Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LOCKING 20X 16 MM

Facility

$925.50

Service Code	HCPCS C1713
Hospital Charge Code	N
Hospital Revenue Code	278
Min. Negotiated Rate	$138.82
Max. Negotiated Rate	$223.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$185.10
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

SCREW LOCKING 20X 16 MM

Facility

$925.50

Hospital Charge Code	270701816
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

SCREW LOCKING 20X 16 MM

Facility

$925.50

Hospital Charge Code	270701816
Hospital Revenue Code	278
Min. Negotiated Rate	$138.82
Max. Negotiated Rate	$223.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$185.10
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

SCREW LOCKING 2.3x14mm

Facility

$520.00

Hospital Charge Code	270665500
Hospital Revenue Code	278
Min. Negotiated Rate	$78.00
Max. Negotiated Rate	$125.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$114.40
Rate for Payer: Qualcare PPO/HMO/WC	$78.00

SCREW LOCKING 2.3x14mm

Facility

$520.00

Hospital Charge Code	270665500
Hospital Revenue Code	278
Min. Negotiated Rate	$12.53
Max. Negotiated Rate	$260.00
Rate for Payer: Aetna Commercial	$197.60
Rate for Payer: Aetna Medicare Advantage	$156.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.60
Rate for Payer: Cigna Commercial	$260.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$114.40
Rate for Payer: Qualcare PPO/HMO/WC	$78.00
Rate for Payer: UnitedHealthcare Community & State	$12.53
Rate for Payer: Wellpoint Medicaid Managed Care	$13.78

SCREW LOCKING 2.3x18MM

Facility

$639.60

Service Code	HCPCS C1713
Hospital Charge Code	270672695
Hospital Revenue Code	278
Min. Negotiated Rate	$15.41
Max. Negotiated Rate	$319.80
Rate for Payer: Aetna Commercial	$243.05
Rate for Payer: Aetna Medicare Advantage	$191.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$163.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$163.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$127.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$163.10
Rate for Payer: Cigna Commercial	$319.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$154.78
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$140.71
Rate for Payer: Qualcare PPO/HMO/WC	$95.94
Rate for Payer: UnitedHealthcare Community & State	$15.41
Rate for Payer: Wellpoint Medicaid Managed Care	$16.95

SCREW LOCKING 2.3x18MM

Facility

$639.60

Service Code	HCPCS C1713
Hospital Charge Code	270672695
Hospital Revenue Code	278
Min. Negotiated Rate	$95.94
Max. Negotiated Rate	$154.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$127.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$154.78
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$140.71
Rate for Payer: Qualcare PPO/HMO/WC	$95.94

SCREW LOCKING 2.3x20MM

Facility

$639.60

Service Code	HCPCS C1713
Hospital Charge Code	270666942
Hospital Revenue Code	278
Min. Negotiated Rate	$95.94
Max. Negotiated Rate	$154.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$127.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$154.78
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$140.71
Rate for Payer: Qualcare PPO/HMO/WC	$95.94

SCREW LOCKING 2.3x20MM

Facility

$639.60

Service Code	HCPCS C1713
Hospital Charge Code	270666942
Hospital Revenue Code	278
Min. Negotiated Rate	$15.41
Max. Negotiated Rate	$319.80
Rate for Payer: Aetna Commercial	$243.05
Rate for Payer: Aetna Medicare Advantage	$191.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$163.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$163.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$127.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$163.10
Rate for Payer: Cigna Commercial	$319.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$154.78
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$140.71
Rate for Payer: Qualcare PPO/HMO/WC	$95.94
Rate for Payer: UnitedHealthcare Community & State	$15.41
Rate for Payer: Wellpoint Medicaid Managed Care	$16.95

SCREW LOCKING 2.3x22mm

Facility

$521.67

Hospital Charge Code	270659993
Hospital Revenue Code	278
Min. Negotiated Rate	$12.57
Max. Negotiated Rate	$260.83
Rate for Payer: Aetna Commercial	$198.23
Rate for Payer: Aetna Medicare Advantage	$156.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.03
Rate for Payer: Cigna Commercial	$260.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$114.77
Rate for Payer: Qualcare PPO/HMO/WC	$78.25
Rate for Payer: UnitedHealthcare Community & State	$12.57
Rate for Payer: Wellpoint Medicaid Managed Care	$13.82

SCREW LOCKING 2.3x22mm

Facility

$521.67

Hospital Charge Code	270659993
Hospital Revenue Code	278
Min. Negotiated Rate	$78.25
Max. Negotiated Rate	$126.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$114.77
Rate for Payer: Qualcare PPO/HMO/WC	$78.25

SCREW LOCKING 2.3x26mm

Facility

$520.00

Hospital Charge Code	270656026
Hospital Revenue Code	278
Min. Negotiated Rate	$12.53
Max. Negotiated Rate	$260.00
Rate for Payer: Aetna Commercial	$197.60
Rate for Payer: Aetna Medicare Advantage	$156.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.60
Rate for Payer: Cigna Commercial	$260.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$114.40
Rate for Payer: Qualcare PPO/HMO/WC	$78.00
Rate for Payer: UnitedHealthcare Community & State	$12.53
Rate for Payer: Wellpoint Medicaid Managed Care	$13.78

SCREW LOCKING 2.3x26mm

Facility

$520.00

Hospital Charge Code	270656026
Hospital Revenue Code	278
Min. Negotiated Rate	$78.00
Max. Negotiated Rate	$125.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$114.40
Rate for Payer: Qualcare PPO/HMO/WC	$78.00

SCREW LOCKING 2.4 X 10 MM

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270690263
Hospital Revenue Code	278
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$169.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$154.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

SCREW LOCKING 2.4 X 10 MM

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270690263
Hospital Revenue Code	278
Min. Negotiated Rate	$16.87
Max. Negotiated Rate	$350.00
Rate for Payer: Aetna Commercial	$266.00
Rate for Payer: Aetna Medicare Advantage	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.50
Rate for Payer: Cigna Commercial	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$154.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00
Rate for Payer: UnitedHealthcare Community & State	$16.87
Rate for Payer: Wellpoint Medicaid Managed Care	$18.55

SCREW LOCKING 2.4X10MM

Facility

$1,050.00

Service Code	HCPCS C1713
Hospital Charge Code	270693633
Hospital Revenue Code	278
Min. Negotiated Rate	$157.50
Max. Negotiated Rate	$254.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$210.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$254.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$231.00
Rate for Payer: Qualcare PPO/HMO/WC	$157.50

SCREW LOCKING 2.4X10MM

Facility

$1,050.00

Service Code	HCPCS C1713
Hospital Charge Code	270693633
Hospital Revenue Code	278
Min. Negotiated Rate	$25.30
Max. Negotiated Rate	$525.00
Rate for Payer: Aetna Commercial	$399.00
Rate for Payer: Aetna Medicare Advantage	$315.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$267.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$267.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$267.75
Rate for Payer: Cigna Commercial	$525.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$254.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$231.00
Rate for Payer: Qualcare PPO/HMO/WC	$157.50
Rate for Payer: UnitedHealthcare Community & State	$25.30
Rate for Payer: Wellpoint Medicaid Managed Care	$27.82

SCREW LOCKING 2.4 X 12

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270687437
Hospital Revenue Code	278
Min. Negotiated Rate	$16.87
Max. Negotiated Rate	$350.00
Rate for Payer: Aetna Commercial	$266.00
Rate for Payer: Aetna Medicare Advantage	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.50
Rate for Payer: Cigna Commercial	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$154.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00
Rate for Payer: UnitedHealthcare Community & State	$16.87
Rate for Payer: Wellpoint Medicaid Managed Care	$18.55

SCREW LOCKING 2.4 X 12

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270687437
Hospital Revenue Code	278
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$169.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$154.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

SCREW LOCKING 2.4 X 12 MM

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270690264
Hospital Revenue Code	278
Min. Negotiated Rate	$16.87
Max. Negotiated Rate	$350.00
Rate for Payer: Aetna Commercial	$266.00
Rate for Payer: Aetna Medicare Advantage	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.50
Rate for Payer: Cigna Commercial	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$154.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00
Rate for Payer: UnitedHealthcare Community & State	$16.87
Rate for Payer: Wellpoint Medicaid Managed Care	$18.55

SCREW LOCKING 2.4 X 12 MM

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270690264
Hospital Revenue Code	278
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$169.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$154.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

SCREW LOCKING 2.4X14 MM

Facility

$1,146.60

Hospital Charge Code	270703509
Hospital Revenue Code	278
Min. Negotiated Rate	$27.63
Max. Negotiated Rate	$573.30
Rate for Payer: Aetna Commercial	$435.71
Rate for Payer: Aetna Medicare Advantage	$343.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$292.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$292.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$229.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$292.38
Rate for Payer: Cigna Commercial	$573.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$277.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$252.25
Rate for Payer: Qualcare PPO/HMO/WC	$171.99
Rate for Payer: UnitedHealthcare Community & State	$27.63
Rate for Payer: Wellpoint Medicaid Managed Care	$30.38

SCREW LOCKING 2.4X14 MM

Facility

$1,146.60

Hospital Charge Code	270703509
Hospital Revenue Code	278
Min. Negotiated Rate	$171.99
Max. Negotiated Rate	$277.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$229.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$277.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$252.25
Rate for Payer: Qualcare PPO/HMO/WC	$171.99

SCREW LOCKING 2.4X16 MM

Facility

$1,146.60

Hospital Charge Code	270703510
Hospital Revenue Code	278
Min. Negotiated Rate	$27.63
Max. Negotiated Rate	$573.30
Rate for Payer: Aetna Commercial	$435.71
Rate for Payer: Aetna Medicare Advantage	$343.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$292.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$292.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$229.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$292.38
Rate for Payer: Cigna Commercial	$573.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$277.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$252.25
Rate for Payer: Qualcare PPO/HMO/WC	$171.99
Rate for Payer: UnitedHealthcare Community & State	$27.63
Rate for Payer: Wellpoint Medicaid Managed Care	$30.38

SCREW LOCKING 2.4X16 MM

Facility

$1,146.60

Hospital Charge Code	270703510
Hospital Revenue Code	278
Min. Negotiated Rate	$171.99
Max. Negotiated Rate	$277.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$229.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$277.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$252.25
Rate for Payer: Qualcare PPO/HMO/WC	$171.99

Know your out-of-pocket cost for care.

All Charges