Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW PERIA LOCK/CANN 5.5X80MM

Facility

$910.00

Hospital Charge Code	270639677
Hospital Revenue Code	278
Min. Negotiated Rate	$21.93
Max. Negotiated Rate	$455.00
Rate for Payer: Aetna Commercial	$345.80
Rate for Payer: Aetna Medicare Advantage	$273.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$232.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$232.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$182.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$232.05
Rate for Payer: Cigna Commercial	$455.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$220.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$200.20
Rate for Payer: Qualcare PPO/HMO/WC	$136.50
Rate for Payer: UnitedHealthcare Community & State	$21.93
Rate for Payer: Wellpoint Medicaid Managed Care	$24.11

SCREW PERIART 3 5 16 234702016

Facility

$107.10

Hospital Charge Code	270637141
Hospital Revenue Code	278
Min. Negotiated Rate	$2.58
Max. Negotiated Rate	$53.55
Rate for Payer: Aetna Commercial	$40.70
Rate for Payer: Aetna Medicare Advantage	$32.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.31
Rate for Payer: Cigna Commercial	$53.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.92
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$23.56
Rate for Payer: Qualcare PPO/HMO/WC	$16.07
Rate for Payer: UnitedHealthcare Community & State	$2.58
Rate for Payer: Wellpoint Medicaid Managed Care	$2.84

SCREW PERIART 3 5 16 234702016

Facility

$107.10

Hospital Charge Code	270637141
Hospital Revenue Code	278
Min. Negotiated Rate	$16.07
Max. Negotiated Rate	$25.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.92
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$23.56
Rate for Payer: Qualcare PPO/HMO/WC	$16.07

SCREW PERIART 3.5 24 234802436

Facility

$128.15

Hospital Charge Code	270638864
Hospital Revenue Code	278
Min. Negotiated Rate	$19.22
Max. Negotiated Rate	$31.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.01
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$28.19
Rate for Payer: Qualcare PPO/HMO/WC	$19.22

SCREW PERIART 3.5 24 234802436

Facility

$128.15

Hospital Charge Code	270638864
Hospital Revenue Code	278
Min. Negotiated Rate	$3.09
Max. Negotiated Rate	$64.08
Rate for Payer: Aetna Commercial	$48.70
Rate for Payer: Aetna Medicare Advantage	$38.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.68
Rate for Payer: Cigna Commercial	$64.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.01
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$28.19
Rate for Payer: Qualcare PPO/HMO/WC	$19.22
Rate for Payer: UnitedHealthcare Community & State	$3.09
Rate for Payer: Wellpoint Medicaid Managed Care	$3.40

SCREW PERIARTICULAR 2347-26-55

Facility

$117.00

Hospital Charge Code	270636212
Hospital Revenue Code	278
Min. Negotiated Rate	$2.82
Max. Negotiated Rate	$58.50
Rate for Payer: Aetna Commercial	$44.46
Rate for Payer: Aetna Medicare Advantage	$35.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.84
Rate for Payer: Cigna Commercial	$58.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$25.74
Rate for Payer: Qualcare PPO/HMO/WC	$17.55
Rate for Payer: UnitedHealthcare Community & State	$2.82
Rate for Payer: Wellpoint Medicaid Managed Care	$3.10

SCREW PERIARTICULAR 2347-26-55

Facility

$117.00

Hospital Charge Code	270636212
Hospital Revenue Code	278
Min. Negotiated Rate	$17.55
Max. Negotiated Rate	$28.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$25.74
Rate for Payer: Qualcare PPO/HMO/WC	$17.55

SCREW PERIARTICULAR 3.5mm 34mm

Facility

$99.25

Hospital Charge Code	270632096
Hospital Revenue Code	278
Min. Negotiated Rate	$14.89
Max. Negotiated Rate	$24.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$21.84
Rate for Payer: Qualcare PPO/HMO/WC	$14.89

SCREW PERIARTICULAR 3.5mm 34mm

Facility

$99.25

Hospital Charge Code	270632096
Hospital Revenue Code	278
Min. Negotiated Rate	$2.39
Max. Negotiated Rate	$49.62
Rate for Payer: Aetna Commercial	$37.72
Rate for Payer: Aetna Medicare Advantage	$29.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.31
Rate for Payer: Cigna Commercial	$49.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$21.84
Rate for Payer: Qualcare PPO/HMO/WC	$14.89
Rate for Payer: UnitedHealthcare Community & State	$2.39
Rate for Payer: Wellpoint Medicaid Managed Care	$2.63

SCREW PERIARTICULAR 3.5mm 42mm

Facility

$99.25

Hospital Charge Code	270632097
Hospital Revenue Code	278
Min. Negotiated Rate	$14.89
Max. Negotiated Rate	$24.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$21.84
Rate for Payer: Qualcare PPO/HMO/WC	$14.89

SCREW PERIARTICULAR 3.5mm 42mm

Facility

$99.25

Hospital Charge Code	270632097
Hospital Revenue Code	278
Min. Negotiated Rate	$2.39
Max. Negotiated Rate	$49.62
Rate for Payer: Aetna Commercial	$37.72
Rate for Payer: Aetna Medicare Advantage	$29.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.31
Rate for Payer: Cigna Commercial	$49.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$21.84
Rate for Payer: Qualcare PPO/HMO/WC	$14.89
Rate for Payer: UnitedHealthcare Community & State	$2.39
Rate for Payer: Wellpoint Medicaid Managed Care	$2.63

SCREW PERIARTICULAR 3.5mm 48mm

Facility

$99.25

Hospital Charge Code	270632098
Hospital Revenue Code	278
Min. Negotiated Rate	$14.89
Max. Negotiated Rate	$24.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$21.84
Rate for Payer: Qualcare PPO/HMO/WC	$14.89

SCREW PERIARTICULAR 3.5mm 48mm

Facility

$99.25

Hospital Charge Code	270632098
Hospital Revenue Code	278
Min. Negotiated Rate	$2.39
Max. Negotiated Rate	$49.62
Rate for Payer: Aetna Commercial	$37.72
Rate for Payer: Aetna Medicare Advantage	$29.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.31
Rate for Payer: Cigna Commercial	$49.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$21.84
Rate for Payer: Qualcare PPO/HMO/WC	$14.89
Rate for Payer: UnitedHealthcare Community & State	$2.39
Rate for Payer: Wellpoint Medicaid Managed Care	$2.63

SCREW PERIARTICULAR FULL THD

Facility

$99.25

Hospital Charge Code	270630832
Hospital Revenue Code	278
Min. Negotiated Rate	$14.89
Max. Negotiated Rate	$24.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$21.84
Rate for Payer: Qualcare PPO/HMO/WC	$14.89

SCREW PERIARTICULAR FULL THD

Facility

$99.25

Hospital Charge Code	270630831
Hospital Revenue Code	278
Min. Negotiated Rate	$2.39
Max. Negotiated Rate	$49.62
Rate for Payer: Aetna Commercial	$37.72
Rate for Payer: Aetna Medicare Advantage	$29.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.31
Rate for Payer: Cigna Commercial	$49.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$21.84
Rate for Payer: Qualcare PPO/HMO/WC	$14.89
Rate for Payer: UnitedHealthcare Community & State	$2.39
Rate for Payer: Wellpoint Medicaid Managed Care	$2.63

SCREW PERIARTICULAR FULL THD

Facility

$99.25

Hospital Charge Code	270630832
Hospital Revenue Code	278
Min. Negotiated Rate	$2.39
Max. Negotiated Rate	$49.62
Rate for Payer: Aetna Commercial	$37.72
Rate for Payer: Aetna Medicare Advantage	$29.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.31
Rate for Payer: Cigna Commercial	$49.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$21.84
Rate for Payer: Qualcare PPO/HMO/WC	$14.89
Rate for Payer: UnitedHealthcare Community & State	$2.39
Rate for Payer: Wellpoint Medicaid Managed Care	$2.63

SCREW PERIARTICULAR FULL THD

Facility

$99.25

Hospital Charge Code	270630831
Hospital Revenue Code	278
Min. Negotiated Rate	$14.89
Max. Negotiated Rate	$24.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$21.84
Rate for Payer: Qualcare PPO/HMO/WC	$14.89

SCREW PERIARTICULAR SELF-TAP

Facility

$99.25

Hospital Charge Code	270630828
Hospital Revenue Code	278
Min. Negotiated Rate	$2.39
Max. Negotiated Rate	$49.62
Rate for Payer: Aetna Commercial	$37.72
Rate for Payer: Aetna Medicare Advantage	$29.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.31
Rate for Payer: Cigna Commercial	$49.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$21.84
Rate for Payer: Qualcare PPO/HMO/WC	$14.89
Rate for Payer: UnitedHealthcare Community & State	$2.39
Rate for Payer: Wellpoint Medicaid Managed Care	$2.63

SCREW PERIARTICULAR SELF-TAP

Facility

$99.25

Hospital Charge Code	270630830
Hospital Revenue Code	278
Min. Negotiated Rate	$2.39
Max. Negotiated Rate	$49.62
Rate for Payer: Aetna Commercial	$37.72
Rate for Payer: Aetna Medicare Advantage	$29.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.31
Rate for Payer: Cigna Commercial	$49.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$21.84
Rate for Payer: Qualcare PPO/HMO/WC	$14.89
Rate for Payer: UnitedHealthcare Community & State	$2.39
Rate for Payer: Wellpoint Medicaid Managed Care	$2.63

SCREW PERIARTICULAR SELF-TAP

Facility

$99.25

Hospital Charge Code	270630829
Hospital Revenue Code	278
Min. Negotiated Rate	$14.89
Max. Negotiated Rate	$24.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$21.84
Rate for Payer: Qualcare PPO/HMO/WC	$14.89

SCREW PERIARTICULAR SELF-TAP

Facility

$99.25

Hospital Charge Code	270630830
Hospital Revenue Code	278
Min. Negotiated Rate	$14.89
Max. Negotiated Rate	$24.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$21.84
Rate for Payer: Qualcare PPO/HMO/WC	$14.89

SCREW PERIARTICULAR SELF-TAP

Facility

$99.25

Hospital Charge Code	270630828
Hospital Revenue Code	278
Min. Negotiated Rate	$14.89
Max. Negotiated Rate	$24.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$21.84
Rate for Payer: Qualcare PPO/HMO/WC	$14.89

SCREW PERIARTICULAR SELF-TAP

Facility

$99.25

Hospital Charge Code	270630829
Hospital Revenue Code	278
Min. Negotiated Rate	$2.39
Max. Negotiated Rate	$49.62
Rate for Payer: Aetna Commercial	$37.72
Rate for Payer: Aetna Medicare Advantage	$29.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.31
Rate for Payer: Cigna Commercial	$49.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$21.84
Rate for Payer: Qualcare PPO/HMO/WC	$14.89
Rate for Payer: UnitedHealthcare Community & State	$2.39
Rate for Payer: Wellpoint Medicaid Managed Care	$2.63

SCREW PERIARTL 4.0 34 23472234

Facility

$102.25

Hospital Charge Code	270634237
Hospital Revenue Code	278
Min. Negotiated Rate	$2.46
Max. Negotiated Rate	$51.12
Rate for Payer: Aetna Commercial	$38.85
Rate for Payer: Aetna Medicare Advantage	$30.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.07
Rate for Payer: Cigna Commercial	$51.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$22.50
Rate for Payer: Qualcare PPO/HMO/WC	$15.34
Rate for Payer: UnitedHealthcare Community & State	$2.46
Rate for Payer: Wellpoint Medicaid Managed Care	$2.71

SCREW PERIARTL 4.0 34 23472234

Facility

$102.25

Hospital Charge Code	270634237
Hospital Revenue Code	278
Min. Negotiated Rate	$15.34
Max. Negotiated Rate	$24.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$22.50
Rate for Payer: Qualcare PPO/HMO/WC	$15.34

Know your out-of-pocket cost for care.

All Charges