Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW PLUSDRIVE 2.4 X 8 MM

Facility

$390.00

Hospital Charge Code	270666270
Hospital Revenue Code	278
Min. Negotiated Rate	$9.40
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$148.20
Rate for Payer: Aetna Medicare Advantage	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$78.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.45
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.38
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$85.80
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Community & State	$9.40
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

SCREW PLUSDRIVE 2.4 X 8 MM

Facility

$390.00

Hospital Charge Code	270666270
Hospital Revenue Code	278
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$94.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$78.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.38
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$85.80
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

SCREW POCT 4.0X30MM

Facility

$6,740.00

Service Code	HCPCS C1713
Hospital Charge Code	270694822
Hospital Revenue Code	278
Min. Negotiated Rate	$162.43
Max. Negotiated Rate	$3,370.00
Rate for Payer: Aetna Commercial	$2,561.20
Rate for Payer: Aetna Medicare Advantage	$2,022.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,718.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,718.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,348.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,718.70
Rate for Payer: Cigna Commercial	$3,370.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,631.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,482.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,011.00
Rate for Payer: UnitedHealthcare Community & State	$162.43
Rate for Payer: Wellpoint Medicaid Managed Care	$178.61

SCREW POCT 4.0X30MM

Facility

$6,740.00

Service Code	HCPCS C1713
Hospital Charge Code	270694822
Hospital Revenue Code	278
Min. Negotiated Rate	$1,011.00
Max. Negotiated Rate	$1,631.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,348.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,631.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,482.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,011.00

SCREW POCT 4.0X35MM

Facility

$6,740.00

Service Code	HCPCS C1713
Hospital Charge Code	270694823
Hospital Revenue Code	278
Min. Negotiated Rate	$1,011.00
Max. Negotiated Rate	$1,631.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,348.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,631.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,482.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,011.00

SCREW POCT 4.0X35MM

Facility

$6,740.00

Service Code	HCPCS C1713
Hospital Charge Code	270694823
Hospital Revenue Code	278
Min. Negotiated Rate	$162.43
Max. Negotiated Rate	$3,370.00
Rate for Payer: Aetna Commercial	$2,561.20
Rate for Payer: Aetna Medicare Advantage	$2,022.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,718.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,718.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,348.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,718.70
Rate for Payer: Cigna Commercial	$3,370.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,631.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,482.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,011.00
Rate for Payer: UnitedHealthcare Community & State	$162.43
Rate for Payer: Wellpoint Medicaid Managed Care	$178.61

SCREW POCT POLYAX 3.5X24MM

Facility

$6,740.00

Service Code	HCPCS C1713
Hospital Charge Code	270695759
Hospital Revenue Code	278
Min. Negotiated Rate	$1,011.00
Max. Negotiated Rate	$1,631.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,348.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,631.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,482.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,011.00

SCREW POCT POLYAX 3.5X24MM

Facility

$6,740.00

Service Code	HCPCS C1713
Hospital Charge Code	270695759
Hospital Revenue Code	278
Min. Negotiated Rate	$162.43
Max. Negotiated Rate	$3,370.00
Rate for Payer: Aetna Commercial	$2,561.20
Rate for Payer: Aetna Medicare Advantage	$2,022.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,718.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,718.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,348.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,718.70
Rate for Payer: Cigna Commercial	$3,370.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,631.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,482.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,011.00
Rate for Payer: UnitedHealthcare Community & State	$162.43
Rate for Payer: Wellpoint Medicaid Managed Care	$178.61

SCREW POCT POLYAX 3.5X26MM

Facility

$6,740.00

Service Code	HCPCS C1713
Hospital Charge Code	270695758
Hospital Revenue Code	278
Min. Negotiated Rate	$1,011.00
Max. Negotiated Rate	$1,631.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,348.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,631.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,482.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,011.00

SCREW POCT POLYAX 3.5X26MM

Facility

$6,740.00

Service Code	HCPCS C1713
Hospital Charge Code	270695758
Hospital Revenue Code	278
Min. Negotiated Rate	$162.43
Max. Negotiated Rate	$3,370.00
Rate for Payer: Aetna Commercial	$2,561.20
Rate for Payer: Aetna Medicare Advantage	$2,022.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,718.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,718.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,348.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,718.70
Rate for Payer: Cigna Commercial	$3,370.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,631.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,482.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,011.00
Rate for Payer: UnitedHealthcare Community & State	$162.43
Rate for Payer: Wellpoint Medicaid Managed Care	$178.61

SCREW POLY 3.5x 14 MM

Facility

$4,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270681777
Hospital Revenue Code	278
Min. Negotiated Rate	$114.47
Max. Negotiated Rate	$2,375.00
Rate for Payer: Aetna Commercial	$1,805.00
Rate for Payer: Aetna Medicare Advantage	$1,425.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$950.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,211.25
Rate for Payer: Cigna Commercial	$2,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,149.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,045.00
Rate for Payer: Qualcare PPO/HMO/WC	$712.50
Rate for Payer: UnitedHealthcare Community & State	$114.47
Rate for Payer: Wellpoint Medicaid Managed Care	$125.88

SCREW POLY 3.5x 14 MM

Facility

$4,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270681777
Hospital Revenue Code	278
Min. Negotiated Rate	$712.50
Max. Negotiated Rate	$1,149.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,149.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,045.00
Rate for Payer: Qualcare PPO/HMO/WC	$712.50

SCREW POLY 3.5 X 16MM

Facility

$9,200.00

Hospital Charge Code	270658024
Hospital Revenue Code	278
Min. Negotiated Rate	$1,380.00
Max. Negotiated Rate	$2,226.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,840.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,226.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,024.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,380.00

SCREW POLY 3.5 X 16MM

Facility

$9,200.00

Hospital Charge Code	270658024
Hospital Revenue Code	278
Min. Negotiated Rate	$221.72
Max. Negotiated Rate	$4,600.00
Rate for Payer: Aetna Commercial	$3,496.00
Rate for Payer: Aetna Medicare Advantage	$2,760.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,346.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,346.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,840.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,346.00
Rate for Payer: Cigna Commercial	$4,600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,226.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,024.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,380.00
Rate for Payer: UnitedHealthcare Community & State	$221.72
Rate for Payer: Wellpoint Medicaid Managed Care	$243.80

SCREW POLY 4.75X35 1770.34.735

Facility

$5,704.00

Hospital Charge Code	270629832
Hospital Revenue Code	278
Min. Negotiated Rate	$855.60
Max. Negotiated Rate	$1,380.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,140.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,380.37
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,254.88
Rate for Payer: Qualcare PPO/HMO/WC	$855.60

SCREW POLY 4.75X35 1770.34.735

Facility

$5,704.00

Hospital Charge Code	270629832
Hospital Revenue Code	278
Min. Negotiated Rate	$137.47
Max. Negotiated Rate	$2,852.00
Rate for Payer: Aetna Commercial	$2,167.52
Rate for Payer: Aetna Medicare Advantage	$1,711.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,454.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,454.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,140.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,454.52
Rate for Payer: Cigna Commercial	$2,852.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,380.37
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,254.88
Rate for Payer: Qualcare PPO/HMO/WC	$855.60
Rate for Payer: UnitedHealthcare Community & State	$137.47
Rate for Payer: Wellpoint Medicaid Managed Care	$151.16

SCREW POLY 5.5X35 1770.35.535

Facility

$5,704.00

Hospital Charge Code	270629831
Hospital Revenue Code	278
Min. Negotiated Rate	$855.60
Max. Negotiated Rate	$1,380.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,140.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,380.37
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,254.88
Rate for Payer: Qualcare PPO/HMO/WC	$855.60

SCREW POLY 5.5X35 1770.35.535

Facility

$5,704.00

Hospital Charge Code	270629831
Hospital Revenue Code	278
Min. Negotiated Rate	$137.47
Max. Negotiated Rate	$2,852.00
Rate for Payer: Aetna Commercial	$2,167.52
Rate for Payer: Aetna Medicare Advantage	$1,711.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,454.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,454.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,140.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,454.52
Rate for Payer: Cigna Commercial	$2,852.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,380.37
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,254.88
Rate for Payer: Qualcare PPO/HMO/WC	$855.60
Rate for Payer: UnitedHealthcare Community & State	$137.47
Rate for Payer: Wellpoint Medicaid Managed Care	$151.16

SCREW POLY 5.5X40 1770.35.540

Facility

$5,208.00

Hospital Charge Code	270629830
Hospital Revenue Code	278
Min. Negotiated Rate	$781.20
Max. Negotiated Rate	$1,260.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,041.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,260.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,145.76
Rate for Payer: Qualcare PPO/HMO/WC	$781.20

SCREW POLY 5.5X40 1770.35.540

Facility

$5,208.00

Hospital Charge Code	270629830
Hospital Revenue Code	278
Min. Negotiated Rate	$125.51
Max. Negotiated Rate	$2,604.00
Rate for Payer: Aetna Commercial	$1,979.04
Rate for Payer: Aetna Medicare Advantage	$1,562.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,328.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,328.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,041.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,328.04
Rate for Payer: Cigna Commercial	$2,604.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,260.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,145.76
Rate for Payer: Qualcare PPO/HMO/WC	$781.20
Rate for Payer: UnitedHealthcare Community & State	$125.51
Rate for Payer: Wellpoint Medicaid Managed Care	$138.01

SCREW POLY 5.5X4.5MM

Facility

$8,900.00

Hospital Charge Code	270656115
Hospital Revenue Code	278
Min. Negotiated Rate	$1,335.00
Max. Negotiated Rate	$2,153.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,780.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,153.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,958.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,335.00

SCREW POLY 5.5X4.5MM

Facility

$8,900.00

Hospital Charge Code	270656115
Hospital Revenue Code	278
Min. Negotiated Rate	$214.49
Max. Negotiated Rate	$4,450.00
Rate for Payer: Aetna Commercial	$3,382.00
Rate for Payer: Aetna Medicare Advantage	$2,670.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,269.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,269.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,780.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,269.50
Rate for Payer: Cigna Commercial	$4,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,153.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,958.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,335.00
Rate for Payer: UnitedHealthcare Community & State	$214.49
Rate for Payer: Wellpoint Medicaid Managed Care	$235.85

SCREW POLY 5.5X50MM

Facility

$8,900.00

Hospital Charge Code	270656116
Hospital Revenue Code	278
Min. Negotiated Rate	$214.49
Max. Negotiated Rate	$4,450.00
Rate for Payer: Aetna Commercial	$3,382.00
Rate for Payer: Aetna Medicare Advantage	$2,670.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,269.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,269.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,780.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,269.50
Rate for Payer: Cigna Commercial	$4,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,153.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,958.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,335.00
Rate for Payer: UnitedHealthcare Community & State	$214.49
Rate for Payer: Wellpoint Medicaid Managed Care	$235.85

SCREW POLY 5.5X50MM

Facility

$8,900.00

Hospital Charge Code	270656116
Hospital Revenue Code	278
Min. Negotiated Rate	$1,335.00
Max. Negotiated Rate	$2,153.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,780.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,153.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,958.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,335.00

SCREW POLY 5.5x55MM

Facility

$6,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270680800
Hospital Revenue Code	278
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$1,452.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,320.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

Know your out-of-pocket cost for care.

All Charges