Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW METAPHYSEAL T8 2.7x70MM

Facility

$194.65

Hospital Charge Code	270677657
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 2.7x70MM

Facility

$194.65

Hospital Charge Code	270677657
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 MICA 4X36MM FULL THREAD

Facility

$2,860.00

Service Code	HCPCS C1713
Hospital Charge Code	270705776
Hospital Revenue Code	278
Min. Negotiated Rate	$429.00
Max. Negotiated Rate	$692.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$572.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$692.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$629.20
Rate for Payer: Qualcare PPO/HMO/WC	$429.00

SCREW MICA 4X36MM FULL THREAD

Facility

$2,860.00

Service Code	HCPCS C1713
Hospital Charge Code	270705776
Hospital Revenue Code	278
Min. Negotiated Rate	$68.93
Max. Negotiated Rate	$1,430.00
Rate for Payer: Aetna Commercial	$1,086.80
Rate for Payer: Aetna Medicare Advantage	$858.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$729.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$729.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$572.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$729.30
Rate for Payer: Cigna Commercial	$1,430.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$692.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$629.20
Rate for Payer: Qualcare PPO/HMO/WC	$429.00
Rate for Payer: UnitedHealthcare Community & State	$68.93
Rate for Payer: Wellpoint Medicaid Managed Care	$75.79

SCREW MILAGRO 8 X 30MM

Facility

$2,290.00

Hospital Charge Code	270668385
Hospital Revenue Code	278
Min. Negotiated Rate	$55.19
Max. Negotiated Rate	$1,145.00
Rate for Payer: Aetna Commercial	$870.20
Rate for Payer: Aetna Medicare Advantage	$687.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$583.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$583.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$458.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$583.95
Rate for Payer: Cigna Commercial	$1,145.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$554.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$503.80
Rate for Payer: Qualcare PPO/HMO/WC	$343.50
Rate for Payer: UnitedHealthcare Community & State	$55.19
Rate for Payer: Wellpoint Medicaid Managed Care	$60.69

SCREW MILAGRO 8 X 30MM

Facility

$2,290.00

Hospital Charge Code	270668385
Hospital Revenue Code	278
Min. Negotiated Rate	$343.50
Max. Negotiated Rate	$554.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$458.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$554.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$503.80
Rate for Payer: Qualcare PPO/HMO/WC	$343.50

SCREW MILAGRO ADVANCE 8 X 30 M

Facility

$2,290.00

Hospital Charge Code	270667707
Hospital Revenue Code	278
Min. Negotiated Rate	$343.50
Max. Negotiated Rate	$554.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$458.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$554.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$503.80
Rate for Payer: Qualcare PPO/HMO/WC	$343.50

SCREW MILAGRO ADVANCE 8 X 30 M

Facility

$2,290.00

Hospital Charge Code	270667707
Hospital Revenue Code	278
Min. Negotiated Rate	$55.19
Max. Negotiated Rate	$1,145.00
Rate for Payer: Aetna Commercial	$870.20
Rate for Payer: Aetna Medicare Advantage	$687.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$583.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$583.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$458.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$583.95
Rate for Payer: Cigna Commercial	$1,145.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$554.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$503.80
Rate for Payer: Qualcare PPO/HMO/WC	$343.50
Rate for Payer: UnitedHealthcare Community & State	$55.19
Rate for Payer: Wellpoint Medicaid Managed Care	$60.69

SCREW MINIMON HDLS 2.5X30MM

Facility

$1,141.25

Service Code	HCPCS C1713
Hospital Charge Code	270700687
Hospital Revenue Code	278
Min. Negotiated Rate	$27.50
Max. Negotiated Rate	$570.62
Rate for Payer: Aetna Commercial	$433.68
Rate for Payer: Aetna Medicare Advantage	$342.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$291.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$291.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$228.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$291.02
Rate for Payer: Cigna Commercial	$570.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$276.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$251.07
Rate for Payer: Qualcare PPO/HMO/WC	$171.19
Rate for Payer: UnitedHealthcare Community & State	$27.50
Rate for Payer: Wellpoint Medicaid Managed Care	$30.24

SCREW MINIMON HDLS 2.5X30MM

Facility

$1,141.25

Service Code	HCPCS C1713
Hospital Charge Code	270700687
Hospital Revenue Code	278
Min. Negotiated Rate	$171.19
Max. Negotiated Rate	$276.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$228.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$276.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$251.07
Rate for Payer: Qualcare PPO/HMO/WC	$171.19

SCREW MINIMON HDLS ST 2X20MM

Facility

$1,141.25

Service Code	HCPCS C1713
Hospital Charge Code	270700688
Hospital Revenue Code	278
Min. Negotiated Rate	$27.50
Max. Negotiated Rate	$570.62
Rate for Payer: Aetna Commercial	$433.68
Rate for Payer: Aetna Medicare Advantage	$342.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$291.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$291.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$228.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$291.02
Rate for Payer: Cigna Commercial	$570.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$276.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$251.07
Rate for Payer: Qualcare PPO/HMO/WC	$171.19
Rate for Payer: UnitedHealthcare Community & State	$27.50
Rate for Payer: Wellpoint Medicaid Managed Care	$30.24

SCREW MINIMON HDLS ST 2X20MM

Facility

$1,141.25

Service Code	HCPCS C1713
Hospital Charge Code	270700688
Hospital Revenue Code	278
Min. Negotiated Rate	$171.19
Max. Negotiated Rate	$276.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$228.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$276.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$251.07
Rate for Payer: Qualcare PPO/HMO/WC	$171.19

SCREW MINIMON HDLS ST 2X24MM

Facility

$1,141.25

Service Code	HCPCS C1713
Hospital Charge Code	270700686
Hospital Revenue Code	278
Min. Negotiated Rate	$171.19
Max. Negotiated Rate	$276.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$228.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$276.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$251.07
Rate for Payer: Qualcare PPO/HMO/WC	$171.19

SCREW MINIMON HDLS ST 2X24MM

Facility

$1,141.25

Service Code	HCPCS C1713
Hospital Charge Code	270700686
Hospital Revenue Code	278
Min. Negotiated Rate	$27.50
Max. Negotiated Rate	$570.62
Rate for Payer: Aetna Commercial	$433.68
Rate for Payer: Aetna Medicare Advantage	$342.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$291.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$291.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$228.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$291.02
Rate for Payer: Cigna Commercial	$570.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$276.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$251.07
Rate for Payer: Qualcare PPO/HMO/WC	$171.19
Rate for Payer: UnitedHealthcare Community & State	$27.50
Rate for Payer: Wellpoint Medicaid Managed Care	$30.24

SCREW MINI MONSTER SH TH2X14MM

Facility

$962.50

Service Code	HCPCS C1713
Hospital Charge Code	270700629
Hospital Revenue Code	278
Min. Negotiated Rate	$144.38
Max. Negotiated Rate	$232.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$192.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.93
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$211.75
Rate for Payer: Qualcare PPO/HMO/WC	$144.38

SCREW MINI MONSTER SH TH2X14MM

Facility

$962.50

Service Code	HCPCS C1713
Hospital Charge Code	270700629
Hospital Revenue Code	278
Min. Negotiated Rate	$23.20
Max. Negotiated Rate	$481.25
Rate for Payer: Aetna Commercial	$365.75
Rate for Payer: Aetna Medicare Advantage	$288.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$245.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$245.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$192.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$245.44
Rate for Payer: Cigna Commercial	$481.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.93
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$211.75
Rate for Payer: Qualcare PPO/HMO/WC	$144.38
Rate for Payer: UnitedHealthcare Community & State	$23.20
Rate for Payer: Wellpoint Medicaid Managed Care	$25.51

SCREW MINI MONST HD ST3.5X32MM

Facility

$962.50

Service Code	HCPCS C1713
Hospital Charge Code	270700644
Hospital Revenue Code	278
Min. Negotiated Rate	$144.38
Max. Negotiated Rate	$232.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$192.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.93
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$211.75
Rate for Payer: Qualcare PPO/HMO/WC	$144.38

SCREW MINI MONST HD ST3.5X32MM

Facility

$962.50

Service Code	HCPCS C1713
Hospital Charge Code	270700644
Hospital Revenue Code	278
Min. Negotiated Rate	$23.20
Max. Negotiated Rate	$481.25
Rate for Payer: Aetna Commercial	$365.75
Rate for Payer: Aetna Medicare Advantage	$288.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$245.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$245.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$192.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$245.44
Rate for Payer: Cigna Commercial	$481.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.93
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$211.75
Rate for Payer: Qualcare PPO/HMO/WC	$144.38
Rate for Payer: UnitedHealthcare Community & State	$23.20
Rate for Payer: Wellpoint Medicaid Managed Care	$25.51

SCREW MIS ALT VALENC 6.5X35MM

Facility

$10,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270695410
Hospital Revenue Code	278
Min. Negotiated Rate	$1,612.50
Max. Negotiated Rate	$2,601.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,601.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,365.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,612.50

SCREW MIS ALT VALENC 6.5X35MM

Facility

$10,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270695410
Hospital Revenue Code	278
Min. Negotiated Rate	$259.07
Max. Negotiated Rate	$5,375.00
Rate for Payer: Aetna Commercial	$4,085.00
Rate for Payer: Aetna Medicare Advantage	$3,225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,741.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,741.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,741.25
Rate for Payer: Cigna Commercial	$5,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,601.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,365.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,612.50
Rate for Payer: UnitedHealthcare Community & State	$259.07
Rate for Payer: Wellpoint Medicaid Managed Care	$284.88

SCREW MIS ALT VALENCI 6.5X35MM

Facility

$10,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270693535
Hospital Revenue Code	278
Min. Negotiated Rate	$259.07
Max. Negotiated Rate	$5,375.00
Rate for Payer: Aetna Commercial	$4,085.00
Rate for Payer: Aetna Medicare Advantage	$3,225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,741.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,741.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,741.25
Rate for Payer: Cigna Commercial	$5,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,601.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,365.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,612.50
Rate for Payer: UnitedHealthcare Community & State	$259.07
Rate for Payer: Wellpoint Medicaid Managed Care	$284.88

SCREW MIS ALT VALENCI 6.5X35MM

Facility

$10,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270693535
Hospital Revenue Code	278
Min. Negotiated Rate	$1,612.50
Max. Negotiated Rate	$2,601.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,601.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,365.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,612.50

SCREW MIS CAN PEDICLE 5.5X40MM

Facility

$23,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270698198
Hospital Revenue Code	278
Min. Negotiated Rate	$3,487.50
Max. Negotiated Rate	$5,626.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,626.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,115.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,487.50

SCREW MIS CAN PEDICLE 5.5X40MM

Facility

$23,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270698198
Hospital Revenue Code	278
Min. Negotiated Rate	$560.33
Max. Negotiated Rate	$11,625.00
Rate for Payer: Aetna Commercial	$8,835.00
Rate for Payer: Aetna Medicare Advantage	$6,975.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,928.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,928.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,928.75
Rate for Payer: Cigna Commercial	$11,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,626.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,115.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,487.50
Rate for Payer: UnitedHealthcare Community & State	$560.33
Rate for Payer: Wellpoint Medicaid Managed Care	$616.12

SCREW MIS CAN PEDICLE 5.5X45MM

Facility

$23,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270698197
Hospital Revenue Code	278
Min. Negotiated Rate	$560.33
Max. Negotiated Rate	$11,625.00
Rate for Payer: Aetna Commercial	$8,835.00
Rate for Payer: Aetna Medicare Advantage	$6,975.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,928.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,928.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,928.75
Rate for Payer: Cigna Commercial	$11,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,626.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,115.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,487.50
Rate for Payer: UnitedHealthcare Community & State	$560.33
Rate for Payer: Wellpoint Medicaid Managed Care	$616.12

Know your out-of-pocket cost for care.

All Charges