$2,132.00

Service Code	HCPCS C1713
Hospital Charge Code	270692648
Hospital Revenue Code	278
Min. Negotiated Rate	$319.80
Max. Negotiated Rate	$515.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$426.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$515.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$469.04
Rate for Payer: Qualcare PPO/HMO/WC	$319.80

SCREW CANN 4.0X44MMHEADLSSCOMP

Facility

$2,132.00

Service Code	HCPCS C1713
Hospital Charge Code	270692648
Hospital Revenue Code	278
Min. Negotiated Rate	$51.38
Max. Negotiated Rate	$1,066.00
Rate for Payer: Aetna Commercial	$810.16
Rate for Payer: Aetna Medicare Advantage	$639.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$543.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$543.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$426.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$543.66
Rate for Payer: Cigna Commercial	$1,066.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$515.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$469.04
Rate for Payer: Qualcare PPO/HMO/WC	$319.80
Rate for Payer: UnitedHealthcare Community & State	$51.38
Rate for Payer: Wellpoint Medicaid Managed Care	$56.50

SCREW CANN 4.0x46mm SHORT THRD

Facility

$859.35

Service Code	HCPCS C1713
Hospital Charge Code	270644816
Hospital Revenue Code	278
Min. Negotiated Rate	$128.90
Max. Negotiated Rate	$207.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$189.06
Rate for Payer: Qualcare PPO/HMO/WC	$128.90

SCREW CANN 4.0x46mm SHORT THRD

Facility

$859.35

Service Code	HCPCS C1713
Hospital Charge Code	270644816
Hospital Revenue Code	278
Min. Negotiated Rate	$20.71
Max. Negotiated Rate	$429.68
Rate for Payer: Aetna Commercial	$326.55
Rate for Payer: Aetna Medicare Advantage	$257.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$219.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$219.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$219.13
Rate for Payer: Cigna Commercial	$429.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$189.06
Rate for Payer: Qualcare PPO/HMO/WC	$128.90
Rate for Payer: UnitedHealthcare Community & State	$20.71
Rate for Payer: Wellpoint Medicaid Managed Care	$22.77

SCREW CANN 4.0x48mm LONG THRD

Facility

$859.35

Service Code	HCPCS C1713
Hospital Charge Code	270660820
Hospital Revenue Code	278
Min. Negotiated Rate	$128.90
Max. Negotiated Rate	$207.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$189.06
Rate for Payer: Qualcare PPO/HMO/WC	$128.90

SCREW CANN 4.0x48mm LONG THRD

Facility

$859.35

Service Code	HCPCS C1713
Hospital Charge Code	270660820
Hospital Revenue Code	278
Min. Negotiated Rate	$20.71
Max. Negotiated Rate	$429.68
Rate for Payer: Aetna Commercial	$326.55
Rate for Payer: Aetna Medicare Advantage	$257.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$219.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$219.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$219.13
Rate for Payer: Cigna Commercial	$429.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$189.06
Rate for Payer: Qualcare PPO/HMO/WC	$128.90
Rate for Payer: UnitedHealthcare Community & State	$20.71
Rate for Payer: Wellpoint Medicaid Managed Care	$22.77

SCREW CANN 4.0x50mm SHORT THRD

Facility

$859.35

Service Code	HCPCS C1713
Hospital Charge Code	270645153
Hospital Revenue Code	278
Min. Negotiated Rate	$128.90
Max. Negotiated Rate	$207.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$189.06
Rate for Payer: Qualcare PPO/HMO/WC	$128.90

SCREW CANN 4.0x50mm SHORT THRD

Facility

$859.35

Service Code	HCPCS C1713
Hospital Charge Code	270646924
Hospital Revenue Code	278
Min. Negotiated Rate	$128.90
Max. Negotiated Rate	$207.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$189.06
Rate for Payer: Qualcare PPO/HMO/WC	$128.90

SCREW CANN 4.0x50mm SHORT THRD

Facility

$859.35

Service Code	HCPCS C1713
Hospital Charge Code	270645153
Hospital Revenue Code	278
Min. Negotiated Rate	$20.71
Max. Negotiated Rate	$429.68
Rate for Payer: Aetna Commercial	$326.55
Rate for Payer: Aetna Medicare Advantage	$257.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$219.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$219.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$219.13
Rate for Payer: Cigna Commercial	$429.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$189.06
Rate for Payer: Qualcare PPO/HMO/WC	$128.90
Rate for Payer: UnitedHealthcare Community & State	$20.71
Rate for Payer: Wellpoint Medicaid Managed Care	$22.77

SCREW CANN 4.0x50mm SHORT THRD

Facility

$859.35

Service Code	HCPCS C1713
Hospital Charge Code	270646924
Hospital Revenue Code	278
Min. Negotiated Rate	$20.71
Max. Negotiated Rate	$429.68
Rate for Payer: Aetna Commercial	$326.55
Rate for Payer: Aetna Medicare Advantage	$257.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$219.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$219.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$219.13
Rate for Payer: Cigna Commercial	$429.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$189.06
Rate for Payer: Qualcare PPO/HMO/WC	$128.90
Rate for Payer: UnitedHealthcare Community & State	$20.71
Rate for Payer: Wellpoint Medicaid Managed Care	$22.77

SCREW CANN 4.0X52MMHEADLSSCOMP

Facility

$2,132.00

Service Code	HCPCS C1713
Hospital Charge Code	270692649
Hospital Revenue Code	278
Min. Negotiated Rate	$319.80
Max. Negotiated Rate	$515.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$426.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$515.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$469.04
Rate for Payer: Qualcare PPO/HMO/WC	$319.80

Know your out-of-pocket cost for care.

All Charges