Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LOCKING 2.4X18 MM

Facility

$1,146.60

Hospital Charge Code	270703511
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 2.4X18 MM

Facility

$1,146.60

Hospital Charge Code	270703511
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 2.4X18MM

Facility

$1,323.55

Service Code	HCPCS C1713
Hospital Charge Code	270706208
Hospital Revenue Code	278
Min. Negotiated Rate	$31.90
Max. Negotiated Rate	$661.77
Rate for Payer: Aetna Commercial	$502.95
Rate for Payer: Aetna Medicare Advantage	$397.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$337.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$337.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$264.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$337.51
Rate for Payer: Cigna Commercial	$661.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$291.18
Rate for Payer: Qualcare PPO/HMO/WC	$198.53
Rate for Payer: UnitedHealthcare Community & State	$31.90
Rate for Payer: Wellpoint Medicaid Managed Care	$35.07

SCREW LOCKING 2.4X18MM

Facility

$1,323.55

Service Code	HCPCS C1713
Hospital Charge Code	270706208
Hospital Revenue Code	278
Min. Negotiated Rate	$198.53
Max. Negotiated Rate	$320.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$264.71
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$291.18
Rate for Payer: Qualcare PPO/HMO/WC	$198.53

SCREW LOCKING 2.4 X 20 MM

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270690537
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 20 MM

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270690537
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 2.4X20 MM

Facility

$1,146.60

Hospital Charge Code	270703512
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 2.4X20 MM

Facility

$1,146.60

Hospital Charge Code	270703512
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 2.4X24

Facility

$1,034.00

Hospital Charge Code	270702593
Hospital Revenue Code	278
Min. Negotiated Rate	$24.92
Max. Negotiated Rate	$517.00
Rate for Payer: Aetna Commercial	$392.92
Rate for Payer: Aetna Medicare Advantage	$310.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$263.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$263.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$206.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$263.67
Rate for Payer: Cigna Commercial	$517.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$250.23
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$227.48
Rate for Payer: Qualcare PPO/HMO/WC	$155.10
Rate for Payer: UnitedHealthcare Community & State	$24.92
Rate for Payer: Wellpoint Medicaid Managed Care	$27.40

SCREW LOCKING 2.4X24

Facility

$1,034.00

Hospital Charge Code	270702593
Hospital Revenue Code	278
Min. Negotiated Rate	$155.10
Max. Negotiated Rate	$250.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$206.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$250.23
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$227.48
Rate for Payer: Qualcare PPO/HMO/WC	$155.10

SCREW LOCKING 2.4X28

Facility

$1,035.00

Hospital Charge Code	270702595
Hospital Revenue Code	278
Min. Negotiated Rate	$155.25
Max. Negotiated Rate	$250.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$207.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$250.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$227.70
Rate for Payer: Qualcare PPO/HMO/WC	$155.25

SCREW LOCKING 2.4X28

Facility

$1,035.00

Hospital Charge Code	270702595
Hospital Revenue Code	278
Min. Negotiated Rate	$24.94
Max. Negotiated Rate	$517.50
Rate for Payer: Aetna Commercial	$393.30
Rate for Payer: Aetna Medicare Advantage	$310.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$263.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$263.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$207.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$263.93
Rate for Payer: Cigna Commercial	$517.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$250.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$227.70
Rate for Payer: Qualcare PPO/HMO/WC	$155.25
Rate for Payer: UnitedHealthcare Community & State	$24.94
Rate for Payer: Wellpoint Medicaid Managed Care	$27.43

SCREW LOCKING 2.4 X 28 MM

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270690224
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 28 MM

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270690224
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 2.4X 8

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270690255
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 2.4X 8

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270690255
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 25MM

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270671256
Hospital Revenue Code	278
Min. Negotiated Rate	$7.23
Max. Negotiated Rate	$150.00
Rate for Payer: Aetna Commercial	$114.00
Rate for Payer: Aetna Medicare Advantage	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$66.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00
Rate for Payer: UnitedHealthcare Community & State	$7.23
Rate for Payer: Wellpoint Medicaid Managed Care	$7.95

SCREW LOCKING 25MM

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270671256
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$72.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$66.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

SCREW, LOCKING 2.7MM

Facility

$2,500.00

Hospital Charge Code	270701990
Hospital Revenue Code	278
Min. Negotiated Rate	$60.25
Max. Negotiated Rate	$1,250.00
Rate for Payer: Aetna Commercial	$950.00
Rate for Payer: Aetna Medicare Advantage	$750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$637.50
Rate for Payer: Cigna Commercial	$1,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$605.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$550.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00
Rate for Payer: UnitedHealthcare Community & State	$60.25
Rate for Payer: Wellpoint Medicaid Managed Care	$66.25

SCREW, LOCKING 2.7MM

Facility

$2,500.00

Hospital Charge Code	270701990
Hospital Revenue Code	278
Min. Negotiated Rate	$375.00
Max. Negotiated Rate	$605.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$605.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$550.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00

SCREW LOCKING 2.7MM,10MM

Facility

$560.00

Hospital Charge Code	270661360
Hospital Revenue Code	278
Min. Negotiated Rate	$84.00
Max. Negotiated Rate	$135.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$112.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$123.20
Rate for Payer: Qualcare PPO/HMO/WC	$84.00

SCREW LOCKING 2.7MM,10MM

Facility

$560.00

Hospital Charge Code	270661360
Hospital Revenue Code	278
Min. Negotiated Rate	$13.50
Max. Negotiated Rate	$280.00
Rate for Payer: Aetna Commercial	$212.80
Rate for Payer: Aetna Medicare Advantage	$168.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$142.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$142.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$112.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$142.80
Rate for Payer: Cigna Commercial	$280.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$123.20
Rate for Payer: Qualcare PPO/HMO/WC	$84.00
Rate for Payer: UnitedHealthcare Community & State	$13.50
Rate for Payer: Wellpoint Medicaid Managed Care	$14.84

SCREW LOCKING 2.7MM,12MM

Facility

$560.00

Hospital Charge Code	270661361
Hospital Revenue Code	278
Min. Negotiated Rate	$13.50
Max. Negotiated Rate	$280.00
Rate for Payer: Aetna Commercial	$212.80
Rate for Payer: Aetna Medicare Advantage	$168.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$142.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$142.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$112.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$142.80
Rate for Payer: Cigna Commercial	$280.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$123.20
Rate for Payer: Qualcare PPO/HMO/WC	$84.00
Rate for Payer: UnitedHealthcare Community & State	$13.50
Rate for Payer: Wellpoint Medicaid Managed Care	$14.84

SCREW LOCKING 2.7MM,12MM

Facility

$560.00

Hospital Charge Code	270661361
Hospital Revenue Code	278
Min. Negotiated Rate	$84.00
Max. Negotiated Rate	$135.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$112.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$123.20
Rate for Payer: Qualcare PPO/HMO/WC	$84.00

SCREW LOCKING 2.7MM,14MM

Facility

$558.33

Service Code	HCPCS C1713
Hospital Charge Code	270661362
Hospital Revenue Code	278
Min. Negotiated Rate	$83.75
Max. Negotiated Rate	$135.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$111.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$122.83
Rate for Payer: Qualcare PPO/HMO/WC	$83.75

Know your out-of-pocket cost for care.

All Charges