Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW SCHANZ 9.0mm THD 105mm

Facility

$713.80

Service Code	HCPCS C1713
Hospital Charge Code	270630580
Hospital Revenue Code	278
Min. Negotiated Rate	$107.07
Max. Negotiated Rate	$172.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$142.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$172.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$157.04
Rate for Payer: Qualcare PPO/HMO/WC	$107.07

SCREW SCHANZ 9.0mm THD 105mm

Facility

$713.80

Service Code	HCPCS C1713
Hospital Charge Code	270630580
Hospital Revenue Code	278
Min. Negotiated Rate	$17.20
Max. Negotiated Rate	$356.90
Rate for Payer: Aetna Commercial	$271.24
Rate for Payer: Aetna Medicare Advantage	$214.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$182.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$182.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$142.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$182.02
Rate for Payer: Cigna Commercial	$356.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$172.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$157.04
Rate for Payer: Qualcare PPO/HMO/WC	$107.07
Rate for Payer: UnitedHealthcare Community & State	$17.20
Rate for Payer: Wellpoint Medicaid Managed Care	$18.92

SCREW SCHANZ BLUNT PT 5x170MM

Facility

$483.80

Service Code	HCPCS C1713
Hospital Charge Code	270633450
Hospital Revenue Code	278
Min. Negotiated Rate	$72.57
Max. Negotiated Rate	$117.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$96.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$106.44
Rate for Payer: Qualcare PPO/HMO/WC	$72.57

SCREW SCHANZ BLUNT PT 5x170MM

Facility

$483.80

Service Code	HCPCS C1713
Hospital Charge Code	270633450
Hospital Revenue Code	278
Min. Negotiated Rate	$11.66
Max. Negotiated Rate	$241.90
Rate for Payer: Aetna Commercial	$183.84
Rate for Payer: Aetna Medicare Advantage	$145.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$123.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$123.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$96.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$123.37
Rate for Payer: Cigna Commercial	$241.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$106.44
Rate for Payer: Qualcare PPO/HMO/WC	$72.57
Rate for Payer: UnitedHealthcare Community & State	$11.66
Rate for Payer: Wellpoint Medicaid Managed Care	$12.82

SCREW SCHANZ EXT FIX 4X120MM

Facility

$4,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270698616
Hospital Revenue Code	278
Min. Negotiated Rate	$108.45
Max. Negotiated Rate	$2,250.00
Rate for Payer: Aetna Commercial	$1,710.00
Rate for Payer: Aetna Medicare Advantage	$1,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,147.50
Rate for Payer: Cigna Commercial	$2,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,089.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$990.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00
Rate for Payer: UnitedHealthcare Community & State	$108.45
Rate for Payer: Wellpoint Medicaid Managed Care	$119.25

SCREW SCHANZ EXT FIX 4X120MM

Facility

$4,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270698616
Hospital Revenue Code	278
Min. Negotiated Rate	$675.00
Max. Negotiated Rate	$1,089.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,089.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$990.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00

SCREW SCHANZ EXT FIX 4X150MM

Facility

$450.00

Service Code	HCPCS C1713
Hospital Charge Code	270698629
Hospital Revenue Code	278
Min. Negotiated Rate	$10.85
Max. Negotiated Rate	$225.00
Rate for Payer: Aetna Commercial	$171.00
Rate for Payer: Aetna Medicare Advantage	$135.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.75
Rate for Payer: Cigna Commercial	$225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$99.00
Rate for Payer: Qualcare PPO/HMO/WC	$67.50
Rate for Payer: UnitedHealthcare Community & State	$10.85
Rate for Payer: Wellpoint Medicaid Managed Care	$11.93

SCREW SCHANZ EXT FIX 4X150MM

Facility

$450.00

Service Code	HCPCS C1713
Hospital Charge Code	270698629
Hospital Revenue Code	278
Min. Negotiated Rate	$67.50
Max. Negotiated Rate	$108.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$99.00
Rate for Payer: Qualcare PPO/HMO/WC	$67.50

SCREW SCHANZ SD 4.0X125 SS

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270699299
Hospital Revenue Code	278
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$151.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$137.50
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

SCREW SCHANZ SD 4.0X125 SS

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270699299
Hospital Revenue Code	278
Min. Negotiated Rate	$15.06
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$237.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$137.50
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Community & State	$15.06
Rate for Payer: Wellpoint Medicaid Managed Care	$16.56

SCREW SCHANZ SD 5.0X175 SS

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270699300
Hospital Revenue Code	278
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$151.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$137.50
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

SCREW SCHANZ SD 5.0X175 SS

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270699300
Hospital Revenue Code	278
Min. Negotiated Rate	$15.06
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$237.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$137.50
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Community & State	$15.06
Rate for Payer: Wellpoint Medicaid Managed Care	$16.56

SCREW SCHANZ SD THRD 6.0X175MM

Facility

$1,067.80

Service Code	HCPCS C1713
Hospital Charge Code	270697237
Hospital Revenue Code	278
Min. Negotiated Rate	$25.73
Max. Negotiated Rate	$533.90
Rate for Payer: Aetna Commercial	$405.76
Rate for Payer: Aetna Medicare Advantage	$320.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$272.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$272.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$213.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$272.29
Rate for Payer: Cigna Commercial	$533.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$258.41
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$234.92
Rate for Payer: Qualcare PPO/HMO/WC	$160.17
Rate for Payer: UnitedHealthcare Community & State	$25.73
Rate for Payer: Wellpoint Medicaid Managed Care	$28.30

SCREW SCHANZ SD THRD 6.0X175MM

Facility

$1,067.80

Service Code	HCPCS C1713
Hospital Charge Code	270697237
Hospital Revenue Code	278
Min. Negotiated Rate	$160.17
Max. Negotiated Rate	$258.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$213.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$258.41
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$234.92
Rate for Payer: Qualcare PPO/HMO/WC	$160.17

SCREW SCHANZ SLF DRILL 5x175MM

Facility

$891.00

Service Code	HCPCS C1713
Hospital Charge Code	270675471
Hospital Revenue Code	278
Min. Negotiated Rate	$133.65
Max. Negotiated Rate	$215.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$178.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$215.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$196.02
Rate for Payer: Qualcare PPO/HMO/WC	$133.65

SCREW SCHANZ SLF DRILL 5x175MM

Facility

$891.00

Service Code	HCPCS C1713
Hospital Charge Code	270675471
Hospital Revenue Code	278
Min. Negotiated Rate	$21.47
Max. Negotiated Rate	$445.50
Rate for Payer: Aetna Commercial	$338.58
Rate for Payer: Aetna Medicare Advantage	$267.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$227.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$227.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$178.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$227.21
Rate for Payer: Cigna Commercial	$445.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$215.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$196.02
Rate for Payer: Qualcare PPO/HMO/WC	$133.65
Rate for Payer: UnitedHealthcare Community & State	$21.47
Rate for Payer: Wellpoint Medicaid Managed Care	$23.61

SCREW SCHANZ SLF DRILL 5x200MM

Facility

$891.00

Service Code	HCPCS C1713
Hospital Charge Code	270675470
Hospital Revenue Code	278
Min. Negotiated Rate	$21.47
Max. Negotiated Rate	$445.50
Rate for Payer: Aetna Commercial	$338.58
Rate for Payer: Aetna Medicare Advantage	$267.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$227.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$227.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$178.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$227.21
Rate for Payer: Cigna Commercial	$445.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$215.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$196.02
Rate for Payer: Qualcare PPO/HMO/WC	$133.65
Rate for Payer: UnitedHealthcare Community & State	$21.47
Rate for Payer: Wellpoint Medicaid Managed Care	$23.61

SCREW SCHANZ SLF DRILL 5x200MM

Facility

$891.00

Service Code	HCPCS C1713
Hospital Charge Code	270675470
Hospital Revenue Code	278
Min. Negotiated Rate	$133.65
Max. Negotiated Rate	$215.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$178.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$215.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$196.02
Rate for Payer: Qualcare PPO/HMO/WC	$133.65

SCREW SCHANZ WITH ADP 4.0MM

Facility

$786.00

Service Code	HCPCS C1713
Hospital Charge Code	270661253
Hospital Revenue Code	278
Min. Negotiated Rate	$117.90
Max. Negotiated Rate	$190.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$157.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$190.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$172.92
Rate for Payer: Qualcare PPO/HMO/WC	$117.90

SCREW SCHANZ WITH ADP 4.0MM

Facility

$786.00

Service Code	HCPCS C1713
Hospital Charge Code	270661253
Hospital Revenue Code	278
Min. Negotiated Rate	$18.94
Max. Negotiated Rate	$393.00
Rate for Payer: Aetna Commercial	$298.68
Rate for Payer: Aetna Medicare Advantage	$235.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$200.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$200.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$157.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$200.43
Rate for Payer: Cigna Commercial	$393.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$190.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$172.92
Rate for Payer: Qualcare PPO/HMO/WC	$117.90
Rate for Payer: UnitedHealthcare Community & State	$18.94
Rate for Payer: Wellpoint Medicaid Managed Care	$20.83

SCREW S.D. 16MM

Facility

$1,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270668254
Hospital Revenue Code	278
Min. Negotiated Rate	$206.25
Max. Negotiated Rate	$332.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$332.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$206.25

SCREW S.D. 16MM

Facility

$1,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270668254
Hospital Revenue Code	278
Min. Negotiated Rate	$33.14
Max. Negotiated Rate	$687.50
Rate for Payer: Aetna Commercial	$522.50
Rate for Payer: Aetna Medicare Advantage	$412.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$350.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$350.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$350.62
Rate for Payer: Cigna Commercial	$687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$332.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$206.25
Rate for Payer: UnitedHealthcare Community & State	$33.14
Rate for Payer: Wellpoint Medicaid Managed Care	$36.44

SCREW SD 16MM

Facility

$730.00

Service Code	HCPCS C1713
Hospital Charge Code	270705064
Hospital Revenue Code	278
Min. Negotiated Rate	$17.59
Max. Negotiated Rate	$365.00
Rate for Payer: Aetna Commercial	$277.40
Rate for Payer: Aetna Medicare Advantage	$219.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$186.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$186.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$146.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$186.15
Rate for Payer: Cigna Commercial	$365.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$176.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$160.60
Rate for Payer: Qualcare PPO/HMO/WC	$109.50
Rate for Payer: UnitedHealthcare Community & State	$17.59
Rate for Payer: Wellpoint Medicaid Managed Care	$19.34

SCREW SD 16MM

Facility

$730.00

Service Code	HCPCS C1713
Hospital Charge Code	270705064
Hospital Revenue Code	278
Min. Negotiated Rate	$109.50
Max. Negotiated Rate	$176.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$146.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$176.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$160.60
Rate for Payer: Qualcare PPO/HMO/WC	$109.50

SCREW SD 3.5X12MM

Facility

$1,050.00

Service Code	HCPCS C1713
Hospital Charge Code	270699101
Hospital Revenue Code	278
Min. Negotiated Rate	$25.30
Max. Negotiated Rate	$525.00
Rate for Payer: Aetna Commercial	$399.00
Rate for Payer: Aetna Medicare Advantage	$315.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$267.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$267.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$267.75
Rate for Payer: Cigna Commercial	$525.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$254.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$231.00
Rate for Payer: Qualcare PPO/HMO/WC	$157.50
Rate for Payer: UnitedHealthcare Community & State	$25.30
Rate for Payer: Wellpoint Medicaid Managed Care	$27.82

Know your out-of-pocket cost for care.

All Charges