Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CREO SD 6.5X45MM

Facility

$4,350.00

Service Code	HCPCS C1713
Hospital Charge Code	270697097
Hospital Revenue Code	278
Min. Negotiated Rate	$104.83
Max. Negotiated Rate	$2,175.00
Rate for Payer: Aetna Commercial	$1,653.00
Rate for Payer: Aetna Medicare Advantage	$1,305.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,109.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,109.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$870.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,109.25
Rate for Payer: Cigna Commercial	$2,175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,052.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$957.00
Rate for Payer: Qualcare PPO/HMO/WC	$652.50
Rate for Payer: UnitedHealthcare Community & State	$104.83
Rate for Payer: Wellpoint Medicaid Managed Care	$115.28

SCREW CREO SD 6.5X45MM

Facility

$4,350.00

Service Code	HCPCS C1713
Hospital Charge Code	270697097
Hospital Revenue Code	278
Min. Negotiated Rate	$652.50
Max. Negotiated Rate	$1,052.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$870.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,052.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$957.00
Rate for Payer: Qualcare PPO/HMO/WC	$652.50

SCREW CREO TICOCRPOLY 6.5X50MM

Facility

$9,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270696991
Hospital Revenue Code	278
Min. Negotiated Rate	$1,350.00
Max. Negotiated Rate	$2,178.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,178.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,980.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,350.00

SCREW CREO TICOCRPOLY 6.5X50MM

Facility

$9,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270696991
Hospital Revenue Code	278
Min. Negotiated Rate	$216.90
Max. Negotiated Rate	$4,500.00
Rate for Payer: Aetna Commercial	$3,420.00
Rate for Payer: Aetna Medicare Advantage	$2,700.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,295.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,295.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,295.00
Rate for Payer: Cigna Commercial	$4,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,178.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,980.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,350.00
Rate for Payer: UnitedHealthcare Community & State	$216.90
Rate for Payer: Wellpoint Medicaid Managed Care	$238.50

SCREW CRETX 3.5MM 28MM

Facility

$155.15

Service Code	HCPCS C1713
Hospital Charge Code	270681647
Hospital Revenue Code	278
Min. Negotiated Rate	$3.74
Max. Negotiated Rate	$77.58
Rate for Payer: Aetna Commercial	$58.96
Rate for Payer: Aetna Medicare Advantage	$46.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.56
Rate for Payer: Cigna Commercial	$77.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$34.13
Rate for Payer: Qualcare PPO/HMO/WC	$23.27
Rate for Payer: UnitedHealthcare Community & State	$3.74
Rate for Payer: Wellpoint Medicaid Managed Care	$4.11

SCREW CRETX 3.5MM 28MM

Facility

$155.15

Service Code	HCPCS C1713
Hospital Charge Code	270681647
Hospital Revenue Code	278
Min. Negotiated Rate	$23.27
Max. Negotiated Rate	$37.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$34.13
Rate for Payer: Qualcare PPO/HMO/WC	$23.27

SCREW CRETX 3.5 MM X22 MM

Facility

$155.15

Service Code	HCPCS C1713
Hospital Charge Code	270683626
Hospital Revenue Code	278
Min. Negotiated Rate	$3.74
Max. Negotiated Rate	$77.58
Rate for Payer: Aetna Commercial	$58.96
Rate for Payer: Aetna Medicare Advantage	$46.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.56
Rate for Payer: Cigna Commercial	$77.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$34.13
Rate for Payer: Qualcare PPO/HMO/WC	$23.27
Rate for Payer: UnitedHealthcare Community & State	$3.74
Rate for Payer: Wellpoint Medicaid Managed Care	$4.11

SCREW CRETX 3.5 MM X22 MM

Facility

$155.15

Service Code	HCPCS C1713
Hospital Charge Code	270683626
Hospital Revenue Code	278
Min. Negotiated Rate	$23.27
Max. Negotiated Rate	$37.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$34.13
Rate for Payer: Qualcare PPO/HMO/WC	$23.27

SCREW CRETX 3.5 MM X24 MM

Facility

$155.15

Service Code	HCPCS C1713
Hospital Charge Code	270683627
Hospital Revenue Code	278
Min. Negotiated Rate	$23.27
Max. Negotiated Rate	$37.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$34.13
Rate for Payer: Qualcare PPO/HMO/WC	$23.27

SCREW CRETX 3.5 MM X24 MM

Facility

$155.15

Service Code	HCPCS C1713
Hospital Charge Code	270683627
Hospital Revenue Code	278
Min. Negotiated Rate	$3.74
Max. Negotiated Rate	$77.58
Rate for Payer: Aetna Commercial	$58.96
Rate for Payer: Aetna Medicare Advantage	$46.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.56
Rate for Payer: Cigna Commercial	$77.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$34.13
Rate for Payer: Qualcare PPO/HMO/WC	$23.27
Rate for Payer: UnitedHealthcare Community & State	$3.74
Rate for Payer: Wellpoint Medicaid Managed Care	$4.11

SCREW CRETX 3.5 MM X26 MM

Facility

$155.15

Service Code	HCPCS C1713
Hospital Charge Code	270683628
Hospital Revenue Code	278
Min. Negotiated Rate	$23.27
Max. Negotiated Rate	$37.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$34.13
Rate for Payer: Qualcare PPO/HMO/WC	$23.27

SCREW CRETX 3.5 MM X26 MM

Facility

$155.15

Service Code	HCPCS C1713
Hospital Charge Code	270683628
Hospital Revenue Code	278
Min. Negotiated Rate	$3.74
Max. Negotiated Rate	$77.58
Rate for Payer: Aetna Commercial	$58.96
Rate for Payer: Aetna Medicare Advantage	$46.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.56
Rate for Payer: Cigna Commercial	$77.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$34.13
Rate for Payer: Qualcare PPO/HMO/WC	$23.27
Rate for Payer: UnitedHealthcare Community & State	$3.74
Rate for Payer: Wellpoint Medicaid Managed Care	$4.11

SCREW CRETX 3.5 MM X26 MM

Facility

$1,495.85

Service Code	HCPCS C1713
Hospital Charge Code	270683629
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 CRETX 3.5 MM X26 MM

Facility

$1,495.85

Service Code	HCPCS C1713
Hospital Charge Code	270683629
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 CROSS 3.5X22MM

Facility

$1,380.00

Service Code	HCPCS C1713
Hospital Charge Code	270700090
Hospital Revenue Code	278
Min. Negotiated Rate	$33.26
Max. Negotiated Rate	$690.00
Rate for Payer: Aetna Commercial	$524.40
Rate for Payer: Aetna Medicare Advantage	$414.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$351.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$351.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$276.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$351.90
Rate for Payer: Cigna Commercial	$690.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$333.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$303.60
Rate for Payer: Qualcare PPO/HMO/WC	$207.00
Rate for Payer: UnitedHealthcare Community & State	$33.26
Rate for Payer: Wellpoint Medicaid Managed Care	$36.57

SCREW CROSS 3.5X22MM

Facility

$1,380.00

Service Code	HCPCS C1713
Hospital Charge Code	270700090
Hospital Revenue Code	278
Min. Negotiated Rate	$207.00
Max. Negotiated Rate	$333.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$276.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$333.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$303.60
Rate for Payer: Qualcare PPO/HMO/WC	$207.00

SCREW CROSS 3.5x32mm

Facility

$1,335.00

Service Code	HCPCS C1713
Hospital Charge Code	270685331
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 CROSS 3.5x32mm

Facility

$1,335.00

Service Code	HCPCS C1713
Hospital Charge Code	270685331
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 CRT LG 5.5X27.5 22533055

Facility

$611.25

Hospital Charge Code	270625982
Hospital Revenue Code	278
Min. Negotiated Rate	$91.69
Max. Negotiated Rate	$147.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$122.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$147.92
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$134.47
Rate for Payer: Qualcare PPO/HMO/WC	$91.69

SCREW CRT LG 5.5X27.5 22533055

Facility

$611.25

Hospital Charge Code	270625982
Hospital Revenue Code	278
Min. Negotiated Rate	$14.73
Max. Negotiated Rate	$305.62
Rate for Payer: Aetna Commercial	$232.28
Rate for Payer: Aetna Medicare Advantage	$183.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$155.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$155.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$122.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$155.87
Rate for Payer: Cigna Commercial	$305.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$147.92
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$134.47
Rate for Payer: Qualcare PPO/HMO/WC	$91.69
Rate for Payer: UnitedHealthcare Community & State	$14.73
Rate for Payer: Wellpoint Medicaid Managed Care	$16.20

SCREW CRT LO PR SLF-TPN 3.5-16

Facility

$405.60

Service Code	HCPCS C1713
Hospital Charge Code	270688191
Hospital Revenue Code	278
Min. Negotiated Rate	$60.84
Max. Negotiated Rate	$98.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$81.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.16
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$89.23
Rate for Payer: Qualcare PPO/HMO/WC	$60.84

SCREW CRT LO PR SLF-TPN 3.5-16

Facility

$405.60

Service Code	HCPCS C1713
Hospital Charge Code	270688191
Hospital Revenue Code	278
Min. Negotiated Rate	$9.77
Max. Negotiated Rate	$202.80
Rate for Payer: Aetna Commercial	$154.13
Rate for Payer: Aetna Medicare Advantage	$121.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$103.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$103.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$81.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$103.43
Rate for Payer: Cigna Commercial	$202.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.16
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$89.23
Rate for Payer: Qualcare PPO/HMO/WC	$60.84
Rate for Payer: UnitedHealthcare Community & State	$9.77
Rate for Payer: Wellpoint Medicaid Managed Care	$10.75

SCREW CRT S 2.7x14 48270104101

Facility

$61.35

Hospital Charge Code	270633306
Hospital Revenue Code	278
Min. Negotiated Rate	$9.20
Max. Negotiated Rate	$14.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$13.50
Rate for Payer: Qualcare PPO/HMO/WC	$9.20

SCREW CRT S 2.7x14 48270104101

Facility

$61.35

Hospital Charge Code	270633306
Hospital Revenue Code	278
Min. Negotiated Rate	$1.48
Max. Negotiated Rate	$30.68
Rate for Payer: Aetna Commercial	$23.31
Rate for Payer: Aetna Medicare Advantage	$18.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.64
Rate for Payer: Cigna Commercial	$30.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$13.50
Rate for Payer: Qualcare PPO/HMO/WC	$9.20
Rate for Payer: UnitedHealthcare Community & State	$1.48
Rate for Payer: Wellpoint Medicaid Managed Care	$1.63

SCREW CRTX LOW PROF 3.5x16MM

Facility

$157.55

Service Code	HCPCS C1713
Hospital Charge Code	270663168
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

Know your out-of-pocket cost for care.

All Charges