Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW NON LOCKING 3.5x44MM

Facility

$470.00

Service Code	HCPCS C1713
Hospital Charge Code	270667700
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 3.5X46

Facility

$660.00

Service Code	HCPCS C1713
Hospital Charge Code	270701210
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 3.5X46

Facility

$660.00

Service Code	HCPCS C1713
Hospital Charge Code	270701210
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 3.5x46MM

Facility

$470.00

Hospital Charge Code	270667701
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 3.5x46MM

Facility

$470.00

Hospital Charge Code	270667701
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 4.0x2.6mm

Facility

$695.00

Service Code	HCPCS C1713
Hospital Charge Code	270679184
Hospital Revenue Code	278
Min. Negotiated Rate	$104.25
Max. Negotiated Rate	$168.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$139.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$168.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$152.90
Rate for Payer: Qualcare PPO/HMO/WC	$104.25

SCREW NON LOCKING 4.0x2.6mm

Facility

$695.00

Service Code	HCPCS C1713
Hospital Charge Code	270679184
Hospital Revenue Code	278
Min. Negotiated Rate	$16.75
Max. Negotiated Rate	$347.50
Rate for Payer: Aetna Commercial	$264.10
Rate for Payer: Aetna Medicare Advantage	$208.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$177.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$177.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$139.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$177.22
Rate for Payer: Cigna Commercial	$347.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$168.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$152.90
Rate for Payer: Qualcare PPO/HMO/WC	$104.25
Rate for Payer: UnitedHealthcare Community & State	$16.75
Rate for Payer: Wellpoint Medicaid Managed Care	$18.42

SCREW NON-LOCKING 4.5X15MM

Facility

$533.35

Service Code	HCPCS C1713
Hospital Charge Code	270704578
Hospital Revenue Code	278
Min. Negotiated Rate	$80.00
Max. Negotiated Rate	$129.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$117.34
Rate for Payer: Qualcare PPO/HMO/WC	$80.00

SCREW NON-LOCKING 4.5X15MM

Facility

$533.35

Service Code	HCPCS C1713
Hospital Charge Code	270704578
Hospital Revenue Code	278
Min. Negotiated Rate	$12.85
Max. Negotiated Rate	$266.68
Rate for Payer: Aetna Commercial	$202.67
Rate for Payer: Aetna Medicare Advantage	$160.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.00
Rate for Payer: Cigna Commercial	$266.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$117.34
Rate for Payer: Qualcare PPO/HMO/WC	$80.00
Rate for Payer: UnitedHealthcare Community & State	$12.85
Rate for Payer: Wellpoint Medicaid Managed Care	$14.13

SCREW NON LOCKING 4.5x26MM

Facility

$545.00

Service Code	HCPCS C1713
Hospital Charge Code	270683645
Hospital Revenue Code	278
Min. Negotiated Rate	$81.75
Max. Negotiated Rate	$131.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$109.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$119.90
Rate for Payer: Qualcare PPO/HMO/WC	$81.75

SCREW NON LOCKING 4.5x26MM

Facility

$545.00

Service Code	HCPCS C1713
Hospital Charge Code	270683645
Hospital Revenue Code	278
Min. Negotiated Rate	$13.13
Max. Negotiated Rate	$272.50
Rate for Payer: Aetna Commercial	$207.10
Rate for Payer: Aetna Medicare Advantage	$163.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$138.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$138.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$109.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$138.97
Rate for Payer: Cigna Commercial	$272.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$119.90
Rate for Payer: Qualcare PPO/HMO/WC	$81.75
Rate for Payer: UnitedHealthcare Community & State	$13.13
Rate for Payer: Wellpoint Medicaid Managed Care	$14.44

SCREW NON LOCKING 4.5X30MM

Facility

$305.00

Hospital Charge Code	270670426
Hospital Revenue Code	278
Min. Negotiated Rate	$45.75
Max. Negotiated Rate	$73.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.81
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$67.10
Rate for Payer: Qualcare PPO/HMO/WC	$45.75

SCREW NON LOCKING 4.5X30MM

Facility

$305.00

Hospital Charge Code	270670426
Hospital Revenue Code	278
Min. Negotiated Rate	$7.35
Max. Negotiated Rate	$152.50
Rate for Payer: Aetna Commercial	$115.90
Rate for Payer: Aetna Medicare Advantage	$91.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$77.78
Rate for Payer: Cigna Commercial	$152.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.81
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$67.10
Rate for Payer: Qualcare PPO/HMO/WC	$45.75
Rate for Payer: UnitedHealthcare Community & State	$7.35
Rate for Payer: Wellpoint Medicaid Managed Care	$8.08

SCREW NON-LOCKING 4.5x38mm

Facility

$305.00

Service Code	HCPCS C1713
Hospital Charge Code	270671596
Hospital Revenue Code	278
Min. Negotiated Rate	$45.75
Max. Negotiated Rate	$73.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.81
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$67.10
Rate for Payer: Qualcare PPO/HMO/WC	$45.75

SCREW NON-LOCKING 4.5x38mm

Facility

$305.00

Service Code	HCPCS C1713
Hospital Charge Code	270671596
Hospital Revenue Code	278
Min. Negotiated Rate	$7.35
Max. Negotiated Rate	$152.50
Rate for Payer: Aetna Commercial	$115.90
Rate for Payer: Aetna Medicare Advantage	$91.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$77.78
Rate for Payer: Cigna Commercial	$152.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.81
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$67.10
Rate for Payer: Qualcare PPO/HMO/WC	$45.75
Rate for Payer: UnitedHealthcare Community & State	$7.35
Rate for Payer: Wellpoint Medicaid Managed Care	$8.08

SCREW NON LOCKING 4.5x40MM

Facility

$545.00

Service Code	HCPCS C1713
Hospital Charge Code	270683643
Hospital Revenue Code	278
Min. Negotiated Rate	$81.75
Max. Negotiated Rate	$131.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$109.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$119.90
Rate for Payer: Qualcare PPO/HMO/WC	$81.75

SCREW NON LOCKING 4.5x40MM

Facility

$545.00

Service Code	HCPCS C1713
Hospital Charge Code	270683643
Hospital Revenue Code	278
Min. Negotiated Rate	$13.13
Max. Negotiated Rate	$272.50
Rate for Payer: Aetna Commercial	$207.10
Rate for Payer: Aetna Medicare Advantage	$163.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$138.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$138.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$109.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$138.97
Rate for Payer: Cigna Commercial	$272.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$119.90
Rate for Payer: Qualcare PPO/HMO/WC	$81.75
Rate for Payer: UnitedHealthcare Community & State	$13.13
Rate for Payer: Wellpoint Medicaid Managed Care	$14.44

SCREW NON-LOCKING 4.5x44mm

Facility

$305.00

Hospital Charge Code	270671126
Hospital Revenue Code	278
Min. Negotiated Rate	$45.75
Max. Negotiated Rate	$73.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.81
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$67.10
Rate for Payer: Qualcare PPO/HMO/WC	$45.75

SCREW NON-LOCKING 4.5x44mm

Facility

$305.00

Hospital Charge Code	270671126
Hospital Revenue Code	278
Min. Negotiated Rate	$7.35
Max. Negotiated Rate	$152.50
Rate for Payer: Aetna Commercial	$115.90
Rate for Payer: Aetna Medicare Advantage	$91.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$77.78
Rate for Payer: Cigna Commercial	$152.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.81
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$67.10
Rate for Payer: Qualcare PPO/HMO/WC	$45.75
Rate for Payer: UnitedHealthcare Community & State	$7.35
Rate for Payer: Wellpoint Medicaid Managed Care	$8.08

SCREW NON LOCKING 4.5x45MM

Facility

$545.00

Service Code	HCPCS C1713
Hospital Charge Code	270683644
Hospital Revenue Code	278
Min. Negotiated Rate	$13.13
Max. Negotiated Rate	$272.50
Rate for Payer: Aetna Commercial	$207.10
Rate for Payer: Aetna Medicare Advantage	$163.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$138.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$138.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$109.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$138.97
Rate for Payer: Cigna Commercial	$272.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$119.90
Rate for Payer: Qualcare PPO/HMO/WC	$81.75
Rate for Payer: UnitedHealthcare Community & State	$13.13
Rate for Payer: Wellpoint Medicaid Managed Care	$14.44

SCREW NON LOCKING 4.5x45MM

Facility

$545.00

Service Code	HCPCS C1713
Hospital Charge Code	270683644
Hospital Revenue Code	278
Min. Negotiated Rate	$81.75
Max. Negotiated Rate	$131.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$109.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$119.90
Rate for Payer: Qualcare PPO/HMO/WC	$81.75

SCREW NON LOCKING 4.5x50MM

Facility

$545.00

Service Code	HCPCS C1713
Hospital Charge Code	270683640
Hospital Revenue Code	278
Min. Negotiated Rate	$81.75
Max. Negotiated Rate	$131.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$109.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$119.90
Rate for Payer: Qualcare PPO/HMO/WC	$81.75

SCREW NON LOCKING 4.5x50MM

Facility

$545.00

Service Code	HCPCS C1713
Hospital Charge Code	270683640
Hospital Revenue Code	278
Min. Negotiated Rate	$13.13
Max. Negotiated Rate	$272.50
Rate for Payer: Aetna Commercial	$207.10
Rate for Payer: Aetna Medicare Advantage	$163.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$138.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$138.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$109.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$138.97
Rate for Payer: Cigna Commercial	$272.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$119.90
Rate for Payer: Qualcare PPO/HMO/WC	$81.75
Rate for Payer: UnitedHealthcare Community & State	$13.13
Rate for Payer: Wellpoint Medicaid Managed Care	$14.44

SCREW NON-LOCKING 4.5x65mm

Facility

$305.00

Hospital Charge Code	270671125
Hospital Revenue Code	278
Min. Negotiated Rate	$45.75
Max. Negotiated Rate	$73.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.81
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$67.10
Rate for Payer: Qualcare PPO/HMO/WC	$45.75

SCREW NON-LOCKING 4.5x65mm

Facility

$305.00

Hospital Charge Code	270671125
Hospital Revenue Code	278
Min. Negotiated Rate	$7.35
Max. Negotiated Rate	$152.50
Rate for Payer: Aetna Commercial	$115.90
Rate for Payer: Aetna Medicare Advantage	$91.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$77.78
Rate for Payer: Cigna Commercial	$152.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.81
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$67.10
Rate for Payer: Qualcare PPO/HMO/WC	$45.75
Rate for Payer: UnitedHealthcare Community & State	$7.35
Rate for Payer: Wellpoint Medicaid Managed Care	$8.08

Know your out-of-pocket cost for care.

All Charges