Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW FEMORAL DISTAL SZ5 5MM

Facility

$3,604.00

Hospital Charge Code	270676745
Hospital Revenue Code	278
Min. Negotiated Rate	$540.60
Max. Negotiated Rate	$872.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$720.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$872.17
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$792.88
Rate for Payer: Qualcare PPO/HMO/WC	$540.60

SCREW FEMORAL DISTAL SZ5 5MM

Facility

$3,604.00

Hospital Charge Code	270676745
Hospital Revenue Code	278
Min. Negotiated Rate	$86.86
Max. Negotiated Rate	$1,802.00
Rate for Payer: Aetna Commercial	$1,369.52
Rate for Payer: Aetna Medicare Advantage	$1,081.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$919.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$919.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$720.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$919.02
Rate for Payer: Cigna Commercial	$1,802.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$872.17
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$792.88
Rate for Payer: Qualcare PPO/HMO/WC	$540.60
Rate for Payer: UnitedHealthcare Community & State	$86.86
Rate for Payer: Wellpoint Medicaid Managed Care	$95.51

SCREW FEMORAL G2

Facility

$357.00

Service Code	HCPCS C1713
Hospital Charge Code	270681216
Hospital Revenue Code	278
Min. Negotiated Rate	$53.55
Max. Negotiated Rate	$86.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$78.54
Rate for Payer: Qualcare PPO/HMO/WC	$53.55

SCREW FEMORAL G2

Facility

$357.00

Service Code	HCPCS C1713
Hospital Charge Code	270681216
Hospital Revenue Code	278
Min. Negotiated Rate	$8.60
Max. Negotiated Rate	$178.50
Rate for Payer: Aetna Commercial	$135.66
Rate for Payer: Aetna Medicare Advantage	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.03
Rate for Payer: Cigna Commercial	$178.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$78.54
Rate for Payer: Qualcare PPO/HMO/WC	$53.55
Rate for Payer: UnitedHealthcare Community & State	$8.60
Rate for Payer: Wellpoint Medicaid Managed Care	$9.46

SCREW FEMORAL LONG

Facility

$357.00

Service Code	HCPCS C1713
Hospital Charge Code	270684560
Hospital Revenue Code	278
Min. Negotiated Rate	$53.55
Max. Negotiated Rate	$86.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$78.54
Rate for Payer: Qualcare PPO/HMO/WC	$53.55

SCREW FEMORAL LONG

Facility

$357.00

Service Code	HCPCS C1713
Hospital Charge Code	270684560
Hospital Revenue Code	278
Min. Negotiated Rate	$8.60
Max. Negotiated Rate	$178.50
Rate for Payer: Aetna Commercial	$135.66
Rate for Payer: Aetna Medicare Advantage	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.03
Rate for Payer: Cigna Commercial	$178.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$78.54
Rate for Payer: Qualcare PPO/HMO/WC	$53.55
Rate for Payer: UnitedHealthcare Community & State	$8.60
Rate for Payer: Wellpoint Medicaid Managed Care	$9.46

SCREW FEMORAL POST SZ2 10MM

Facility

$3,604.30

Hospital Charge Code	270677338
Hospital Revenue Code	278
Min. Negotiated Rate	$540.64
Max. Negotiated Rate	$872.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$720.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$872.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$792.95
Rate for Payer: Qualcare PPO/HMO/WC	$540.64

SCREW FEMORAL POST SZ2 10MM

Facility

$3,604.30

Hospital Charge Code	270677338
Hospital Revenue Code	278
Min. Negotiated Rate	$86.86
Max. Negotiated Rate	$1,802.15
Rate for Payer: Aetna Commercial	$1,369.63
Rate for Payer: Aetna Medicare Advantage	$1,081.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$919.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$919.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$720.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$919.10
Rate for Payer: Cigna Commercial	$1,802.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$872.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$792.95
Rate for Payer: Qualcare PPO/HMO/WC	$540.64
Rate for Payer: UnitedHealthcare Community & State	$86.86
Rate for Payer: Wellpoint Medicaid Managed Care	$95.51

SCREW FEMORAL POST SZ3 10MM

Facility

$3,604.00

Hospital Charge Code	270677099
Hospital Revenue Code	278
Min. Negotiated Rate	$540.60
Max. Negotiated Rate	$872.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$720.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$872.17
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$792.88
Rate for Payer: Qualcare PPO/HMO/WC	$540.60

SCREW FEMORAL POST SZ3 10MM

Facility

$3,604.00

Hospital Charge Code	270677099
Hospital Revenue Code	278
Min. Negotiated Rate	$86.86
Max. Negotiated Rate	$1,802.00
Rate for Payer: Aetna Commercial	$1,369.52
Rate for Payer: Aetna Medicare Advantage	$1,081.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$919.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$919.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$720.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$919.02
Rate for Payer: Cigna Commercial	$1,802.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$872.17
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$792.88
Rate for Payer: Qualcare PPO/HMO/WC	$540.60
Rate for Payer: UnitedHealthcare Community & State	$86.86
Rate for Payer: Wellpoint Medicaid Managed Care	$95.51

SCREW FEMORAL POST SZ5 10MM

Facility

$3,604.00

Hospital Charge Code	270676758
Hospital Revenue Code	278
Min. Negotiated Rate	$86.86
Max. Negotiated Rate	$1,802.00
Rate for Payer: Aetna Commercial	$1,369.52
Rate for Payer: Aetna Medicare Advantage	$1,081.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$919.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$919.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$720.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$919.02
Rate for Payer: Cigna Commercial	$1,802.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$872.17
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$792.88
Rate for Payer: Qualcare PPO/HMO/WC	$540.60
Rate for Payer: UnitedHealthcare Community & State	$86.86
Rate for Payer: Wellpoint Medicaid Managed Care	$95.51

SCREW FEMORAL POST SZ5 10MM

Facility

$3,604.00

Hospital Charge Code	270676758
Hospital Revenue Code	278
Min. Negotiated Rate	$540.60
Max. Negotiated Rate	$872.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$720.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$872.17
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$792.88
Rate for Payer: Qualcare PPO/HMO/WC	$540.60

SCREW FEMORAL STANDARD

Facility

$357.00

Service Code	HCPCS C1713
Hospital Charge Code	270684559
Hospital Revenue Code	278
Min. Negotiated Rate	$53.55
Max. Negotiated Rate	$86.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$78.54
Rate for Payer: Qualcare PPO/HMO/WC	$53.55

SCREW FEMORAL STANDARD

Facility

$357.00

Service Code	HCPCS C1713
Hospital Charge Code	270684559
Hospital Revenue Code	278
Min. Negotiated Rate	$8.60
Max. Negotiated Rate	$178.50
Rate for Payer: Aetna Commercial	$135.66
Rate for Payer: Aetna Medicare Advantage	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.03
Rate for Payer: Cigna Commercial	$178.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$78.54
Rate for Payer: Qualcare PPO/HMO/WC	$53.55
Rate for Payer: UnitedHealthcare Community & State	$8.60
Rate for Payer: Wellpoint Medicaid Managed Care	$9.46

SCREW FEMUR

Facility

$620.00

Service Code	HCPCS C1713
Hospital Charge Code	270681644
Hospital Revenue Code	278
Min. Negotiated Rate	$93.00
Max. Negotiated Rate	$150.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$136.40
Rate for Payer: Qualcare PPO/HMO/WC	$93.00

SCREW FEMUR

Facility

$620.00

Service Code	HCPCS C1713
Hospital Charge Code	270681644
Hospital Revenue Code	278
Min. Negotiated Rate	$14.94
Max. Negotiated Rate	$310.00
Rate for Payer: Aetna Commercial	$235.60
Rate for Payer: Aetna Medicare Advantage	$186.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.10
Rate for Payer: Cigna Commercial	$310.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$136.40
Rate for Payer: Qualcare PPO/HMO/WC	$93.00
Rate for Payer: UnitedHealthcare Community & State	$14.94
Rate for Payer: Wellpoint Medicaid Managed Care	$16.43

SCREW FEMUR STERILE

Facility

$357.00

Service Code	HCPCS C1713
Hospital Charge Code	270682314
Hospital Revenue Code	278
Min. Negotiated Rate	$8.60
Max. Negotiated Rate	$178.50
Rate for Payer: Aetna Commercial	$135.66
Rate for Payer: Aetna Medicare Advantage	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.03
Rate for Payer: Cigna Commercial	$178.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$78.54
Rate for Payer: Qualcare PPO/HMO/WC	$53.55
Rate for Payer: UnitedHealthcare Community & State	$8.60
Rate for Payer: Wellpoint Medicaid Managed Care	$9.46

SCREW FEMUR STERILE

Facility

$357.00

Service Code	HCPCS C1713
Hospital Charge Code	270682314
Hospital Revenue Code	278
Min. Negotiated Rate	$53.55
Max. Negotiated Rate	$86.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$78.54
Rate for Payer: Qualcare PPO/HMO/WC	$53.55

SCREW FIX ANG SD ADM 4.0X14MM

Facility

$2,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270694449
Hospital Revenue Code	278
Min. Negotiated Rate	$54.23
Max. Negotiated Rate	$1,125.00
Rate for Payer: Aetna Commercial	$855.00
Rate for Payer: Aetna Medicare Advantage	$675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$573.75
Rate for Payer: Cigna Commercial	$1,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$544.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$495.00
Rate for Payer: Qualcare PPO/HMO/WC	$337.50
Rate for Payer: UnitedHealthcare Community & State	$54.23
Rate for Payer: Wellpoint Medicaid Managed Care	$59.62

SCREW FIX ANG SD ADM 4.0X14MM

Facility

$2,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270694449
Hospital Revenue Code	278
Min. Negotiated Rate	$337.50
Max. Negotiated Rate	$544.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$544.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$495.00
Rate for Payer: Qualcare PPO/HMO/WC	$337.50

SCREW FIXED 3.75 X 14

Facility

$2,000.00

Hospital Charge Code	270667752
Hospital Revenue Code	278
Min. Negotiated Rate	$48.20
Max. Negotiated Rate	$1,000.00
Rate for Payer: Aetna Commercial	$760.00
Rate for Payer: Aetna Medicare Advantage	$600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$510.00
Rate for Payer: Cigna Commercial	$1,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$484.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$440.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00
Rate for Payer: UnitedHealthcare Community & State	$48.20
Rate for Payer: Wellpoint Medicaid Managed Care	$53.00

SCREW FIXED 3.75 X 14

Facility

$2,000.00

Hospital Charge Code	270667752
Hospital Revenue Code	278
Min. Negotiated Rate	$300.00
Max. Negotiated Rate	$484.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$484.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$440.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00

SCREW FIXED 4.0X14MM

Facility

$1,100.00

Service Code	HCPCS C1713
Hospital Charge Code	270691987
Hospital Revenue Code	278
Min. Negotiated Rate	$26.51
Max. Negotiated Rate	$550.00
Rate for Payer: Aetna Commercial	$418.00
Rate for Payer: Aetna Medicare Advantage	$330.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$280.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$280.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$220.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$280.50
Rate for Payer: Cigna Commercial	$550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$266.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$242.00
Rate for Payer: Qualcare PPO/HMO/WC	$165.00
Rate for Payer: UnitedHealthcare Community & State	$26.51
Rate for Payer: Wellpoint Medicaid Managed Care	$29.15

SCREW FIXED 4.0X14MM

Facility

$1,100.00

Service Code	HCPCS C1713
Hospital Charge Code	270691987
Hospital Revenue Code	278
Min. Negotiated Rate	$165.00
Max. Negotiated Rate	$266.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$220.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$266.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$242.00
Rate for Payer: Qualcare PPO/HMO/WC	$165.00

SCREW FIXED 4.0 X 16MM

Facility

$2,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270688413
Hospital Revenue Code	278
Min. Negotiated Rate	$54.23
Max. Negotiated Rate	$1,125.00
Rate for Payer: Aetna Commercial	$855.00
Rate for Payer: Aetna Medicare Advantage	$675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$573.75
Rate for Payer: Cigna Commercial	$1,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$544.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$495.00
Rate for Payer: Qualcare PPO/HMO/WC	$337.50
Rate for Payer: UnitedHealthcare Community & State	$54.23
Rate for Payer: Wellpoint Medicaid Managed Care	$59.62

Know your out-of-pocket cost for care.

All Charges