Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LOCKING ANGLE 3.5x65MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270664456
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 3.5x70MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270659784
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 3.5x70MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270659784
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 3.5x75MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270659783
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 3.5x75MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270659783
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 3.5x80MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270659782
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 3.5x80MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270659782
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 CANC 4X44MM

Facility

$632.50

Service Code	HCPCS C1713
Hospital Charge Code	270701995
Hospital Revenue Code	278
Min. Negotiated Rate	$94.88
Max. Negotiated Rate	$153.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$126.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$153.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$139.15
Rate for Payer: Qualcare PPO/HMO/WC	$94.88

SCREW, LOCKING CANC 4X44MM

Facility

$632.50

Service Code	HCPCS C1713
Hospital Charge Code	270701995
Hospital Revenue Code	278
Min. Negotiated Rate	$15.24
Max. Negotiated Rate	$316.25
Rate for Payer: Aetna Commercial	$240.35
Rate for Payer: Aetna Medicare Advantage	$189.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$161.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$161.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$126.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$161.29
Rate for Payer: Cigna Commercial	$316.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$153.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$139.15
Rate for Payer: Qualcare PPO/HMO/WC	$94.88
Rate for Payer: UnitedHealthcare Community & State	$15.24
Rate for Payer: Wellpoint Medicaid Managed Care	$16.76

SCREW LOCKING CANN 5.0x90mm

Facility

$834.30

Service Code	HCPCS C1713
Hospital Charge Code	270628188
Hospital Revenue Code	278
Min. Negotiated Rate	$20.11
Max. Negotiated Rate	$417.15
Rate for Payer: Aetna Commercial	$317.03
Rate for Payer: Aetna Medicare Advantage	$250.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$212.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$212.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$166.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$212.75
Rate for Payer: Cigna Commercial	$417.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$201.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$183.55
Rate for Payer: Qualcare PPO/HMO/WC	$125.14
Rate for Payer: UnitedHealthcare Community & State	$20.11
Rate for Payer: Wellpoint Medicaid Managed Care	$22.11

SCREW LOCKING CANN 5.0x90mm

Facility

$834.30

Service Code	HCPCS C1713
Hospital Charge Code	270628188
Hospital Revenue Code	278
Min. Negotiated Rate	$125.14
Max. Negotiated Rate	$201.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$166.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$201.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$183.55
Rate for Payer: Qualcare PPO/HMO/WC	$125.14

SCREW LOCKING CANN 7.3MM 100MM

Facility

$1,264.30

Service Code	HCPCS C1713
Hospital Charge Code	270689706
Hospital Revenue Code	278
Min. Negotiated Rate	$189.65
Max. Negotiated Rate	$305.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$252.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$305.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$278.15
Rate for Payer: Qualcare PPO/HMO/WC	$189.65

SCREW LOCKING CANN 7.3MM 100MM

Facility

$1,264.30

Service Code	HCPCS C1713
Hospital Charge Code	270689706
Hospital Revenue Code	278
Min. Negotiated Rate	$30.47
Max. Negotiated Rate	$632.15
Rate for Payer: Aetna Commercial	$480.43
Rate for Payer: Aetna Medicare Advantage	$379.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$322.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$322.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$252.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$322.40
Rate for Payer: Cigna Commercial	$632.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$305.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$278.15
Rate for Payer: Qualcare PPO/HMO/WC	$189.65
Rate for Payer: UnitedHealthcare Community & State	$30.47
Rate for Payer: Wellpoint Medicaid Managed Care	$33.50

SCREW LOCKING CANN 7.3MM 105MM

Facility

$1,264.30

Service Code	HCPCS C1713
Hospital Charge Code	270689707
Hospital Revenue Code	278
Min. Negotiated Rate	$30.47
Max. Negotiated Rate	$632.15
Rate for Payer: Aetna Commercial	$480.43
Rate for Payer: Aetna Medicare Advantage	$379.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$322.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$322.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$252.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$322.40
Rate for Payer: Cigna Commercial	$632.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$305.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$278.15
Rate for Payer: Qualcare PPO/HMO/WC	$189.65
Rate for Payer: UnitedHealthcare Community & State	$30.47
Rate for Payer: Wellpoint Medicaid Managed Care	$33.50

SCREW LOCKING CANN 7.3MM 105MM

Facility

$1,264.30

Service Code	HCPCS C1713
Hospital Charge Code	270689707
Hospital Revenue Code	278
Min. Negotiated Rate	$189.65
Max. Negotiated Rate	$305.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$252.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$305.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$278.15
Rate for Payer: Qualcare PPO/HMO/WC	$189.65

SCREW LOCKING CANN 7.3 MM 20 M

Facility

$1,240.80

Service Code	HCPCS C1713
Hospital Charge Code	270689702
Hospital Revenue Code	278
Min. Negotiated Rate	$29.90
Max. Negotiated Rate	$620.40
Rate for Payer: Aetna Commercial	$471.50
Rate for Payer: Aetna Medicare Advantage	$372.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$316.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$316.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$248.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$316.40
Rate for Payer: Cigna Commercial	$620.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$300.27
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$272.98
Rate for Payer: Qualcare PPO/HMO/WC	$186.12
Rate for Payer: UnitedHealthcare Community & State	$29.90
Rate for Payer: Wellpoint Medicaid Managed Care	$32.88

SCREW LOCKING CANN 7.3 MM 20 M

Facility

$1,240.80

Service Code	HCPCS C1713
Hospital Charge Code	270689702
Hospital Revenue Code	278
Min. Negotiated Rate	$186.12
Max. Negotiated Rate	$300.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$248.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$300.27
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$272.98
Rate for Payer: Qualcare PPO/HMO/WC	$186.12

SCREW LOCKING CANN 7.3 MM 25 M

Facility

$1,240.80

Service Code	HCPCS C1713
Hospital Charge Code	270689703
Hospital Revenue Code	278
Min. Negotiated Rate	$186.12
Max. Negotiated Rate	$300.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$248.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$300.27
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$272.98
Rate for Payer: Qualcare PPO/HMO/WC	$186.12

SCREW LOCKING CANN 7.3 MM 25 M

Facility

$1,240.80

Service Code	HCPCS C1713
Hospital Charge Code	270689703
Hospital Revenue Code	278
Min. Negotiated Rate	$29.90
Max. Negotiated Rate	$620.40
Rate for Payer: Aetna Commercial	$471.50
Rate for Payer: Aetna Medicare Advantage	$372.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$316.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$316.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$248.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$316.40
Rate for Payer: Cigna Commercial	$620.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$300.27
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$272.98
Rate for Payer: Qualcare PPO/HMO/WC	$186.12
Rate for Payer: UnitedHealthcare Community & State	$29.90
Rate for Payer: Wellpoint Medicaid Managed Care	$32.88

SCREW LOCKING CANN 7.3 MM 30 M

Facility

$1,240.80

Service Code	HCPCS C1713
Hospital Charge Code	270689704
Hospital Revenue Code	278
Min. Negotiated Rate	$186.12
Max. Negotiated Rate	$300.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$248.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$300.27
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$272.98
Rate for Payer: Qualcare PPO/HMO/WC	$186.12

SCREW LOCKING CANN 7.3 MM 30 M

Facility

$1,240.80

Service Code	HCPCS C1713
Hospital Charge Code	270689704
Hospital Revenue Code	278
Min. Negotiated Rate	$29.90
Max. Negotiated Rate	$620.40
Rate for Payer: Aetna Commercial	$471.50
Rate for Payer: Aetna Medicare Advantage	$372.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$316.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$316.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$248.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$316.40
Rate for Payer: Cigna Commercial	$620.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$300.27
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$272.98
Rate for Payer: Qualcare PPO/HMO/WC	$186.12
Rate for Payer: UnitedHealthcare Community & State	$29.90
Rate for Payer: Wellpoint Medicaid Managed Care	$32.88

SCREW LOCKING CANN 7.3 MM 65 M

Facility

$1,240.80

Service Code	HCPCS C1713
Hospital Charge Code	270689705
Hospital Revenue Code	278
Min. Negotiated Rate	$186.12
Max. Negotiated Rate	$300.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$248.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$300.27
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$272.98
Rate for Payer: Qualcare PPO/HMO/WC	$186.12

SCREW LOCKING CANN 7.3 MM 65 M

Facility

$1,240.80

Service Code	HCPCS C1713
Hospital Charge Code	270689705
Hospital Revenue Code	278
Min. Negotiated Rate	$29.90
Max. Negotiated Rate	$620.40
Rate for Payer: Aetna Commercial	$471.50
Rate for Payer: Aetna Medicare Advantage	$372.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$316.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$316.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$248.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$316.40
Rate for Payer: Cigna Commercial	$620.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$300.27
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$272.98
Rate for Payer: Qualcare PPO/HMO/WC	$186.12
Rate for Payer: UnitedHealthcare Community & State	$29.90
Rate for Payer: Wellpoint Medicaid Managed Care	$32.88

SCREW LOCKING CANN 7.3X65MM

Facility

$1,180.00

Hospital Charge Code	270638842
Hospital Revenue Code	278
Min. Negotiated Rate	$28.44
Max. Negotiated Rate	$590.00
Rate for Payer: Aetna Commercial	$448.40
Rate for Payer: Aetna Medicare Advantage	$354.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$300.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$300.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$236.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$300.90
Rate for Payer: Cigna Commercial	$590.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$285.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$259.60
Rate for Payer: Qualcare PPO/HMO/WC	$177.00
Rate for Payer: UnitedHealthcare Community & State	$28.44
Rate for Payer: Wellpoint Medicaid Managed Care	$31.27

SCREW LOCKING CANN 7.3X65MM

Facility

$1,180.00

Hospital Charge Code	270638842
Hospital Revenue Code	278
Min. Negotiated Rate	$177.00
Max. Negotiated Rate	$285.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$236.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$285.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$259.60
Rate for Payer: Qualcare PPO/HMO/WC	$177.00

Know your out-of-pocket cost for care.

All Charges