Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

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	$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 2.7x14MM

Facility

$335.00

Service Code	HCPCS C1713
Hospital Charge Code	270673617
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 2.7x14MM

Facility

$335.00

Service Code	HCPCS C1713
Hospital Charge Code	270673617
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 2.7x24MM

Facility

$335.00

Service Code	HCPCS C1713
Hospital Charge Code	270673612
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 2.7x24MM

Facility

$335.00

Service Code	HCPCS C1713
Hospital Charge Code	270673612
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 2.7x26MM

Facility

$335.00

Service Code	HCPCS C1713
Hospital Charge Code	270701888
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 2.7x26MM

Facility

$335.00

Service Code	HCPCS C1713
Hospital Charge Code	270701888
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 NONLOCK MINIBUN 2.7X16MM

Facility

$1,230.00

Service Code	HCPCS C1713
Hospital Charge Code	270693664
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 NONLOCK MINIBUN 2.7X16MM

Facility

$1,230.00

Service Code	HCPCS C1713
Hospital Charge Code	270693664
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 NONLOCK T6 2.3X10MM

Facility

$995.00

Service Code	HCPCS C1713
Hospital Charge Code	270695339
Hospital Revenue Code	278
Min. Negotiated Rate	$23.98
Max. Negotiated Rate	$497.50
Rate for Payer: Aetna Commercial	$378.10
Rate for Payer: Aetna Medicare Advantage	$298.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$253.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$253.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$199.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$253.72
Rate for Payer: Cigna Commercial	$497.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$240.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$218.90
Rate for Payer: Qualcare PPO/HMO/WC	$149.25
Rate for Payer: UnitedHealthcare Community & State	$23.98
Rate for Payer: Wellpoint Medicaid Managed Care	$26.37

SCREW NONLOCK T6 2.3X10MM

Facility

$995.00

Service Code	HCPCS C1713
Hospital Charge Code	270695339
Hospital Revenue Code	278
Min. Negotiated Rate	$149.25
Max. Negotiated Rate	$240.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$199.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$240.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$218.90
Rate for Payer: Qualcare PPO/HMO/WC	$149.25

SCREW NONLOCK T6 2.3X6MM

Facility

$995.00

Service Code	HCPCS C1713
Hospital Charge Code	270695342
Hospital Revenue Code	278
Min. Negotiated Rate	$23.98
Max. Negotiated Rate	$497.50
Rate for Payer: Aetna Commercial	$378.10
Rate for Payer: Aetna Medicare Advantage	$298.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$253.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$253.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$199.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$253.72
Rate for Payer: Cigna Commercial	$497.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$240.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$218.90
Rate for Payer: Qualcare PPO/HMO/WC	$149.25
Rate for Payer: UnitedHealthcare Community & State	$23.98
Rate for Payer: Wellpoint Medicaid Managed Care	$26.37

SCREW NONLOCK T6 2.3X6MM

Facility

$995.00

Service Code	HCPCS C1713
Hospital Charge Code	270695342
Hospital Revenue Code	278
Min. Negotiated Rate	$149.25
Max. Negotiated Rate	$240.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$199.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$240.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$218.90
Rate for Payer: Qualcare PPO/HMO/WC	$149.25

SCREW NONLOCK T6 2.3X8MM

Facility

$995.00

Service Code	HCPCS C1713
Hospital Charge Code	270695341
Hospital Revenue Code	278
Min. Negotiated Rate	$23.98
Max. Negotiated Rate	$497.50
Rate for Payer: Aetna Commercial	$378.10
Rate for Payer: Aetna Medicare Advantage	$298.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$253.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$253.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$199.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$253.72
Rate for Payer: Cigna Commercial	$497.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$240.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$218.90
Rate for Payer: Qualcare PPO/HMO/WC	$149.25
Rate for Payer: UnitedHealthcare Community & State	$23.98
Rate for Payer: Wellpoint Medicaid Managed Care	$26.37

SCREW NONLOCK T6 2.3X8MM

Facility

$995.00

Service Code	HCPCS C1713
Hospital Charge Code	270695341
Hospital Revenue Code	278
Min. Negotiated Rate	$149.25
Max. Negotiated Rate	$240.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$199.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$240.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$218.90
Rate for Payer: Qualcare PPO/HMO/WC	$149.25

SCREW NONLOCK T6 2.3X9MM

Facility

$995.00

Service Code	HCPCS C1713
Hospital Charge Code	270695340
Hospital Revenue Code	278
Min. Negotiated Rate	$23.98
Max. Negotiated Rate	$497.50
Rate for Payer: Aetna Commercial	$378.10
Rate for Payer: Aetna Medicare Advantage	$298.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$253.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$253.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$199.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$253.72
Rate for Payer: Cigna Commercial	$497.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$240.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$218.90
Rate for Payer: Qualcare PPO/HMO/WC	$149.25
Rate for Payer: UnitedHealthcare Community & State	$23.98
Rate for Payer: Wellpoint Medicaid Managed Care	$26.37

SCREW NONLOCK T6 2.3X9MM

Facility

$995.00

Service Code	HCPCS C1713
Hospital Charge Code	270695340
Hospital Revenue Code	278
Min. Negotiated Rate	$149.25
Max. Negotiated Rate	$240.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$199.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$240.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$218.90
Rate for Payer: Qualcare PPO/HMO/WC	$149.25

SCREW NO PROFILE CANLUS 905405

Facility

$704.40

Hospital Charge Code	270630824
Hospital Revenue Code	278
Min. Negotiated Rate	$105.66
Max. Negotiated Rate	$170.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$154.97
Rate for Payer: Qualcare PPO/HMO/WC	$105.66

SCREW NO PROFILE CANLUS 905405

Facility

$704.40

Hospital Charge Code	270630824
Hospital Revenue Code	278
Min. Negotiated Rate	$16.98
Max. Negotiated Rate	$352.20
Rate for Payer: Aetna Commercial	$267.67
Rate for Payer: Aetna Medicare Advantage	$211.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$179.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$179.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$179.62
Rate for Payer: Cigna Commercial	$352.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$154.97
Rate for Payer: Qualcare PPO/HMO/WC	$105.66
Rate for Payer: UnitedHealthcare Community & State	$16.98
Rate for Payer: Wellpoint Medicaid Managed Care	$18.67

SCREW & NUT ASSEMBLY ALTA

Facility

$568.00

Hospital Charge Code	270335174
Hospital Revenue Code	278
Min. Negotiated Rate	$85.20
Max. Negotiated Rate	$137.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$124.96
Rate for Payer: Qualcare PPO/HMO/WC	$85.20

SCREW & NUT ASSEMBLY ALTA

Facility

$568.00

Hospital Charge Code	270335174
Hospital Revenue Code	278
Min. Negotiated Rate	$13.69
Max. Negotiated Rate	$284.00
Rate for Payer: Aetna Commercial	$215.84
Rate for Payer: Aetna Medicare Advantage	$170.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.84
Rate for Payer: Cigna Commercial	$284.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$124.96
Rate for Payer: Qualcare PPO/HMO/WC	$85.20
Rate for Payer: UnitedHealthcare Community & State	$13.69
Rate for Payer: Wellpoint Medicaid Managed Care	$15.05

SCREW OCCIPITAL 4.5X10MM

Facility

$1,100.00

Service Code	HCPCS C1713
Hospital Charge Code	270697877
Hospital Revenue Code	278
Min. Negotiated Rate	$26.51
Max. Negotiated Rate	$550.00
Rate for Payer: Aetna Commercial	$418.00
Rate for Payer: Aetna Medicare Advantage	$330.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$280.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$280.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$220.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$280.50
Rate for Payer: Cigna Commercial	$550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$266.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$242.00
Rate for Payer: Qualcare PPO/HMO/WC	$165.00
Rate for Payer: UnitedHealthcare Community & State	$26.51
Rate for Payer: Wellpoint Medicaid Managed Care	$29.15

SCREW OCCIPITAL 4.5X10MM

Facility

$1,100.00

Service Code	HCPCS C1713
Hospital Charge Code	270697877
Hospital Revenue Code	278
Min. Negotiated Rate	$165.00
Max. Negotiated Rate	$266.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$220.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$266.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$242.00
Rate for Payer: Qualcare PPO/HMO/WC	$165.00

SCREW OCCIPITAL 4.5X10MM

Facility

$2,995.60

Service Code	HCPCS C1713
Hospital Charge Code	270696793
Hospital Revenue Code	278
Min. Negotiated Rate	$449.34
Max. Negotiated Rate	$724.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$599.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$724.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$659.03
Rate for Payer: Qualcare PPO/HMO/WC	$449.34

SCREW OCCIPITAL 4.5X10MM

Facility

$2,995.60

Service Code	HCPCS C1713
Hospital Charge Code	270696793
Hospital Revenue Code	278
Min. Negotiated Rate	$72.19
Max. Negotiated Rate	$1,497.80
Rate for Payer: Aetna Commercial	$1,138.33
Rate for Payer: Aetna Medicare Advantage	$898.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$763.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$763.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$599.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$763.88
Rate for Payer: Cigna Commercial	$1,497.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$724.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$659.03
Rate for Payer: Qualcare PPO/HMO/WC	$449.34
Rate for Payer: UnitedHealthcare Community & State	$72.19
Rate for Payer: Wellpoint Medicaid Managed Care	$79.38

Know your out-of-pocket cost for care.

All Charges