Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

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	$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 DIAMOND 4.3x12MM

Facility

$2,045.00

Hospital Charge Code	270657727
Hospital Revenue Code	278
Min. Negotiated Rate	$306.75
Max. Negotiated Rate	$494.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$409.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$494.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$449.90
Rate for Payer: Qualcare PPO/HMO/WC	$306.75

SCREW FIXED DIAMOND 4.3x12MM

Facility

$2,045.00

Hospital Charge Code	270657727
Hospital Revenue Code	278
Min. Negotiated Rate	$49.28
Max. Negotiated Rate	$1,022.50
Rate for Payer: Aetna Commercial	$777.10
Rate for Payer: Aetna Medicare Advantage	$613.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$521.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$521.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$409.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$521.48
Rate for Payer: Cigna Commercial	$1,022.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$494.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$449.90
Rate for Payer: Qualcare PPO/HMO/WC	$306.75
Rate for Payer: UnitedHealthcare Community & State	$49.28
Rate for Payer: Wellpoint Medicaid Managed Care	$54.19

SCREW FIXED LAG 100mm DC29259

Facility

$2,325.00

Hospital Charge Code	635452
Hospital Revenue Code	272
Min. Negotiated Rate	$348.75
Max. Negotiated Rate	$348.75
Rate for Payer: Qualcare PPO/HMO/WC	$348.75

SCREW FIXED LAG 100mm DC29259

Facility

$1,860.00

Hospital Charge Code	270635452
Hospital Revenue Code	278
Min. Negotiated Rate	$44.83
Max. Negotiated Rate	$930.00
Rate for Payer: Aetna Commercial	$706.80
Rate for Payer: Aetna Medicare Advantage	$558.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$474.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$474.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$372.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$474.30
Rate for Payer: Cigna Commercial	$930.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$450.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$409.20
Rate for Payer: Qualcare PPO/HMO/WC	$279.00
Rate for Payer: UnitedHealthcare Community & State	$44.83
Rate for Payer: Wellpoint Medicaid Managed Care	$49.29

SCREW FIXED LAG 100mm DC29259

Facility

$1,860.00

Hospital Charge Code	270635452
Hospital Revenue Code	278
Min. Negotiated Rate	$279.00
Max. Negotiated Rate	$450.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$372.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$450.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$409.20
Rate for Payer: Qualcare PPO/HMO/WC	$279.00

SCREW FIXED LAG 100mm DC29259

Facility

$2,325.00

Hospital Charge Code	635452
Hospital Revenue Code	272
Min. Negotiated Rate	$56.03
Max. Negotiated Rate	$1,162.50
Rate for Payer: Aetna Commercial	$883.50
Rate for Payer: Aetna Medicare Advantage	$697.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$592.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$592.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$592.88
Rate for Payer: Cigna Commercial	$1,162.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$697.50
Rate for Payer: Oxford Commercial	$465.00
Rate for Payer: Qualcare PPO/HMO/WC	$348.75
Rate for Payer: UnitedHealthcare Commercial	$465.00
Rate for Payer: UnitedHealthcare Community & State	$56.03
Rate for Payer: Wellpoint Medicaid Managed Care	$61.61

SCREW FIXED LAG 105m

Facility

$2,906.25

Hospital Charge Code	270637151
Hospital Revenue Code	278
Min. Negotiated Rate	$70.04
Max. Negotiated Rate	$1,453.12
Rate for Payer: Aetna Commercial	$1,104.38
Rate for Payer: Aetna Medicare Advantage	$871.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$741.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$741.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$581.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$741.09
Rate for Payer: Cigna Commercial	$1,453.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$703.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$639.38
Rate for Payer: Qualcare PPO/HMO/WC	$435.94
Rate for Payer: UnitedHealthcare Community & State	$70.04
Rate for Payer: Wellpoint Medicaid Managed Care	$77.02

SCREW FIXED LAG 105m

Facility

$2,906.25

Hospital Charge Code	270637151
Hospital Revenue Code	278
Min. Negotiated Rate	$435.94
Max. Negotiated Rate	$703.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$581.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$703.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$639.38
Rate for Payer: Qualcare PPO/HMO/WC	$435.94

SCREW FIXED LAG 110 DC29261

Facility

$2,725.00

Hospital Charge Code	270637524
Hospital Revenue Code	278
Min. Negotiated Rate	$408.75
Max. Negotiated Rate	$659.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$545.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$659.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$599.50
Rate for Payer: Qualcare PPO/HMO/WC	$408.75

SCREW FIXED LAG 110 DC29261

Facility

$2,725.00

Hospital Charge Code	270637524
Hospital Revenue Code	278
Min. Negotiated Rate	$65.67
Max. Negotiated Rate	$1,362.50
Rate for Payer: Aetna Commercial	$1,035.50
Rate for Payer: Aetna Medicare Advantage	$817.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$694.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$694.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$545.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$694.88
Rate for Payer: Cigna Commercial	$1,362.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$659.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$599.50
Rate for Payer: Qualcare PPO/HMO/WC	$408.75
Rate for Payer: UnitedHealthcare Community & State	$65.67
Rate for Payer: Wellpoint Medicaid Managed Care	$72.21

SCREW FIXED LAG 115mm DC29262

Facility

$1,860.00

Hospital Charge Code	270636172
Hospital Revenue Code	278
Min. Negotiated Rate	$44.83
Max. Negotiated Rate	$930.00
Rate for Payer: Aetna Commercial	$706.80
Rate for Payer: Aetna Medicare Advantage	$558.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$474.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$474.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$372.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$474.30
Rate for Payer: Cigna Commercial	$930.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$450.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$409.20
Rate for Payer: Qualcare PPO/HMO/WC	$279.00
Rate for Payer: UnitedHealthcare Community & State	$44.83
Rate for Payer: Wellpoint Medicaid Managed Care	$49.29

SCREW FIXED LAG 115mm DC29262

Facility

$1,860.00

Hospital Charge Code	270636172
Hospital Revenue Code	278
Min. Negotiated Rate	$279.00
Max. Negotiated Rate	$450.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$372.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$450.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$409.20
Rate for Payer: Qualcare PPO/HMO/WC	$279.00

SCREW FIXED LAG 85mm DC29256

Facility

$1,825.00

Hospital Charge Code	270642581
Hospital Revenue Code	278
Min. Negotiated Rate	$43.98
Max. Negotiated Rate	$912.50
Rate for Payer: Aetna Commercial	$693.50
Rate for Payer: Aetna Medicare Advantage	$547.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$465.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$465.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$365.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$465.38
Rate for Payer: Cigna Commercial	$912.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$441.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$401.50
Rate for Payer: Qualcare PPO/HMO/WC	$273.75
Rate for Payer: UnitedHealthcare Community & State	$43.98
Rate for Payer: Wellpoint Medicaid Managed Care	$48.36

SCREW FIXED LAG 85mm DC29256

Facility

$1,825.00

Hospital Charge Code	270642581
Hospital Revenue Code	278
Min. Negotiated Rate	$273.75
Max. Negotiated Rate	$441.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$365.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$441.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$401.50
Rate for Payer: Qualcare PPO/HMO/WC	$273.75

SCREW FIXED LAG 90mm DC29257

Facility

$2,400.00

Service Code	HCPCS C1713
Hospital Charge Code	270635347
Hospital Revenue Code	278
Min. Negotiated Rate	$57.84
Max. Negotiated Rate	$1,200.00
Rate for Payer: Aetna Commercial	$912.00
Rate for Payer: Aetna Medicare Advantage	$720.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$612.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$612.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$480.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$612.00
Rate for Payer: Cigna Commercial	$1,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$580.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$528.00
Rate for Payer: Qualcare PPO/HMO/WC	$360.00
Rate for Payer: UnitedHealthcare Community & State	$57.84
Rate for Payer: Wellpoint Medicaid Managed Care	$63.60

SCREW FIXED LAG 90mm DC29257

Facility

$2,400.00

Service Code	HCPCS C1713
Hospital Charge Code	270635347
Hospital Revenue Code	278
Min. Negotiated Rate	$360.00
Max. Negotiated Rate	$580.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$480.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$580.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$528.00
Rate for Payer: Qualcare PPO/HMO/WC	$360.00

SCREW FIXED LAG 95mm DC29258

Facility

$1,860.00

Hospital Charge Code	270635555
Hospital Revenue Code	278
Min. Negotiated Rate	$279.00
Max. Negotiated Rate	$450.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$372.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$450.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$409.20
Rate for Payer: Qualcare PPO/HMO/WC	$279.00

SCREW FIXED LAG 95mm DC29258

Facility

$1,860.00

Hospital Charge Code	270635555
Hospital Revenue Code	278
Min. Negotiated Rate	$44.83
Max. Negotiated Rate	$930.00
Rate for Payer: Aetna Commercial	$706.80
Rate for Payer: Aetna Medicare Advantage	$558.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$474.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$474.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$372.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$474.30
Rate for Payer: Cigna Commercial	$930.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$450.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$409.20
Rate for Payer: Qualcare PPO/HMO/WC	$279.00
Rate for Payer: UnitedHealthcare Community & State	$44.83
Rate for Payer: Wellpoint Medicaid Managed Care	$49.29

SCREW FIXED S-D 4.0 X 16MM

Facility

$2,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270688527
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 S-D 4.0 X 16MM

Facility

$2,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270688527
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 FIXED S-D 4.0 X 16MM

Facility

$2,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270688526
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 FIXED S-D 4.0 X 16MM

Facility

$2,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270688526
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 SD 4.0X16MM

Facility

$2,100.00

Service Code	HCPCS C1713
Hospital Charge Code	270697004
Hospital Revenue Code	278
Min. Negotiated Rate	$315.00
Max. Negotiated Rate	$508.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$420.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$508.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$462.00
Rate for Payer: Qualcare PPO/HMO/WC	$315.00

SCREW FIXED SD 4.0X16MM

Facility

$2,100.00

Service Code	HCPCS C1713
Hospital Charge Code	270697004
Hospital Revenue Code	278
Min. Negotiated Rate	$50.61
Max. Negotiated Rate	$1,050.00
Rate for Payer: Aetna Commercial	$798.00
Rate for Payer: Aetna Medicare Advantage	$630.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$535.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$535.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$420.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$535.50
Rate for Payer: Cigna Commercial	$1,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$508.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$462.00
Rate for Payer: Qualcare PPO/HMO/WC	$315.00
Rate for Payer: UnitedHealthcare Community & State	$50.61
Rate for Payer: Wellpoint Medicaid Managed Care	$55.65

Know your out-of-pocket cost for care.

All Charges