Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW COMPR 2.5X22MM

Facility

$1,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270692041
Hospital Revenue Code	278
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$423.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$350.00
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

SCREW COMPR 3.0x16MM

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270684788
Hospital Revenue Code	278
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$181.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$165.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

SCREW COMPR 3.0x16MM

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270684788
Hospital Revenue Code	278
Min. Negotiated Rate	$18.07
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$165.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Community & State	$18.07
Rate for Payer: Wellpoint Medicaid Managed Care	$19.88

SCREW COMPR 7x16x70MM

Facility

$3,700.00

Hospital Charge Code	270671022
Hospital Revenue Code	278
Min. Negotiated Rate	$555.00
Max. Negotiated Rate	$895.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$740.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$895.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$814.00
Rate for Payer: Qualcare PPO/HMO/WC	$555.00

SCREW COMPR 7x16x70MM

Facility

$3,700.00

Hospital Charge Code	270671022
Hospital Revenue Code	278
Min. Negotiated Rate	$89.17
Max. Negotiated Rate	$1,850.00
Rate for Payer: Aetna Commercial	$1,406.00
Rate for Payer: Aetna Medicare Advantage	$1,110.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$943.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$943.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$740.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$943.50
Rate for Payer: Cigna Commercial	$1,850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$895.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$814.00
Rate for Payer: Qualcare PPO/HMO/WC	$555.00
Rate for Payer: UnitedHealthcare Community & State	$89.17
Rate for Payer: Wellpoint Medicaid Managed Care	$98.05

SCREW COMPR 7x16x80MM

Facility

$3,700.00

Service Code	HCPCS C1713
Hospital Charge Code	270665917
Hospital Revenue Code	278
Min. Negotiated Rate	$555.00
Max. Negotiated Rate	$895.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$740.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$895.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$814.00
Rate for Payer: Qualcare PPO/HMO/WC	$555.00

SCREW COMPR 7x16x80MM

Facility

$3,700.00

Service Code	HCPCS C1713
Hospital Charge Code	270665917
Hospital Revenue Code	278
Min. Negotiated Rate	$89.17
Max. Negotiated Rate	$1,850.00
Rate for Payer: Aetna Commercial	$1,406.00
Rate for Payer: Aetna Medicare Advantage	$1,110.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$943.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$943.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$740.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$943.50
Rate for Payer: Cigna Commercial	$1,850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$895.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$814.00
Rate for Payer: Qualcare PPO/HMO/WC	$555.00
Rate for Payer: UnitedHealthcare Community & State	$89.17
Rate for Payer: Wellpoint Medicaid Managed Care	$98.05

SCREW COMPR 7x16x85MM

Facility

$3,700.00

Hospital Charge Code	270665918
Hospital Revenue Code	278
Min. Negotiated Rate	$89.17
Max. Negotiated Rate	$1,850.00
Rate for Payer: Aetna Commercial	$1,406.00
Rate for Payer: Aetna Medicare Advantage	$1,110.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$943.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$943.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$740.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$943.50
Rate for Payer: Cigna Commercial	$1,850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$895.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$814.00
Rate for Payer: Qualcare PPO/HMO/WC	$555.00
Rate for Payer: UnitedHealthcare Community & State	$89.17
Rate for Payer: Wellpoint Medicaid Managed Care	$98.05

SCREW COMPR 7x16x85MM

Facility

$3,700.00

Hospital Charge Code	270665918
Hospital Revenue Code	278
Min. Negotiated Rate	$555.00
Max. Negotiated Rate	$895.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$740.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$895.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$814.00
Rate for Payer: Qualcare PPO/HMO/WC	$555.00

SCREW COMPR 7X470MM

Facility

$3,700.00

Service Code	HCPCS C1713
Hospital Charge Code	270681263
Hospital Revenue Code	278
Min. Negotiated Rate	$89.17
Max. Negotiated Rate	$1,850.00
Rate for Payer: Aetna Commercial	$1,406.00
Rate for Payer: Aetna Medicare Advantage	$1,110.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$943.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$943.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$740.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$943.50
Rate for Payer: Cigna Commercial	$1,850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$895.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$814.00
Rate for Payer: Qualcare PPO/HMO/WC	$555.00
Rate for Payer: UnitedHealthcare Community & State	$89.17
Rate for Payer: Wellpoint Medicaid Managed Care	$98.05

SCREW COMPR 7X470MM

Facility

$3,700.00

Service Code	HCPCS C1713
Hospital Charge Code	270681263
Hospital Revenue Code	278
Min. Negotiated Rate	$555.00
Max. Negotiated Rate	$895.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$740.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$895.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$814.00
Rate for Payer: Qualcare PPO/HMO/WC	$555.00

SCREW COMPR 7X55MM

Facility

$3,700.00

Service Code	HCPCS C1713
Hospital Charge Code	270681264
Hospital Revenue Code	278
Min. Negotiated Rate	$555.00
Max. Negotiated Rate	$895.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$740.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$895.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$814.00
Rate for Payer: Qualcare PPO/HMO/WC	$555.00

SCREW COMPR 7X55MM

Facility

$3,700.00

Service Code	HCPCS C1713
Hospital Charge Code	270681264
Hospital Revenue Code	278
Min. Negotiated Rate	$89.17
Max. Negotiated Rate	$1,850.00
Rate for Payer: Aetna Commercial	$1,406.00
Rate for Payer: Aetna Medicare Advantage	$1,110.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$943.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$943.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$740.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$943.50
Rate for Payer: Cigna Commercial	$1,850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$895.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$814.00
Rate for Payer: Qualcare PPO/HMO/WC	$555.00
Rate for Payer: UnitedHealthcare Community & State	$89.17
Rate for Payer: Wellpoint Medicaid Managed Care	$98.05

SCREW COMPR 8MM THD 2.5x22MM

Facility

$2,090.00

Service Code	HCPCS C1713
Hospital Charge Code	270675314
Hospital Revenue Code	278
Min. Negotiated Rate	$313.50
Max. Negotiated Rate	$505.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$418.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$505.78
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$459.80
Rate for Payer: Qualcare PPO/HMO/WC	$313.50

SCREW COMPR 8MM THD 2.5x22MM

Facility

$2,090.00

Service Code	HCPCS C1713
Hospital Charge Code	270675314
Hospital Revenue Code	278
Min. Negotiated Rate	$50.37
Max. Negotiated Rate	$1,045.00
Rate for Payer: Aetna Commercial	$794.20
Rate for Payer: Aetna Medicare Advantage	$627.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$532.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$532.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$418.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$532.95
Rate for Payer: Cigna Commercial	$1,045.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$505.78
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$459.80
Rate for Payer: Qualcare PPO/HMO/WC	$313.50
Rate for Payer: UnitedHealthcare Community & State	$50.37
Rate for Payer: Wellpoint Medicaid Managed Care	$55.38

SCREW COMPRE FT STD 4.6x36MM

Facility

$2,110.00

Service Code	HCPCS C1713
Hospital Charge Code	270672349
Hospital Revenue Code	278
Min. Negotiated Rate	$316.50
Max. Negotiated Rate	$510.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$422.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$510.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$464.20
Rate for Payer: Qualcare PPO/HMO/WC	$316.50

SCREW COMPRE FT STD 4.6x36MM

Facility

$2,110.00

Service Code	HCPCS C1713
Hospital Charge Code	270672349
Hospital Revenue Code	278
Min. Negotiated Rate	$50.85
Max. Negotiated Rate	$1,055.00
Rate for Payer: Aetna Commercial	$801.80
Rate for Payer: Aetna Medicare Advantage	$633.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$538.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$538.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$422.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$538.05
Rate for Payer: Cigna Commercial	$1,055.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$510.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$464.20
Rate for Payer: Qualcare PPO/HMO/WC	$316.50
Rate for Payer: UnitedHealthcare Community & State	$50.85
Rate for Payer: Wellpoint Medicaid Managed Care	$55.91

SCREW COMPRESS 3.0MM 40mm LONG

Facility

$2,991.70

Service Code	HCPCS C1713
Hospital Charge Code	270685245
Hospital Revenue Code	278
Min. Negotiated Rate	$448.75
Max. Negotiated Rate	$723.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$598.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$723.99
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$658.17
Rate for Payer: Qualcare PPO/HMO/WC	$448.75

SCREW COMPRESS 3.0MM 40mm LONG

Facility

$2,991.70

Service Code	HCPCS C1713
Hospital Charge Code	270685245
Hospital Revenue Code	278
Min. Negotiated Rate	$72.10
Max. Negotiated Rate	$1,495.85
Rate for Payer: Aetna Commercial	$1,136.85
Rate for Payer: Aetna Medicare Advantage	$897.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$762.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$762.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$598.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$762.88
Rate for Payer: Cigna Commercial	$1,495.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$723.99
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$658.17
Rate for Payer: Qualcare PPO/HMO/WC	$448.75
Rate for Payer: UnitedHealthcare Community & State	$72.10
Rate for Payer: Wellpoint Medicaid Managed Care	$79.28

SCREW COMPRESSION 2.4 X 26 NN

Facility

$1,410.00

Hospital Charge Code	270665340
Hospital Revenue Code	278
Min. Negotiated Rate	$33.98
Max. Negotiated Rate	$705.00
Rate for Payer: Aetna Commercial	$535.80
Rate for Payer: Aetna Medicare Advantage	$423.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$359.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$359.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$282.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$359.55
Rate for Payer: Cigna Commercial	$705.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$341.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$310.20
Rate for Payer: Qualcare PPO/HMO/WC	$211.50
Rate for Payer: UnitedHealthcare Community & State	$33.98
Rate for Payer: Wellpoint Medicaid Managed Care	$37.37

SCREW COMPRESSION 2.4 X 26 NN

Facility

$1,410.00

Hospital Charge Code	270665340
Hospital Revenue Code	278
Min. Negotiated Rate	$211.50
Max. Negotiated Rate	$341.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$282.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$341.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$310.20
Rate for Payer: Qualcare PPO/HMO/WC	$211.50

SCREW COMPRESSION 3.0 HEADLESS

Facility

$1,410.00

Hospital Charge Code	270661768
Hospital Revenue Code	278
Min. Negotiated Rate	$33.98
Max. Negotiated Rate	$705.00
Rate for Payer: Aetna Commercial	$535.80
Rate for Payer: Aetna Medicare Advantage	$423.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$359.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$359.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$282.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$359.55
Rate for Payer: Cigna Commercial	$705.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$341.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$310.20
Rate for Payer: Qualcare PPO/HMO/WC	$211.50
Rate for Payer: UnitedHealthcare Community & State	$33.98
Rate for Payer: Wellpoint Medicaid Managed Care	$37.37

SCREW COMPRESSION 3.0 HEADLESS

Facility

$1,410.00

Hospital Charge Code	270661768
Hospital Revenue Code	278
Min. Negotiated Rate	$211.50
Max. Negotiated Rate	$341.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$282.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$341.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$310.20
Rate for Payer: Qualcare PPO/HMO/WC	$211.50

SCREW COMPRESSION 3.0x24mm

Facility

$1,325.00

Hospital Charge Code	270645526
Hospital Revenue Code	278
Min. Negotiated Rate	$198.75
Max. Negotiated Rate	$320.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$291.50
Rate for Payer: Qualcare PPO/HMO/WC	$198.75

SCREW COMPRESSION 3.0x24mm

Facility

$1,325.00

Hospital Charge Code	270645526
Hospital Revenue Code	278
Min. Negotiated Rate	$31.93
Max. Negotiated Rate	$662.50
Rate for Payer: Aetna Commercial	$503.50
Rate for Payer: Aetna Medicare Advantage	$397.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$337.88
Rate for Payer: Cigna Commercial	$662.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$291.50
Rate for Payer: Qualcare PPO/HMO/WC	$198.75
Rate for Payer: UnitedHealthcare Community & State	$31.93
Rate for Payer: Wellpoint Medicaid Managed Care	$35.11

Know your out-of-pocket cost for care.

All Charges