Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW COMPRESS MINI 3.5X26MM

Facility

$1,802.50

Hospital Charge Code	270703126
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 COMPRESS SLD 5.0MMX44MM

Facility

$6,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270681220
Hospital Revenue Code	278
Min. Negotiated Rate	$144.60
Max. Negotiated Rate	$3,000.00
Rate for Payer: Aetna Commercial	$2,280.00
Rate for Payer: Aetna Medicare Advantage	$1,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,530.00
Rate for Payer: Cigna Commercial	$3,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,320.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00
Rate for Payer: UnitedHealthcare Community & State	$144.60
Rate for Payer: Wellpoint Medicaid Managed Care	$159.00

SCREW COMPRESS SLD 5.0MMX44MM

Facility

$6,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270681220
Hospital Revenue Code	278
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$1,452.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,320.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

SCREW COMPR FT 40 MM 5.0MM

Facility

$2,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270690951
Hospital Revenue Code	278
Min. Negotiated Rate	$57.24
Max. Negotiated Rate	$1,187.50
Rate for Payer: Aetna Commercial	$902.50
Rate for Payer: Aetna Medicare Advantage	$712.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$605.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$605.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$475.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$605.62
Rate for Payer: Cigna Commercial	$1,187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$574.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$522.50
Rate for Payer: Qualcare PPO/HMO/WC	$356.25
Rate for Payer: UnitedHealthcare Community & State	$57.24
Rate for Payer: Wellpoint Medicaid Managed Care	$62.94

SCREW COMPR FT 40 MM 5.0MM

Facility

$2,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270690951
Hospital Revenue Code	278
Min. Negotiated Rate	$356.25
Max. Negotiated Rate	$574.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$574.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$522.50
Rate for Payer: Qualcare PPO/HMO/WC	$356.25

SCREW COMPR FT 44 MM 5.0MM

Facility

$2,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270690952
Hospital Revenue Code	278
Min. Negotiated Rate	$356.25
Max. Negotiated Rate	$574.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$574.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$522.50
Rate for Payer: Qualcare PPO/HMO/WC	$356.25

SCREW COMPR FT 44 MM 5.0MM

Facility

$2,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270690952
Hospital Revenue Code	278
Min. Negotiated Rate	$57.24
Max. Negotiated Rate	$1,187.50
Rate for Payer: Aetna Commercial	$902.50
Rate for Payer: Aetna Medicare Advantage	$712.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$605.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$605.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$475.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$605.62
Rate for Payer: Cigna Commercial	$1,187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$574.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$522.50
Rate for Payer: Qualcare PPO/HMO/WC	$356.25
Rate for Payer: UnitedHealthcare Community & State	$57.24
Rate for Payer: Wellpoint Medicaid Managed Care	$62.94

SCREW COMPR FT 46 MM 5.0MM

Facility

$2,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270690953
Hospital Revenue Code	278
Min. Negotiated Rate	$57.24
Max. Negotiated Rate	$1,187.50
Rate for Payer: Aetna Commercial	$902.50
Rate for Payer: Aetna Medicare Advantage	$712.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$605.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$605.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$475.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$605.62
Rate for Payer: Cigna Commercial	$1,187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$574.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$522.50
Rate for Payer: Qualcare PPO/HMO/WC	$356.25
Rate for Payer: UnitedHealthcare Community & State	$57.24
Rate for Payer: Wellpoint Medicaid Managed Care	$62.94

SCREW COMPR FT 46 MM 5.0MM

Facility

$2,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270690953
Hospital Revenue Code	278
Min. Negotiated Rate	$356.25
Max. Negotiated Rate	$574.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$574.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$522.50
Rate for Payer: Qualcare PPO/HMO/WC	$356.25

SCREW COMPR FT 5.0X70MM

Facility

$2,574.00

Service Code	HCPCS C1713
Hospital Charge Code	270698942
Hospital Revenue Code	278
Min. Negotiated Rate	$386.10
Max. Negotiated Rate	$622.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$514.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$622.91
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$566.28
Rate for Payer: Qualcare PPO/HMO/WC	$386.10

SCREW COMPR FT 5.0X70MM

Facility

$2,574.00

Service Code	HCPCS C1713
Hospital Charge Code	270698942
Hospital Revenue Code	278
Min. Negotiated Rate	$62.03
Max. Negotiated Rate	$1,287.00
Rate for Payer: Aetna Commercial	$978.12
Rate for Payer: Aetna Medicare Advantage	$772.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$656.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$656.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$514.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$656.37
Rate for Payer: Cigna Commercial	$1,287.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$622.91
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$566.28
Rate for Payer: Qualcare PPO/HMO/WC	$386.10
Rate for Payer: UnitedHealthcare Community & State	$62.03
Rate for Payer: Wellpoint Medicaid Managed Care	$68.21

SCREW COMPR FT 7.0X80MM XL

Facility

$3,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270694117
Hospital Revenue Code	278
Min. Negotiated Rate	$521.25
Max. Negotiated Rate	$840.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$695.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$840.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$764.50
Rate for Payer: Qualcare PPO/HMO/WC	$521.25

SCREW COMPR FT 7.0X80MM XL

Facility

$3,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270694117
Hospital Revenue Code	278
Min. Negotiated Rate	$83.75
Max. Negotiated Rate	$1,737.50
Rate for Payer: Aetna Commercial	$1,320.50
Rate for Payer: Aetna Medicare Advantage	$1,042.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$886.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$886.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$695.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$886.12
Rate for Payer: Cigna Commercial	$1,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$840.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$764.50
Rate for Payer: Qualcare PPO/HMO/WC	$521.25
Rate for Payer: UnitedHealthcare Community & State	$83.75
Rate for Payer: Wellpoint Medicaid Managed Care	$92.09

SCREW COMPR FT MINI 3.5X34MM

Facility

$1,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270697362
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 COMPR FT MINI 3.5X34MM

Facility

$1,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270697362
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 FT STD 4.0X32MM

Facility

$1,898.00

Service Code	HCPCS C1713
Hospital Charge Code	270698815
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 COMPR FT STD 4.0X32MM

Facility

$1,898.00

Service Code	HCPCS C1713
Hospital Charge Code	270698815
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 COMPR FT STD 4.0X40MM

Facility

$1,898.00

Service Code	HCPCS C1713
Hospital Charge Code	270698816
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 COMPR FT STD 4.0X40MM

Facility

$1,898.00

Service Code	HCPCS C1713
Hospital Charge Code	270698816
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 COMPR HDLESS 2.4X14 MM

Facility

$1,495.85

Service Code	HCPCS C1713
Hospital Charge Code	270684722
Hospital Revenue Code	278
Min. Negotiated Rate	$36.05
Max. Negotiated Rate	$747.92
Rate for Payer: Aetna Commercial	$568.42
Rate for Payer: Aetna Medicare Advantage	$448.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$381.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$381.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$299.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$381.44
Rate for Payer: Cigna Commercial	$747.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$362.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$329.09
Rate for Payer: Qualcare PPO/HMO/WC	$224.38
Rate for Payer: UnitedHealthcare Community & State	$36.05
Rate for Payer: Wellpoint Medicaid Managed Care	$39.64

SCREW COMPR HDLESS 2.4X14 MM

Facility

$1,495.85

Service Code	HCPCS C1713
Hospital Charge Code	270684722
Hospital Revenue Code	278
Min. Negotiated Rate	$224.38
Max. Negotiated Rate	$362.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$299.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$362.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$329.09
Rate for Payer: Qualcare PPO/HMO/WC	$224.38

SCREW COMPR HDLESS SHRT 2.4x14

Facility

$1,495.85

Service Code	HCPCS C1713
Hospital Charge Code	270681952
Hospital Revenue Code	278
Min. Negotiated Rate	$224.38
Max. Negotiated Rate	$362.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$299.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$362.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$329.09
Rate for Payer: Qualcare PPO/HMO/WC	$224.38

SCREW COMPR HDLESS SHRT 2.4x14

Facility

$1,495.85

Service Code	HCPCS C1713
Hospital Charge Code	270681952
Hospital Revenue Code	278
Min. Negotiated Rate	$36.05
Max. Negotiated Rate	$747.92
Rate for Payer: Aetna Commercial	$568.42
Rate for Payer: Aetna Medicare Advantage	$448.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$381.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$381.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$299.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$381.44
Rate for Payer: Cigna Commercial	$747.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$362.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$329.09
Rate for Payer: Qualcare PPO/HMO/WC	$224.38
Rate for Payer: UnitedHealthcare Community & State	$36.05
Rate for Payer: Wellpoint Medicaid Managed Care	$39.64

SCREW COMPR HDLSS LNG 2.4x24MM

Facility

$6,705.95

Service Code	HCPCS C1713
Hospital Charge Code	270683630
Hospital Revenue Code	278
Min. Negotiated Rate	$1,005.89
Max. Negotiated Rate	$1,622.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,341.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,622.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,475.31
Rate for Payer: Qualcare PPO/HMO/WC	$1,005.89

SCREW COMPR HDLSS LNG 2.4x24MM

Facility

$6,705.95

Service Code	HCPCS C1713
Hospital Charge Code	270683630
Hospital Revenue Code	278
Min. Negotiated Rate	$161.61
Max. Negotiated Rate	$3,352.97
Rate for Payer: Aetna Commercial	$2,548.26
Rate for Payer: Aetna Medicare Advantage	$2,011.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,710.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,710.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,341.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,710.02
Rate for Payer: Cigna Commercial	$3,352.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,622.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,475.31
Rate for Payer: Qualcare PPO/HMO/WC	$1,005.89
Rate for Payer: UnitedHealthcare Community & State	$161.61
Rate for Payer: Wellpoint Medicaid Managed Care	$177.71

Know your out-of-pocket cost for care.

All Charges