Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CORT LOCKING 3.5x46mm

Facility

$905.00

Hospital Charge Code	270669276
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 LOCKING 3.5x46mm

Facility

$905.00

Hospital Charge Code	270669276
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

SCREW CORT LOCKING TI 3.5X34MM

Facility

$495.00

Service Code	HCPCS C1713
Hospital Charge Code	270664435
Hospital Revenue Code	278
Min. Negotiated Rate	$11.93
Max. Negotiated Rate	$247.50
Rate for Payer: Aetna Commercial	$188.10
Rate for Payer: Aetna Medicare Advantage	$148.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.22
Rate for Payer: Cigna Commercial	$247.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$108.90
Rate for Payer: Qualcare PPO/HMO/WC	$74.25
Rate for Payer: UnitedHealthcare Community & State	$11.93
Rate for Payer: Wellpoint Medicaid Managed Care	$13.12

SCREW CORT LOCKING TI 3.5X34MM

Facility

$495.00

Service Code	HCPCS C1713
Hospital Charge Code	270664435
Hospital Revenue Code	278
Min. Negotiated Rate	$74.25
Max. Negotiated Rate	$119.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$108.90
Rate for Payer: Qualcare PPO/HMO/WC	$74.25

SCREW CORT LO PRO 2.4x24MM

Facility

$550.00

Service Code	HCPCS C1713
Hospital Charge Code	270677128
Hospital Revenue Code	278
Min. Negotiated Rate	$13.26
Max. Negotiated Rate	$275.00
Rate for Payer: Aetna Commercial	$209.00
Rate for Payer: Aetna Medicare Advantage	$165.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$82.50
Rate for Payer: UnitedHealthcare Community & State	$13.26
Rate for Payer: Wellpoint Medicaid Managed Care	$14.57

SCREW CORT LO PRO 2.4x24MM

Facility

$550.00

Service Code	HCPCS C1713
Hospital Charge Code	270677128
Hospital Revenue Code	278
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$133.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

SCREW CORT LO PRO 2.4x26MM

Facility

$550.00

Hospital Charge Code	270677129
Hospital Revenue Code	278
Min. Negotiated Rate	$13.26
Max. Negotiated Rate	$275.00
Rate for Payer: Aetna Commercial	$209.00
Rate for Payer: Aetna Medicare Advantage	$165.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$82.50
Rate for Payer: UnitedHealthcare Community & State	$13.26
Rate for Payer: Wellpoint Medicaid Managed Care	$14.57

SCREW CORT LO PRO 2.4x26MM

Facility

$550.00

Hospital Charge Code	270677129
Hospital Revenue Code	278
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$133.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

SCREW CORT LO PRO 2.4x28MM

Facility

$550.00

Service Code	HCPCS C1713
Hospital Charge Code	270677695
Hospital Revenue Code	278
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$133.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

SCREW CORT LO PRO 2.4x28MM

Facility

$550.00

Service Code	HCPCS C1713
Hospital Charge Code	270677695
Hospital Revenue Code	278
Min. Negotiated Rate	$13.26
Max. Negotiated Rate	$275.00
Rate for Payer: Aetna Commercial	$209.00
Rate for Payer: Aetna Medicare Advantage	$165.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$82.50
Rate for Payer: UnitedHealthcare Community & State	$13.26
Rate for Payer: Wellpoint Medicaid Managed Care	$14.57

SCREW CORT LO PROF 3.5x12MM

Facility

$157.55

Service Code	HCPCS C1713
Hospital Charge Code	270663167
Hospital Revenue Code	278
Min. Negotiated Rate	$3.80
Max. Negotiated Rate	$78.78
Rate for Payer: Aetna Commercial	$59.87
Rate for Payer: Aetna Medicare Advantage	$47.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.18
Rate for Payer: Cigna Commercial	$78.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.13
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$34.66
Rate for Payer: Qualcare PPO/HMO/WC	$23.63
Rate for Payer: UnitedHealthcare Community & State	$3.80
Rate for Payer: Wellpoint Medicaid Managed Care	$4.18

SCREW CORT LO PROF 3.5x12MM

Facility

$148.50

Service Code	HCPCS C1713
Hospital Charge Code	270663163
Hospital Revenue Code	278
Min. Negotiated Rate	$22.27
Max. Negotiated Rate	$35.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$32.67
Rate for Payer: Qualcare PPO/HMO/WC	$22.27

SCREW CORT LO PROF 3.5x12MM

Facility

$157.55

Service Code	HCPCS C1713
Hospital Charge Code	270663167
Hospital Revenue Code	278
Min. Negotiated Rate	$23.63
Max. Negotiated Rate	$38.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.13
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$34.66
Rate for Payer: Qualcare PPO/HMO/WC	$23.63

SCREW CORT LO PROF 3.5x12MM

Facility

$148.50

Service Code	HCPCS C1713
Hospital Charge Code	270663163
Hospital Revenue Code	278
Min. Negotiated Rate	$3.58
Max. Negotiated Rate	$74.25
Rate for Payer: Aetna Commercial	$56.43
Rate for Payer: Aetna Medicare Advantage	$44.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.87
Rate for Payer: Cigna Commercial	$74.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$32.67
Rate for Payer: Qualcare PPO/HMO/WC	$22.27
Rate for Payer: UnitedHealthcare Community & State	$3.58
Rate for Payer: Wellpoint Medicaid Managed Care	$3.94

SCREW CORT LO PROF 3.5x12MM ST

Facility

$372.40

Service Code	HCPCS C1713
Hospital Charge Code	270685246
Hospital Revenue Code	278
Min. Negotiated Rate	$55.86
Max. Negotiated Rate	$90.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$81.93
Rate for Payer: Qualcare PPO/HMO/WC	$55.86

SCREW CORT LO PROF 3.5x12MM ST

Facility

$372.40

Service Code	HCPCS C1713
Hospital Charge Code	270685246
Hospital Revenue Code	278
Min. Negotiated Rate	$8.97
Max. Negotiated Rate	$186.20
Rate for Payer: Aetna Commercial	$141.51
Rate for Payer: Aetna Medicare Advantage	$111.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.96
Rate for Payer: Cigna Commercial	$186.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$81.93
Rate for Payer: Qualcare PPO/HMO/WC	$55.86
Rate for Payer: UnitedHealthcare Community & State	$8.97
Rate for Payer: Wellpoint Medicaid Managed Care	$9.87

SCREW CORT LO PROF 3.5x14MM ST

Facility

$372.40

Service Code	HCPCS C1713
Hospital Charge Code	270685247
Hospital Revenue Code	278
Min. Negotiated Rate	$8.97
Max. Negotiated Rate	$186.20
Rate for Payer: Aetna Commercial	$141.51
Rate for Payer: Aetna Medicare Advantage	$111.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.96
Rate for Payer: Cigna Commercial	$186.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$81.93
Rate for Payer: Qualcare PPO/HMO/WC	$55.86
Rate for Payer: UnitedHealthcare Community & State	$8.97
Rate for Payer: Wellpoint Medicaid Managed Care	$9.87

SCREW CORT LO PROF 3.5x14MM ST

Facility

$372.40

Service Code	HCPCS C1713
Hospital Charge Code	270685247
Hospital Revenue Code	278
Min. Negotiated Rate	$55.86
Max. Negotiated Rate	$90.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$81.93
Rate for Payer: Qualcare PPO/HMO/WC	$55.86

SCREW CORT LO PROF 3.5x18MM ST

Facility

$372.40

Service Code	HCPCS C1713
Hospital Charge Code	270685248
Hospital Revenue Code	278
Min. Negotiated Rate	$55.86
Max. Negotiated Rate	$90.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$81.93
Rate for Payer: Qualcare PPO/HMO/WC	$55.86

SCREW CORT LO PROF 3.5x18MM ST

Facility

$372.40

Service Code	HCPCS C1713
Hospital Charge Code	270685248
Hospital Revenue Code	278
Min. Negotiated Rate	$8.97
Max. Negotiated Rate	$186.20
Rate for Payer: Aetna Commercial	$141.51
Rate for Payer: Aetna Medicare Advantage	$111.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.96
Rate for Payer: Cigna Commercial	$186.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$81.93
Rate for Payer: Qualcare PPO/HMO/WC	$55.86
Rate for Payer: UnitedHealthcare Community & State	$8.97
Rate for Payer: Wellpoint Medicaid Managed Care	$9.87

SCREW CORT LO PROF 3.5x20MM ST

Facility

$372.40

Service Code	HCPCS C1713
Hospital Charge Code	270685249
Hospital Revenue Code	278
Min. Negotiated Rate	$55.86
Max. Negotiated Rate	$90.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$81.93
Rate for Payer: Qualcare PPO/HMO/WC	$55.86

SCREW CORT LO PROF 3.5x20MM ST

Facility

$372.40

Service Code	HCPCS C1713
Hospital Charge Code	270685249
Hospital Revenue Code	278
Min. Negotiated Rate	$8.97
Max. Negotiated Rate	$186.20
Rate for Payer: Aetna Commercial	$141.51
Rate for Payer: Aetna Medicare Advantage	$111.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.96
Rate for Payer: Cigna Commercial	$186.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$81.93
Rate for Payer: Qualcare PPO/HMO/WC	$55.86
Rate for Payer: UnitedHealthcare Community & State	$8.97
Rate for Payer: Wellpoint Medicaid Managed Care	$9.87

SCREW CORT LO PROF 3.5x32MM

Facility

$157.55

Service Code	HCPCS C1713
Hospital Charge Code	270678671
Hospital Revenue Code	278
Min. Negotiated Rate	$3.80
Max. Negotiated Rate	$78.78
Rate for Payer: Aetna Commercial	$59.87
Rate for Payer: Aetna Medicare Advantage	$47.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.18
Rate for Payer: Cigna Commercial	$78.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.13
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$34.66
Rate for Payer: Qualcare PPO/HMO/WC	$23.63
Rate for Payer: UnitedHealthcare Community & State	$3.80
Rate for Payer: Wellpoint Medicaid Managed Care	$4.18

SCREW CORT LO PROF 3.5x32MM

Facility

$157.55

Service Code	HCPCS C1713
Hospital Charge Code	270678671
Hospital Revenue Code	278
Min. Negotiated Rate	$23.63
Max. Negotiated Rate	$38.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.13
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$34.66
Rate for Payer: Qualcare PPO/HMO/WC	$23.63

SCREW CORT LO PROF 3.5x50MM

Facility

$152.95

Service Code	HCPCS C1713
Hospital Charge Code	270679061
Hospital Revenue Code	278
Min. Negotiated Rate	$3.69
Max. Negotiated Rate	$76.47
Rate for Payer: Aetna Commercial	$58.12
Rate for Payer: Aetna Medicare Advantage	$45.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.00
Rate for Payer: Cigna Commercial	$76.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.01
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$33.65
Rate for Payer: Qualcare PPO/HMO/WC	$22.94
Rate for Payer: UnitedHealthcare Community & State	$3.69
Rate for Payer: Wellpoint Medicaid Managed Care	$4.05

Know your out-of-pocket cost for care.

All Charges