Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW MULTI DIR. 2.7x22MM

Facility

$1,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270673614
Hospital Revenue Code	278
Min. Negotiated Rate	$27.11
Max. Negotiated Rate	$562.50
Rate for Payer: Aetna Commercial	$427.50
Rate for Payer: Aetna Medicare Advantage	$337.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.88
Rate for Payer: Cigna Commercial	$562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$247.50
Rate for Payer: Qualcare PPO/HMO/WC	$168.75
Rate for Payer: UnitedHealthcare Community & State	$27.11
Rate for Payer: Wellpoint Medicaid Managed Care	$29.81

SCREW MULTI DIR. 2.7x28MM

Facility

$1,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270673613
Hospital Revenue Code	278
Min. Negotiated Rate	$27.11
Max. Negotiated Rate	$562.50
Rate for Payer: Aetna Commercial	$427.50
Rate for Payer: Aetna Medicare Advantage	$337.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.88
Rate for Payer: Cigna Commercial	$562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$247.50
Rate for Payer: Qualcare PPO/HMO/WC	$168.75
Rate for Payer: UnitedHealthcare Community & State	$27.11
Rate for Payer: Wellpoint Medicaid Managed Care	$29.81

SCREW MULTI DIR. 2.7x28MM

Facility

$1,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270673613
Hospital Revenue Code	278
Min. Negotiated Rate	$168.75
Max. Negotiated Rate	$272.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$247.50
Rate for Payer: Qualcare PPO/HMO/WC	$168.75

SCREW MULTIDIRECT 24mm MD-24

Facility

$421.65

Hospital Charge Code	270635024
Hospital Revenue Code	278
Min. Negotiated Rate	$63.25
Max. Negotiated Rate	$102.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$92.76
Rate for Payer: Qualcare PPO/HMO/WC	$63.25

SCREW MULTIDIRECT 24mm MD-24

Facility

$421.65

Hospital Charge Code	270635024
Hospital Revenue Code	278
Min. Negotiated Rate	$10.16
Max. Negotiated Rate	$210.82
Rate for Payer: Aetna Commercial	$160.23
Rate for Payer: Aetna Medicare Advantage	$126.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.52
Rate for Payer: Cigna Commercial	$210.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$92.76
Rate for Payer: Qualcare PPO/HMO/WC	$63.25
Rate for Payer: UnitedHealthcare Community & State	$10.16
Rate for Payer: Wellpoint Medicaid Managed Care	$11.17

SCREW MULTIDIRECT 30mm MD-30

Facility

$421.65

Hospital Charge Code	270635025
Hospital Revenue Code	278
Min. Negotiated Rate	$63.25
Max. Negotiated Rate	$102.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$92.76
Rate for Payer: Qualcare PPO/HMO/WC	$63.25

SCREW MULTIDIRECT 30mm MD-30

Facility

$421.65

Hospital Charge Code	270635025
Hospital Revenue Code	278
Min. Negotiated Rate	$10.16
Max. Negotiated Rate	$210.82
Rate for Payer: Aetna Commercial	$160.23
Rate for Payer: Aetna Medicare Advantage	$126.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.52
Rate for Payer: Cigna Commercial	$210.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$92.76
Rate for Payer: Qualcare PPO/HMO/WC	$63.25
Rate for Payer: UnitedHealthcare Community & State	$10.16
Rate for Payer: Wellpoint Medicaid Managed Care	$11.17

SCREW MULTIDIRECT 3.5MM 12MM

Facility

$1,330.00

Hospital Charge Code	270702052
Hospital Revenue Code	278
Min. Negotiated Rate	$32.05
Max. Negotiated Rate	$665.00
Rate for Payer: Aetna Commercial	$505.40
Rate for Payer: Aetna Medicare Advantage	$399.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$339.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$339.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$266.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$339.15
Rate for Payer: Cigna Commercial	$665.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$321.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$292.60
Rate for Payer: Qualcare PPO/HMO/WC	$199.50
Rate for Payer: UnitedHealthcare Community & State	$32.05
Rate for Payer: Wellpoint Medicaid Managed Care	$35.24

SCREW MULTIDIRECT 3.5MM 12MM

Facility

$1,330.00

Hospital Charge Code	270702052
Hospital Revenue Code	278
Min. Negotiated Rate	$199.50
Max. Negotiated Rate	$321.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$266.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$321.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$292.60
Rate for Payer: Qualcare PPO/HMO/WC	$199.50

SCREW MULTIDIRECTIONAL 22 MD22

Facility

$421.65

Hospital Charge Code	270634963
Hospital Revenue Code	278
Min. Negotiated Rate	$63.25
Max. Negotiated Rate	$102.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$92.76
Rate for Payer: Qualcare PPO/HMO/WC	$63.25

SCREW MULTIDIRECTIONAL 22 MD22

Facility

$421.65

Hospital Charge Code	270634963
Hospital Revenue Code	278
Min. Negotiated Rate	$10.16
Max. Negotiated Rate	$210.82
Rate for Payer: Aetna Commercial	$160.23
Rate for Payer: Aetna Medicare Advantage	$126.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.52
Rate for Payer: Cigna Commercial	$210.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$92.76
Rate for Payer: Qualcare PPO/HMO/WC	$63.25
Rate for Payer: UnitedHealthcare Community & State	$10.16
Rate for Payer: Wellpoint Medicaid Managed Care	$11.17

SCREW MULTIDIRECTIONAL 26 MD26

Facility

$421.65

Hospital Charge Code	270634964
Hospital Revenue Code	278
Min. Negotiated Rate	$10.16
Max. Negotiated Rate	$210.82
Rate for Payer: Aetna Commercial	$160.23
Rate for Payer: Aetna Medicare Advantage	$126.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.52
Rate for Payer: Cigna Commercial	$210.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$92.76
Rate for Payer: Qualcare PPO/HMO/WC	$63.25
Rate for Payer: UnitedHealthcare Community & State	$10.16
Rate for Payer: Wellpoint Medicaid Managed Care	$11.17

SCREW MULTIDIRECTIONAL 26 MD26

Facility

$421.65

Hospital Charge Code	270634964
Hospital Revenue Code	278
Min. Negotiated Rate	$63.25
Max. Negotiated Rate	$102.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$92.76
Rate for Payer: Qualcare PPO/HMO/WC	$63.25

SCREW MULTILOC 4.5

Facility

$1,263.80

Service Code	HCPCS C1713
Hospital Charge Code	270687426
Hospital Revenue Code	278
Min. Negotiated Rate	$189.57
Max. Negotiated Rate	$305.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$252.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$305.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$278.04
Rate for Payer: Qualcare PPO/HMO/WC	$189.57

SCREW MULTILOC 4.5

Facility

$1,263.80

Service Code	HCPCS C1713
Hospital Charge Code	270687426
Hospital Revenue Code	278
Min. Negotiated Rate	$30.46
Max. Negotiated Rate	$631.90
Rate for Payer: Aetna Commercial	$480.24
Rate for Payer: Aetna Medicare Advantage	$379.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$322.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$322.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$252.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$322.27
Rate for Payer: Cigna Commercial	$631.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$305.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$278.04
Rate for Payer: Qualcare PPO/HMO/WC	$189.57
Rate for Payer: UnitedHealthcare Community & State	$30.46
Rate for Payer: Wellpoint Medicaid Managed Care	$33.49

SCREW MULTILOC 4.5 48MM

Facility

$1,348.90

Service Code	HCPCS C1713
Hospital Charge Code	270688213
Hospital Revenue Code	278
Min. Negotiated Rate	$32.51
Max. Negotiated Rate	$674.45
Rate for Payer: Aetna Commercial	$512.58
Rate for Payer: Aetna Medicare Advantage	$404.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$343.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$343.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$269.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$343.97
Rate for Payer: Cigna Commercial	$674.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$326.43
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$296.76
Rate for Payer: Qualcare PPO/HMO/WC	$202.34
Rate for Payer: UnitedHealthcare Community & State	$32.51
Rate for Payer: Wellpoint Medicaid Managed Care	$35.75

SCREW MULTILOC 4.5 48MM

Facility

$1,348.90

Service Code	HCPCS C1713
Hospital Charge Code	270688213
Hospital Revenue Code	278
Min. Negotiated Rate	$202.34
Max. Negotiated Rate	$326.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$269.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$326.43
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$296.76
Rate for Payer: Qualcare PPO/HMO/WC	$202.34

SCREW MULTILOC 4.5x25MM STER

Facility

$1,260.00

Service Code	HCPCS C1713
Hospital Charge Code	270687698
Hospital Revenue Code	278
Min. Negotiated Rate	$30.37
Max. Negotiated Rate	$630.00
Rate for Payer: Aetna Commercial	$478.80
Rate for Payer: Aetna Medicare Advantage	$378.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$321.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$321.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$252.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$321.30
Rate for Payer: Cigna Commercial	$630.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$304.92
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$277.20
Rate for Payer: Qualcare PPO/HMO/WC	$189.00
Rate for Payer: UnitedHealthcare Community & State	$30.37
Rate for Payer: Wellpoint Medicaid Managed Care	$33.39

SCREW MULTILOC 4.5x25MM STER

Facility

$1,260.00

Service Code	HCPCS C1713
Hospital Charge Code	270687698
Hospital Revenue Code	278
Min. Negotiated Rate	$189.00
Max. Negotiated Rate	$304.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$252.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$304.92
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$277.20
Rate for Payer: Qualcare PPO/HMO/WC	$189.00

SCREW MULTILOC 4.5x38MM STER

Facility

$1,263.80

Service Code	HCPCS C1713
Hospital Charge Code	270650153
Hospital Revenue Code	278
Min. Negotiated Rate	$30.46
Max. Negotiated Rate	$631.90
Rate for Payer: Aetna Commercial	$480.24
Rate for Payer: Aetna Medicare Advantage	$379.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$322.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$322.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$252.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$322.27
Rate for Payer: Cigna Commercial	$631.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$305.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$278.04
Rate for Payer: Qualcare PPO/HMO/WC	$189.57
Rate for Payer: UnitedHealthcare Community & State	$30.46
Rate for Payer: Wellpoint Medicaid Managed Care	$33.49

SCREW MULTILOC 4.5x38MM STER

Facility

$1,263.80

Service Code	HCPCS C1713
Hospital Charge Code	270650153
Hospital Revenue Code	278
Min. Negotiated Rate	$189.57
Max. Negotiated Rate	$305.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$252.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$305.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$278.04
Rate for Payer: Qualcare PPO/HMO/WC	$189.57

SCREW MULTILOC 4.5x40MM STER

Facility

$1,263.80

Service Code	HCPCS C1713
Hospital Charge Code	270650154
Hospital Revenue Code	278
Min. Negotiated Rate	$30.46
Max. Negotiated Rate	$631.90
Rate for Payer: Aetna Commercial	$480.24
Rate for Payer: Aetna Medicare Advantage	$379.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$322.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$322.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$252.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$322.27
Rate for Payer: Cigna Commercial	$631.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$305.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$278.04
Rate for Payer: Qualcare PPO/HMO/WC	$189.57
Rate for Payer: UnitedHealthcare Community & State	$30.46
Rate for Payer: Wellpoint Medicaid Managed Care	$33.49

SCREW MULTILOC 4.5x40MM STER

Facility

$1,263.80

Service Code	HCPCS C1713
Hospital Charge Code	270650154
Hospital Revenue Code	278
Min. Negotiated Rate	$189.57
Max. Negotiated Rate	$305.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$252.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$305.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$278.04
Rate for Payer: Qualcare PPO/HMO/WC	$189.57

SCREW MULTILOC 4.5 X 52 MM STE

Facility

$1,348.90

Service Code	HCPCS C1713
Hospital Charge Code	270688212
Hospital Revenue Code	278
Min. Negotiated Rate	$32.51
Max. Negotiated Rate	$674.45
Rate for Payer: Aetna Commercial	$512.58
Rate for Payer: Aetna Medicare Advantage	$404.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$343.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$343.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$269.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$343.97
Rate for Payer: Cigna Commercial	$674.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$326.43
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$296.76
Rate for Payer: Qualcare PPO/HMO/WC	$202.34
Rate for Payer: UnitedHealthcare Community & State	$32.51
Rate for Payer: Wellpoint Medicaid Managed Care	$35.75

SCREW MULTILOC 4.5 X 52 MM STE

Facility

$1,348.90

Service Code	HCPCS C1713
Hospital Charge Code	270688212
Hospital Revenue Code	278
Min. Negotiated Rate	$202.34
Max. Negotiated Rate	$326.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$269.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$326.43
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$296.76
Rate for Payer: Qualcare PPO/HMO/WC	$202.34

Know your out-of-pocket cost for care.

All Charges