Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CAN PART 4.0x30 11424130

Facility

$505.65

Hospital Charge Code	270629616
Hospital Revenue Code	278
Min. Negotiated Rate	$75.85
Max. Negotiated Rate	$122.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$101.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$122.37
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$111.24
Rate for Payer: Qualcare PPO/HMO/WC	$75.85

SCREW CAN PART 5.0x40 11425140

Facility

$568.60

Hospital Charge Code	270629705
Hospital Revenue Code	278
Min. Negotiated Rate	$13.70
Max. Negotiated Rate	$284.30
Rate for Payer: Aetna Commercial	$216.07
Rate for Payer: Aetna Medicare Advantage	$170.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.99
Rate for Payer: Cigna Commercial	$284.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$125.09
Rate for Payer: Qualcare PPO/HMO/WC	$85.29
Rate for Payer: UnitedHealthcare Community & State	$13.70
Rate for Payer: Wellpoint Medicaid Managed Care	$15.07

SCREW CAN PART 5.0x40 11425140

Facility

$568.60

Hospital Charge Code	270629705
Hospital Revenue Code	278
Min. Negotiated Rate	$85.29
Max. Negotiated Rate	$137.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$125.09
Rate for Payer: Qualcare PPO/HMO/WC	$85.29

SCREW CAN PART 5.0x42 11425142

Facility

$568.60

Hospital Charge Code	270632041
Hospital Revenue Code	278
Min. Negotiated Rate	$13.70
Max. Negotiated Rate	$284.30
Rate for Payer: Aetna Commercial	$216.07
Rate for Payer: Aetna Medicare Advantage	$170.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.99
Rate for Payer: Cigna Commercial	$284.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$125.09
Rate for Payer: Qualcare PPO/HMO/WC	$85.29
Rate for Payer: UnitedHealthcare Community & State	$13.70
Rate for Payer: Wellpoint Medicaid Managed Care	$15.07

SCREW CAN PART 5.0x42 11425142

Facility

$568.60

Hospital Charge Code	270632041
Hospital Revenue Code	278
Min. Negotiated Rate	$85.29
Max. Negotiated Rate	$137.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$125.09
Rate for Payer: Qualcare PPO/HMO/WC	$85.29

SCREW CAN PTHD 5.0x38 11425138

Facility

$568.60

Hospital Charge Code	270634537
Hospital Revenue Code	278
Min. Negotiated Rate	$85.29
Max. Negotiated Rate	$137.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$125.09
Rate for Payer: Qualcare PPO/HMO/WC	$85.29

SCREW CAN PTHD 5.0x38 11425138

Facility

$568.60

Hospital Charge Code	270634537
Hospital Revenue Code	278
Min. Negotiated Rate	$13.70
Max. Negotiated Rate	$284.30
Rate for Payer: Aetna Commercial	$216.07
Rate for Payer: Aetna Medicare Advantage	$170.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.99
Rate for Payer: Cigna Commercial	$284.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$125.09
Rate for Payer: Qualcare PPO/HMO/WC	$85.29
Rate for Payer: UnitedHealthcare Community & State	$13.70
Rate for Payer: Wellpoint Medicaid Managed Care	$15.07

SCREW CAN SHT THD 30 X32

Facility

$962.50

Service Code	HCPCS C1713
Hospital Charge Code	270702704
Hospital Revenue Code	278
Min. Negotiated Rate	$144.38
Max. Negotiated Rate	$232.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$192.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.93
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$211.75
Rate for Payer: Qualcare PPO/HMO/WC	$144.38

SCREW CAN SHT THD 30 X32

Facility

$962.50

Service Code	HCPCS C1713
Hospital Charge Code	270702704
Hospital Revenue Code	278
Min. Negotiated Rate	$23.20
Max. Negotiated Rate	$481.25
Rate for Payer: Aetna Commercial	$365.75
Rate for Payer: Aetna Medicare Advantage	$288.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$245.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$245.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$192.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$245.44
Rate for Payer: Cigna Commercial	$481.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.93
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$211.75
Rate for Payer: Qualcare PPO/HMO/WC	$144.38
Rate for Payer: UnitedHealthcare Community & State	$23.20
Rate for Payer: Wellpoint Medicaid Managed Care	$25.51

SCREW CAN, SHT THD HD 3X28MM

Facility

$962.50

Hospital Charge Code	270702193
Hospital Revenue Code	278
Min. Negotiated Rate	$144.38
Max. Negotiated Rate	$232.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$192.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.93
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$211.75
Rate for Payer: Qualcare PPO/HMO/WC	$144.38

SCREW CAN, SHT THD HD 3X28MM

Facility

$962.50

Hospital Charge Code	270702193
Hospital Revenue Code	278
Min. Negotiated Rate	$23.20
Max. Negotiated Rate	$481.25
Rate for Payer: Aetna Commercial	$365.75
Rate for Payer: Aetna Medicare Advantage	$288.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$245.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$245.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$192.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$245.44
Rate for Payer: Cigna Commercial	$481.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.93
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$211.75
Rate for Payer: Qualcare PPO/HMO/WC	$144.38
Rate for Payer: UnitedHealthcare Community & State	$23.20
Rate for Payer: Wellpoint Medicaid Managed Care	$25.51

SCREW CAN TD 6.5x40 8157640080

Facility

$183.60

Hospital Charge Code	270633168
Hospital Revenue Code	278
Min. Negotiated Rate	$4.42
Max. Negotiated Rate	$91.80
Rate for Payer: Aetna Commercial	$69.77
Rate for Payer: Aetna Medicare Advantage	$55.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.82
Rate for Payer: Cigna Commercial	$91.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.43
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$40.39
Rate for Payer: Qualcare PPO/HMO/WC	$27.54
Rate for Payer: UnitedHealthcare Community & State	$4.42
Rate for Payer: Wellpoint Medicaid Managed Care	$4.87

SCREW CAN TD 6.5x40 8157640080

Facility

$183.60

Hospital Charge Code	270633168
Hospital Revenue Code	278
Min. Negotiated Rate	$27.54
Max. Negotiated Rate	$44.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.43
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$40.39
Rate for Payer: Qualcare PPO/HMO/WC	$27.54

SCREW CAN THD 5.0x32 11425032

Facility

$568.60

Hospital Charge Code	270634952
Hospital Revenue Code	278
Min. Negotiated Rate	$85.29
Max. Negotiated Rate	$137.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$125.09
Rate for Payer: Qualcare PPO/HMO/WC	$85.29

SCREW CAN THD 5.0x32 11425032

Facility

$568.60

Hospital Charge Code	270634952
Hospital Revenue Code	278
Min. Negotiated Rate	$13.70
Max. Negotiated Rate	$284.30
Rate for Payer: Aetna Commercial	$216.07
Rate for Payer: Aetna Medicare Advantage	$170.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.99
Rate for Payer: Cigna Commercial	$284.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$125.09
Rate for Payer: Qualcare PPO/HMO/WC	$85.29
Rate for Payer: UnitedHealthcare Community & State	$13.70
Rate for Payer: Wellpoint Medicaid Managed Care	$15.07

SCREW CAN THD 5.0x32 11425132

Facility

$568.00

Hospital Charge Code	270635969
Hospital Revenue Code	278
Min. Negotiated Rate	$13.69
Max. Negotiated Rate	$284.00
Rate for Payer: Aetna Commercial	$215.84
Rate for Payer: Aetna Medicare Advantage	$170.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.84
Rate for Payer: Cigna Commercial	$284.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$124.96
Rate for Payer: Qualcare PPO/HMO/WC	$85.20
Rate for Payer: UnitedHealthcare Community & State	$13.69
Rate for Payer: Wellpoint Medicaid Managed Care	$15.05

SCREW CAN THD 5.0x32 11425132

Facility

$568.00

Hospital Charge Code	270635969
Hospital Revenue Code	278
Min. Negotiated Rate	$85.20
Max. Negotiated Rate	$137.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$124.96
Rate for Payer: Qualcare PPO/HMO/WC	$85.20

SCREW CAN THD 5.0x34 11425134

Facility

$568.60

Hospital Charge Code	270634953
Hospital Revenue Code	278
Min. Negotiated Rate	$13.70
Max. Negotiated Rate	$284.30
Rate for Payer: Aetna Commercial	$216.07
Rate for Payer: Aetna Medicare Advantage	$170.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.99
Rate for Payer: Cigna Commercial	$284.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$125.09
Rate for Payer: Qualcare PPO/HMO/WC	$85.29
Rate for Payer: UnitedHealthcare Community & State	$13.70
Rate for Payer: Wellpoint Medicaid Managed Care	$15.07

SCREW CAN THD 5.0x34 11425134

Facility

$568.60

Hospital Charge Code	270634953
Hospital Revenue Code	278
Min. Negotiated Rate	$85.29
Max. Negotiated Rate	$137.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$125.09
Rate for Payer: Qualcare PPO/HMO/WC	$85.29

SCREW CAP 3370-1-060

Facility

$401.65

Hospital Charge Code	270615320
Hospital Revenue Code	278
Min. Negotiated Rate	$60.25
Max. Negotiated Rate	$97.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$80.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$88.36
Rate for Payer: Qualcare PPO/HMO/WC	$60.25

SCREW CAP 3370-1-060

Facility

$401.65

Hospital Charge Code	270615320
Hospital Revenue Code	278
Min. Negotiated Rate	$9.68
Max. Negotiated Rate	$200.82
Rate for Payer: Aetna Commercial	$152.63
Rate for Payer: Aetna Medicare Advantage	$120.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$102.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$102.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$80.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$102.42
Rate for Payer: Cigna Commercial	$200.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$88.36
Rate for Payer: Qualcare PPO/HMO/WC	$60.25
Rate for Payer: UnitedHealthcare Community & State	$9.68
Rate for Payer: Wellpoint Medicaid Managed Care	$10.64

SCREW CAP 4.5 X 15CM

Facility

$984.75

Service Code	HCPCS C1713
Hospital Charge Code	270689209
Hospital Revenue Code	278
Min. Negotiated Rate	$23.73
Max. Negotiated Rate	$492.38
Rate for Payer: Aetna Commercial	$374.20
Rate for Payer: Aetna Medicare Advantage	$295.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$251.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$251.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$251.11
Rate for Payer: Cigna Commercial	$492.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$238.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$216.65
Rate for Payer: Qualcare PPO/HMO/WC	$147.71
Rate for Payer: UnitedHealthcare Community & State	$23.73
Rate for Payer: Wellpoint Medicaid Managed Care	$26.10

SCREW CAP 4.5 X 15CM

Facility

$984.75

Service Code	HCPCS C1713
Hospital Charge Code	270689209
Hospital Revenue Code	278
Min. Negotiated Rate	$147.71
Max. Negotiated Rate	$238.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$238.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$216.65
Rate for Payer: Qualcare PPO/HMO/WC	$147.71

SCREW CAP 4.5 X 15 MM

Facility

$984.75

Service Code	HCPCS C1713
Hospital Charge Code	270689213
Hospital Revenue Code	278
Min. Negotiated Rate	$23.73
Max. Negotiated Rate	$492.38
Rate for Payer: Aetna Commercial	$374.20
Rate for Payer: Aetna Medicare Advantage	$295.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$251.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$251.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$251.11
Rate for Payer: Cigna Commercial	$492.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$238.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$216.65
Rate for Payer: Qualcare PPO/HMO/WC	$147.71
Rate for Payer: UnitedHealthcare Community & State	$23.73
Rate for Payer: Wellpoint Medicaid Managed Care	$26.10

SCREW CAP 4.5 X 15 MM

Facility

$984.75

Service Code	HCPCS C1713
Hospital Charge Code	270689213
Hospital Revenue Code	278
Min. Negotiated Rate	$147.71
Max. Negotiated Rate	$238.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$238.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$216.65
Rate for Payer: Qualcare PPO/HMO/WC	$147.71

Know your out-of-pocket cost for care.

All Charges