Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW HFN LAG 5MM X 95MM

Facility

$2,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270687403
Hospital Revenue Code	278
Min. Negotiated Rate	$66.28
Max. Negotiated Rate	$1,375.00
Rate for Payer: Aetna Commercial	$1,045.00
Rate for Payer: Aetna Medicare Advantage	$825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$550.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$701.25
Rate for Payer: Cigna Commercial	$1,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$665.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$605.00
Rate for Payer: Qualcare PPO/HMO/WC	$412.50
Rate for Payer: UnitedHealthcare Community & State	$66.28
Rate for Payer: Wellpoint Medicaid Managed Care	$72.88

SCREW HFN LAG 5MM X 95MM

Facility

$2,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270687403
Hospital Revenue Code	278
Min. Negotiated Rate	$412.50
Max. Negotiated Rate	$665.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$665.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$605.00
Rate for Payer: Qualcare PPO/HMO/WC	$412.50

SCREW HIGH COMPR 25m HBS-HCS25

Facility

$1,527.75

Hospital Charge Code	270636601
Hospital Revenue Code	278
Min. Negotiated Rate	$229.16
Max. Negotiated Rate	$369.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$305.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$369.72
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$336.11
Rate for Payer: Qualcare PPO/HMO/WC	$229.16

SCREW HIGH COMPR 25m HBS-HCS25

Facility

$1,527.75

Hospital Charge Code	270636601
Hospital Revenue Code	278
Min. Negotiated Rate	$36.82
Max. Negotiated Rate	$763.88
Rate for Payer: Aetna Commercial	$580.54
Rate for Payer: Aetna Medicare Advantage	$458.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$389.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$389.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$305.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$389.58
Rate for Payer: Cigna Commercial	$763.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$369.72
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$336.11
Rate for Payer: Qualcare PPO/HMO/WC	$229.16
Rate for Payer: UnitedHealthcare Community & State	$36.82
Rate for Payer: Wellpoint Medicaid Managed Care	$40.49

SCREW HLCOMP 6.5

Facility

$1,483.35

Service Code	HCPCS C1713
Hospital Charge Code	270687866
Hospital Revenue Code	278
Min. Negotiated Rate	$222.50
Max. Negotiated Rate	$358.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$296.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$358.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$326.34
Rate for Payer: Qualcare PPO/HMO/WC	$222.50

SCREW HLCOMP 6.5

Facility

$1,468.35

Service Code	HCPCS C1713
Hospital Charge Code	270687865
Hospital Revenue Code	278
Min. Negotiated Rate	$35.39
Max. Negotiated Rate	$734.17
Rate for Payer: Aetna Commercial	$557.97
Rate for Payer: Aetna Medicare Advantage	$440.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$374.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$374.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$293.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$374.43
Rate for Payer: Cigna Commercial	$734.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$355.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$323.04
Rate for Payer: Qualcare PPO/HMO/WC	$220.25
Rate for Payer: UnitedHealthcare Community & State	$35.39
Rate for Payer: Wellpoint Medicaid Managed Care	$38.91

SCREW HLCOMP 6.5

Facility

$1,468.35

Service Code	HCPCS C1713
Hospital Charge Code	270687865
Hospital Revenue Code	278
Min. Negotiated Rate	$220.25
Max. Negotiated Rate	$355.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$293.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$355.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$323.04
Rate for Payer: Qualcare PPO/HMO/WC	$220.25

SCREW HLCOMP 6.5

Facility

$1,483.35

Service Code	HCPCS C1713
Hospital Charge Code	270687866
Hospital Revenue Code	278
Min. Negotiated Rate	$35.75
Max. Negotiated Rate	$741.67
Rate for Payer: Aetna Commercial	$563.67
Rate for Payer: Aetna Medicare Advantage	$445.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$378.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$378.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$296.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$378.25
Rate for Payer: Cigna Commercial	$741.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$358.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$326.34
Rate for Payer: Qualcare PPO/HMO/WC	$222.50
Rate for Payer: UnitedHealthcare Community & State	$35.75
Rate for Payer: Wellpoint Medicaid Managed Care	$39.31

SCREW HMD CANC 6.5 60 52124060

Facility

$422.45

Hospital Charge Code	270620200
Hospital Revenue Code	278
Min. Negotiated Rate	$63.37
Max. Negotiated Rate	$102.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.23
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$92.94
Rate for Payer: Qualcare PPO/HMO/WC	$63.37

SCREW HMD CANC 6.5 60 52124060

Facility

$422.45

Hospital Charge Code	270620200
Hospital Revenue Code	278
Min. Negotiated Rate	$10.18
Max. Negotiated Rate	$211.22
Rate for Payer: Aetna Commercial	$160.53
Rate for Payer: Aetna Medicare Advantage	$126.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.72
Rate for Payer: Cigna Commercial	$211.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.23
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$92.94
Rate for Payer: Qualcare PPO/HMO/WC	$63.37
Rate for Payer: UnitedHealthcare Community & State	$10.18
Rate for Payer: Wellpoint Medicaid Managed Care	$11.19

SCREW HMD CANC 6.5 65 52124065

Facility

$422.45

Hospital Charge Code	270620199
Hospital Revenue Code	278
Min. Negotiated Rate	$10.18
Max. Negotiated Rate	$211.22
Rate for Payer: Aetna Commercial	$160.53
Rate for Payer: Aetna Medicare Advantage	$126.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.72
Rate for Payer: Cigna Commercial	$211.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.23
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$92.94
Rate for Payer: Qualcare PPO/HMO/WC	$63.37
Rate for Payer: UnitedHealthcare Community & State	$10.18
Rate for Payer: Wellpoint Medicaid Managed Care	$11.19

SCREW HMD CANC 6.5 65 52124065

Facility

$422.45

Hospital Charge Code	270620199
Hospital Revenue Code	278
Min. Negotiated Rate	$63.37
Max. Negotiated Rate	$102.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.23
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$92.94
Rate for Payer: Qualcare PPO/HMO/WC	$63.37

SCREW HMD CANC 6.5 70 52124070

Facility

$530.45

Hospital Charge Code	270620195
Hospital Revenue Code	278
Min. Negotiated Rate	$79.57
Max. Negotiated Rate	$128.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.37
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$116.70
Rate for Payer: Qualcare PPO/HMO/WC	$79.57

SCREW HMD CANC 6.5 70 52124070

Facility

$530.45

Hospital Charge Code	270620195
Hospital Revenue Code	278
Min. Negotiated Rate	$12.78
Max. Negotiated Rate	$265.23
Rate for Payer: Aetna Commercial	$201.57
Rate for Payer: Aetna Medicare Advantage	$159.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$135.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$135.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$135.26
Rate for Payer: Cigna Commercial	$265.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.37
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$116.70
Rate for Payer: Qualcare PPO/HMO/WC	$79.57
Rate for Payer: UnitedHealthcare Community & State	$12.78
Rate for Payer: Wellpoint Medicaid Managed Care	$14.06

SCREW HMD CANC 6.5 75 52124075

Facility

$530.45

Hospital Charge Code	270620197
Hospital Revenue Code	278
Min. Negotiated Rate	$12.78
Max. Negotiated Rate	$265.23
Rate for Payer: Aetna Commercial	$201.57
Rate for Payer: Aetna Medicare Advantage	$159.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$135.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$135.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$135.26
Rate for Payer: Cigna Commercial	$265.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.37
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$116.70
Rate for Payer: Qualcare PPO/HMO/WC	$79.57
Rate for Payer: UnitedHealthcare Community & State	$12.78
Rate for Payer: Wellpoint Medicaid Managed Care	$14.06

SCREW HMD CANC 6.5 75 52124075

Facility

$530.45

Hospital Charge Code	270620197
Hospital Revenue Code	278
Min. Negotiated Rate	$79.57
Max. Negotiated Rate	$128.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.37
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$116.70
Rate for Payer: Qualcare PPO/HMO/WC	$79.57

SCREW HMD CANC 6.5 80 52124080

Facility

$530.45

Hospital Charge Code	270620198
Hospital Revenue Code	278
Min. Negotiated Rate	$79.57
Max. Negotiated Rate	$128.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.37
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$116.70
Rate for Payer: Qualcare PPO/HMO/WC	$79.57

SCREW HMD CANC 6.5 80 52124080

Facility

$530.45

Hospital Charge Code	270620198
Hospital Revenue Code	278
Min. Negotiated Rate	$12.78
Max. Negotiated Rate	$265.23
Rate for Payer: Aetna Commercial	$201.57
Rate for Payer: Aetna Medicare Advantage	$159.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$135.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$135.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$135.26
Rate for Payer: Cigna Commercial	$265.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.37
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$116.70
Rate for Payer: Qualcare PPO/HMO/WC	$79.57
Rate for Payer: UnitedHealthcare Community & State	$12.78
Rate for Payer: Wellpoint Medicaid Managed Care	$14.06

SCREW HMD CAP 3370-1050

Facility

$621.65

Hospital Charge Code	270611710
Hospital Revenue Code	278
Min. Negotiated Rate	$14.98
Max. Negotiated Rate	$310.82
Rate for Payer: Aetna Commercial	$236.23
Rate for Payer: Aetna Medicare Advantage	$186.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.52
Rate for Payer: Cigna Commercial	$310.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$136.76
Rate for Payer: Qualcare PPO/HMO/WC	$93.25
Rate for Payer: UnitedHealthcare Community & State	$14.98
Rate for Payer: Wellpoint Medicaid Managed Care	$16.47

SCREW HMD CAP 3370-1050

Facility

$621.65

Hospital Charge Code	270611710
Hospital Revenue Code	278
Min. Negotiated Rate	$93.25
Max. Negotiated Rate	$150.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$136.76
Rate for Payer: Qualcare PPO/HMO/WC	$93.25

SCREW HMD CORT 5 40 5210-1040

Facility

$315.25

Hospital Charge Code	270620192
Hospital Revenue Code	278
Min. Negotiated Rate	$47.29
Max. Negotiated Rate	$76.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.29
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$69.36
Rate for Payer: Qualcare PPO/HMO/WC	$47.29

SCREW HMD CORT 5 40 5210-1040

Facility

$315.25

Hospital Charge Code	270620192
Hospital Revenue Code	278
Min. Negotiated Rate	$7.60
Max. Negotiated Rate	$157.62
Rate for Payer: Aetna Commercial	$119.80
Rate for Payer: Aetna Medicare Advantage	$94.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80.39
Rate for Payer: Cigna Commercial	$157.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.29
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$69.36
Rate for Payer: Qualcare PPO/HMO/WC	$47.29
Rate for Payer: UnitedHealthcare Community & State	$7.60
Rate for Payer: Wellpoint Medicaid Managed Care	$8.35

SCREW HMD CORT 5 44 5210-1044

Facility

$315.25

Hospital Charge Code	270620193
Hospital Revenue Code	278
Min. Negotiated Rate	$7.60
Max. Negotiated Rate	$157.62
Rate for Payer: Aetna Commercial	$119.80
Rate for Payer: Aetna Medicare Advantage	$94.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80.39
Rate for Payer: Cigna Commercial	$157.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.29
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$69.36
Rate for Payer: Qualcare PPO/HMO/WC	$47.29
Rate for Payer: UnitedHealthcare Community & State	$7.60
Rate for Payer: Wellpoint Medicaid Managed Care	$8.35

SCREW HMD CORT 5 44 5210-1044

Facility

$315.25

Hospital Charge Code	270620193
Hospital Revenue Code	278
Min. Negotiated Rate	$47.29
Max. Negotiated Rate	$76.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.29
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$69.36
Rate for Payer: Qualcare PPO/HMO/WC	$47.29

SCREW HMD CORT 5 50 5210-1050

Facility

$315.25

Hospital Charge Code	270620194
Hospital Revenue Code	278
Min. Negotiated Rate	$47.29
Max. Negotiated Rate	$76.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.29
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$69.36
Rate for Payer: Qualcare PPO/HMO/WC	$47.29

Know your out-of-pocket cost for care.

All Charges