Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW COMP FT 2.5 MICRO 40MM

Facility

$1,898.00

Service Code	HCPCS C1713
Hospital Charge Code	270699860
Hospital Revenue Code	278
Min. Negotiated Rate	$45.74
Max. Negotiated Rate	$949.00
Rate for Payer: Aetna Commercial	$721.24
Rate for Payer: Aetna Medicare Advantage	$569.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$483.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$483.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$379.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$483.99
Rate for Payer: Cigna Commercial	$949.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$417.56
Rate for Payer: Qualcare PPO/HMO/WC	$284.70
Rate for Payer: UnitedHealthcare Community & State	$45.74
Rate for Payer: Wellpoint Medicaid Managed Care	$50.30

SCREW COMP FT 2.5 MICRO 40MM

Facility

$1,898.00

Service Code	HCPCS C1713
Hospital Charge Code	270699860
Hospital Revenue Code	278
Min. Negotiated Rate	$284.70
Max. Negotiated Rate	$459.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$379.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$417.56
Rate for Payer: Qualcare PPO/HMO/WC	$284.70

SCREW COMP FT 3.5X30MM

Facility

$1,802.50

Service Code	HCPCS C1713
Hospital Charge Code	270693760
Hospital Revenue Code	278
Min. Negotiated Rate	$270.38
Max. Negotiated Rate	$436.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$360.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$436.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$396.55
Rate for Payer: Qualcare PPO/HMO/WC	$270.38

SCREW COMP FT 3.5X30MM

Facility

$1,802.50

Service Code	HCPCS C1713
Hospital Charge Code	270693760
Hospital Revenue Code	278
Min. Negotiated Rate	$43.44
Max. Negotiated Rate	$901.25
Rate for Payer: Aetna Commercial	$684.95
Rate for Payer: Aetna Medicare Advantage	$540.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$459.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$459.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$360.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$459.64
Rate for Payer: Cigna Commercial	$901.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$436.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$396.55
Rate for Payer: Qualcare PPO/HMO/WC	$270.38
Rate for Payer: UnitedHealthcare Community & State	$43.44
Rate for Payer: Wellpoint Medicaid Managed Care	$47.77

SCREW COMP FT 4X26MM

Facility

$1,802.50

Service Code	HCPCS C1713
Hospital Charge Code	270704673
Hospital Revenue Code	278
Min. Negotiated Rate	$270.38
Max. Negotiated Rate	$436.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$360.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$436.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$396.55
Rate for Payer: Qualcare PPO/HMO/WC	$270.38

SCREW COMP FT 4X26MM

Facility

$1,802.50

Service Code	HCPCS C1713
Hospital Charge Code	270704673
Hospital Revenue Code	278
Min. Negotiated Rate	$43.44
Max. Negotiated Rate	$901.25
Rate for Payer: Aetna Commercial	$684.95
Rate for Payer: Aetna Medicare Advantage	$540.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$459.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$459.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$360.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$459.64
Rate for Payer: Cigna Commercial	$901.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$436.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$396.55
Rate for Payer: Qualcare PPO/HMO/WC	$270.38
Rate for Payer: UnitedHealthcare Community & State	$43.44
Rate for Payer: Wellpoint Medicaid Managed Care	$47.77

SCREW COMP FT MINI 3.5X16MM

Facility

$1,898.00

Service Code	HCPCS C1713
Hospital Charge Code	270700085
Hospital Revenue Code	278
Min. Negotiated Rate	$284.70
Max. Negotiated Rate	$459.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$379.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$417.56
Rate for Payer: Qualcare PPO/HMO/WC	$284.70

SCREW COMP FT MINI 3.5X16MM

Facility

$1,898.00

Service Code	HCPCS C1713
Hospital Charge Code	270700085
Hospital Revenue Code	278
Min. Negotiated Rate	$45.74
Max. Negotiated Rate	$949.00
Rate for Payer: Aetna Commercial	$721.24
Rate for Payer: Aetna Medicare Advantage	$569.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$483.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$483.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$379.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$483.99
Rate for Payer: Cigna Commercial	$949.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$417.56
Rate for Payer: Qualcare PPO/HMO/WC	$284.70
Rate for Payer: UnitedHealthcare Community & State	$45.74
Rate for Payer: Wellpoint Medicaid Managed Care	$50.30

SCREW COMP FT MINI 3.5X22MM

Facility

$1,898.00

Service Code	HCPCS C1713
Hospital Charge Code	270699867
Hospital Revenue Code	278
Min. Negotiated Rate	$284.70
Max. Negotiated Rate	$459.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$379.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$417.56
Rate for Payer: Qualcare PPO/HMO/WC	$284.70

SCREW COMP FT MINI 3.5X22MM

Facility

$1,898.00

Service Code	HCPCS C1713
Hospital Charge Code	270699867
Hospital Revenue Code	278
Min. Negotiated Rate	$45.74
Max. Negotiated Rate	$949.00
Rate for Payer: Aetna Commercial	$721.24
Rate for Payer: Aetna Medicare Advantage	$569.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$483.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$483.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$379.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$483.99
Rate for Payer: Cigna Commercial	$949.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$417.56
Rate for Payer: Qualcare PPO/HMO/WC	$284.70
Rate for Payer: UnitedHealthcare Community & State	$45.74
Rate for Payer: Wellpoint Medicaid Managed Care	$50.30

SCREW COMP FT STD 4.0X16MM

Facility

$1,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270676312
Hospital Revenue Code	278
Min. Negotiated Rate	$221.25
Max. Negotiated Rate	$356.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$295.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$324.50
Rate for Payer: Qualcare PPO/HMO/WC	$221.25

SCREW COMP FT STD 4.0X16MM

Facility

$1,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270676312
Hospital Revenue Code	278
Min. Negotiated Rate	$35.55
Max. Negotiated Rate	$737.50
Rate for Payer: Aetna Commercial	$560.50
Rate for Payer: Aetna Medicare Advantage	$442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$295.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$376.12
Rate for Payer: Cigna Commercial	$737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$324.50
Rate for Payer: Qualcare PPO/HMO/WC	$221.25
Rate for Payer: UnitedHealthcare Community & State	$35.55
Rate for Payer: Wellpoint Medicaid Managed Care	$39.09

SCREW COMP FT STD 4.0X40MM

Facility

$1,898.00

Service Code	HCPCS C1713
Hospital Charge Code	270690977
Hospital Revenue Code	278
Min. Negotiated Rate	$45.74
Max. Negotiated Rate	$949.00
Rate for Payer: Aetna Commercial	$721.24
Rate for Payer: Aetna Medicare Advantage	$569.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$483.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$483.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$379.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$483.99
Rate for Payer: Cigna Commercial	$949.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$417.56
Rate for Payer: Qualcare PPO/HMO/WC	$284.70
Rate for Payer: UnitedHealthcare Community & State	$45.74
Rate for Payer: Wellpoint Medicaid Managed Care	$50.30

SCREW COMP FT STD 4.0X40MM

Facility

$1,898.00

Service Code	HCPCS C1713
Hospital Charge Code	270690977
Hospital Revenue Code	278
Min. Negotiated Rate	$284.70
Max. Negotiated Rate	$459.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$379.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$417.56
Rate for Payer: Qualcare PPO/HMO/WC	$284.70

SCREW COMP FT STD 4.0X46MM

Facility

$1,898.00

Service Code	HCPCS C1713
Hospital Charge Code	270698525
Hospital Revenue Code	278
Min. Negotiated Rate	$284.70
Max. Negotiated Rate	$459.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$379.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$417.56
Rate for Payer: Qualcare PPO/HMO/WC	$284.70

SCREW COMP FT STD 4.0X46MM

Facility

$1,898.00

Service Code	HCPCS C1713
Hospital Charge Code	270698525
Hospital Revenue Code	278
Min. Negotiated Rate	$45.74
Max. Negotiated Rate	$949.00
Rate for Payer: Aetna Commercial	$721.24
Rate for Payer: Aetna Medicare Advantage	$569.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$483.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$483.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$379.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$483.99
Rate for Payer: Cigna Commercial	$949.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$417.56
Rate for Payer: Qualcare PPO/HMO/WC	$284.70
Rate for Payer: UnitedHealthcare Community & State	$45.74
Rate for Payer: Wellpoint Medicaid Managed Care	$50.30

SCREW COMP KREULK SS 2.7X30MM

Facility

$1,599.00

Service Code	HCPCS C1713
Hospital Charge Code	270699397
Hospital Revenue Code	278
Min. Negotiated Rate	$239.85
Max. Negotiated Rate	$386.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$319.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$386.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$351.78
Rate for Payer: Qualcare PPO/HMO/WC	$239.85

SCREW COMP KREULK SS 2.7X30MM

Facility

$1,599.00

Service Code	HCPCS C1713
Hospital Charge Code	270699397
Hospital Revenue Code	278
Min. Negotiated Rate	$38.54
Max. Negotiated Rate	$799.50
Rate for Payer: Aetna Commercial	$607.62
Rate for Payer: Aetna Medicare Advantage	$479.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$407.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$407.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$319.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$407.75
Rate for Payer: Cigna Commercial	$799.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$386.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$351.78
Rate for Payer: Qualcare PPO/HMO/WC	$239.85
Rate for Payer: UnitedHealthcare Community & State	$38.54
Rate for Payer: Wellpoint Medicaid Managed Care	$42.37

SCREW COMP KREULK SS 3.5X22MM

Facility

$1,599.00

Service Code	HCPCS C1713
Hospital Charge Code	270699400
Hospital Revenue Code	278
Min. Negotiated Rate	$239.85
Max. Negotiated Rate	$386.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$319.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$386.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$351.78
Rate for Payer: Qualcare PPO/HMO/WC	$239.85

SCREW COMP KREULK SS 3.5X22MM

Facility

$1,599.00

Service Code	HCPCS C1713
Hospital Charge Code	270699400
Hospital Revenue Code	278
Min. Negotiated Rate	$38.54
Max. Negotiated Rate	$799.50
Rate for Payer: Aetna Commercial	$607.62
Rate for Payer: Aetna Medicare Advantage	$479.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$407.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$407.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$319.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$407.75
Rate for Payer: Cigna Commercial	$799.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$386.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$351.78
Rate for Payer: Qualcare PPO/HMO/WC	$239.85
Rate for Payer: UnitedHealthcare Community & State	$38.54
Rate for Payer: Wellpoint Medicaid Managed Care	$42.37

SCREW COMP NL 4.75X15MM 3.5HEX

Facility

$350.00

Service Code	HCPCS C1713
Hospital Charge Code	270700197
Hospital Revenue Code	278
Min. Negotiated Rate	$8.44
Max. Negotiated Rate	$175.00
Rate for Payer: Aetna Commercial	$133.00
Rate for Payer: Aetna Medicare Advantage	$105.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$70.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.25
Rate for Payer: Cigna Commercial	$175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$77.00
Rate for Payer: Qualcare PPO/HMO/WC	$52.50
Rate for Payer: UnitedHealthcare Community & State	$8.44
Rate for Payer: Wellpoint Medicaid Managed Care	$9.28

SCREW COMP NL 4.75X15MM 3.5HEX

Facility

$350.00

Service Code	HCPCS C1713
Hospital Charge Code	270700197
Hospital Revenue Code	278
Min. Negotiated Rate	$52.50
Max. Negotiated Rate	$84.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$70.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$77.00
Rate for Payer: Qualcare PPO/HMO/WC	$52.50

SCREW COMPOSITE 7X23 MM

Facility

$1,175.00

Service Code	HCPCS C1713
Hospital Charge Code	270659658
Hospital Revenue Code	278
Min. Negotiated Rate	$176.25
Max. Negotiated Rate	$284.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$235.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$284.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$258.50
Rate for Payer: Qualcare PPO/HMO/WC	$176.25

SCREW COMPOSITE 7X23 MM

Facility

$1,175.00

Service Code	HCPCS C1713
Hospital Charge Code	270659658
Hospital Revenue Code	278
Min. Negotiated Rate	$28.32
Max. Negotiated Rate	$587.50
Rate for Payer: Aetna Commercial	$446.50
Rate for Payer: Aetna Medicare Advantage	$352.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$299.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$299.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$235.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$299.62
Rate for Payer: Cigna Commercial	$587.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$284.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$258.50
Rate for Payer: Qualcare PPO/HMO/WC	$176.25
Rate for Payer: UnitedHealthcare Community & State	$28.32
Rate for Payer: Wellpoint Medicaid Managed Care	$31.14

SCREW COMPR 2.5X22MM

Facility

$1,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270692041
Hospital Revenue Code	278
Min. Negotiated Rate	$42.17
Max. Negotiated Rate	$875.00
Rate for Payer: Aetna Commercial	$665.00
Rate for Payer: Aetna Medicare Advantage	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.25
Rate for Payer: Cigna Commercial	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$385.00
Rate for Payer: Qualcare PPO/HMO/WC	$262.50
Rate for Payer: UnitedHealthcare Community & State	$42.17
Rate for Payer: Wellpoint Medicaid Managed Care	$46.38

Know your out-of-pocket cost for care.

All Charges