Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW NON LOCKING 2.5 X 11 MM

Facility

$925.50

Service Code	HCPCS C1713
Hospital Charge Code	270701813
Hospital Revenue Code	278
Min. Negotiated Rate	$138.82
Max. Negotiated Rate	$223.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$185.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$223.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$203.61
Rate for Payer: Qualcare PPO/HMO/WC	$138.82

SCREW NON LOCKING 2.5 X 11 MM

Facility

$925.50

Service Code	HCPCS C1713
Hospital Charge Code	270701813
Hospital Revenue Code	278
Min. Negotiated Rate	$22.30
Max. Negotiated Rate	$462.75
Rate for Payer: Aetna Commercial	$351.69
Rate for Payer: Aetna Medicare Advantage	$277.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$236.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$236.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$185.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$236.00
Rate for Payer: Cigna Commercial	$462.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$223.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$203.61
Rate for Payer: Qualcare PPO/HMO/WC	$138.82
Rate for Payer: UnitedHealthcare Community & State	$22.30
Rate for Payer: Wellpoint Medicaid Managed Care	$24.53

SCREW NON LOCKING 2.5 X 12 MM

Facility

$925.50

Service Code	HCPCS C1713
Hospital Charge Code	270701814
Hospital Revenue Code	278
Min. Negotiated Rate	$22.30
Max. Negotiated Rate	$462.75
Rate for Payer: Aetna Commercial	$351.69
Rate for Payer: Aetna Medicare Advantage	$277.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$236.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$236.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$185.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$236.00
Rate for Payer: Cigna Commercial	$462.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$223.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$203.61
Rate for Payer: Qualcare PPO/HMO/WC	$138.82
Rate for Payer: UnitedHealthcare Community & State	$22.30
Rate for Payer: Wellpoint Medicaid Managed Care	$24.53

SCREW NON LOCKING 2.5 X 12 MM

Facility

$925.50

Service Code	HCPCS C1713
Hospital Charge Code	270701814
Hospital Revenue Code	278
Min. Negotiated Rate	$138.82
Max. Negotiated Rate	$223.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$185.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$223.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$203.61
Rate for Payer: Qualcare PPO/HMO/WC	$138.82

SCREW NON LOCKING 2.5 X 16 MM

Facility

$570.00

Hospital Charge Code	270667008
Hospital Revenue Code	278
Min. Negotiated Rate	$85.50
Max. Negotiated Rate	$137.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$114.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$125.40
Rate for Payer: Qualcare PPO/HMO/WC	$85.50

SCREW NON LOCKING 2.5 X 16 MM

Facility

$570.00

Hospital Charge Code	270667008
Hospital Revenue Code	278
Min. Negotiated Rate	$13.74
Max. Negotiated Rate	$285.00
Rate for Payer: Aetna Commercial	$216.60
Rate for Payer: Aetna Medicare Advantage	$171.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$145.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$145.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$114.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$145.35
Rate for Payer: Cigna Commercial	$285.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$125.40
Rate for Payer: Qualcare PPO/HMO/WC	$85.50
Rate for Payer: UnitedHealthcare Community & State	$13.74
Rate for Payer: Wellpoint Medicaid Managed Care	$15.11

SCREW NON LOCKING 2.7 10 MM

Facility

$1,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270690140
Hospital Revenue Code	278
Min. Negotiated Rate	$243.75
Max. Negotiated Rate	$393.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$393.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$357.50
Rate for Payer: Qualcare PPO/HMO/WC	$243.75

SCREW NON LOCKING 2.7 10 MM

Facility

$1,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270690140
Hospital Revenue Code	278
Min. Negotiated Rate	$39.16
Max. Negotiated Rate	$812.50
Rate for Payer: Aetna Commercial	$617.50
Rate for Payer: Aetna Medicare Advantage	$487.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$325.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$414.38
Rate for Payer: Cigna Commercial	$812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$393.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$357.50
Rate for Payer: Qualcare PPO/HMO/WC	$243.75
Rate for Payer: UnitedHealthcare Community & State	$39.16
Rate for Payer: Wellpoint Medicaid Managed Care	$43.06

SCREW NON LOCKING 2.7X16MM

Facility

$1,230.00

Service Code	HCPCS C1713
Hospital Charge Code	270693516
Hospital Revenue Code	278
Min. Negotiated Rate	$184.50
Max. Negotiated Rate	$297.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$246.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$297.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$270.60
Rate for Payer: Qualcare PPO/HMO/WC	$184.50

SCREW NON LOCKING 2.7X16MM

Facility

$1,230.00

Service Code	HCPCS C1713
Hospital Charge Code	270693516
Hospital Revenue Code	278
Min. Negotiated Rate	$29.64
Max. Negotiated Rate	$615.00
Rate for Payer: Aetna Commercial	$467.40
Rate for Payer: Aetna Medicare Advantage	$369.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$313.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$313.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$246.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$313.65
Rate for Payer: Cigna Commercial	$615.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$297.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$270.60
Rate for Payer: Qualcare PPO/HMO/WC	$184.50
Rate for Payer: UnitedHealthcare Community & State	$29.64
Rate for Payer: Wellpoint Medicaid Managed Care	$32.59

SCREW NON-LOCKING 2.7X24MM

Facility

$468.00

Service Code	HCPCS C1713
Hospital Charge Code	270704755
Hospital Revenue Code	278
Min. Negotiated Rate	$70.20
Max. Negotiated Rate	$113.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$93.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.26
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$102.96
Rate for Payer: Qualcare PPO/HMO/WC	$70.20

SCREW NON-LOCKING 2.7X24MM

Facility

$468.00

Service Code	HCPCS C1713
Hospital Charge Code	270704755
Hospital Revenue Code	278
Min. Negotiated Rate	$11.28
Max. Negotiated Rate	$234.00
Rate for Payer: Aetna Commercial	$177.84
Rate for Payer: Aetna Medicare Advantage	$140.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$93.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$119.34
Rate for Payer: Cigna Commercial	$234.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.26
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$102.96
Rate for Payer: Qualcare PPO/HMO/WC	$70.20
Rate for Payer: UnitedHealthcare Community & State	$11.28
Rate for Payer: Wellpoint Medicaid Managed Care	$12.40

SCREW NON LOCKING 2.7X26MM

Facility

$1,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270690342
Hospital Revenue Code	278
Min. Negotiated Rate	$28.92
Max. Negotiated Rate	$600.00
Rate for Payer: Aetna Commercial	$456.00
Rate for Payer: Aetna Medicare Advantage	$360.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$306.00
Rate for Payer: Cigna Commercial	$600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$264.00
Rate for Payer: Qualcare PPO/HMO/WC	$180.00
Rate for Payer: UnitedHealthcare Community & State	$28.92
Rate for Payer: Wellpoint Medicaid Managed Care	$31.80

SCREW NON LOCKING 2.7X26MM

Facility

$1,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270690342
Hospital Revenue Code	278
Min. Negotiated Rate	$180.00
Max. Negotiated Rate	$290.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$240.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$264.00
Rate for Payer: Qualcare PPO/HMO/WC	$180.00

SCREW NONLOCKING 3.0V16MM

Facility

$980.00

Service Code	HCPCS C1713
Hospital Charge Code	270661006
Hospital Revenue Code	278
Min. Negotiated Rate	$23.62
Max. Negotiated Rate	$490.00
Rate for Payer: Aetna Commercial	$372.40
Rate for Payer: Aetna Medicare Advantage	$294.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$249.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$249.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$249.90
Rate for Payer: Cigna Commercial	$490.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.16
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$215.60
Rate for Payer: Qualcare PPO/HMO/WC	$147.00
Rate for Payer: UnitedHealthcare Community & State	$23.62
Rate for Payer: Wellpoint Medicaid Managed Care	$25.97

SCREW NONLOCKING 3.0V16MM

Facility

$980.00

Service Code	HCPCS C1713
Hospital Charge Code	270661006
Hospital Revenue Code	278
Min. Negotiated Rate	$147.00
Max. Negotiated Rate	$237.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.16
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$215.60
Rate for Payer: Qualcare PPO/HMO/WC	$147.00

SCREW NON LOCKING 3.0x18MM

Facility

$627.20

Service Code	HCPCS C1713
Hospital Charge Code	270667774
Hospital Revenue Code	278
Min. Negotiated Rate	$15.12
Max. Negotiated Rate	$313.60
Rate for Payer: Aetna Commercial	$238.34
Rate for Payer: Aetna Medicare Advantage	$188.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.94
Rate for Payer: Cigna Commercial	$313.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.78
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$137.98
Rate for Payer: Qualcare PPO/HMO/WC	$94.08
Rate for Payer: UnitedHealthcare Community & State	$15.12
Rate for Payer: Wellpoint Medicaid Managed Care	$16.62

SCREW NON LOCKING 3.0x18MM

Facility

$627.20

Service Code	HCPCS C1713
Hospital Charge Code	270667774
Hospital Revenue Code	278
Min. Negotiated Rate	$94.08
Max. Negotiated Rate	$151.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.78
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$137.98
Rate for Payer: Qualcare PPO/HMO/WC	$94.08

SCREW NON LOCKING 3.0 X 20M

Facility

$950.00

Service Code	HCPCS C1713
Hospital Charge Code	270667775
Hospital Revenue Code	278
Min. Negotiated Rate	$22.89
Max. Negotiated Rate	$475.00
Rate for Payer: Aetna Commercial	$361.00
Rate for Payer: Aetna Medicare Advantage	$285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.25
Rate for Payer: Cigna Commercial	$475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$209.00
Rate for Payer: Qualcare PPO/HMO/WC	$142.50
Rate for Payer: UnitedHealthcare Community & State	$22.89
Rate for Payer: Wellpoint Medicaid Managed Care	$25.18

SCREW NON LOCKING 3.0 X 20M

Facility

$950.00

Service Code	HCPCS C1713
Hospital Charge Code	270667775
Hospital Revenue Code	278
Min. Negotiated Rate	$142.50
Max. Negotiated Rate	$229.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$209.00
Rate for Payer: Qualcare PPO/HMO/WC	$142.50

SCREW NON LOCKING 3.5X 12 MM

Facility

$660.00

Service Code	HCPCS C1713
Hospital Charge Code	270701205
Hospital Revenue Code	278
Min. Negotiated Rate	$15.91
Max. Negotiated Rate	$330.00
Rate for Payer: Aetna Commercial	$250.80
Rate for Payer: Aetna Medicare Advantage	$198.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.30
Rate for Payer: Cigna Commercial	$330.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.72
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.00
Rate for Payer: UnitedHealthcare Community & State	$15.91
Rate for Payer: Wellpoint Medicaid Managed Care	$17.49

SCREW NON LOCKING 3.5X 12 MM

Facility

$660.00

Service Code	HCPCS C1713
Hospital Charge Code	270701205
Hospital Revenue Code	278
Min. Negotiated Rate	$99.00
Max. Negotiated Rate	$159.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.72
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.00

SCREW NON LOCKING 3.5 X 14 MM

Facility

$660.00

Hospital Charge Code	270701207
Hospital Revenue Code	278
Min. Negotiated Rate	$15.91
Max. Negotiated Rate	$330.00
Rate for Payer: Aetna Commercial	$250.80
Rate for Payer: Aetna Medicare Advantage	$198.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.30
Rate for Payer: Cigna Commercial	$330.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.72
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.00
Rate for Payer: UnitedHealthcare Community & State	$15.91
Rate for Payer: Wellpoint Medicaid Managed Care	$17.49

SCREW NON LOCKING 3.5 X 14 MM

Facility

$660.00

Hospital Charge Code	270701207
Hospital Revenue Code	278
Min. Negotiated Rate	$99.00
Max. Negotiated Rate	$159.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.72
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.00

SCREW NON LOCKING 3.5x16mm

Facility

$340.00

Service Code	HCPCS C1713
Hospital Charge Code	270672330
Hospital Revenue Code	278
Min. Negotiated Rate	$51.00
Max. Negotiated Rate	$82.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$68.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.28
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$74.80
Rate for Payer: Qualcare PPO/HMO/WC	$51.00

Know your out-of-pocket cost for care.

All Charges