Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CANN SH/THRD 4.0x52mm

Facility

$859.35

Service Code	HCPCS C1713
Hospital Charge Code	270648500
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 SH/THRD 4.0x54mm

Facility

$834.30

Service Code	HCPCS C1713
Hospital Charge Code	270648501
Hospital Revenue Code	278
Min. Negotiated Rate	$125.14
Max. Negotiated Rate	$201.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$166.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$201.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$183.55
Rate for Payer: Qualcare PPO/HMO/WC	$125.14

SCREW CANN SH/THRD 4.0x54mm

Facility

$834.30

Service Code	HCPCS C1713
Hospital Charge Code	270648501
Hospital Revenue Code	278
Min. Negotiated Rate	$20.11
Max. Negotiated Rate	$417.15
Rate for Payer: Aetna Commercial	$317.03
Rate for Payer: Aetna Medicare Advantage	$250.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$212.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$212.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$166.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$212.75
Rate for Payer: Cigna Commercial	$417.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$201.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$183.55
Rate for Payer: Qualcare PPO/HMO/WC	$125.14
Rate for Payer: UnitedHealthcare Community & State	$20.11
Rate for Payer: Wellpoint Medicaid Managed Care	$22.11

SCREW CANN SH/THRD 4.0x56mm

Facility

$834.30

Service Code	HCPCS C1713
Hospital Charge Code	270648502
Hospital Revenue Code	278
Min. Negotiated Rate	$20.11
Max. Negotiated Rate	$417.15
Rate for Payer: Aetna Commercial	$317.03
Rate for Payer: Aetna Medicare Advantage	$250.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$212.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$212.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$166.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$212.75
Rate for Payer: Cigna Commercial	$417.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$201.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$183.55
Rate for Payer: Qualcare PPO/HMO/WC	$125.14
Rate for Payer: UnitedHealthcare Community & State	$20.11
Rate for Payer: Wellpoint Medicaid Managed Care	$22.11

SCREW CANN SH/THRD 4.0x56mm

Facility

$834.30

Service Code	HCPCS C1713
Hospital Charge Code	270648502
Hospital Revenue Code	278
Min. Negotiated Rate	$125.14
Max. Negotiated Rate	$201.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$166.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$201.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$183.55
Rate for Payer: Qualcare PPO/HMO/WC	$125.14

SCREW CANN SH/THRD 4.0x58mm

Facility

$859.35

Service Code	HCPCS C1713
Hospital Charge Code	270648925
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 SH/THRD 4.0x58mm

Facility

$859.35

Service Code	HCPCS C1713
Hospital Charge Code	270648925
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 SH/THRD 4.0x60mm

Facility

$859.35

Service Code	HCPCS C1713
Hospital Charge Code	270648926
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 SH/THRD 4.0x60mm

Facility

$859.35

Service Code	HCPCS C1713
Hospital Charge Code	270648926
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 SH/THRD 4.0x64mm

Facility

$859.35

Service Code	HCPCS C1713
Hospital Charge Code	270648503
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 SH/THRD 4.0x64mm

Facility

$859.35

Service Code	HCPCS C1713
Hospital Charge Code	270648503
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 SH/THRD 4.0x68mm

Facility

$562.33

Service Code	HCPCS C1713
Hospital Charge Code	270648505
Hospital Revenue Code	278
Min. Negotiated Rate	$84.35
Max. Negotiated Rate	$136.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$112.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$136.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$123.71
Rate for Payer: Qualcare PPO/HMO/WC	$84.35

SCREW CANN SH/THRD 4.0x68mm

Facility

$562.33

Service Code	HCPCS C1713
Hospital Charge Code	270648505
Hospital Revenue Code	278
Min. Negotiated Rate	$13.55
Max. Negotiated Rate	$281.17
Rate for Payer: Aetna Commercial	$213.69
Rate for Payer: Aetna Medicare Advantage	$168.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$143.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$143.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$112.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$143.39
Rate for Payer: Cigna Commercial	$281.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$136.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$123.71
Rate for Payer: Qualcare PPO/HMO/WC	$84.35
Rate for Payer: UnitedHealthcare Community & State	$13.55
Rate for Payer: Wellpoint Medicaid Managed Care	$14.90

SCREW CANN SH/THRD 4.0x72mm

Facility

$834.30

Service Code	HCPCS C1713
Hospital Charge Code	270648936
Hospital Revenue Code	278
Min. Negotiated Rate	$125.14
Max. Negotiated Rate	$201.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$166.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$201.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$183.55
Rate for Payer: Qualcare PPO/HMO/WC	$125.14

SCREW CANN SH/THRD 4.0x72mm

Facility

$834.30

Service Code	HCPCS C1713
Hospital Charge Code	270648936
Hospital Revenue Code	278
Min. Negotiated Rate	$20.11
Max. Negotiated Rate	$417.15
Rate for Payer: Aetna Commercial	$317.03
Rate for Payer: Aetna Medicare Advantage	$250.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$212.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$212.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$166.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$212.75
Rate for Payer: Cigna Commercial	$417.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$201.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$183.55
Rate for Payer: Qualcare PPO/HMO/WC	$125.14
Rate for Payer: UnitedHealthcare Community & State	$20.11
Rate for Payer: Wellpoint Medicaid Managed Care	$22.11

SCREW CANN ST 4.0X38MM

Facility

$2,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270700112
Hospital Revenue Code	278
Min. Negotiated Rate	$375.00
Max. Negotiated Rate	$605.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$605.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$550.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00

SCREW CANN ST 4.0X38MM

Facility

$2,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270700112
Hospital Revenue Code	278
Min. Negotiated Rate	$60.25
Max. Negotiated Rate	$1,250.00
Rate for Payer: Aetna Commercial	$950.00
Rate for Payer: Aetna Medicare Advantage	$750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$637.50
Rate for Payer: Cigna Commercial	$1,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$605.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$550.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00
Rate for Payer: UnitedHealthcare Community & State	$60.25
Rate for Payer: Wellpoint Medicaid Managed Care	$66.25

SCREW CANN THD 16 7.3X45MM

Facility

$1,065.00

Hospital Charge Code	270670827
Hospital Revenue Code	278
Min. Negotiated Rate	$25.67
Max. Negotiated Rate	$532.50
Rate for Payer: Aetna Commercial	$404.70
Rate for Payer: Aetna Medicare Advantage	$319.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$271.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$271.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$213.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$271.57
Rate for Payer: Cigna Commercial	$532.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$257.73
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$234.30
Rate for Payer: Qualcare PPO/HMO/WC	$159.75
Rate for Payer: UnitedHealthcare Community & State	$25.67
Rate for Payer: Wellpoint Medicaid Managed Care	$28.22

SCREW CANN THD 16 7.3X45MM

Facility

$1,065.00

Hospital Charge Code	270670827
Hospital Revenue Code	278
Min. Negotiated Rate	$159.75
Max. Negotiated Rate	$257.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$213.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$257.73
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$234.30
Rate for Payer: Qualcare PPO/HMO/WC	$159.75

SCREW CANN THD 7Dx40mm

Facility

$689.65

Hospital Charge Code	270633504
Hospital Revenue Code	278
Min. Negotiated Rate	$16.62
Max. Negotiated Rate	$344.82
Rate for Payer: Aetna Commercial	$262.07
Rate for Payer: Aetna Medicare Advantage	$206.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$175.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$175.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$137.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$175.86
Rate for Payer: Cigna Commercial	$344.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$166.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$151.72
Rate for Payer: Qualcare PPO/HMO/WC	$103.45
Rate for Payer: UnitedHealthcare Community & State	$16.62
Rate for Payer: Wellpoint Medicaid Managed Care	$18.28

SCREW CANN THD 7Dx40mm

Facility

$689.65

Hospital Charge Code	270633504
Hospital Revenue Code	278
Min. Negotiated Rate	$103.45
Max. Negotiated Rate	$166.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$137.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$166.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$151.72
Rate for Payer: Qualcare PPO/HMO/WC	$103.45

SCREW CANN THD 7Dx45mm

Facility

$689.65

Hospital Charge Code	270633505
Hospital Revenue Code	278
Min. Negotiated Rate	$103.45
Max. Negotiated Rate	$166.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$137.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$166.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$151.72
Rate for Payer: Qualcare PPO/HMO/WC	$103.45

SCREW CANN THD 7Dx45mm

Facility

$689.65

Hospital Charge Code	270633505
Hospital Revenue Code	278
Min. Negotiated Rate	$16.62
Max. Negotiated Rate	$344.82
Rate for Payer: Aetna Commercial	$262.07
Rate for Payer: Aetna Medicare Advantage	$206.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$175.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$175.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$137.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$175.86
Rate for Payer: Cigna Commercial	$344.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$166.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$151.72
Rate for Payer: Qualcare PPO/HMO/WC	$103.45
Rate for Payer: UnitedHealthcare Community & State	$16.62
Rate for Payer: Wellpoint Medicaid Managed Care	$18.28

SCREW CANN THR 4.0x32 11424132

Facility

$521.15

Hospital Charge Code	270633219
Hospital Revenue Code	278
Min. Negotiated Rate	$12.56
Max. Negotiated Rate	$260.57
Rate for Payer: Aetna Commercial	$198.04
Rate for Payer: Aetna Medicare Advantage	$156.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.89
Rate for Payer: Cigna Commercial	$260.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$114.65
Rate for Payer: Qualcare PPO/HMO/WC	$78.17
Rate for Payer: UnitedHealthcare Community & State	$12.56
Rate for Payer: Wellpoint Medicaid Managed Care	$13.81

SCREW CANN THR 4.0x32 11424132

Facility

$521.15

Hospital Charge Code	270633219
Hospital Revenue Code	278
Min. Negotiated Rate	$78.17
Max. Negotiated Rate	$126.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$114.65
Rate for Payer: Qualcare PPO/HMO/WC	$78.17

Know your out-of-pocket cost for care.

All Charges