Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LOCKING SLF TAP 5x46MM

Facility

$621.10

Service Code	HCPCS C1713
Hospital Charge Code	270641545
Hospital Revenue Code	278
Min. Negotiated Rate	$93.17
Max. Negotiated Rate	$150.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$136.64
Rate for Payer: Qualcare PPO/HMO/WC	$93.17

SCREW LOCKING S/TAP 2.0x13MM

Facility

$474.00

Hospital Charge Code	270676297
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 S/TAP 2.0x13MM

Facility

$474.00

Hospital Charge Code	270676297
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 S/TAP 3.0x14 mm

Facility

$487.50

Hospital Charge Code	270671852
Hospital Revenue Code	278
Min. Negotiated Rate	$73.12
Max. Negotiated Rate	$117.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$97.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$107.25
Rate for Payer: Qualcare PPO/HMO/WC	$73.12

SCREW LOCKING S/TAP 3.0x14 mm

Facility

$487.50

Hospital Charge Code	270671852
Hospital Revenue Code	278
Min. Negotiated Rate	$11.75
Max. Negotiated Rate	$243.75
Rate for Payer: Aetna Commercial	$185.25
Rate for Payer: Aetna Medicare Advantage	$146.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$97.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.31
Rate for Payer: Cigna Commercial	$243.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$107.25
Rate for Payer: Qualcare PPO/HMO/WC	$73.12
Rate for Payer: UnitedHealthcare Community & State	$11.75
Rate for Payer: Wellpoint Medicaid Managed Care	$12.92

SCREW LOCKING S/TAP 3.0x16mm

Facility

$487.50

Hospital Charge Code	270671854
Hospital Revenue Code	278
Min. Negotiated Rate	$11.75
Max. Negotiated Rate	$243.75
Rate for Payer: Aetna Commercial	$185.25
Rate for Payer: Aetna Medicare Advantage	$146.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$97.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.31
Rate for Payer: Cigna Commercial	$243.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$107.25
Rate for Payer: Qualcare PPO/HMO/WC	$73.12
Rate for Payer: UnitedHealthcare Community & State	$11.75
Rate for Payer: Wellpoint Medicaid Managed Care	$12.92

SCREW LOCKING S/TAP 3.0x16mm

Facility

$487.50

Hospital Charge Code	270671854
Hospital Revenue Code	278
Min. Negotiated Rate	$73.12
Max. Negotiated Rate	$117.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$97.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$107.25
Rate for Payer: Qualcare PPO/HMO/WC	$73.12

SCREW LOCKING S/TAP 3.0x18mm

Facility

$655.00

Hospital Charge Code	270671855
Hospital Revenue Code	278
Min. Negotiated Rate	$15.79
Max. Negotiated Rate	$327.50
Rate for Payer: Aetna Commercial	$248.90
Rate for Payer: Aetna Medicare Advantage	$196.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$167.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$167.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$131.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$167.03
Rate for Payer: Cigna Commercial	$327.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$158.51
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$144.10
Rate for Payer: Qualcare PPO/HMO/WC	$98.25
Rate for Payer: UnitedHealthcare Community & State	$15.79
Rate for Payer: Wellpoint Medicaid Managed Care	$17.36

SCREW LOCKING S/TAP 3.0x18mm

Facility

$655.00

Hospital Charge Code	270671855
Hospital Revenue Code	278
Min. Negotiated Rate	$98.25
Max. Negotiated Rate	$158.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$131.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$158.51
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$144.10
Rate for Payer: Qualcare PPO/HMO/WC	$98.25

SCREW LOCKING S/TAP 3.5x 16mm

Facility

$877.50

Service Code	HCPCS C1713
Hospital Charge Code	270648604
Hospital Revenue Code	278
Min. Negotiated Rate	$21.15
Max. Negotiated Rate	$438.75
Rate for Payer: Aetna Commercial	$333.45
Rate for Payer: Aetna Medicare Advantage	$263.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.76
Rate for Payer: Cigna Commercial	$438.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$212.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$193.05
Rate for Payer: Qualcare PPO/HMO/WC	$131.62
Rate for Payer: UnitedHealthcare Community & State	$21.15
Rate for Payer: Wellpoint Medicaid Managed Care	$23.25

SCREW LOCKING S/TAP 3.5x 16mm

Facility

$877.50

Service Code	HCPCS C1713
Hospital Charge Code	270648604
Hospital Revenue Code	278
Min. Negotiated Rate	$131.62
Max. Negotiated Rate	$212.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$212.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$193.05
Rate for Payer: Qualcare PPO/HMO/WC	$131.62

SCREW LOCKING STAR 3.5x52MM

Facility

$519.00

Hospital Charge Code	270657131
Hospital Revenue Code	278
Min. Negotiated Rate	$12.51
Max. Negotiated Rate	$259.50
Rate for Payer: Aetna Commercial	$197.22
Rate for Payer: Aetna Medicare Advantage	$155.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.34
Rate for Payer: Cigna Commercial	$259.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$114.18
Rate for Payer: Qualcare PPO/HMO/WC	$77.85
Rate for Payer: UnitedHealthcare Community & State	$12.51
Rate for Payer: Wellpoint Medicaid Managed Care	$13.75

SCREW LOCKING STAR 3.5x52MM

Facility

$519.00

Hospital Charge Code	270657131
Hospital Revenue Code	278
Min. Negotiated Rate	$77.85
Max. Negotiated Rate	$125.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$114.18
Rate for Payer: Qualcare PPO/HMO/WC	$77.85

SCREW LOCKING STAR 4X38MM

Facility

$924.00

Service Code	HCPCS C1713
Hospital Charge Code	270659944
Hospital Revenue Code	278
Min. Negotiated Rate	$22.27
Max. Negotiated Rate	$462.00
Rate for Payer: Aetna Commercial	$351.12
Rate for Payer: Aetna Medicare Advantage	$277.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$235.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$235.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$184.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$235.62
Rate for Payer: Cigna Commercial	$462.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$223.61
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$203.28
Rate for Payer: Qualcare PPO/HMO/WC	$138.60
Rate for Payer: UnitedHealthcare Community & State	$22.27
Rate for Payer: Wellpoint Medicaid Managed Care	$24.49

SCREW LOCKING STAR 4X38MM

Facility

$924.00

Service Code	HCPCS C1713
Hospital Charge Code	270659944
Hospital Revenue Code	278
Min. Negotiated Rate	$138.60
Max. Negotiated Rate	$223.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$184.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$223.61
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$203.28
Rate for Payer: Qualcare PPO/HMO/WC	$138.60

SCREW LOCKING STAR 4X40MM

Facility

$951.70

Service Code	HCPCS C1713
Hospital Charge Code	270671294
Hospital Revenue Code	278
Min. Negotiated Rate	$142.75
Max. Negotiated Rate	$230.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$230.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$209.37
Rate for Payer: Qualcare PPO/HMO/WC	$142.75

SCREW LOCKING STAR 4X40MM

Facility

$951.70

Service Code	HCPCS C1713
Hospital Charge Code	270671294
Hospital Revenue Code	278
Min. Negotiated Rate	$22.94
Max. Negotiated Rate	$475.85
Rate for Payer: Aetna Commercial	$361.65
Rate for Payer: Aetna Medicare Advantage	$285.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.68
Rate for Payer: Cigna Commercial	$475.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$230.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$209.37
Rate for Payer: Qualcare PPO/HMO/WC	$142.75
Rate for Payer: UnitedHealthcare Community & State	$22.94
Rate for Payer: Wellpoint Medicaid Managed Care	$25.22

SCREW LOCKING STARDR 2.4X6MM

Facility

$720.60

Service Code	HCPCS C1713
Hospital Charge Code	270695239
Hospital Revenue Code	278
Min. Negotiated Rate	$108.09
Max. Negotiated Rate	$174.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$144.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$158.53
Rate for Payer: Qualcare PPO/HMO/WC	$108.09

SCREW LOCKING STARDR 2.4X6MM

Facility

$720.60

Service Code	HCPCS C1713
Hospital Charge Code	270695239
Hospital Revenue Code	278
Min. Negotiated Rate	$17.37
Max. Negotiated Rate	$360.30
Rate for Payer: Aetna Commercial	$273.83
Rate for Payer: Aetna Medicare Advantage	$216.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$183.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$183.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$144.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$183.75
Rate for Payer: Cigna Commercial	$360.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$158.53
Rate for Payer: Qualcare PPO/HMO/WC	$108.09
Rate for Payer: UnitedHealthcare Community & State	$17.37
Rate for Payer: Wellpoint Medicaid Managed Care	$19.10

SCREW LOCKING STARDR 2.4X7MM

Facility

$720.60

Service Code	HCPCS C1713
Hospital Charge Code	270695240
Hospital Revenue Code	278
Min. Negotiated Rate	$108.09
Max. Negotiated Rate	$174.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$144.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$158.53
Rate for Payer: Qualcare PPO/HMO/WC	$108.09

SCREW LOCKING STARDR 2.4X7MM

Facility

$720.60

Service Code	HCPCS C1713
Hospital Charge Code	270695240
Hospital Revenue Code	278
Min. Negotiated Rate	$17.37
Max. Negotiated Rate	$360.30
Rate for Payer: Aetna Commercial	$273.83
Rate for Payer: Aetna Medicare Advantage	$216.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$183.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$183.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$144.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$183.75
Rate for Payer: Cigna Commercial	$360.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$158.53
Rate for Payer: Qualcare PPO/HMO/WC	$108.09
Rate for Payer: UnitedHealthcare Community & State	$17.37
Rate for Payer: Wellpoint Medicaid Managed Care	$19.10

SCREW LOCKING STR DRV 5.0x26MM

Facility

$753.00

Service Code	HCPCS C1713
Hospital Charge Code	270674864
Hospital Revenue Code	278
Min. Negotiated Rate	$18.15
Max. Negotiated Rate	$376.50
Rate for Payer: Aetna Commercial	$286.14
Rate for Payer: Aetna Medicare Advantage	$225.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.01
Rate for Payer: Cigna Commercial	$376.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.23
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$165.66
Rate for Payer: Qualcare PPO/HMO/WC	$112.95
Rate for Payer: UnitedHealthcare Community & State	$18.15
Rate for Payer: Wellpoint Medicaid Managed Care	$19.95

SCREW LOCKING STR DRV 5.0x26MM

Facility

$753.00

Service Code	HCPCS C1713
Hospital Charge Code	270674864
Hospital Revenue Code	278
Min. Negotiated Rate	$112.95
Max. Negotiated Rate	$182.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.23
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$165.66
Rate for Payer: Qualcare PPO/HMO/WC	$112.95

SCREW LOCKING STR DRV 5.0x28MM

Facility

$753.00

Service Code	HCPCS C1713
Hospital Charge Code	270674863
Hospital Revenue Code	278
Min. Negotiated Rate	$112.95
Max. Negotiated Rate	$182.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.23
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$165.66
Rate for Payer: Qualcare PPO/HMO/WC	$112.95

SCREW LOCKING STR DRV 5.0x28MM

Facility

$753.00

Service Code	HCPCS C1713
Hospital Charge Code	270674863
Hospital Revenue Code	278
Min. Negotiated Rate	$18.15
Max. Negotiated Rate	$376.50
Rate for Payer: Aetna Commercial	$286.14
Rate for Payer: Aetna Medicare Advantage	$225.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.01
Rate for Payer: Cigna Commercial	$376.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.23
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$165.66
Rate for Payer: Qualcare PPO/HMO/WC	$112.95
Rate for Payer: UnitedHealthcare Community & State	$18.15
Rate for Payer: Wellpoint Medicaid Managed Care	$19.95

Know your out-of-pocket cost for care.

All Charges