Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW DPY CANN 46 20MM 1422546

Facility

$936.85

Hospital Charge Code	270612493
Hospital Revenue Code	278
Min. Negotiated Rate	$22.58
Max. Negotiated Rate	$468.43
Rate for Payer: Aetna Commercial	$356.00
Rate for Payer: Aetna Medicare Advantage	$281.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$238.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$238.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$187.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$238.90
Rate for Payer: Cigna Commercial	$468.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$226.72
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$206.11
Rate for Payer: Qualcare PPO/HMO/WC	$140.53
Rate for Payer: UnitedHealthcare Community & State	$22.58
Rate for Payer: Wellpoint Medicaid Managed Care	$24.83

SCREW DPY CANN 46 20MM 1422546

Facility

$936.85

Hospital Charge Code	270612493
Hospital Revenue Code	278
Min. Negotiated Rate	$140.53
Max. Negotiated Rate	$226.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$187.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$226.72
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$206.11
Rate for Payer: Qualcare PPO/HMO/WC	$140.53

SCREW DPY CANN 48 20MM 1422548

Facility

$936.85

Hospital Charge Code	270612494
Hospital Revenue Code	278
Min. Negotiated Rate	$140.53
Max. Negotiated Rate	$226.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$187.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$226.72
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$206.11
Rate for Payer: Qualcare PPO/HMO/WC	$140.53

SCREW DPY CANN 48 20MM 1422548

Facility

$936.85

Hospital Charge Code	270612494
Hospital Revenue Code	278
Min. Negotiated Rate	$22.58
Max. Negotiated Rate	$468.43
Rate for Payer: Aetna Commercial	$356.00
Rate for Payer: Aetna Medicare Advantage	$281.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$238.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$238.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$187.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$238.90
Rate for Payer: Cigna Commercial	$468.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$226.72
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$206.11
Rate for Payer: Qualcare PPO/HMO/WC	$140.53
Rate for Payer: UnitedHealthcare Community & State	$22.58
Rate for Payer: Wellpoint Medicaid Managed Care	$24.83

SCREW DPY CORE 4.5 28 1402228

Facility

$84.00

Hospital Charge Code	270622960
Hospital Revenue Code	278
Min. Negotiated Rate	$12.60
Max. Negotiated Rate	$20.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.33
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$18.48
Rate for Payer: Qualcare PPO/HMO/WC	$12.60

SCREW DPY CORE 4.5 28 1402228

Facility

$84.00

Hospital Charge Code	270622960
Hospital Revenue Code	278
Min. Negotiated Rate	$2.02
Max. Negotiated Rate	$42.00
Rate for Payer: Aetna Commercial	$31.92
Rate for Payer: Aetna Medicare Advantage	$25.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.42
Rate for Payer: Cigna Commercial	$42.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.33
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$18.48
Rate for Payer: Qualcare PPO/HMO/WC	$12.60
Rate for Payer: UnitedHealthcare Community & State	$2.02
Rate for Payer: Wellpoint Medicaid Managed Care	$2.23

SCREW DPY CORE 4.5 30 1402230

Facility

$84.00

Hospital Charge Code	270622959
Hospital Revenue Code	278
Min. Negotiated Rate	$12.60
Max. Negotiated Rate	$20.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.33
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$18.48
Rate for Payer: Qualcare PPO/HMO/WC	$12.60

SCREW DPY CORE 4.5 30 1402230

Facility

$84.00

Hospital Charge Code	270622959
Hospital Revenue Code	278
Min. Negotiated Rate	$2.02
Max. Negotiated Rate	$42.00
Rate for Payer: Aetna Commercial	$31.92
Rate for Payer: Aetna Medicare Advantage	$25.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.42
Rate for Payer: Cigna Commercial	$42.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.33
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$18.48
Rate for Payer: Qualcare PPO/HMO/WC	$12.60
Rate for Payer: UnitedHealthcare Community & State	$2.02
Rate for Payer: Wellpoint Medicaid Managed Care	$2.23

SCREW DPY CORE 4.5 32 1402232

Facility

$84.00

Hospital Charge Code	270622956
Hospital Revenue Code	278
Min. Negotiated Rate	$2.02
Max. Negotiated Rate	$42.00
Rate for Payer: Aetna Commercial	$31.92
Rate for Payer: Aetna Medicare Advantage	$25.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.42
Rate for Payer: Cigna Commercial	$42.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.33
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$18.48
Rate for Payer: Qualcare PPO/HMO/WC	$12.60
Rate for Payer: UnitedHealthcare Community & State	$2.02
Rate for Payer: Wellpoint Medicaid Managed Care	$2.23

SCREW DPY CORE 4.5 32 1402232

Facility

$84.00

Hospital Charge Code	270622956
Hospital Revenue Code	278
Min. Negotiated Rate	$12.60
Max. Negotiated Rate	$20.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.33
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$18.48
Rate for Payer: Qualcare PPO/HMO/WC	$12.60

SCREW DPY CORE 4.5 34 1402234

Facility

$84.00

Hospital Charge Code	270622957
Hospital Revenue Code	278
Min. Negotiated Rate	$2.02
Max. Negotiated Rate	$42.00
Rate for Payer: Aetna Commercial	$31.92
Rate for Payer: Aetna Medicare Advantage	$25.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.42
Rate for Payer: Cigna Commercial	$42.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.33
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$18.48
Rate for Payer: Qualcare PPO/HMO/WC	$12.60
Rate for Payer: UnitedHealthcare Community & State	$2.02
Rate for Payer: Wellpoint Medicaid Managed Care	$2.23

SCREW DPY CORE 4.5 34 1402234

Facility

$84.00

Hospital Charge Code	270622957
Hospital Revenue Code	278
Min. Negotiated Rate	$12.60
Max. Negotiated Rate	$20.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.33
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$18.48
Rate for Payer: Qualcare PPO/HMO/WC	$12.60

SCREW DPY CORE 4.5 38 1402238

Facility

$84.00

Hospital Charge Code	270622958
Hospital Revenue Code	278
Min. Negotiated Rate	$2.02
Max. Negotiated Rate	$42.00
Rate for Payer: Aetna Commercial	$31.92
Rate for Payer: Aetna Medicare Advantage	$25.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.42
Rate for Payer: Cigna Commercial	$42.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.33
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$18.48
Rate for Payer: Qualcare PPO/HMO/WC	$12.60
Rate for Payer: UnitedHealthcare Community & State	$2.02
Rate for Payer: Wellpoint Medicaid Managed Care	$2.23

SCREW DPY CORE 4.5 38 1402238

Facility

$84.00

Hospital Charge Code	270622958
Hospital Revenue Code	278
Min. Negotiated Rate	$12.60
Max. Negotiated Rate	$20.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.33
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$18.48
Rate for Payer: Qualcare PPO/HMO/WC	$12.60

SCREW DPY CORE 4.5 40 1402240

Facility

$84.00

Hospital Charge Code	270622961
Hospital Revenue Code	278
Min. Negotiated Rate	$2.02
Max. Negotiated Rate	$42.00
Rate for Payer: Aetna Commercial	$31.92
Rate for Payer: Aetna Medicare Advantage	$25.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.42
Rate for Payer: Cigna Commercial	$42.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.33
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$18.48
Rate for Payer: Qualcare PPO/HMO/WC	$12.60
Rate for Payer: UnitedHealthcare Community & State	$2.02
Rate for Payer: Wellpoint Medicaid Managed Care	$2.23

SCREW DPY CORE 4.5 40 1402240

Facility

$84.00

Hospital Charge Code	270622961
Hospital Revenue Code	278
Min. Negotiated Rate	$12.60
Max. Negotiated Rate	$20.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.33
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$18.48
Rate for Payer: Qualcare PPO/HMO/WC	$12.60

SCREW DPY CORT 3.5 16 1437716

Facility

$121.65

Hospital Charge Code	270622980
Hospital Revenue Code	278
Min. Negotiated Rate	$18.25
Max. Negotiated Rate	$29.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$26.76
Rate for Payer: Qualcare PPO/HMO/WC	$18.25

SCREW DPY CORT 3.5 16 1437716

Facility

$121.65

Hospital Charge Code	270622980
Hospital Revenue Code	278
Min. Negotiated Rate	$2.93
Max. Negotiated Rate	$60.83
Rate for Payer: Aetna Commercial	$46.23
Rate for Payer: Aetna Medicare Advantage	$36.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.02
Rate for Payer: Cigna Commercial	$60.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$26.76
Rate for Payer: Qualcare PPO/HMO/WC	$18.25
Rate for Payer: UnitedHealthcare Community & State	$2.93
Rate for Payer: Wellpoint Medicaid Managed Care	$3.22

SCREW DPY CORT 3.5 18 1437718

Facility

$121.65

Hospital Charge Code	270622983
Hospital Revenue Code	278
Min. Negotiated Rate	$2.93
Max. Negotiated Rate	$60.83
Rate for Payer: Aetna Commercial	$46.23
Rate for Payer: Aetna Medicare Advantage	$36.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.02
Rate for Payer: Cigna Commercial	$60.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$26.76
Rate for Payer: Qualcare PPO/HMO/WC	$18.25
Rate for Payer: UnitedHealthcare Community & State	$2.93
Rate for Payer: Wellpoint Medicaid Managed Care	$3.22

SCREW DPY CORT 3.5 18 1437718

Facility

$121.65

Hospital Charge Code	270622983
Hospital Revenue Code	278
Min. Negotiated Rate	$18.25
Max. Negotiated Rate	$29.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$26.76
Rate for Payer: Qualcare PPO/HMO/WC	$18.25

SCREW DRIVER 3.9 X 2.5 MM

Facility

$1,808.10

Hospital Charge Code	270690988
Hospital Revenue Code	272
Min. Negotiated Rate	$43.58
Max. Negotiated Rate	$904.05
Rate for Payer: Aetna Commercial	$687.08
Rate for Payer: Aetna Medicare Advantage	$542.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$461.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$461.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$461.07
Rate for Payer: Cigna Commercial	$904.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$542.43
Rate for Payer: Oxford Commercial	$361.62
Rate for Payer: Qualcare PPO/HMO/WC	$271.21
Rate for Payer: UnitedHealthcare Commercial	$361.62
Rate for Payer: UnitedHealthcare Community & State	$43.58
Rate for Payer: Wellpoint Medicaid Managed Care	$47.91

SCREW DRIVER 3.9 X 2.5 MM

Facility

$1,808.10

Hospital Charge Code	270690988
Hospital Revenue Code	272
Min. Negotiated Rate	$271.21
Max. Negotiated Rate	$271.21
Rate for Payer: Qualcare PPO/HMO/WC	$271.21

SCREWDRIVER BLADE CRUCIFRM 2MM

Facility

$3,837.00

Hospital Charge Code	270675736
Hospital Revenue Code	272
Min. Negotiated Rate	$92.47
Max. Negotiated Rate	$1,918.50
Rate for Payer: Aetna Commercial	$1,458.06
Rate for Payer: Aetna Medicare Advantage	$1,151.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$978.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$978.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$978.43
Rate for Payer: Cigna Commercial	$1,918.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,151.10
Rate for Payer: Oxford Commercial	$767.40
Rate for Payer: Qualcare PPO/HMO/WC	$575.55
Rate for Payer: UnitedHealthcare Commercial	$767.40
Rate for Payer: UnitedHealthcare Community & State	$92.47
Rate for Payer: Wellpoint Medicaid Managed Care	$101.68

SCREWDRIVER BLADE CRUCIFRM 2MM

Facility

$3,837.00

Hospital Charge Code	270675736
Hospital Revenue Code	272
Min. Negotiated Rate	$575.55
Max. Negotiated Rate	$575.55
Rate for Payer: Qualcare PPO/HMO/WC	$575.55

SCREWDRIVER CANN HEX 2.5mm

Facility

$1,247.65

Service Code	HCPCS C1713
Hospital Charge Code	270684682
Hospital Revenue Code	278
Min. Negotiated Rate	$187.15
Max. Negotiated Rate	$301.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$249.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$301.93
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$274.48
Rate for Payer: Qualcare PPO/HMO/WC	$187.15

Know your out-of-pocket cost for care.

All Charges