Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LOCKING 3.0X20MM MINIBUN

Facility

$1,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270693518
Hospital Revenue Code	278
Min. Negotiated Rate	$39.16
Max. Negotiated Rate	$812.50
Rate for Payer: Aetna Commercial	$617.50
Rate for Payer: Aetna Medicare Advantage	$487.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$325.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$414.38
Rate for Payer: Cigna Commercial	$812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$393.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$357.50
Rate for Payer: Qualcare PPO/HMO/WC	$243.75
Rate for Payer: UnitedHealthcare Community & State	$39.16
Rate for Payer: Wellpoint Medicaid Managed Care	$43.06

SCREW LOCKING 3.0X22MM

Facility

$550.00

Service Code	HCPCS C1713
Hospital Charge Code	270669332
Hospital Revenue Code	278
Min. Negotiated Rate	$13.26
Max. Negotiated Rate	$275.00
Rate for Payer: Aetna Commercial	$209.00
Rate for Payer: Aetna Medicare Advantage	$165.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$82.50
Rate for Payer: UnitedHealthcare Community & State	$13.26
Rate for Payer: Wellpoint Medicaid Managed Care	$14.57

SCREW LOCKING 3.0X22MM

Facility

$550.00

Service Code	HCPCS C1713
Hospital Charge Code	270669332
Hospital Revenue Code	278
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$133.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

SCREW LOCKING 32MM

Facility

$850.00

Hospital Charge Code	270661802
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 32MM

Facility

$850.00

Hospital Charge Code	270661802
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 3.5 MM L 18M

Facility

$2,015.00

Service Code	HCPCS C1713
Hospital Charge Code	270701153
Hospital Revenue Code	278
Min. Negotiated Rate	$48.56
Max. Negotiated Rate	$1,007.50
Rate for Payer: Aetna Commercial	$765.70
Rate for Payer: Aetna Medicare Advantage	$604.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$513.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$513.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$403.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$513.83
Rate for Payer: Cigna Commercial	$1,007.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$487.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$443.30
Rate for Payer: Qualcare PPO/HMO/WC	$302.25
Rate for Payer: UnitedHealthcare Community & State	$48.56
Rate for Payer: Wellpoint Medicaid Managed Care	$53.40

SCREW LOCKING 3.5 MM L 18M

Facility

$2,015.00

Service Code	HCPCS C1713
Hospital Charge Code	270701153
Hospital Revenue Code	278
Min. Negotiated Rate	$302.25
Max. Negotiated Rate	$487.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$403.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$487.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$443.30
Rate for Payer: Qualcare PPO/HMO/WC	$302.25

SCREW LOCKING 3.5MM W/2.7MM

Facility

$522.50

Hospital Charge Code	270661356
Hospital Revenue Code	278
Min. Negotiated Rate	$12.59
Max. Negotiated Rate	$261.25
Rate for Payer: Aetna Commercial	$198.55
Rate for Payer: Aetna Medicare Advantage	$156.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.24
Rate for Payer: Cigna Commercial	$261.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$114.95
Rate for Payer: Qualcare PPO/HMO/WC	$78.38
Rate for Payer: UnitedHealthcare Community & State	$12.59
Rate for Payer: Wellpoint Medicaid Managed Care	$13.85

SCREW LOCKING 3.5MM W/2.7MM

Facility

$522.50

Hospital Charge Code	270661356
Hospital Revenue Code	278
Min. Negotiated Rate	$78.38
Max. Negotiated Rate	$126.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$114.95
Rate for Payer: Qualcare PPO/HMO/WC	$78.38

SCREW LOCKING 3.5MM X 10MM

Facility

$1,180.00

Hospital Charge Code	270665826
Hospital Revenue Code	278
Min. Negotiated Rate	$28.44
Max. Negotiated Rate	$590.00
Rate for Payer: Aetna Commercial	$448.40
Rate for Payer: Aetna Medicare Advantage	$354.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$300.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$300.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$236.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$300.90
Rate for Payer: Cigna Commercial	$590.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$285.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$259.60
Rate for Payer: Qualcare PPO/HMO/WC	$177.00
Rate for Payer: UnitedHealthcare Community & State	$28.44
Rate for Payer: Wellpoint Medicaid Managed Care	$31.27

SCREW LOCKING 3.5MM X 10MM

Facility

$1,180.00

Hospital Charge Code	270665826
Hospital Revenue Code	278
Min. Negotiated Rate	$177.00
Max. Negotiated Rate	$285.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$236.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$285.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$259.60
Rate for Payer: Qualcare PPO/HMO/WC	$177.00

SCREW LOCKING 3.5 X 10mm

Facility

$1,385.00

Hospital Charge Code	270669413
Hospital Revenue Code	278
Min. Negotiated Rate	$207.75
Max. Negotiated Rate	$335.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$277.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$335.17
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$304.70
Rate for Payer: Qualcare PPO/HMO/WC	$207.75

SCREW LOCKING 3.5 X 10mm

Facility

$1,385.00

Hospital Charge Code	270669413
Hospital Revenue Code	278
Min. Negotiated Rate	$33.38
Max. Negotiated Rate	$692.50
Rate for Payer: Aetna Commercial	$526.30
Rate for Payer: Aetna Medicare Advantage	$415.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$353.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$353.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$277.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$353.18
Rate for Payer: Cigna Commercial	$692.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$335.17
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$304.70
Rate for Payer: Qualcare PPO/HMO/WC	$207.75
Rate for Payer: UnitedHealthcare Community & State	$33.38
Rate for Payer: Wellpoint Medicaid Managed Care	$36.70

SCREW LOCKING 3.5 X 10 MM

Facility

$1,969.30

Service Code	HCPCS C1713
Hospital Charge Code	270690118
Hospital Revenue Code	278
Min. Negotiated Rate	$295.39
Max. Negotiated Rate	$476.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$393.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$476.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$433.25
Rate for Payer: Qualcare PPO/HMO/WC	$295.39

SCREW LOCKING 3.5 X 10 MM

Facility

$1,969.30

Service Code	HCPCS C1713
Hospital Charge Code	270690118
Hospital Revenue Code	278
Min. Negotiated Rate	$47.46
Max. Negotiated Rate	$984.65
Rate for Payer: Aetna Commercial	$748.33
Rate for Payer: Aetna Medicare Advantage	$590.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$502.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$502.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$393.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$502.17
Rate for Payer: Cigna Commercial	$984.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$476.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$433.25
Rate for Payer: Qualcare PPO/HMO/WC	$295.39
Rate for Payer: UnitedHealthcare Community & State	$47.46
Rate for Payer: Wellpoint Medicaid Managed Care	$52.19

SCREW LOCKING 3.5 X 10MM

Facility

$799.50

Service Code	HCPCS C1713
Hospital Charge Code	270664090
Hospital Revenue Code	278
Min. Negotiated Rate	$19.27
Max. Negotiated Rate	$399.75
Rate for Payer: Aetna Commercial	$303.81
Rate for Payer: Aetna Medicare Advantage	$239.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$203.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$203.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$159.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$203.87
Rate for Payer: Cigna Commercial	$399.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$175.89
Rate for Payer: Qualcare PPO/HMO/WC	$119.92
Rate for Payer: UnitedHealthcare Community & State	$19.27
Rate for Payer: Wellpoint Medicaid Managed Care	$21.19

SCREW LOCKING 3.5 X 10MM

Facility

$799.50

Service Code	HCPCS C1713
Hospital Charge Code	270664090
Hospital Revenue Code	278
Min. Negotiated Rate	$119.92
Max. Negotiated Rate	$193.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$159.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$175.89
Rate for Payer: Qualcare PPO/HMO/WC	$119.92

SCREW LOCKING 3.5x10mm

Facility

$610.00

Service Code	HCPCS C1713
Hospital Charge Code	270671598
Hospital Revenue Code	278
Min. Negotiated Rate	$91.50
Max. Negotiated Rate	$147.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$122.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$147.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$134.20
Rate for Payer: Qualcare PPO/HMO/WC	$91.50

SCREW LOCKING 3.5x10mm

Facility

$610.00

Service Code	HCPCS C1713
Hospital Charge Code	270671598
Hospital Revenue Code	278
Min. Negotiated Rate	$14.70
Max. Negotiated Rate	$305.00
Rate for Payer: Aetna Commercial	$231.80
Rate for Payer: Aetna Medicare Advantage	$183.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$155.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$155.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$122.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$155.55
Rate for Payer: Cigna Commercial	$305.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$147.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$134.20
Rate for Payer: Qualcare PPO/HMO/WC	$91.50
Rate for Payer: UnitedHealthcare Community & State	$14.70
Rate for Payer: Wellpoint Medicaid Managed Care	$16.16

SCREW LOCKING 3.5 X 12mm

Facility

$1,385.00

Hospital Charge Code	270669414
Hospital Revenue Code	278
Min. Negotiated Rate	$207.75
Max. Negotiated Rate	$335.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$277.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$335.17
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$304.70
Rate for Payer: Qualcare PPO/HMO/WC	$207.75

SCREW LOCKING 3.5 X 12mm

Facility

$1,385.00

Hospital Charge Code	270669414
Hospital Revenue Code	278
Min. Negotiated Rate	$33.38
Max. Negotiated Rate	$692.50
Rate for Payer: Aetna Commercial	$526.30
Rate for Payer: Aetna Medicare Advantage	$415.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$353.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$353.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$277.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$353.18
Rate for Payer: Cigna Commercial	$692.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$335.17
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$304.70
Rate for Payer: Qualcare PPO/HMO/WC	$207.75
Rate for Payer: UnitedHealthcare Community & State	$33.38
Rate for Payer: Wellpoint Medicaid Managed Care	$36.70

SCREW LOCKING 3.5 X 12MM

Facility

$731.00

Service Code	HCPCS C1713
Hospital Charge Code	270667388
Hospital Revenue Code	278
Min. Negotiated Rate	$17.62
Max. Negotiated Rate	$365.50
Rate for Payer: Aetna Commercial	$277.78
Rate for Payer: Aetna Medicare Advantage	$219.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$186.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$186.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$146.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$186.41
Rate for Payer: Cigna Commercial	$365.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$176.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$160.82
Rate for Payer: Qualcare PPO/HMO/WC	$109.65
Rate for Payer: UnitedHealthcare Community & State	$17.62
Rate for Payer: Wellpoint Medicaid Managed Care	$19.37

SCREW LOCKING 3.5 X 12MM

Facility

$731.00

Service Code	HCPCS C1713
Hospital Charge Code	270667388
Hospital Revenue Code	278
Min. Negotiated Rate	$109.65
Max. Negotiated Rate	$176.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$146.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$176.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$160.82
Rate for Payer: Qualcare PPO/HMO/WC	$109.65

SCREW LOCKING 3.5x12MM

Facility

$799.50

Service Code	HCPCS C1713
Hospital Charge Code	270660368
Hospital Revenue Code	278
Min. Negotiated Rate	$119.92
Max. Negotiated Rate	$193.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$159.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$175.89
Rate for Payer: Qualcare PPO/HMO/WC	$119.92

SCREW LOCKING 3.5x12MM

Facility

$799.50

Service Code	HCPCS C1713
Hospital Charge Code	270660368
Hospital Revenue Code	278
Min. Negotiated Rate	$19.27
Max. Negotiated Rate	$399.75
Rate for Payer: Aetna Commercial	$303.81
Rate for Payer: Aetna Medicare Advantage	$239.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$203.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$203.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$159.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$203.87
Rate for Payer: Cigna Commercial	$399.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$175.89
Rate for Payer: Qualcare PPO/HMO/WC	$119.92
Rate for Payer: UnitedHealthcare Community & State	$19.27
Rate for Payer: Wellpoint Medicaid Managed Care	$21.19

Know your out-of-pocket cost for care.

All Charges