Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW SET T25 LOCKING CAP

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270692672
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 SET T25 LOCKING CAP

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270692672
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 SET TALL SYMPHONY

Facility

$1,045.50

Service Code	HCPCS C1713
Hospital Charge Code	270693340
Hospital Revenue Code	278
Min. Negotiated Rate	$25.20
Max. Negotiated Rate	$522.75
Rate for Payer: Aetna Commercial	$397.29
Rate for Payer: Aetna Medicare Advantage	$313.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$266.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$266.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$209.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$266.60
Rate for Payer: Cigna Commercial	$522.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$253.01
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$230.01
Rate for Payer: Qualcare PPO/HMO/WC	$156.82
Rate for Payer: UnitedHealthcare Community & State	$25.20
Rate for Payer: Wellpoint Medicaid Managed Care	$27.71

SCREW SET TALL SYMPHONY

Facility

$1,045.50

Service Code	HCPCS C1713
Hospital Charge Code	270693340
Hospital Revenue Code	278
Min. Negotiated Rate	$156.82
Max. Negotiated Rate	$253.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$209.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$253.01
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$230.01
Rate for Payer: Qualcare PPO/HMO/WC	$156.82

SCREW SET THUNDERBOLT 5.5MM

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270695216
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 SET THUNDERBOLT 5.5MM

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270695216
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 SET VOYAGER MAS 5.5X60MM

Facility

$1,495.00

Service Code	HCPCS C1713
Hospital Charge Code	270699079
Hospital Revenue Code	278
Min. Negotiated Rate	$224.25
Max. Negotiated Rate	$361.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$299.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$361.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$328.90
Rate for Payer: Qualcare PPO/HMO/WC	$224.25

SCREW SET VOYAGER MAS 5.5X60MM

Facility

$1,495.00

Service Code	HCPCS C1713
Hospital Charge Code	270699079
Hospital Revenue Code	278
Min. Negotiated Rate	$36.03
Max. Negotiated Rate	$747.50
Rate for Payer: Aetna Commercial	$568.10
Rate for Payer: Aetna Medicare Advantage	$448.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$381.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$381.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$299.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$381.23
Rate for Payer: Cigna Commercial	$747.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$361.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$328.90
Rate for Payer: Qualcare PPO/HMO/WC	$224.25
Rate for Payer: UnitedHealthcare Community & State	$36.03
Rate for Payer: Wellpoint Medicaid Managed Care	$39.62

SCREW S-FIX 2.5 X14 MM

Facility

$2,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270689578
Hospital Revenue Code	278
Min. Negotiated Rate	$59.65
Max. Negotiated Rate	$1,237.50
Rate for Payer: Aetna Commercial	$940.50
Rate for Payer: Aetna Medicare Advantage	$742.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$631.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$631.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$495.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$631.12
Rate for Payer: Cigna Commercial	$1,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$598.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$544.50
Rate for Payer: Qualcare PPO/HMO/WC	$371.25
Rate for Payer: UnitedHealthcare Community & State	$59.65
Rate for Payer: Wellpoint Medicaid Managed Care	$65.59

SCREW S-FIX 2.5 X14 MM

Facility

$2,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270689578
Hospital Revenue Code	278
Min. Negotiated Rate	$371.25
Max. Negotiated Rate	$598.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$598.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$544.50
Rate for Payer: Qualcare PPO/HMO/WC	$371.25

SCREW SHAFT 3.5/16-20MM

Facility

$49.00

Hospital Charge Code	1603661
Hospital Revenue Code	274
Min. Negotiated Rate	$7.35
Max. Negotiated Rate	$11.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$10.78
Rate for Payer: Qualcare PPO/HMO/WC	$7.35

SCREW SHAFT 3.5/16-20MM

Facility

$49.00

Hospital Charge Code	1603661
Hospital Revenue Code	274
Min. Negotiated Rate	$1.18
Max. Negotiated Rate	$24.50
Rate for Payer: Aetna Commercial	$18.62
Rate for Payer: Aetna Medicare Advantage	$14.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.49
Rate for Payer: Cigna Commercial	$24.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$10.78
Rate for Payer: Qualcare PPO/HMO/WC	$7.35
Rate for Payer: UnitedHealthcare Community & State	$1.18
Rate for Payer: Wellpoint Medicaid Managed Care	$1.30

SCREW SHAFT 3.5/22-32MM

Facility

$52.00

Hospital Charge Code	1603679
Hospital Revenue Code	274
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$26.00
Rate for Payer: Aetna Commercial	$19.76
Rate for Payer: Aetna Medicare Advantage	$15.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.26
Rate for Payer: Cigna Commercial	$26.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$11.44
Rate for Payer: Qualcare PPO/HMO/WC	$7.80
Rate for Payer: UnitedHealthcare Community & State	$1.25
Rate for Payer: Wellpoint Medicaid Managed Care	$1.38

SCREW SHAFT 3.5/22-32MM

Facility

$52.00

Hospital Charge Code	1603679
Hospital Revenue Code	274
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$12.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$11.44
Rate for Payer: Qualcare PPO/HMO/WC	$7.80

SCREW SHAFT 3.5/34-38MM

Facility

$56.00

Hospital Charge Code	1603687
Hospital Revenue Code	274
Min. Negotiated Rate	$8.40
Max. Negotiated Rate	$13.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$12.32
Rate for Payer: Qualcare PPO/HMO/WC	$8.40

SCREW SHAFT 3.5/34-38MM

Facility

$56.00

Hospital Charge Code	1603687
Hospital Revenue Code	274
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$28.00
Rate for Payer: Aetna Commercial	$21.28
Rate for Payer: Aetna Medicare Advantage	$16.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.28
Rate for Payer: Cigna Commercial	$28.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$12.32
Rate for Payer: Qualcare PPO/HMO/WC	$8.40
Rate for Payer: UnitedHealthcare Community & State	$1.35
Rate for Payer: Wellpoint Medicaid Managed Care	$1.48

SCREW SHAFT 3.5x16mm

Facility

$76.50

Service Code	HCPCS C1713
Hospital Charge Code	270603063
Hospital Revenue Code	278
Min. Negotiated Rate	$11.47
Max. Negotiated Rate	$18.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.51
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$16.83
Rate for Payer: Qualcare PPO/HMO/WC	$11.47

SCREW SHAFT 3.5x16mm

Facility

$76.50

Service Code	HCPCS C1713
Hospital Charge Code	270603063
Hospital Revenue Code	278
Min. Negotiated Rate	$1.84
Max. Negotiated Rate	$38.25
Rate for Payer: Aetna Commercial	$29.07
Rate for Payer: Aetna Medicare Advantage	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.51
Rate for Payer: Cigna Commercial	$38.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.51
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$16.83
Rate for Payer: Qualcare PPO/HMO/WC	$11.47
Rate for Payer: UnitedHealthcare Community & State	$1.84
Rate for Payer: Wellpoint Medicaid Managed Care	$2.03

SCREW SHAFT 3.5x18MM

Facility

$76.50

Service Code	HCPCS C1713
Hospital Charge Code	270603065
Hospital Revenue Code	278
Min. Negotiated Rate	$11.47
Max. Negotiated Rate	$18.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.51
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$16.83
Rate for Payer: Qualcare PPO/HMO/WC	$11.47

SCREW SHAFT 3.5x18MM

Facility

$76.50

Service Code	HCPCS C1713
Hospital Charge Code	270603065
Hospital Revenue Code	278
Min. Negotiated Rate	$1.84
Max. Negotiated Rate	$38.25
Rate for Payer: Aetna Commercial	$29.07
Rate for Payer: Aetna Medicare Advantage	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.51
Rate for Payer: Cigna Commercial	$38.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.51
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$16.83
Rate for Payer: Qualcare PPO/HMO/WC	$11.47
Rate for Payer: UnitedHealthcare Community & State	$1.84
Rate for Payer: Wellpoint Medicaid Managed Care	$2.03

SCREW SHAFT 3.5x20mm

Facility

$76.50

Service Code	HCPCS C1713
Hospital Charge Code	270603067
Hospital Revenue Code	278
Min. Negotiated Rate	$1.84
Max. Negotiated Rate	$38.25
Rate for Payer: Aetna Commercial	$29.07
Rate for Payer: Aetna Medicare Advantage	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.51
Rate for Payer: Cigna Commercial	$38.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.51
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$16.83
Rate for Payer: Qualcare PPO/HMO/WC	$11.47
Rate for Payer: UnitedHealthcare Community & State	$1.84
Rate for Payer: Wellpoint Medicaid Managed Care	$2.03

SCREW SHAFT 3.5x20mm

Facility

$76.50

Service Code	HCPCS C1713
Hospital Charge Code	270603067
Hospital Revenue Code	278
Min. Negotiated Rate	$11.47
Max. Negotiated Rate	$18.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.51
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$16.83
Rate for Payer: Qualcare PPO/HMO/WC	$11.47

SCREW SHAFT 3.5x24mm

Facility

$76.50

Service Code	HCPCS C1713
Hospital Charge Code	270603071
Hospital Revenue Code	278
Min. Negotiated Rate	$1.84
Max. Negotiated Rate	$38.25
Rate for Payer: Aetna Commercial	$29.07
Rate for Payer: Aetna Medicare Advantage	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.51
Rate for Payer: Cigna Commercial	$38.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.51
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$16.83
Rate for Payer: Qualcare PPO/HMO/WC	$11.47
Rate for Payer: UnitedHealthcare Community & State	$1.84
Rate for Payer: Wellpoint Medicaid Managed Care	$2.03

SCREW SHAFT 3.5x24mm

Facility

$76.50

Service Code	HCPCS C1713
Hospital Charge Code	270603071
Hospital Revenue Code	278
Min. Negotiated Rate	$11.47
Max. Negotiated Rate	$18.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.51
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$16.83
Rate for Payer: Qualcare PPO/HMO/WC	$11.47

SCREW SHAFT 3.5x26mm

Facility

$76.50

Service Code	HCPCS C1713
Hospital Charge Code	270603073
Hospital Revenue Code	278
Min. Negotiated Rate	$1.84
Max. Negotiated Rate	$38.25
Rate for Payer: Aetna Commercial	$29.07
Rate for Payer: Aetna Medicare Advantage	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.51
Rate for Payer: Cigna Commercial	$38.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.51
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$16.83
Rate for Payer: Qualcare PPO/HMO/WC	$11.47
Rate for Payer: UnitedHealthcare Community & State	$1.84
Rate for Payer: Wellpoint Medicaid Managed Care	$2.03

Know your out-of-pocket cost for care.

All Charges