Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LOCKING CORT 3.5x22MM

Facility

$1,120.00

Service Code	HCPCS C1713
Hospital Charge Code	270671026
Hospital Revenue Code	278
Min. Negotiated Rate	$168.00
Max. Negotiated Rate	$271.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$271.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$246.40
Rate for Payer: Qualcare PPO/HMO/WC	$168.00

SCREW LOCKING CORT 3.5x24MM

Facility

$1,120.00

Service Code	HCPCS C1713
Hospital Charge Code	270665921
Hospital Revenue Code	278
Min. Negotiated Rate	$26.99
Max. Negotiated Rate	$560.00
Rate for Payer: Aetna Commercial	$425.60
Rate for Payer: Aetna Medicare Advantage	$336.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$285.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$285.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$285.60
Rate for Payer: Cigna Commercial	$560.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$271.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$246.40
Rate for Payer: Qualcare PPO/HMO/WC	$168.00
Rate for Payer: UnitedHealthcare Community & State	$26.99
Rate for Payer: Wellpoint Medicaid Managed Care	$29.68

SCREW LOCKING CORT 3.5x24MM

Facility

$1,120.00

Service Code	HCPCS C1713
Hospital Charge Code	270665921
Hospital Revenue Code	278
Min. Negotiated Rate	$168.00
Max. Negotiated Rate	$271.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$271.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$246.40
Rate for Payer: Qualcare PPO/HMO/WC	$168.00

SCREW LOCKING CORT 3.5x26MM

Facility

$1,120.00

Service Code	HCPCS C1713
Hospital Charge Code	270671027
Hospital Revenue Code	278
Min. Negotiated Rate	$26.99
Max. Negotiated Rate	$560.00
Rate for Payer: Aetna Commercial	$425.60
Rate for Payer: Aetna Medicare Advantage	$336.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$285.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$285.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$285.60
Rate for Payer: Cigna Commercial	$560.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$271.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$246.40
Rate for Payer: Qualcare PPO/HMO/WC	$168.00
Rate for Payer: UnitedHealthcare Community & State	$26.99
Rate for Payer: Wellpoint Medicaid Managed Care	$29.68

SCREW LOCKING CORT 3.5x26MM

Facility

$1,120.00

Service Code	HCPCS C1713
Hospital Charge Code	270671027
Hospital Revenue Code	278
Min. Negotiated Rate	$168.00
Max. Negotiated Rate	$271.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$271.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$246.40
Rate for Payer: Qualcare PPO/HMO/WC	$168.00

SCREW LOCKING CORT 3.5x28MM

Facility

$1,120.00

Service Code	HCPCS C1713
Hospital Charge Code	270665920
Hospital Revenue Code	278
Min. Negotiated Rate	$168.00
Max. Negotiated Rate	$271.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$271.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$246.40
Rate for Payer: Qualcare PPO/HMO/WC	$168.00

SCREW LOCKING CORT 3.5x28MM

Facility

$1,120.00

Service Code	HCPCS C1713
Hospital Charge Code	270665920
Hospital Revenue Code	278
Min. Negotiated Rate	$26.99
Max. Negotiated Rate	$560.00
Rate for Payer: Aetna Commercial	$425.60
Rate for Payer: Aetna Medicare Advantage	$336.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$285.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$285.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$285.60
Rate for Payer: Cigna Commercial	$560.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$271.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$246.40
Rate for Payer: Qualcare PPO/HMO/WC	$168.00
Rate for Payer: UnitedHealthcare Community & State	$26.99
Rate for Payer: Wellpoint Medicaid Managed Care	$29.68

SCREW LOCKING CORT 3.5x30MM

Facility

$1,120.00

Hospital Charge Code	270671025
Hospital Revenue Code	278
Min. Negotiated Rate	$26.99
Max. Negotiated Rate	$560.00
Rate for Payer: Aetna Commercial	$425.60
Rate for Payer: Aetna Medicare Advantage	$336.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$285.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$285.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$285.60
Rate for Payer: Cigna Commercial	$560.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$271.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$246.40
Rate for Payer: Qualcare PPO/HMO/WC	$168.00
Rate for Payer: UnitedHealthcare Community & State	$26.99
Rate for Payer: Wellpoint Medicaid Managed Care	$29.68

SCREW LOCKING CORT 3.5x30MM

Facility

$1,120.00

Hospital Charge Code	270671025
Hospital Revenue Code	278
Min. Negotiated Rate	$168.00
Max. Negotiated Rate	$271.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$271.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$246.40
Rate for Payer: Qualcare PPO/HMO/WC	$168.00

SCREW LOCKING CRO PIN 2.3X20MM

Facility

$790.00

Hospital Charge Code	270669930
Hospital Revenue Code	278
Min. Negotiated Rate	$118.50
Max. Negotiated Rate	$191.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$173.80
Rate for Payer: Qualcare PPO/HMO/WC	$118.50

SCREW LOCKING CRO PIN 2.3X20MM

Facility

$790.00

Hospital Charge Code	270669930
Hospital Revenue Code	278
Min. Negotiated Rate	$19.04
Max. Negotiated Rate	$395.00
Rate for Payer: Aetna Commercial	$300.20
Rate for Payer: Aetna Medicare Advantage	$237.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$201.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$201.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$201.45
Rate for Payer: Cigna Commercial	$395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$173.80
Rate for Payer: Qualcare PPO/HMO/WC	$118.50
Rate for Payer: UnitedHealthcare Community & State	$19.04
Rate for Payer: Wellpoint Medicaid Managed Care	$20.93

SCREW LOCKING FIXED 36x4.75x26

Facility

$500.00

Hospital Charge Code	270674700
Hospital Revenue Code	278
Min. Negotiated Rate	$12.05
Max. Negotiated Rate	$250.00
Rate for Payer: Aetna Commercial	$190.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$110.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00
Rate for Payer: UnitedHealthcare Community & State	$12.05
Rate for Payer: Wellpoint Medicaid Managed Care	$13.25

SCREW LOCKING FIXED 36x4.75x26

Facility

$500.00

Hospital Charge Code	270674700
Hospital Revenue Code	278
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$121.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$110.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

SCREW LOCKING FOR IM NAIL 5 32

Facility

$10,969.10

Service Code	HCPCS C1713
Hospital Charge Code	270692385
Hospital Revenue Code	278
Min. Negotiated Rate	$264.36
Max. Negotiated Rate	$5,484.55
Rate for Payer: Aetna Commercial	$4,168.26
Rate for Payer: Aetna Medicare Advantage	$3,290.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,797.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,797.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,193.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,797.12
Rate for Payer: Cigna Commercial	$5,484.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,654.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,413.20
Rate for Payer: Qualcare PPO/HMO/WC	$1,645.37
Rate for Payer: UnitedHealthcare Community & State	$264.36
Rate for Payer: Wellpoint Medicaid Managed Care	$290.68

SCREW LOCKING FOR IM NAIL 5 32

Facility

$10,969.10

Service Code	HCPCS C1713
Hospital Charge Code	270692385
Hospital Revenue Code	278
Min. Negotiated Rate	$1,645.37
Max. Negotiated Rate	$2,654.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,193.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,654.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,413.20
Rate for Payer: Qualcare PPO/HMO/WC	$1,645.37

SCREW LOCKING F/THD 5x42.5MM

Facility

$979.45

Service Code	HCPCS C1713
Hospital Charge Code	270658003
Hospital Revenue Code	278
Min. Negotiated Rate	$146.92
Max. Negotiated Rate	$237.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.03
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$215.48
Rate for Payer: Qualcare PPO/HMO/WC	$146.92

SCREW LOCKING F/THD 5x42.5MM

Facility

$979.45

Service Code	HCPCS C1713
Hospital Charge Code	270658003
Hospital Revenue Code	278
Min. Negotiated Rate	$23.60
Max. Negotiated Rate	$489.73
Rate for Payer: Aetna Commercial	$372.19
Rate for Payer: Aetna Medicare Advantage	$293.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$249.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$249.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$249.76
Rate for Payer: Cigna Commercial	$489.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.03
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$215.48
Rate for Payer: Qualcare PPO/HMO/WC	$146.92
Rate for Payer: UnitedHealthcare Community & State	$23.60
Rate for Payer: Wellpoint Medicaid Managed Care	$25.96

SCREW LOCKING F/THD 5x57.5MM

Facility

$979.45

Hospital Charge Code	270674993
Hospital Revenue Code	278
Min. Negotiated Rate	$23.60
Max. Negotiated Rate	$489.73
Rate for Payer: Aetna Commercial	$372.19
Rate for Payer: Aetna Medicare Advantage	$293.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$249.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$249.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$249.76
Rate for Payer: Cigna Commercial	$489.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.03
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$215.48
Rate for Payer: Qualcare PPO/HMO/WC	$146.92
Rate for Payer: UnitedHealthcare Community & State	$23.60
Rate for Payer: Wellpoint Medicaid Managed Care	$25.96

SCREW LOCKING F/THD 5x57.5MM

Facility

$979.45

Hospital Charge Code	270674993
Hospital Revenue Code	278
Min. Negotiated Rate	$146.92
Max. Negotiated Rate	$237.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.03
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$215.48
Rate for Payer: Qualcare PPO/HMO/WC	$146.92

SCREW LOCKING F/THRD 0.5x57.5m

Facility

$979.45

Service Code	HCPCS C1713
Hospital Charge Code	270672765
Hospital Revenue Code	278
Min. Negotiated Rate	$23.60
Max. Negotiated Rate	$489.73
Rate for Payer: Aetna Commercial	$372.19
Rate for Payer: Aetna Medicare Advantage	$293.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$249.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$249.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$249.76
Rate for Payer: Cigna Commercial	$489.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.03
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$215.48
Rate for Payer: Qualcare PPO/HMO/WC	$146.92
Rate for Payer: UnitedHealthcare Community & State	$23.60
Rate for Payer: Wellpoint Medicaid Managed Care	$25.96

SCREW LOCKING F/THRD 0.5x57.5m

Facility

$979.45

Service Code	HCPCS C1713
Hospital Charge Code	270672765
Hospital Revenue Code	278
Min. Negotiated Rate	$146.92
Max. Negotiated Rate	$237.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.03
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$215.48
Rate for Payer: Qualcare PPO/HMO/WC	$146.92

SCREW LOCKING F/THRD 2.7x18mm

Facility

$670.00

Service Code	HCPCS C1713
Hospital Charge Code	270672343
Hospital Revenue Code	278
Min. Negotiated Rate	$16.15
Max. Negotiated Rate	$335.00
Rate for Payer: Aetna Commercial	$254.60
Rate for Payer: Aetna Medicare Advantage	$201.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$170.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$170.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$134.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$170.85
Rate for Payer: Cigna Commercial	$335.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$147.40
Rate for Payer: Qualcare PPO/HMO/WC	$100.50
Rate for Payer: UnitedHealthcare Community & State	$16.15
Rate for Payer: Wellpoint Medicaid Managed Care	$17.75

SCREW LOCKING F/THRD 2.7x18mm

Facility

$670.00

Service Code	HCPCS C1713
Hospital Charge Code	270672343
Hospital Revenue Code	278
Min. Negotiated Rate	$100.50
Max. Negotiated Rate	$162.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$134.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$147.40
Rate for Payer: Qualcare PPO/HMO/WC	$100.50

SCREW LOCKING F/THRD 2.7x20mm

Facility

$670.00

Service Code	HCPCS C1713
Hospital Charge Code	270672344
Hospital Revenue Code	278
Min. Negotiated Rate	$100.50
Max. Negotiated Rate	$162.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$134.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$147.40
Rate for Payer: Qualcare PPO/HMO/WC	$100.50

SCREW LOCKING F/THRD 2.7x20mm

Facility

$670.00

Service Code	HCPCS C1713
Hospital Charge Code	270672344
Hospital Revenue Code	278
Min. Negotiated Rate	$16.15
Max. Negotiated Rate	$335.00
Rate for Payer: Aetna Commercial	$254.60
Rate for Payer: Aetna Medicare Advantage	$201.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$170.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$170.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$134.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$170.85
Rate for Payer: Cigna Commercial	$335.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$147.40
Rate for Payer: Qualcare PPO/HMO/WC	$100.50
Rate for Payer: UnitedHealthcare Community & State	$16.15
Rate for Payer: Wellpoint Medicaid Managed Care	$17.75

Know your out-of-pocket cost for care.

All Charges