Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW COMPRESSION 30X26

Facility

$1,410.00

Hospital Charge Code	270665337
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 30X26

Facility

$1,410.00

Hospital Charge Code	270665337
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 3.0x28mm

Facility

$1,325.00

Hospital Charge Code	270645525
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 3.0x28mm

Facility

$1,325.00

Hospital Charge Code	270645525
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

SCREW COMPRESSION 3.5x28mm

Facility

$2,110.00

Hospital Charge Code	270667261
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 COMPRESSION 3.5x28mm

Facility

$2,110.00

Hospital Charge Code	270667261
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 COMPRESSION 5.0X50MM

Facility

$2,994.25

Service Code	HCPCS C1713
Hospital Charge Code	270701938
Hospital Revenue Code	278
Min. Negotiated Rate	$449.14
Max. Negotiated Rate	$724.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$598.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$724.61
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$658.74
Rate for Payer: Qualcare PPO/HMO/WC	$449.14

SCREW COMPRESSION 5.0X50MM

Facility

$2,994.25

Service Code	HCPCS C1713
Hospital Charge Code	270701938
Hospital Revenue Code	278
Min. Negotiated Rate	$72.16
Max. Negotiated Rate	$1,497.12
Rate for Payer: Aetna Commercial	$1,137.82
Rate for Payer: Aetna Medicare Advantage	$898.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$763.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$763.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$598.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$763.53
Rate for Payer: Cigna Commercial	$1,497.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$724.61
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$658.74
Rate for Payer: Qualcare PPO/HMO/WC	$449.14
Rate for Payer: UnitedHealthcare Community & State	$72.16
Rate for Payer: Wellpoint Medicaid Managed Care	$79.35

SCREW COMPRESSION 6.5mm X 80mm

Facility

$1,750.00

Hospital Charge Code	270637463
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

SCREW COMPRESSION 6.5mm X 80mm

Facility

$1,750.00

Hospital Charge Code	270637463
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 COMPRESSION 8X14.5MM

Facility

$1,430.00

Service Code	HCPCS C1713
Hospital Charge Code	270670457
Hospital Revenue Code	278
Min. Negotiated Rate	$214.50
Max. Negotiated Rate	$346.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$286.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$346.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$314.60
Rate for Payer: Qualcare PPO/HMO/WC	$214.50

SCREW COMPRESSION 8X14.5MM

Facility

$1,430.00

Service Code	HCPCS C1713
Hospital Charge Code	270670457
Hospital Revenue Code	278
Min. Negotiated Rate	$34.46
Max. Negotiated Rate	$715.00
Rate for Payer: Aetna Commercial	$543.40
Rate for Payer: Aetna Medicare Advantage	$429.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$364.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$364.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$286.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$364.65
Rate for Payer: Cigna Commercial	$715.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$346.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$314.60
Rate for Payer: Qualcare PPO/HMO/WC	$214.50
Rate for Payer: UnitedHealthcare Community & State	$34.46
Rate for Payer: Wellpoint Medicaid Managed Care	$37.90

SCREW COMPRESSION FUSION NAIL

Facility

$10,138.50

Service Code	HCPCS C1713
Hospital Charge Code	270672592
Hospital Revenue Code	278
Min. Negotiated Rate	$1,520.78
Max. Negotiated Rate	$2,453.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,027.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,453.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,230.47
Rate for Payer: Qualcare PPO/HMO/WC	$1,520.78

SCREW COMPRESSION FUSION NAIL

Facility

$10,138.50

Service Code	HCPCS C1713
Hospital Charge Code	270672592
Hospital Revenue Code	278
Min. Negotiated Rate	$244.34
Max. Negotiated Rate	$5,069.25
Rate for Payer: Aetna Commercial	$3,852.63
Rate for Payer: Aetna Medicare Advantage	$3,041.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,585.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,585.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,027.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,585.32
Rate for Payer: Cigna Commercial	$5,069.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,453.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,230.47
Rate for Payer: Qualcare PPO/HMO/WC	$1,520.78
Rate for Payer: UnitedHealthcare Community & State	$244.34
Rate for Payer: Wellpoint Medicaid Managed Care	$268.67

SCREW COMPRESSION HEADLESS

Facility

$1,428.00

Hospital Charge Code	270663857
Hospital Revenue Code	278
Min. Negotiated Rate	$34.41
Max. Negotiated Rate	$714.00
Rate for Payer: Aetna Commercial	$542.64
Rate for Payer: Aetna Medicare Advantage	$428.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$364.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$364.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$285.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$364.14
Rate for Payer: Cigna Commercial	$714.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$345.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$314.16
Rate for Payer: Qualcare PPO/HMO/WC	$214.20
Rate for Payer: UnitedHealthcare Community & State	$34.41
Rate for Payer: Wellpoint Medicaid Managed Care	$37.84

SCREW COMPRESSION HEADLESS

Facility

$1,428.00

Hospital Charge Code	270663858
Hospital Revenue Code	278
Min. Negotiated Rate	$214.20
Max. Negotiated Rate	$345.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$285.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$345.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$314.16
Rate for Payer: Qualcare PPO/HMO/WC	$214.20

SCREW COMPRESSION HEADLESS

Facility

$1,428.00

Hospital Charge Code	270663859
Hospital Revenue Code	278
Min. Negotiated Rate	$34.41
Max. Negotiated Rate	$714.00
Rate for Payer: Aetna Commercial	$542.64
Rate for Payer: Aetna Medicare Advantage	$428.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$364.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$364.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$285.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$364.14
Rate for Payer: Cigna Commercial	$714.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$345.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$314.16
Rate for Payer: Qualcare PPO/HMO/WC	$214.20
Rate for Payer: UnitedHealthcare Community & State	$34.41
Rate for Payer: Wellpoint Medicaid Managed Care	$37.84

SCREW COMPRESSION HEADLESS

Facility

$1,428.00

Hospital Charge Code	270663857
Hospital Revenue Code	278
Min. Negotiated Rate	$214.20
Max. Negotiated Rate	$345.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$285.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$345.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$314.16
Rate for Payer: Qualcare PPO/HMO/WC	$214.20

SCREW COMPRESSION HEADLESS

Facility

$1,428.00

Hospital Charge Code	270663859
Hospital Revenue Code	278
Min. Negotiated Rate	$214.20
Max. Negotiated Rate	$345.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$285.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$345.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$314.16
Rate for Payer: Qualcare PPO/HMO/WC	$214.20

SCREW COMPRESSION HEADLESS

Facility

$1,428.00

Hospital Charge Code	270663858
Hospital Revenue Code	278
Min. Negotiated Rate	$34.41
Max. Negotiated Rate	$714.00
Rate for Payer: Aetna Commercial	$542.64
Rate for Payer: Aetna Medicare Advantage	$428.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$364.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$364.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$285.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$364.14
Rate for Payer: Cigna Commercial	$714.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$345.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$314.16
Rate for Payer: Qualcare PPO/HMO/WC	$214.20
Rate for Payer: UnitedHealthcare Community & State	$34.41
Rate for Payer: Wellpoint Medicaid Managed Care	$37.84

SCREW COMPRESSION HEX 2

Facility

$183.80

Hospital Charge Code	270637448
Hospital Revenue Code	278
Min. Negotiated Rate	$27.57
Max. Negotiated Rate	$44.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$40.44
Rate for Payer: Qualcare PPO/HMO/WC	$27.57

SCREW COMPRESSION HEX 2

Facility

$183.80

Hospital Charge Code	270637448
Hospital Revenue Code	278
Min. Negotiated Rate	$4.43
Max. Negotiated Rate	$91.90
Rate for Payer: Aetna Commercial	$69.84
Rate for Payer: Aetna Medicare Advantage	$55.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.87
Rate for Payer: Cigna Commercial	$91.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$40.44
Rate for Payer: Qualcare PPO/HMO/WC	$27.57
Rate for Payer: UnitedHealthcare Community & State	$4.43
Rate for Payer: Wellpoint Medicaid Managed Care	$4.87

SCREW COMPRESSION T2 TIBIAL

Facility

$1,335.00

Hospital Charge Code	270651303
Hospital Revenue Code	278
Min. Negotiated Rate	$32.17
Max. Negotiated Rate	$667.50
Rate for Payer: Aetna Commercial	$507.30
Rate for Payer: Aetna Medicare Advantage	$400.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$340.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$340.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$267.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$340.43
Rate for Payer: Cigna Commercial	$667.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$323.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$293.70
Rate for Payer: Qualcare PPO/HMO/WC	$200.25
Rate for Payer: UnitedHealthcare Community & State	$32.17
Rate for Payer: Wellpoint Medicaid Managed Care	$35.38

SCREW COMPRESSION T2 TIBIAL

Facility

$1,335.00

Hospital Charge Code	270651303
Hospital Revenue Code	278
Min. Negotiated Rate	$200.25
Max. Negotiated Rate	$323.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$267.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$323.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$293.70
Rate for Payer: Qualcare PPO/HMO/WC	$200.25

SCREW COMPRESS MINI 3.5X26MM

Facility

$1,802.50

Hospital Charge Code	270703126
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

Know your out-of-pocket cost for care.

All Charges