Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CANN CONICAL 5.0 X 80mm

Facility

$664.70

Hospital Charge Code	270636084
Hospital Revenue Code	278
Min. Negotiated Rate	$16.02
Max. Negotiated Rate	$332.35
Rate for Payer: Aetna Commercial	$252.59
Rate for Payer: Aetna Medicare Advantage	$199.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$169.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$169.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$169.50
Rate for Payer: Cigna Commercial	$332.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$146.23
Rate for Payer: Qualcare PPO/HMO/WC	$99.70
Rate for Payer: UnitedHealthcare Community & State	$16.02
Rate for Payer: Wellpoint Medicaid Managed Care	$17.61

SCREW CANN CONICAL 5.0 X 80mm

Facility

$664.70

Hospital Charge Code	270636084
Hospital Revenue Code	278
Min. Negotiated Rate	$99.70
Max. Negotiated Rate	$160.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$146.23
Rate for Payer: Qualcare PPO/HMO/WC	$99.70

SCREW CANN CONICAL 5X70MM

Facility

$890.00

Hospital Charge Code	270638844
Hospital Revenue Code	278
Min. Negotiated Rate	$21.45
Max. Negotiated Rate	$445.00
Rate for Payer: Aetna Commercial	$338.20
Rate for Payer: Aetna Medicare Advantage	$267.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$226.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$226.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$178.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$226.95
Rate for Payer: Cigna Commercial	$445.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$215.38
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$195.80
Rate for Payer: Qualcare PPO/HMO/WC	$133.50
Rate for Payer: UnitedHealthcare Community & State	$21.45
Rate for Payer: Wellpoint Medicaid Managed Care	$23.59

SCREW CANN CONICAL 5X70MM

Facility

$890.00

Hospital Charge Code	270638844
Hospital Revenue Code	278
Min. Negotiated Rate	$133.50
Max. Negotiated Rate	$215.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$178.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$215.38
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$195.80
Rate for Payer: Qualcare PPO/HMO/WC	$133.50

SCREW CANN CONICAL 5X85MM

Facility

$780.00

Hospital Charge Code	270638841
Hospital Revenue Code	278
Min. Negotiated Rate	$18.80
Max. Negotiated Rate	$390.00
Rate for Payer: Aetna Commercial	$296.40
Rate for Payer: Aetna Medicare Advantage	$234.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$198.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$198.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$156.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$198.90
Rate for Payer: Cigna Commercial	$390.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$188.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$171.60
Rate for Payer: Qualcare PPO/HMO/WC	$117.00
Rate for Payer: UnitedHealthcare Community & State	$18.80
Rate for Payer: Wellpoint Medicaid Managed Care	$20.67

SCREW CANN CONICAL 5X85MM

Facility

$780.00

Hospital Charge Code	270638841
Hospital Revenue Code	278
Min. Negotiated Rate	$117.00
Max. Negotiated Rate	$188.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$156.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$188.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$171.60
Rate for Payer: Qualcare PPO/HMO/WC	$117.00

SCREW CANN CONI P/THD 7.3x50MM

Facility

$1,074.00

Hospital Charge Code	270657174
Hospital Revenue Code	278
Min. Negotiated Rate	$25.88
Max. Negotiated Rate	$537.00
Rate for Payer: Aetna Commercial	$408.12
Rate for Payer: Aetna Medicare Advantage	$322.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$273.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$273.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$273.87
Rate for Payer: Cigna Commercial	$537.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.91
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$236.28
Rate for Payer: Qualcare PPO/HMO/WC	$161.10
Rate for Payer: UnitedHealthcare Community & State	$25.88
Rate for Payer: Wellpoint Medicaid Managed Care	$28.46

SCREW CANN CONI P/THD 7.3x50MM

Facility

$1,074.00

Hospital Charge Code	270657174
Hospital Revenue Code	278
Min. Negotiated Rate	$161.10
Max. Negotiated Rate	$259.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.91
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$236.28
Rate for Payer: Qualcare PPO/HMO/WC	$161.10

SCREW CANN CONI P/THD 7.3x55MM

Facility

$1,074.00

Hospital Charge Code	270657184
Hospital Revenue Code	278
Min. Negotiated Rate	$161.10
Max. Negotiated Rate	$259.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.91
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$236.28
Rate for Payer: Qualcare PPO/HMO/WC	$161.10

SCREW CANN CONI P/THD 7.3x55MM

Facility

$1,074.00

Hospital Charge Code	270657184
Hospital Revenue Code	278
Min. Negotiated Rate	$25.88
Max. Negotiated Rate	$537.00
Rate for Payer: Aetna Commercial	$408.12
Rate for Payer: Aetna Medicare Advantage	$322.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$273.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$273.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$273.87
Rate for Payer: Cigna Commercial	$537.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.91
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$236.28
Rate for Payer: Qualcare PPO/HMO/WC	$161.10
Rate for Payer: UnitedHealthcare Community & State	$25.88
Rate for Payer: Wellpoint Medicaid Managed Care	$28.46

SCREW CANN CONI P/THD 7.3x60MM

Facility

$1,074.00

Hospital Charge Code	270657180
Hospital Revenue Code	278
Min. Negotiated Rate	$161.10
Max. Negotiated Rate	$259.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.91
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$236.28
Rate for Payer: Qualcare PPO/HMO/WC	$161.10

SCREW CANN CONI P/THD 7.3x60MM

Facility

$1,074.00

Hospital Charge Code	270657180
Hospital Revenue Code	278
Min. Negotiated Rate	$25.88
Max. Negotiated Rate	$537.00
Rate for Payer: Aetna Commercial	$408.12
Rate for Payer: Aetna Medicare Advantage	$322.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$273.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$273.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$273.87
Rate for Payer: Cigna Commercial	$537.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.91
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$236.28
Rate for Payer: Qualcare PPO/HMO/WC	$161.10
Rate for Payer: UnitedHealthcare Community & State	$25.88
Rate for Payer: Wellpoint Medicaid Managed Care	$28.46

SCREW CANN CONI P/THD 7.3x65MM

Facility

$1,074.00

Hospital Charge Code	270657186
Hospital Revenue Code	278
Min. Negotiated Rate	$161.10
Max. Negotiated Rate	$259.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.91
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$236.28
Rate for Payer: Qualcare PPO/HMO/WC	$161.10

SCREW CANN CONI P/THD 7.3x65MM

Facility

$1,074.00

Hospital Charge Code	270657186
Hospital Revenue Code	278
Min. Negotiated Rate	$25.88
Max. Negotiated Rate	$537.00
Rate for Payer: Aetna Commercial	$408.12
Rate for Payer: Aetna Medicare Advantage	$322.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$273.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$273.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$273.87
Rate for Payer: Cigna Commercial	$537.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.91
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$236.28
Rate for Payer: Qualcare PPO/HMO/WC	$161.10
Rate for Payer: UnitedHealthcare Community & State	$25.88
Rate for Payer: Wellpoint Medicaid Managed Care	$28.46

SCREW CANN CONI P/THD 7.3x70MM

Facility

$1,074.00

Hospital Charge Code	270657192
Hospital Revenue Code	278
Min. Negotiated Rate	$25.88
Max. Negotiated Rate	$537.00
Rate for Payer: Aetna Commercial	$408.12
Rate for Payer: Aetna Medicare Advantage	$322.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$273.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$273.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$273.87
Rate for Payer: Cigna Commercial	$537.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.91
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$236.28
Rate for Payer: Qualcare PPO/HMO/WC	$161.10
Rate for Payer: UnitedHealthcare Community & State	$25.88
Rate for Payer: Wellpoint Medicaid Managed Care	$28.46

SCREW CANN CONI P/THD 7.3x70MM

Facility

$1,074.00

Hospital Charge Code	270657192
Hospital Revenue Code	278
Min. Negotiated Rate	$161.10
Max. Negotiated Rate	$259.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.91
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$236.28
Rate for Payer: Qualcare PPO/HMO/WC	$161.10

SCREW CANN CONI P/THD 7.3x75MM

Facility

$1,074.00

Hospital Charge Code	270657189
Hospital Revenue Code	278
Min. Negotiated Rate	$25.88
Max. Negotiated Rate	$537.00
Rate for Payer: Aetna Commercial	$408.12
Rate for Payer: Aetna Medicare Advantage	$322.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$273.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$273.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$273.87
Rate for Payer: Cigna Commercial	$537.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.91
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$236.28
Rate for Payer: Qualcare PPO/HMO/WC	$161.10
Rate for Payer: UnitedHealthcare Community & State	$25.88
Rate for Payer: Wellpoint Medicaid Managed Care	$28.46

SCREW CANN CONI P/THD 7.3x75MM

Facility

$1,074.00

Hospital Charge Code	270657189
Hospital Revenue Code	278
Min. Negotiated Rate	$161.10
Max. Negotiated Rate	$259.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.91
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$236.28
Rate for Payer: Qualcare PPO/HMO/WC	$161.10

SCREW CANN CONI P/THD 7.3x80MM

Facility

$1,074.00

Hospital Charge Code	270657195
Hospital Revenue Code	278
Min. Negotiated Rate	$161.10
Max. Negotiated Rate	$259.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.91
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$236.28
Rate for Payer: Qualcare PPO/HMO/WC	$161.10

SCREW CANN CONI P/THD 7.3x80MM

Facility

$1,074.00

Hospital Charge Code	270657195
Hospital Revenue Code	278
Min. Negotiated Rate	$25.88
Max. Negotiated Rate	$537.00
Rate for Payer: Aetna Commercial	$408.12
Rate for Payer: Aetna Medicare Advantage	$322.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$273.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$273.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$273.87
Rate for Payer: Cigna Commercial	$537.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.91
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$236.28
Rate for Payer: Qualcare PPO/HMO/WC	$161.10
Rate for Payer: UnitedHealthcare Community & State	$25.88
Rate for Payer: Wellpoint Medicaid Managed Care	$28.46

SCREW CANN COUNTERSINK 3.8MM

Facility

$1,570.00

Hospital Charge Code	270661043
Hospital Revenue Code	278
Min. Negotiated Rate	$235.50
Max. Negotiated Rate	$379.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$314.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$379.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$345.40
Rate for Payer: Qualcare PPO/HMO/WC	$235.50

SCREW CANN COUNTERSINK 3.8MM

Facility

$1,570.00

Hospital Charge Code	270661043
Hospital Revenue Code	278
Min. Negotiated Rate	$37.84
Max. Negotiated Rate	$785.00
Rate for Payer: Aetna Commercial	$596.60
Rate for Payer: Aetna Medicare Advantage	$471.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$400.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$400.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$314.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$400.35
Rate for Payer: Cigna Commercial	$785.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$379.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$345.40
Rate for Payer: Qualcare PPO/HMO/WC	$235.50
Rate for Payer: UnitedHealthcare Community & State	$37.84
Rate for Payer: Wellpoint Medicaid Managed Care	$41.60

SCREW CANNC Ti 6.5X65 AR13265T

Facility

$496.00

Hospital Charge Code	270636943
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 CANNC Ti 6.5X65 AR13265T

Facility

$496.00

Hospital Charge Code	270636943
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 CANN DART FIRE 2.8MM

Facility

$576.00

Service Code	HCPCS C1713
Hospital Charge Code	270699129
Hospital Revenue Code	278
Min. Negotiated Rate	$86.40
Max. Negotiated Rate	$139.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$126.72
Rate for Payer: Qualcare PPO/HMO/WC	$86.40

Know your out-of-pocket cost for care.

All Charges