Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LOCKING 2.7x14mm

Facility

$518.75

Service Code	HCPCS C1713
Hospital Charge Code	270642554
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 2.7x14mm

Facility

$518.75

Service Code	HCPCS C1713
Hospital Charge Code	270642554
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 2.7x14mm

Facility

$335.00

Service Code	HCPCS C1713
Hospital Charge Code	270672345
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 2.7x14mm

Facility

$335.00

Service Code	HCPCS C1713
Hospital Charge Code	270672345
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 2.7x14MM

Facility

$1,285.00

Service Code	HCPCS C1713
Hospital Charge Code	270676417
Hospital Revenue Code	278
Min. Negotiated Rate	$30.97
Max. Negotiated Rate	$642.50
Rate for Payer: Aetna Commercial	$488.30
Rate for Payer: Aetna Medicare Advantage	$385.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$327.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$327.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$257.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$327.68
Rate for Payer: Cigna Commercial	$642.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$310.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$282.70
Rate for Payer: Qualcare PPO/HMO/WC	$192.75
Rate for Payer: UnitedHealthcare Community & State	$30.97
Rate for Payer: Wellpoint Medicaid Managed Care	$34.05

SCREW LOCKING 2.7x14MM

Facility

$1,285.00

Service Code	HCPCS C1713
Hospital Charge Code	270676417
Hospital Revenue Code	278
Min. Negotiated Rate	$192.75
Max. Negotiated Rate	$310.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$257.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$310.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$282.70
Rate for Payer: Qualcare PPO/HMO/WC	$192.75

SCREW LOCKING 2.7x16mm

Facility

$518.75

Service Code	HCPCS C1713
Hospital Charge Code	270642553
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 2.7x16mm

Facility

$518.75

Service Code	HCPCS C1713
Hospital Charge Code	270642553
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 2.7x16mm

Facility

$335.00

Service Code	HCPCS C1713
Hospital Charge Code	270672342
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 2.7x16mm

Facility

$335.00

Service Code	HCPCS C1713
Hospital Charge Code	270672342
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 2.7x16MM

Facility

$670.00

Hospital Charge Code	270673695
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 2.7x16MM

Facility

$670.00

Hospital Charge Code	270673695
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 2.7x16MM

Facility

$1,285.00

Service Code	HCPCS C1713
Hospital Charge Code	270676416
Hospital Revenue Code	278
Min. Negotiated Rate	$30.97
Max. Negotiated Rate	$642.50
Rate for Payer: Aetna Commercial	$488.30
Rate for Payer: Aetna Medicare Advantage	$385.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$327.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$327.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$257.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$327.68
Rate for Payer: Cigna Commercial	$642.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$310.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$282.70
Rate for Payer: Qualcare PPO/HMO/WC	$192.75
Rate for Payer: UnitedHealthcare Community & State	$30.97
Rate for Payer: Wellpoint Medicaid Managed Care	$34.05

SCREW LOCKING 2.7x16MM

Facility

$1,285.00

Service Code	HCPCS C1713
Hospital Charge Code	270676416
Hospital Revenue Code	278
Min. Negotiated Rate	$192.75
Max. Negotiated Rate	$310.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$257.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$310.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$282.70
Rate for Payer: Qualcare PPO/HMO/WC	$192.75

SCREW LOCKING 2.7X16MM

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270646203
Hospital Revenue Code	278
Min. Negotiated Rate	$15.06
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$237.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$137.50
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Community & State	$15.06
Rate for Payer: Wellpoint Medicaid Managed Care	$16.56

SCREW LOCKING 2.7X16MM

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270646203
Hospital Revenue Code	278
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$151.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$137.50
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

SCREW LOCKING 2.7 X 18 MM

Facility

$660.00

Service Code	HCPCS C1713
Hospital Charge Code	270701533
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 18 MM

Facility

$907.50

Hospital Charge Code	270701526
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 18 MM

Facility

$907.50

Hospital Charge Code	270701526
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 18 MM

Facility

$660.00

Service Code	HCPCS C1713
Hospital Charge Code	270701533
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 2.7 X 18MM

Facility

$840.95

Service Code	HCPCS C1713
Hospital Charge Code	270664326
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 18MM

Facility

$840.95

Service Code	HCPCS C1713
Hospital Charge Code	270664326
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

SCREW LOCKING 2.7x18mm

Facility

$518.75

Service Code	HCPCS C1713
Hospital Charge Code	270642555
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 2.7x18mm

Facility

$518.75

Service Code	HCPCS C1713
Hospital Charge Code	270642555
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 2.7x18MM

Facility

$535.00

Service Code	HCPCS C1713
Hospital Charge Code	270673616
Hospital Revenue Code	278
Min. Negotiated Rate	$12.89
Max. Negotiated Rate	$267.50
Rate for Payer: Aetna Commercial	$203.30
Rate for Payer: Aetna Medicare Advantage	$160.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$107.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.43
Rate for Payer: Cigna Commercial	$267.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$117.70
Rate for Payer: Qualcare PPO/HMO/WC	$80.25
Rate for Payer: UnitedHealthcare Community & State	$12.89
Rate for Payer: Wellpoint Medicaid Managed Care	$14.18

Know your out-of-pocket cost for care.

All Charges