Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LAG 1181-10-27

Facility

$946.90

Hospital Charge Code	270638802
Hospital Revenue Code	278
Min. Negotiated Rate	$142.03
Max. Negotiated Rate	$229.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$189.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$208.32
Rate for Payer: Qualcare PPO/HMO/WC	$142.03

SCREW LAG 1181-10-27

Facility

$946.90

Hospital Charge Code	270638802
Hospital Revenue Code	278
Min. Negotiated Rate	$22.82
Max. Negotiated Rate	$473.45
Rate for Payer: Aetna Commercial	$359.82
Rate for Payer: Aetna Medicare Advantage	$284.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$241.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$241.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$189.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$241.46
Rate for Payer: Cigna Commercial	$473.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$208.32
Rate for Payer: Qualcare PPO/HMO/WC	$142.03
Rate for Payer: UnitedHealthcare Community & State	$22.82
Rate for Payer: Wellpoint Medicaid Managed Care	$25.09

SCREW LAG 120mm DC29263

Facility

$1,825.00

Hospital Charge Code	270642453
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 LAG 120mm DC29263

Facility

$1,825.00

Hospital Charge Code	270642453
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 LAG 12.7dX125 118101055

Facility

$846.45

Hospital Charge Code	270632669
Hospital Revenue Code	278
Min. Negotiated Rate	$126.97
Max. Negotiated Rate	$204.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$169.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$204.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$186.22
Rate for Payer: Qualcare PPO/HMO/WC	$126.97

SCREW LAG 12.7dX125 118101055

Facility

$846.45

Hospital Charge Code	270632669
Hospital Revenue Code	278
Min. Negotiated Rate	$20.40
Max. Negotiated Rate	$423.23
Rate for Payer: Aetna Commercial	$321.65
Rate for Payer: Aetna Medicare Advantage	$253.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$215.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$215.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$169.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$215.84
Rate for Payer: Cigna Commercial	$423.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$204.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$186.22
Rate for Payer: Qualcare PPO/HMO/WC	$126.97
Rate for Payer: UnitedHealthcare Community & State	$20.40
Rate for Payer: Wellpoint Medicaid Managed Care	$22.43

SCREW LAG 12.7dX55 118101020

Facility

$843.25

Hospital Charge Code	270632667
Hospital Revenue Code	278
Min. Negotiated Rate	$20.32
Max. Negotiated Rate	$421.62
Rate for Payer: Aetna Commercial	$320.44
Rate for Payer: Aetna Medicare Advantage	$252.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$215.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$215.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$168.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$215.03
Rate for Payer: Cigna Commercial	$421.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$204.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$185.51
Rate for Payer: Qualcare PPO/HMO/WC	$126.49
Rate for Payer: UnitedHealthcare Community & State	$20.32
Rate for Payer: Wellpoint Medicaid Managed Care	$22.35

SCREW LAG 12.7dX55 118101020

Facility

$843.25

Hospital Charge Code	270632667
Hospital Revenue Code	278
Min. Negotiated Rate	$126.49
Max. Negotiated Rate	$204.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$168.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$204.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$185.51
Rate for Payer: Qualcare PPO/HMO/WC	$126.49

SCREW LAG 12.7dX60 118101022

Facility

$843.25

Hospital Charge Code	270632668
Hospital Revenue Code	278
Min. Negotiated Rate	$126.49
Max. Negotiated Rate	$204.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$168.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$204.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$185.51
Rate for Payer: Qualcare PPO/HMO/WC	$126.49

SCREW LAG 12.7dX60 118101022

Facility

$843.25

Hospital Charge Code	270632668
Hospital Revenue Code	278
Min. Negotiated Rate	$20.32
Max. Negotiated Rate	$421.62
Rate for Payer: Aetna Commercial	$320.44
Rate for Payer: Aetna Medicare Advantage	$252.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$215.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$215.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$168.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$215.03
Rate for Payer: Cigna Commercial	$421.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$204.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$185.51
Rate for Payer: Qualcare PPO/HMO/WC	$126.49
Rate for Payer: UnitedHealthcare Community & State	$20.32
Rate for Payer: Wellpoint Medicaid Managed Care	$22.35

SCREW LAG 12.7x95mm DHS/DCS ST

Facility

$1,410.00

Hospital Charge Code	270666507
Hospital Revenue Code	278
Min. Negotiated Rate	$33.98
Max. Negotiated Rate	$705.00
Rate for Payer: Aetna Commercial	$535.80
Rate for Payer: Aetna Medicare Advantage	$423.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$359.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$359.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$282.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$359.55
Rate for Payer: Cigna Commercial	$705.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$341.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$310.20
Rate for Payer: Qualcare PPO/HMO/WC	$211.50
Rate for Payer: UnitedHealthcare Community & State	$33.98
Rate for Payer: Wellpoint Medicaid Managed Care	$37.37

SCREW LAG 12.7x95mm DHS/DCS ST

Facility

$1,410.00

Hospital Charge Code	270666507
Hospital Revenue Code	278
Min. Negotiated Rate	$211.50
Max. Negotiated Rate	$341.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$282.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$341.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$310.20
Rate for Payer: Qualcare PPO/HMO/WC	$211.50

SCREW LAG 1PC 11x90 22590141

Facility

$5,346.95

Hospital Charge Code	270634157
Hospital Revenue Code	278
Min. Negotiated Rate	$802.04
Max. Negotiated Rate	$1,293.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,069.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,293.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,176.33
Rate for Payer: Qualcare PPO/HMO/WC	$802.04

SCREW LAG 1PC 11x90 22590141

Facility

$5,346.95

Hospital Charge Code	270634157
Hospital Revenue Code	278
Min. Negotiated Rate	$128.86
Max. Negotiated Rate	$2,673.47
Rate for Payer: Aetna Commercial	$2,031.84
Rate for Payer: Aetna Medicare Advantage	$1,604.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,363.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,363.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,069.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,363.47
Rate for Payer: Cigna Commercial	$2,673.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,293.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,176.33
Rate for Payer: Qualcare PPO/HMO/WC	$802.04
Rate for Payer: UnitedHealthcare Community & State	$128.86
Rate for Payer: Wellpoint Medicaid Managed Care	$141.69

SCREW LAG 1PCE 11x110 22590147

Facility

$996.25

Hospital Charge Code	270632852
Hospital Revenue Code	278
Min. Negotiated Rate	$149.44
Max. Negotiated Rate	$241.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$199.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$241.09
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$219.18
Rate for Payer: Qualcare PPO/HMO/WC	$149.44

SCREW LAG 1PCE 11x110 22590147

Facility

$996.25

Hospital Charge Code	270632852
Hospital Revenue Code	278
Min. Negotiated Rate	$24.01
Max. Negotiated Rate	$498.12
Rate for Payer: Aetna Commercial	$378.57
Rate for Payer: Aetna Medicare Advantage	$298.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$254.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$254.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$199.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$254.04
Rate for Payer: Cigna Commercial	$498.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$241.09
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$219.18
Rate for Payer: Qualcare PPO/HMO/WC	$149.44
Rate for Payer: UnitedHealthcare Community & State	$24.01
Rate for Payer: Wellpoint Medicaid Managed Care	$26.40

SCREW LAG 1PCE 11x120 22590150

Facility

$967.25

Hospital Charge Code	270632312
Hospital Revenue Code	278
Min. Negotiated Rate	$145.09
Max. Negotiated Rate	$234.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$193.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$234.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$212.79
Rate for Payer: Qualcare PPO/HMO/WC	$145.09

SCREW LAG 1PCE 11x120 22590150

Facility

$967.25

Hospital Charge Code	270632312
Hospital Revenue Code	278
Min. Negotiated Rate	$23.31
Max. Negotiated Rate	$483.62
Rate for Payer: Aetna Commercial	$367.56
Rate for Payer: Aetna Medicare Advantage	$290.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$246.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$246.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$193.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$246.65
Rate for Payer: Cigna Commercial	$483.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$234.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$212.79
Rate for Payer: Qualcare PPO/HMO/WC	$145.09
Rate for Payer: UnitedHealthcare Community & State	$23.31
Rate for Payer: Wellpoint Medicaid Managed Care	$25.63

SCREW LAG 1PIEC 11x80 22590132

Facility

$996.25

Hospital Charge Code	270633872
Hospital Revenue Code	278
Min. Negotiated Rate	$24.01
Max. Negotiated Rate	$498.12
Rate for Payer: Aetna Commercial	$378.57
Rate for Payer: Aetna Medicare Advantage	$298.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$254.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$254.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$199.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$254.04
Rate for Payer: Cigna Commercial	$498.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$241.09
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$219.18
Rate for Payer: Qualcare PPO/HMO/WC	$149.44
Rate for Payer: UnitedHealthcare Community & State	$24.01
Rate for Payer: Wellpoint Medicaid Managed Care	$26.40

SCREW LAG 1PIEC 11x80 22590132

Facility

$996.25

Hospital Charge Code	270633872
Hospital Revenue Code	278
Min. Negotiated Rate	$149.44
Max. Negotiated Rate	$241.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$199.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$241.09
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$219.18
Rate for Payer: Qualcare PPO/HMO/WC	$149.44

SCREW LAG 4.5X30

Facility

$7,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270694523
Hospital Revenue Code	278
Min. Negotiated Rate	$180.15
Max. Negotiated Rate	$3,737.50
Rate for Payer: Aetna Commercial	$2,840.50
Rate for Payer: Aetna Medicare Advantage	$2,242.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,906.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,906.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,495.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,906.12
Rate for Payer: Cigna Commercial	$3,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,808.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,644.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,121.25
Rate for Payer: UnitedHealthcare Community & State	$180.15
Rate for Payer: Wellpoint Medicaid Managed Care	$198.09

SCREW LAG 4.5X30

Facility

$7,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270694523
Hospital Revenue Code	278
Min. Negotiated Rate	$1,121.25
Max. Negotiated Rate	$1,808.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,808.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,644.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,121.25

SCREW LAG 6.5X100MM

Facility

$1,920.00

Hospital Charge Code	270670506
Hospital Revenue Code	278
Min. Negotiated Rate	$46.27
Max. Negotiated Rate	$960.00
Rate for Payer: Aetna Commercial	$729.60
Rate for Payer: Aetna Medicare Advantage	$576.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$489.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$489.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$384.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$489.60
Rate for Payer: Cigna Commercial	$960.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$464.64
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$422.40
Rate for Payer: Qualcare PPO/HMO/WC	$288.00
Rate for Payer: UnitedHealthcare Community & State	$46.27
Rate for Payer: Wellpoint Medicaid Managed Care	$50.88

SCREW LAG 6.5X100MM

Facility

$1,920.00

Hospital Charge Code	270670506
Hospital Revenue Code	278
Min. Negotiated Rate	$288.00
Max. Negotiated Rate	$464.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$384.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$464.64
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$422.40
Rate for Payer: Qualcare PPO/HMO/WC	$288.00

SCREW LAG 70mm 200170

Facility

$1,021.85

Hospital Charge Code	270634279
Hospital Revenue Code	278
Min. Negotiated Rate	$24.63
Max. Negotiated Rate	$510.93
Rate for Payer: Aetna Commercial	$388.30
Rate for Payer: Aetna Medicare Advantage	$306.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$260.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$260.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$204.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$260.57
Rate for Payer: Cigna Commercial	$510.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.29
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$224.81
Rate for Payer: Qualcare PPO/HMO/WC	$153.28
Rate for Payer: UnitedHealthcare Community & State	$24.63
Rate for Payer: Wellpoint Medicaid Managed Care	$27.08

Know your out-of-pocket cost for care.

All Charges