Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CTR-DRV EMER 3.2x20mm

Facility

$240.00

Hospital Charge Code	270610994
Hospital Revenue Code	278
Min. Negotiated Rate	$5.78
Max. Negotiated Rate	$120.00
Rate for Payer: Aetna Commercial	$91.20
Rate for Payer: Aetna Medicare Advantage	$72.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.20
Rate for Payer: Cigna Commercial	$120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$52.80
Rate for Payer: Qualcare PPO/HMO/WC	$36.00
Rate for Payer: UnitedHealthcare Community & State	$5.78
Rate for Payer: Wellpoint Medicaid Managed Care	$6.36

SCREW CURE ACP FIX RESCUE 12MM

Facility

$1,827.00

Service Code	HCPCS C1713
Hospital Charge Code	270699247
Hospital Revenue Code	278
Min. Negotiated Rate	$274.05
Max. Negotiated Rate	$442.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$365.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$442.13
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$401.94
Rate for Payer: Qualcare PPO/HMO/WC	$274.05

SCREW CURE ACP FIX RESCUE 12MM

Facility

$1,827.00

Service Code	HCPCS C1713
Hospital Charge Code	270699247
Hospital Revenue Code	278
Min. Negotiated Rate	$44.03
Max. Negotiated Rate	$913.50
Rate for Payer: Aetna Commercial	$694.26
Rate for Payer: Aetna Medicare Advantage	$548.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$465.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$465.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$365.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$465.88
Rate for Payer: Cigna Commercial	$913.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$442.13
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$401.94
Rate for Payer: Qualcare PPO/HMO/WC	$274.05
Rate for Payer: UnitedHealthcare Community & State	$44.03
Rate for Payer: Wellpoint Medicaid Managed Care	$48.42

SCREW CURE ACP FIX RESCUE 14MM

Facility

$1,827.00

Service Code	HCPCS C1713
Hospital Charge Code	270699246
Hospital Revenue Code	278
Min. Negotiated Rate	$274.05
Max. Negotiated Rate	$442.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$365.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$442.13
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$401.94
Rate for Payer: Qualcare PPO/HMO/WC	$274.05

SCREW CURE ACP FIX RESCUE 14MM

Facility

$1,827.00

Service Code	HCPCS C1713
Hospital Charge Code	270699246
Hospital Revenue Code	278
Min. Negotiated Rate	$44.03
Max. Negotiated Rate	$913.50
Rate for Payer: Aetna Commercial	$694.26
Rate for Payer: Aetna Medicare Advantage	$548.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$465.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$465.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$365.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$465.88
Rate for Payer: Cigna Commercial	$913.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$442.13
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$401.94
Rate for Payer: Qualcare PPO/HMO/WC	$274.05
Rate for Payer: UnitedHealthcare Community & State	$44.03
Rate for Payer: Wellpoint Medicaid Managed Care	$48.42

SCREW DAKOTE ACDF SD 4.0X14MM

Facility

$6,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270696965
Hospital Revenue Code	278
Min. Negotiated Rate	$1,012.50
Max. Negotiated Rate	$1,633.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,633.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,485.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50

SCREW DAKOTE ACDF SD 4.0X14MM

Facility

$6,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270696965
Hospital Revenue Code	278
Min. Negotiated Rate	$162.68
Max. Negotiated Rate	$3,375.00
Rate for Payer: Aetna Commercial	$2,565.00
Rate for Payer: Aetna Medicare Advantage	$2,025.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,721.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,721.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,721.25
Rate for Payer: Cigna Commercial	$3,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,633.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,485.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50
Rate for Payer: UnitedHealthcare Community & State	$162.68
Rate for Payer: Wellpoint Medicaid Managed Care	$178.88

SCREW DARCO 4.5X 45

Facility

$1,160.00

Service Code	HCPCS C1713
Hospital Charge Code	270686743
Hospital Revenue Code	278
Min. Negotiated Rate	$174.00
Max. Negotiated Rate	$280.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$232.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$280.72
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$255.20
Rate for Payer: Qualcare PPO/HMO/WC	$174.00

SCREW DARCO 4.5X 45

Facility

$1,160.00

Service Code	HCPCS C1713
Hospital Charge Code	270686743
Hospital Revenue Code	278
Min. Negotiated Rate	$27.96
Max. Negotiated Rate	$580.00
Rate for Payer: Aetna Commercial	$440.80
Rate for Payer: Aetna Medicare Advantage	$348.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$295.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$295.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$232.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$295.80
Rate for Payer: Cigna Commercial	$580.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$280.72
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$255.20
Rate for Payer: Qualcare PPO/HMO/WC	$174.00
Rate for Payer: UnitedHealthcare Community & State	$27.96
Rate for Payer: Wellpoint Medicaid Managed Care	$30.74

SCREW DARCO 6.5 X 45

Facility

$1,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270656802
Hospital Revenue Code	278
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$423.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$385.00
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

SCREW DARCO 6.5 X 45

Facility

$1,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270656802
Hospital Revenue Code	278
Min. Negotiated Rate	$42.17
Max. Negotiated Rate	$875.00
Rate for Payer: Aetna Commercial	$665.00
Rate for Payer: Aetna Medicare Advantage	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.25
Rate for Payer: Cigna Commercial	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$385.00
Rate for Payer: Qualcare PPO/HMO/WC	$262.50
Rate for Payer: UnitedHealthcare Community & State	$42.17
Rate for Payer: Wellpoint Medicaid Managed Care	$46.38

SCREW DARCO 6.5 X 55

Facility

$1,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270687131
Hospital Revenue Code	278
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$423.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$385.00
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

SCREW DARCO 6.5 X 55

Facility

$1,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270687131
Hospital Revenue Code	278
Min. Negotiated Rate	$42.17
Max. Negotiated Rate	$875.00
Rate for Payer: Aetna Commercial	$665.00
Rate for Payer: Aetna Medicare Advantage	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.25
Rate for Payer: Cigna Commercial	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$385.00
Rate for Payer: Qualcare PPO/HMO/WC	$262.50
Rate for Payer: UnitedHealthcare Community & State	$42.17
Rate for Payer: Wellpoint Medicaid Managed Care	$46.38

SCREW DARCO 70 X 6.5

Facility

$1,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270687141
Hospital Revenue Code	278
Min. Negotiated Rate	$42.17
Max. Negotiated Rate	$875.00
Rate for Payer: Aetna Commercial	$665.00
Rate for Payer: Aetna Medicare Advantage	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.25
Rate for Payer: Cigna Commercial	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$385.00
Rate for Payer: Qualcare PPO/HMO/WC	$262.50
Rate for Payer: UnitedHealthcare Community & State	$42.17
Rate for Payer: Wellpoint Medicaid Managed Care	$46.38

SCREW DARCO 70 X 6.5

Facility

$1,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270687141
Hospital Revenue Code	278
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$423.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$385.00
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

SCREW DARCO HEADED 4.0x36MM

Facility

$1,300.00

Service Code	HCPCS C1713
Hospital Charge Code	270676414
Hospital Revenue Code	278
Min. Negotiated Rate	$195.00
Max. Negotiated Rate	$314.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$260.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$314.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$286.00
Rate for Payer: Qualcare PPO/HMO/WC	$195.00

SCREW DARCO HEADED 4.0x36MM

Facility

$1,300.00

Service Code	HCPCS C1713
Hospital Charge Code	270676414
Hospital Revenue Code	278
Min. Negotiated Rate	$31.33
Max. Negotiated Rate	$650.00
Rate for Payer: Aetna Commercial	$494.00
Rate for Payer: Aetna Medicare Advantage	$390.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$331.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$331.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$260.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$331.50
Rate for Payer: Cigna Commercial	$650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$314.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$286.00
Rate for Payer: Qualcare PPO/HMO/WC	$195.00
Rate for Payer: UnitedHealthcare Community & State	$31.33
Rate for Payer: Wellpoint Medicaid Managed Care	$34.45

SCREW DARTFIRE COMP 4.0MMX38MM

Facility

$1,290.00

Service Code	HCPCS C1713
Hospital Charge Code	270701092
Hospital Revenue Code	278
Min. Negotiated Rate	$193.50
Max. Negotiated Rate	$312.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$258.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$312.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$283.80
Rate for Payer: Qualcare PPO/HMO/WC	$193.50

SCREW DARTFIRE COMP 4.0MMX38MM

Facility

$1,290.00

Service Code	HCPCS C1713
Hospital Charge Code	270701092
Hospital Revenue Code	278
Min. Negotiated Rate	$31.09
Max. Negotiated Rate	$645.00
Rate for Payer: Aetna Commercial	$490.20
Rate for Payer: Aetna Medicare Advantage	$387.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$328.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$328.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$258.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$328.95
Rate for Payer: Cigna Commercial	$645.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$312.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$283.80
Rate for Payer: Qualcare PPO/HMO/WC	$193.50
Rate for Payer: UnitedHealthcare Community & State	$31.09
Rate for Payer: Wellpoint Medicaid Managed Care	$34.19

SCREW DARTFIRE COMP 4.0MMX46MM

Facility

$1,290.00

Service Code	HCPCS C1713
Hospital Charge Code	270701093
Hospital Revenue Code	278
Min. Negotiated Rate	$193.50
Max. Negotiated Rate	$312.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$258.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$312.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$283.80
Rate for Payer: Qualcare PPO/HMO/WC	$193.50

SCREW DARTFIRE COMP 4.0MMX46MM

Facility

$1,290.00

Service Code	HCPCS C1713
Hospital Charge Code	270701093
Hospital Revenue Code	278
Min. Negotiated Rate	$31.09
Max. Negotiated Rate	$645.00
Rate for Payer: Aetna Commercial	$490.20
Rate for Payer: Aetna Medicare Advantage	$387.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$328.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$328.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$258.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$328.95
Rate for Payer: Cigna Commercial	$645.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$312.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$283.80
Rate for Payer: Qualcare PPO/HMO/WC	$193.50
Rate for Payer: UnitedHealthcare Community & State	$31.09
Rate for Payer: Wellpoint Medicaid Managed Care	$34.19

SCREW DART-FIRE TI 4.0X44MM

Facility

$2,580.00

Service Code	HCPCS C1713
Hospital Charge Code	270699445
Hospital Revenue Code	278
Min. Negotiated Rate	$387.00
Max. Negotiated Rate	$624.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$516.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$624.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$567.60
Rate for Payer: Qualcare PPO/HMO/WC	$387.00

SCREW DART-FIRE TI 4.0X44MM

Facility

$2,580.00

Service Code	HCPCS C1713
Hospital Charge Code	270699445
Hospital Revenue Code	278
Min. Negotiated Rate	$62.18
Max. Negotiated Rate	$1,290.00
Rate for Payer: Aetna Commercial	$980.40
Rate for Payer: Aetna Medicare Advantage	$774.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$657.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$657.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$516.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$657.90
Rate for Payer: Cigna Commercial	$1,290.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$624.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$567.60
Rate for Payer: Qualcare PPO/HMO/WC	$387.00
Rate for Payer: UnitedHealthcare Community & State	$62.18
Rate for Payer: Wellpoint Medicaid Managed Care	$68.37

SCREW DEPTH GAUGE 1.5MM 2.0MM

Facility

$2,067.20

Service Code	HCPCS C1713
Hospital Charge Code	270655069
Hospital Revenue Code	278
Min. Negotiated Rate	$49.82
Max. Negotiated Rate	$1,033.60
Rate for Payer: Aetna Commercial	$785.54
Rate for Payer: Aetna Medicare Advantage	$620.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$527.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$527.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$413.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$527.14
Rate for Payer: Cigna Commercial	$1,033.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$500.26
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$454.78
Rate for Payer: Qualcare PPO/HMO/WC	$310.08
Rate for Payer: UnitedHealthcare Community & State	$49.82
Rate for Payer: Wellpoint Medicaid Managed Care	$54.78

SCREW DEPTH GAUGE 1.5MM 2.0MM

Facility

$2,067.20

Service Code	HCPCS C1713
Hospital Charge Code	270655069
Hospital Revenue Code	278
Min. Negotiated Rate	$310.08
Max. Negotiated Rate	$500.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$413.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$500.26
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$454.78
Rate for Payer: Qualcare PPO/HMO/WC	$310.08

Know your out-of-pocket cost for care.

All Charges