Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LOCKING TI 5x24mm

Facility

$984.20

Hospital Charge Code	270673779
Hospital Revenue Code	278
Min. Negotiated Rate	$23.72
Max. Negotiated Rate	$492.10
Rate for Payer: Aetna Commercial	$374.00
Rate for Payer: Aetna Medicare Advantage	$295.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$250.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$250.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$250.97
Rate for Payer: Cigna Commercial	$492.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$238.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$216.52
Rate for Payer: Qualcare PPO/HMO/WC	$147.63
Rate for Payer: UnitedHealthcare Community & State	$23.72
Rate for Payer: Wellpoint Medicaid Managed Care	$26.08

SCREW LOCKING TI 5x24mm

Facility

$984.20

Hospital Charge Code	270673779
Hospital Revenue Code	278
Min. Negotiated Rate	$147.63
Max. Negotiated Rate	$238.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$238.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$216.52
Rate for Payer: Qualcare PPO/HMO/WC	$147.63

SCREW LOCKING TI 5X26MM

Facility

$870.00

Service Code	HCPCS C1713
Hospital Charge Code	270669735
Hospital Revenue Code	278
Min. Negotiated Rate	$130.50
Max. Negotiated Rate	$210.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$174.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$210.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$191.40
Rate for Payer: Qualcare PPO/HMO/WC	$130.50

SCREW LOCKING TI 5X26MM

Facility

$870.00

Service Code	HCPCS C1713
Hospital Charge Code	270669735
Hospital Revenue Code	278
Min. Negotiated Rate	$20.97
Max. Negotiated Rate	$435.00
Rate for Payer: Aetna Commercial	$330.60
Rate for Payer: Aetna Medicare Advantage	$261.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$221.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$221.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$174.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$221.85
Rate for Payer: Cigna Commercial	$435.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$210.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$191.40
Rate for Payer: Qualcare PPO/HMO/WC	$130.50
Rate for Payer: UnitedHealthcare Community & State	$20.97
Rate for Payer: Wellpoint Medicaid Managed Care	$23.05

SCREW LOCKING TI 5x28mm

Facility

$984.20

Hospital Charge Code	270673768
Hospital Revenue Code	278
Min. Negotiated Rate	$23.72
Max. Negotiated Rate	$492.10
Rate for Payer: Aetna Commercial	$374.00
Rate for Payer: Aetna Medicare Advantage	$295.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$250.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$250.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$250.97
Rate for Payer: Cigna Commercial	$492.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$238.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$216.52
Rate for Payer: Qualcare PPO/HMO/WC	$147.63
Rate for Payer: UnitedHealthcare Community & State	$23.72
Rate for Payer: Wellpoint Medicaid Managed Care	$26.08

SCREW LOCKING TI 5x28mm

Facility

$984.20

Hospital Charge Code	270673768
Hospital Revenue Code	278
Min. Negotiated Rate	$147.63
Max. Negotiated Rate	$238.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$238.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$216.52
Rate for Payer: Qualcare PPO/HMO/WC	$147.63

SCREW LOCKING TI 5x32mm

Facility

$984.20

Hospital Charge Code	270673778
Hospital Revenue Code	278
Min. Negotiated Rate	$147.63
Max. Negotiated Rate	$238.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$238.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$216.52
Rate for Payer: Qualcare PPO/HMO/WC	$147.63

SCREW LOCKING TI 5x32mm

Facility

$984.20

Hospital Charge Code	270673778
Hospital Revenue Code	278
Min. Negotiated Rate	$23.72
Max. Negotiated Rate	$492.10
Rate for Payer: Aetna Commercial	$374.00
Rate for Payer: Aetna Medicare Advantage	$295.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$250.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$250.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$250.97
Rate for Payer: Cigna Commercial	$492.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$238.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$216.52
Rate for Payer: Qualcare PPO/HMO/WC	$147.63
Rate for Payer: UnitedHealthcare Community & State	$23.72
Rate for Payer: Wellpoint Medicaid Managed Care	$26.08

SCREW LOCKING TI 5x38mm

Facility

$984.20

Hospital Charge Code	270673771
Hospital Revenue Code	278
Min. Negotiated Rate	$23.72
Max. Negotiated Rate	$492.10
Rate for Payer: Aetna Commercial	$374.00
Rate for Payer: Aetna Medicare Advantage	$295.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$250.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$250.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$250.97
Rate for Payer: Cigna Commercial	$492.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$238.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$216.52
Rate for Payer: Qualcare PPO/HMO/WC	$147.63
Rate for Payer: UnitedHealthcare Community & State	$23.72
Rate for Payer: Wellpoint Medicaid Managed Care	$26.08

SCREW LOCKING TI 5x38mm

Facility

$984.20

Hospital Charge Code	270673771
Hospital Revenue Code	278
Min. Negotiated Rate	$147.63
Max. Negotiated Rate	$238.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$238.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$216.52
Rate for Payer: Qualcare PPO/HMO/WC	$147.63

SCREW LOCKING TI 5X40MM

Facility

$870.00

Service Code	HCPCS C1713
Hospital Charge Code	270669736
Hospital Revenue Code	278
Min. Negotiated Rate	$20.97
Max. Negotiated Rate	$435.00
Rate for Payer: Aetna Commercial	$330.60
Rate for Payer: Aetna Medicare Advantage	$261.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$221.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$221.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$174.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$221.85
Rate for Payer: Cigna Commercial	$435.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$210.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$191.40
Rate for Payer: Qualcare PPO/HMO/WC	$130.50
Rate for Payer: UnitedHealthcare Community & State	$20.97
Rate for Payer: Wellpoint Medicaid Managed Care	$23.05

SCREW LOCKING TI 5X40MM

Facility

$870.00

Service Code	HCPCS C1713
Hospital Charge Code	270669736
Hospital Revenue Code	278
Min. Negotiated Rate	$130.50
Max. Negotiated Rate	$210.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$174.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$210.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$191.40
Rate for Payer: Qualcare PPO/HMO/WC	$130.50

SCREW LOCKING TI 5x44MM

Facility

$973.35

Service Code	HCPCS C1713
Hospital Charge Code	270652424
Hospital Revenue Code	278
Min. Negotiated Rate	$146.00
Max. Negotiated Rate	$235.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$194.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$214.14
Rate for Payer: Qualcare PPO/HMO/WC	$146.00

SCREW LOCKING TI 5x44MM

Facility

$973.35

Service Code	HCPCS C1713
Hospital Charge Code	270652424
Hospital Revenue Code	278
Min. Negotiated Rate	$23.46
Max. Negotiated Rate	$486.68
Rate for Payer: Aetna Commercial	$369.87
Rate for Payer: Aetna Medicare Advantage	$292.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$194.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.20
Rate for Payer: Cigna Commercial	$486.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$214.14
Rate for Payer: Qualcare PPO/HMO/WC	$146.00
Rate for Payer: UnitedHealthcare Community & State	$23.46
Rate for Payer: Wellpoint Medicaid Managed Care	$25.79

SCREW LOCKING TI 5x70mm

Facility

$984.05

Service Code	HCPCS C1713
Hospital Charge Code	270673767
Hospital Revenue Code	278
Min. Negotiated Rate	$147.61
Max. Negotiated Rate	$238.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$238.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$216.49
Rate for Payer: Qualcare PPO/HMO/WC	$147.61

SCREW LOCKING TI 5x70mm

Facility

$984.05

Service Code	HCPCS C1713
Hospital Charge Code	270673767
Hospital Revenue Code	278
Min. Negotiated Rate	$23.72
Max. Negotiated Rate	$492.02
Rate for Payer: Aetna Commercial	$373.94
Rate for Payer: Aetna Medicare Advantage	$295.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$250.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$250.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$250.93
Rate for Payer: Cigna Commercial	$492.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$238.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$216.49
Rate for Payer: Qualcare PPO/HMO/WC	$147.61
Rate for Payer: UnitedHealthcare Community & State	$23.72
Rate for Payer: Wellpoint Medicaid Managed Care	$26.08

SCREW LOCKING TI 5X75MM

Facility

$885.00

Hospital Charge Code	270669734
Hospital Revenue Code	278
Min. Negotiated Rate	$132.75
Max. Negotiated Rate	$214.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$177.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.17
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$194.70
Rate for Payer: Qualcare PPO/HMO/WC	$132.75

SCREW LOCKING TI 5X75MM

Facility

$885.00

Hospital Charge Code	270669734
Hospital Revenue Code	278
Min. Negotiated Rate	$21.33
Max. Negotiated Rate	$442.50
Rate for Payer: Aetna Commercial	$336.30
Rate for Payer: Aetna Medicare Advantage	$265.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$225.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$225.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$177.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$225.68
Rate for Payer: Cigna Commercial	$442.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.17
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$194.70
Rate for Payer: Qualcare PPO/HMO/WC	$132.75
Rate for Payer: UnitedHealthcare Community & State	$21.33
Rate for Payer: Wellpoint Medicaid Managed Care	$23.45

SCREW LOCKING TI 5X85MM

Facility

$885.00

Hospital Charge Code	270669737
Hospital Revenue Code	278
Min. Negotiated Rate	$21.33
Max. Negotiated Rate	$442.50
Rate for Payer: Aetna Commercial	$336.30
Rate for Payer: Aetna Medicare Advantage	$265.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$225.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$225.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$177.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$225.68
Rate for Payer: Cigna Commercial	$442.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.17
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$194.70
Rate for Payer: Qualcare PPO/HMO/WC	$132.75
Rate for Payer: UnitedHealthcare Community & State	$21.33
Rate for Payer: Wellpoint Medicaid Managed Care	$23.45

SCREW LOCKING TI 5X85MM

Facility

$885.00

Hospital Charge Code	270669737
Hospital Revenue Code	278
Min. Negotiated Rate	$132.75
Max. Negotiated Rate	$214.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$177.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.17
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$194.70
Rate for Payer: Qualcare PPO/HMO/WC	$132.75

SCREW LOCKING TI LP 5.0X54MM

Facility

$2,730.00

Service Code	HCPCS C1713
Hospital Charge Code	270699427
Hospital Revenue Code	278
Min. Negotiated Rate	$65.79
Max. Negotiated Rate	$1,365.00
Rate for Payer: Aetna Commercial	$1,037.40
Rate for Payer: Aetna Medicare Advantage	$819.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$696.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$696.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$546.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$696.15
Rate for Payer: Cigna Commercial	$1,365.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$660.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$600.60
Rate for Payer: Qualcare PPO/HMO/WC	$409.50
Rate for Payer: UnitedHealthcare Community & State	$65.79
Rate for Payer: Wellpoint Medicaid Managed Care	$72.34

SCREW LOCKING TI LP 5.0X54MM

Facility

$2,730.00

Service Code	HCPCS C1713
Hospital Charge Code	270699427
Hospital Revenue Code	278
Min. Negotiated Rate	$409.50
Max. Negotiated Rate	$660.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$546.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$660.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$600.60
Rate for Payer: Qualcare PPO/HMO/WC	$409.50

SCREW LOCKING VA 2.4 14MM

Facility

$1,898.00

Service Code	HCPCS C1713
Hospital Charge Code	270691142
Hospital Revenue Code	278
Min. Negotiated Rate	$284.70
Max. Negotiated Rate	$459.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$379.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$417.56
Rate for Payer: Qualcare PPO/HMO/WC	$284.70

SCREW LOCKING VA 2.4 14MM

Facility

$1,898.00

Service Code	HCPCS C1713
Hospital Charge Code	270691144
Hospital Revenue Code	278
Min. Negotiated Rate	$284.70
Max. Negotiated Rate	$459.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$379.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$417.56
Rate for Payer: Qualcare PPO/HMO/WC	$284.70

SCREW LOCKING VA 2.4 14MM

Facility

$1,898.00

Service Code	HCPCS C1713
Hospital Charge Code	270691143
Hospital Revenue Code	278
Min. Negotiated Rate	$284.70
Max. Negotiated Rate	$459.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$379.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$417.56
Rate for Payer: Qualcare PPO/HMO/WC	$284.70

Know your out-of-pocket cost for care.

All Charges