Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LAG FRACTURE NAIL 10.5MM

Facility

$4,050.00

Service Code	HCPCS C1713
Hospital Charge Code	270656703
Hospital Revenue Code	278
Min. Negotiated Rate	$607.50
Max. Negotiated Rate	$980.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$810.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$980.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$891.00
Rate for Payer: Qualcare PPO/HMO/WC	$607.50

SCREW LAG FRACTURE NAIL 10.5MM

Facility

$4,050.00

Service Code	HCPCS C1713
Hospital Charge Code	270656703
Hospital Revenue Code	278
Min. Negotiated Rate	$97.61
Max. Negotiated Rate	$2,025.00
Rate for Payer: Aetna Commercial	$1,539.00
Rate for Payer: Aetna Medicare Advantage	$1,215.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,032.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,032.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$810.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,032.75
Rate for Payer: Cigna Commercial	$2,025.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$980.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$891.00
Rate for Payer: Qualcare PPO/HMO/WC	$607.50
Rate for Payer: UnitedHealthcare Community & State	$97.61
Rate for Payer: Wellpoint Medicaid Managed Care	$107.33

SCREW LAG FX NAIL 10.5X105MM

Facility

$2,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270673671
Hospital Revenue Code	278
Min. Negotiated Rate	$393.75
Max. Negotiated Rate	$635.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$525.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$635.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$577.50
Rate for Payer: Qualcare PPO/HMO/WC	$393.75

SCREW LAG FX NAIL 10.5X105MM

Facility

$2,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270673671
Hospital Revenue Code	278
Min. Negotiated Rate	$63.26
Max. Negotiated Rate	$1,312.50
Rate for Payer: Aetna Commercial	$997.50
Rate for Payer: Aetna Medicare Advantage	$787.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$669.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$669.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$669.38
Rate for Payer: Cigna Commercial	$1,312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$635.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$577.50
Rate for Payer: Qualcare PPO/HMO/WC	$393.75
Rate for Payer: UnitedHealthcare Community & State	$63.26
Rate for Payer: Wellpoint Medicaid Managed Care	$69.56

SCREW LAG GAMMA 10.5X75MM

Facility

$4,225.00

Service Code	HCPCS C1713
Hospital Charge Code	270700389
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 GAMMA 10.5X75MM

Facility

$4,225.00

Service Code	HCPCS C1713
Hospital Charge Code	270700389
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 HIP FRACT 0.5x95mm

Facility

$2,640.00

Service Code	HCPCS C1713
Hospital Charge Code	270650495
Hospital Revenue Code	278
Min. Negotiated Rate	$63.62
Max. Negotiated Rate	$1,320.00
Rate for Payer: Aetna Commercial	$1,003.20
Rate for Payer: Aetna Medicare Advantage	$792.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$673.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$673.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$528.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$673.20
Rate for Payer: Cigna Commercial	$1,320.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$638.88
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$580.80
Rate for Payer: Qualcare PPO/HMO/WC	$396.00
Rate for Payer: UnitedHealthcare Community & State	$63.62
Rate for Payer: Wellpoint Medicaid Managed Care	$69.96

SCREW LAG HIP FRACT 0.5x95mm

Facility

$2,640.00

Service Code	HCPCS C1713
Hospital Charge Code	270650495
Hospital Revenue Code	278
Min. Negotiated Rate	$396.00
Max. Negotiated Rate	$638.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$528.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$638.88
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$580.80
Rate for Payer: Qualcare PPO/HMO/WC	$396.00

SCREW LAG ONE-PIECE 11mm 105mm

Facility

$1,045.00

Hospital Charge Code	270637268
Hospital Revenue Code	278
Min. Negotiated Rate	$156.75
Max. Negotiated Rate	$252.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$209.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$252.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$229.90
Rate for Payer: Qualcare PPO/HMO/WC	$156.75

SCREW LAG ONE-PIECE 11mm 105mm

Facility

$1,045.00

Hospital Charge Code	270637268
Hospital Revenue Code	278
Min. Negotiated Rate	$25.18
Max. Negotiated Rate	$522.50
Rate for Payer: Aetna Commercial	$397.10
Rate for Payer: Aetna Medicare Advantage	$313.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$266.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$266.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$209.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$266.48
Rate for Payer: Cigna Commercial	$522.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$252.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$229.90
Rate for Payer: Qualcare PPO/HMO/WC	$156.75
Rate for Payer: UnitedHealthcare Community & State	$25.18
Rate for Payer: Wellpoint Medicaid Managed Care	$27.69

SCREW LAG ONE-PIECE 2259-01-40

Facility

$1,086.20

Hospital Charge Code	270635484
Hospital Revenue Code	278
Min. Negotiated Rate	$162.93
Max. Negotiated Rate	$262.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$217.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$262.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$238.96
Rate for Payer: Qualcare PPO/HMO/WC	$162.93

SCREW LAG ONE-PIECE 2259-01-40

Facility

$1,086.20

Hospital Charge Code	270635484
Hospital Revenue Code	278
Min. Negotiated Rate	$26.18
Max. Negotiated Rate	$543.10
Rate for Payer: Aetna Commercial	$412.76
Rate for Payer: Aetna Medicare Advantage	$325.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$276.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$276.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$217.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$276.98
Rate for Payer: Cigna Commercial	$543.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$262.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$238.96
Rate for Payer: Qualcare PPO/HMO/WC	$162.93
Rate for Payer: UnitedHealthcare Community & State	$26.18
Rate for Payer: Wellpoint Medicaid Managed Care	$28.78

SCREW LAG SHORT THRD 3.5X38MM

Facility

$2,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270698538
Hospital Revenue Code	278
Min. Negotiated Rate	$67.48
Max. Negotiated Rate	$1,400.00
Rate for Payer: Aetna Commercial	$1,064.00
Rate for Payer: Aetna Medicare Advantage	$840.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$714.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$714.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$560.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$714.00
Rate for Payer: Cigna Commercial	$1,400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$677.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$616.00
Rate for Payer: Qualcare PPO/HMO/WC	$420.00
Rate for Payer: UnitedHealthcare Community & State	$67.48
Rate for Payer: Wellpoint Medicaid Managed Care	$74.20

SCREW LAG SHORT THRD 3.5X38MM

Facility

$2,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270698538
Hospital Revenue Code	278
Min. Negotiated Rate	$420.00
Max. Negotiated Rate	$677.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$560.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$677.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$616.00
Rate for Payer: Qualcare PPO/HMO/WC	$420.00

SCREW LAG SOLD SLDG 110m 29281

Facility

$1,720.00

Service Code	HCPCS C1713
Hospital Charge Code	270641178
Hospital Revenue Code	278
Min. Negotiated Rate	$258.00
Max. Negotiated Rate	$416.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$344.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$416.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$378.40
Rate for Payer: Qualcare PPO/HMO/WC	$258.00

SCREW LAG SOLD SLDG 110m 29281

Facility

$1,720.00

Service Code	HCPCS C1713
Hospital Charge Code	270641178
Hospital Revenue Code	278
Min. Negotiated Rate	$41.45
Max. Negotiated Rate	$860.00
Rate for Payer: Aetna Commercial	$653.60
Rate for Payer: Aetna Medicare Advantage	$516.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$438.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$438.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$344.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$438.60
Rate for Payer: Cigna Commercial	$860.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$416.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$378.40
Rate for Payer: Qualcare PPO/HMO/WC	$258.00
Rate for Payer: UnitedHealthcare Community & State	$41.45
Rate for Payer: Wellpoint Medicaid Managed Care	$45.58

SCREW LAG SOLID 105MM SLIDING

Facility

$2,325.00

Service Code	HCPCS C1713
Hospital Charge Code	270647300
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 SOLID 105MM SLIDING

Facility

$2,325.00

Service Code	HCPCS C1713
Hospital Charge Code	270647300
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 SOLID 110 29281

Facility

$2,050.00

Hospital Charge Code	270638577
Hospital Revenue Code	278
Min. Negotiated Rate	$307.50
Max. Negotiated Rate	$496.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$410.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$496.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$451.00
Rate for Payer: Qualcare PPO/HMO/WC	$307.50

SCREW LAG SOLID 110 29281

Facility

$2,050.00

Hospital Charge Code	270638577
Hospital Revenue Code	278
Min. Negotiated Rate	$49.41
Max. Negotiated Rate	$1,025.00
Rate for Payer: Aetna Commercial	$779.00
Rate for Payer: Aetna Medicare Advantage	$615.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$522.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$522.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$410.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$522.75
Rate for Payer: Cigna Commercial	$1,025.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$496.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$451.00
Rate for Payer: Qualcare PPO/HMO/WC	$307.50
Rate for Payer: UnitedHealthcare Community & State	$49.41
Rate for Payer: Wellpoint Medicaid Managed Care	$54.33

SCREW LAG SOLID FIXED 100mm

Facility

$2,325.00

Service Code	HCPCS C1713
Hospital Charge Code	270639321
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 SOLID FIXED 100mm

Facility

$2,325.00

Service Code	HCPCS C1713
Hospital Charge Code	270639321
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 SOLID FIXED 120mm

Facility

$2,590.00

Hospital Charge Code	270645552
Hospital Revenue Code	278
Min. Negotiated Rate	$62.42
Max. Negotiated Rate	$1,295.00
Rate for Payer: Aetna Commercial	$984.20
Rate for Payer: Aetna Medicare Advantage	$777.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$660.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$660.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$518.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$660.45
Rate for Payer: Cigna Commercial	$1,295.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$626.78
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$569.80
Rate for Payer: Qualcare PPO/HMO/WC	$388.50
Rate for Payer: UnitedHealthcare Community & State	$62.42
Rate for Payer: Wellpoint Medicaid Managed Care	$68.64

SCREW LAG SOLID FIXED 120mm

Facility

$2,590.00

Hospital Charge Code	270645552
Hospital Revenue Code	278
Min. Negotiated Rate	$388.50
Max. Negotiated Rate	$626.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$518.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$626.78
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$569.80
Rate for Payer: Qualcare PPO/HMO/WC	$388.50

SCREW LAG SOLID FIXED 75MM

Facility

$2,725.00

Hospital Charge Code	270662052
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

Know your out-of-pocket cost for care.

All Charges