Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LOCKING 4.0MM X 38MM

Facility

$594.00

Hospital Charge Code	270666921
Hospital Revenue Code	278
Min. Negotiated Rate	$14.32
Max. Negotiated Rate	$297.00
Rate for Payer: Aetna Commercial	$225.72
Rate for Payer: Aetna Medicare Advantage	$178.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$118.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.47
Rate for Payer: Cigna Commercial	$297.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$130.68
Rate for Payer: Qualcare PPO/HMO/WC	$89.10
Rate for Payer: UnitedHealthcare Community & State	$14.32
Rate for Payer: Wellpoint Medicaid Managed Care	$15.74

SCREW LOCKING 4.0MM X 38MM

Facility

$594.00

Hospital Charge Code	270666921
Hospital Revenue Code	278
Min. Negotiated Rate	$89.10
Max. Negotiated Rate	$143.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$118.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$130.68
Rate for Payer: Qualcare PPO/HMO/WC	$89.10

SCREW LOCKING 4.0MM X 42MM

Facility

$594.00

Hospital Charge Code	270666922
Hospital Revenue Code	278
Min. Negotiated Rate	$89.10
Max. Negotiated Rate	$143.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$118.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$130.68
Rate for Payer: Qualcare PPO/HMO/WC	$89.10

SCREW LOCKING 4.0MM X 42MM

Facility

$594.00

Hospital Charge Code	270666922
Hospital Revenue Code	278
Min. Negotiated Rate	$14.32
Max. Negotiated Rate	$297.00
Rate for Payer: Aetna Commercial	$225.72
Rate for Payer: Aetna Medicare Advantage	$178.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$118.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.47
Rate for Payer: Cigna Commercial	$297.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$130.68
Rate for Payer: Qualcare PPO/HMO/WC	$89.10
Rate for Payer: UnitedHealthcare Community & State	$14.32
Rate for Payer: Wellpoint Medicaid Managed Care	$15.74

SCREW LOCKING 4.0X14MM

Facility

$594.00

Hospital Charge Code	270669251
Hospital Revenue Code	278
Min. Negotiated Rate	$14.32
Max. Negotiated Rate	$297.00
Rate for Payer: Aetna Commercial	$225.72
Rate for Payer: Aetna Medicare Advantage	$178.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$118.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.47
Rate for Payer: Cigna Commercial	$297.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$130.68
Rate for Payer: Qualcare PPO/HMO/WC	$89.10
Rate for Payer: UnitedHealthcare Community & State	$14.32
Rate for Payer: Wellpoint Medicaid Managed Care	$15.74

SCREW LOCKING 4.0X14MM

Facility

$594.00

Hospital Charge Code	270669251
Hospital Revenue Code	278
Min. Negotiated Rate	$89.10
Max. Negotiated Rate	$143.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$118.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$130.68
Rate for Payer: Qualcare PPO/HMO/WC	$89.10

SCREW LOCKING 4.0 x 20mm370520

Facility

$560.00

Hospital Charge Code	270638776
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 4.0 x 20mm370520

Facility

$560.00

Hospital Charge Code	270638776
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 4.0x22mm

Facility

$1,060.00

Hospital Charge Code	270664512
Hospital Revenue Code	278
Min. Negotiated Rate	$25.55
Max. Negotiated Rate	$530.00
Rate for Payer: Aetna Commercial	$402.80
Rate for Payer: Aetna Medicare Advantage	$318.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$270.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$270.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$212.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$270.30
Rate for Payer: Cigna Commercial	$530.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$256.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$233.20
Rate for Payer: Qualcare PPO/HMO/WC	$159.00
Rate for Payer: UnitedHealthcare Community & State	$25.55
Rate for Payer: Wellpoint Medicaid Managed Care	$28.09

SCREW LOCKING 4.0x22mm

Facility

$1,060.00

Hospital Charge Code	270664512
Hospital Revenue Code	278
Min. Negotiated Rate	$159.00
Max. Negotiated Rate	$256.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$212.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$256.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$233.20
Rate for Payer: Qualcare PPO/HMO/WC	$159.00

SCREW LOCKING 4.0 x 22mm370522

Facility

$560.00

Hospital Charge Code	270638775
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 4.0 x 22mm370522

Facility

$560.00

Hospital Charge Code	270638775
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 4.0x24mm

Facility

$594.00

Hospital Charge Code	270657128
Hospital Revenue Code	278
Min. Negotiated Rate	$89.10
Max. Negotiated Rate	$143.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$118.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$130.68
Rate for Payer: Qualcare PPO/HMO/WC	$89.10

SCREW LOCKING 4.0x24mm

Facility

$594.00

Hospital Charge Code	270657128
Hospital Revenue Code	278
Min. Negotiated Rate	$14.32
Max. Negotiated Rate	$297.00
Rate for Payer: Aetna Commercial	$225.72
Rate for Payer: Aetna Medicare Advantage	$178.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$118.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.47
Rate for Payer: Cigna Commercial	$297.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$130.68
Rate for Payer: Qualcare PPO/HMO/WC	$89.10
Rate for Payer: UnitedHealthcare Community & State	$14.32
Rate for Payer: Wellpoint Medicaid Managed Care	$15.74

SCREW LOCKING 4.0x24mm

Facility

$1,060.00

Service Code	HCPCS C1713
Hospital Charge Code	270664514
Hospital Revenue Code	278
Min. Negotiated Rate	$25.55
Max. Negotiated Rate	$530.00
Rate for Payer: Aetna Commercial	$402.80
Rate for Payer: Aetna Medicare Advantage	$318.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$270.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$270.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$212.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$270.30
Rate for Payer: Cigna Commercial	$530.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$256.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$233.20
Rate for Payer: Qualcare PPO/HMO/WC	$159.00
Rate for Payer: UnitedHealthcare Community & State	$25.55
Rate for Payer: Wellpoint Medicaid Managed Care	$28.09

SCREW LOCKING 4.0x24mm

Facility

$1,060.00

Service Code	HCPCS C1713
Hospital Charge Code	270664514
Hospital Revenue Code	278
Min. Negotiated Rate	$159.00
Max. Negotiated Rate	$256.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$212.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$256.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$233.20
Rate for Payer: Qualcare PPO/HMO/WC	$159.00

SCREW LOCKING 4.0 x 24mm370524

Facility

$560.00

Hospital Charge Code	270638773
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 4.0 x 24mm370524

Facility

$560.00

Hospital Charge Code	270638773
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 4.0x26 371526

Facility

$875.00

Hospital Charge Code	270648069
Hospital Revenue Code	278
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$211.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$192.50
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

SCREW LOCKING 4.0x26 371526

Facility

$875.00

Hospital Charge Code	270648069
Hospital Revenue Code	278
Min. Negotiated Rate	$21.09
Max. Negotiated Rate	$437.50
Rate for Payer: Aetna Commercial	$332.50
Rate for Payer: Aetna Medicare Advantage	$262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.12
Rate for Payer: Cigna Commercial	$437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$192.50
Rate for Payer: Qualcare PPO/HMO/WC	$131.25
Rate for Payer: UnitedHealthcare Community & State	$21.09
Rate for Payer: Wellpoint Medicaid Managed Care	$23.19

SCREW LOCKING 4.0x28 371528

Facility

$875.00

Service Code	HCPCS C1713
Hospital Charge Code	270648068
Hospital Revenue Code	278
Min. Negotiated Rate	$21.09
Max. Negotiated Rate	$437.50
Rate for Payer: Aetna Commercial	$332.50
Rate for Payer: Aetna Medicare Advantage	$262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.12
Rate for Payer: Cigna Commercial	$437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$192.50
Rate for Payer: Qualcare PPO/HMO/WC	$131.25
Rate for Payer: UnitedHealthcare Community & State	$21.09
Rate for Payer: Wellpoint Medicaid Managed Care	$23.19

SCREW LOCKING 4.0x28 371528

Facility

$875.00

Service Code	HCPCS C1713
Hospital Charge Code	270648068
Hospital Revenue Code	278
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$211.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$192.50
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

SCREW LOCKING 4.0 X 28 MM

Facility

$594.00

Hospital Charge Code	270665749
Hospital Revenue Code	278
Min. Negotiated Rate	$89.10
Max. Negotiated Rate	$143.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$118.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$130.68
Rate for Payer: Qualcare PPO/HMO/WC	$89.10

SCREW LOCKING 4.0 X 28 MM

Facility

$594.00

Hospital Charge Code	270665749
Hospital Revenue Code	278
Min. Negotiated Rate	$14.32
Max. Negotiated Rate	$297.00
Rate for Payer: Aetna Commercial	$225.72
Rate for Payer: Aetna Medicare Advantage	$178.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$118.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.47
Rate for Payer: Cigna Commercial	$297.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$130.68
Rate for Payer: Qualcare PPO/HMO/WC	$89.10
Rate for Payer: UnitedHealthcare Community & State	$14.32
Rate for Payer: Wellpoint Medicaid Managed Care	$15.74

SCREW LOCKING 4.0 x 28mm370528

Facility

$560.00

Hospital Charge Code	270638774
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

Know your out-of-pocket cost for care.

All Charges