Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LOCKING 4.0x65mm

Facility

$1,060.00

Hospital Charge Code	270663681
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 4.0x65mm

Facility

$1,060.00

Hospital Charge Code	270663681
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 44mm 3705-44

Facility

$615.00

Hospital Charge Code	270640114
Hospital Revenue Code	278
Min. Negotiated Rate	$14.82
Max. Negotiated Rate	$307.50
Rate for Payer: Aetna Commercial	$233.70
Rate for Payer: Aetna Medicare Advantage	$184.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$156.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$156.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$156.82
Rate for Payer: Cigna Commercial	$307.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$135.30
Rate for Payer: Qualcare PPO/HMO/WC	$92.25
Rate for Payer: UnitedHealthcare Community & State	$14.82
Rate for Payer: Wellpoint Medicaid Managed Care	$16.30

SCREW LOCKING 44mm 3705-44

Facility

$615.00

Hospital Charge Code	270640114
Hospital Revenue Code	278
Min. Negotiated Rate	$92.25
Max. Negotiated Rate	$148.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$135.30
Rate for Payer: Qualcare PPO/HMO/WC	$92.25

SCREW LOCKING 4.5x26mm

Facility

$950.00

Service Code	HCPCS C1713
Hospital Charge Code	270685130
Hospital Revenue Code	278
Min. Negotiated Rate	$142.50
Max. Negotiated Rate	$229.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$209.00
Rate for Payer: Qualcare PPO/HMO/WC	$142.50

SCREW LOCKING 4.5x26mm

Facility

$950.00

Service Code	HCPCS C1713
Hospital Charge Code	270685130
Hospital Revenue Code	278
Min. Negotiated Rate	$22.89
Max. Negotiated Rate	$475.00
Rate for Payer: Aetna Commercial	$361.00
Rate for Payer: Aetna Medicare Advantage	$285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.25
Rate for Payer: Cigna Commercial	$475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$209.00
Rate for Payer: Qualcare PPO/HMO/WC	$142.50
Rate for Payer: UnitedHealthcare Community & State	$22.89
Rate for Payer: Wellpoint Medicaid Managed Care	$25.18

SCREW LOCKING 4.5x28mm

Facility

$950.00

Service Code	HCPCS C1713
Hospital Charge Code	270685131
Hospital Revenue Code	278
Min. Negotiated Rate	$142.50
Max. Negotiated Rate	$229.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$209.00
Rate for Payer: Qualcare PPO/HMO/WC	$142.50

SCREW LOCKING 4.5x28mm

Facility

$950.00

Service Code	HCPCS C1713
Hospital Charge Code	270685131
Hospital Revenue Code	278
Min. Negotiated Rate	$22.89
Max. Negotiated Rate	$475.00
Rate for Payer: Aetna Commercial	$361.00
Rate for Payer: Aetna Medicare Advantage	$285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.25
Rate for Payer: Cigna Commercial	$475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$209.00
Rate for Payer: Qualcare PPO/HMO/WC	$142.50
Rate for Payer: UnitedHealthcare Community & State	$22.89
Rate for Payer: Wellpoint Medicaid Managed Care	$25.18

SCREW LOCKING 4.5X30MM

Facility

$533.35

Service Code	HCPCS C1713
Hospital Charge Code	270704579
Hospital Revenue Code	278
Min. Negotiated Rate	$12.85
Max. Negotiated Rate	$266.68
Rate for Payer: Aetna Commercial	$202.67
Rate for Payer: Aetna Medicare Advantage	$160.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.00
Rate for Payer: Cigna Commercial	$266.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$117.34
Rate for Payer: Qualcare PPO/HMO/WC	$80.00
Rate for Payer: UnitedHealthcare Community & State	$12.85
Rate for Payer: Wellpoint Medicaid Managed Care	$14.13

SCREW LOCKING 4.5X30MM

Facility

$533.35

Service Code	HCPCS C1713
Hospital Charge Code	270704579
Hospital Revenue Code	278
Min. Negotiated Rate	$80.00
Max. Negotiated Rate	$129.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$117.34
Rate for Payer: Qualcare PPO/HMO/WC	$80.00

SCREW LOCKING 4.5x32mm

Facility

$950.00

Service Code	HCPCS C1713
Hospital Charge Code	270685128
Hospital Revenue Code	278
Min. Negotiated Rate	$142.50
Max. Negotiated Rate	$229.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$209.00
Rate for Payer: Qualcare PPO/HMO/WC	$142.50

SCREW LOCKING 4.5x32mm

Facility

$950.00

Service Code	HCPCS C1713
Hospital Charge Code	270685128
Hospital Revenue Code	278
Min. Negotiated Rate	$22.89
Max. Negotiated Rate	$475.00
Rate for Payer: Aetna Commercial	$361.00
Rate for Payer: Aetna Medicare Advantage	$285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.25
Rate for Payer: Cigna Commercial	$475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$209.00
Rate for Payer: Qualcare PPO/HMO/WC	$142.50
Rate for Payer: UnitedHealthcare Community & State	$22.89
Rate for Payer: Wellpoint Medicaid Managed Care	$25.18

SCREW LOCKING 4.5x35MM

Facility

$1,295.00

Service Code	HCPCS C1713
Hospital Charge Code	270683642
Hospital Revenue Code	278
Min. Negotiated Rate	$194.25
Max. Negotiated Rate	$313.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$259.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$313.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$284.90
Rate for Payer: Qualcare PPO/HMO/WC	$194.25

SCREW LOCKING 4.5x35MM

Facility

$1,295.00

Service Code	HCPCS C1713
Hospital Charge Code	270683642
Hospital Revenue Code	278
Min. Negotiated Rate	$31.21
Max. Negotiated Rate	$647.50
Rate for Payer: Aetna Commercial	$492.10
Rate for Payer: Aetna Medicare Advantage	$388.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$330.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$330.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$259.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$330.23
Rate for Payer: Cigna Commercial	$647.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$313.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$284.90
Rate for Payer: Qualcare PPO/HMO/WC	$194.25
Rate for Payer: UnitedHealthcare Community & State	$31.21
Rate for Payer: Wellpoint Medicaid Managed Care	$34.32

SCREW LOCKING 4.5X35MM

Facility

$533.35

Service Code	HCPCS C1713
Hospital Charge Code	270704580
Hospital Revenue Code	278
Min. Negotiated Rate	$12.85
Max. Negotiated Rate	$266.68
Rate for Payer: Aetna Commercial	$202.67
Rate for Payer: Aetna Medicare Advantage	$160.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.00
Rate for Payer: Cigna Commercial	$266.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$117.34
Rate for Payer: Qualcare PPO/HMO/WC	$80.00
Rate for Payer: UnitedHealthcare Community & State	$12.85
Rate for Payer: Wellpoint Medicaid Managed Care	$14.13

SCREW LOCKING 4.5X35MM

Facility

$533.35

Service Code	HCPCS C1713
Hospital Charge Code	270704580
Hospital Revenue Code	278
Min. Negotiated Rate	$80.00
Max. Negotiated Rate	$129.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$117.34
Rate for Payer: Qualcare PPO/HMO/WC	$80.00

SCREW LOCKING 4.5x40MM

Facility

$1,295.00

Service Code	HCPCS C1713
Hospital Charge Code	270683641
Hospital Revenue Code	278
Min. Negotiated Rate	$31.21
Max. Negotiated Rate	$647.50
Rate for Payer: Aetna Commercial	$492.10
Rate for Payer: Aetna Medicare Advantage	$388.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$330.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$330.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$259.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$330.23
Rate for Payer: Cigna Commercial	$647.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$313.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$284.90
Rate for Payer: Qualcare PPO/HMO/WC	$194.25
Rate for Payer: UnitedHealthcare Community & State	$31.21
Rate for Payer: Wellpoint Medicaid Managed Care	$34.32

SCREW LOCKING 4.5x40MM

Facility

$1,295.00

Service Code	HCPCS C1713
Hospital Charge Code	270683641
Hospital Revenue Code	278
Min. Negotiated Rate	$194.25
Max. Negotiated Rate	$313.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$259.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$313.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$284.90
Rate for Payer: Qualcare PPO/HMO/WC	$194.25

SCREW LOCKING 46MM

Facility

$905.00

Hospital Charge Code	270557018
Hospital Revenue Code	278
Min. Negotiated Rate	$135.75
Max. Negotiated Rate	$219.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.01
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$199.10
Rate for Payer: Qualcare PPO/HMO/WC	$135.75

SCREW LOCKING 46MM

Facility

$905.00

Hospital Charge Code	270668018
Hospital Revenue Code	278
Min. Negotiated Rate	$135.75
Max. Negotiated Rate	$219.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.01
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$199.10
Rate for Payer: Qualcare PPO/HMO/WC	$135.75

SCREW LOCKING 46MM

Facility

$905.00

Hospital Charge Code	270668018
Hospital Revenue Code	278
Min. Negotiated Rate	$21.81
Max. Negotiated Rate	$452.50
Rate for Payer: Aetna Commercial	$343.90
Rate for Payer: Aetna Medicare Advantage	$271.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$230.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$230.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$230.78
Rate for Payer: Cigna Commercial	$452.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.01
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$199.10
Rate for Payer: Qualcare PPO/HMO/WC	$135.75
Rate for Payer: UnitedHealthcare Community & State	$21.81
Rate for Payer: Wellpoint Medicaid Managed Care	$23.98

SCREW LOCKING 46MM

Facility

$905.00

Hospital Charge Code	270557018
Hospital Revenue Code	278
Min. Negotiated Rate	$21.81
Max. Negotiated Rate	$452.50
Rate for Payer: Aetna Commercial	$343.90
Rate for Payer: Aetna Medicare Advantage	$271.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$230.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$230.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$230.78
Rate for Payer: Cigna Commercial	$452.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.01
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$199.10
Rate for Payer: Qualcare PPO/HMO/WC	$135.75
Rate for Payer: UnitedHealthcare Community & State	$21.81
Rate for Payer: Wellpoint Medicaid Managed Care	$23.98

SCREW LOCKING 4x36MM

Facility

$927.20

Service Code	HCPCS C1713
Hospital Charge Code	270675650
Hospital Revenue Code	278
Min. Negotiated Rate	$22.35
Max. Negotiated Rate	$463.60
Rate for Payer: Aetna Commercial	$352.34
Rate for Payer: Aetna Medicare Advantage	$278.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$236.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$236.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$185.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$236.44
Rate for Payer: Cigna Commercial	$463.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$224.38
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$203.98
Rate for Payer: Qualcare PPO/HMO/WC	$139.08
Rate for Payer: UnitedHealthcare Community & State	$22.35
Rate for Payer: Wellpoint Medicaid Managed Care	$24.57

SCREW LOCKING 4x36MM

Facility

$927.20

Service Code	HCPCS C1713
Hospital Charge Code	270675650
Hospital Revenue Code	278
Min. Negotiated Rate	$139.08
Max. Negotiated Rate	$224.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$185.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$224.38
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$203.98
Rate for Payer: Qualcare PPO/HMO/WC	$139.08

SCREW LOCKING 4x38MM

Facility

$927.20

Service Code	HCPCS C1713
Hospital Charge Code	270675649
Hospital Revenue Code	278
Min. Negotiated Rate	$139.08
Max. Negotiated Rate	$224.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$185.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$224.38
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$203.98
Rate for Payer: Qualcare PPO/HMO/WC	$139.08

Know your out-of-pocket cost for care.

All Charges