Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LOCKING 5.0X44MM

Facility

$856.40

Service Code	HCPCS C1713
Hospital Charge Code	270689693
Hospital Revenue Code	278
Min. Negotiated Rate	$128.46
Max. Negotiated Rate	$207.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$188.41
Rate for Payer: Qualcare PPO/HMO/WC	$128.46

SCREW LOCKING 5.0 X 46

Facility

$951.70

Service Code	HCPCS C1713
Hospital Charge Code	270679364
Hospital Revenue Code	278
Min. Negotiated Rate	$22.94
Max. Negotiated Rate	$475.85
Rate for Payer: Aetna Commercial	$361.65
Rate for Payer: Aetna Medicare Advantage	$285.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.68
Rate for Payer: Cigna Commercial	$475.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$230.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$209.37
Rate for Payer: Qualcare PPO/HMO/WC	$142.75
Rate for Payer: UnitedHealthcare Community & State	$22.94
Rate for Payer: Wellpoint Medicaid Managed Care	$25.22

SCREW LOCKING 5.0 X 46

Facility

$951.70

Service Code	HCPCS C1713
Hospital Charge Code	270679364
Hospital Revenue Code	278
Min. Negotiated Rate	$142.75
Max. Negotiated Rate	$230.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$230.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$209.37
Rate for Payer: Qualcare PPO/HMO/WC	$142.75

SCREW LOCKING 5.0X46MM

Facility

$856.40

Service Code	HCPCS C1713
Hospital Charge Code	270689694
Hospital Revenue Code	278
Min. Negotiated Rate	$20.64
Max. Negotiated Rate	$428.20
Rate for Payer: Aetna Commercial	$325.43
Rate for Payer: Aetna Medicare Advantage	$256.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$218.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$218.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$218.38
Rate for Payer: Cigna Commercial	$428.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$188.41
Rate for Payer: Qualcare PPO/HMO/WC	$128.46
Rate for Payer: UnitedHealthcare Community & State	$20.64
Rate for Payer: Wellpoint Medicaid Managed Care	$22.69

SCREW LOCKING 5.0X46MM

Facility

$856.40

Service Code	HCPCS C1713
Hospital Charge Code	270689694
Hospital Revenue Code	278
Min. Negotiated Rate	$128.46
Max. Negotiated Rate	$207.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$188.41
Rate for Payer: Qualcare PPO/HMO/WC	$128.46

SCREW LOCKING 5.0 X 48MM

Facility

$1,130.00

Service Code	HCPCS C1713
Hospital Charge Code	270663304
Hospital Revenue Code	278
Min. Negotiated Rate	$169.50
Max. Negotiated Rate	$273.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$226.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$273.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$248.60
Rate for Payer: Qualcare PPO/HMO/WC	$169.50

SCREW LOCKING 5.0 X 48MM

Facility

$1,130.00

Service Code	HCPCS C1713
Hospital Charge Code	270663304
Hospital Revenue Code	278
Min. Negotiated Rate	$27.23
Max. Negotiated Rate	$565.00
Rate for Payer: Aetna Commercial	$429.40
Rate for Payer: Aetna Medicare Advantage	$339.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$288.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$288.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$226.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$288.15
Rate for Payer: Cigna Commercial	$565.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$273.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$248.60
Rate for Payer: Qualcare PPO/HMO/WC	$169.50
Rate for Payer: UnitedHealthcare Community & State	$27.23
Rate for Payer: Wellpoint Medicaid Managed Care	$29.95

SCREW LOCKING 5.0x4mm

Facility

$945.00

Service Code	HCPCS C1713
Hospital Charge Code	270656659
Hospital Revenue Code	278
Min. Negotiated Rate	$22.77
Max. Negotiated Rate	$472.50
Rate for Payer: Aetna Commercial	$359.10
Rate for Payer: Aetna Medicare Advantage	$283.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$240.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$240.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$189.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$240.97
Rate for Payer: Cigna Commercial	$472.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$228.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$207.90
Rate for Payer: Qualcare PPO/HMO/WC	$141.75
Rate for Payer: UnitedHealthcare Community & State	$22.77
Rate for Payer: Wellpoint Medicaid Managed Care	$25.04

SCREW LOCKING 5.0x4mm

Facility

$945.00

Service Code	HCPCS C1713
Hospital Charge Code	270656659
Hospital Revenue Code	278
Min. Negotiated Rate	$141.75
Max. Negotiated Rate	$228.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$189.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$228.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$207.90
Rate for Payer: Qualcare PPO/HMO/WC	$141.75

SCREW LOCKING 5.0X50MM

Facility

$1,130.00

Hospital Charge Code	270668433
Hospital Revenue Code	278
Min. Negotiated Rate	$27.23
Max. Negotiated Rate	$565.00
Rate for Payer: Aetna Commercial	$429.40
Rate for Payer: Aetna Medicare Advantage	$339.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$288.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$288.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$226.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$288.15
Rate for Payer: Cigna Commercial	$565.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$273.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$248.60
Rate for Payer: Qualcare PPO/HMO/WC	$169.50
Rate for Payer: UnitedHealthcare Community & State	$27.23
Rate for Payer: Wellpoint Medicaid Managed Care	$29.95

SCREW LOCKING 5.0X50MM

Facility

$1,130.00

Hospital Charge Code	270668433
Hospital Revenue Code	278
Min. Negotiated Rate	$169.50
Max. Negotiated Rate	$273.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$226.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$273.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$248.60
Rate for Payer: Qualcare PPO/HMO/WC	$169.50

SCREW LOCKING 5.0 X 58MM

Facility

$945.00

Service Code	HCPCS C1776
Hospital Charge Code	270669730
Hospital Revenue Code	278
Min. Negotiated Rate	$141.75
Max. Negotiated Rate	$228.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$189.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$228.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$207.90
Rate for Payer: Qualcare PPO/HMO/WC	$141.75

SCREW LOCKING 5.0 X 58MM

Facility

$945.00

Service Code	HCPCS C1776
Hospital Charge Code	270669730
Hospital Revenue Code	278
Min. Negotiated Rate	$22.77
Max. Negotiated Rate	$472.50
Rate for Payer: Aetna Commercial	$359.10
Rate for Payer: Aetna Medicare Advantage	$283.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$240.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$240.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$189.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$240.97
Rate for Payer: Cigna Commercial	$472.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$228.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$207.90
Rate for Payer: Qualcare PPO/HMO/WC	$141.75
Rate for Payer: UnitedHealthcare Community & State	$22.77
Rate for Payer: Wellpoint Medicaid Managed Care	$25.04

SCREW LOCKING 5.0 X 60MM

Facility

$945.00

Service Code	HCPCS C1713
Hospital Charge Code	270669731
Hospital Revenue Code	278
Min. Negotiated Rate	$141.75
Max. Negotiated Rate	$228.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$189.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$228.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$207.90
Rate for Payer: Qualcare PPO/HMO/WC	$141.75

SCREW LOCKING 5.0 X 60MM

Facility

$945.00

Service Code	HCPCS C1713
Hospital Charge Code	270669731
Hospital Revenue Code	278
Min. Negotiated Rate	$22.77
Max. Negotiated Rate	$472.50
Rate for Payer: Aetna Commercial	$359.10
Rate for Payer: Aetna Medicare Advantage	$283.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$240.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$240.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$189.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$240.97
Rate for Payer: Cigna Commercial	$472.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$228.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$207.90
Rate for Payer: Qualcare PPO/HMO/WC	$141.75
Rate for Payer: UnitedHealthcare Community & State	$22.77
Rate for Payer: Wellpoint Medicaid Managed Care	$25.04

SCREW LOCKING 5.0X60MM

Facility

$1,130.00

Hospital Charge Code	270668430
Hospital Revenue Code	278
Min. Negotiated Rate	$169.50
Max. Negotiated Rate	$273.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$226.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$273.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$248.60
Rate for Payer: Qualcare PPO/HMO/WC	$169.50

SCREW LOCKING 5.0X60MM

Facility

$1,130.00

Hospital Charge Code	270668430
Hospital Revenue Code	278
Min. Negotiated Rate	$27.23
Max. Negotiated Rate	$565.00
Rate for Payer: Aetna Commercial	$429.40
Rate for Payer: Aetna Medicare Advantage	$339.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$288.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$288.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$226.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$288.15
Rate for Payer: Cigna Commercial	$565.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$273.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$248.60
Rate for Payer: Qualcare PPO/HMO/WC	$169.50
Rate for Payer: UnitedHealthcare Community & State	$27.23
Rate for Payer: Wellpoint Medicaid Managed Care	$29.95

SCREW LOCKING 5.0x65MM

Facility

$799.50

Service Code	HCPCS C1713
Hospital Charge Code	270668429
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 5.0x65MM

Facility

$799.50

Service Code	HCPCS C1713
Hospital Charge Code	270668429
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 5.0X 66 MM

Facility

$769.70

Service Code	HCPCS C1713
Hospital Charge Code	270691435
Hospital Revenue Code	278
Min. Negotiated Rate	$115.45
Max. Negotiated Rate	$186.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$153.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$186.27
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$169.33
Rate for Payer: Qualcare PPO/HMO/WC	$115.45

SCREW LOCKING 5.0X 66 MM

Facility

$769.70

Service Code	HCPCS C1713
Hospital Charge Code	270691435
Hospital Revenue Code	278
Min. Negotiated Rate	$18.55
Max. Negotiated Rate	$384.85
Rate for Payer: Aetna Commercial	$292.49
Rate for Payer: Aetna Medicare Advantage	$230.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$196.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$196.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$153.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$196.27
Rate for Payer: Cigna Commercial	$384.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$186.27
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$169.33
Rate for Payer: Qualcare PPO/HMO/WC	$115.45
Rate for Payer: UnitedHealthcare Community & State	$18.55
Rate for Payer: Wellpoint Medicaid Managed Care	$20.40

SCREW LOCKING 5.0x70MM

Facility

$799.50

Service Code	HCPCS C1713
Hospital Charge Code	270673224
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 5.0x70MM

Facility

$799.50

Service Code	HCPCS C1713
Hospital Charge Code	270673224
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 5.0 X 72MM

Facility

$1,380.00

Hospital Charge Code	270669732
Hospital Revenue Code	278
Min. Negotiated Rate	$207.00
Max. Negotiated Rate	$333.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$276.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$333.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$303.60
Rate for Payer: Qualcare PPO/HMO/WC	$207.00

SCREW LOCKING 5.0 X 72MM

Facility

$1,380.00

Hospital Charge Code	270669732
Hospital Revenue Code	278
Min. Negotiated Rate	$33.26
Max. Negotiated Rate	$690.00
Rate for Payer: Aetna Commercial	$524.40
Rate for Payer: Aetna Medicare Advantage	$414.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$351.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$351.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$276.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$351.90
Rate for Payer: Cigna Commercial	$690.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$333.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$303.60
Rate for Payer: Qualcare PPO/HMO/WC	$207.00
Rate for Payer: UnitedHealthcare Community & State	$33.26
Rate for Payer: Wellpoint Medicaid Managed Care	$36.57

Know your out-of-pocket cost for care.

All Charges