Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LOCKING SLF TAP 3.5x44MM

Facility

$534.55

Service Code	HCPCS C1713
Hospital Charge Code	270647696
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 3.5X44MM

Facility

$1,370.00

Hospital Charge Code	270670989
Hospital Revenue Code	278
Min. Negotiated Rate	$205.50
Max. Negotiated Rate	$331.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$274.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$331.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$301.40
Rate for Payer: Qualcare PPO/HMO/WC	$205.50

SCREW LOCKING SLF TAP 3.5X44MM

Facility

$1,370.00

Hospital Charge Code	270670989
Hospital Revenue Code	278
Min. Negotiated Rate	$33.02
Max. Negotiated Rate	$685.00
Rate for Payer: Aetna Commercial	$520.60
Rate for Payer: Aetna Medicare Advantage	$411.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$349.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$349.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$274.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$349.35
Rate for Payer: Cigna Commercial	$685.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$331.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$301.40
Rate for Payer: Qualcare PPO/HMO/WC	$205.50
Rate for Payer: UnitedHealthcare Community & State	$33.02
Rate for Payer: Wellpoint Medicaid Managed Care	$36.30

SCREW LOCKING SLF TAP 3.5x45MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270633526
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 3.5x45MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270633526
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 3.5x46MM

Facility

$534.55

Service Code	HCPCS C1713
Hospital Charge Code	270648816
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 3.5x46MM

Facility

$534.55

Service Code	HCPCS C1713
Hospital Charge Code	270648816
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 3.5x48MM

Facility

$534.55

Service Code	HCPCS C1713
Hospital Charge Code	270637380
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 3.5x48MM

Facility

$534.55

Service Code	HCPCS C1713
Hospital Charge Code	270637380
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 3.5X48MM

Facility

$1,370.00

Hospital Charge Code	270670990
Hospital Revenue Code	278
Min. Negotiated Rate	$33.02
Max. Negotiated Rate	$685.00
Rate for Payer: Aetna Commercial	$520.60
Rate for Payer: Aetna Medicare Advantage	$411.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$349.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$349.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$274.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$349.35
Rate for Payer: Cigna Commercial	$685.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$331.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$301.40
Rate for Payer: Qualcare PPO/HMO/WC	$205.50
Rate for Payer: UnitedHealthcare Community & State	$33.02
Rate for Payer: Wellpoint Medicaid Managed Care	$36.30

SCREW LOCKING SLF TAP 3.5X48MM

Facility

$1,370.00

Hospital Charge Code	270670990
Hospital Revenue Code	278
Min. Negotiated Rate	$205.50
Max. Negotiated Rate	$331.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$274.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$331.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$301.40
Rate for Payer: Qualcare PPO/HMO/WC	$205.50

SCREW LOCKING SLF TAP 3.5x50MM

Facility

$534.55

Service Code	HCPCS C1713
Hospital Charge Code	270633527
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 3.5x50MM

Facility

$534.55

Service Code	HCPCS C1713
Hospital Charge Code	270633527
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 3.5x55MM

Facility

$534.55

Service Code	HCPCS C1713
Hospital Charge Code	270640391
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 3.5x55MM

Facility

$534.55

Service Code	HCPCS C1713
Hospital Charge Code	270640391
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 3.5x60MM

Facility

$534.55

Service Code	HCPCS C1713
Hospital Charge Code	270646516
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 3.5x60MM

Facility

$534.55

Service Code	HCPCS C1713
Hospital Charge Code	270646516
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 3.5x70MM

Facility

$534.55

Service Code	HCPCS C1713
Hospital Charge Code	270646514
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 3.5x70MM

Facility

$534.55

Service Code	HCPCS C1713
Hospital Charge Code	270646514
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 3.5x75MM

Facility

$534.55

Service Code	HCPCS C1713
Hospital Charge Code	270646515
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 3.5x75MM

Facility

$534.55

Service Code	HCPCS C1713
Hospital Charge Code	270646515
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 4.0x26mm

Facility

$594.00

Service Code	HCPCS C1713
Hospital Charge Code	270661918
Hospital Revenue Code	278
Min. Negotiated Rate	$89.10
Max. Negotiated Rate	$143.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$118.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$130.68
Rate for Payer: Qualcare PPO/HMO/WC	$89.10

SCREW LOCKING SLF/TAP 4.0x26mm

Facility

$594.00

Service Code	HCPCS C1713
Hospital Charge Code	270661918
Hospital Revenue Code	278
Min. Negotiated Rate	$14.32
Max. Negotiated Rate	$297.00
Rate for Payer: Aetna Commercial	$225.72
Rate for Payer: Aetna Medicare Advantage	$178.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$118.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.47
Rate for Payer: Cigna Commercial	$297.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$130.68
Rate for Payer: Qualcare PPO/HMO/WC	$89.10
Rate for Payer: UnitedHealthcare Community & State	$14.32
Rate for Payer: Wellpoint Medicaid Managed Care	$15.74

SCREW LOCKING SLF/TAP 4.0x30mm

Facility

$611.80

Service Code	HCPCS C1713
Hospital Charge Code	270646170
Hospital Revenue Code	278
Min. Negotiated Rate	$91.77
Max. Negotiated Rate	$148.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$122.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$134.60
Rate for Payer: Qualcare PPO/HMO/WC	$91.77

SCREW LOCKING SLF/TAP 4.0x30mm

Facility

$611.80

Service Code	HCPCS C1713
Hospital Charge Code	270646170
Hospital Revenue Code	278
Min. Negotiated Rate	$14.74
Max. Negotiated Rate	$305.90
Rate for Payer: Aetna Commercial	$232.48
Rate for Payer: Aetna Medicare Advantage	$183.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$156.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$156.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$122.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$156.01
Rate for Payer: Cigna Commercial	$305.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$134.60
Rate for Payer: Qualcare PPO/HMO/WC	$91.77
Rate for Payer: UnitedHealthcare Community & State	$14.74
Rate for Payer: Wellpoint Medicaid Managed Care	$16.21

Know your out-of-pocket cost for care.

All Charges