Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LOCKING 3.5X12MM

Facility

$710.00

Hospital Charge Code	270668126
Hospital Revenue Code	278
Min. Negotiated Rate	$17.11
Max. Negotiated Rate	$355.00
Rate for Payer: Aetna Commercial	$269.80
Rate for Payer: Aetna Medicare Advantage	$213.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$181.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$181.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$142.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$181.05
Rate for Payer: Cigna Commercial	$355.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$171.82
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$156.20
Rate for Payer: Qualcare PPO/HMO/WC	$106.50
Rate for Payer: UnitedHealthcare Community & State	$17.11
Rate for Payer: Wellpoint Medicaid Managed Care	$18.82

SCREW LOCKING 3.5X12MM

Facility

$710.00

Hospital Charge Code	270668126
Hospital Revenue Code	278
Min. Negotiated Rate	$106.50
Max. Negotiated Rate	$171.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$142.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$171.82
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$156.20
Rate for Payer: Qualcare PPO/HMO/WC	$106.50

SCREW LOCKING 3.5 X 14

Facility

$350.00

Hospital Charge Code	270638098
Hospital Revenue Code	278
Min. Negotiated Rate	$8.44
Max. Negotiated Rate	$175.00
Rate for Payer: Aetna Commercial	$133.00
Rate for Payer: Aetna Medicare Advantage	$105.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$70.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.25
Rate for Payer: Cigna Commercial	$175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$77.00
Rate for Payer: Qualcare PPO/HMO/WC	$52.50
Rate for Payer: UnitedHealthcare Community & State	$8.44
Rate for Payer: Wellpoint Medicaid Managed Care	$9.28

SCREW LOCKING 3.5 X 14

Facility

$350.00

Hospital Charge Code	270638098
Hospital Revenue Code	278
Min. Negotiated Rate	$52.50
Max. Negotiated Rate	$84.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$70.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$77.00
Rate for Payer: Qualcare PPO/HMO/WC	$52.50

SCREW LOCKING 3.5 X 14MM

Facility

$1,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270662026
Hospital Revenue Code	278
Min. Negotiated Rate	$27.11
Max. Negotiated Rate	$562.50
Rate for Payer: Aetna Commercial	$427.50
Rate for Payer: Aetna Medicare Advantage	$337.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.88
Rate for Payer: Cigna Commercial	$562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$247.50
Rate for Payer: Qualcare PPO/HMO/WC	$168.75
Rate for Payer: UnitedHealthcare Community & State	$27.11
Rate for Payer: Wellpoint Medicaid Managed Care	$29.81

SCREW LOCKING 3.5 X 14MM

Facility

$1,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270662026
Hospital Revenue Code	278
Min. Negotiated Rate	$168.75
Max. Negotiated Rate	$272.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$247.50
Rate for Payer: Qualcare PPO/HMO/WC	$168.75

SCREW LOCKING 3.5x14MM

Facility

$740.00

Hospital Charge Code	270676765
Hospital Revenue Code	278
Min. Negotiated Rate	$17.83
Max. Negotiated Rate	$370.00
Rate for Payer: Aetna Commercial	$281.20
Rate for Payer: Aetna Medicare Advantage	$222.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$188.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$188.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$148.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$188.70
Rate for Payer: Cigna Commercial	$370.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$179.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$162.80
Rate for Payer: Qualcare PPO/HMO/WC	$111.00
Rate for Payer: UnitedHealthcare Community & State	$17.83
Rate for Payer: Wellpoint Medicaid Managed Care	$19.61

SCREW LOCKING 3.5x14MM

Facility

$1,120.00

Service Code	HCPCS C1713
Hospital Charge Code	270679882
Hospital Revenue Code	278
Min. Negotiated Rate	$26.99
Max. Negotiated Rate	$560.00
Rate for Payer: Aetna Commercial	$425.60
Rate for Payer: Aetna Medicare Advantage	$336.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$285.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$285.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$285.60
Rate for Payer: Cigna Commercial	$560.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$271.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$246.40
Rate for Payer: Qualcare PPO/HMO/WC	$168.00
Rate for Payer: UnitedHealthcare Community & State	$26.99
Rate for Payer: Wellpoint Medicaid Managed Care	$29.68

SCREW LOCKING 3.5x14MM

Facility

$740.00

Hospital Charge Code	270676765
Hospital Revenue Code	278
Min. Negotiated Rate	$111.00
Max. Negotiated Rate	$179.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$148.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$179.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$162.80
Rate for Payer: Qualcare PPO/HMO/WC	$111.00

SCREW LOCKING 3.5x14MM

Facility

$1,120.00

Service Code	HCPCS C1713
Hospital Charge Code	270679882
Hospital Revenue Code	278
Min. Negotiated Rate	$168.00
Max. Negotiated Rate	$271.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$271.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$246.40
Rate for Payer: Qualcare PPO/HMO/WC	$168.00

SCREW LOCKING 3.5X14MM

Facility

$710.00

Service Code	HCPCS C1713
Hospital Charge Code	270646205
Hospital Revenue Code	278
Min. Negotiated Rate	$106.50
Max. Negotiated Rate	$171.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$142.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$171.82
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$156.20
Rate for Payer: Qualcare PPO/HMO/WC	$106.50

SCREW LOCKING 3.5X14MM

Facility

$710.00

Service Code	HCPCS C1713
Hospital Charge Code	270646205
Hospital Revenue Code	278
Min. Negotiated Rate	$17.11
Max. Negotiated Rate	$355.00
Rate for Payer: Aetna Commercial	$269.80
Rate for Payer: Aetna Medicare Advantage	$213.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$181.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$181.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$142.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$181.05
Rate for Payer: Cigna Commercial	$355.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$171.82
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$156.20
Rate for Payer: Qualcare PPO/HMO/WC	$106.50
Rate for Payer: UnitedHealthcare Community & State	$17.11
Rate for Payer: Wellpoint Medicaid Managed Care	$18.82

SCREW LOCKING 3.5x16MM

Facility

$740.00

Hospital Charge Code	270676764
Hospital Revenue Code	278
Min. Negotiated Rate	$111.00
Max. Negotiated Rate	$179.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$148.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$179.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$162.80
Rate for Payer: Qualcare PPO/HMO/WC	$111.00

SCREW LOCKING 3.5x16MM

Facility

$740.00

Hospital Charge Code	270676764
Hospital Revenue Code	278
Min. Negotiated Rate	$17.83
Max. Negotiated Rate	$370.00
Rate for Payer: Aetna Commercial	$281.20
Rate for Payer: Aetna Medicare Advantage	$222.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$188.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$188.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$148.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$188.70
Rate for Payer: Cigna Commercial	$370.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$179.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$162.80
Rate for Payer: Qualcare PPO/HMO/WC	$111.00
Rate for Payer: UnitedHealthcare Community & State	$17.83
Rate for Payer: Wellpoint Medicaid Managed Care	$19.61

SCREW LOCKING 3.5X16MM

Facility

$1,440.00

Service Code	HCPCS C1713
Hospital Charge Code	270698462
Hospital Revenue Code	278
Min. Negotiated Rate	$216.00
Max. Negotiated Rate	$348.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$288.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$348.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$316.80
Rate for Payer: Qualcare PPO/HMO/WC	$216.00

SCREW LOCKING 3.5X16MM

Facility

$2,665.00

Service Code	HCPCS C1713
Hospital Charge Code	270699980
Hospital Revenue Code	278
Min. Negotiated Rate	$399.75
Max. Negotiated Rate	$644.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$533.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$644.93
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$586.30
Rate for Payer: Qualcare PPO/HMO/WC	$399.75

SCREW LOCKING 3.5X16MM

Facility

$2,665.00

Service Code	HCPCS C1713
Hospital Charge Code	270699980
Hospital Revenue Code	278
Min. Negotiated Rate	$64.23
Max. Negotiated Rate	$1,332.50
Rate for Payer: Aetna Commercial	$1,012.70
Rate for Payer: Aetna Medicare Advantage	$799.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$679.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$679.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$533.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$679.58
Rate for Payer: Cigna Commercial	$1,332.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$644.93
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$586.30
Rate for Payer: Qualcare PPO/HMO/WC	$399.75
Rate for Payer: UnitedHealthcare Community & State	$64.23
Rate for Payer: Wellpoint Medicaid Managed Care	$70.62

SCREW LOCKING 3.5X16MM

Facility

$1,440.00

Service Code	HCPCS C1713
Hospital Charge Code	270698462
Hospital Revenue Code	278
Min. Negotiated Rate	$34.70
Max. Negotiated Rate	$720.00
Rate for Payer: Aetna Commercial	$547.20
Rate for Payer: Aetna Medicare Advantage	$432.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$367.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$367.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$288.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$367.20
Rate for Payer: Cigna Commercial	$720.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$348.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$316.80
Rate for Payer: Qualcare PPO/HMO/WC	$216.00
Rate for Payer: UnitedHealthcare Community & State	$34.70
Rate for Payer: Wellpoint Medicaid Managed Care	$38.16

SCREW LOCKING 3.5 X 17

Facility

$175.00

Service Code	HCPCS C1713
Hospital Charge Code	270686430
Hospital Revenue Code	278
Min. Negotiated Rate	$26.25
Max. Negotiated Rate	$42.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$38.50
Rate for Payer: Qualcare PPO/HMO/WC	$26.25

SCREW LOCKING 3.5 X 17

Facility

$175.00

Service Code	HCPCS C1713
Hospital Charge Code	270686430
Hospital Revenue Code	278
Min. Negotiated Rate	$4.22
Max. Negotiated Rate	$87.50
Rate for Payer: Aetna Commercial	$66.50
Rate for Payer: Aetna Medicare Advantage	$52.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.62
Rate for Payer: Cigna Commercial	$87.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$38.50
Rate for Payer: Qualcare PPO/HMO/WC	$26.25
Rate for Payer: UnitedHealthcare Community & State	$4.22
Rate for Payer: Wellpoint Medicaid Managed Care	$4.64

SCREW LOCKING 3.5 X 18

Facility

$350.00

Hospital Charge Code	270638099
Hospital Revenue Code	278
Min. Negotiated Rate	$8.44
Max. Negotiated Rate	$175.00
Rate for Payer: Aetna Commercial	$133.00
Rate for Payer: Aetna Medicare Advantage	$105.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$70.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.25
Rate for Payer: Cigna Commercial	$175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$77.00
Rate for Payer: Qualcare PPO/HMO/WC	$52.50
Rate for Payer: UnitedHealthcare Community & State	$8.44
Rate for Payer: Wellpoint Medicaid Managed Care	$9.28

SCREW LOCKING 3.5 X 18

Facility

$350.00

Hospital Charge Code	270638099
Hospital Revenue Code	278
Min. Negotiated Rate	$52.50
Max. Negotiated Rate	$84.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$70.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$77.00
Rate for Payer: Qualcare PPO/HMO/WC	$52.50

SCREW LOCKING 3.5x18MM

Facility

$1,120.00

Service Code	HCPCS C1713
Hospital Charge Code	270667120
Hospital Revenue Code	278
Min. Negotiated Rate	$26.99
Max. Negotiated Rate	$560.00
Rate for Payer: Aetna Commercial	$425.60
Rate for Payer: Aetna Medicare Advantage	$336.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$285.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$285.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$285.60
Rate for Payer: Cigna Commercial	$560.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$271.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$246.40
Rate for Payer: Qualcare PPO/HMO/WC	$168.00
Rate for Payer: UnitedHealthcare Community & State	$26.99
Rate for Payer: Wellpoint Medicaid Managed Care	$29.68

SCREW LOCKING 3.5x18MM

Facility

$1,120.00

Service Code	HCPCS C1713
Hospital Charge Code	270667120
Hospital Revenue Code	278
Min. Negotiated Rate	$168.00
Max. Negotiated Rate	$271.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$271.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$246.40
Rate for Payer: Qualcare PPO/HMO/WC	$168.00

SCREW LOCKING 3.5 X 20MM

Facility

$642.70

Service Code	HCPCS C1713
Hospital Charge Code	270660397
Hospital Revenue Code	278
Min. Negotiated Rate	$15.49
Max. Negotiated Rate	$321.35
Rate for Payer: Aetna Commercial	$244.23
Rate for Payer: Aetna Medicare Advantage	$192.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$163.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$163.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$128.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$163.89
Rate for Payer: Cigna Commercial	$321.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$155.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$141.39
Rate for Payer: Qualcare PPO/HMO/WC	$96.41
Rate for Payer: UnitedHealthcare Community & State	$15.49
Rate for Payer: Wellpoint Medicaid Managed Care	$17.03

Know your out-of-pocket cost for care.

All Charges