Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LOCKING 5X60MM PART THD

Facility

$1,545.00

Hospital Charge Code	270670469
Hospital Revenue Code	278
Min. Negotiated Rate	$37.23
Max. Negotiated Rate	$772.50
Rate for Payer: Aetna Commercial	$587.10
Rate for Payer: Aetna Medicare Advantage	$463.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$393.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$393.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$309.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$393.98
Rate for Payer: Cigna Commercial	$772.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$373.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$339.90
Rate for Payer: Qualcare PPO/HMO/WC	$231.75
Rate for Payer: UnitedHealthcare Community & State	$37.23
Rate for Payer: Wellpoint Medicaid Managed Care	$40.94

SCREW LOCKING 5X60MM PART THD

Facility

$1,545.00

Hospital Charge Code	270670469
Hospital Revenue Code	278
Min. Negotiated Rate	$231.75
Max. Negotiated Rate	$373.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$309.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$373.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$339.90
Rate for Payer: Qualcare PPO/HMO/WC	$231.75

SCREW LOCKING 5X75MM FULLY THD

Facility

$1,470.00

Service Code	HCPCS C1713
Hospital Charge Code	270670468
Hospital Revenue Code	278
Min. Negotiated Rate	$35.43
Max. Negotiated Rate	$735.00
Rate for Payer: Aetna Commercial	$558.60
Rate for Payer: Aetna Medicare Advantage	$441.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$374.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$374.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$294.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$374.85
Rate for Payer: Cigna Commercial	$735.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$355.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$323.40
Rate for Payer: Qualcare PPO/HMO/WC	$220.50
Rate for Payer: UnitedHealthcare Community & State	$35.43
Rate for Payer: Wellpoint Medicaid Managed Care	$38.95

SCREW LOCKING 5X75MM FULLY THD

Facility

$1,470.00

Service Code	HCPCS C1713
Hospital Charge Code	270670468
Hospital Revenue Code	278
Min. Negotiated Rate	$220.50
Max. Negotiated Rate	$355.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$294.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$355.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$323.40
Rate for Payer: Qualcare PPO/HMO/WC	$220.50

SCREW LOCKING 6.0X72MM T25 SD

Facility

$994.85

Service Code	HCPCS C1713
Hospital Charge Code	270693259
Hospital Revenue Code	278
Min. Negotiated Rate	$149.23
Max. Negotiated Rate	$240.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$198.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$240.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$218.87
Rate for Payer: Qualcare PPO/HMO/WC	$149.23

SCREW LOCKING 6.0X72MM T25 SD

Facility

$994.85

Service Code	HCPCS C1713
Hospital Charge Code	270693259
Hospital Revenue Code	278
Min. Negotiated Rate	$23.98
Max. Negotiated Rate	$497.43
Rate for Payer: Aetna Commercial	$378.04
Rate for Payer: Aetna Medicare Advantage	$298.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$253.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$253.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$198.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$253.69
Rate for Payer: Cigna Commercial	$497.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$240.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$218.87
Rate for Payer: Qualcare PPO/HMO/WC	$149.23
Rate for Payer: UnitedHealthcare Community & State	$23.98
Rate for Payer: Wellpoint Medicaid Managed Care	$26.36

SCREW LOCKING 6.0X80MM T25

Facility

$698.85

Service Code	HCPCS C1713
Hospital Charge Code	270693315
Hospital Revenue Code	278
Min. Negotiated Rate	$104.83
Max. Negotiated Rate	$169.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$139.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$153.75
Rate for Payer: Qualcare PPO/HMO/WC	$104.83

SCREW LOCKING 6.0X80MM T25

Facility

$698.85

Service Code	HCPCS C1713
Hospital Charge Code	270693315
Hospital Revenue Code	278
Min. Negotiated Rate	$16.84
Max. Negotiated Rate	$349.43
Rate for Payer: Aetna Commercial	$265.56
Rate for Payer: Aetna Medicare Advantage	$209.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$139.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.21
Rate for Payer: Cigna Commercial	$349.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$153.75
Rate for Payer: Qualcare PPO/HMO/WC	$104.83
Rate for Payer: UnitedHealthcare Community & State	$16.84
Rate for Payer: Wellpoint Medicaid Managed Care	$18.52

SCREW LOCKING 6.0X80MM T25 SD

Facility

$994.85

Service Code	HCPCS C1713
Hospital Charge Code	270693258
Hospital Revenue Code	278
Min. Negotiated Rate	$149.23
Max. Negotiated Rate	$240.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$198.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$240.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$218.87
Rate for Payer: Qualcare PPO/HMO/WC	$149.23

SCREW LOCKING 6.0X80MM T25 SD

Facility

$994.85

Service Code	HCPCS C1713
Hospital Charge Code	270693258
Hospital Revenue Code	278
Min. Negotiated Rate	$23.98
Max. Negotiated Rate	$497.43
Rate for Payer: Aetna Commercial	$378.04
Rate for Payer: Aetna Medicare Advantage	$298.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$253.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$253.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$198.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$253.69
Rate for Payer: Cigna Commercial	$497.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$240.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$218.87
Rate for Payer: Qualcare PPO/HMO/WC	$149.23
Rate for Payer: UnitedHealthcare Community & State	$23.98
Rate for Payer: Wellpoint Medicaid Managed Care	$26.36

SCREW LOCKING 7.3mX80 222571

Facility

$962.25

Hospital Charge Code	270630781
Hospital Revenue Code	278
Min. Negotiated Rate	$144.34
Max. Negotiated Rate	$232.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$192.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$211.69
Rate for Payer: Qualcare PPO/HMO/WC	$144.34

SCREW LOCKING 7.3mX80 222571

Facility

$962.25

Hospital Charge Code	270630781
Hospital Revenue Code	278
Min. Negotiated Rate	$23.19
Max. Negotiated Rate	$481.12
Rate for Payer: Aetna Commercial	$365.65
Rate for Payer: Aetna Medicare Advantage	$288.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$245.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$245.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$192.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$245.37
Rate for Payer: Cigna Commercial	$481.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$211.69
Rate for Payer: Qualcare PPO/HMO/WC	$144.34
Rate for Payer: UnitedHealthcare Community & State	$23.19
Rate for Payer: Wellpoint Medicaid Managed Care	$25.50

SCREW LOCKING 7.3x75 222572

Facility

$1,031.75

Hospital Charge Code	270633660
Hospital Revenue Code	278
Min. Negotiated Rate	$154.76
Max. Negotiated Rate	$249.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$206.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$249.68
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$226.99
Rate for Payer: Qualcare PPO/HMO/WC	$154.76

SCREW LOCKING 7.3x75 222572

Facility

$1,031.75

Hospital Charge Code	270633660
Hospital Revenue Code	278
Min. Negotiated Rate	$24.87
Max. Negotiated Rate	$515.88
Rate for Payer: Aetna Commercial	$392.06
Rate for Payer: Aetna Medicare Advantage	$309.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$263.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$263.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$206.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$263.10
Rate for Payer: Cigna Commercial	$515.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$249.68
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$226.99
Rate for Payer: Qualcare PPO/HMO/WC	$154.76
Rate for Payer: UnitedHealthcare Community & State	$24.87
Rate for Payer: Wellpoint Medicaid Managed Care	$27.34

SCREW LOCKING ANGLE 3.5x32MM

Facility

$624.00

Service Code	HCPCS C1713
Hospital Charge Code	270671108
Hospital Revenue Code	278
Min. Negotiated Rate	$93.60
Max. Negotiated Rate	$151.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.01
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$137.28
Rate for Payer: Qualcare PPO/HMO/WC	$93.60

SCREW LOCKING ANGLE 3.5x32MM

Facility

$624.00

Service Code	HCPCS C1713
Hospital Charge Code	270671108
Hospital Revenue Code	278
Min. Negotiated Rate	$15.04
Max. Negotiated Rate	$312.00
Rate for Payer: Aetna Commercial	$237.12
Rate for Payer: Aetna Medicare Advantage	$187.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.12
Rate for Payer: Cigna Commercial	$312.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.01
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$137.28
Rate for Payer: Qualcare PPO/HMO/WC	$93.60
Rate for Payer: UnitedHealthcare Community & State	$15.04
Rate for Payer: Wellpoint Medicaid Managed Care	$16.54

SCREW LOCKING ANGLE 3.5x36MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270659787
Hospital Revenue Code	278
Min. Negotiated Rate	$99.30
Max. Negotiated Rate	$160.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$145.64
Rate for Payer: Qualcare PPO/HMO/WC	$99.30

SCREW LOCKING ANGLE 3.5x36MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270659787
Hospital Revenue Code	278
Min. Negotiated Rate	$15.95
Max. Negotiated Rate	$331.00
Rate for Payer: Aetna Commercial	$251.56
Rate for Payer: Aetna Medicare Advantage	$198.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.81
Rate for Payer: Cigna Commercial	$331.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$145.64
Rate for Payer: Qualcare PPO/HMO/WC	$99.30
Rate for Payer: UnitedHealthcare Community & State	$15.95
Rate for Payer: Wellpoint Medicaid Managed Care	$17.54

SCREW LOCKING ANGLE 3.5x46MM

Facility

$642.70

Service Code	HCPCS C1713
Hospital Charge Code	270676136
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

SCREW LOCKING ANGLE 3.5x46MM

Facility

$642.70

Service Code	HCPCS C1713
Hospital Charge Code	270676136
Hospital Revenue Code	278
Min. Negotiated Rate	$96.41
Max. Negotiated Rate	$155.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$128.54
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

SCREW LOCKING ANGLE 3.5x54MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270665811
Hospital Revenue Code	278
Min. Negotiated Rate	$15.95
Max. Negotiated Rate	$331.00
Rate for Payer: Aetna Commercial	$251.56
Rate for Payer: Aetna Medicare Advantage	$198.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.81
Rate for Payer: Cigna Commercial	$331.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$145.64
Rate for Payer: Qualcare PPO/HMO/WC	$99.30
Rate for Payer: UnitedHealthcare Community & State	$15.95
Rate for Payer: Wellpoint Medicaid Managed Care	$17.54

SCREW LOCKING ANGLE 3.5x54MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270665811
Hospital Revenue Code	278
Min. Negotiated Rate	$99.30
Max. Negotiated Rate	$160.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$145.64
Rate for Payer: Qualcare PPO/HMO/WC	$99.30

SCREW LOCKING ANGLE 3.5x60MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270671107
Hospital Revenue Code	278
Min. Negotiated Rate	$99.30
Max. Negotiated Rate	$160.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$145.64
Rate for Payer: Qualcare PPO/HMO/WC	$99.30

SCREW LOCKING ANGLE 3.5x60MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270671107
Hospital Revenue Code	278
Min. Negotiated Rate	$15.95
Max. Negotiated Rate	$331.00
Rate for Payer: Aetna Commercial	$251.56
Rate for Payer: Aetna Medicare Advantage	$198.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.81
Rate for Payer: Cigna Commercial	$331.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$145.64
Rate for Payer: Qualcare PPO/HMO/WC	$99.30
Rate for Payer: UnitedHealthcare Community & State	$15.95
Rate for Payer: Wellpoint Medicaid Managed Care	$17.54

SCREW LOCKING ANGLE 3.5x65MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270664456
Hospital Revenue Code	278
Min. Negotiated Rate	$15.95
Max. Negotiated Rate	$331.00
Rate for Payer: Aetna Commercial	$251.56
Rate for Payer: Aetna Medicare Advantage	$198.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.81
Rate for Payer: Cigna Commercial	$331.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$145.64
Rate for Payer: Qualcare PPO/HMO/WC	$99.30
Rate for Payer: UnitedHealthcare Community & State	$15.95
Rate for Payer: Wellpoint Medicaid Managed Care	$17.54

Know your out-of-pocket cost for care.

All Charges