Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW KRULOCK TI 3.5X12MM

Facility

$1,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270696769
Hospital Revenue Code	278
Min. Negotiated Rate	$221.25
Max. Negotiated Rate	$356.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$295.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$324.50
Rate for Payer: Qualcare PPO/HMO/WC	$221.25

SCREW LAG

Facility

$2,325.00

Service Code	HCPCS C1713
Hospital Charge Code	270661753
Hospital Revenue Code	278
Min. Negotiated Rate	$348.75
Max. Negotiated Rate	$562.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$465.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$562.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$511.50
Rate for Payer: Qualcare PPO/HMO/WC	$348.75

SCREW LAG

Facility

$2,325.00

Service Code	HCPCS C1713
Hospital Charge Code	270661753
Hospital Revenue Code	278
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) NJ Health	$465.00
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	$562.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$511.50
Rate for Payer: Qualcare PPO/HMO/WC	$348.75
Rate for Payer: UnitedHealthcare Community & State	$56.03
Rate for Payer: Wellpoint Medicaid Managed Care	$61.61

SCREW LAG 100MM

Facility

$3,230.45

Service Code	HCPCS C1713
Hospital Charge Code	270686352
Hospital Revenue Code	278
Min. Negotiated Rate	$77.85
Max. Negotiated Rate	$1,615.22
Rate for Payer: Aetna Commercial	$1,227.57
Rate for Payer: Aetna Medicare Advantage	$969.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$823.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$823.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$646.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$823.76
Rate for Payer: Cigna Commercial	$1,615.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$781.77
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$710.70
Rate for Payer: Qualcare PPO/HMO/WC	$484.57
Rate for Payer: UnitedHealthcare Community & State	$77.85
Rate for Payer: Wellpoint Medicaid Managed Care	$85.61

SCREW LAG 100MM

Facility

$3,230.45

Service Code	HCPCS C1713
Hospital Charge Code	270686352
Hospital Revenue Code	278
Min. Negotiated Rate	$484.57
Max. Negotiated Rate	$781.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$646.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$781.77
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$710.70
Rate for Payer: Qualcare PPO/HMO/WC	$484.57

SCREW LAG 100mm 29219

Facility

$2,500.00

Hospital Charge Code	270637577
Hospital Revenue Code	278
Min. Negotiated Rate	$375.00
Max. Negotiated Rate	$605.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$605.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$550.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00

SCREW LAG 100mm 29219

Facility

$2,500.00

Hospital Charge Code	270637577
Hospital Revenue Code	278
Min. Negotiated Rate	$60.25
Max. Negotiated Rate	$1,250.00
Rate for Payer: Aetna Commercial	$950.00
Rate for Payer: Aetna Medicare Advantage	$750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$637.50
Rate for Payer: Cigna Commercial	$1,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$605.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$550.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00
Rate for Payer: UnitedHealthcare Community & State	$60.25
Rate for Payer: Wellpoint Medicaid Managed Care	$66.25

SCREW LAG 105

Facility

$2,725.00

Hospital Charge Code	270664796
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 LAG 105

Facility

$2,725.00

Hospital Charge Code	270664796
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 LAG 105mm SOLID FX 29260

Facility

$2,725.00

Service Code	HCPCS C1713
Hospital Charge Code	270640725
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 LAG 105mm SOLID FX 29260

Facility

$2,725.00

Service Code	HCPCS C1713
Hospital Charge Code	270640725
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 LAG 10.5x100MM

Facility

$4,430.00

Hospital Charge Code	270673899
Hospital Revenue Code	278
Min. Negotiated Rate	$664.50
Max. Negotiated Rate	$1,072.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$886.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,072.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$974.60
Rate for Payer: Qualcare PPO/HMO/WC	$664.50

SCREW LAG 10.5x100MM

Facility

$4,430.00

Hospital Charge Code	270673899
Hospital Revenue Code	278
Min. Negotiated Rate	$106.76
Max. Negotiated Rate	$2,215.00
Rate for Payer: Aetna Commercial	$1,683.40
Rate for Payer: Aetna Medicare Advantage	$1,329.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,129.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,129.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$886.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,129.65
Rate for Payer: Cigna Commercial	$2,215.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,072.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$974.60
Rate for Payer: Qualcare PPO/HMO/WC	$664.50
Rate for Payer: UnitedHealthcare Community & State	$106.76
Rate for Payer: Wellpoint Medicaid Managed Care	$117.39

SCREW LAG 10.5X85MM

Facility

$4,226.50

Service Code	HCPCS C1713
Hospital Charge Code	270698911
Hospital Revenue Code	278
Min. Negotiated Rate	$101.86
Max. Negotiated Rate	$2,113.25
Rate for Payer: Aetna Commercial	$1,606.07
Rate for Payer: Aetna Medicare Advantage	$1,267.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,077.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,077.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$845.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,077.76
Rate for Payer: Cigna Commercial	$2,113.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,022.81
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$929.83
Rate for Payer: Qualcare PPO/HMO/WC	$633.98
Rate for Payer: UnitedHealthcare Community & State	$101.86
Rate for Payer: Wellpoint Medicaid Managed Care	$112.00

SCREW LAG 10.5X85MM

Facility

$4,226.50

Service Code	HCPCS C1713
Hospital Charge Code	270698911
Hospital Revenue Code	278
Min. Negotiated Rate	$633.98
Max. Negotiated Rate	$1,022.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$845.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,022.81
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$929.83
Rate for Payer: Qualcare PPO/HMO/WC	$633.98

SCREW LAG 10.5X95MM

Facility

$4,225.00

Service Code	HCPCS C1713
Hospital Charge Code	270700453
Hospital Revenue Code	278
Min. Negotiated Rate	$101.82
Max. Negotiated Rate	$2,112.50
Rate for Payer: Aetna Commercial	$1,605.50
Rate for Payer: Aetna Medicare Advantage	$1,267.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,077.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,077.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$845.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,077.38
Rate for Payer: Cigna Commercial	$2,112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,022.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$929.50
Rate for Payer: Qualcare PPO/HMO/WC	$633.75
Rate for Payer: UnitedHealthcare Community & State	$101.82
Rate for Payer: Wellpoint Medicaid Managed Care	$111.96

SCREW LAG 10.5X95MM

Facility

$4,225.00

Service Code	HCPCS C1713
Hospital Charge Code	270700453
Hospital Revenue Code	278
Min. Negotiated Rate	$633.75
Max. Negotiated Rate	$1,022.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$845.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,022.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$929.50
Rate for Payer: Qualcare PPO/HMO/WC	$633.75

SCREW LAG 10X70 MM

Facility

$4,327.50

Service Code	HCPCS C1716
Hospital Charge Code	270702402
Hospital Revenue Code	278
Min. Negotiated Rate	$649.12
Max. Negotiated Rate	$1,047.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$865.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,047.26
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$952.05
Rate for Payer: Qualcare PPO/HMO/WC	$649.12

SCREW LAG 10X70 MM

Facility

$4,327.50

Service Code	HCPCS C1716
Hospital Charge Code	270702402
Hospital Revenue Code	278
Min. Negotiated Rate	$104.29
Max. Negotiated Rate	$2,155.71
Rate for Payer: Aetna Commercial	$1,624.38
Rate for Payer: Aetna Medicare Advantage	$1,934.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,155.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,155.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$597.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$865.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,155.71
Rate for Payer: Cigna Commercial	$1,197.08
Rate for Payer: Cigna Medicare Advantage	$597.20
Rate for Payer: Clover Medicare Advantage	$567.34
Rate for Payer: EmblemHealth Commercial	$1,791.60
Rate for Payer: Humana Medicare Advantage	$615.12
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$597.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,047.26
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$952.05
Rate for Payer: Qualcare PPO/HMO/WC	$649.12
Rate for Payer: UnitedHealthcare Community & State	$104.29
Rate for Payer: UnitedHealthcare Medicare Advantage	$597.20
Rate for Payer: Wellcare Medicare Advantage	$597.20
Rate for Payer: Wellpoint Medicaid Managed Care	$114.68

SCREW LAG 110mm 29261

Facility

$1,806.00

Hospital Charge Code	270640179
Hospital Revenue Code	278
Min. Negotiated Rate	$43.52
Max. Negotiated Rate	$903.00
Rate for Payer: Aetna Commercial	$686.28
Rate for Payer: Aetna Medicare Advantage	$541.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$460.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$460.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$361.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$460.53
Rate for Payer: Cigna Commercial	$903.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$437.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$397.32
Rate for Payer: Qualcare PPO/HMO/WC	$270.90
Rate for Payer: UnitedHealthcare Community & State	$43.52
Rate for Payer: Wellpoint Medicaid Managed Care	$47.86

SCREW LAG 110mm 29261

Facility

$1,806.00

Hospital Charge Code	270640179
Hospital Revenue Code	278
Min. Negotiated Rate	$270.90
Max. Negotiated Rate	$437.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$361.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$437.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$397.32
Rate for Payer: Qualcare PPO/HMO/WC	$270.90

SCREW LAG 110mm 3370-2-110

Facility

$1,041.65

Hospital Charge Code	270615321
Hospital Revenue Code	278
Min. Negotiated Rate	$156.25
Max. Negotiated Rate	$252.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$208.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$252.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$229.16
Rate for Payer: Qualcare PPO/HMO/WC	$156.25

SCREW LAG 110mm 3370-2-110

Facility

$1,041.65

Hospital Charge Code	270615321
Hospital Revenue Code	278
Min. Negotiated Rate	$25.10
Max. Negotiated Rate	$520.83
Rate for Payer: Aetna Commercial	$395.83
Rate for Payer: Aetna Medicare Advantage	$312.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$265.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$265.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$208.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$265.62
Rate for Payer: Cigna Commercial	$520.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$252.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$229.16
Rate for Payer: Qualcare PPO/HMO/WC	$156.25
Rate for Payer: UnitedHealthcare Community & State	$25.10
Rate for Payer: Wellpoint Medicaid Managed Care	$27.60

SCREW LAG 115MM

Facility

$2,500.00

Hospital Charge Code	270637603
Hospital Revenue Code	278
Min. Negotiated Rate	$60.25
Max. Negotiated Rate	$1,250.00
Rate for Payer: Aetna Commercial	$950.00
Rate for Payer: Aetna Medicare Advantage	$750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$637.50
Rate for Payer: Cigna Commercial	$1,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$605.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$550.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00
Rate for Payer: UnitedHealthcare Community & State	$60.25
Rate for Payer: Wellpoint Medicaid Managed Care	$66.25

SCREW LAG 115MM

Facility

$2,500.00

Hospital Charge Code	270637603
Hospital Revenue Code	278
Min. Negotiated Rate	$375.00
Max. Negotiated Rate	$605.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$605.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$550.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00

Know your out-of-pocket cost for care.

All Charges