Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LKG T6 2.0X6MM

Facility

$1,242.30

Service Code	HCPCS C1713
Hospital Charge Code	270700507
Hospital Revenue Code	278
Min. Negotiated Rate	$29.94
Max. Negotiated Rate	$621.15
Rate for Payer: Aetna Commercial	$472.07
Rate for Payer: Aetna Medicare Advantage	$372.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$316.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$316.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$248.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$316.79
Rate for Payer: Cigna Commercial	$621.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$300.64
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$273.31
Rate for Payer: Qualcare PPO/HMO/WC	$186.34
Rate for Payer: UnitedHealthcare Community & State	$29.94
Rate for Payer: Wellpoint Medicaid Managed Care	$32.92

SCREW LKG T6 2.0X6MM

Facility

$1,242.30

Service Code	HCPCS C1713
Hospital Charge Code	270700507
Hospital Revenue Code	278
Min. Negotiated Rate	$186.34
Max. Negotiated Rate	$300.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$248.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$300.64
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$273.31
Rate for Payer: Qualcare PPO/HMO/WC	$186.34

SCREW LKG T6 VARIAX 2X10MM

Facility

$725.00

Service Code	HCPCS C1713
Hospital Charge Code	270700741
Hospital Revenue Code	278
Min. Negotiated Rate	$108.75
Max. Negotiated Rate	$175.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$145.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$175.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$159.50
Rate for Payer: Qualcare PPO/HMO/WC	$108.75

SCREW LKG T6 VARIAX 2X10MM

Facility

$725.00

Service Code	HCPCS C1713
Hospital Charge Code	270700741
Hospital Revenue Code	278
Min. Negotiated Rate	$17.47
Max. Negotiated Rate	$362.50
Rate for Payer: Aetna Commercial	$275.50
Rate for Payer: Aetna Medicare Advantage	$217.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$184.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$184.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$145.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$184.88
Rate for Payer: Cigna Commercial	$362.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$175.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$159.50
Rate for Payer: Qualcare PPO/HMO/WC	$108.75
Rate for Payer: UnitedHealthcare Community & State	$17.47
Rate for Payer: Wellpoint Medicaid Managed Care	$19.21

SCREW LKG T6 VARIAX 2X11MM

Facility

$1,240.00

Service Code	HCPCS C1713
Hospital Charge Code	270700740
Hospital Revenue Code	278
Min. Negotiated Rate	$186.00
Max. Negotiated Rate	$300.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$248.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$300.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$272.80
Rate for Payer: Qualcare PPO/HMO/WC	$186.00

SCREW LKG T6 VARIAX 2X11MM

Facility

$1,240.00

Service Code	HCPCS C1713
Hospital Charge Code	270700740
Hospital Revenue Code	278
Min. Negotiated Rate	$29.88
Max. Negotiated Rate	$620.00
Rate for Payer: Aetna Commercial	$471.20
Rate for Payer: Aetna Medicare Advantage	$372.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$316.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$316.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$248.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$316.20
Rate for Payer: Cigna Commercial	$620.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$300.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$272.80
Rate for Payer: Qualcare PPO/HMO/WC	$186.00
Rate for Payer: UnitedHealthcare Community & State	$29.88
Rate for Payer: Wellpoint Medicaid Managed Care	$32.86

SCREW LKG T6 VARIAX 2X9MM

Facility

$1,240.00

Service Code	HCPCS C1713
Hospital Charge Code	270700738
Hospital Revenue Code	278
Min. Negotiated Rate	$29.88
Max. Negotiated Rate	$620.00
Rate for Payer: Aetna Commercial	$471.20
Rate for Payer: Aetna Medicare Advantage	$372.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$316.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$316.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$248.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$316.20
Rate for Payer: Cigna Commercial	$620.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$300.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$272.80
Rate for Payer: Qualcare PPO/HMO/WC	$186.00
Rate for Payer: UnitedHealthcare Community & State	$29.88
Rate for Payer: Wellpoint Medicaid Managed Care	$32.86

SCREW LKG T6 VARIAX 2X9MM

Facility

$1,240.00

Service Code	HCPCS C1713
Hospital Charge Code	270700738
Hospital Revenue Code	278
Min. Negotiated Rate	$186.00
Max. Negotiated Rate	$300.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$248.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$300.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$272.80
Rate for Payer: Qualcare PPO/HMO/WC	$186.00

SCREW LKG TI CORT 3.5X12MM

Facility

$6,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270697116
Hospital Revenue Code	278
Min. Negotiated Rate	$937.50
Max. Negotiated Rate	$1,512.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,512.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,375.00
Rate for Payer: Qualcare PPO/HMO/WC	$937.50

SCREW LKG TI CORT 3.5X12MM

Facility

$6,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270697116
Hospital Revenue Code	278
Min. Negotiated Rate	$150.62
Max. Negotiated Rate	$3,125.00
Rate for Payer: Aetna Commercial	$2,375.00
Rate for Payer: Aetna Medicare Advantage	$1,875.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,593.75
Rate for Payer: Cigna Commercial	$3,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,512.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,375.00
Rate for Payer: Qualcare PPO/HMO/WC	$937.50
Rate for Payer: UnitedHealthcare Community & State	$150.62
Rate for Payer: Wellpoint Medicaid Managed Care	$165.62

SCREW LKG TI HD DT ST 2.5X12MM

Facility

$1,050.55

Service Code	HCPCS C1713
Hospital Charge Code	270699548
Hospital Revenue Code	278
Min. Negotiated Rate	$157.58
Max. Negotiated Rate	$254.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$210.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$254.23
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$231.12
Rate for Payer: Qualcare PPO/HMO/WC	$157.58

SCREW LKG TI HD DT ST 2.5X12MM

Facility

$1,050.55

Service Code	HCPCS C1713
Hospital Charge Code	270699548
Hospital Revenue Code	278
Min. Negotiated Rate	$25.32
Max. Negotiated Rate	$525.27
Rate for Payer: Aetna Commercial	$399.21
Rate for Payer: Aetna Medicare Advantage	$315.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$267.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$267.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$210.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$267.89
Rate for Payer: Cigna Commercial	$525.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$254.23
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$231.12
Rate for Payer: Qualcare PPO/HMO/WC	$157.58
Rate for Payer: UnitedHealthcare Community & State	$25.32
Rate for Payer: Wellpoint Medicaid Managed Care	$27.84

SCREW LKG TI R3CON 3.5X10MM

Facility

$841.50

Service Code	HCPCS C1713
Hospital Charge Code	270700404
Hospital Revenue Code	278
Min. Negotiated Rate	$126.22
Max. Negotiated Rate	$203.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$168.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$203.64
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$185.13
Rate for Payer: Qualcare PPO/HMO/WC	$126.22

SCREW LKG TI R3CON 3.5X10MM

Facility

$841.50

Service Code	HCPCS C1713
Hospital Charge Code	270700404
Hospital Revenue Code	278
Min. Negotiated Rate	$20.28
Max. Negotiated Rate	$420.75
Rate for Payer: Aetna Commercial	$319.77
Rate for Payer: Aetna Medicare Advantage	$252.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$214.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$214.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$168.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$214.58
Rate for Payer: Cigna Commercial	$420.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$203.64
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$185.13
Rate for Payer: Qualcare PPO/HMO/WC	$126.22
Rate for Payer: UnitedHealthcare Community & State	$20.28
Rate for Payer: Wellpoint Medicaid Managed Care	$22.30

SCREW LKG TI R3CON 3.5X16MM

Facility

$907.50

Service Code	HCPCS C1713
Hospital Charge Code	270700403
Hospital Revenue Code	278
Min. Negotiated Rate	$21.87
Max. Negotiated Rate	$453.75
Rate for Payer: Aetna Commercial	$344.85
Rate for Payer: Aetna Medicare Advantage	$272.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$231.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$231.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$231.41
Rate for Payer: Cigna Commercial	$453.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$199.65
Rate for Payer: Qualcare PPO/HMO/WC	$136.12
Rate for Payer: UnitedHealthcare Community & State	$21.87
Rate for Payer: Wellpoint Medicaid Managed Care	$24.05

SCREW LKG TI R3CON 3.5X16MM

Facility

$907.50

Service Code	HCPCS C1713
Hospital Charge Code	270700403
Hospital Revenue Code	278
Min. Negotiated Rate	$136.12
Max. Negotiated Rate	$219.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$199.65
Rate for Payer: Qualcare PPO/HMO/WC	$136.12

SCREW LKG TI R3CON 4.2X10MM

Facility

$907.50

Service Code	HCPCS C1713
Hospital Charge Code	270700405
Hospital Revenue Code	278
Min. Negotiated Rate	$136.12
Max. Negotiated Rate	$219.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$199.65
Rate for Payer: Qualcare PPO/HMO/WC	$136.12

SCREW LKG TI R3CON 4.2X10MM

Facility

$907.50

Service Code	HCPCS C1713
Hospital Charge Code	270700405
Hospital Revenue Code	278
Min. Negotiated Rate	$21.87
Max. Negotiated Rate	$453.75
Rate for Payer: Aetna Commercial	$344.85
Rate for Payer: Aetna Medicare Advantage	$272.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$231.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$231.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$231.41
Rate for Payer: Cigna Commercial	$453.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$199.65
Rate for Payer: Qualcare PPO/HMO/WC	$136.12
Rate for Payer: UnitedHealthcare Community & State	$21.87
Rate for Payer: Wellpoint Medicaid Managed Care	$24.05

SCREW LKG TI R3CON 4.2X14MM

Facility

$907.50

Service Code	HCPCS C1713
Hospital Charge Code	270700409
Hospital Revenue Code	278
Min. Negotiated Rate	$136.12
Max. Negotiated Rate	$219.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$199.65
Rate for Payer: Qualcare PPO/HMO/WC	$136.12

SCREW LKG TI R3CON 4.2X14MM

Facility

$907.50

Service Code	HCPCS C1713
Hospital Charge Code	270700409
Hospital Revenue Code	278
Min. Negotiated Rate	$21.87
Max. Negotiated Rate	$453.75
Rate for Payer: Aetna Commercial	$344.85
Rate for Payer: Aetna Medicare Advantage	$272.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$231.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$231.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$231.41
Rate for Payer: Cigna Commercial	$453.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$199.65
Rate for Payer: Qualcare PPO/HMO/WC	$136.12
Rate for Payer: UnitedHealthcare Community & State	$21.87
Rate for Payer: Wellpoint Medicaid Managed Care	$24.05

SCREW LKG TI R3CON 4.2X16MM

Facility

$907.50

Service Code	HCPCS C1713
Hospital Charge Code	270700408
Hospital Revenue Code	278
Min. Negotiated Rate	$136.12
Max. Negotiated Rate	$219.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$199.65
Rate for Payer: Qualcare PPO/HMO/WC	$136.12

SCREW LKG TI R3CON 4.2X16MM

Facility

$907.50

Service Code	HCPCS C1713
Hospital Charge Code	270700408
Hospital Revenue Code	278
Min. Negotiated Rate	$21.87
Max. Negotiated Rate	$453.75
Rate for Payer: Aetna Commercial	$344.85
Rate for Payer: Aetna Medicare Advantage	$272.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$231.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$231.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$231.41
Rate for Payer: Cigna Commercial	$453.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$199.65
Rate for Payer: Qualcare PPO/HMO/WC	$136.12
Rate for Payer: UnitedHealthcare Community & State	$21.87
Rate for Payer: Wellpoint Medicaid Managed Care	$24.05

SCREW LKG TI R3CON 4.2X18MM

Facility

$907.50

Service Code	HCPCS C1713
Hospital Charge Code	270700407
Hospital Revenue Code	278
Min. Negotiated Rate	$136.12
Max. Negotiated Rate	$219.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$199.65
Rate for Payer: Qualcare PPO/HMO/WC	$136.12

SCREW LKG TI R3CON 4.2X18MM

Facility

$907.50

Service Code	HCPCS C1713
Hospital Charge Code	270700407
Hospital Revenue Code	278
Min. Negotiated Rate	$21.87
Max. Negotiated Rate	$453.75
Rate for Payer: Aetna Commercial	$344.85
Rate for Payer: Aetna Medicare Advantage	$272.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$231.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$231.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$231.41
Rate for Payer: Cigna Commercial	$453.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$199.65
Rate for Payer: Qualcare PPO/HMO/WC	$136.12
Rate for Payer: UnitedHealthcare Community & State	$21.87
Rate for Payer: Wellpoint Medicaid Managed Care	$24.05

SCREW LKG VARIAX FT 3.5X12MM

Facility

$1,257.80

Service Code	HCPCS C1713
Hospital Charge Code	270696915
Hospital Revenue Code	278
Min. Negotiated Rate	$188.67
Max. Negotiated Rate	$304.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$251.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$304.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$276.72
Rate for Payer: Qualcare PPO/HMO/WC	$188.67

Know your out-of-pocket cost for care.

All Charges