Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW SDK M-AX 7.5 30 8697530

Facility

$3,759.25

Hospital Charge Code	270616992
Hospital Revenue Code	278
Min. Negotiated Rate	$563.89
Max. Negotiated Rate	$909.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$751.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$909.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$827.03
Rate for Payer: Qualcare PPO/HMO/WC	$563.89

SCREW SDK M-AX 7.5 35 8697535

Facility

$3,759.25

Hospital Charge Code	270617318
Hospital Revenue Code	278
Min. Negotiated Rate	$563.89
Max. Negotiated Rate	$909.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$751.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$909.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$827.03
Rate for Payer: Qualcare PPO/HMO/WC	$563.89

SCREW SDK M-AX 7.5 35 8697535

Facility

$3,759.25

Hospital Charge Code	270617318
Hospital Revenue Code	278
Min. Negotiated Rate	$90.60
Max. Negotiated Rate	$1,879.62
Rate for Payer: Aetna Commercial	$1,428.52
Rate for Payer: Aetna Medicare Advantage	$1,127.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$958.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$958.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$751.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$958.61
Rate for Payer: Cigna Commercial	$1,879.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$909.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$827.03
Rate for Payer: Qualcare PPO/HMO/WC	$563.89
Rate for Payer: UnitedHealthcare Community & State	$90.60
Rate for Payer: Wellpoint Medicaid Managed Care	$99.62

SCREW SDK M-AX 7.5 40 827-740

Facility

$3,480.00

Hospital Charge Code	270613604
Hospital Revenue Code	278
Min. Negotiated Rate	$83.87
Max. Negotiated Rate	$1,740.00
Rate for Payer: Aetna Commercial	$1,322.40
Rate for Payer: Aetna Medicare Advantage	$1,044.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$887.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$887.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$696.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$887.40
Rate for Payer: Cigna Commercial	$1,740.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$842.16
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$765.60
Rate for Payer: Qualcare PPO/HMO/WC	$522.00
Rate for Payer: UnitedHealthcare Community & State	$83.87
Rate for Payer: Wellpoint Medicaid Managed Care	$92.22

SCREW SDK M-AX 7.5 40 827-740

Facility

$3,480.00

Hospital Charge Code	270613604
Hospital Revenue Code	278
Min. Negotiated Rate	$522.00
Max. Negotiated Rate	$842.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$696.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$842.16
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$765.60
Rate for Payer: Qualcare PPO/HMO/WC	$522.00

SCREW SDK M-AX 7.5 40 8697540

Facility

$3,759.25

Hospital Charge Code	270616991
Hospital Revenue Code	278
Min. Negotiated Rate	$90.60
Max. Negotiated Rate	$1,879.62
Rate for Payer: Aetna Commercial	$1,428.52
Rate for Payer: Aetna Medicare Advantage	$1,127.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$958.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$958.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$751.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$958.61
Rate for Payer: Cigna Commercial	$1,879.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$909.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$827.03
Rate for Payer: Qualcare PPO/HMO/WC	$563.89
Rate for Payer: UnitedHealthcare Community & State	$90.60
Rate for Payer: Wellpoint Medicaid Managed Care	$99.62

SCREW SDK M-AX 7.5 40 8697540

Facility

$3,759.25

Hospital Charge Code	270616991
Hospital Revenue Code	278
Min. Negotiated Rate	$563.89
Max. Negotiated Rate	$909.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$751.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$909.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$827.03
Rate for Payer: Qualcare PPO/HMO/WC	$563.89

SCREW SDK SET 8670855

Facility

$1,016.85

Hospital Charge Code	270629204
Hospital Revenue Code	278
Min. Negotiated Rate	$152.53
Max. Negotiated Rate	$246.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$203.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$246.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$223.71
Rate for Payer: Qualcare PPO/HMO/WC	$152.53

SCREW SDK SET 8670855

Facility

$1,016.85

Hospital Charge Code	270629204
Hospital Revenue Code	278
Min. Negotiated Rate	$24.51
Max. Negotiated Rate	$508.43
Rate for Payer: Aetna Commercial	$386.40
Rate for Payer: Aetna Medicare Advantage	$305.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$259.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$259.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$203.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$259.30
Rate for Payer: Cigna Commercial	$508.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$246.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$223.71
Rate for Payer: Qualcare PPO/HMO/WC	$152.53
Rate for Payer: UnitedHealthcare Community & State	$24.51
Rate for Payer: Wellpoint Medicaid Managed Care	$26.95

SCREW SDK SXT 5.5 40 8677540

Facility

$8,055.25

Hospital Charge Code	270629197
Hospital Revenue Code	278
Min. Negotiated Rate	$1,208.29
Max. Negotiated Rate	$1,949.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,611.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,949.37
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,772.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,208.29

SCREW SDK SXT 5.5 40 8677540

Facility

$8,055.25

Hospital Charge Code	270629197
Hospital Revenue Code	278
Min. Negotiated Rate	$194.13
Max. Negotiated Rate	$4,027.62
Rate for Payer: Aetna Commercial	$3,060.99
Rate for Payer: Aetna Medicare Advantage	$2,416.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,054.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,054.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,611.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,054.09
Rate for Payer: Cigna Commercial	$4,027.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,949.37
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,772.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,208.29
Rate for Payer: UnitedHealthcare Community & State	$194.13
Rate for Payer: Wellpoint Medicaid Managed Care	$213.46

SCREW SDK SXT 6.5 50 8676550

Facility

$8,055.25

Hospital Charge Code	270629202
Hospital Revenue Code	278
Min. Negotiated Rate	$1,208.29
Max. Negotiated Rate	$1,949.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,611.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,949.37
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,772.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,208.29

SCREW SDK SXT 6.5 50 8676550

Facility

$8,055.25

Hospital Charge Code	270629202
Hospital Revenue Code	278
Min. Negotiated Rate	$194.13
Max. Negotiated Rate	$4,027.62
Rate for Payer: Aetna Commercial	$3,060.99
Rate for Payer: Aetna Medicare Advantage	$2,416.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,054.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,054.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,611.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,054.09
Rate for Payer: Cigna Commercial	$4,027.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,949.37
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,772.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,208.29
Rate for Payer: UnitedHealthcare Community & State	$194.13
Rate for Payer: Wellpoint Medicaid Managed Care	$213.46

SCREW SDK SXT 6.5 55 8676555

Facility

$8,055.25

Hospital Charge Code	270629199
Hospital Revenue Code	278
Min. Negotiated Rate	$194.13
Max. Negotiated Rate	$4,027.62
Rate for Payer: Aetna Commercial	$3,060.99
Rate for Payer: Aetna Medicare Advantage	$2,416.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,054.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,054.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,611.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,054.09
Rate for Payer: Cigna Commercial	$4,027.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,949.37
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,772.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,208.29
Rate for Payer: UnitedHealthcare Community & State	$194.13
Rate for Payer: Wellpoint Medicaid Managed Care	$213.46

SCREW SDK SXT 6.5 55 8676555

Facility

$8,055.25

Hospital Charge Code	270629199
Hospital Revenue Code	278
Min. Negotiated Rate	$1,208.29
Max. Negotiated Rate	$1,949.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,611.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,949.37
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,772.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,208.29

SCREW SDK X-DRV 1.5 3MM 150301

Facility

$261.65

Hospital Charge Code	270610689
Hospital Revenue Code	278
Min. Negotiated Rate	$39.25
Max. Negotiated Rate	$63.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$52.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$57.56
Rate for Payer: Qualcare PPO/HMO/WC	$39.25

SCREW SDK X-DRV 1.5 3MM 150301

Facility

$261.65

Hospital Charge Code	270610689
Hospital Revenue Code	278
Min. Negotiated Rate	$6.31
Max. Negotiated Rate	$130.82
Rate for Payer: Aetna Commercial	$99.43
Rate for Payer: Aetna Medicare Advantage	$78.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$52.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.72
Rate for Payer: Cigna Commercial	$130.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$57.56
Rate for Payer: Qualcare PPO/HMO/WC	$39.25
Rate for Payer: UnitedHealthcare Community & State	$6.31
Rate for Payer: Wellpoint Medicaid Managed Care	$6.93

SCREW SDK X-DRV 2.2 4MM 8041

Facility

$246.45

Hospital Charge Code	270610690
Hospital Revenue Code	278
Min. Negotiated Rate	$5.94
Max. Negotiated Rate	$123.22
Rate for Payer: Aetna Commercial	$93.65
Rate for Payer: Aetna Medicare Advantage	$73.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.84
Rate for Payer: Cigna Commercial	$123.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.64
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$54.22
Rate for Payer: Qualcare PPO/HMO/WC	$36.97
Rate for Payer: UnitedHealthcare Community & State	$5.94
Rate for Payer: Wellpoint Medicaid Managed Care	$6.53

SCREW SDK X-DRV 2.2 4MM 8041

Facility

$246.45

Hospital Charge Code	270610690
Hospital Revenue Code	278
Min. Negotiated Rate	$36.97
Max. Negotiated Rate	$59.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.64
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$54.22
Rate for Payer: Qualcare PPO/HMO/WC	$36.97

SCREW S/DRILL DIAMOND 4x12MM

Facility

$1,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270657667
Hospital Revenue Code	278
Min. Negotiated Rate	$30.12
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$475.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$275.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Community & State	$30.12
Rate for Payer: Wellpoint Medicaid Managed Care	$33.12

SCREW S/DRILL DIAMOND 4x12MM

Facility

$1,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270657667
Hospital Revenue Code	278
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$302.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$275.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

SCREW S/DRLL DIAMOND 4.25x12MM

Facility

$1,250.00

Hospital Charge Code	270676924
Hospital Revenue Code	278
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$302.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$275.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

SCREW S/DRLL DIAMOND 4.25x12MM

Facility

$1,250.00

Hospital Charge Code	270676924
Hospital Revenue Code	278
Min. Negotiated Rate	$30.12
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$475.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$275.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Community & State	$30.12
Rate for Payer: Wellpoint Medicaid Managed Care	$33.12

SCREW SDS 16MM

Facility

$1,209.05

Service Code	HCPCS C1713
Hospital Charge Code	270692348
Hospital Revenue Code	278
Min. Negotiated Rate	$29.14
Max. Negotiated Rate	$604.52
Rate for Payer: Aetna Commercial	$459.44
Rate for Payer: Aetna Medicare Advantage	$362.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$308.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$308.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$241.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$308.31
Rate for Payer: Cigna Commercial	$604.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$292.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$265.99
Rate for Payer: Qualcare PPO/HMO/WC	$181.36
Rate for Payer: UnitedHealthcare Community & State	$29.14
Rate for Payer: Wellpoint Medicaid Managed Care	$32.04

SCREW SDS 16MM

Facility

$1,209.05

Service Code	HCPCS C1713
Hospital Charge Code	270692348
Hospital Revenue Code	278
Min. Negotiated Rate	$181.36
Max. Negotiated Rate	$292.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$241.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$292.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$265.99
Rate for Payer: Qualcare PPO/HMO/WC	$181.36

Know your out-of-pocket cost for care.

All Charges