Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREWDRIVER CANN HEX 2.5mm

Facility

$1,247.65

Service Code	HCPCS C1713
Hospital Charge Code	270684682
Hospital Revenue Code	278
Min. Negotiated Rate	$30.07
Max. Negotiated Rate	$623.83
Rate for Payer: Aetna Commercial	$474.11
Rate for Payer: Aetna Medicare Advantage	$374.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$249.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.15
Rate for Payer: Cigna Commercial	$623.83
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
Rate for Payer: UnitedHealthcare Community & State	$30.07
Rate for Payer: Wellpoint Medicaid Managed Care	$33.06

SCREWDRIVER CANN HEX 3.5mm

Facility

$1,511.00

Hospital Charge Code	270654612
Hospital Revenue Code	272
Min. Negotiated Rate	$226.65
Max. Negotiated Rate	$226.65
Rate for Payer: Qualcare PPO/HMO/WC	$226.65

SCREWDRIVER CANN HEX 3.5mm

Facility

$1,511.00

Hospital Charge Code	270654612
Hospital Revenue Code	272
Min. Negotiated Rate	$36.42
Max. Negotiated Rate	$755.50
Rate for Payer: Aetna Commercial	$574.18
Rate for Payer: Aetna Medicare Advantage	$453.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$385.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$385.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$385.31
Rate for Payer: Cigna Commercial	$755.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$453.30
Rate for Payer: Oxford Commercial	$302.20
Rate for Payer: Qualcare PPO/HMO/WC	$226.65
Rate for Payer: UnitedHealthcare Commercial	$302.20
Rate for Payer: UnitedHealthcare Community & State	$36.42
Rate for Payer: Wellpoint Medicaid Managed Care	$40.04

SCREWDRIVER CRUCIFORM SHAFT

Facility

$908.45

Hospital Charge Code	270652430
Hospital Revenue Code	272
Min. Negotiated Rate	$136.27
Max. Negotiated Rate	$136.27
Rate for Payer: Qualcare PPO/HMO/WC	$136.27

SCREWDRIVER CRUCIFORM SHAFT

Facility

$908.45

Hospital Charge Code	270652430
Hospital Revenue Code	272
Min. Negotiated Rate	$21.89
Max. Negotiated Rate	$454.23
Rate for Payer: Aetna Commercial	$345.21
Rate for Payer: Aetna Medicare Advantage	$272.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$231.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$231.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$231.65
Rate for Payer: Cigna Commercial	$454.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.54
Rate for Payer: Oxford Commercial	$181.69
Rate for Payer: Qualcare PPO/HMO/WC	$136.27
Rate for Payer: UnitedHealthcare Commercial	$181.69
Rate for Payer: UnitedHealthcare Community & State	$21.89
Rate for Payer: Wellpoint Medicaid Managed Care	$24.07

SCREWDRIVER HEX SM W/HOLD SLV

Facility

$1,353.00

Hospital Charge Code	270669609
Hospital Revenue Code	272
Min. Negotiated Rate	$32.61
Max. Negotiated Rate	$676.50
Rate for Payer: Aetna Commercial	$514.14
Rate for Payer: Aetna Medicare Advantage	$405.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$345.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$345.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$345.01
Rate for Payer: Cigna Commercial	$676.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$405.90
Rate for Payer: Oxford Commercial	$270.60
Rate for Payer: Qualcare PPO/HMO/WC	$202.95
Rate for Payer: UnitedHealthcare Commercial	$270.60
Rate for Payer: UnitedHealthcare Community & State	$32.61
Rate for Payer: Wellpoint Medicaid Managed Care	$35.85

SCREWDRIVER HEX SM W/HOLD SLV

Facility

$1,353.00

Hospital Charge Code	270669609
Hospital Revenue Code	272
Min. Negotiated Rate	$202.95
Max. Negotiated Rate	$202.95
Rate for Payer: Qualcare PPO/HMO/WC	$202.95

SCREWDRIVER LARGE HEXAGONAL

Facility

$1,694.35

Hospital Charge Code	270690989
Hospital Revenue Code	272
Min. Negotiated Rate	$254.15
Max. Negotiated Rate	$254.15
Rate for Payer: Qualcare PPO/HMO/WC	$254.15

SCREWDRIVER LARGE HEXAGONAL

Facility

$1,694.35

Hospital Charge Code	270690989
Hospital Revenue Code	272
Min. Negotiated Rate	$40.83
Max. Negotiated Rate	$847.17
Rate for Payer: Aetna Commercial	$643.85
Rate for Payer: Aetna Medicare Advantage	$508.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$432.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$432.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$432.06
Rate for Payer: Cigna Commercial	$847.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$508.31
Rate for Payer: Oxford Commercial	$338.87
Rate for Payer: Qualcare PPO/HMO/WC	$254.15
Rate for Payer: UnitedHealthcare Commercial	$338.87
Rate for Payer: UnitedHealthcare Community & State	$40.83
Rate for Payer: Wellpoint Medicaid Managed Care	$44.90

SCREWDRIVER LARGE HEXONGAL SHO

Facility

$440.55

Hospital Charge Code	270690990
Hospital Revenue Code	272
Min. Negotiated Rate	$66.08
Max. Negotiated Rate	$66.08
Rate for Payer: Qualcare PPO/HMO/WC	$66.08

SCREWDRIVER LARGE HEXONGAL SHO

Facility

$440.55

Hospital Charge Code	270690990
Hospital Revenue Code	272
Min. Negotiated Rate	$10.62
Max. Negotiated Rate	$220.28
Rate for Payer: Aetna Commercial	$167.41
Rate for Payer: Aetna Medicare Advantage	$132.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$112.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$112.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$112.34
Rate for Payer: Cigna Commercial	$220.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$132.16
Rate for Payer: Oxford Commercial	$88.11
Rate for Payer: Qualcare PPO/HMO/WC	$66.08
Rate for Payer: UnitedHealthcare Commercial	$88.11
Rate for Payer: UnitedHealthcare Community & State	$10.62
Rate for Payer: Wellpoint Medicaid Managed Care	$11.67

SCREWDRIVER SHAFT HEXAGONAL LG

Facility

$230.20

Hospital Charge Code	270652433
Hospital Revenue Code	272
Min. Negotiated Rate	$5.55
Max. Negotiated Rate	$115.10
Rate for Payer: Aetna Commercial	$87.48
Rate for Payer: Aetna Medicare Advantage	$69.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.70
Rate for Payer: Cigna Commercial	$115.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.06
Rate for Payer: Oxford Commercial	$46.04
Rate for Payer: Qualcare PPO/HMO/WC	$34.53
Rate for Payer: UnitedHealthcare Commercial	$46.04
Rate for Payer: UnitedHealthcare Community & State	$5.55
Rate for Payer: Wellpoint Medicaid Managed Care	$6.10

SCREWDRIVER SHAFT HEXAGONAL LG

Facility

$230.20

Hospital Charge Code	270652433
Hospital Revenue Code	272
Min. Negotiated Rate	$34.53
Max. Negotiated Rate	$34.53
Rate for Payer: Qualcare PPO/HMO/WC	$34.53

SCREW DRIVER SHAFT SD6 SLF 2MM

Facility

$3,130.00

Hospital Charge Code	270674259
Hospital Revenue Code	278
Min. Negotiated Rate	$469.50
Max. Negotiated Rate	$757.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$626.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$757.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$688.60
Rate for Payer: Qualcare PPO/HMO/WC	$469.50

SCREW DRIVER SHAFT SD6 SLF 2MM

Facility

$3,130.00

Hospital Charge Code	270674259
Hospital Revenue Code	278
Min. Negotiated Rate	$75.43
Max. Negotiated Rate	$1,565.00
Rate for Payer: Aetna Commercial	$1,189.40
Rate for Payer: Aetna Medicare Advantage	$939.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$798.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$798.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$798.15
Rate for Payer: Cigna Commercial	$1,565.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$757.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$688.60
Rate for Payer: Qualcare PPO/HMO/WC	$469.50
Rate for Payer: UnitedHealthcare Community & State	$75.43
Rate for Payer: Wellpoint Medicaid Managed Care	$82.94

SCREW DRIVER SHAFT T8 105MM

Facility

$1,224.00

Hospital Charge Code	270674258
Hospital Revenue Code	278
Min. Negotiated Rate	$183.60
Max. Negotiated Rate	$296.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$244.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$296.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$269.28
Rate for Payer: Qualcare PPO/HMO/WC	$183.60

SCREW DRIVER SHAFT T8 105MM

Facility

$1,224.00

Hospital Charge Code	270674258
Hospital Revenue Code	278
Min. Negotiated Rate	$29.50
Max. Negotiated Rate	$612.00
Rate for Payer: Aetna Commercial	$465.12
Rate for Payer: Aetna Medicare Advantage	$367.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$312.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$312.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$244.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$312.12
Rate for Payer: Cigna Commercial	$612.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$296.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$269.28
Rate for Payer: Qualcare PPO/HMO/WC	$183.60
Rate for Payer: UnitedHealthcare Community & State	$29.50
Rate for Payer: Wellpoint Medicaid Managed Care	$32.44

SCREWDRIVER SHFT CANN HEX 4MM

Facility

$1,323.00

Hospital Charge Code	270675152
Hospital Revenue Code	272
Min. Negotiated Rate	$31.88
Max. Negotiated Rate	$661.50
Rate for Payer: Aetna Commercial	$502.74
Rate for Payer: Aetna Medicare Advantage	$396.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$337.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$337.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$337.37
Rate for Payer: Cigna Commercial	$661.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$396.90
Rate for Payer: Oxford Commercial	$264.60
Rate for Payer: Qualcare PPO/HMO/WC	$198.45
Rate for Payer: UnitedHealthcare Commercial	$264.60
Rate for Payer: UnitedHealthcare Community & State	$31.88
Rate for Payer: Wellpoint Medicaid Managed Care	$35.06

SCREWDRIVER SHFT CANN HEX 4MM

Facility

$1,323.00

Hospital Charge Code	270675152
Hospital Revenue Code	272
Min. Negotiated Rate	$198.45
Max. Negotiated Rate	$198.45
Rate for Payer: Qualcare PPO/HMO/WC	$198.45

SCREWDRIVER SMALL HEX SHAFT

Facility

$231.75

Hospital Charge Code	270614767
Hospital Revenue Code	272
Min. Negotiated Rate	$34.76
Max. Negotiated Rate	$34.76
Rate for Payer: Qualcare PPO/HMO/WC	$34.76

SCREWDRIVER SMALL HEX SHAFT

Facility

$231.75

Hospital Charge Code	270614767
Hospital Revenue Code	272
Min. Negotiated Rate	$5.59
Max. Negotiated Rate	$115.88
Rate for Payer: Aetna Commercial	$88.06
Rate for Payer: Aetna Medicare Advantage	$69.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.10
Rate for Payer: Cigna Commercial	$115.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.53
Rate for Payer: Oxford Commercial	$46.35
Rate for Payer: Qualcare PPO/HMO/WC	$34.76
Rate for Payer: UnitedHealthcare Commercial	$46.35
Rate for Payer: UnitedHealthcare Community & State	$5.59
Rate for Payer: Wellpoint Medicaid Managed Care	$6.14

SCREWDRIVER STARDRIVE 341 MM

Facility

$4,364.15

Hospital Charge Code	270691505
Hospital Revenue Code	272
Min. Negotiated Rate	$654.62
Max. Negotiated Rate	$654.62
Rate for Payer: Qualcare PPO/HMO/WC	$654.62

SCREWDRIVER STARDRIVE 341 MM

Facility

$4,364.15

Hospital Charge Code	270691505
Hospital Revenue Code	272
Min. Negotiated Rate	$105.18
Max. Negotiated Rate	$2,182.07
Rate for Payer: Aetna Commercial	$1,658.38
Rate for Payer: Aetna Medicare Advantage	$1,309.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,112.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,112.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,112.86
Rate for Payer: Cigna Commercial	$2,182.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,309.24
Rate for Payer: Oxford Commercial	$872.83
Rate for Payer: Qualcare PPO/HMO/WC	$654.62
Rate for Payer: UnitedHealthcare Commercial	$872.83
Rate for Payer: UnitedHealthcare Community & State	$105.18
Rate for Payer: Wellpoint Medicaid Managed Care	$115.65

SCREWDRIVER STRDRV 55MM

Facility

$1,164.95

Hospital Charge Code	270677660
Hospital Revenue Code	272
Min. Negotiated Rate	$174.74
Max. Negotiated Rate	$174.74
Rate for Payer: Qualcare PPO/HMO/WC	$174.74

SCREWDRIVER STRDRV 55MM

Facility

$1,164.95

Hospital Charge Code	270677660
Hospital Revenue Code	272
Min. Negotiated Rate	$28.08
Max. Negotiated Rate	$582.48
Rate for Payer: Aetna Commercial	$442.68
Rate for Payer: Aetna Medicare Advantage	$349.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$297.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$297.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$297.06
Rate for Payer: Cigna Commercial	$582.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$349.49
Rate for Payer: Oxford Commercial	$232.99
Rate for Payer: Qualcare PPO/HMO/WC	$174.74
Rate for Payer: UnitedHealthcare Commercial	$232.99
Rate for Payer: UnitedHealthcare Community & State	$28.08
Rate for Payer: Wellpoint Medicaid Managed Care	$30.87

Know your out-of-pocket cost for care.

All Charges