Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW METAPHYSEAL T8 2.7x40MM

Facility

$194.65

Service Code	HCPCS C1713
Hospital Charge Code	270673552
Hospital Revenue Code	278
Min. Negotiated Rate	$29.20
Max. Negotiated Rate	$47.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.11
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$42.82
Rate for Payer: Qualcare PPO/HMO/WC	$29.20

SCREW METAPHYSEAL T8 2.7x42MM

Facility

$215.80

Service Code	HCPCS C1713
Hospital Charge Code	270673549
Hospital Revenue Code	278
Min. Negotiated Rate	$5.20
Max. Negotiated Rate	$107.90
Rate for Payer: Aetna Commercial	$82.00
Rate for Payer: Aetna Medicare Advantage	$64.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$43.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55.03
Rate for Payer: Cigna Commercial	$107.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$47.48
Rate for Payer: Qualcare PPO/HMO/WC	$32.37
Rate for Payer: UnitedHealthcare Community & State	$5.20
Rate for Payer: Wellpoint Medicaid Managed Care	$5.72

SCREW METAPHYSEAL T8 2.7x42MM

Facility

$215.80

Service Code	HCPCS C1713
Hospital Charge Code	270673549
Hospital Revenue Code	278
Min. Negotiated Rate	$32.37
Max. Negotiated Rate	$52.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$43.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$47.48
Rate for Payer: Qualcare PPO/HMO/WC	$32.37

SCREW METAPHYSEAL T8 2.7x48MM

Facility

$200.50

Service Code	HCPCS C1713
Hospital Charge Code	270660903
Hospital Revenue Code	278
Min. Negotiated Rate	$4.83
Max. Negotiated Rate	$100.25
Rate for Payer: Aetna Commercial	$76.19
Rate for Payer: Aetna Medicare Advantage	$60.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.13
Rate for Payer: Cigna Commercial	$100.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$44.11
Rate for Payer: Qualcare PPO/HMO/WC	$30.07
Rate for Payer: UnitedHealthcare Community & State	$4.83
Rate for Payer: Wellpoint Medicaid Managed Care	$5.31

SCREW METAPHYSEAL T8 2.7x48MM

Facility

$200.50

Service Code	HCPCS C1713
Hospital Charge Code	270660903
Hospital Revenue Code	278
Min. Negotiated Rate	$30.07
Max. Negotiated Rate	$48.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$44.11
Rate for Payer: Qualcare PPO/HMO/WC	$30.07

SCREW METAPHYSEAL T8 2.7x50MM

Facility

$200.50

Service Code	HCPCS C1713
Hospital Charge Code	270673550
Hospital Revenue Code	278
Min. Negotiated Rate	$30.07
Max. Negotiated Rate	$48.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$44.11
Rate for Payer: Qualcare PPO/HMO/WC	$30.07

SCREW METAPHYSEAL T8 2.7x50MM

Facility

$200.50

Service Code	HCPCS C1713
Hospital Charge Code	270673550
Hospital Revenue Code	278
Min. Negotiated Rate	$4.83
Max. Negotiated Rate	$100.25
Rate for Payer: Aetna Commercial	$76.19
Rate for Payer: Aetna Medicare Advantage	$60.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.13
Rate for Payer: Cigna Commercial	$100.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$44.11
Rate for Payer: Qualcare PPO/HMO/WC	$30.07
Rate for Payer: UnitedHealthcare Community & State	$4.83
Rate for Payer: Wellpoint Medicaid Managed Care	$5.31

SCREW METAPHYSEAL T8 2.7x52MM

Facility

$194.65

Hospital Charge Code	270673551
Hospital Revenue Code	278
Min. Negotiated Rate	$29.20
Max. Negotiated Rate	$47.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.11
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$42.82
Rate for Payer: Qualcare PPO/HMO/WC	$29.20

SCREW METAPHYSEAL T8 2.7x52MM

Facility

$194.65

Hospital Charge Code	270673551
Hospital Revenue Code	278
Min. Negotiated Rate	$4.69
Max. Negotiated Rate	$97.33
Rate for Payer: Aetna Commercial	$73.97
Rate for Payer: Aetna Medicare Advantage	$58.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.64
Rate for Payer: Cigna Commercial	$97.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.11
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$42.82
Rate for Payer: Qualcare PPO/HMO/WC	$29.20
Rate for Payer: UnitedHealthcare Community & State	$4.69
Rate for Payer: Wellpoint Medicaid Managed Care	$5.16

SCREW METAPHYSEAL T8 2.7x54MM

Facility

$194.65

Hospital Charge Code	270677650
Hospital Revenue Code	278
Min. Negotiated Rate	$29.20
Max. Negotiated Rate	$47.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.11
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$42.82
Rate for Payer: Qualcare PPO/HMO/WC	$29.20

SCREW METAPHYSEAL T8 2.7x54MM

Facility

$194.65

Hospital Charge Code	270677650
Hospital Revenue Code	278
Min. Negotiated Rate	$4.69
Max. Negotiated Rate	$97.33
Rate for Payer: Aetna Commercial	$73.97
Rate for Payer: Aetna Medicare Advantage	$58.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.64
Rate for Payer: Cigna Commercial	$97.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.11
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$42.82
Rate for Payer: Qualcare PPO/HMO/WC	$29.20
Rate for Payer: UnitedHealthcare Community & State	$4.69
Rate for Payer: Wellpoint Medicaid Managed Care	$5.16

SCREW METAPHYSEAL T8 2.7x56MM

Facility

$194.65

Hospital Charge Code	270669501
Hospital Revenue Code	278
Min. Negotiated Rate	$29.20
Max. Negotiated Rate	$47.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.11
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$42.82
Rate for Payer: Qualcare PPO/HMO/WC	$29.20

SCREW METAPHYSEAL T8 2.7x56MM

Facility

$194.65

Hospital Charge Code	270669501
Hospital Revenue Code	278
Min. Negotiated Rate	$4.69
Max. Negotiated Rate	$97.33
Rate for Payer: Aetna Commercial	$73.97
Rate for Payer: Aetna Medicare Advantage	$58.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.64
Rate for Payer: Cigna Commercial	$97.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.11
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$42.82
Rate for Payer: Qualcare PPO/HMO/WC	$29.20
Rate for Payer: UnitedHealthcare Community & State	$4.69
Rate for Payer: Wellpoint Medicaid Managed Care	$5.16

SCREW METAPHYSEAL T8 2.7x58MM

Facility

$194.65

Hospital Charge Code	270677651
Hospital Revenue Code	278
Min. Negotiated Rate	$29.20
Max. Negotiated Rate	$47.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.11
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$42.82
Rate for Payer: Qualcare PPO/HMO/WC	$29.20

SCREW METAPHYSEAL T8 2.7x58MM

Facility

$194.65

Hospital Charge Code	270677651
Hospital Revenue Code	278
Min. Negotiated Rate	$4.69
Max. Negotiated Rate	$97.33
Rate for Payer: Aetna Commercial	$73.97
Rate for Payer: Aetna Medicare Advantage	$58.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.64
Rate for Payer: Cigna Commercial	$97.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.11
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$42.82
Rate for Payer: Qualcare PPO/HMO/WC	$29.20
Rate for Payer: UnitedHealthcare Community & State	$4.69
Rate for Payer: Wellpoint Medicaid Managed Care	$5.16

SCREW METAPHYSEAL T8 2.7x60MM

Facility

$194.65

Hospital Charge Code	270677652
Hospital Revenue Code	278
Min. Negotiated Rate	$4.69
Max. Negotiated Rate	$97.33
Rate for Payer: Aetna Commercial	$73.97
Rate for Payer: Aetna Medicare Advantage	$58.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.64
Rate for Payer: Cigna Commercial	$97.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.11
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$42.82
Rate for Payer: Qualcare PPO/HMO/WC	$29.20
Rate for Payer: UnitedHealthcare Community & State	$4.69
Rate for Payer: Wellpoint Medicaid Managed Care	$5.16

SCREW METAPHYSEAL T8 2.7x60MM

Facility

$194.65

Hospital Charge Code	270677652
Hospital Revenue Code	278
Min. Negotiated Rate	$29.20
Max. Negotiated Rate	$47.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.11
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$42.82
Rate for Payer: Qualcare PPO/HMO/WC	$29.20

SCREW METAPHYSEAL T8 2.7x62MM

Facility

$194.65

Hospital Charge Code	270677653
Hospital Revenue Code	278
Min. Negotiated Rate	$29.20
Max. Negotiated Rate	$47.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.11
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$42.82
Rate for Payer: Qualcare PPO/HMO/WC	$29.20

SCREW METAPHYSEAL T8 2.7x62MM

Facility

$194.65

Hospital Charge Code	270677653
Hospital Revenue Code	278
Min. Negotiated Rate	$4.69
Max. Negotiated Rate	$97.33
Rate for Payer: Aetna Commercial	$73.97
Rate for Payer: Aetna Medicare Advantage	$58.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.64
Rate for Payer: Cigna Commercial	$97.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.11
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$42.82
Rate for Payer: Qualcare PPO/HMO/WC	$29.20
Rate for Payer: UnitedHealthcare Community & State	$4.69
Rate for Payer: Wellpoint Medicaid Managed Care	$5.16

SCREW METAPHYSEAL T8 2.7x64MM

Facility

$194.65

Hospital Charge Code	270677654
Hospital Revenue Code	278
Min. Negotiated Rate	$4.69
Max. Negotiated Rate	$97.33
Rate for Payer: Aetna Commercial	$73.97
Rate for Payer: Aetna Medicare Advantage	$58.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.64
Rate for Payer: Cigna Commercial	$97.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.11
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$42.82
Rate for Payer: Qualcare PPO/HMO/WC	$29.20
Rate for Payer: UnitedHealthcare Community & State	$4.69
Rate for Payer: Wellpoint Medicaid Managed Care	$5.16

SCREW METAPHYSEAL T8 2.7x64MM

Facility

$194.65

Hospital Charge Code	270677654
Hospital Revenue Code	278
Min. Negotiated Rate	$29.20
Max. Negotiated Rate	$47.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.11
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$42.82
Rate for Payer: Qualcare PPO/HMO/WC	$29.20

SCREW METAPHYSEAL T8 2.7x66MM

Facility

$194.65

Hospital Charge Code	270677655
Hospital Revenue Code	278
Min. Negotiated Rate	$4.69
Max. Negotiated Rate	$97.33
Rate for Payer: Aetna Commercial	$73.97
Rate for Payer: Aetna Medicare Advantage	$58.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.64
Rate for Payer: Cigna Commercial	$97.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.11
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$42.82
Rate for Payer: Qualcare PPO/HMO/WC	$29.20
Rate for Payer: UnitedHealthcare Community & State	$4.69
Rate for Payer: Wellpoint Medicaid Managed Care	$5.16

SCREW METAPHYSEAL T8 2.7x66MM

Facility

$194.65

Hospital Charge Code	270677655
Hospital Revenue Code	278
Min. Negotiated Rate	$29.20
Max. Negotiated Rate	$47.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.11
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$42.82
Rate for Payer: Qualcare PPO/HMO/WC	$29.20

SCREW METAPHYSEAL T8 2.7x68MM

Facility

$194.65

Hospital Charge Code	270677656
Hospital Revenue Code	278
Min. Negotiated Rate	$4.69
Max. Negotiated Rate	$97.33
Rate for Payer: Aetna Commercial	$73.97
Rate for Payer: Aetna Medicare Advantage	$58.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.64
Rate for Payer: Cigna Commercial	$97.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.11
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$42.82
Rate for Payer: Qualcare PPO/HMO/WC	$29.20
Rate for Payer: UnitedHealthcare Community & State	$4.69
Rate for Payer: Wellpoint Medicaid Managed Care	$5.16

SCREW METAPHYSEAL T8 2.7x68MM

Facility

$194.65

Hospital Charge Code	270677656
Hospital Revenue Code	278
Min. Negotiated Rate	$29.20
Max. Negotiated Rate	$47.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.11
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$42.82
Rate for Payer: Qualcare PPO/HMO/WC	$29.20

Know your out-of-pocket cost for care.

All Charges