Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LOCKING T8 STAR 2.4x18MM

Facility

$497.50

Service Code	HCPCS C1713
Hospital Charge Code	270641162
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 2.4x20MM

Facility

$497.50

Service Code	HCPCS C1713
Hospital Charge Code	270641163
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 2.4x20MM

Facility

$497.50

Service Code	HCPCS C1713
Hospital Charge Code	270641163
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 2.4x22MM

Facility

$483.00

Service Code	HCPCS C1713
Hospital Charge Code	270641161
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 2.4x22MM

Facility

$483.00

Service Code	HCPCS C1713
Hospital Charge Code	270641161
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 2.4x30MM

Facility

$483.00

Hospital Charge Code	270676532
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 2.4x30MM

Facility

$483.00

Hospital Charge Code	270676532
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 2.4x6MM

Facility

$497.50

Service Code	HCPCS C1713
Hospital Charge Code	270648522
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 2.4x6MM

Facility

$497.50

Service Code	HCPCS C1713
Hospital Charge Code	270648522
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 2.4x7MM

Facility

$483.00

Hospital Charge Code	270676304
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 2.4x7MM

Facility

$483.00

Hospital Charge Code	270676304
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 2.4x8MM

Facility

$497.50

Service Code	HCPCS C1713
Hospital Charge Code	270661615
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 2.4x8MM

Facility

$497.50

Service Code	HCPCS C1713
Hospital Charge Code	270661615
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 2.4x9MM

Facility

$483.00

Hospital Charge Code	270676855
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 2.4x9MM

Facility

$483.00

Hospital Charge Code	270676855
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 2.7X26MM

Facility

$489.00

Hospital Charge Code	270669937
Hospital Revenue Code	278
Min. Negotiated Rate	$73.35
Max. Negotiated Rate	$118.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$97.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$107.58
Rate for Payer: Qualcare PPO/HMO/WC	$73.35

SCREW LOCKING T8 STAR 2.7X26MM

Facility

$489.00

Hospital Charge Code	270669937
Hospital Revenue Code	278
Min. Negotiated Rate	$11.78
Max. Negotiated Rate	$244.50
Rate for Payer: Aetna Commercial	$185.82
Rate for Payer: Aetna Medicare Advantage	$146.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$97.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.69
Rate for Payer: Cigna Commercial	$244.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$107.58
Rate for Payer: Qualcare PPO/HMO/WC	$73.35
Rate for Payer: UnitedHealthcare Community & State	$11.78
Rate for Payer: Wellpoint Medicaid Managed Care	$12.96

SCREW LOCKING T8 STAR 2.7X28MM

Facility

$489.00

Hospital Charge Code	270669936
Hospital Revenue Code	278
Min. Negotiated Rate	$73.35
Max. Negotiated Rate	$118.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$97.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$107.58
Rate for Payer: Qualcare PPO/HMO/WC	$73.35

SCREW LOCKING T8 STAR 2.7X28MM

Facility

$489.00

Hospital Charge Code	270669936
Hospital Revenue Code	278
Min. Negotiated Rate	$11.78
Max. Negotiated Rate	$244.50
Rate for Payer: Aetna Commercial	$185.82
Rate for Payer: Aetna Medicare Advantage	$146.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$97.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.69
Rate for Payer: Cigna Commercial	$244.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$107.58
Rate for Payer: Qualcare PPO/HMO/WC	$73.35
Rate for Payer: UnitedHealthcare Community & State	$11.78
Rate for Payer: Wellpoint Medicaid Managed Care	$12.96

SCREW LOCKING T8 STAR 2.7X30MM

Facility

$489.00

Hospital Charge Code	270669935
Hospital Revenue Code	278
Min. Negotiated Rate	$11.78
Max. Negotiated Rate	$244.50
Rate for Payer: Aetna Commercial	$185.82
Rate for Payer: Aetna Medicare Advantage	$146.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$97.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.69
Rate for Payer: Cigna Commercial	$244.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$107.58
Rate for Payer: Qualcare PPO/HMO/WC	$73.35
Rate for Payer: UnitedHealthcare Community & State	$11.78
Rate for Payer: Wellpoint Medicaid Managed Care	$12.96

SCREW LOCKING T8 STAR 2.7X30MM

Facility

$489.00

Hospital Charge Code	270669935
Hospital Revenue Code	278
Min. Negotiated Rate	$73.35
Max. Negotiated Rate	$118.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$97.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$107.58
Rate for Payer: Qualcare PPO/HMO/WC	$73.35

SCREW LOCKING T8 STAR 2.7X42MM

Facility

$489.00

Hospital Charge Code	270669934
Hospital Revenue Code	278
Min. Negotiated Rate	$11.78
Max. Negotiated Rate	$244.50
Rate for Payer: Aetna Commercial	$185.82
Rate for Payer: Aetna Medicare Advantage	$146.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$97.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.69
Rate for Payer: Cigna Commercial	$244.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$107.58
Rate for Payer: Qualcare PPO/HMO/WC	$73.35
Rate for Payer: UnitedHealthcare Community & State	$11.78
Rate for Payer: Wellpoint Medicaid Managed Care	$12.96

SCREW LOCKING T8 STAR 2.7X42MM

Facility

$489.00

Hospital Charge Code	270669934
Hospital Revenue Code	278
Min. Negotiated Rate	$73.35
Max. Negotiated Rate	$118.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$97.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$107.58
Rate for Payer: Qualcare PPO/HMO/WC	$73.35

SCREW LOCKING T8 STAR 2.7X44MM

Facility

$489.00

Hospital Charge Code	270659770
Hospital Revenue Code	278
Min. Negotiated Rate	$11.78
Max. Negotiated Rate	$244.50
Rate for Payer: Aetna Commercial	$185.82
Rate for Payer: Aetna Medicare Advantage	$146.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$97.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.69
Rate for Payer: Cigna Commercial	$244.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$107.58
Rate for Payer: Qualcare PPO/HMO/WC	$73.35
Rate for Payer: UnitedHealthcare Community & State	$11.78
Rate for Payer: Wellpoint Medicaid Managed Care	$12.96

SCREW LOCKING T8 STAR 2.7X44MM

Facility

$489.00

Hospital Charge Code	270659770
Hospital Revenue Code	278
Min. Negotiated Rate	$73.35
Max. Negotiated Rate	$118.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$97.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$107.58
Rate for Payer: Qualcare PPO/HMO/WC	$73.35

Know your out-of-pocket cost for care.

All Charges