Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW OCCIPITAL 4.5X14MM

Facility

$1,100.00

Service Code	HCPCS C1713
Hospital Charge Code	270697893
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 4.5X14MM

Facility

$1,100.00

Service Code	HCPCS C1713
Hospital Charge Code	270697893
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 4.5X8MM

Facility

$1,100.00

Service Code	HCPCS C1713
Hospital Charge Code	270697876
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 4.5X8MM

Facility

$1,100.00

Service Code	HCPCS C1713
Hospital Charge Code	270697876
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 OPTILINK 5.0MM X 40 MM

Facility

$907.85

Service Code	HCPCS C1713
Hospital Charge Code	270691470
Hospital Revenue Code	278
Min. Negotiated Rate	$21.88
Max. Negotiated Rate	$453.93
Rate for Payer: Aetna Commercial	$344.98
Rate for Payer: Aetna Medicare Advantage	$272.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$231.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$231.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$231.50
Rate for Payer: Cigna Commercial	$453.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$199.73
Rate for Payer: Qualcare PPO/HMO/WC	$136.18
Rate for Payer: UnitedHealthcare Community & State	$21.88
Rate for Payer: Wellpoint Medicaid Managed Care	$24.06

SCREW OPTILINK 5.0MM X 40 MM

Facility

$907.85

Service Code	HCPCS C1713
Hospital Charge Code	270691470
Hospital Revenue Code	278
Min. Negotiated Rate	$136.18
Max. Negotiated Rate	$219.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$199.73
Rate for Payer: Qualcare PPO/HMO/WC	$136.18

SCREW OPTILINK 5.0MM X 48 MM

Facility

$907.85

Service Code	HCPCS C1713
Hospital Charge Code	270691471
Hospital Revenue Code	278
Min. Negotiated Rate	$21.88
Max. Negotiated Rate	$453.93
Rate for Payer: Aetna Commercial	$344.98
Rate for Payer: Aetna Medicare Advantage	$272.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$231.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$231.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$231.50
Rate for Payer: Cigna Commercial	$453.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$199.73
Rate for Payer: Qualcare PPO/HMO/WC	$136.18
Rate for Payer: UnitedHealthcare Community & State	$21.88
Rate for Payer: Wellpoint Medicaid Managed Care	$24.06

SCREW OPTILINK 5.0MM X 48 MM

Facility

$907.85

Service Code	HCPCS C1713
Hospital Charge Code	270691471
Hospital Revenue Code	278
Min. Negotiated Rate	$136.18
Max. Negotiated Rate	$219.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$199.73
Rate for Payer: Qualcare PPO/HMO/WC	$136.18

SCREW OPTILINK 5.0MM X 50 MM

Facility

$907.85

Service Code	HCPCS C1713
Hospital Charge Code	270691472
Hospital Revenue Code	278
Min. Negotiated Rate	$21.88
Max. Negotiated Rate	$453.93
Rate for Payer: Aetna Commercial	$344.98
Rate for Payer: Aetna Medicare Advantage	$272.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$231.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$231.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$231.50
Rate for Payer: Cigna Commercial	$453.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$199.73
Rate for Payer: Qualcare PPO/HMO/WC	$136.18
Rate for Payer: UnitedHealthcare Community & State	$21.88
Rate for Payer: Wellpoint Medicaid Managed Care	$24.06

SCREW OPTILINK 5.0MM X 50 MM

Facility

$907.85

Service Code	HCPCS C1713
Hospital Charge Code	270691472
Hospital Revenue Code	278
Min. Negotiated Rate	$136.18
Max. Negotiated Rate	$219.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$199.73
Rate for Payer: Qualcare PPO/HMO/WC	$136.18

SCREW OPTILINK 5.0MM X 55 MM

Facility

$907.85

Service Code	HCPCS C1713
Hospital Charge Code	270691474
Hospital Revenue Code	278
Min. Negotiated Rate	$21.88
Max. Negotiated Rate	$453.93
Rate for Payer: Aetna Commercial	$344.98
Rate for Payer: Aetna Medicare Advantage	$272.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$231.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$231.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$231.50
Rate for Payer: Cigna Commercial	$453.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$199.73
Rate for Payer: Qualcare PPO/HMO/WC	$136.18
Rate for Payer: UnitedHealthcare Community & State	$21.88
Rate for Payer: Wellpoint Medicaid Managed Care	$24.06

SCREW OPTILINK 5.0MM X 55 MM

Facility

$907.85

Service Code	HCPCS C1713
Hospital Charge Code	270691474
Hospital Revenue Code	278
Min. Negotiated Rate	$136.18
Max. Negotiated Rate	$219.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$199.73
Rate for Payer: Qualcare PPO/HMO/WC	$136.18

SCREW OPTILINK 5.0MM X 60 MM

Facility

$907.85

Service Code	HCPCS C1713
Hospital Charge Code	270691473
Hospital Revenue Code	278
Min. Negotiated Rate	$136.18
Max. Negotiated Rate	$219.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$199.73
Rate for Payer: Qualcare PPO/HMO/WC	$136.18

SCREW OPTILINK 5.0MM X 60 MM

Facility

$907.85

Service Code	HCPCS C1713
Hospital Charge Code	270691473
Hospital Revenue Code	278
Min. Negotiated Rate	$21.88
Max. Negotiated Rate	$453.93
Rate for Payer: Aetna Commercial	$344.98
Rate for Payer: Aetna Medicare Advantage	$272.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$231.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$231.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$231.50
Rate for Payer: Cigna Commercial	$453.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$199.73
Rate for Payer: Qualcare PPO/HMO/WC	$136.18
Rate for Payer: UnitedHealthcare Community & State	$21.88
Rate for Payer: Wellpoint Medicaid Managed Care	$24.06

SCREW OPTILINK 5.0MM X 65 MM

Facility

$907.85

Service Code	HCPCS C1713
Hospital Charge Code	270691477
Hospital Revenue Code	278
Min. Negotiated Rate	$21.88
Max. Negotiated Rate	$453.93
Rate for Payer: Aetna Commercial	$344.98
Rate for Payer: Aetna Medicare Advantage	$272.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$231.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$231.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$231.50
Rate for Payer: Cigna Commercial	$453.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$199.73
Rate for Payer: Qualcare PPO/HMO/WC	$136.18
Rate for Payer: UnitedHealthcare Community & State	$21.88
Rate for Payer: Wellpoint Medicaid Managed Care	$24.06

SCREW OPTILINK 5.0MM X 65 MM

Facility

$907.85

Service Code	HCPCS C1713
Hospital Charge Code	270691477
Hospital Revenue Code	278
Min. Negotiated Rate	$136.18
Max. Negotiated Rate	$219.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$199.73
Rate for Payer: Qualcare PPO/HMO/WC	$136.18

SCREW OPTILINK 5.0MM X 70 MM

Facility

$907.85

Service Code	HCPCS C1713
Hospital Charge Code	270691478
Hospital Revenue Code	278
Min. Negotiated Rate	$136.18
Max. Negotiated Rate	$219.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$199.73
Rate for Payer: Qualcare PPO/HMO/WC	$136.18

SCREW OPTILINK 5.0MM X 70 MM

Facility

$907.85

Service Code	HCPCS C1713
Hospital Charge Code	270691478
Hospital Revenue Code	278
Min. Negotiated Rate	$21.88
Max. Negotiated Rate	$453.93
Rate for Payer: Aetna Commercial	$344.98
Rate for Payer: Aetna Medicare Advantage	$272.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$231.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$231.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$231.50
Rate for Payer: Cigna Commercial	$453.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$199.73
Rate for Payer: Qualcare PPO/HMO/WC	$136.18
Rate for Payer: UnitedHealthcare Community & State	$21.88
Rate for Payer: Wellpoint Medicaid Managed Care	$24.06

SCREW OPTILINK 5.0MM X 75 MM

Facility

$907.85

Service Code	HCPCS C1713
Hospital Charge Code	270691479
Hospital Revenue Code	278
Min. Negotiated Rate	$136.18
Max. Negotiated Rate	$219.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$199.73
Rate for Payer: Qualcare PPO/HMO/WC	$136.18

SCREW OPTILINK 5.0MM X 75 MM

Facility

$907.85

Service Code	HCPCS C1713
Hospital Charge Code	270691479
Hospital Revenue Code	278
Min. Negotiated Rate	$21.88
Max. Negotiated Rate	$453.93
Rate for Payer: Aetna Commercial	$344.98
Rate for Payer: Aetna Medicare Advantage	$272.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$231.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$231.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$231.50
Rate for Payer: Cigna Commercial	$453.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$199.73
Rate for Payer: Qualcare PPO/HMO/WC	$136.18
Rate for Payer: UnitedHealthcare Community & State	$21.88
Rate for Payer: Wellpoint Medicaid Managed Care	$24.06

SCREW OPTILINK 5.0MM X 80 MM

Facility

$907.85

Service Code	HCPCS C1713
Hospital Charge Code	270691480
Hospital Revenue Code	278
Min. Negotiated Rate	$136.18
Max. Negotiated Rate	$219.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$199.73
Rate for Payer: Qualcare PPO/HMO/WC	$136.18

SCREW OPTILINK 5.0MM X 80 MM

Facility

$907.85

Service Code	HCPCS C1713
Hospital Charge Code	270691480
Hospital Revenue Code	278
Min. Negotiated Rate	$21.88
Max. Negotiated Rate	$453.93
Rate for Payer: Aetna Commercial	$344.98
Rate for Payer: Aetna Medicare Advantage	$272.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$231.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$231.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$231.50
Rate for Payer: Cigna Commercial	$453.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$199.73
Rate for Payer: Qualcare PPO/HMO/WC	$136.18
Rate for Payer: UnitedHealthcare Community & State	$21.88
Rate for Payer: Wellpoint Medicaid Managed Care	$24.06

SCREW OPTILINK 5.0MM X 85 MM

Facility

$907.85

Service Code	HCPCS C1713
Hospital Charge Code	270691481
Hospital Revenue Code	278
Min. Negotiated Rate	$21.88
Max. Negotiated Rate	$453.93
Rate for Payer: Aetna Commercial	$344.98
Rate for Payer: Aetna Medicare Advantage	$272.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$231.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$231.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$231.50
Rate for Payer: Cigna Commercial	$453.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$199.73
Rate for Payer: Qualcare PPO/HMO/WC	$136.18
Rate for Payer: UnitedHealthcare Community & State	$21.88
Rate for Payer: Wellpoint Medicaid Managed Care	$24.06

SCREW OPTILINK 5.0MM X 85 MM

Facility

$907.85

Service Code	HCPCS C1713
Hospital Charge Code	270691481
Hospital Revenue Code	278
Min. Negotiated Rate	$136.18
Max. Negotiated Rate	$219.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$199.73
Rate for Payer: Qualcare PPO/HMO/WC	$136.18

SCREW OPTILINK 5.0MM X 90 MM

Facility

$907.85

Service Code	HCPCS C1713
Hospital Charge Code	270691482
Hospital Revenue Code	278
Min. Negotiated Rate	$136.18
Max. Negotiated Rate	$219.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$199.73
Rate for Payer: Qualcare PPO/HMO/WC	$136.18

Know your out-of-pocket cost for care.

All Charges