Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW NON LOCK 2.7x16MM

Facility

$270.00

Service Code	HCPCS C1713
Hospital Charge Code	270673692
Hospital Revenue Code	278
Min. Negotiated Rate	$6.51
Max. Negotiated Rate	$135.00
Rate for Payer: Aetna Commercial	$102.60
Rate for Payer: Aetna Medicare Advantage	$81.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.85
Rate for Payer: Cigna Commercial	$135.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$59.40
Rate for Payer: Qualcare PPO/HMO/WC	$40.50
Rate for Payer: UnitedHealthcare Community & State	$6.51
Rate for Payer: Wellpoint Medicaid Managed Care	$7.16

SCREW NON LOCK 2.7x18 MM

Facility

$900.00

Service Code	HCPCS C1713
Hospital Charge Code	270701891
Hospital Revenue Code	278
Min. Negotiated Rate	$135.00
Max. Negotiated Rate	$217.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$180.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$198.00
Rate for Payer: Qualcare PPO/HMO/WC	$135.00

SCREW NON LOCK 2.7x18 MM

Facility

$900.00

Service Code	HCPCS C1713
Hospital Charge Code	270701891
Hospital Revenue Code	278
Min. Negotiated Rate	$21.69
Max. Negotiated Rate	$450.00
Rate for Payer: Aetna Commercial	$342.00
Rate for Payer: Aetna Medicare Advantage	$270.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$229.50
Rate for Payer: Cigna Commercial	$450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$198.00
Rate for Payer: Qualcare PPO/HMO/WC	$135.00
Rate for Payer: UnitedHealthcare Community & State	$21.69
Rate for Payer: Wellpoint Medicaid Managed Care	$23.85

SCREW NON LOCK 2.7x20 MM

Facility

$900.00

Hospital Charge Code	270701892
Hospital Revenue Code	278
Min. Negotiated Rate	$21.69
Max. Negotiated Rate	$450.00
Rate for Payer: Aetna Commercial	$342.00
Rate for Payer: Aetna Medicare Advantage	$270.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$229.50
Rate for Payer: Cigna Commercial	$450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$198.00
Rate for Payer: Qualcare PPO/HMO/WC	$135.00
Rate for Payer: UnitedHealthcare Community & State	$21.69
Rate for Payer: Wellpoint Medicaid Managed Care	$23.85

SCREW NON LOCK 2.7x20 MM

Facility

$900.00

Hospital Charge Code	270701892
Hospital Revenue Code	278
Min. Negotiated Rate	$135.00
Max. Negotiated Rate	$217.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$180.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$198.00
Rate for Payer: Qualcare PPO/HMO/WC	$135.00

SCREW NONLOCK 3.5X20MM

Facility

$1,220.00

Service Code	HCPCS C1713
Hospital Charge Code	270705397
Hospital Revenue Code	278
Min. Negotiated Rate	$183.00
Max. Negotiated Rate	$295.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$244.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$295.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$268.40
Rate for Payer: Qualcare PPO/HMO/WC	$183.00

SCREW NONLOCK 3.5X20MM

Facility

$1,220.00

Service Code	HCPCS C1713
Hospital Charge Code	270705397
Hospital Revenue Code	278
Min. Negotiated Rate	$29.40
Max. Negotiated Rate	$610.00
Rate for Payer: Aetna Commercial	$463.60
Rate for Payer: Aetna Medicare Advantage	$366.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$311.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$311.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$244.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$311.10
Rate for Payer: Cigna Commercial	$610.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$295.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$268.40
Rate for Payer: Qualcare PPO/HMO/WC	$183.00
Rate for Payer: UnitedHealthcare Community & State	$29.40
Rate for Payer: Wellpoint Medicaid Managed Care	$32.33

SCREW NON LOCK F/THD 3.5x34MM

Facility

$354.90

Hospital Charge Code	270674951
Hospital Revenue Code	278
Min. Negotiated Rate	$53.23
Max. Negotiated Rate	$85.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$70.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$78.08
Rate for Payer: Qualcare PPO/HMO/WC	$53.23

SCREW NON LOCK F/THD 3.5x34MM

Facility

$354.90

Hospital Charge Code	270674951
Hospital Revenue Code	278
Min. Negotiated Rate	$8.55
Max. Negotiated Rate	$177.45
Rate for Payer: Aetna Commercial	$134.86
Rate for Payer: Aetna Medicare Advantage	$106.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$90.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$90.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$70.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$90.50
Rate for Payer: Cigna Commercial	$177.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$78.08
Rate for Payer: Qualcare PPO/HMO/WC	$53.23
Rate for Payer: UnitedHealthcare Community & State	$8.55
Rate for Payer: Wellpoint Medicaid Managed Care	$9.40

SCREW NON LOCK F/THD 3.5x40MM

Facility

$354.90

Hospital Charge Code	270674950
Hospital Revenue Code	278
Min. Negotiated Rate	$53.23
Max. Negotiated Rate	$85.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$70.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$78.08
Rate for Payer: Qualcare PPO/HMO/WC	$53.23

SCREW NON LOCK F/THD 3.5x40MM

Facility

$354.90

Hospital Charge Code	270674950
Hospital Revenue Code	278
Min. Negotiated Rate	$8.55
Max. Negotiated Rate	$177.45
Rate for Payer: Aetna Commercial	$134.86
Rate for Payer: Aetna Medicare Advantage	$106.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$90.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$90.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$70.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$90.50
Rate for Payer: Cigna Commercial	$177.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$78.08
Rate for Payer: Qualcare PPO/HMO/WC	$53.23
Rate for Payer: UnitedHealthcare Community & State	$8.55
Rate for Payer: Wellpoint Medicaid Managed Care	$9.40

SCREW NON LOCK F/THD 3.5x55MM

Facility

$354.90

Service Code	HCPCS C1713
Hospital Charge Code	270674952
Hospital Revenue Code	278
Min. Negotiated Rate	$53.23
Max. Negotiated Rate	$85.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$70.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$78.08
Rate for Payer: Qualcare PPO/HMO/WC	$53.23

SCREW NON LOCK F/THD 3.5x55MM

Facility

$354.90

Service Code	HCPCS C1713
Hospital Charge Code	270674952
Hospital Revenue Code	278
Min. Negotiated Rate	$8.55
Max. Negotiated Rate	$177.45
Rate for Payer: Aetna Commercial	$134.86
Rate for Payer: Aetna Medicare Advantage	$106.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$90.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$90.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$70.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$90.50
Rate for Payer: Cigna Commercial	$177.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$78.08
Rate for Payer: Qualcare PPO/HMO/WC	$53.23
Rate for Payer: UnitedHealthcare Community & State	$8.55
Rate for Payer: Wellpoint Medicaid Managed Care	$9.40

SCREW NONLOCK HEXALOBE 3X16MM

Facility

$475.00

Service Code	HCPCS C1713
Hospital Charge Code	270694033
Hospital Revenue Code	278
Min. Negotiated Rate	$71.25
Max. Negotiated Rate	$114.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$95.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$104.50
Rate for Payer: Qualcare PPO/HMO/WC	$71.25

SCREW NONLOCK HEXALOBE 3X16MM

Facility

$475.00

Service Code	HCPCS C1713
Hospital Charge Code	270694033
Hospital Revenue Code	278
Min. Negotiated Rate	$11.45
Max. Negotiated Rate	$237.50
Rate for Payer: Aetna Commercial	$180.50
Rate for Payer: Aetna Medicare Advantage	$142.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$121.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$121.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$95.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$121.12
Rate for Payer: Cigna Commercial	$237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$104.50
Rate for Payer: Qualcare PPO/HMO/WC	$71.25
Rate for Payer: UnitedHealthcare Community & State	$11.45
Rate for Payer: Wellpoint Medicaid Managed Care	$12.59

SCREW NONLOCK HEXALOBE 3X20MM

Facility

$475.00

Service Code	HCPCS C1713
Hospital Charge Code	270694035
Hospital Revenue Code	278
Min. Negotiated Rate	$71.25
Max. Negotiated Rate	$114.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$95.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$104.50
Rate for Payer: Qualcare PPO/HMO/WC	$71.25

SCREW NONLOCK HEXALOBE 3X20MM

Facility

$475.00

Service Code	HCPCS C1713
Hospital Charge Code	270694035
Hospital Revenue Code	278
Min. Negotiated Rate	$11.45
Max. Negotiated Rate	$237.50
Rate for Payer: Aetna Commercial	$180.50
Rate for Payer: Aetna Medicare Advantage	$142.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$121.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$121.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$95.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$121.12
Rate for Payer: Cigna Commercial	$237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$104.50
Rate for Payer: Qualcare PPO/HMO/WC	$71.25
Rate for Payer: UnitedHealthcare Community & State	$11.45
Rate for Payer: Wellpoint Medicaid Managed Care	$12.59

SCREW NONLOCK H-LOBE 3.5X18MM

Facility

$435.00

Hospital Charge Code	270669424
Hospital Revenue Code	278
Min. Negotiated Rate	$10.48
Max. Negotiated Rate	$217.50
Rate for Payer: Aetna Commercial	$165.30
Rate for Payer: Aetna Medicare Advantage	$130.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$110.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$110.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$87.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$110.92
Rate for Payer: Cigna Commercial	$217.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.27
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$95.70
Rate for Payer: Qualcare PPO/HMO/WC	$65.25
Rate for Payer: UnitedHealthcare Community & State	$10.48
Rate for Payer: Wellpoint Medicaid Managed Care	$11.53

SCREW NONLOCK H-LOBE 3.5X18MM

Facility

$435.00

Hospital Charge Code	270669424
Hospital Revenue Code	278
Min. Negotiated Rate	$65.25
Max. Negotiated Rate	$105.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$87.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.27
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$95.70
Rate for Payer: Qualcare PPO/HMO/WC	$65.25

SCREW NON-LOCKING 12MM

Facility

$650.00

Hospital Charge Code	270663853
Hospital Revenue Code	278
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$157.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$143.00
Rate for Payer: Qualcare PPO/HMO/WC	$97.50

SCREW NON-LOCKING 12MM

Facility

$650.00

Hospital Charge Code	270663853
Hospital Revenue Code	278
Min. Negotiated Rate	$15.66
Max. Negotiated Rate	$325.00
Rate for Payer: Aetna Commercial	$247.00
Rate for Payer: Aetna Medicare Advantage	$195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$165.75
Rate for Payer: Cigna Commercial	$325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$143.00
Rate for Payer: Qualcare PPO/HMO/WC	$97.50
Rate for Payer: UnitedHealthcare Community & State	$15.66
Rate for Payer: Wellpoint Medicaid Managed Care	$17.23

SCREW NON LOCKING 16MM

Facility

$395.00

Service Code	HCPCS C1713
Hospital Charge Code	270668019
Hospital Revenue Code	278
Min. Negotiated Rate	$9.52
Max. Negotiated Rate	$197.50
Rate for Payer: Aetna Commercial	$150.10
Rate for Payer: Aetna Medicare Advantage	$118.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$79.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100.72
Rate for Payer: Cigna Commercial	$197.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$95.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$86.90
Rate for Payer: Qualcare PPO/HMO/WC	$59.25
Rate for Payer: UnitedHealthcare Community & State	$9.52
Rate for Payer: Wellpoint Medicaid Managed Care	$10.47

SCREW NON LOCKING 16MM

Facility

$395.00

Service Code	HCPCS C1713
Hospital Charge Code	270668019
Hospital Revenue Code	278
Min. Negotiated Rate	$59.25
Max. Negotiated Rate	$95.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$79.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$95.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$86.90
Rate for Payer: Qualcare PPO/HMO/WC	$59.25

SCREW NON LOCKING 2.3X12MM

Facility

$525.00

Hospital Charge Code	270669461
Hospital Revenue Code	278
Min. Negotiated Rate	$78.75
Max. Negotiated Rate	$127.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$105.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$115.50
Rate for Payer: Qualcare PPO/HMO/WC	$78.75

SCREW NON LOCKING 2.3X12MM

Facility

$525.00

Hospital Charge Code	270669461
Hospital Revenue Code	278
Min. Negotiated Rate	$12.65
Max. Negotiated Rate	$262.50
Rate for Payer: Aetna Commercial	$199.50
Rate for Payer: Aetna Medicare Advantage	$157.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$105.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.88
Rate for Payer: Cigna Commercial	$262.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$115.50
Rate for Payer: Qualcare PPO/HMO/WC	$78.75
Rate for Payer: UnitedHealthcare Community & State	$12.65
Rate for Payer: Wellpoint Medicaid Managed Care	$13.91

Know your out-of-pocket cost for care.

All Charges