Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW SELF-TAP 3.5X16 3235116

Facility

$240.00

Hospital Charge Code	270643383
Hospital Revenue Code	278
Min. Negotiated Rate	$5.78
Max. Negotiated Rate	$120.00
Rate for Payer: Aetna Commercial	$91.20
Rate for Payer: Aetna Medicare Advantage	$72.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.20
Rate for Payer: Cigna Commercial	$120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$52.80
Rate for Payer: Qualcare PPO/HMO/WC	$36.00
Rate for Payer: UnitedHealthcare Community & State	$5.78
Rate for Payer: Wellpoint Medicaid Managed Care	$6.36

SCREW SELF-TAP 3.5X16 3235116

Facility

$240.00

Hospital Charge Code	270643383
Hospital Revenue Code	278
Min. Negotiated Rate	$36.00
Max. Negotiated Rate	$58.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$52.80
Rate for Payer: Qualcare PPO/HMO/WC	$36.00

SCREW SELF-TAP 3.5X20 3235120

Facility

$240.00

Hospital Charge Code	270643384
Hospital Revenue Code	278
Min. Negotiated Rate	$5.78
Max. Negotiated Rate	$120.00
Rate for Payer: Aetna Commercial	$91.20
Rate for Payer: Aetna Medicare Advantage	$72.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.20
Rate for Payer: Cigna Commercial	$120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$52.80
Rate for Payer: Qualcare PPO/HMO/WC	$36.00
Rate for Payer: UnitedHealthcare Community & State	$5.78
Rate for Payer: Wellpoint Medicaid Managed Care	$6.36

SCREW SELF-TAP 3.5X20 3235120

Facility

$240.00

Hospital Charge Code	270643384
Hospital Revenue Code	278
Min. Negotiated Rate	$36.00
Max. Negotiated Rate	$58.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$52.80
Rate for Payer: Qualcare PPO/HMO/WC	$36.00

SCREW SELF-TAP 3.5X30 3235130

Facility

$295.00

Hospital Charge Code	270643385
Hospital Revenue Code	278
Min. Negotiated Rate	$7.11
Max. Negotiated Rate	$147.50
Rate for Payer: Aetna Commercial	$112.10
Rate for Payer: Aetna Medicare Advantage	$88.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$75.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$75.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$59.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$75.22
Rate for Payer: Cigna Commercial	$147.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$64.90
Rate for Payer: Qualcare PPO/HMO/WC	$44.25
Rate for Payer: UnitedHealthcare Community & State	$7.11
Rate for Payer: Wellpoint Medicaid Managed Care	$7.82

SCREW SELF-TAP 3.5X30 3235130

Facility

$295.00

Hospital Charge Code	270643385
Hospital Revenue Code	278
Min. Negotiated Rate	$44.25
Max. Negotiated Rate	$71.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$59.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$64.90
Rate for Payer: Qualcare PPO/HMO/WC	$44.25

SCREW SELF TAP CAR 4.0X14MM

Facility

$1,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270692536
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 SELF TAP CAR 4.0X14MM

Facility

$1,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270692536
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 SELFTAP CORT 4.5mm 56mm

Facility

$40.85

Hospital Charge Code	270613663
Hospital Revenue Code	278
Min. Negotiated Rate	$0.98
Max. Negotiated Rate	$20.43
Rate for Payer: Aetna Commercial	$15.52
Rate for Payer: Aetna Medicare Advantage	$12.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.42
Rate for Payer: Cigna Commercial	$20.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8.99
Rate for Payer: Qualcare PPO/HMO/WC	$6.13
Rate for Payer: UnitedHealthcare Community & State	$0.98
Rate for Payer: Wellpoint Medicaid Managed Care	$1.08

SCREW SELFTAP CORT 4.5mm 56mm

Facility

$40.85

Hospital Charge Code	270613663
Hospital Revenue Code	278
Min. Negotiated Rate	$6.13
Max. Negotiated Rate	$9.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8.99
Rate for Payer: Qualcare PPO/HMO/WC	$6.13

SCREW SELF TAP CORTICAL

Facility

$262.00

Hospital Charge Code	270656376
Hospital Revenue Code	278
Min. Negotiated Rate	$6.31
Max. Negotiated Rate	$131.00
Rate for Payer: Aetna Commercial	$99.56
Rate for Payer: Aetna Medicare Advantage	$78.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$52.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.81
Rate for Payer: Cigna Commercial	$131.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$57.64
Rate for Payer: Qualcare PPO/HMO/WC	$39.30
Rate for Payer: UnitedHealthcare Community & State	$6.31
Rate for Payer: Wellpoint Medicaid Managed Care	$6.94

SCREW SELF TAP CORTICAL

Facility

$262.00

Hospital Charge Code	270656376
Hospital Revenue Code	278
Min. Negotiated Rate	$39.30
Max. Negotiated Rate	$63.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$52.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$57.64
Rate for Payer: Qualcare PPO/HMO/WC	$39.30

SCREW SELF TAP CORTICAL

Facility

$1,165.50

Hospital Charge Code	270656378
Hospital Revenue Code	278
Min. Negotiated Rate	$28.09
Max. Negotiated Rate	$582.75
Rate for Payer: Aetna Commercial	$442.89
Rate for Payer: Aetna Medicare Advantage	$349.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$297.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$297.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$233.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$297.20
Rate for Payer: Cigna Commercial	$582.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$282.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$256.41
Rate for Payer: Qualcare PPO/HMO/WC	$174.82
Rate for Payer: UnitedHealthcare Community & State	$28.09
Rate for Payer: Wellpoint Medicaid Managed Care	$30.89

SCREW SELF TAP CORTICAL

Facility

$1,165.50

Hospital Charge Code	270656378
Hospital Revenue Code	278
Min. Negotiated Rate	$174.82
Max. Negotiated Rate	$282.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$233.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$282.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$256.41
Rate for Payer: Qualcare PPO/HMO/WC	$174.82

SCREW SELF TAP CORTICAL 4.5MDX

Facility

$44.45

Hospital Charge Code	270656366
Hospital Revenue Code	278
Min. Negotiated Rate	$1.07
Max. Negotiated Rate	$22.23
Rate for Payer: Aetna Commercial	$16.89
Rate for Payer: Aetna Medicare Advantage	$13.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.33
Rate for Payer: Cigna Commercial	$22.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$9.78
Rate for Payer: Qualcare PPO/HMO/WC	$6.67
Rate for Payer: UnitedHealthcare Community & State	$1.07
Rate for Payer: Wellpoint Medicaid Managed Care	$1.18

SCREW SELF TAP CORTICAL 4.5MDX

Facility

$44.45

Hospital Charge Code	270656366
Hospital Revenue Code	278
Min. Negotiated Rate	$6.67
Max. Negotiated Rate	$10.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$9.78
Rate for Payer: Qualcare PPO/HMO/WC	$6.67

SCREW SELFTAP CORTICAL 4.5MM

Facility

$44.45

Hospital Charge Code	270656375
Hospital Revenue Code	278
Min. Negotiated Rate	$1.07
Max. Negotiated Rate	$22.23
Rate for Payer: Aetna Commercial	$16.89
Rate for Payer: Aetna Medicare Advantage	$13.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.33
Rate for Payer: Cigna Commercial	$22.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$9.78
Rate for Payer: Qualcare PPO/HMO/WC	$6.67
Rate for Payer: UnitedHealthcare Community & State	$1.07
Rate for Payer: Wellpoint Medicaid Managed Care	$1.18

SCREW SELFTAP CORTICAL 4.5MM

Facility

$44.45

Hospital Charge Code	270656375
Hospital Revenue Code	278
Min. Negotiated Rate	$6.67
Max. Negotiated Rate	$10.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$9.78
Rate for Payer: Qualcare PPO/HMO/WC	$6.67

SCREW SELFTAP LOCKING 3.5x58mm

Facility

$519.00

Hospital Charge Code	270676431
Hospital Revenue Code	278
Min. Negotiated Rate	$77.85
Max. Negotiated Rate	$125.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$114.18
Rate for Payer: Qualcare PPO/HMO/WC	$77.85

SCREW SELFTAP LOCKING 3.5x58mm

Facility

$519.00

Hospital Charge Code	270676431
Hospital Revenue Code	278
Min. Negotiated Rate	$12.51
Max. Negotiated Rate	$259.50
Rate for Payer: Aetna Commercial	$197.22
Rate for Payer: Aetna Medicare Advantage	$155.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.34
Rate for Payer: Cigna Commercial	$259.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$114.18
Rate for Payer: Qualcare PPO/HMO/WC	$77.85
Rate for Payer: UnitedHealthcare Community & State	$12.51
Rate for Payer: Wellpoint Medicaid Managed Care	$13.75

SCREW SELFTAP LOCKING 3.5x65mm

Facility

$519.00

Hospital Charge Code	270661933
Hospital Revenue Code	278
Min. Negotiated Rate	$12.51
Max. Negotiated Rate	$259.50
Rate for Payer: Aetna Commercial	$197.22
Rate for Payer: Aetna Medicare Advantage	$155.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.34
Rate for Payer: Cigna Commercial	$259.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$114.18
Rate for Payer: Qualcare PPO/HMO/WC	$77.85
Rate for Payer: UnitedHealthcare Community & State	$12.51
Rate for Payer: Wellpoint Medicaid Managed Care	$13.75

SCREW SELFTAP LOCKING 3.5x65mm

Facility

$519.00

Hospital Charge Code	270661933
Hospital Revenue Code	278
Min. Negotiated Rate	$77.85
Max. Negotiated Rate	$125.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$114.18
Rate for Payer: Qualcare PPO/HMO/WC	$77.85

SCREW SELFTAP LOCKING 3.5x80mm

Facility

$519.00

Hospital Charge Code	270656575
Hospital Revenue Code	278
Min. Negotiated Rate	$77.85
Max. Negotiated Rate	$125.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$114.18
Rate for Payer: Qualcare PPO/HMO/WC	$77.85

SCREW SELFTAP LOCKING 3.5x80mm

Facility

$519.00

Hospital Charge Code	270656575
Hospital Revenue Code	278
Min. Negotiated Rate	$12.51
Max. Negotiated Rate	$259.50
Rate for Payer: Aetna Commercial	$197.22
Rate for Payer: Aetna Medicare Advantage	$155.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.34
Rate for Payer: Cigna Commercial	$259.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$114.18
Rate for Payer: Qualcare PPO/HMO/WC	$77.85
Rate for Payer: UnitedHealthcare Community & State	$12.51
Rate for Payer: Wellpoint Medicaid Managed Care	$13.75

SCREW SELFTAP LOCKING 5x14mm

Facility

$603.00

Hospital Charge Code	270656607
Hospital Revenue Code	278
Min. Negotiated Rate	$14.53
Max. Negotiated Rate	$301.50
Rate for Payer: Aetna Commercial	$229.14
Rate for Payer: Aetna Medicare Advantage	$180.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.76
Rate for Payer: Cigna Commercial	$301.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.93
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$132.66
Rate for Payer: Qualcare PPO/HMO/WC	$90.45
Rate for Payer: UnitedHealthcare Community & State	$14.53
Rate for Payer: Wellpoint Medicaid Managed Care	$15.98

Know your out-of-pocket cost for care.

All Charges