Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW M10 6.5x35mm 969535

Facility

$5,753.65

Hospital Charge Code	270630635
Hospital Revenue Code	278
Min. Negotiated Rate	$863.05
Max. Negotiated Rate	$1,392.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,150.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,392.38
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,265.80
Rate for Payer: Qualcare PPO/HMO/WC	$863.05

SCREW M10 6.5x35mm 969535

Facility

$5,753.65

Hospital Charge Code	270630635
Hospital Revenue Code	278
Min. Negotiated Rate	$138.66
Max. Negotiated Rate	$2,876.82
Rate for Payer: Aetna Commercial	$2,186.39
Rate for Payer: Aetna Medicare Advantage	$1,726.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,467.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,467.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,150.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,467.18
Rate for Payer: Cigna Commercial	$2,876.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,392.38
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,265.80
Rate for Payer: Qualcare PPO/HMO/WC	$863.05
Rate for Payer: UnitedHealthcare Community & State	$138.66
Rate for Payer: Wellpoint Medicaid Managed Care	$152.47

SCREW M10 6.5x50mm 969550

Facility

$5,753.65

Hospital Charge Code	270630634
Hospital Revenue Code	278
Min. Negotiated Rate	$138.66
Max. Negotiated Rate	$2,876.82
Rate for Payer: Aetna Commercial	$2,186.39
Rate for Payer: Aetna Medicare Advantage	$1,726.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,467.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,467.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,150.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,467.18
Rate for Payer: Cigna Commercial	$2,876.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,392.38
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,265.80
Rate for Payer: Qualcare PPO/HMO/WC	$863.05
Rate for Payer: UnitedHealthcare Community & State	$138.66
Rate for Payer: Wellpoint Medicaid Managed Care	$152.47

SCREW M10 6.5x50mm 969550

Facility

$5,753.65

Hospital Charge Code	270630634
Hospital Revenue Code	278
Min. Negotiated Rate	$863.05
Max. Negotiated Rate	$1,392.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,150.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,392.38
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,265.80
Rate for Payer: Qualcare PPO/HMO/WC	$863.05

SCREW MAGNUM 5.5X20MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270695738
Hospital Revenue Code	278
Min. Negotiated Rate	$24.10
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$380.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$220.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00
Rate for Payer: UnitedHealthcare Community & State	$24.10
Rate for Payer: Wellpoint Medicaid Managed Care	$26.50

SCREW MAGNUM 5.5X20MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270695738
Hospital Revenue Code	278
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$242.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$220.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

SCREW MAGNUM 5.5X25MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270695739
Hospital Revenue Code	278
Min. Negotiated Rate	$24.10
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$380.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$220.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00
Rate for Payer: UnitedHealthcare Community & State	$24.10
Rate for Payer: Wellpoint Medicaid Managed Care	$26.50

SCREW MAGNUM 5.5X25MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270695739
Hospital Revenue Code	278
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$242.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$220.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

SCREW MALLEOLAR 4.5x65mm

Facility

$132.00

Hospital Charge Code	270673437
Hospital Revenue Code	278
Min. Negotiated Rate	$3.18
Max. Negotiated Rate	$66.00
Rate for Payer: Aetna Commercial	$50.16
Rate for Payer: Aetna Medicare Advantage	$39.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.66
Rate for Payer: Cigna Commercial	$66.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$29.04
Rate for Payer: Qualcare PPO/HMO/WC	$19.80
Rate for Payer: UnitedHealthcare Community & State	$3.18
Rate for Payer: Wellpoint Medicaid Managed Care	$3.50

SCREW MALLEOLAR 4.5x65mm

Facility

$132.00

Hospital Charge Code	270673437
Hospital Revenue Code	278
Min. Negotiated Rate	$19.80
Max. Negotiated Rate	$31.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$29.04
Rate for Payer: Qualcare PPO/HMO/WC	$19.80

SCREW MANDIBLE 2.4 X 12 MM

Facility

$535.00

Hospital Charge Code	270666927
Hospital Revenue Code	278
Min. Negotiated Rate	$80.25
Max. Negotiated Rate	$129.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$107.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$117.70
Rate for Payer: Qualcare PPO/HMO/WC	$80.25

SCREW MANDIBLE 2.4 X 12 MM

Facility

$535.00

Hospital Charge Code	270666927
Hospital Revenue Code	278
Min. Negotiated Rate	$12.89
Max. Negotiated Rate	$267.50
Rate for Payer: Aetna Commercial	$203.30
Rate for Payer: Aetna Medicare Advantage	$160.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$107.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.43
Rate for Payer: Cigna Commercial	$267.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$117.70
Rate for Payer: Qualcare PPO/HMO/WC	$80.25
Rate for Payer: UnitedHealthcare Community & State	$12.89
Rate for Payer: Wellpoint Medicaid Managed Care	$14.18

SCREW MANDIBLE 2.4 X 16 MM

Facility

$535.00

Hospital Charge Code	270666928
Hospital Revenue Code	278
Min. Negotiated Rate	$12.89
Max. Negotiated Rate	$267.50
Rate for Payer: Aetna Commercial	$203.30
Rate for Payer: Aetna Medicare Advantage	$160.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$107.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.43
Rate for Payer: Cigna Commercial	$267.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$117.70
Rate for Payer: Qualcare PPO/HMO/WC	$80.25
Rate for Payer: UnitedHealthcare Community & State	$12.89
Rate for Payer: Wellpoint Medicaid Managed Care	$14.18

SCREW MANDIBLE 2.4 X 16 MM

Facility

$535.00

Hospital Charge Code	270666928
Hospital Revenue Code	278
Min. Negotiated Rate	$80.25
Max. Negotiated Rate	$129.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$107.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$117.70
Rate for Payer: Qualcare PPO/HMO/WC	$80.25

SCREW MARINER SOLID 6.5X40MM

Facility

$5,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270694931
Hospital Revenue Code	278
Min. Negotiated Rate	$129.54
Max. Negotiated Rate	$2,687.50
Rate for Payer: Aetna Commercial	$2,042.50
Rate for Payer: Aetna Medicare Advantage	$1,612.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,370.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,370.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,075.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,370.62
Rate for Payer: Cigna Commercial	$2,687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,300.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,182.50
Rate for Payer: Qualcare PPO/HMO/WC	$806.25
Rate for Payer: UnitedHealthcare Community & State	$129.54
Rate for Payer: Wellpoint Medicaid Managed Care	$142.44

SCREW MARINER SOLID 6.5X40MM

Facility

$5,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270694931
Hospital Revenue Code	278
Min. Negotiated Rate	$806.25
Max. Negotiated Rate	$1,300.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,075.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,300.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,182.50
Rate for Payer: Qualcare PPO/HMO/WC	$806.25

SCREW MARINER SOLID 6.5X45MM

Facility

$5,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270694932
Hospital Revenue Code	278
Min. Negotiated Rate	$129.54
Max. Negotiated Rate	$2,687.50
Rate for Payer: Aetna Commercial	$2,042.50
Rate for Payer: Aetna Medicare Advantage	$1,612.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,370.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,370.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,075.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,370.62
Rate for Payer: Cigna Commercial	$2,687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,300.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,182.50
Rate for Payer: Qualcare PPO/HMO/WC	$806.25
Rate for Payer: UnitedHealthcare Community & State	$129.54
Rate for Payer: Wellpoint Medicaid Managed Care	$142.44

SCREW MARINER SOLID 6.5X45MM

Facility

$5,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270694932
Hospital Revenue Code	278
Min. Negotiated Rate	$806.25
Max. Negotiated Rate	$1,300.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,075.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,300.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,182.50
Rate for Payer: Qualcare PPO/HMO/WC	$806.25

SCREW MAS 7.5 x 30mm 9697530

Facility

$5,753.65

Hospital Charge Code	270630335
Hospital Revenue Code	278
Min. Negotiated Rate	$138.66
Max. Negotiated Rate	$2,876.82
Rate for Payer: Aetna Commercial	$2,186.39
Rate for Payer: Aetna Medicare Advantage	$1,726.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,467.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,467.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,150.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,467.18
Rate for Payer: Cigna Commercial	$2,876.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,392.38
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,265.80
Rate for Payer: Qualcare PPO/HMO/WC	$863.05
Rate for Payer: UnitedHealthcare Community & State	$138.66
Rate for Payer: Wellpoint Medicaid Managed Care	$152.47

SCREW MAS 7.5 x 30mm 9697530

Facility

$5,753.65

Hospital Charge Code	270630335
Hospital Revenue Code	278
Min. Negotiated Rate	$863.05
Max. Negotiated Rate	$1,392.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,150.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,392.38
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,265.80
Rate for Payer: Qualcare PPO/HMO/WC	$863.05

SCREW MAS 7.5 x 35mm 9697535

Facility

$5,753.65

Hospital Charge Code	270630334
Hospital Revenue Code	278
Min. Negotiated Rate	$863.05
Max. Negotiated Rate	$1,392.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,150.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,392.38
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,265.80
Rate for Payer: Qualcare PPO/HMO/WC	$863.05

SCREW MAS 7.5 x 35mm 9697535

Facility

$5,753.65

Hospital Charge Code	270630334
Hospital Revenue Code	278
Min. Negotiated Rate	$138.66
Max. Negotiated Rate	$2,876.82
Rate for Payer: Aetna Commercial	$2,186.39
Rate for Payer: Aetna Medicare Advantage	$1,726.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,467.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,467.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,150.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,467.18
Rate for Payer: Cigna Commercial	$2,876.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,392.38
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,265.80
Rate for Payer: Qualcare PPO/HMO/WC	$863.05
Rate for Payer: UnitedHealthcare Community & State	$138.66
Rate for Payer: Wellpoint Medicaid Managed Care	$152.47

SCREW MAS PLIF FIXATION LOCK

Facility

$1,805.00

Hospital Charge Code	270663766
Hospital Revenue Code	278
Min. Negotiated Rate	$270.75
Max. Negotiated Rate	$436.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$361.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$436.81
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$397.10
Rate for Payer: Qualcare PPO/HMO/WC	$270.75

SCREW MAS PLIF FIXATION LOCK

Facility

$1,805.00

Hospital Charge Code	270663766
Hospital Revenue Code	278
Min. Negotiated Rate	$43.50
Max. Negotiated Rate	$902.50
Rate for Payer: Aetna Commercial	$685.90
Rate for Payer: Aetna Medicare Advantage	$541.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$460.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$460.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$361.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$460.27
Rate for Payer: Cigna Commercial	$902.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$436.81
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$397.10
Rate for Payer: Qualcare PPO/HMO/WC	$270.75
Rate for Payer: UnitedHealthcare Community & State	$43.50
Rate for Payer: Wellpoint Medicaid Managed Care	$47.83

SCREW MAS RELINE 5.5X40MM

Facility

$6,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270691368
Hospital Revenue Code	278
Min. Negotiated Rate	$165.69
Max. Negotiated Rate	$3,437.50
Rate for Payer: Aetna Commercial	$2,612.50
Rate for Payer: Aetna Medicare Advantage	$2,062.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,753.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,753.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,753.12
Rate for Payer: Cigna Commercial	$3,437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,663.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,512.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,031.25
Rate for Payer: UnitedHealthcare Community & State	$165.69
Rate for Payer: Wellpoint Medicaid Managed Care	$182.19

Know your out-of-pocket cost for care.

All Charges