Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LEGACY MAC 5.5x50mm

Facility

$9,445.00

Service Code	HCPCS C1713
Hospital Charge Code	270685219
Hospital Revenue Code	278
Min. Negotiated Rate	$227.62
Max. Negotiated Rate	$4,722.50
Rate for Payer: Aetna Commercial	$3,589.10
Rate for Payer: Aetna Medicare Advantage	$2,833.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,408.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,408.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,889.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,408.47
Rate for Payer: Cigna Commercial	$4,722.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,285.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,077.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,416.75
Rate for Payer: UnitedHealthcare Community & State	$227.62
Rate for Payer: Wellpoint Medicaid Managed Care	$250.29

SCREW LEGACY MAC 5.5x50mm

Facility

$9,445.00

Service Code	HCPCS C1713
Hospital Charge Code	270685219
Hospital Revenue Code	278
Min. Negotiated Rate	$1,416.75
Max. Negotiated Rate	$2,285.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,889.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,285.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,077.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,416.75

SCREW LEG Ti 10.5X105MM

Facility

$3,685.00

Hospital Charge Code	270647252
Hospital Revenue Code	278
Min. Negotiated Rate	$552.75
Max. Negotiated Rate	$891.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$737.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$891.77
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$810.70
Rate for Payer: Qualcare PPO/HMO/WC	$552.75

SCREW LEG Ti 10.5X105MM

Facility

$3,685.00

Hospital Charge Code	270647252
Hospital Revenue Code	278
Min. Negotiated Rate	$88.81
Max. Negotiated Rate	$1,842.50
Rate for Payer: Aetna Commercial	$1,400.30
Rate for Payer: Aetna Medicare Advantage	$1,105.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$939.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$939.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$737.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$939.67
Rate for Payer: Cigna Commercial	$1,842.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$891.77
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$810.70
Rate for Payer: Qualcare PPO/HMO/WC	$552.75
Rate for Payer: UnitedHealthcare Community & State	$88.81
Rate for Payer: Wellpoint Medicaid Managed Care	$97.65

SCREW LEV 1MAX 1.5 X 4 MM

Facility

$275.00

Service Code	HCPCS C1713
Hospital Charge Code	270704119
Hospital Revenue Code	278
Min. Negotiated Rate	$6.63
Max. Negotiated Rate	$137.50
Rate for Payer: Aetna Commercial	$104.50
Rate for Payer: Aetna Medicare Advantage	$82.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.12
Rate for Payer: Cigna Commercial	$137.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$60.50
Rate for Payer: Qualcare PPO/HMO/WC	$41.25
Rate for Payer: UnitedHealthcare Community & State	$6.63
Rate for Payer: Wellpoint Medicaid Managed Care	$7.29

SCREW LEV 1MAX 1.5 X 4 MM

Facility

$275.00

Service Code	HCPCS C1713
Hospital Charge Code	270704119
Hospital Revenue Code	278
Min. Negotiated Rate	$41.25
Max. Negotiated Rate	$66.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$60.50
Rate for Payer: Qualcare PPO/HMO/WC	$41.25

SCREW LG BORE ACL 10x25MM

Facility

$716.25

Hospital Charge Code	270676799
Hospital Revenue Code	278
Min. Negotiated Rate	$107.44
Max. Negotiated Rate	$173.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$143.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.33
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$157.57
Rate for Payer: Qualcare PPO/HMO/WC	$107.44

SCREW LG BORE ACL 10x25MM

Facility

$716.25

Hospital Charge Code	270676799
Hospital Revenue Code	278
Min. Negotiated Rate	$17.26
Max. Negotiated Rate	$358.12
Rate for Payer: Aetna Commercial	$272.18
Rate for Payer: Aetna Medicare Advantage	$214.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$182.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$182.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$143.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$182.64
Rate for Payer: Cigna Commercial	$358.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.33
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$157.57
Rate for Payer: Qualcare PPO/HMO/WC	$107.44
Rate for Payer: UnitedHealthcare Community & State	$17.26
Rate for Payer: Wellpoint Medicaid Managed Care	$18.98

SCREW LG LCK 15.8Dx55 11811520

Facility

$946.90

Hospital Charge Code	270639204
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 LG LCK 15.8Dx55 11811520

Facility

$946.90

Hospital Charge Code	270639204
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 LG THD HD CAN 4X42MM

Facility

$1,086.25

Service Code	HCPCS C1713
Hospital Charge Code	270701515
Hospital Revenue Code	278
Min. Negotiated Rate	$26.18
Max. Negotiated Rate	$543.12
Rate for Payer: Aetna Commercial	$412.77
Rate for Payer: Aetna Medicare Advantage	$325.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$276.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$276.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$217.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$276.99
Rate for Payer: Cigna Commercial	$543.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$262.87
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$238.97
Rate for Payer: Qualcare PPO/HMO/WC	$162.94
Rate for Payer: UnitedHealthcare Community & State	$26.18
Rate for Payer: Wellpoint Medicaid Managed Care	$28.79

SCREW LG THD HD CAN 4X42MM

Facility

$1,086.25

Service Code	HCPCS C1713
Hospital Charge Code	270701515
Hospital Revenue Code	278
Min. Negotiated Rate	$162.94
Max. Negotiated Rate	$262.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$217.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$262.87
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$238.97
Rate for Payer: Qualcare PPO/HMO/WC	$162.94

SCREW LINESIDER 6.5 X 4.5 MM

Facility

$10,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270694036
Hospital Revenue Code	278
Min. Negotiated Rate	$259.07
Max. Negotiated Rate	$5,375.00
Rate for Payer: Aetna Commercial	$4,085.00
Rate for Payer: Aetna Medicare Advantage	$3,225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,741.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,741.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,741.25
Rate for Payer: Cigna Commercial	$5,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,601.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,365.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,612.50
Rate for Payer: UnitedHealthcare Community & State	$259.07
Rate for Payer: Wellpoint Medicaid Managed Care	$284.88

SCREW LINESIDER 6.5 X 4.5 MM

Facility

$10,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270694036
Hospital Revenue Code	278
Min. Negotiated Rate	$1,612.50
Max. Negotiated Rate	$2,601.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,601.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,365.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,612.50

SCREW LINESIDER 7.5 X 40 MM

Facility

$10,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270694037
Hospital Revenue Code	278
Min. Negotiated Rate	$259.07
Max. Negotiated Rate	$5,375.00
Rate for Payer: Aetna Commercial	$4,085.00
Rate for Payer: Aetna Medicare Advantage	$3,225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,741.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,741.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,741.25
Rate for Payer: Cigna Commercial	$5,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,601.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,365.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,612.50
Rate for Payer: UnitedHealthcare Community & State	$259.07
Rate for Payer: Wellpoint Medicaid Managed Care	$284.88

SCREW LINESIDER 7.5 X 40 MM

Facility

$10,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270694037
Hospital Revenue Code	278
Min. Negotiated Rate	$1,612.50
Max. Negotiated Rate	$2,601.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,601.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,365.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,612.50

SCREW LINESIDER 7.5 X 45 MM

Facility

$10,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270694029
Hospital Revenue Code	278
Min. Negotiated Rate	$1,612.50
Max. Negotiated Rate	$2,601.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,601.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,365.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,612.50

SCREW LINESIDER 7.5 X 45 MM

Facility

$10,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270694029
Hospital Revenue Code	278
Min. Negotiated Rate	$259.07
Max. Negotiated Rate	$5,375.00
Rate for Payer: Aetna Commercial	$4,085.00
Rate for Payer: Aetna Medicare Advantage	$3,225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,741.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,741.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,741.25
Rate for Payer: Cigna Commercial	$5,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,601.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,365.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,612.50
Rate for Payer: UnitedHealthcare Community & State	$259.07
Rate for Payer: Wellpoint Medicaid Managed Care	$284.88

SCREW LINEUM 3.5 X 12MM

Facility

$11,735.00

Service Code	HCPCS C1713
Hospital Charge Code	270693059
Hospital Revenue Code	278
Min. Negotiated Rate	$1,760.25
Max. Negotiated Rate	$2,839.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,347.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,839.87
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,581.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,760.25

SCREW LINEUM 3.5 X 12MM

Facility

$11,735.00

Service Code	HCPCS C1713
Hospital Charge Code	270693059
Hospital Revenue Code	278
Min. Negotiated Rate	$282.81
Max. Negotiated Rate	$5,867.50
Rate for Payer: Aetna Commercial	$4,459.30
Rate for Payer: Aetna Medicare Advantage	$3,520.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,992.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,992.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,347.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,992.43
Rate for Payer: Cigna Commercial	$5,867.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,839.87
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,581.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,760.25
Rate for Payer: UnitedHealthcare Community & State	$282.81
Rate for Payer: Wellpoint Medicaid Managed Care	$310.98

SCREW LISFRANC 3.7 X40MM CHARL

Facility

$11,310.00

Service Code	HCPCS C1718
Hospital Charge Code	270701065
Hospital Revenue Code	278
Min. Negotiated Rate	$1,696.50
Max. Negotiated Rate	$2,737.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,262.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,737.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,488.20
Rate for Payer: Qualcare PPO/HMO/WC	$1,696.50

SCREW LISFRANC 3.7 X40MM CHARL

Facility

$11,310.00

Service Code	HCPCS C1718
Hospital Charge Code	270701065
Hospital Revenue Code	278
Min. Negotiated Rate	$272.57
Max. Negotiated Rate	$5,655.00
Rate for Payer: Aetna Commercial	$4,297.80
Rate for Payer: Aetna Medicare Advantage	$3,393.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,884.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,884.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,262.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,884.05
Rate for Payer: Cigna Commercial	$5,655.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,737.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,488.20
Rate for Payer: Qualcare PPO/HMO/WC	$1,696.50
Rate for Payer: UnitedHealthcare Community & State	$272.57
Rate for Payer: Wellpoint Medicaid Managed Care	$299.71

SCREW LISFRANC 3.7 X 42 MM

Facility

$11,310.00

Service Code	HCPCS C1718
Hospital Charge Code	270701066
Hospital Revenue Code	278
Min. Negotiated Rate	$1,696.50
Max. Negotiated Rate	$2,737.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,262.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,737.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,488.20
Rate for Payer: Qualcare PPO/HMO/WC	$1,696.50

SCREW LISFRANC 3.7 X 42 MM

Facility

$11,310.00

Service Code	HCPCS C1718
Hospital Charge Code	270701066
Hospital Revenue Code	278
Min. Negotiated Rate	$272.57
Max. Negotiated Rate	$5,655.00
Rate for Payer: Aetna Commercial	$4,297.80
Rate for Payer: Aetna Medicare Advantage	$3,393.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,884.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,884.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,262.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,884.05
Rate for Payer: Cigna Commercial	$5,655.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,737.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,488.20
Rate for Payer: Qualcare PPO/HMO/WC	$1,696.50
Rate for Payer: UnitedHealthcare Community & State	$272.57
Rate for Payer: Wellpoint Medicaid Managed Care	$299.71

SCREW LKG 5.0 TI ST 3MM 36MM

Facility

$1,047.35

Service Code	HCPCS C1713
Hospital Charge Code	270696898
Hospital Revenue Code	278
Min. Negotiated Rate	$157.10
Max. Negotiated Rate	$253.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$209.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$253.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$230.42
Rate for Payer: Qualcare PPO/HMO/WC	$157.10

Know your out-of-pocket cost for care.

All Charges