Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LOCKING 2.7MM,14MM

Facility

$558.33

Service Code	HCPCS C1713
Hospital Charge Code	270661362
Hospital Revenue Code	278
Min. Negotiated Rate	$13.46
Max. Negotiated Rate	$279.17
Rate for Payer: Aetna Commercial	$212.17
Rate for Payer: Aetna Medicare Advantage	$167.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$142.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$142.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$111.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$142.37
Rate for Payer: Cigna Commercial	$279.17
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
Rate for Payer: UnitedHealthcare Community & State	$13.46
Rate for Payer: Wellpoint Medicaid Managed Care	$14.80

SCREW LOCKING 2.7x10mm

Facility

$518.75

Service Code	HCPCS C1713
Hospital Charge Code	270643842
Hospital Revenue Code	278
Min. Negotiated Rate	$77.81
Max. Negotiated Rate	$125.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$114.12
Rate for Payer: Qualcare PPO/HMO/WC	$77.81

SCREW LOCKING 2.7x10mm

Facility

$518.75

Service Code	HCPCS C1713
Hospital Charge Code	270643842
Hospital Revenue Code	278
Min. Negotiated Rate	$12.50
Max. Negotiated Rate	$259.38
Rate for Payer: Aetna Commercial	$197.12
Rate for Payer: Aetna Medicare Advantage	$155.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.28
Rate for Payer: Cigna Commercial	$259.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$114.12
Rate for Payer: Qualcare PPO/HMO/WC	$77.81
Rate for Payer: UnitedHealthcare Community & State	$12.50
Rate for Payer: Wellpoint Medicaid Managed Care	$13.75

SCREW LOCKING 2.7X10MM

Facility

$1,500.00

Hospital Charge Code	270669676
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$363.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$330.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

SCREW LOCKING 2.7X10MM

Facility

$1,500.00

Hospital Charge Code	270669676
Hospital Revenue Code	278
Min. Negotiated Rate	$36.15
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$570.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$330.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00
Rate for Payer: UnitedHealthcare Community & State	$36.15
Rate for Payer: Wellpoint Medicaid Managed Care	$39.75

SCREW LOCKING 2.7 X 11 MM

Facility

$660.00

Hospital Charge Code	270701208
Hospital Revenue Code	278
Min. Negotiated Rate	$99.00
Max. Negotiated Rate	$159.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.72
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.00

SCREW LOCKING 2.7 X 11 MM

Facility

$660.00

Hospital Charge Code	270701208
Hospital Revenue Code	278
Min. Negotiated Rate	$15.91
Max. Negotiated Rate	$330.00
Rate for Payer: Aetna Commercial	$250.80
Rate for Payer: Aetna Medicare Advantage	$198.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.30
Rate for Payer: Cigna Commercial	$330.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.72
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.00
Rate for Payer: UnitedHealthcare Community & State	$15.91
Rate for Payer: Wellpoint Medicaid Managed Care	$17.49

SCREW LOCKING 2.7x12mm

Facility

$518.75

Service Code	HCPCS C1713
Hospital Charge Code	270643262
Hospital Revenue Code	278
Min. Negotiated Rate	$77.81
Max. Negotiated Rate	$125.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$114.12
Rate for Payer: Qualcare PPO/HMO/WC	$77.81

SCREW LOCKING 2.7x12mm

Facility

$518.75

Service Code	HCPCS C1713
Hospital Charge Code	270643262
Hospital Revenue Code	278
Min. Negotiated Rate	$12.50
Max. Negotiated Rate	$259.38
Rate for Payer: Aetna Commercial	$197.12
Rate for Payer: Aetna Medicare Advantage	$155.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.28
Rate for Payer: Cigna Commercial	$259.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$114.12
Rate for Payer: Qualcare PPO/HMO/WC	$77.81
Rate for Payer: UnitedHealthcare Community & State	$12.50
Rate for Payer: Wellpoint Medicaid Managed Care	$13.75

SCREW LOCKING 2.7x12mm

Facility

$335.00

Service Code	HCPCS C1713
Hospital Charge Code	270672340
Hospital Revenue Code	278
Min. Negotiated Rate	$50.25
Max. Negotiated Rate	$81.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$67.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$73.70
Rate for Payer: Qualcare PPO/HMO/WC	$50.25

SCREW LOCKING 2.7x12mm

Facility

$335.00

Service Code	HCPCS C1713
Hospital Charge Code	270672340
Hospital Revenue Code	278
Min. Negotiated Rate	$8.07
Max. Negotiated Rate	$167.50
Rate for Payer: Aetna Commercial	$127.30
Rate for Payer: Aetna Medicare Advantage	$100.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$85.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$85.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$67.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$85.42
Rate for Payer: Cigna Commercial	$167.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$73.70
Rate for Payer: Qualcare PPO/HMO/WC	$50.25
Rate for Payer: UnitedHealthcare Community & State	$8.07
Rate for Payer: Wellpoint Medicaid Managed Care	$8.88

SCREW LOCKING 2.7x12MM

Facility

$670.00

Service Code	HCPCS C1713
Hospital Charge Code	270673618
Hospital Revenue Code	278
Min. Negotiated Rate	$100.50
Max. Negotiated Rate	$162.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$134.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$147.40
Rate for Payer: Qualcare PPO/HMO/WC	$100.50

SCREW LOCKING 2.7x12MM

Facility

$670.00

Service Code	HCPCS C1713
Hospital Charge Code	270673618
Hospital Revenue Code	278
Min. Negotiated Rate	$16.15
Max. Negotiated Rate	$335.00
Rate for Payer: Aetna Commercial	$254.60
Rate for Payer: Aetna Medicare Advantage	$201.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$170.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$170.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$134.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$170.85
Rate for Payer: Cigna Commercial	$335.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$147.40
Rate for Payer: Qualcare PPO/HMO/WC	$100.50
Rate for Payer: UnitedHealthcare Community & State	$16.15
Rate for Payer: Wellpoint Medicaid Managed Care	$17.75

SCREW LOCKING 2.7X12MM

Facility

$1,500.00

Hospital Charge Code	270669674
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$363.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$330.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

SCREW LOCKING 2.7X12MM

Facility

$1,500.00

Hospital Charge Code	270669674
Hospital Revenue Code	278
Min. Negotiated Rate	$36.15
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$570.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$330.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00
Rate for Payer: UnitedHealthcare Community & State	$36.15
Rate for Payer: Wellpoint Medicaid Managed Care	$39.75

SCREW LOCKING 2.7x13mm

Facility

$335.00

Service Code	HCPCS C1713
Hospital Charge Code	270672341
Hospital Revenue Code	278
Min. Negotiated Rate	$8.07
Max. Negotiated Rate	$167.50
Rate for Payer: Aetna Commercial	$127.30
Rate for Payer: Aetna Medicare Advantage	$100.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$85.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$85.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$67.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$85.42
Rate for Payer: Cigna Commercial	$167.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$73.70
Rate for Payer: Qualcare PPO/HMO/WC	$50.25
Rate for Payer: UnitedHealthcare Community & State	$8.07
Rate for Payer: Wellpoint Medicaid Managed Care	$8.88

SCREW LOCKING 2.7x13mm

Facility

$335.00

Service Code	HCPCS C1713
Hospital Charge Code	270672341
Hospital Revenue Code	278
Min. Negotiated Rate	$50.25
Max. Negotiated Rate	$81.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$67.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$73.70
Rate for Payer: Qualcare PPO/HMO/WC	$50.25

SCREW LOCKING 2.7X 13 MM

Facility

$907.50

Service Code	HCPCS C1713
Hospital Charge Code	270701524
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 LOCKING 2.7X 13 MM

Facility

$907.50

Service Code	HCPCS C1713
Hospital Charge Code	270701524
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 LOCKING 2.7x14 53-27614E

Facility

$725.00

Service Code	HCPCS C1713
Hospital Charge Code	270643449
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 LOCKING 2.7x14 53-27614E

Facility

$725.00

Service Code	HCPCS C1713
Hospital Charge Code	270643449
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 LOCKING 2.7 X 14 MM

Facility

$907.50

Service Code	HCPCS C1713
Hospital Charge Code	270701973
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 LOCKING 2.7 X 14 MM

Facility

$907.50

Service Code	HCPCS C1713
Hospital Charge Code	270701973
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 LOCKING 2.7 X 14MM

Facility

$840.95

Service Code	HCPCS C1713
Hospital Charge Code	270661116
Hospital Revenue Code	278
Min. Negotiated Rate	$126.14
Max. Negotiated Rate	$203.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$168.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$203.51
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$185.01
Rate for Payer: Qualcare PPO/HMO/WC	$126.14

SCREW LOCKING 2.7 X 14MM

Facility

$840.95

Service Code	HCPCS C1713
Hospital Charge Code	270661116
Hospital Revenue Code	278
Min. Negotiated Rate	$20.27
Max. Negotiated Rate	$420.48
Rate for Payer: Aetna Commercial	$319.56
Rate for Payer: Aetna Medicare Advantage	$252.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$214.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$214.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$168.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$214.44
Rate for Payer: Cigna Commercial	$420.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$203.51
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$185.01
Rate for Payer: Qualcare PPO/HMO/WC	$126.14
Rate for Payer: UnitedHealthcare Community & State	$20.27
Rate for Payer: Wellpoint Medicaid Managed Care	$22.29

Know your out-of-pocket cost for care.

All Charges