Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW NON LOCKING 4.5X80MM

Facility

$305.00

Hospital Charge Code	270670425
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 4.5X80MM

Facility

$305.00

Hospital Charge Code	270670425
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 4.5X85MM

Facility

$305.00

Hospital Charge Code	270670424
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 4.5X85MM

Facility

$305.00

Hospital Charge Code	270670424
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 5.5x40MM

Facility

$545.00

Service Code	HCPCS C1713
Hospital Charge Code	270672737
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 5.5x40MM

Facility

$545.00

Service Code	HCPCS C1713
Hospital Charge Code	270672737
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 5.5x60MM

Facility

$545.00

Service Code	HCPCS C1713
Hospital Charge Code	270672735
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 5.5x60MM

Facility

$545.00

Service Code	HCPCS C1713
Hospital Charge Code	270672735
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 NONLOCKING 7.3X80 222646

Facility

$858.15

Hospital Charge Code	270630782
Hospital Revenue Code	278
Min. Negotiated Rate	$128.72
Max. Negotiated Rate	$207.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$188.79
Rate for Payer: Qualcare PPO/HMO/WC	$128.72

SCREW NONLOCKING 7.3X80 222646

Facility

$858.15

Hospital Charge Code	270630782
Hospital Revenue Code	278
Min. Negotiated Rate	$20.68
Max. Negotiated Rate	$429.07
Rate for Payer: Aetna Commercial	$326.10
Rate for Payer: Aetna Medicare Advantage	$257.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$218.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$218.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$218.83
Rate for Payer: Cigna Commercial	$429.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$188.79
Rate for Payer: Qualcare PPO/HMO/WC	$128.72
Rate for Payer: UnitedHealthcare Community & State	$20.68
Rate for Payer: Wellpoint Medicaid Managed Care	$22.74

SCREW NON LOCKING LP 3.5x24MM

Facility

$570.00

Service Code	HCPCS C1713
Hospital Charge Code	270667121
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 LP 3.5x24MM

Facility

$570.00

Service Code	HCPCS C1713
Hospital Charge Code	270667121
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 SCREW 3.5X48

Facility

$660.00

Service Code	HCPCS C1713
Hospital Charge Code	270701264
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 SCREW 3.5X48

Facility

$660.00

Service Code	HCPCS C1713
Hospital Charge Code	270701264
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 T8 3.5x16MM

Facility

$980.00

Service Code	HCPCS C1713
Hospital Charge Code	270673317
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 NON LOCKING T8 3.5x16MM

Facility

$980.00

Service Code	HCPCS C1713
Hospital Charge Code	270673317
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 T8 3.5x18MM

Facility

$980.00

Service Code	HCPCS C1713
Hospital Charge Code	270667540
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 T8 3.5x18MM

Facility

$980.00

Service Code	HCPCS C1713
Hospital Charge Code	270667540
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 NON LOCKING T8 3.5X22

Facility

$950.00

Hospital Charge Code	270667539
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 T8 3.5X22

Facility

$950.00

Hospital Charge Code	270667539
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 T8 3.5X28

Facility

$950.00

Hospital Charge Code	270668045
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 T8 3.5X28

Facility

$950.00

Hospital Charge Code	270668045
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 LOCK L/PRO 2.7x10 MM

Facility

$335.00

Service Code	HCPCS C1713
Hospital Charge Code	270701887
Hospital Revenue Code	278
Min. Negotiated Rate	$50.25
Max. Negotiated Rate	$81.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$67.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$73.70
Rate for Payer: Qualcare PPO/HMO/WC	$50.25

SCREW NON LOCK L/PRO 2.7x10 MM

Facility

$335.00

Service Code	HCPCS C1713
Hospital Charge Code	270701887
Hospital Revenue Code	278
Min. Negotiated Rate	$8.07
Max. Negotiated Rate	$167.50
Rate for Payer: Aetna Commercial	$127.30
Rate for Payer: Aetna Medicare Advantage	$100.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$85.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$85.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$67.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$85.42
Rate for Payer: Cigna Commercial	$167.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$73.70
Rate for Payer: Qualcare PPO/HMO/WC	$50.25
Rate for Payer: UnitedHealthcare Community & State	$8.07
Rate for Payer: Wellpoint Medicaid Managed Care	$8.88

SCREW NON LOCK L/PRO 2.7x13MM

Facility

$335.00

Service Code	HCPCS C1713
Hospital Charge Code	270673611
Hospital Revenue Code	278
Min. Negotiated Rate	$50.25
Max. Negotiated Rate	$81.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$67.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$73.70
Rate for Payer: Qualcare PPO/HMO/WC	$50.25

Know your out-of-pocket cost for care.

All Charges