Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CAP 4.5 X 20MM

Facility

$984.75

Service Code	HCPCS C1713
Hospital Charge Code	270689208
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 20MM

Facility

$984.75

Service Code	HCPCS C1713
Hospital Charge Code	270689208
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 25MM

Facility

$984.75

Service Code	HCPCS C1713
Hospital Charge Code	270689210
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 25MM

Facility

$984.75

Service Code	HCPCS C1713
Hospital Charge Code	270689210
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 LOCKING NCB

Facility

$790.00

Hospital Charge Code	270658846
Hospital Revenue Code	278
Min. Negotiated Rate	$19.04
Max. Negotiated Rate	$395.00
Rate for Payer: Aetna Commercial	$300.20
Rate for Payer: Aetna Medicare Advantage	$237.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$201.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$201.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$201.45
Rate for Payer: Cigna Commercial	$395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$173.80
Rate for Payer: Qualcare PPO/HMO/WC	$118.50
Rate for Payer: UnitedHealthcare Community & State	$19.04
Rate for Payer: Wellpoint Medicaid Managed Care	$20.93

SCREW CAP LOCKING NCB

Facility

$790.00

Hospital Charge Code	270658846
Hospital Revenue Code	278
Min. Negotiated Rate	$118.50
Max. Negotiated Rate	$191.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$173.80
Rate for Payer: Qualcare PPO/HMO/WC	$118.50

SCREW CAP RECN 6.4x75 71632375

Facility

$1,309.50

Hospital Charge Code	270633369
Hospital Revenue Code	278
Min. Negotiated Rate	$31.56
Max. Negotiated Rate	$654.75
Rate for Payer: Aetna Commercial	$497.61
Rate for Payer: Aetna Medicare Advantage	$392.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$333.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$333.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$261.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$333.92
Rate for Payer: Cigna Commercial	$654.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$316.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$288.09
Rate for Payer: Qualcare PPO/HMO/WC	$196.43
Rate for Payer: UnitedHealthcare Community & State	$31.56
Rate for Payer: Wellpoint Medicaid Managed Care	$34.70

SCREW CAP RECN 6.4x75 71632375

Facility

$1,309.50

Hospital Charge Code	270633369
Hospital Revenue Code	278
Min. Negotiated Rate	$196.43
Max. Negotiated Rate	$316.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$261.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$316.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$288.09
Rate for Payer: Qualcare PPO/HMO/WC	$196.43

SCREW CAP RECN 6.4x90 71632390

Facility

$1,309.50

Hospital Charge Code	270633370
Hospital Revenue Code	278
Min. Negotiated Rate	$31.56
Max. Negotiated Rate	$654.75
Rate for Payer: Aetna Commercial	$497.61
Rate for Payer: Aetna Medicare Advantage	$392.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$333.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$333.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$261.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$333.92
Rate for Payer: Cigna Commercial	$654.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$316.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$288.09
Rate for Payer: Qualcare PPO/HMO/WC	$196.43
Rate for Payer: UnitedHealthcare Community & State	$31.56
Rate for Payer: Wellpoint Medicaid Managed Care	$34.70

SCREW CAP RECN 6.4x90 71632390

Facility

$1,309.50

Hospital Charge Code	270633370
Hospital Revenue Code	278
Min. Negotiated Rate	$196.43
Max. Negotiated Rate	$316.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$261.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$316.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$288.09
Rate for Payer: Qualcare PPO/HMO/WC	$196.43

SCREW CAPTURE LOPRO 2.5x12MM

Facility

$790.00

Hospital Charge Code	270668721
Hospital Revenue Code	278
Min. Negotiated Rate	$118.50
Max. Negotiated Rate	$191.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$173.80
Rate for Payer: Qualcare PPO/HMO/WC	$118.50

SCREW CAPTURE LOPRO 2.5x12MM

Facility

$790.00

Hospital Charge Code	270668721
Hospital Revenue Code	278
Min. Negotiated Rate	$19.04
Max. Negotiated Rate	$395.00
Rate for Payer: Aetna Commercial	$300.20
Rate for Payer: Aetna Medicare Advantage	$237.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$201.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$201.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$201.45
Rate for Payer: Cigna Commercial	$395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$173.80
Rate for Payer: Qualcare PPO/HMO/WC	$118.50
Rate for Payer: UnitedHealthcare Community & State	$19.04
Rate for Payer: Wellpoint Medicaid Managed Care	$20.93

SCREW CAPTURE LOPRO 2.5X14MM

Facility

$790.00

Hospital Charge Code	270669821
Hospital Revenue Code	278
Min. Negotiated Rate	$19.04
Max. Negotiated Rate	$395.00
Rate for Payer: Aetna Commercial	$300.20
Rate for Payer: Aetna Medicare Advantage	$237.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$201.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$201.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$201.45
Rate for Payer: Cigna Commercial	$395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$173.80
Rate for Payer: Qualcare PPO/HMO/WC	$118.50
Rate for Payer: UnitedHealthcare Community & State	$19.04
Rate for Payer: Wellpoint Medicaid Managed Care	$20.93

SCREW CAPTURE LOPRO 2.5X14MM

Facility

$790.00

Hospital Charge Code	270669821
Hospital Revenue Code	278
Min. Negotiated Rate	$118.50
Max. Negotiated Rate	$191.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$173.80
Rate for Payer: Qualcare PPO/HMO/WC	$118.50

SCREW CAPTURE LOPRO 2x14MM

Facility

$790.00

Hospital Charge Code	270669819
Hospital Revenue Code	278
Min. Negotiated Rate	$19.04
Max. Negotiated Rate	$395.00
Rate for Payer: Aetna Commercial	$300.20
Rate for Payer: Aetna Medicare Advantage	$237.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$201.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$201.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$201.45
Rate for Payer: Cigna Commercial	$395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$173.80
Rate for Payer: Qualcare PPO/HMO/WC	$118.50
Rate for Payer: UnitedHealthcare Community & State	$19.04
Rate for Payer: Wellpoint Medicaid Managed Care	$20.93

SCREW CAPTURE LOPRO 2x14MM

Facility

$790.00

Hospital Charge Code	270669819
Hospital Revenue Code	278
Min. Negotiated Rate	$118.50
Max. Negotiated Rate	$191.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$173.80
Rate for Payer: Qualcare PPO/HMO/WC	$118.50

screw casncellous 6.5x25

Facility

$143.20

Service Code	HCPCS C1713
Hospital Charge Code	270684678
Hospital Revenue Code	278
Min. Negotiated Rate	$21.48
Max. Negotiated Rate	$34.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.50
Rate for Payer: Qualcare PPO/HMO/WC	$21.48

screw casncellous 6.5x25

Facility

$143.20

Service Code	HCPCS C1713
Hospital Charge Code	270684678
Hospital Revenue Code	278
Min. Negotiated Rate	$3.45
Max. Negotiated Rate	$71.60
Rate for Payer: Aetna Commercial	$54.42
Rate for Payer: Aetna Medicare Advantage	$42.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.52
Rate for Payer: Cigna Commercial	$71.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.50
Rate for Payer: Qualcare PPO/HMO/WC	$21.48
Rate for Payer: UnitedHealthcare Community & State	$3.45
Rate for Payer: Wellpoint Medicaid Managed Care	$3.79

SCREW CAYMAN 5.0X 40MM

Facility

$10,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270698867
Hospital Revenue Code	278
Min. Negotiated Rate	$1,631.25
Max. Negotiated Rate	$2,631.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,631.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,392.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,631.25

SCREW CAYMAN 5.0X 40MM

Facility

$10,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270698867
Hospital Revenue Code	278
Min. Negotiated Rate	$262.09
Max. Negotiated Rate	$5,437.50
Rate for Payer: Aetna Commercial	$4,132.50
Rate for Payer: Aetna Medicare Advantage	$3,262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,773.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,773.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,773.12
Rate for Payer: Cigna Commercial	$5,437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,631.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,392.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,631.25
Rate for Payer: UnitedHealthcare Community & State	$262.09
Rate for Payer: Wellpoint Medicaid Managed Care	$288.19

SCREW CC OFFSET SZ JJ

Facility

$506.50

Service Code	HCPCS C1713
Hospital Charge Code	270674857
Hospital Revenue Code	278
Min. Negotiated Rate	$12.21
Max. Negotiated Rate	$253.25
Rate for Payer: Aetna Commercial	$192.47
Rate for Payer: Aetna Medicare Advantage	$151.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$129.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$129.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$101.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$129.16
Rate for Payer: Cigna Commercial	$253.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$122.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$111.43
Rate for Payer: Qualcare PPO/HMO/WC	$75.97
Rate for Payer: UnitedHealthcare Community & State	$12.21
Rate for Payer: Wellpoint Medicaid Managed Care	$13.42

SCREW CC OFFSET SZ JJ

Facility

$506.50

Service Code	HCPCS C1713
Hospital Charge Code	270674857
Hospital Revenue Code	278
Min. Negotiated Rate	$75.97
Max. Negotiated Rate	$122.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$101.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$122.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$111.43
Rate for Payer: Qualcare PPO/HMO/WC	$75.97

SCREW CENTER 4.5X30MM

Facility

$583.35

Service Code	HCPCS C1713
Hospital Charge Code	270704900
Hospital Revenue Code	278
Min. Negotiated Rate	$87.50
Max. Negotiated Rate	$141.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$116.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.17
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$128.34
Rate for Payer: Qualcare PPO/HMO/WC	$87.50

SCREW CENTER 4.5X30MM

Facility

$583.35

Service Code	HCPCS C1713
Hospital Charge Code	270704900
Hospital Revenue Code	278
Min. Negotiated Rate	$14.06
Max. Negotiated Rate	$291.68
Rate for Payer: Aetna Commercial	$221.67
Rate for Payer: Aetna Medicare Advantage	$175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$148.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$148.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$116.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$148.75
Rate for Payer: Cigna Commercial	$291.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.17
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$128.34
Rate for Payer: Qualcare PPO/HMO/WC	$87.50
Rate for Payer: UnitedHealthcare Community & State	$14.06
Rate for Payer: Wellpoint Medicaid Managed Care	$15.46

SCREW CENTER 4.5X35MM

Facility

$583.35

Service Code	HCPCS C1713
Hospital Charge Code	270704577
Hospital Revenue Code	278
Min. Negotiated Rate	$87.50
Max. Negotiated Rate	$141.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$116.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.17
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$128.34
Rate for Payer: Qualcare PPO/HMO/WC	$87.50

Know your out-of-pocket cost for care.

All Charges