Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW NON LOCKING 3.5x16mm

Facility

$340.00

Service Code	HCPCS C1713
Hospital Charge Code	270672330
Hospital Revenue Code	278
Min. Negotiated Rate	$8.19
Max. Negotiated Rate	$170.00
Rate for Payer: Aetna Commercial	$129.20
Rate for Payer: Aetna Medicare Advantage	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$68.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.70
Rate for Payer: Cigna Commercial	$170.00
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
Rate for Payer: UnitedHealthcare Community & State	$8.19
Rate for Payer: Wellpoint Medicaid Managed Care	$9.01

SCREW NON LOCKING 3.5 X 18MM

Facility

$250.00

Hospital Charge Code	270660206
Hospital Revenue Code	278
Min. Negotiated Rate	$6.03
Max. Negotiated Rate	$125.00
Rate for Payer: Aetna Commercial	$95.00
Rate for Payer: Aetna Medicare Advantage	$75.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.75
Rate for Payer: Cigna Commercial	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$55.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.50
Rate for Payer: UnitedHealthcare Community & State	$6.03
Rate for Payer: Wellpoint Medicaid Managed Care	$6.62

SCREW NON LOCKING 3.5 X 18MM

Facility

$250.00

Hospital Charge Code	270660206
Hospital Revenue Code	278
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$60.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$55.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

SCREW NON LOCKING 3.5x22MM

Facility

$470.00

Hospital Charge Code	270667746
Hospital Revenue Code	278
Min. Negotiated Rate	$11.33
Max. Negotiated Rate	$235.00
Rate for Payer: Aetna Commercial	$178.60
Rate for Payer: Aetna Medicare Advantage	$141.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$94.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$119.85
Rate for Payer: Cigna Commercial	$235.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$103.40
Rate for Payer: Qualcare PPO/HMO/WC	$70.50
Rate for Payer: UnitedHealthcare Community & State	$11.33
Rate for Payer: Wellpoint Medicaid Managed Care	$12.46

SCREW NON LOCKING 3.5x22MM

Facility

$470.00

Hospital Charge Code	270667746
Hospital Revenue Code	278
Min. Negotiated Rate	$70.50
Max. Negotiated Rate	$113.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$94.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$103.40
Rate for Payer: Qualcare PPO/HMO/WC	$70.50

SCREW NON LOCKING 3.5 X 24MM

Facility

$322.50

Service Code	HCPCS C1713
Hospital Charge Code	270665935
Hospital Revenue Code	278
Min. Negotiated Rate	$7.77
Max. Negotiated Rate	$161.25
Rate for Payer: Aetna Commercial	$122.55
Rate for Payer: Aetna Medicare Advantage	$96.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$64.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.24
Rate for Payer: Cigna Commercial	$161.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$70.95
Rate for Payer: Qualcare PPO/HMO/WC	$48.38
Rate for Payer: UnitedHealthcare Community & State	$7.77
Rate for Payer: Wellpoint Medicaid Managed Care	$8.55

SCREW NON LOCKING 3.5 X 24MM

Facility

$322.50

Service Code	HCPCS C1713
Hospital Charge Code	270665935
Hospital Revenue Code	278
Min. Negotiated Rate	$48.38
Max. Negotiated Rate	$78.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$64.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$70.95
Rate for Payer: Qualcare PPO/HMO/WC	$48.38

SCREW NON-LOCKING 3.5x24mm

Facility

$500.00

Service Code	HCPCS C1713
Hospital Charge Code	270669270
Hospital Revenue Code	278
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$121.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$110.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

SCREW NON-LOCKING 3.5x24mm

Facility

$500.00

Service Code	HCPCS C1713
Hospital Charge Code	270669270
Hospital Revenue Code	278
Min. Negotiated Rate	$12.05
Max. Negotiated Rate	$250.00
Rate for Payer: Aetna Commercial	$190.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$110.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00
Rate for Payer: UnitedHealthcare Community & State	$12.05
Rate for Payer: Wellpoint Medicaid Managed Care	$13.25

SCREW NON-LOCKING 3.5X24MM

Facility

$950.00

Hospital Charge Code	270661040
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 3.5X24MM

Facility

$950.00

Hospital Charge Code	270661040
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 3.5 X 26MM

Facility

$225.00

Service Code	HCPCS C1713
Hospital Charge Code	270665934
Hospital Revenue Code	278
Min. Negotiated Rate	$5.42
Max. Negotiated Rate	$112.50
Rate for Payer: Aetna Commercial	$85.50
Rate for Payer: Aetna Medicare Advantage	$67.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.38
Rate for Payer: Cigna Commercial	$112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$49.50
Rate for Payer: Qualcare PPO/HMO/WC	$33.75
Rate for Payer: UnitedHealthcare Community & State	$5.42
Rate for Payer: Wellpoint Medicaid Managed Care	$5.96

SCREW NON LOCKING 3.5 X 26MM

Facility

$225.00

Service Code	HCPCS C1713
Hospital Charge Code	270665934
Hospital Revenue Code	278
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$54.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$49.50
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

SCREW NON-LOCKING 3.5x26mm

Facility

$500.00

Service Code	HCPCS C1713
Hospital Charge Code	270669271
Hospital Revenue Code	278
Min. Negotiated Rate	$12.05
Max. Negotiated Rate	$250.00
Rate for Payer: Aetna Commercial	$190.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$110.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00
Rate for Payer: UnitedHealthcare Community & State	$12.05
Rate for Payer: Wellpoint Medicaid Managed Care	$13.25

SCREW NON-LOCKING 3.5x26mm

Facility

$500.00

Service Code	HCPCS C1713
Hospital Charge Code	270669271
Hospital Revenue Code	278
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$121.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$110.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

SCREW NON LOCKING 3.5x26MM

Facility

$405.00

Hospital Charge Code	270660767
Hospital Revenue Code	278
Min. Negotiated Rate	$9.76
Max. Negotiated Rate	$202.50
Rate for Payer: Aetna Commercial	$153.90
Rate for Payer: Aetna Medicare Advantage	$121.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$103.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$103.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$81.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$103.28
Rate for Payer: Cigna Commercial	$202.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.01
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$89.10
Rate for Payer: Qualcare PPO/HMO/WC	$60.75
Rate for Payer: UnitedHealthcare Community & State	$9.76
Rate for Payer: Wellpoint Medicaid Managed Care	$10.73

SCREW NON LOCKING 3.5x26MM

Facility

$405.00

Hospital Charge Code	270660767
Hospital Revenue Code	278
Min. Negotiated Rate	$60.75
Max. Negotiated Rate	$98.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$81.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.01
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$89.10
Rate for Payer: Qualcare PPO/HMO/WC	$60.75

SCREW NON LOCKING 3.5X26MM

Facility

$1,180.00

Service Code	HCPCS C1713
Hospital Charge Code	270698468
Hospital Revenue Code	278
Min. Negotiated Rate	$28.44
Max. Negotiated Rate	$590.00
Rate for Payer: Aetna Commercial	$448.40
Rate for Payer: Aetna Medicare Advantage	$354.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$300.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$300.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$236.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$300.90
Rate for Payer: Cigna Commercial	$590.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$285.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$259.60
Rate for Payer: Qualcare PPO/HMO/WC	$177.00
Rate for Payer: UnitedHealthcare Community & State	$28.44
Rate for Payer: Wellpoint Medicaid Managed Care	$31.27

SCREW NON LOCKING 3.5X26MM

Facility

$1,180.00

Service Code	HCPCS C1713
Hospital Charge Code	270698468
Hospital Revenue Code	278
Min. Negotiated Rate	$177.00
Max. Negotiated Rate	$285.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$236.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$285.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$259.60
Rate for Payer: Qualcare PPO/HMO/WC	$177.00

SCREW NON-LOCKING 3.5X26MM

Facility

$627.20

Hospital Charge Code	270676861
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 3.5X26MM

Facility

$627.20

Hospital Charge Code	270676861
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 3.5x28MM

Facility

$225.00

Service Code	HCPCS C1713
Hospital Charge Code	270672116
Hospital Revenue Code	278
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$54.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$49.50
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

SCREW NON LOCKING 3.5x28MM

Facility

$225.00

Service Code	HCPCS C1713
Hospital Charge Code	270672116
Hospital Revenue Code	278
Min. Negotiated Rate	$5.42
Max. Negotiated Rate	$112.50
Rate for Payer: Aetna Commercial	$85.50
Rate for Payer: Aetna Medicare Advantage	$67.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.38
Rate for Payer: Cigna Commercial	$112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$49.50
Rate for Payer: Qualcare PPO/HMO/WC	$33.75
Rate for Payer: UnitedHealthcare Community & State	$5.42
Rate for Payer: Wellpoint Medicaid Managed Care	$5.96

SCREW, NON-LOCKING 3.5X28MM

Facility

$1,330.00

Hospital Charge Code	270701994
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, NON-LOCKING 3.5X28MM

Facility

$1,330.00

Hospital Charge Code	270701994
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

Know your out-of-pocket cost for care.

All Charges