Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CANN 7.0x115mm

Facility

$665.00

Service Code	HCPCS C1713
Hospital Charge Code	270604972
Hospital Revenue Code	278
Min. Negotiated Rate	$16.03
Max. Negotiated Rate	$332.50
Rate for Payer: Aetna Commercial	$252.70
Rate for Payer: Aetna Medicare Advantage	$199.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$169.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$169.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$133.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$169.57
Rate for Payer: Cigna Commercial	$332.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.93
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$146.30
Rate for Payer: Qualcare PPO/HMO/WC	$99.75
Rate for Payer: UnitedHealthcare Community & State	$16.03
Rate for Payer: Wellpoint Medicaid Managed Care	$17.62

SCREW CANN 7.0x115mm

Facility

$665.00

Service Code	HCPCS C1713
Hospital Charge Code	270604972
Hospital Revenue Code	278
Min. Negotiated Rate	$99.75
Max. Negotiated Rate	$160.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$133.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.93
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$146.30
Rate for Payer: Qualcare PPO/HMO/WC	$99.75

SCREW CANN 7.0x120mm

Facility

$1,124.75

Service Code	HCPCS C1713
Hospital Charge Code	270654629
Hospital Revenue Code	278
Min. Negotiated Rate	$168.71
Max. Negotiated Rate	$272.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$247.44
Rate for Payer: Qualcare PPO/HMO/WC	$168.71

SCREW CANN 7.0x120mm

Facility

$1,124.75

Service Code	HCPCS C1713
Hospital Charge Code	270654629
Hospital Revenue Code	278
Min. Negotiated Rate	$27.11
Max. Negotiated Rate	$562.38
Rate for Payer: Aetna Commercial	$427.40
Rate for Payer: Aetna Medicare Advantage	$337.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.81
Rate for Payer: Cigna Commercial	$562.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$247.44
Rate for Payer: Qualcare PPO/HMO/WC	$168.71
Rate for Payer: UnitedHealthcare Community & State	$27.11
Rate for Payer: Wellpoint Medicaid Managed Care	$29.81

SCREW CANN 7.0x125mm

Facility

$1,124.75

Hospital Charge Code	270604974
Hospital Revenue Code	278
Min. Negotiated Rate	$168.71
Max. Negotiated Rate	$272.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$247.44
Rate for Payer: Qualcare PPO/HMO/WC	$168.71

SCREW CANN 7.0x125mm

Facility

$1,124.75

Hospital Charge Code	270604974
Hospital Revenue Code	278
Min. Negotiated Rate	$27.11
Max. Negotiated Rate	$562.38
Rate for Payer: Aetna Commercial	$427.40
Rate for Payer: Aetna Medicare Advantage	$337.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.81
Rate for Payer: Cigna Commercial	$562.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$247.44
Rate for Payer: Qualcare PPO/HMO/WC	$168.71
Rate for Payer: UnitedHealthcare Community & State	$27.11
Rate for Payer: Wellpoint Medicaid Managed Care	$29.81

SCREW CANN 7.0x125mm

Facility

$665.00

Service Code	HCPCS C1713
Hospital Charge Code	270604952
Hospital Revenue Code	278
Min. Negotiated Rate	$16.03
Max. Negotiated Rate	$332.50
Rate for Payer: Aetna Commercial	$252.70
Rate for Payer: Aetna Medicare Advantage	$199.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$169.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$169.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$133.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$169.57
Rate for Payer: Cigna Commercial	$332.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.93
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$146.30
Rate for Payer: Qualcare PPO/HMO/WC	$99.75
Rate for Payer: UnitedHealthcare Community & State	$16.03
Rate for Payer: Wellpoint Medicaid Managed Care	$17.62

SCREW CANN 7.0x125mm

Facility

$665.00

Service Code	HCPCS C1713
Hospital Charge Code	270604952
Hospital Revenue Code	278
Min. Negotiated Rate	$99.75
Max. Negotiated Rate	$160.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$133.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.93
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$146.30
Rate for Payer: Qualcare PPO/HMO/WC	$99.75

SCREW CANN 7.0x30mm

Facility

$1,124.75

Service Code	HCPCS C1713
Hospital Charge Code	270604933
Hospital Revenue Code	278
Min. Negotiated Rate	$168.71
Max. Negotiated Rate	$272.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$247.44
Rate for Payer: Qualcare PPO/HMO/WC	$168.71

SCREW CANN 7.0x30mm

Facility

$1,124.75

Service Code	HCPCS C1713
Hospital Charge Code	270604933
Hospital Revenue Code	278
Min. Negotiated Rate	$27.11
Max. Negotiated Rate	$562.38
Rate for Payer: Aetna Commercial	$427.40
Rate for Payer: Aetna Medicare Advantage	$337.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.81
Rate for Payer: Cigna Commercial	$562.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$247.44
Rate for Payer: Qualcare PPO/HMO/WC	$168.71
Rate for Payer: UnitedHealthcare Community & State	$27.11
Rate for Payer: Wellpoint Medicaid Managed Care	$29.81

SCREW CANN 7.0x32x110mm

Facility

$1,124.75

Service Code	HCPCS C1713
Hospital Charge Code	270654663
Hospital Revenue Code	278
Min. Negotiated Rate	$168.71
Max. Negotiated Rate	$272.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$247.44
Rate for Payer: Qualcare PPO/HMO/WC	$168.71

SCREW CANN 7.0x32x110mm

Facility

$1,124.75

Service Code	HCPCS C1713
Hospital Charge Code	270654663
Hospital Revenue Code	278
Min. Negotiated Rate	$27.11
Max. Negotiated Rate	$562.38
Rate for Payer: Aetna Commercial	$427.40
Rate for Payer: Aetna Medicare Advantage	$337.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.81
Rate for Payer: Cigna Commercial	$562.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$247.44
Rate for Payer: Qualcare PPO/HMO/WC	$168.71
Rate for Payer: UnitedHealthcare Community & State	$27.11
Rate for Payer: Wellpoint Medicaid Managed Care	$29.81

SCREW CANN 7.0x32x120mm

Facility

$1,124.75

Service Code	HCPCS C1713
Hospital Charge Code	270654666
Hospital Revenue Code	278
Min. Negotiated Rate	$27.11
Max. Negotiated Rate	$562.38
Rate for Payer: Aetna Commercial	$427.40
Rate for Payer: Aetna Medicare Advantage	$337.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.81
Rate for Payer: Cigna Commercial	$562.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$247.44
Rate for Payer: Qualcare PPO/HMO/WC	$168.71
Rate for Payer: UnitedHealthcare Community & State	$27.11
Rate for Payer: Wellpoint Medicaid Managed Care	$29.81

SCREW CANN 7.0x32x120mm

Facility

$1,124.75

Service Code	HCPCS C1713
Hospital Charge Code	270654666
Hospital Revenue Code	278
Min. Negotiated Rate	$168.71
Max. Negotiated Rate	$272.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$247.44
Rate for Payer: Qualcare PPO/HMO/WC	$168.71

SCREW CANN 7.0x32x130mm

Facility

$1,124.75

Service Code	HCPCS C1713
Hospital Charge Code	270654668
Hospital Revenue Code	278
Min. Negotiated Rate	$27.11
Max. Negotiated Rate	$562.38
Rate for Payer: Aetna Commercial	$427.40
Rate for Payer: Aetna Medicare Advantage	$337.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.81
Rate for Payer: Cigna Commercial	$562.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$247.44
Rate for Payer: Qualcare PPO/HMO/WC	$168.71
Rate for Payer: UnitedHealthcare Community & State	$27.11
Rate for Payer: Wellpoint Medicaid Managed Care	$29.81

SCREW CANN 7.0x32x130mm

Facility

$1,124.75

Service Code	HCPCS C1713
Hospital Charge Code	270654668
Hospital Revenue Code	278
Min. Negotiated Rate	$168.71
Max. Negotiated Rate	$272.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$247.44
Rate for Payer: Qualcare PPO/HMO/WC	$168.71

SCREW CANN 7.0x32x45mm

Facility

$1,124.75

Service Code	HCPCS C1713
Hospital Charge Code	270654645
Hospital Revenue Code	278
Min. Negotiated Rate	$168.71
Max. Negotiated Rate	$272.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$247.44
Rate for Payer: Qualcare PPO/HMO/WC	$168.71

SCREW CANN 7.0x32x45mm

Facility

$1,124.75

Service Code	HCPCS C1713
Hospital Charge Code	270654645
Hospital Revenue Code	278
Min. Negotiated Rate	$27.11
Max. Negotiated Rate	$562.38
Rate for Payer: Aetna Commercial	$427.40
Rate for Payer: Aetna Medicare Advantage	$337.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.81
Rate for Payer: Cigna Commercial	$562.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$247.44
Rate for Payer: Qualcare PPO/HMO/WC	$168.71
Rate for Payer: UnitedHealthcare Community & State	$27.11
Rate for Payer: Wellpoint Medicaid Managed Care	$29.81

SCREW CANN 7.0x32x50mm

Facility

$1,124.75

Service Code	HCPCS C1713
Hospital Charge Code	270654646
Hospital Revenue Code	278
Min. Negotiated Rate	$168.71
Max. Negotiated Rate	$272.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$247.44
Rate for Payer: Qualcare PPO/HMO/WC	$168.71

SCREW CANN 7.0x32x50mm

Facility

$1,124.75

Service Code	HCPCS C1713
Hospital Charge Code	270654646
Hospital Revenue Code	278
Min. Negotiated Rate	$27.11
Max. Negotiated Rate	$562.38
Rate for Payer: Aetna Commercial	$427.40
Rate for Payer: Aetna Medicare Advantage	$337.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.81
Rate for Payer: Cigna Commercial	$562.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$247.44
Rate for Payer: Qualcare PPO/HMO/WC	$168.71
Rate for Payer: UnitedHealthcare Community & State	$27.11
Rate for Payer: Wellpoint Medicaid Managed Care	$29.81

SCREW CANN 7.0x32x60mm

Facility

$1,124.75

Service Code	HCPCS C1713
Hospital Charge Code	270654648
Hospital Revenue Code	278
Min. Negotiated Rate	$27.11
Max. Negotiated Rate	$562.38
Rate for Payer: Aetna Commercial	$427.40
Rate for Payer: Aetna Medicare Advantage	$337.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.81
Rate for Payer: Cigna Commercial	$562.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$247.44
Rate for Payer: Qualcare PPO/HMO/WC	$168.71
Rate for Payer: UnitedHealthcare Community & State	$27.11
Rate for Payer: Wellpoint Medicaid Managed Care	$29.81

SCREW CANN 7.0x32x60mm

Facility

$1,124.75

Service Code	HCPCS C1713
Hospital Charge Code	270654648
Hospital Revenue Code	278
Min. Negotiated Rate	$168.71
Max. Negotiated Rate	$272.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$247.44
Rate for Payer: Qualcare PPO/HMO/WC	$168.71

SCREW CANN 7.0x32x80mm

Facility

$1,124.75

Service Code	HCPCS C1713
Hospital Charge Code	270654650
Hospital Revenue Code	278
Min. Negotiated Rate	$27.11
Max. Negotiated Rate	$562.38
Rate for Payer: Aetna Commercial	$427.40
Rate for Payer: Aetna Medicare Advantage	$337.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.81
Rate for Payer: Cigna Commercial	$562.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$247.44
Rate for Payer: Qualcare PPO/HMO/WC	$168.71
Rate for Payer: UnitedHealthcare Community & State	$27.11
Rate for Payer: Wellpoint Medicaid Managed Care	$29.81

SCREW CANN 7.0x32x80mm

Facility

$1,124.75

Service Code	HCPCS C1713
Hospital Charge Code	270654650
Hospital Revenue Code	278
Min. Negotiated Rate	$168.71
Max. Negotiated Rate	$272.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$247.44
Rate for Payer: Qualcare PPO/HMO/WC	$168.71

SCREW CANN 7.0x32x90mm

Facility

$1,124.75

Service Code	HCPCS C1713
Hospital Charge Code	270654657
Hospital Revenue Code	278
Min. Negotiated Rate	$27.11
Max. Negotiated Rate	$562.38
Rate for Payer: Aetna Commercial	$427.40
Rate for Payer: Aetna Medicare Advantage	$337.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.81
Rate for Payer: Cigna Commercial	$562.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$247.44
Rate for Payer: Qualcare PPO/HMO/WC	$168.71
Rate for Payer: UnitedHealthcare Community & State	$27.11
Rate for Payer: Wellpoint Medicaid Managed Care	$29.81

Know your out-of-pocket cost for care.

All Charges