Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LOCKING SELFTAP 2.7x24mm

Facility

$489.00

Hospital Charge Code	270656633
Hospital Revenue Code	278
Min. Negotiated Rate	$11.78
Max. Negotiated Rate	$244.50
Rate for Payer: Aetna Commercial	$185.82
Rate for Payer: Aetna Medicare Advantage	$146.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$97.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.69
Rate for Payer: Cigna Commercial	$244.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$107.58
Rate for Payer: Qualcare PPO/HMO/WC	$73.35
Rate for Payer: UnitedHealthcare Community & State	$11.78
Rate for Payer: Wellpoint Medicaid Managed Care	$12.96

SCREW LOCKING SELF TAP 3.5x10m

Facility

$875.00

Service Code	HCPCS C1713
Hospital Charge Code	270667387
Hospital Revenue Code	278
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$211.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$192.50
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

SCREW LOCKING SELF TAP 3.5x10m

Facility

$875.00

Service Code	HCPCS C1713
Hospital Charge Code	270667387
Hospital Revenue Code	278
Min. Negotiated Rate	$21.09
Max. Negotiated Rate	$437.50
Rate for Payer: Aetna Commercial	$332.50
Rate for Payer: Aetna Medicare Advantage	$262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.12
Rate for Payer: Cigna Commercial	$437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$192.50
Rate for Payer: Qualcare PPO/HMO/WC	$131.25
Rate for Payer: UnitedHealthcare Community & State	$21.09
Rate for Payer: Wellpoint Medicaid Managed Care	$23.19

SCREW LOCKING SELF TAP 5x18MM

Facility

$900.00

Hospital Charge Code	270674381
Hospital Revenue Code	278
Min. Negotiated Rate	$135.00
Max. Negotiated Rate	$217.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$180.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$198.00
Rate for Payer: Qualcare PPO/HMO/WC	$135.00

SCREW LOCKING SELF TAP 5x18MM

Facility

$900.00

Hospital Charge Code	270674381
Hospital Revenue Code	278
Min. Negotiated Rate	$21.69
Max. Negotiated Rate	$450.00
Rate for Payer: Aetna Commercial	$342.00
Rate for Payer: Aetna Medicare Advantage	$270.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$229.50
Rate for Payer: Cigna Commercial	$450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$198.00
Rate for Payer: Qualcare PPO/HMO/WC	$135.00
Rate for Payer: UnitedHealthcare Community & State	$21.69
Rate for Payer: Wellpoint Medicaid Managed Care	$23.85

SCREW LOCKING SLF TAP 2x12MM

Facility

$502.85

Service Code	HCPCS C1713
Hospital Charge Code	270674231
Hospital Revenue Code	278
Min. Negotiated Rate	$12.12
Max. Negotiated Rate	$251.43
Rate for Payer: Aetna Commercial	$191.08
Rate for Payer: Aetna Medicare Advantage	$150.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$128.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$128.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$128.23
Rate for Payer: Cigna Commercial	$251.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$110.63
Rate for Payer: Qualcare PPO/HMO/WC	$75.43
Rate for Payer: UnitedHealthcare Community & State	$12.12
Rate for Payer: Wellpoint Medicaid Managed Care	$13.33

SCREW LOCKING SLF TAP 2x12MM

Facility

$502.85

Service Code	HCPCS C1713
Hospital Charge Code	270674231
Hospital Revenue Code	278
Min. Negotiated Rate	$75.43
Max. Negotiated Rate	$121.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$110.63
Rate for Payer: Qualcare PPO/HMO/WC	$75.43

SCREW LOCKING SLF TAP 2x7MM

Facility

$474.00

Hospital Charge Code	270671993
Hospital Revenue Code	278
Min. Negotiated Rate	$11.42
Max. Negotiated Rate	$237.00
Rate for Payer: Aetna Commercial	$180.12
Rate for Payer: Aetna Medicare Advantage	$142.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$120.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$120.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$94.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$120.87
Rate for Payer: Cigna Commercial	$237.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$104.28
Rate for Payer: Qualcare PPO/HMO/WC	$71.10
Rate for Payer: UnitedHealthcare Community & State	$11.42
Rate for Payer: Wellpoint Medicaid Managed Care	$12.56

SCREW LOCKING SLF TAP 2x7MM

Facility

$474.00

Hospital Charge Code	270671993
Hospital Revenue Code	278
Min. Negotiated Rate	$71.10
Max. Negotiated Rate	$114.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$94.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$104.28
Rate for Payer: Qualcare PPO/HMO/WC	$71.10

SCREW LOCKING SLF TAP 2x8MM

Facility

$474.00

Service Code	HCPCS C1713
Hospital Charge Code	270671994
Hospital Revenue Code	278
Min. Negotiated Rate	$71.10
Max. Negotiated Rate	$114.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$94.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$104.28
Rate for Payer: Qualcare PPO/HMO/WC	$71.10

SCREW LOCKING SLF TAP 2x8MM

Facility

$474.00

Service Code	HCPCS C1713
Hospital Charge Code	270671994
Hospital Revenue Code	278
Min. Negotiated Rate	$11.42
Max. Negotiated Rate	$237.00
Rate for Payer: Aetna Commercial	$180.12
Rate for Payer: Aetna Medicare Advantage	$142.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$120.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$120.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$94.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$120.87
Rate for Payer: Cigna Commercial	$237.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$104.28
Rate for Payer: Qualcare PPO/HMO/WC	$71.10
Rate for Payer: UnitedHealthcare Community & State	$11.42
Rate for Payer: Wellpoint Medicaid Managed Care	$12.56

SCREW LOCKING SLF TAP 3.5x10MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270637258
Hospital Revenue Code	278
Min. Negotiated Rate	$13.27
Max. Negotiated Rate	$275.30
Rate for Payer: Aetna Commercial	$209.23
Rate for Payer: Aetna Medicare Advantage	$165.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.40
Rate for Payer: Cigna Commercial	$275.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$121.13
Rate for Payer: Qualcare PPO/HMO/WC	$82.59
Rate for Payer: UnitedHealthcare Community & State	$13.27
Rate for Payer: Wellpoint Medicaid Managed Care	$14.59

SCREW LOCKING SLF TAP 3.5x10MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270637258
Hospital Revenue Code	278
Min. Negotiated Rate	$82.59
Max. Negotiated Rate	$133.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$121.13
Rate for Payer: Qualcare PPO/HMO/WC	$82.59

SCREW LOCKING SLF TAP 3.5x12MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270637259
Hospital Revenue Code	278
Min. Negotiated Rate	$13.27
Max. Negotiated Rate	$275.30
Rate for Payer: Aetna Commercial	$209.23
Rate for Payer: Aetna Medicare Advantage	$165.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.40
Rate for Payer: Cigna Commercial	$275.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$121.13
Rate for Payer: Qualcare PPO/HMO/WC	$82.59
Rate for Payer: UnitedHealthcare Community & State	$13.27
Rate for Payer: Wellpoint Medicaid Managed Care	$14.59

SCREW LOCKING SLF TAP 3.5x12MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270637259
Hospital Revenue Code	278
Min. Negotiated Rate	$82.59
Max. Negotiated Rate	$133.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$121.13
Rate for Payer: Qualcare PPO/HMO/WC	$82.59

SCREW LOCKING SLF TAP 3.5x14MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270637260
Hospital Revenue Code	278
Min. Negotiated Rate	$13.27
Max. Negotiated Rate	$275.30
Rate for Payer: Aetna Commercial	$209.23
Rate for Payer: Aetna Medicare Advantage	$165.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.40
Rate for Payer: Cigna Commercial	$275.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$121.13
Rate for Payer: Qualcare PPO/HMO/WC	$82.59
Rate for Payer: UnitedHealthcare Community & State	$13.27
Rate for Payer: Wellpoint Medicaid Managed Care	$14.59

SCREW LOCKING SLF TAP 3.5x14MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270637260
Hospital Revenue Code	278
Min. Negotiated Rate	$82.59
Max. Negotiated Rate	$133.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$121.13
Rate for Payer: Qualcare PPO/HMO/WC	$82.59

SCREW LOCKING SLF TAP 3.5x16MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270634850
Hospital Revenue Code	278
Min. Negotiated Rate	$82.59
Max. Negotiated Rate	$133.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$121.13
Rate for Payer: Qualcare PPO/HMO/WC	$82.59

SCREW LOCKING SLF TAP 3.5x16MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270634850
Hospital Revenue Code	278
Min. Negotiated Rate	$13.27
Max. Negotiated Rate	$275.30
Rate for Payer: Aetna Commercial	$209.23
Rate for Payer: Aetna Medicare Advantage	$165.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.40
Rate for Payer: Cigna Commercial	$275.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$121.13
Rate for Payer: Qualcare PPO/HMO/WC	$82.59
Rate for Payer: UnitedHealthcare Community & State	$13.27
Rate for Payer: Wellpoint Medicaid Managed Care	$14.59

SCREW LOCKING SLF TAP 3.5x18MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270636275
Hospital Revenue Code	278
Min. Negotiated Rate	$13.27
Max. Negotiated Rate	$275.30
Rate for Payer: Aetna Commercial	$209.23
Rate for Payer: Aetna Medicare Advantage	$165.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.40
Rate for Payer: Cigna Commercial	$275.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$121.13
Rate for Payer: Qualcare PPO/HMO/WC	$82.59
Rate for Payer: UnitedHealthcare Community & State	$13.27
Rate for Payer: Wellpoint Medicaid Managed Care	$14.59

SCREW LOCKING SLF TAP 3.5x18MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270636275
Hospital Revenue Code	278
Min. Negotiated Rate	$82.59
Max. Negotiated Rate	$133.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$121.13
Rate for Payer: Qualcare PPO/HMO/WC	$82.59

SCREW LOCKING SLF TAP 3.5x20MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270636276
Hospital Revenue Code	278
Min. Negotiated Rate	$82.59
Max. Negotiated Rate	$133.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$121.13
Rate for Payer: Qualcare PPO/HMO/WC	$82.59

SCREW LOCKING SLF TAP 3.5x20MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270636276
Hospital Revenue Code	278
Min. Negotiated Rate	$13.27
Max. Negotiated Rate	$275.30
Rate for Payer: Aetna Commercial	$209.23
Rate for Payer: Aetna Medicare Advantage	$165.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.40
Rate for Payer: Cigna Commercial	$275.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$121.13
Rate for Payer: Qualcare PPO/HMO/WC	$82.59
Rate for Payer: UnitedHealthcare Community & State	$13.27
Rate for Payer: Wellpoint Medicaid Managed Care	$14.59

SCREW LOCKING SLF TAP 3.5x22MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270641388
Hospital Revenue Code	278
Min. Negotiated Rate	$82.59
Max. Negotiated Rate	$133.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$121.13
Rate for Payer: Qualcare PPO/HMO/WC	$82.59

SCREW LOCKING SLF TAP 3.5x22MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270641388
Hospital Revenue Code	278
Min. Negotiated Rate	$13.27
Max. Negotiated Rate	$275.30
Rate for Payer: Aetna Commercial	$209.23
Rate for Payer: Aetna Medicare Advantage	$165.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.40
Rate for Payer: Cigna Commercial	$275.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$121.13
Rate for Payer: Qualcare PPO/HMO/WC	$82.59
Rate for Payer: UnitedHealthcare Community & State	$13.27
Rate for Payer: Wellpoint Medicaid Managed Care	$14.59

Know your out-of-pocket cost for care.

All Charges