Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW SAVANNAH T 7.5x45MM

Facility

$12,100.00

Service Code	HCPCS C1713
Hospital Charge Code	270674913
Hospital Revenue Code	278
Min. Negotiated Rate	$1,815.00
Max. Negotiated Rate	$2,928.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,420.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,928.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,662.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,815.00

SCREW SAVANNAH T 7.5x45MM

Facility

$12,100.00

Service Code	HCPCS C1713
Hospital Charge Code	270674913
Hospital Revenue Code	278
Min. Negotiated Rate	$291.61
Max. Negotiated Rate	$6,050.00
Rate for Payer: Aetna Commercial	$4,598.00
Rate for Payer: Aetna Medicare Advantage	$3,630.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,085.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,085.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,420.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,085.50
Rate for Payer: Cigna Commercial	$6,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,928.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,662.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,815.00
Rate for Payer: UnitedHealthcare Community & State	$291.61
Rate for Payer: Wellpoint Medicaid Managed Care	$320.65

SCREW SCHANZ 3/4x80MM

Facility

$378.75

Service Code	HCPCS C1713
Hospital Charge Code	270601800
Hospital Revenue Code	278
Min. Negotiated Rate	$56.81
Max. Negotiated Rate	$91.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$83.33
Rate for Payer: Qualcare PPO/HMO/WC	$56.81

SCREW SCHANZ 3/4x80MM

Facility

$378.75

Service Code	HCPCS C1713
Hospital Charge Code	270601800
Hospital Revenue Code	278
Min. Negotiated Rate	$9.13
Max. Negotiated Rate	$189.38
Rate for Payer: Aetna Commercial	$143.93
Rate for Payer: Aetna Medicare Advantage	$113.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$96.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$96.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$96.58
Rate for Payer: Cigna Commercial	$189.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$83.33
Rate for Payer: Qualcare PPO/HMO/WC	$56.81
Rate for Payer: UnitedHealthcare Community & State	$9.13
Rate for Payer: Wellpoint Medicaid Managed Care	$10.04

SCREW SCHANZ 4.0/60MM SPADE

Facility

$357.00

Hospital Charge Code	270656304
Hospital Revenue Code	278
Min. Negotiated Rate	$8.60
Max. Negotiated Rate	$178.50
Rate for Payer: Aetna Commercial	$135.66
Rate for Payer: Aetna Medicare Advantage	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.03
Rate for Payer: Cigna Commercial	$178.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$78.54
Rate for Payer: Qualcare PPO/HMO/WC	$53.55
Rate for Payer: UnitedHealthcare Community & State	$8.60
Rate for Payer: Wellpoint Medicaid Managed Care	$9.46

SCREW SCHANZ 4.0/60MM SPADE

Facility

$357.00

Hospital Charge Code	270656304
Hospital Revenue Code	278
Min. Negotiated Rate	$53.55
Max. Negotiated Rate	$86.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$78.54
Rate for Payer: Qualcare PPO/HMO/WC	$53.55

SCREW SCHANZ 4.0MMX150 MMX40

Facility

$1,525.00

Service Code	HCPCS C1713
Hospital Charge Code	270688024
Hospital Revenue Code	278
Min. Negotiated Rate	$228.75
Max. Negotiated Rate	$369.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$305.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$369.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$335.50
Rate for Payer: Qualcare PPO/HMO/WC	$228.75

SCREW SCHANZ 4.0MMX150 MMX40

Facility

$1,525.00

Service Code	HCPCS C1713
Hospital Charge Code	270688024
Hospital Revenue Code	278
Min. Negotiated Rate	$36.75
Max. Negotiated Rate	$762.50
Rate for Payer: Aetna Commercial	$579.50
Rate for Payer: Aetna Medicare Advantage	$457.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$388.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$388.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$305.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$388.88
Rate for Payer: Cigna Commercial	$762.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$369.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$335.50
Rate for Payer: Qualcare PPO/HMO/WC	$228.75
Rate for Payer: UnitedHealthcare Community & State	$36.75
Rate for Payer: Wellpoint Medicaid Managed Care	$40.41

SCREW SCHANZ 4.0MM X 2.5MM 80M

Facility

$774.00

Hospital Charge Code	270660432
Hospital Revenue Code	278
Min. Negotiated Rate	$116.10
Max. Negotiated Rate	$187.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$154.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$170.28
Rate for Payer: Qualcare PPO/HMO/WC	$116.10

SCREW SCHANZ 4.0MM X 2.5MM 80M

Facility

$774.00

Hospital Charge Code	270660432
Hospital Revenue Code	278
Min. Negotiated Rate	$18.65
Max. Negotiated Rate	$387.00
Rate for Payer: Aetna Commercial	$294.12
Rate for Payer: Aetna Medicare Advantage	$232.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$154.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.37
Rate for Payer: Cigna Commercial	$387.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$170.28
Rate for Payer: Qualcare PPO/HMO/WC	$116.10
Rate for Payer: UnitedHealthcare Community & State	$18.65
Rate for Payer: Wellpoint Medicaid Managed Care	$20.51

SCREW SCHANZ 4.0X120 29446

Facility

$310.00

Hospital Charge Code	270634840
Hospital Revenue Code	278
Min. Negotiated Rate	$7.47
Max. Negotiated Rate	$155.00
Rate for Payer: Aetna Commercial	$117.80
Rate for Payer: Aetna Medicare Advantage	$93.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$79.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$79.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$62.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$79.05
Rate for Payer: Cigna Commercial	$155.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$68.20
Rate for Payer: Qualcare PPO/HMO/WC	$46.50
Rate for Payer: UnitedHealthcare Community & State	$7.47
Rate for Payer: Wellpoint Medicaid Managed Care	$8.21

SCREW SCHANZ 4.0X120 29446

Facility

$310.00

Hospital Charge Code	270634840
Hospital Revenue Code	278
Min. Negotiated Rate	$46.50
Max. Negotiated Rate	$75.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$62.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$68.20
Rate for Payer: Qualcare PPO/HMO/WC	$46.50

SCREW SCHANZ 4.0x20x80mm

Facility

$797.20

Service Code	HCPCS C1713
Hospital Charge Code	270619747
Hospital Revenue Code	278
Min. Negotiated Rate	$119.58
Max. Negotiated Rate	$192.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$159.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$192.92
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$175.38
Rate for Payer: Qualcare PPO/HMO/WC	$119.58

SCREW SCHANZ 4.0x20x80mm

Facility

$797.20

Service Code	HCPCS C1713
Hospital Charge Code	270619747
Hospital Revenue Code	278
Min. Negotiated Rate	$19.21
Max. Negotiated Rate	$398.60
Rate for Payer: Aetna Commercial	$302.94
Rate for Payer: Aetna Medicare Advantage	$239.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$203.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$203.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$159.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$203.29
Rate for Payer: Cigna Commercial	$398.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$192.92
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$175.38
Rate for Payer: Qualcare PPO/HMO/WC	$119.58
Rate for Payer: UnitedHealthcare Community & State	$19.21
Rate for Payer: Wellpoint Medicaid Managed Care	$21.13

SCREW SCHANZ 4.0 X 3.0MM 100MM

Facility

$774.00

Hospital Charge Code	270660433
Hospital Revenue Code	278
Min. Negotiated Rate	$18.65
Max. Negotiated Rate	$387.00
Rate for Payer: Aetna Commercial	$294.12
Rate for Payer: Aetna Medicare Advantage	$232.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$154.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.37
Rate for Payer: Cigna Commercial	$387.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$170.28
Rate for Payer: Qualcare PPO/HMO/WC	$116.10
Rate for Payer: UnitedHealthcare Community & State	$18.65
Rate for Payer: Wellpoint Medicaid Managed Care	$20.51

SCREW SCHANZ 4.0 X 3.0MM 100MM

Facility

$774.00

Hospital Charge Code	270660433
Hospital Revenue Code	278
Min. Negotiated Rate	$116.10
Max. Negotiated Rate	$187.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$154.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$170.28
Rate for Payer: Qualcare PPO/HMO/WC	$116.10

SCREW SCHANZ 4.0x40x125mm

Facility

$774.00

Service Code	HCPCS C1713
Hospital Charge Code	270666873
Hospital Revenue Code	278
Min. Negotiated Rate	$116.10
Max. Negotiated Rate	$187.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$154.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$170.28
Rate for Payer: Qualcare PPO/HMO/WC	$116.10

SCREW SCHANZ 4.0x40x125mm

Facility

$774.00

Service Code	HCPCS C1713
Hospital Charge Code	270666873
Hospital Revenue Code	278
Min. Negotiated Rate	$18.65
Max. Negotiated Rate	$387.00
Rate for Payer: Aetna Commercial	$294.12
Rate for Payer: Aetna Medicare Advantage	$232.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$154.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.37
Rate for Payer: Cigna Commercial	$387.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$170.28
Rate for Payer: Qualcare PPO/HMO/WC	$116.10
Rate for Payer: UnitedHealthcare Community & State	$18.65
Rate for Payer: Wellpoint Medicaid Managed Care	$20.51

SCREW SCHANZ 4.5mm ROUND TIP

Facility

$420.25

Service Code	HCPCS C1713
Hospital Charge Code	270633039
Hospital Revenue Code	278
Min. Negotiated Rate	$10.13
Max. Negotiated Rate	$210.12
Rate for Payer: Aetna Commercial	$159.69
Rate for Payer: Aetna Medicare Advantage	$126.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.16
Rate for Payer: Cigna Commercial	$210.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$92.45
Rate for Payer: Qualcare PPO/HMO/WC	$63.04
Rate for Payer: UnitedHealthcare Community & State	$10.13
Rate for Payer: Wellpoint Medicaid Managed Care	$11.14

SCREW SCHANZ 4.5mm ROUND TIP

Facility

$420.25

Service Code	HCPCS C1713
Hospital Charge Code	270633039
Hospital Revenue Code	278
Min. Negotiated Rate	$63.04
Max. Negotiated Rate	$101.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$92.45
Rate for Payer: Qualcare PPO/HMO/WC	$63.04

SCREW SCHANZ 4.5x150mm BLUNTED

Facility

$358.45

Service Code	HCPCS C1713
Hospital Charge Code	270639896
Hospital Revenue Code	278
Min. Negotiated Rate	$53.77
Max. Negotiated Rate	$86.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$78.86
Rate for Payer: Qualcare PPO/HMO/WC	$53.77

SCREW SCHANZ 4.5x150mm BLUNTED

Facility

$358.45

Service Code	HCPCS C1713
Hospital Charge Code	270639896
Hospital Revenue Code	278
Min. Negotiated Rate	$8.64
Max. Negotiated Rate	$179.22
Rate for Payer: Aetna Commercial	$136.21
Rate for Payer: Aetna Medicare Advantage	$107.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.40
Rate for Payer: Cigna Commercial	$179.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$78.86
Rate for Payer: Qualcare PPO/HMO/WC	$53.77
Rate for Payer: UnitedHealthcare Community & State	$8.64
Rate for Payer: Wellpoint Medicaid Managed Care	$9.50

SCREW SCHANZ 4.5x200mm BLUNTED

Facility

$420.25

Service Code	HCPCS C1713
Hospital Charge Code	270639897
Hospital Revenue Code	278
Min. Negotiated Rate	$10.13
Max. Negotiated Rate	$210.12
Rate for Payer: Aetna Commercial	$159.69
Rate for Payer: Aetna Medicare Advantage	$126.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.16
Rate for Payer: Cigna Commercial	$210.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$92.45
Rate for Payer: Qualcare PPO/HMO/WC	$63.04
Rate for Payer: UnitedHealthcare Community & State	$10.13
Rate for Payer: Wellpoint Medicaid Managed Care	$11.14

SCREW SCHANZ 4.5x200mm BLUNTED

Facility

$420.25

Service Code	HCPCS C1713
Hospital Charge Code	270639897
Hospital Revenue Code	278
Min. Negotiated Rate	$63.04
Max. Negotiated Rate	$101.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$92.45
Rate for Payer: Qualcare PPO/HMO/WC	$63.04

SCREW SCHANZ 4X120MM

Facility

$357.00

Hospital Charge Code	270669661
Hospital Revenue Code	278
Min. Negotiated Rate	$53.55
Max. Negotiated Rate	$86.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$78.54
Rate for Payer: Qualcare PPO/HMO/WC	$53.55

Know your out-of-pocket cost for care.

All Charges