Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CRTX LOW PROF 3.5x16MM

Facility

$157.55

Service Code	HCPCS C1713
Hospital Charge Code	270663168
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 CRTX LOW PRO HD 3.5x22MM

Facility

$148.50

Hospital Charge Code	270676229
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 CRTX LOW PRO HD 3.5x22MM

Facility

$148.50

Hospital Charge Code	270676229
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 CTR-DRV 2.7x10mm

Facility

$153.65

Hospital Charge Code	270610980
Hospital Revenue Code	278
Min. Negotiated Rate	$23.05
Max. Negotiated Rate	$37.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$33.80
Rate for Payer: Qualcare PPO/HMO/WC	$23.05

SCREW CTR-DRV 2.7x10mm

Facility

$153.65

Hospital Charge Code	270610980
Hospital Revenue Code	278
Min. Negotiated Rate	$3.70
Max. Negotiated Rate	$76.83
Rate for Payer: Aetna Commercial	$58.39
Rate for Payer: Aetna Medicare Advantage	$46.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.18
Rate for Payer: Cigna Commercial	$76.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$33.80
Rate for Payer: Qualcare PPO/HMO/WC	$23.05
Rate for Payer: UnitedHealthcare Community & State	$3.70
Rate for Payer: Wellpoint Medicaid Managed Care	$4.07

SCREW CTR-DRV 2.7x12mm

Facility

$156.00

Hospital Charge Code	270610981
Hospital Revenue Code	278
Min. Negotiated Rate	$3.76
Max. Negotiated Rate	$78.00
Rate for Payer: Aetna Commercial	$59.28
Rate for Payer: Aetna Medicare Advantage	$46.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.78
Rate for Payer: Cigna Commercial	$78.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$34.32
Rate for Payer: Qualcare PPO/HMO/WC	$23.40
Rate for Payer: UnitedHealthcare Community & State	$3.76
Rate for Payer: Wellpoint Medicaid Managed Care	$4.13

SCREW CTR-DRV 2.7x12mm

Facility

$156.00

Hospital Charge Code	270610981
Hospital Revenue Code	278
Min. Negotiated Rate	$23.40
Max. Negotiated Rate	$37.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$34.32
Rate for Payer: Qualcare PPO/HMO/WC	$23.40

SCREW CTR-DRV 2.7x14mm

Facility

$161.65

Hospital Charge Code	270610982
Hospital Revenue Code	278
Min. Negotiated Rate	$24.25
Max. Negotiated Rate	$39.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$32.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$35.56
Rate for Payer: Qualcare PPO/HMO/WC	$24.25

SCREW CTR-DRV 2.7x14mm

Facility

$161.65

Hospital Charge Code	270610982
Hospital Revenue Code	278
Min. Negotiated Rate	$3.90
Max. Negotiated Rate	$80.83
Rate for Payer: Aetna Commercial	$61.43
Rate for Payer: Aetna Medicare Advantage	$48.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$32.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.22
Rate for Payer: Cigna Commercial	$80.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$35.56
Rate for Payer: Qualcare PPO/HMO/WC	$24.25
Rate for Payer: UnitedHealthcare Community & State	$3.90
Rate for Payer: Wellpoint Medicaid Managed Care	$4.28

SCREW CTR-DRV 2.7x18mm

Facility

$171.25

Hospital Charge Code	270610984
Hospital Revenue Code	278
Min. Negotiated Rate	$4.13
Max. Negotiated Rate	$85.62
Rate for Payer: Aetna Commercial	$65.08
Rate for Payer: Aetna Medicare Advantage	$51.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.67
Rate for Payer: Cigna Commercial	$85.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$37.67
Rate for Payer: Qualcare PPO/HMO/WC	$25.69
Rate for Payer: UnitedHealthcare Community & State	$4.13
Rate for Payer: Wellpoint Medicaid Managed Care	$4.54

SCREW CTR-DRV 2.7x18mm

Facility

$171.25

Hospital Charge Code	270610984
Hospital Revenue Code	278
Min. Negotiated Rate	$25.69
Max. Negotiated Rate	$41.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$37.67
Rate for Payer: Qualcare PPO/HMO/WC	$25.69

SCREW CTR-DRV 2.7x20mm

Facility

$176.15

Hospital Charge Code	270610985
Hospital Revenue Code	278
Min. Negotiated Rate	$26.42
Max. Negotiated Rate	$42.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$38.75
Rate for Payer: Qualcare PPO/HMO/WC	$26.42

SCREW CTR-DRV 2.7x20mm

Facility

$176.15

Hospital Charge Code	270610985
Hospital Revenue Code	278
Min. Negotiated Rate	$4.25
Max. Negotiated Rate	$88.08
Rate for Payer: Aetna Commercial	$66.94
Rate for Payer: Aetna Medicare Advantage	$52.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.92
Rate for Payer: Cigna Commercial	$88.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$38.75
Rate for Payer: Qualcare PPO/HMO/WC	$26.42
Rate for Payer: UnitedHealthcare Community & State	$4.25
Rate for Payer: Wellpoint Medicaid Managed Care	$4.67

SCREW CTR-DRV 2.7x22mm

Facility

$183.25

Hospital Charge Code	270610986
Hospital Revenue Code	278
Min. Negotiated Rate	$27.49
Max. Negotiated Rate	$44.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$40.31
Rate for Payer: Qualcare PPO/HMO/WC	$27.49

SCREW CTR-DRV 2.7x22mm

Facility

$183.25

Hospital Charge Code	270610986
Hospital Revenue Code	278
Min. Negotiated Rate	$4.42
Max. Negotiated Rate	$91.62
Rate for Payer: Aetna Commercial	$69.64
Rate for Payer: Aetna Medicare Advantage	$54.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.73
Rate for Payer: Cigna Commercial	$91.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$40.31
Rate for Payer: Qualcare PPO/HMO/WC	$27.49
Rate for Payer: UnitedHealthcare Community & State	$4.42
Rate for Payer: Wellpoint Medicaid Managed Care	$4.86

SCREW CTR-DRV 2.7x24mm

Facility

$188.85

Hospital Charge Code	270610987
Hospital Revenue Code	278
Min. Negotiated Rate	$28.33
Max. Negotiated Rate	$45.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$41.55
Rate for Payer: Qualcare PPO/HMO/WC	$28.33

SCREW CTR-DRV 2.7x24mm

Facility

$188.85

Hospital Charge Code	270610987
Hospital Revenue Code	278
Min. Negotiated Rate	$4.55
Max. Negotiated Rate	$94.42
Rate for Payer: Aetna Commercial	$71.76
Rate for Payer: Aetna Medicare Advantage	$56.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.16
Rate for Payer: Cigna Commercial	$94.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$41.55
Rate for Payer: Qualcare PPO/HMO/WC	$28.33
Rate for Payer: UnitedHealthcare Community & State	$4.55
Rate for Payer: Wellpoint Medicaid Managed Care	$5.00

SCREW CTR-DRV 2.7x26mm

Facility

$198.45

Hospital Charge Code	270610988
Hospital Revenue Code	278
Min. Negotiated Rate	$29.77
Max. Negotiated Rate	$48.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$43.66
Rate for Payer: Qualcare PPO/HMO/WC	$29.77

SCREW CTR-DRV 2.7x26mm

Facility

$198.45

Hospital Charge Code	270610988
Hospital Revenue Code	278
Min. Negotiated Rate	$4.78
Max. Negotiated Rate	$99.22
Rate for Payer: Aetna Commercial	$75.41
Rate for Payer: Aetna Medicare Advantage	$59.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.60
Rate for Payer: Cigna Commercial	$99.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$43.66
Rate for Payer: Qualcare PPO/HMO/WC	$29.77
Rate for Payer: UnitedHealthcare Community & State	$4.78
Rate for Payer: Wellpoint Medicaid Managed Care	$5.26

SCREW CTR-DRV 2.7x28mm

Facility

$205.65

Hospital Charge Code	270610989
Hospital Revenue Code	278
Min. Negotiated Rate	$30.85
Max. Negotiated Rate	$49.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$41.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.77
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$45.24
Rate for Payer: Qualcare PPO/HMO/WC	$30.85

SCREW CTR-DRV 2.7x28mm

Facility

$205.65

Hospital Charge Code	270610989
Hospital Revenue Code	278
Min. Negotiated Rate	$4.96
Max. Negotiated Rate	$102.83
Rate for Payer: Aetna Commercial	$78.15
Rate for Payer: Aetna Medicare Advantage	$61.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$41.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.44
Rate for Payer: Cigna Commercial	$102.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.77
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$45.24
Rate for Payer: Qualcare PPO/HMO/WC	$30.85
Rate for Payer: UnitedHealthcare Community & State	$4.96
Rate for Payer: Wellpoint Medicaid Managed Care	$5.45

SCREW CTR-DRV 2.7x30mm

Facility

$211.25

Hospital Charge Code	270610990
Hospital Revenue Code	278
Min. Negotiated Rate	$31.69
Max. Negotiated Rate	$51.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$42.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$46.48
Rate for Payer: Qualcare PPO/HMO/WC	$31.69

SCREW CTR-DRV 2.7x30mm

Facility

$211.25

Hospital Charge Code	270610990
Hospital Revenue Code	278
Min. Negotiated Rate	$5.09
Max. Negotiated Rate	$105.62
Rate for Payer: Aetna Commercial	$80.28
Rate for Payer: Aetna Medicare Advantage	$63.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$42.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.87
Rate for Payer: Cigna Commercial	$105.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$46.48
Rate for Payer: Qualcare PPO/HMO/WC	$31.69
Rate for Payer: UnitedHealthcare Community & State	$5.09
Rate for Payer: Wellpoint Medicaid Managed Care	$5.60

SCREW CTR-DRV 2.7x6mm

Facility

$151.25

Hospital Charge Code	270610978
Hospital Revenue Code	278
Min. Negotiated Rate	$3.65
Max. Negotiated Rate	$75.62
Rate for Payer: Aetna Commercial	$57.48
Rate for Payer: Aetna Medicare Advantage	$45.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.57
Rate for Payer: Cigna Commercial	$75.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$33.27
Rate for Payer: Qualcare PPO/HMO/WC	$22.69
Rate for Payer: UnitedHealthcare Community & State	$3.65
Rate for Payer: Wellpoint Medicaid Managed Care	$4.01

SCREW CTR-DRV 2.7x6mm

Facility

$151.25

Hospital Charge Code	270610978
Hospital Revenue Code	278
Min. Negotiated Rate	$22.69
Max. Negotiated Rate	$36.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$33.27
Rate for Payer: Qualcare PPO/HMO/WC	$22.69

Know your out-of-pocket cost for care.

All Charges