Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LOCKING T25 5x80MM

Facility

$924.00

Hospital Charge Code	270676887
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 T25 STAR 4x26MM

Facility

$951.70

Service Code	HCPCS C1713
Hospital Charge Code	270659940
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 T25 STAR 4x26MM

Facility

$951.70

Service Code	HCPCS C1713
Hospital Charge Code	270659940
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 T25 STAR 5x44MM

Facility

$980.25

Service Code	HCPCS C1713
Hospital Charge Code	270675365
Hospital Revenue Code	278
Min. Negotiated Rate	$147.04
Max. Negotiated Rate	$237.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$215.66
Rate for Payer: Qualcare PPO/HMO/WC	$147.04

SCREW LOCKING T25 STAR 5x44MM

Facility

$980.25

Service Code	HCPCS C1713
Hospital Charge Code	270675365
Hospital Revenue Code	278
Min. Negotiated Rate	$23.62
Max. Negotiated Rate	$490.12
Rate for Payer: Aetna Commercial	$372.50
Rate for Payer: Aetna Medicare Advantage	$294.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$249.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$249.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$249.96
Rate for Payer: Cigna Commercial	$490.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$215.66
Rate for Payer: Qualcare PPO/HMO/WC	$147.04
Rate for Payer: UnitedHealthcare Community & State	$23.62
Rate for Payer: Wellpoint Medicaid Managed Care	$25.98

SCREW LOCKING T25 STAR 5x54MM

Facility

$980.25

Service Code	HCPCS C1713
Hospital Charge Code	270675049
Hospital Revenue Code	278
Min. Negotiated Rate	$147.04
Max. Negotiated Rate	$237.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$215.66
Rate for Payer: Qualcare PPO/HMO/WC	$147.04

SCREW LOCKING T25 STAR 5x54MM

Facility

$980.25

Service Code	HCPCS C1713
Hospital Charge Code	270675049
Hospital Revenue Code	278
Min. Negotiated Rate	$23.62
Max. Negotiated Rate	$490.12
Rate for Payer: Aetna Commercial	$372.50
Rate for Payer: Aetna Medicare Advantage	$294.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$249.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$249.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$249.96
Rate for Payer: Cigna Commercial	$490.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$215.66
Rate for Payer: Qualcare PPO/HMO/WC	$147.04
Rate for Payer: UnitedHealthcare Community & State	$23.62
Rate for Payer: Wellpoint Medicaid Managed Care	$25.98

SCREW LOCKING T25 STAR 5x56MM

Facility

$980.25

Service Code	HCPCS C1713
Hospital Charge Code	270675050
Hospital Revenue Code	278
Min. Negotiated Rate	$147.04
Max. Negotiated Rate	$237.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$215.66
Rate for Payer: Qualcare PPO/HMO/WC	$147.04

SCREW LOCKING T25 STAR 5x56MM

Facility

$980.25

Service Code	HCPCS C1713
Hospital Charge Code	270675050
Hospital Revenue Code	278
Min. Negotiated Rate	$23.62
Max. Negotiated Rate	$490.12
Rate for Payer: Aetna Commercial	$372.50
Rate for Payer: Aetna Medicare Advantage	$294.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$249.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$249.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$249.96
Rate for Payer: Cigna Commercial	$490.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$215.66
Rate for Payer: Qualcare PPO/HMO/WC	$147.04
Rate for Payer: UnitedHealthcare Community & State	$23.62
Rate for Payer: Wellpoint Medicaid Managed Care	$25.98

SCREW LOCKING T2 ALPHA 5X55MM

Facility

$1,530.15

Service Code	HCPCS C1713
Hospital Charge Code	270700388
Hospital Revenue Code	278
Min. Negotiated Rate	$36.88
Max. Negotiated Rate	$765.08
Rate for Payer: Aetna Commercial	$581.46
Rate for Payer: Aetna Medicare Advantage	$459.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$390.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$390.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$306.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$390.19
Rate for Payer: Cigna Commercial	$765.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$370.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$336.63
Rate for Payer: Qualcare PPO/HMO/WC	$229.52
Rate for Payer: UnitedHealthcare Community & State	$36.88
Rate for Payer: Wellpoint Medicaid Managed Care	$40.55

SCREW LOCKING T2 ALPHA 5X55MM

Facility

$1,530.15

Service Code	HCPCS C1713
Hospital Charge Code	270700388
Hospital Revenue Code	278
Min. Negotiated Rate	$229.52
Max. Negotiated Rate	$370.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$306.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$370.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$336.63
Rate for Payer: Qualcare PPO/HMO/WC	$229.52

SCREW LOCKING T2 F/T 4x26MM

Facility

$972.00

Hospital Charge Code	270663839
Hospital Revenue Code	278
Min. Negotiated Rate	$23.43
Max. Negotiated Rate	$486.00
Rate for Payer: Aetna Commercial	$369.36
Rate for Payer: Aetna Medicare Advantage	$291.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$247.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$247.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$194.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$247.86
Rate for Payer: Cigna Commercial	$486.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$213.84
Rate for Payer: Qualcare PPO/HMO/WC	$145.80
Rate for Payer: UnitedHealthcare Community & State	$23.43
Rate for Payer: Wellpoint Medicaid Managed Care	$25.76

SCREW LOCKING T2 F/T 4x26MM

Facility

$972.00

Hospital Charge Code	270663839
Hospital Revenue Code	278
Min. Negotiated Rate	$145.80
Max. Negotiated Rate	$235.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$194.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$213.84
Rate for Payer: Qualcare PPO/HMO/WC	$145.80

SCREW LOCKING T6 2x9MM

Facility

$474.00

Service Code	HCPCS C1713
Hospital Charge Code	270674230
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 T6 2x9MM

Facility

$474.00

Service Code	HCPCS C1713
Hospital Charge Code	270674230
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 T6 STAR 2x10MM

Facility

$502.85

Service Code	HCPCS C1713
Hospital Charge Code	270671213
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 T6 STAR 2x10MM

Facility

$502.85

Service Code	HCPCS C1713
Hospital Charge Code	270671213
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 T6 STAR 2x11MM

Facility

$474.00

Service Code	HCPCS C1713
Hospital Charge Code	270671995
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 T6 STAR 2x11MM

Facility

$474.00

Service Code	HCPCS C1713
Hospital Charge Code	270671995
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 T6 STAR 2x14MM

Facility

$502.85

Service Code	HCPCS C1713
Hospital Charge Code	270672177
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 T6 STAR 2x14MM

Facility

$502.85

Service Code	HCPCS C1713
Hospital Charge Code	270672177
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 T6 STAR 2x16MM

Facility

$502.85

Service Code	HCPCS C1713
Hospital Charge Code	270667133
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 T6 STAR 2x16MM

Facility

$502.85

Service Code	HCPCS C1713
Hospital Charge Code	270667133
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 T6 STAR 2x20MM

Facility

$474.00

Hospital Charge Code	270667135
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 T6 STAR 2x20MM

Facility

$474.00

Hospital Charge Code	270667135
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

Know your out-of-pocket cost for care.

All Charges