Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW COMPR HEADLESS 2.4x16MM

Facility

$147.30

Hospital Charge Code	270678208
Hospital Revenue Code	278
Min. Negotiated Rate	$22.09
Max. Negotiated Rate	$35.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$32.41
Rate for Payer: Qualcare PPO/HMO/WC	$22.09

SCREW COMPR HEADLESS 2.4x16MM

Facility

$147.30

Hospital Charge Code	270678208
Hospital Revenue Code	278
Min. Negotiated Rate	$3.55
Max. Negotiated Rate	$73.65
Rate for Payer: Aetna Commercial	$55.97
Rate for Payer: Aetna Medicare Advantage	$44.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.56
Rate for Payer: Cigna Commercial	$73.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$32.41
Rate for Payer: Qualcare PPO/HMO/WC	$22.09
Rate for Payer: UnitedHealthcare Community & State	$3.55
Rate for Payer: Wellpoint Medicaid Managed Care	$3.90

SCREW COMPR HEADLESS 2.4x22MM

Facility

$147.30

Hospital Charge Code	270678209
Hospital Revenue Code	278
Min. Negotiated Rate	$3.55
Max. Negotiated Rate	$73.65
Rate for Payer: Aetna Commercial	$55.97
Rate for Payer: Aetna Medicare Advantage	$44.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.56
Rate for Payer: Cigna Commercial	$73.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$32.41
Rate for Payer: Qualcare PPO/HMO/WC	$22.09
Rate for Payer: UnitedHealthcare Community & State	$3.55
Rate for Payer: Wellpoint Medicaid Managed Care	$3.90

SCREW COMPR HEADLESS 2.4x22MM

Facility

$147.30

Hospital Charge Code	270678209
Hospital Revenue Code	278
Min. Negotiated Rate	$22.09
Max. Negotiated Rate	$35.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$32.41
Rate for Payer: Qualcare PPO/HMO/WC	$22.09

SCREW COMPR HEADLESS 2.4x40MM

Facility

$1,452.30

Service Code	HCPCS C1713
Hospital Charge Code	270678413
Hospital Revenue Code	278
Min. Negotiated Rate	$217.84
Max. Negotiated Rate	$351.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$290.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$351.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$319.51
Rate for Payer: Qualcare PPO/HMO/WC	$217.84

SCREW COMPR HEADLESS 2.4x40MM

Facility

$1,452.30

Service Code	HCPCS C1713
Hospital Charge Code	270678413
Hospital Revenue Code	278
Min. Negotiated Rate	$35.00
Max. Negotiated Rate	$726.15
Rate for Payer: Aetna Commercial	$551.87
Rate for Payer: Aetna Medicare Advantage	$435.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$370.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$370.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$290.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$370.34
Rate for Payer: Cigna Commercial	$726.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$351.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$319.51
Rate for Payer: Qualcare PPO/HMO/WC	$217.84
Rate for Payer: UnitedHealthcare Community & State	$35.00
Rate for Payer: Wellpoint Medicaid Managed Care	$38.49

SCREW COMPR LKG 3.0X16MM

Facility

$3,400.00

Service Code	HCPCS C1713
Hospital Charge Code	270698256
Hospital Revenue Code	278
Min. Negotiated Rate	$81.94
Max. Negotiated Rate	$1,700.00
Rate for Payer: Aetna Commercial	$1,292.00
Rate for Payer: Aetna Medicare Advantage	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$867.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$867.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$680.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$867.00
Rate for Payer: Cigna Commercial	$1,700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$822.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$748.00
Rate for Payer: Qualcare PPO/HMO/WC	$510.00
Rate for Payer: UnitedHealthcare Community & State	$81.94
Rate for Payer: Wellpoint Medicaid Managed Care	$90.10

SCREW COMPR LKG 3.0X16MM

Facility

$3,400.00

Service Code	HCPCS C1713
Hospital Charge Code	270698256
Hospital Revenue Code	278
Min. Negotiated Rate	$510.00
Max. Negotiated Rate	$822.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$680.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$822.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$748.00
Rate for Payer: Qualcare PPO/HMO/WC	$510.00

SCREW COMPR LKG 3.0X18MM

Facility

$3,400.00

Service Code	HCPCS C1713
Hospital Charge Code	270698257
Hospital Revenue Code	278
Min. Negotiated Rate	$510.00
Max. Negotiated Rate	$822.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$680.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$822.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$748.00
Rate for Payer: Qualcare PPO/HMO/WC	$510.00

SCREW COMPR LKG 3.0X18MM

Facility

$3,400.00

Service Code	HCPCS C1713
Hospital Charge Code	270698257
Hospital Revenue Code	278
Min. Negotiated Rate	$81.94
Max. Negotiated Rate	$1,700.00
Rate for Payer: Aetna Commercial	$1,292.00
Rate for Payer: Aetna Medicare Advantage	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$867.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$867.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$680.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$867.00
Rate for Payer: Cigna Commercial	$1,700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$822.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$748.00
Rate for Payer: Qualcare PPO/HMO/WC	$510.00
Rate for Payer: UnitedHealthcare Community & State	$81.94
Rate for Payer: Wellpoint Medicaid Managed Care	$90.10

SCREW COMPR MICRO 2.5x30MM

Facility

$1,475.00

Hospital Charge Code	270677993
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 COMPR MICRO 2.5x30MM

Facility

$1,475.00

Hospital Charge Code	270677993
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 COMPR MINI 3.5x18MM

Facility

$1,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270677992
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 COMPR MINI 3.5x18MM

Facility

$1,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270677992
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 COMPR MINI 3.5x24MM

Facility

$1,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270679010
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 COMPR MINI 3.5x24MM

Facility

$1,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270679010
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 COMPR SHRT 3.0x32mm

Facility

$1,495.85

Service Code	HCPCS C1713
Hospital Charge Code	270681868
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 SHRT 3.0x32mm

Facility

$1,495.85

Service Code	HCPCS C1713
Hospital Charge Code	270681869
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 SHRT 3.0x32mm

Facility

$1,495.85

Service Code	HCPCS C1713
Hospital Charge Code	270681869
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 SHRT 3.0x32mm

Facility

$1,495.85

Service Code	HCPCS C1713
Hospital Charge Code	270681868
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 SHRT 3.0x40mm

Facility

$1,495.85

Service Code	HCPCS C1713
Hospital Charge Code	270681870
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 SHRT 3.0x40mm

Facility

$1,495.85

Service Code	HCPCS C1713
Hospital Charge Code	270681870
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 COMP RVS CNTRL 6.5X20MM

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270671257
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$72.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$66.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

SCREW COMP RVS CNTRL 6.5X20MM

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270671257
Hospital Revenue Code	278
Min. Negotiated Rate	$7.23
Max. Negotiated Rate	$150.00
Rate for Payer: Aetna Commercial	$114.00
Rate for Payer: Aetna Medicare Advantage	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$66.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00
Rate for Payer: UnitedHealthcare Community & State	$7.23
Rate for Payer: Wellpoint Medicaid Managed Care	$7.95

SCREW CONCENTR GLENOSPH 36x2MM

Facility

$12,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270671582
Hospital Revenue Code	278
Min. Negotiated Rate	$1,875.00
Max. Negotiated Rate	$3,025.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,025.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,750.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,875.00

Know your out-of-pocket cost for care.

All Charges