Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LOCKING 12MM

Facility

$850.00

Hospital Charge Code	270661799
Hospital Revenue Code	278
Min. Negotiated Rate	$127.50
Max. Negotiated Rate	$205.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$205.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$187.00
Rate for Payer: Qualcare PPO/HMO/WC	$127.50

SCREW LOCKING 12MM

Facility

$850.00

Hospital Charge Code	270661799
Hospital Revenue Code	278
Min. Negotiated Rate	$20.48
Max. Negotiated Rate	$425.00
Rate for Payer: Aetna Commercial	$323.00
Rate for Payer: Aetna Medicare Advantage	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$170.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$216.75
Rate for Payer: Cigna Commercial	$425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$205.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$187.00
Rate for Payer: Qualcare PPO/HMO/WC	$127.50
Rate for Payer: UnitedHealthcare Community & State	$20.48
Rate for Payer: Wellpoint Medicaid Managed Care	$22.52

SCREW LOCKING 12MM x2.4mm

Facility

$1,085.00

Service Code	HCPCS C1713
Hospital Charge Code	270680995
Hospital Revenue Code	278
Min. Negotiated Rate	$26.15
Max. Negotiated Rate	$542.50
Rate for Payer: Aetna Commercial	$412.30
Rate for Payer: Aetna Medicare Advantage	$325.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$276.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$276.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$217.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$276.68
Rate for Payer: Cigna Commercial	$542.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$262.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$238.70
Rate for Payer: Qualcare PPO/HMO/WC	$162.75
Rate for Payer: UnitedHealthcare Community & State	$26.15
Rate for Payer: Wellpoint Medicaid Managed Care	$28.75

SCREW LOCKING 12MM x2.4mm

Facility

$1,085.00

Service Code	HCPCS C1713
Hospital Charge Code	270680995
Hospital Revenue Code	278
Min. Negotiated Rate	$162.75
Max. Negotiated Rate	$262.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$217.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$262.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$238.70
Rate for Payer: Qualcare PPO/HMO/WC	$162.75

SCREW LOCKING 14MM

Facility

$21.40

Service Code	HCPCS C1713
Hospital Charge Code	270661800
Hospital Revenue Code	278
Min. Negotiated Rate	$0.52
Max. Negotiated Rate	$10.70
Rate for Payer: Aetna Commercial	$8.13
Rate for Payer: Aetna Medicare Advantage	$6.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.46
Rate for Payer: Cigna Commercial	$10.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4.71
Rate for Payer: Qualcare PPO/HMO/WC	$3.21
Rate for Payer: UnitedHealthcare Community & State	$0.52
Rate for Payer: Wellpoint Medicaid Managed Care	$0.57

SCREW LOCKING 14MM

Facility

$21.40

Service Code	HCPCS C1713
Hospital Charge Code	270661800
Hospital Revenue Code	278
Min. Negotiated Rate	$3.21
Max. Negotiated Rate	$5.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4.71
Rate for Payer: Qualcare PPO/HMO/WC	$3.21

SCREW LOCKING 1.5 X 10MM

Facility

$197.35

Service Code	HCPCS C1713
Hospital Charge Code	270681686
Hospital Revenue Code	278
Min. Negotiated Rate	$29.60
Max. Negotiated Rate	$47.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$43.42
Rate for Payer: Qualcare PPO/HMO/WC	$29.60

SCREW LOCKING 1.5 X 10MM

Facility

$197.35

Service Code	HCPCS C1713
Hospital Charge Code	270681686
Hospital Revenue Code	278
Min. Negotiated Rate	$4.76
Max. Negotiated Rate	$98.67
Rate for Payer: Aetna Commercial	$74.99
Rate for Payer: Aetna Medicare Advantage	$59.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.32
Rate for Payer: Cigna Commercial	$98.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$43.42
Rate for Payer: Qualcare PPO/HMO/WC	$29.60
Rate for Payer: UnitedHealthcare Community & State	$4.76
Rate for Payer: Wellpoint Medicaid Managed Care	$5.23

SCREW LOCKING 1.7x14MM

Facility

$790.00

Service Code	HCPCS C1713
Hospital Charge Code	270673828
Hospital Revenue Code	278
Min. Negotiated Rate	$19.04
Max. Negotiated Rate	$395.00
Rate for Payer: Aetna Commercial	$300.20
Rate for Payer: Aetna Medicare Advantage	$237.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$201.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$201.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$201.45
Rate for Payer: Cigna Commercial	$395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$173.80
Rate for Payer: Qualcare PPO/HMO/WC	$118.50
Rate for Payer: UnitedHealthcare Community & State	$19.04
Rate for Payer: Wellpoint Medicaid Managed Care	$20.93

SCREW LOCKING 1.7x14MM

Facility

$790.00

Service Code	HCPCS C1713
Hospital Charge Code	270673828
Hospital Revenue Code	278
Min. Negotiated Rate	$118.50
Max. Negotiated Rate	$191.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$173.80
Rate for Payer: Qualcare PPO/HMO/WC	$118.50

SCREW LOCKING 1.7x15MM

Facility

$790.00

Service Code	HCPCS C1713
Hospital Charge Code	270673829
Hospital Revenue Code	278
Min. Negotiated Rate	$19.04
Max. Negotiated Rate	$395.00
Rate for Payer: Aetna Commercial	$300.20
Rate for Payer: Aetna Medicare Advantage	$237.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$201.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$201.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$201.45
Rate for Payer: Cigna Commercial	$395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$173.80
Rate for Payer: Qualcare PPO/HMO/WC	$118.50
Rate for Payer: UnitedHealthcare Community & State	$19.04
Rate for Payer: Wellpoint Medicaid Managed Care	$20.93

SCREW LOCKING 1.7x15MM

Facility

$790.00

Service Code	HCPCS C1713
Hospital Charge Code	270673829
Hospital Revenue Code	278
Min. Negotiated Rate	$118.50
Max. Negotiated Rate	$191.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$173.80
Rate for Payer: Qualcare PPO/HMO/WC	$118.50

SCREW LOCKING 18MM

Facility

$850.00

Hospital Charge Code	270663471
Hospital Revenue Code	278
Min. Negotiated Rate	$20.48
Max. Negotiated Rate	$425.00
Rate for Payer: Aetna Commercial	$323.00
Rate for Payer: Aetna Medicare Advantage	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$170.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$216.75
Rate for Payer: Cigna Commercial	$425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$205.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$187.00
Rate for Payer: Qualcare PPO/HMO/WC	$127.50
Rate for Payer: UnitedHealthcare Community & State	$20.48
Rate for Payer: Wellpoint Medicaid Managed Care	$22.52

SCREW LOCKING 18MM

Facility

$850.00

Hospital Charge Code	270663471
Hospital Revenue Code	278
Min. Negotiated Rate	$127.50
Max. Negotiated Rate	$205.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$205.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$187.00
Rate for Payer: Qualcare PPO/HMO/WC	$127.50

SCREW LOCKING 1.8MM 26MM

Facility

$595.20

Service Code	HCPCS C1713
Hospital Charge Code	270681464
Hospital Revenue Code	278
Min. Negotiated Rate	$89.28
Max. Negotiated Rate	$144.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$130.94
Rate for Payer: Qualcare PPO/HMO/WC	$89.28

SCREW LOCKING 1.8MM 26MM

Facility

$595.20

Service Code	HCPCS C1713
Hospital Charge Code	270681464
Hospital Revenue Code	278
Min. Negotiated Rate	$14.34
Max. Negotiated Rate	$297.60
Rate for Payer: Aetna Commercial	$226.18
Rate for Payer: Aetna Medicare Advantage	$178.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.78
Rate for Payer: Cigna Commercial	$297.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$130.94
Rate for Payer: Qualcare PPO/HMO/WC	$89.28
Rate for Payer: UnitedHealthcare Community & State	$14.34
Rate for Payer: Wellpoint Medicaid Managed Care	$15.77

SCREW LOCKING 2.0MM X 19MM

Facility

$495.00

Service Code	HCPCS C1713
Hospital Charge Code	270661793
Hospital Revenue Code	278
Min. Negotiated Rate	$11.93
Max. Negotiated Rate	$247.50
Rate for Payer: Aetna Commercial	$188.10
Rate for Payer: Aetna Medicare Advantage	$148.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.22
Rate for Payer: Cigna Commercial	$247.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$108.90
Rate for Payer: Qualcare PPO/HMO/WC	$74.25
Rate for Payer: UnitedHealthcare Community & State	$11.93
Rate for Payer: Wellpoint Medicaid Managed Care	$13.12

SCREW LOCKING 2.0MM X 19MM

Facility

$495.00

Service Code	HCPCS C1713
Hospital Charge Code	270661793
Hospital Revenue Code	278
Min. Negotiated Rate	$74.25
Max. Negotiated Rate	$119.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$108.90
Rate for Payer: Qualcare PPO/HMO/WC	$74.25

SCREW LOCKING 2.0 T6

Facility

$579.80

Service Code	HCPCS C1713
Hospital Charge Code	270693316
Hospital Revenue Code	278
Min. Negotiated Rate	$86.97
Max. Negotiated Rate	$140.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$140.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$127.56
Rate for Payer: Qualcare PPO/HMO/WC	$86.97

SCREW LOCKING 2.0 T6

Facility

$579.80

Service Code	HCPCS C1713
Hospital Charge Code	270693316
Hospital Revenue Code	278
Min. Negotiated Rate	$13.97
Max. Negotiated Rate	$289.90
Rate for Payer: Aetna Commercial	$220.32
Rate for Payer: Aetna Medicare Advantage	$173.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$147.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$147.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$147.85
Rate for Payer: Cigna Commercial	$289.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$140.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$127.56
Rate for Payer: Qualcare PPO/HMO/WC	$86.97
Rate for Payer: UnitedHealthcare Community & State	$13.97
Rate for Payer: Wellpoint Medicaid Managed Care	$15.36

SCREW LOCKING 2.0 x 12MM

Facility

$1,085.00

Service Code	HCPCS C1713
Hospital Charge Code	270680982
Hospital Revenue Code	278
Min. Negotiated Rate	$162.75
Max. Negotiated Rate	$262.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$217.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$262.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$238.70
Rate for Payer: Qualcare PPO/HMO/WC	$162.75

SCREW LOCKING 2.0 x 12MM

Facility

$1,085.00

Service Code	HCPCS C1713
Hospital Charge Code	270680982
Hospital Revenue Code	278
Min. Negotiated Rate	$26.15
Max. Negotiated Rate	$542.50
Rate for Payer: Aetna Commercial	$412.30
Rate for Payer: Aetna Medicare Advantage	$325.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$276.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$276.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$217.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$276.68
Rate for Payer: Cigna Commercial	$542.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$262.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$238.70
Rate for Payer: Qualcare PPO/HMO/WC	$162.75
Rate for Payer: UnitedHealthcare Community & State	$26.15
Rate for Payer: Wellpoint Medicaid Managed Care	$28.75

SCREW LOCKING 2.0 X 16 MM

Facility

$1,085.00

Service Code	HCPCS C1713
Hospital Charge Code	270680984
Hospital Revenue Code	278
Min. Negotiated Rate	$26.15
Max. Negotiated Rate	$542.50
Rate for Payer: Aetna Commercial	$412.30
Rate for Payer: Aetna Medicare Advantage	$325.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$276.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$276.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$217.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$276.68
Rate for Payer: Cigna Commercial	$542.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$262.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$238.70
Rate for Payer: Qualcare PPO/HMO/WC	$162.75
Rate for Payer: UnitedHealthcare Community & State	$26.15
Rate for Payer: Wellpoint Medicaid Managed Care	$28.75

SCREW LOCKING 2.0 X 16 MM

Facility

$1,085.00

Service Code	HCPCS C1713
Hospital Charge Code	270680984
Hospital Revenue Code	278
Min. Negotiated Rate	$162.75
Max. Negotiated Rate	$262.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$217.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$262.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$238.70
Rate for Payer: Qualcare PPO/HMO/WC	$162.75

SCREW LOCKING 20X 16 MM

Facility

$925.50

Service Code	HCPCS C1713
Hospital Charge Code	N
Hospital Revenue Code	278
Min. Negotiated Rate	$22.30
Max. Negotiated Rate	$462.75
Rate for Payer: Aetna Commercial	$351.69
Rate for Payer: Aetna Medicare Advantage	$277.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$236.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$236.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$185.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$236.00
Rate for Payer: Cigna Commercial	$462.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$223.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$203.61
Rate for Payer: Qualcare PPO/HMO/WC	$138.82
Rate for Payer: UnitedHealthcare Community & State	$22.30
Rate for Payer: Wellpoint Medicaid Managed Care	$24.53

Know your out-of-pocket cost for care.

All Charges