Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CANN P/THRD 4.5x30mm

Facility

$855.95

Service Code	HCPCS C1713
Hospital Charge Code	270604881
Hospital Revenue Code	278
Min. Negotiated Rate	$20.63
Max. Negotiated Rate	$427.98
Rate for Payer: Aetna Commercial	$325.26
Rate for Payer: Aetna Medicare Advantage	$256.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$218.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$218.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$218.27
Rate for Payer: Cigna Commercial	$427.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$188.31
Rate for Payer: Qualcare PPO/HMO/WC	$128.39
Rate for Payer: UnitedHealthcare Community & State	$20.63
Rate for Payer: Wellpoint Medicaid Managed Care	$22.68

SCREW CANN P/THRD 4.5x30mm

Facility

$855.95

Service Code	HCPCS C1713
Hospital Charge Code	270604881
Hospital Revenue Code	278
Min. Negotiated Rate	$128.39
Max. Negotiated Rate	$207.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$188.31
Rate for Payer: Qualcare PPO/HMO/WC	$128.39

SCREW CANN P/THRD 4.5x32mm

Facility

$855.95

Service Code	HCPCS C1713
Hospital Charge Code	270604882
Hospital Revenue Code	278
Min. Negotiated Rate	$128.39
Max. Negotiated Rate	$207.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$188.31
Rate for Payer: Qualcare PPO/HMO/WC	$128.39

SCREW CANN P/THRD 4.5x32mm

Facility

$855.95

Service Code	HCPCS C1713
Hospital Charge Code	270604882
Hospital Revenue Code	278
Min. Negotiated Rate	$20.63
Max. Negotiated Rate	$427.98
Rate for Payer: Aetna Commercial	$325.26
Rate for Payer: Aetna Medicare Advantage	$256.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$218.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$218.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$218.27
Rate for Payer: Cigna Commercial	$427.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$188.31
Rate for Payer: Qualcare PPO/HMO/WC	$128.39
Rate for Payer: UnitedHealthcare Community & State	$20.63
Rate for Payer: Wellpoint Medicaid Managed Care	$22.68

SCREW CANN P/THRD 4.5x34mm

Facility

$831.00

Service Code	HCPCS C1713
Hospital Charge Code	270604883
Hospital Revenue Code	278
Min. Negotiated Rate	$124.65
Max. Negotiated Rate	$201.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$166.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$201.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$182.82
Rate for Payer: Qualcare PPO/HMO/WC	$124.65

SCREW CANN P/THRD 4.5x34mm

Facility

$831.00

Service Code	HCPCS C1713
Hospital Charge Code	270604883
Hospital Revenue Code	278
Min. Negotiated Rate	$20.03
Max. Negotiated Rate	$415.50
Rate for Payer: Aetna Commercial	$315.78
Rate for Payer: Aetna Medicare Advantage	$249.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$211.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$211.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$166.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$211.91
Rate for Payer: Cigna Commercial	$415.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$201.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$182.82
Rate for Payer: Qualcare PPO/HMO/WC	$124.65
Rate for Payer: UnitedHealthcare Community & State	$20.03
Rate for Payer: Wellpoint Medicaid Managed Care	$22.02

SCREW CANN P/THRD 4.5x36mm

Facility

$855.95

Service Code	HCPCS C1713
Hospital Charge Code	270604884
Hospital Revenue Code	278
Min. Negotiated Rate	$128.39
Max. Negotiated Rate	$207.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$188.31
Rate for Payer: Qualcare PPO/HMO/WC	$128.39

SCREW CANN P/THRD 4.5x36mm

Facility

$855.95

Service Code	HCPCS C1713
Hospital Charge Code	270604884
Hospital Revenue Code	278
Min. Negotiated Rate	$20.63
Max. Negotiated Rate	$427.98
Rate for Payer: Aetna Commercial	$325.26
Rate for Payer: Aetna Medicare Advantage	$256.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$218.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$218.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$218.27
Rate for Payer: Cigna Commercial	$427.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$188.31
Rate for Payer: Qualcare PPO/HMO/WC	$128.39
Rate for Payer: UnitedHealthcare Community & State	$20.63
Rate for Payer: Wellpoint Medicaid Managed Care	$22.68

SCREW CANN P/THRD 4.5x38mm

Facility

$881.65

Service Code	HCPCS C1713
Hospital Charge Code	270604886
Hospital Revenue Code	278
Min. Negotiated Rate	$132.25
Max. Negotiated Rate	$213.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$176.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$213.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$193.96
Rate for Payer: Qualcare PPO/HMO/WC	$132.25

SCREW CANN P/THRD 4.5x38mm

Facility

$881.65

Service Code	HCPCS C1713
Hospital Charge Code	270604886
Hospital Revenue Code	278
Min. Negotiated Rate	$21.25
Max. Negotiated Rate	$440.82
Rate for Payer: Aetna Commercial	$335.03
Rate for Payer: Aetna Medicare Advantage	$264.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$224.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$224.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$176.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$224.82
Rate for Payer: Cigna Commercial	$440.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$213.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$193.96
Rate for Payer: Qualcare PPO/HMO/WC	$132.25
Rate for Payer: UnitedHealthcare Community & State	$21.25
Rate for Payer: Wellpoint Medicaid Managed Care	$23.36

SCREW CANN P/THRD 4.5x40mm

Facility

$881.65

Service Code	HCPCS C1713
Hospital Charge Code	270604887
Hospital Revenue Code	278
Min. Negotiated Rate	$132.25
Max. Negotiated Rate	$213.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$176.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$213.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$193.96
Rate for Payer: Qualcare PPO/HMO/WC	$132.25

SCREW CANN P/THRD 4.5x40mm

Facility

$881.65

Service Code	HCPCS C1713
Hospital Charge Code	270604887
Hospital Revenue Code	278
Min. Negotiated Rate	$21.25
Max. Negotiated Rate	$440.82
Rate for Payer: Aetna Commercial	$335.03
Rate for Payer: Aetna Medicare Advantage	$264.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$224.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$224.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$176.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$224.82
Rate for Payer: Cigna Commercial	$440.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$213.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$193.96
Rate for Payer: Qualcare PPO/HMO/WC	$132.25
Rate for Payer: UnitedHealthcare Community & State	$21.25
Rate for Payer: Wellpoint Medicaid Managed Care	$23.36

SCREW CANN P/THRD 4.5x42mm

Facility

$881.65

Service Code	HCPCS C1713
Hospital Charge Code	270604888
Hospital Revenue Code	278
Min. Negotiated Rate	$132.25
Max. Negotiated Rate	$213.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$176.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$213.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$193.96
Rate for Payer: Qualcare PPO/HMO/WC	$132.25

SCREW CANN P/THRD 4.5x42mm

Facility

$881.65

Service Code	HCPCS C1713
Hospital Charge Code	270604888
Hospital Revenue Code	278
Min. Negotiated Rate	$21.25
Max. Negotiated Rate	$440.82
Rate for Payer: Aetna Commercial	$335.03
Rate for Payer: Aetna Medicare Advantage	$264.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$224.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$224.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$176.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$224.82
Rate for Payer: Cigna Commercial	$440.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$213.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$193.96
Rate for Payer: Qualcare PPO/HMO/WC	$132.25
Rate for Payer: UnitedHealthcare Community & State	$21.25
Rate for Payer: Wellpoint Medicaid Managed Care	$23.36

SCREW CANN P/THRD 4.5x44mm

Facility

$881.65

Service Code	HCPCS C1713
Hospital Charge Code	270655922
Hospital Revenue Code	278
Min. Negotiated Rate	$132.25
Max. Negotiated Rate	$213.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$176.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$213.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$193.96
Rate for Payer: Qualcare PPO/HMO/WC	$132.25

SCREW CANN P/THRD 4.5x44mm

Facility

$881.65

Service Code	HCPCS C1713
Hospital Charge Code	270655922
Hospital Revenue Code	278
Min. Negotiated Rate	$21.25
Max. Negotiated Rate	$440.82
Rate for Payer: Aetna Commercial	$335.03
Rate for Payer: Aetna Medicare Advantage	$264.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$224.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$224.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$176.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$224.82
Rate for Payer: Cigna Commercial	$440.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$213.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$193.96
Rate for Payer: Qualcare PPO/HMO/WC	$132.25
Rate for Payer: UnitedHealthcare Community & State	$21.25
Rate for Payer: Wellpoint Medicaid Managed Care	$23.36

SCREW CANN P/THRD 4.5x46mm

Facility

$855.95

Service Code	HCPCS C1713
Hospital Charge Code	270604889
Hospital Revenue Code	278
Min. Negotiated Rate	$128.39
Max. Negotiated Rate	$207.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$188.31
Rate for Payer: Qualcare PPO/HMO/WC	$128.39

SCREW CANN P/THRD 4.5x46mm

Facility

$855.95

Service Code	HCPCS C1713
Hospital Charge Code	270604889
Hospital Revenue Code	278
Min. Negotiated Rate	$20.63
Max. Negotiated Rate	$427.98
Rate for Payer: Aetna Commercial	$325.26
Rate for Payer: Aetna Medicare Advantage	$256.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$218.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$218.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$218.27
Rate for Payer: Cigna Commercial	$427.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$188.31
Rate for Payer: Qualcare PPO/HMO/WC	$128.39
Rate for Payer: UnitedHealthcare Community & State	$20.63
Rate for Payer: Wellpoint Medicaid Managed Care	$22.68

SCREW CANN P/THRD 4.5x50mm

Facility

$855.95

Service Code	HCPCS C1713
Hospital Charge Code	270604893
Hospital Revenue Code	278
Min. Negotiated Rate	$20.63
Max. Negotiated Rate	$427.98
Rate for Payer: Aetna Commercial	$325.26
Rate for Payer: Aetna Medicare Advantage	$256.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$218.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$218.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$218.27
Rate for Payer: Cigna Commercial	$427.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$188.31
Rate for Payer: Qualcare PPO/HMO/WC	$128.39
Rate for Payer: UnitedHealthcare Community & State	$20.63
Rate for Payer: Wellpoint Medicaid Managed Care	$22.68

SCREW CANN P/THRD 4.5x50mm

Facility

$855.95

Service Code	HCPCS C1713
Hospital Charge Code	270604893
Hospital Revenue Code	278
Min. Negotiated Rate	$128.39
Max. Negotiated Rate	$207.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$188.31
Rate for Payer: Qualcare PPO/HMO/WC	$128.39

SCREW CANN P/THRD 4.5x52mm

Facility

$505.00

Service Code	HCPCS C1713
Hospital Charge Code	270604894
Hospital Revenue Code	278
Min. Negotiated Rate	$75.75
Max. Negotiated Rate	$122.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$101.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$122.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$111.10
Rate for Payer: Qualcare PPO/HMO/WC	$75.75

SCREW CANN P/THRD 4.5x52mm

Facility

$505.00

Service Code	HCPCS C1713
Hospital Charge Code	270604894
Hospital Revenue Code	278
Min. Negotiated Rate	$12.17
Max. Negotiated Rate	$252.50
Rate for Payer: Aetna Commercial	$191.90
Rate for Payer: Aetna Medicare Advantage	$151.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$128.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$128.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$101.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$128.78
Rate for Payer: Cigna Commercial	$252.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$122.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$111.10
Rate for Payer: Qualcare PPO/HMO/WC	$75.75
Rate for Payer: UnitedHealthcare Community & State	$12.17
Rate for Payer: Wellpoint Medicaid Managed Care	$13.38

SCREW CANN P/THRD 4.5x54mm

Facility

$855.95

Service Code	HCPCS C1713
Hospital Charge Code	270604895
Hospital Revenue Code	278
Min. Negotiated Rate	$20.63
Max. Negotiated Rate	$427.98
Rate for Payer: Aetna Commercial	$325.26
Rate for Payer: Aetna Medicare Advantage	$256.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$218.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$218.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$218.27
Rate for Payer: Cigna Commercial	$427.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$188.31
Rate for Payer: Qualcare PPO/HMO/WC	$128.39
Rate for Payer: UnitedHealthcare Community & State	$20.63
Rate for Payer: Wellpoint Medicaid Managed Care	$22.68

SCREW CANN P/THRD 4.5x54mm

Facility

$855.95

Service Code	HCPCS C1713
Hospital Charge Code	270604895
Hospital Revenue Code	278
Min. Negotiated Rate	$128.39
Max. Negotiated Rate	$207.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$188.31
Rate for Payer: Qualcare PPO/HMO/WC	$128.39

SCREW CANN P/THRD 4.5x56mm

Facility

$855.95

Service Code	HCPCS C1713
Hospital Charge Code	270604896
Hospital Revenue Code	278
Min. Negotiated Rate	$20.63
Max. Negotiated Rate	$427.98
Rate for Payer: Aetna Commercial	$325.26
Rate for Payer: Aetna Medicare Advantage	$256.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$218.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$218.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$218.27
Rate for Payer: Cigna Commercial	$427.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$188.31
Rate for Payer: Qualcare PPO/HMO/WC	$128.39
Rate for Payer: UnitedHealthcare Community & State	$20.63
Rate for Payer: Wellpoint Medicaid Managed Care	$22.68

Know your out-of-pocket cost for care.

All Charges