Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CORT 3.5x14MM CS14000

Facility

$540.00

Hospital Charge Code	270648144
Hospital Revenue Code	278
Min. Negotiated Rate	$13.01
Max. Negotiated Rate	$270.00
Rate for Payer: Aetna Commercial	$205.20
Rate for Payer: Aetna Medicare Advantage	$162.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$137.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$137.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$137.70
Rate for Payer: Cigna Commercial	$270.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.68
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$118.80
Rate for Payer: Qualcare PPO/HMO/WC	$81.00
Rate for Payer: UnitedHealthcare Community & State	$13.01
Rate for Payer: Wellpoint Medicaid Managed Care	$14.31

SCREW CORT 3.5X22.5MM

Facility

$1,339.00

Service Code	HCPCS C1713
Hospital Charge Code	270705901
Hospital Revenue Code	278
Min. Negotiated Rate	$32.27
Max. Negotiated Rate	$669.50
Rate for Payer: Aetna Commercial	$508.82
Rate for Payer: Aetna Medicare Advantage	$401.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$341.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$341.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$267.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$341.44
Rate for Payer: Cigna Commercial	$669.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$294.58
Rate for Payer: Qualcare PPO/HMO/WC	$200.85
Rate for Payer: UnitedHealthcare Community & State	$32.27
Rate for Payer: Wellpoint Medicaid Managed Care	$35.48

SCREW CORT 3.5X22.5MM

Facility

$1,339.00

Service Code	HCPCS C1713
Hospital Charge Code	270705901
Hospital Revenue Code	278
Min. Negotiated Rate	$200.85
Max. Negotiated Rate	$324.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$267.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$294.58
Rate for Payer: Qualcare PPO/HMO/WC	$200.85

SCREW CORT 3.5X27.5MM

Facility

$1,339.00

Service Code	HCPCS C1713
Hospital Charge Code	270705902
Hospital Revenue Code	278
Min. Negotiated Rate	$200.85
Max. Negotiated Rate	$324.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$267.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$294.58
Rate for Payer: Qualcare PPO/HMO/WC	$200.85

SCREW CORT 3.5X27.5MM

Facility

$1,339.00

Service Code	HCPCS C1713
Hospital Charge Code	270705902
Hospital Revenue Code	278
Min. Negotiated Rate	$32.27
Max. Negotiated Rate	$669.50
Rate for Payer: Aetna Commercial	$508.82
Rate for Payer: Aetna Medicare Advantage	$401.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$341.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$341.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$267.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$341.44
Rate for Payer: Cigna Commercial	$669.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$294.58
Rate for Payer: Qualcare PPO/HMO/WC	$200.85
Rate for Payer: UnitedHealthcare Community & State	$32.27
Rate for Payer: Wellpoint Medicaid Managed Care	$35.48

SCREW CORT 3.5x44mm SELFTAP

Facility

$90.40

Service Code	HCPCS C1713
Hospital Charge Code	270644881
Hospital Revenue Code	278
Min. Negotiated Rate	$2.18
Max. Negotiated Rate	$45.20
Rate for Payer: Aetna Commercial	$34.35
Rate for Payer: Aetna Medicare Advantage	$27.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.05
Rate for Payer: Cigna Commercial	$45.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.88
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$19.89
Rate for Payer: Qualcare PPO/HMO/WC	$13.56
Rate for Payer: UnitedHealthcare Community & State	$2.18
Rate for Payer: Wellpoint Medicaid Managed Care	$2.40

SCREW CORT 3.5x44mm SELFTAP

Facility

$90.40

Service Code	HCPCS C1713
Hospital Charge Code	270644881
Hospital Revenue Code	278
Min. Negotiated Rate	$13.56
Max. Negotiated Rate	$21.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.88
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$19.89
Rate for Payer: Qualcare PPO/HMO/WC	$13.56

SCREW CORT 3.5x46mm SELFTAP

Facility

$90.40

Service Code	HCPCS C1713
Hospital Charge Code	270644815
Hospital Revenue Code	278
Min. Negotiated Rate	$13.56
Max. Negotiated Rate	$21.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.88
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$19.89
Rate for Payer: Qualcare PPO/HMO/WC	$13.56

SCREW CORT 3.5x46mm SELFTAP

Facility

$90.40

Service Code	HCPCS C1713
Hospital Charge Code	270644815
Hospital Revenue Code	278
Min. Negotiated Rate	$2.18
Max. Negotiated Rate	$45.20
Rate for Payer: Aetna Commercial	$34.35
Rate for Payer: Aetna Medicare Advantage	$27.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.05
Rate for Payer: Cigna Commercial	$45.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.88
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$19.89
Rate for Payer: Qualcare PPO/HMO/WC	$13.56
Rate for Payer: UnitedHealthcare Community & State	$2.18
Rate for Payer: Wellpoint Medicaid Managed Care	$2.40

SCREW CORT 3.5x48mm SELFTAP

Facility

$87.75

Service Code	HCPCS C1713
Hospital Charge Code	270669727
Hospital Revenue Code	278
Min. Negotiated Rate	$2.11
Max. Negotiated Rate	$43.88
Rate for Payer: Aetna Commercial	$33.34
Rate for Payer: Aetna Medicare Advantage	$26.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.38
Rate for Payer: Cigna Commercial	$43.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$19.30
Rate for Payer: Qualcare PPO/HMO/WC	$13.16
Rate for Payer: UnitedHealthcare Community & State	$2.11
Rate for Payer: Wellpoint Medicaid Managed Care	$2.33

SCREW CORT 3.5x48mm SELFTAP

Facility

$87.75

Service Code	HCPCS C1713
Hospital Charge Code	270669727
Hospital Revenue Code	278
Min. Negotiated Rate	$13.16
Max. Negotiated Rate	$21.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$19.30
Rate for Payer: Qualcare PPO/HMO/WC	$13.16

SCREW CORT 3.5x60mm SELFTAP

Facility

$90.40

Service Code	HCPCS C1713
Hospital Charge Code	270646513
Hospital Revenue Code	278
Min. Negotiated Rate	$2.18
Max. Negotiated Rate	$45.20
Rate for Payer: Aetna Commercial	$34.35
Rate for Payer: Aetna Medicare Advantage	$27.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.05
Rate for Payer: Cigna Commercial	$45.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.88
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$19.89
Rate for Payer: Qualcare PPO/HMO/WC	$13.56
Rate for Payer: UnitedHealthcare Community & State	$2.18
Rate for Payer: Wellpoint Medicaid Managed Care	$2.40

SCREW CORT 3.5x60mm SELFTAP

Facility

$90.40

Service Code	HCPCS C1713
Hospital Charge Code	270646513
Hospital Revenue Code	278
Min. Negotiated Rate	$13.56
Max. Negotiated Rate	$21.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.88
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$19.89
Rate for Payer: Qualcare PPO/HMO/WC	$13.56

SCREW CORT 3.5X65MM SELF TAP

Facility

$235.00

Hospital Charge Code	270670034
Hospital Revenue Code	278
Min. Negotiated Rate	$5.66
Max. Negotiated Rate	$117.50
Rate for Payer: Aetna Commercial	$89.30
Rate for Payer: Aetna Medicare Advantage	$70.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.92
Rate for Payer: Cigna Commercial	$117.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.87
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$51.70
Rate for Payer: Qualcare PPO/HMO/WC	$35.25
Rate for Payer: UnitedHealthcare Community & State	$5.66
Rate for Payer: Wellpoint Medicaid Managed Care	$6.23

SCREW CORT 3.5X65MM SELF TAP

Facility

$235.00

Hospital Charge Code	270670034
Hospital Revenue Code	278
Min. Negotiated Rate	$35.25
Max. Negotiated Rate	$56.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.87
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$51.70
Rate for Payer: Qualcare PPO/HMO/WC	$35.25

SCREW CORT 3.5X68MM

Facility

$260.40

Service Code	HCPCS C1713
Hospital Charge Code	270704454
Hospital Revenue Code	278
Min. Negotiated Rate	$39.06
Max. Negotiated Rate	$63.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$52.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$57.29
Rate for Payer: Qualcare PPO/HMO/WC	$39.06

SCREW CORT 3.5X68MM

Facility

$260.40

Service Code	HCPCS C1713
Hospital Charge Code	270704454
Hospital Revenue Code	278
Min. Negotiated Rate	$6.28
Max. Negotiated Rate	$130.20
Rate for Payer: Aetna Commercial	$98.95
Rate for Payer: Aetna Medicare Advantage	$78.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$52.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.40
Rate for Payer: Cigna Commercial	$130.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$57.29
Rate for Payer: Qualcare PPO/HMO/WC	$39.06
Rate for Payer: UnitedHealthcare Community & State	$6.28
Rate for Payer: Wellpoint Medicaid Managed Care	$6.90

SCREW CORT 4.5x40 N/S 18235140

Facility

$94.25

Hospital Charge Code	270633561
Hospital Revenue Code	278
Min. Negotiated Rate	$14.14
Max. Negotiated Rate	$22.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.81
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$20.73
Rate for Payer: Qualcare PPO/HMO/WC	$14.14

SCREW CORT 4.5x40 N/S 18235140

Facility

$94.25

Hospital Charge Code	270633561
Hospital Revenue Code	278
Min. Negotiated Rate	$2.27
Max. Negotiated Rate	$47.12
Rate for Payer: Aetna Commercial	$35.81
Rate for Payer: Aetna Medicare Advantage	$28.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.03
Rate for Payer: Cigna Commercial	$47.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.81
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$20.73
Rate for Payer: Qualcare PPO/HMO/WC	$14.14
Rate for Payer: UnitedHealthcare Community & State	$2.27
Rate for Payer: Wellpoint Medicaid Managed Care	$2.50

SCREW CORT 4.5x42 N/S 18235142

Facility

$94.25

Hospital Charge Code	270633562
Hospital Revenue Code	278
Min. Negotiated Rate	$14.14
Max. Negotiated Rate	$22.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.81
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$20.73
Rate for Payer: Qualcare PPO/HMO/WC	$14.14

SCREW CORT 4.5x42 N/S 18235142

Facility

$94.25

Hospital Charge Code	270633562
Hospital Revenue Code	278
Min. Negotiated Rate	$2.27
Max. Negotiated Rate	$47.12
Rate for Payer: Aetna Commercial	$35.81
Rate for Payer: Aetna Medicare Advantage	$28.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.03
Rate for Payer: Cigna Commercial	$47.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.81
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$20.73
Rate for Payer: Qualcare PPO/HMO/WC	$14.14
Rate for Payer: UnitedHealthcare Community & State	$2.27
Rate for Payer: Wellpoint Medicaid Managed Care	$2.50

SCREW CORT 4.5x44 N/S 18235144

Facility

$94.25

Hospital Charge Code	270633563
Hospital Revenue Code	278
Min. Negotiated Rate	$14.14
Max. Negotiated Rate	$22.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.81
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$20.73
Rate for Payer: Qualcare PPO/HMO/WC	$14.14

SCREW CORT 4.5x44 N/S 18235144

Facility

$94.25

Hospital Charge Code	270633563
Hospital Revenue Code	278
Min. Negotiated Rate	$2.27
Max. Negotiated Rate	$47.12
Rate for Payer: Aetna Commercial	$35.81
Rate for Payer: Aetna Medicare Advantage	$28.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.03
Rate for Payer: Cigna Commercial	$47.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.81
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$20.73
Rate for Payer: Qualcare PPO/HMO/WC	$14.14
Rate for Payer: UnitedHealthcare Community & State	$2.27
Rate for Payer: Wellpoint Medicaid Managed Care	$2.50

SCREW CORT 5mmX90mm 14-405090

Facility

$905.00

Hospital Charge Code	270643469
Hospital Revenue Code	278
Min. Negotiated Rate	$135.75
Max. Negotiated Rate	$219.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.01
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$199.10
Rate for Payer: Qualcare PPO/HMO/WC	$135.75

SCREW CORT 5mmX90mm 14-405090

Facility

$905.00

Hospital Charge Code	270643469
Hospital Revenue Code	278
Min. Negotiated Rate	$21.81
Max. Negotiated Rate	$452.50
Rate for Payer: Aetna Commercial	$343.90
Rate for Payer: Aetna Medicare Advantage	$271.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$230.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$230.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$230.78
Rate for Payer: Cigna Commercial	$452.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.01
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$199.10
Rate for Payer: Qualcare PPO/HMO/WC	$135.75
Rate for Payer: UnitedHealthcare Community & State	$21.81
Rate for Payer: Wellpoint Medicaid Managed Care	$23.98

Know your out-of-pocket cost for care.

All Charges