Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LOCKING T6 STAR 2x6MM

Facility

$474.00

Hospital Charge Code	270667164
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 2x6MM

Facility

$474.00

Hospital Charge Code	270667164
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 T8 3.5X14MM

Facility

$1,385.00

Service Code	HCPCS C1713
Hospital Charge Code	270668046
Hospital Revenue Code	278
Min. Negotiated Rate	$33.38
Max. Negotiated Rate	$692.50
Rate for Payer: Aetna Commercial	$526.30
Rate for Payer: Aetna Medicare Advantage	$415.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$353.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$353.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$277.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$353.18
Rate for Payer: Cigna Commercial	$692.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$335.17
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$304.70
Rate for Payer: Qualcare PPO/HMO/WC	$207.75
Rate for Payer: UnitedHealthcare Community & State	$33.38
Rate for Payer: Wellpoint Medicaid Managed Care	$36.70

SCREW LOCKING T8 3.5X14MM

Facility

$1,385.00

Service Code	HCPCS C1713
Hospital Charge Code	270668046
Hospital Revenue Code	278
Min. Negotiated Rate	$207.75
Max. Negotiated Rate	$335.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$277.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$335.17
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$304.70
Rate for Payer: Qualcare PPO/HMO/WC	$207.75

SCREW LOCKING T8 3.5x16MM

Facility

$1,425.00

Service Code	HCPCS C1713
Hospital Charge Code	270667538
Hospital Revenue Code	278
Min. Negotiated Rate	$213.75
Max. Negotiated Rate	$344.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$285.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$344.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$313.50
Rate for Payer: Qualcare PPO/HMO/WC	$213.75

SCREW LOCKING T8 3.5x16MM

Facility

$1,425.00

Service Code	HCPCS C1713
Hospital Charge Code	270667538
Hospital Revenue Code	278
Min. Negotiated Rate	$34.34
Max. Negotiated Rate	$712.50
Rate for Payer: Aetna Commercial	$541.50
Rate for Payer: Aetna Medicare Advantage	$427.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$363.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$363.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$363.38
Rate for Payer: Cigna Commercial	$712.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$344.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$313.50
Rate for Payer: Qualcare PPO/HMO/WC	$213.75
Rate for Payer: UnitedHealthcare Community & State	$34.34
Rate for Payer: Wellpoint Medicaid Managed Care	$37.76

SCREW LOCKING T8 3.5x20MM

Facility

$1,425.00

Service Code	HCPCS C1713
Hospital Charge Code	270673319
Hospital Revenue Code	278
Min. Negotiated Rate	$34.34
Max. Negotiated Rate	$712.50
Rate for Payer: Aetna Commercial	$541.50
Rate for Payer: Aetna Medicare Advantage	$427.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$363.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$363.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$363.38
Rate for Payer: Cigna Commercial	$712.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$344.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$313.50
Rate for Payer: Qualcare PPO/HMO/WC	$213.75
Rate for Payer: UnitedHealthcare Community & State	$34.34
Rate for Payer: Wellpoint Medicaid Managed Care	$37.76

SCREW LOCKING T8 3.5x20MM

Facility

$1,425.00

Service Code	HCPCS C1713
Hospital Charge Code	270673319
Hospital Revenue Code	278
Min. Negotiated Rate	$213.75
Max. Negotiated Rate	$344.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$285.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$344.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$313.50
Rate for Payer: Qualcare PPO/HMO/WC	$213.75

SCREW LOCKING T8 3.5x24MM

Facility

$1,425.00

Service Code	HCPCS C1713
Hospital Charge Code	270673314
Hospital Revenue Code	278
Min. Negotiated Rate	$213.75
Max. Negotiated Rate	$344.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$285.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$344.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$313.50
Rate for Payer: Qualcare PPO/HMO/WC	$213.75

SCREW LOCKING T8 3.5x24MM

Facility

$1,425.00

Service Code	HCPCS C1713
Hospital Charge Code	270673314
Hospital Revenue Code	278
Min. Negotiated Rate	$34.34
Max. Negotiated Rate	$712.50
Rate for Payer: Aetna Commercial	$541.50
Rate for Payer: Aetna Medicare Advantage	$427.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$363.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$363.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$363.38
Rate for Payer: Cigna Commercial	$712.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$344.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$313.50
Rate for Payer: Qualcare PPO/HMO/WC	$213.75
Rate for Payer: UnitedHealthcare Community & State	$34.34
Rate for Payer: Wellpoint Medicaid Managed Care	$37.76

SCREW LOCKING T8 3.5x26MM

Facility

$1,425.00

Service Code	HCPCS C1713
Hospital Charge Code	270673318
Hospital Revenue Code	278
Min. Negotiated Rate	$213.75
Max. Negotiated Rate	$344.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$285.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$344.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$313.50
Rate for Payer: Qualcare PPO/HMO/WC	$213.75

SCREW LOCKING T8 3.5x26MM

Facility

$1,425.00

Service Code	HCPCS C1713
Hospital Charge Code	270673318
Hospital Revenue Code	278
Min. Negotiated Rate	$34.34
Max. Negotiated Rate	$712.50
Rate for Payer: Aetna Commercial	$541.50
Rate for Payer: Aetna Medicare Advantage	$427.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$363.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$363.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$363.38
Rate for Payer: Cigna Commercial	$712.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$344.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$313.50
Rate for Payer: Qualcare PPO/HMO/WC	$213.75
Rate for Payer: UnitedHealthcare Community & State	$34.34
Rate for Payer: Wellpoint Medicaid Managed Care	$37.76

SCREW LOCKING T8 STAR 2.4x10mm

Facility

$497.50

Service Code	HCPCS C1713
Hospital Charge Code	270667139
Hospital Revenue Code	278
Min. Negotiated Rate	$74.62
Max. Negotiated Rate	$120.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$109.45
Rate for Payer: Qualcare PPO/HMO/WC	$74.62

SCREW LOCKING T8 STAR 2.4x10mm

Facility

$497.50

Service Code	HCPCS C1713
Hospital Charge Code	270667139
Hospital Revenue Code	278
Min. Negotiated Rate	$11.99
Max. Negotiated Rate	$248.75
Rate for Payer: Aetna Commercial	$189.05
Rate for Payer: Aetna Medicare Advantage	$149.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.86
Rate for Payer: Cigna Commercial	$248.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$109.45
Rate for Payer: Qualcare PPO/HMO/WC	$74.62
Rate for Payer: UnitedHealthcare Community & State	$11.99
Rate for Payer: Wellpoint Medicaid Managed Care	$13.18

SCREW LOCKING T8 STAR 2.4x11MM

Facility

$483.00

Hospital Charge Code	270676306
Hospital Revenue Code	278
Min. Negotiated Rate	$72.45
Max. Negotiated Rate	$116.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$96.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$106.26
Rate for Payer: Qualcare PPO/HMO/WC	$72.45

SCREW LOCKING T8 STAR 2.4x11MM

Facility

$483.00

Hospital Charge Code	270676306
Hospital Revenue Code	278
Min. Negotiated Rate	$11.64
Max. Negotiated Rate	$241.50
Rate for Payer: Aetna Commercial	$183.54
Rate for Payer: Aetna Medicare Advantage	$144.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$123.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$123.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$96.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$123.17
Rate for Payer: Cigna Commercial	$241.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$106.26
Rate for Payer: Qualcare PPO/HMO/WC	$72.45
Rate for Payer: UnitedHealthcare Community & State	$11.64
Rate for Payer: Wellpoint Medicaid Managed Care	$12.80

SCREW LOCKING T8 STAR 2.4x12MM

Facility

$483.00

Hospital Charge Code	270667138
Hospital Revenue Code	278
Min. Negotiated Rate	$11.64
Max. Negotiated Rate	$241.50
Rate for Payer: Aetna Commercial	$183.54
Rate for Payer: Aetna Medicare Advantage	$144.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$123.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$123.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$96.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$123.17
Rate for Payer: Cigna Commercial	$241.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$106.26
Rate for Payer: Qualcare PPO/HMO/WC	$72.45
Rate for Payer: UnitedHealthcare Community & State	$11.64
Rate for Payer: Wellpoint Medicaid Managed Care	$12.80

SCREW LOCKING T8 STAR 2.4x12MM

Facility

$483.00

Hospital Charge Code	270667138
Hospital Revenue Code	278
Min. Negotiated Rate	$72.45
Max. Negotiated Rate	$116.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$96.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$106.26
Rate for Payer: Qualcare PPO/HMO/WC	$72.45

SCREW LOCKING T8 STAR 2.4x13MM

Facility

$483.00

Hospital Charge Code	270676305
Hospital Revenue Code	278
Min. Negotiated Rate	$72.45
Max. Negotiated Rate	$116.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$96.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$106.26
Rate for Payer: Qualcare PPO/HMO/WC	$72.45

SCREW LOCKING T8 STAR 2.4x13MM

Facility

$483.00

Hospital Charge Code	270676305
Hospital Revenue Code	278
Min. Negotiated Rate	$11.64
Max. Negotiated Rate	$241.50
Rate for Payer: Aetna Commercial	$183.54
Rate for Payer: Aetna Medicare Advantage	$144.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$123.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$123.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$96.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$123.17
Rate for Payer: Cigna Commercial	$241.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$106.26
Rate for Payer: Qualcare PPO/HMO/WC	$72.45
Rate for Payer: UnitedHealthcare Community & State	$11.64
Rate for Payer: Wellpoint Medicaid Managed Care	$12.80

SCREW LOCKING T8 STAR 2.4x14MM

Facility

$497.50

Service Code	HCPCS C1713
Hospital Charge Code	270637235
Hospital Revenue Code	278
Min. Negotiated Rate	$11.99
Max. Negotiated Rate	$248.75
Rate for Payer: Aetna Commercial	$189.05
Rate for Payer: Aetna Medicare Advantage	$149.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.86
Rate for Payer: Cigna Commercial	$248.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$109.45
Rate for Payer: Qualcare PPO/HMO/WC	$74.62
Rate for Payer: UnitedHealthcare Community & State	$11.99
Rate for Payer: Wellpoint Medicaid Managed Care	$13.18

SCREW LOCKING T8 STAR 2.4x14MM

Facility

$497.50

Service Code	HCPCS C1713
Hospital Charge Code	270637235
Hospital Revenue Code	278
Min. Negotiated Rate	$74.62
Max. Negotiated Rate	$120.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$109.45
Rate for Payer: Qualcare PPO/HMO/WC	$74.62

SCREW LOCKING T8 STAR 2.4x16MM

Facility

$512.45

Service Code	HCPCS C1713
Hospital Charge Code	270637239
Hospital Revenue Code	278
Min. Negotiated Rate	$12.35
Max. Negotiated Rate	$256.23
Rate for Payer: Aetna Commercial	$194.73
Rate for Payer: Aetna Medicare Advantage	$153.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$130.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$130.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$102.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$130.67
Rate for Payer: Cigna Commercial	$256.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$124.01
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$112.74
Rate for Payer: Qualcare PPO/HMO/WC	$76.87
Rate for Payer: UnitedHealthcare Community & State	$12.35
Rate for Payer: Wellpoint Medicaid Managed Care	$13.58

SCREW LOCKING T8 STAR 2.4x16MM

Facility

$512.45

Service Code	HCPCS C1713
Hospital Charge Code	270637239
Hospital Revenue Code	278
Min. Negotiated Rate	$76.87
Max. Negotiated Rate	$124.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$102.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$124.01
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$112.74
Rate for Payer: Qualcare PPO/HMO/WC	$76.87

SCREW LOCKING T8 STAR 2.4x18MM

Facility

$497.50

Service Code	HCPCS C1713
Hospital Charge Code	270641162
Hospital Revenue Code	278
Min. Negotiated Rate	$74.62
Max. Negotiated Rate	$120.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$109.45
Rate for Payer: Qualcare PPO/HMO/WC	$74.62

Know your out-of-pocket cost for care.

All Charges