Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LOCKING SLF TAP 3.5x24MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270633836
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 3.5x24MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270633836
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 3.5x26MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270633835
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 3.5x26MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270633835
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 3.5x28MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270633524
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 3.5x28MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270633524
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 3.5x30MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270633834
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 3.5x30MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270633834
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 3.5x32MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270638923
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 3.5x32MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270638923
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 3.5x34MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270633833
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 3.5x34MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270633833
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 3.5x35MM

Facility

$534.55

Service Code	HCPCS C1713
Hospital Charge Code	270646517
Hospital Revenue Code	278
Min. Negotiated Rate	$12.88
Max. Negotiated Rate	$267.27
Rate for Payer: Aetna Commercial	$203.13
Rate for Payer: Aetna Medicare Advantage	$160.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.31
Rate for Payer: Cigna Commercial	$267.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$117.60
Rate for Payer: Qualcare PPO/HMO/WC	$80.18
Rate for Payer: UnitedHealthcare Community & State	$12.88
Rate for Payer: Wellpoint Medicaid Managed Care	$14.17

SCREW LOCKING SLF TAP 3.5x35MM

Facility

$534.55

Service Code	HCPCS C1713
Hospital Charge Code	270646517
Hospital Revenue Code	278
Min. Negotiated Rate	$80.18
Max. Negotiated Rate	$129.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$117.60
Rate for Payer: Qualcare PPO/HMO/WC	$80.18

SCREW LOCKING SLF TAP 3.5x36MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270633832
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 3.5x36MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270633832
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 3.5x38MM

Facility

$534.55

Service Code	HCPCS C1713
Hospital Charge Code	270634387
Hospital Revenue Code	278
Min. Negotiated Rate	$12.88
Max. Negotiated Rate	$267.27
Rate for Payer: Aetna Commercial	$203.13
Rate for Payer: Aetna Medicare Advantage	$160.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.31
Rate for Payer: Cigna Commercial	$267.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$117.60
Rate for Payer: Qualcare PPO/HMO/WC	$80.18
Rate for Payer: UnitedHealthcare Community & State	$12.88
Rate for Payer: Wellpoint Medicaid Managed Care	$14.17

SCREW LOCKING SLF TAP 3.5x38MM

Facility

$534.55

Service Code	HCPCS C1713
Hospital Charge Code	270634387
Hospital Revenue Code	278
Min. Negotiated Rate	$80.18
Max. Negotiated Rate	$129.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$117.60
Rate for Payer: Qualcare PPO/HMO/WC	$80.18

SCREW LOCKING SLF TAP 3.5x40MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270633525
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 3.5x40MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270633525
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 3.5x40MM

Facility

$642.70

Service Code	HCPCS C1713
Hospital Charge Code	270665278
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 SLF TAP 3.5x40MM

Facility

$642.70

Service Code	HCPCS C1713
Hospital Charge Code	270665278
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 SLF TAP 3.5x42MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270637381
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 3.5x42MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270637381
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 3.5x44MM

Facility

$534.55

Service Code	HCPCS C1713
Hospital Charge Code	270647696
Hospital Revenue Code	278
Min. Negotiated Rate	$80.18
Max. Negotiated Rate	$129.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$117.60
Rate for Payer: Qualcare PPO/HMO/WC	$80.18

Know your out-of-pocket cost for care.

All Charges