Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW SHAFT 3.5x26mm

Facility

$76.50

Service Code	HCPCS C1713
Hospital Charge Code	270603073
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 3.5x28mm

Facility

$54.50

Service Code	HCPCS C1713
Hospital Charge Code	270603074
Hospital Revenue Code	278
Min. Negotiated Rate	$8.18
Max. Negotiated Rate	$13.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$11.99
Rate for Payer: Qualcare PPO/HMO/WC	$8.18

SCREW SHAFT 3.5x28mm

Facility

$54.50

Service Code	HCPCS C1713
Hospital Charge Code	270603074
Hospital Revenue Code	278
Min. Negotiated Rate	$1.31
Max. Negotiated Rate	$27.25
Rate for Payer: Aetna Commercial	$20.71
Rate for Payer: Aetna Medicare Advantage	$16.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.90
Rate for Payer: Cigna Commercial	$27.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$11.99
Rate for Payer: Qualcare PPO/HMO/WC	$8.18
Rate for Payer: UnitedHealthcare Community & State	$1.31
Rate for Payer: Wellpoint Medicaid Managed Care	$1.44

SCREW SHAFT 3.5x2mm

Facility

$76.50

Service Code	HCPCS C1713
Hospital Charge Code	270603069
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 3.5x2mm

Facility

$76.50

Service Code	HCPCS C1713
Hospital Charge Code	270603069
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 3.5x30mm

Facility

$76.50

Service Code	HCPCS C1713
Hospital Charge Code	270603188
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 3.5x30mm

Facility

$76.50

Service Code	HCPCS C1713
Hospital Charge Code	270603188
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 3.5x32mm

Facility

$76.50

Service Code	HCPCS C1713
Hospital Charge Code	270603189
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 3.5x32mm

Facility

$76.50

Service Code	HCPCS C1713
Hospital Charge Code	270603189
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 3.5x34mm

Facility

$54.50

Service Code	HCPCS C1713
Hospital Charge Code	270603191
Hospital Revenue Code	278
Min. Negotiated Rate	$8.18
Max. Negotiated Rate	$13.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$11.99
Rate for Payer: Qualcare PPO/HMO/WC	$8.18

SCREW SHAFT 3.5x34mm

Facility

$54.50

Service Code	HCPCS C1713
Hospital Charge Code	270603191
Hospital Revenue Code	278
Min. Negotiated Rate	$1.31
Max. Negotiated Rate	$27.25
Rate for Payer: Aetna Commercial	$20.71
Rate for Payer: Aetna Medicare Advantage	$16.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.90
Rate for Payer: Cigna Commercial	$27.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$11.99
Rate for Payer: Qualcare PPO/HMO/WC	$8.18
Rate for Payer: UnitedHealthcare Community & State	$1.31
Rate for Payer: Wellpoint Medicaid Managed Care	$1.44

SCREW SHAFT 3.5x36MM

Facility

$74.25

Hospital Charge Code	270601855
Hospital Revenue Code	278
Min. Negotiated Rate	$1.79
Max. Negotiated Rate	$37.12
Rate for Payer: Aetna Commercial	$28.21
Rate for Payer: Aetna Medicare Advantage	$22.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.93
Rate for Payer: Cigna Commercial	$37.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$16.34
Rate for Payer: Qualcare PPO/HMO/WC	$11.14
Rate for Payer: UnitedHealthcare Community & State	$1.79
Rate for Payer: Wellpoint Medicaid Managed Care	$1.97

SCREW SHAFT 3.5x36MM

Facility

$74.25

Hospital Charge Code	270601855
Hospital Revenue Code	278
Min. Negotiated Rate	$11.14
Max. Negotiated Rate	$17.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$16.34
Rate for Payer: Qualcare PPO/HMO/WC	$11.14

SCREW SHANK 5.5X40MM

Facility

$3,025.00

Service Code	HCPCS C1713
Hospital Charge Code	270691366
Hospital Revenue Code	278
Min. Negotiated Rate	$72.90
Max. Negotiated Rate	$1,512.50
Rate for Payer: Aetna Commercial	$1,149.50
Rate for Payer: Aetna Medicare Advantage	$907.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$771.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$771.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$605.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$771.38
Rate for Payer: Cigna Commercial	$1,512.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$732.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$665.50
Rate for Payer: Qualcare PPO/HMO/WC	$453.75
Rate for Payer: UnitedHealthcare Community & State	$72.90
Rate for Payer: Wellpoint Medicaid Managed Care	$80.16

SCREW SHANK 5.5X40MM

Facility

$3,025.00

Service Code	HCPCS C1713
Hospital Charge Code	270691366
Hospital Revenue Code	278
Min. Negotiated Rate	$453.75
Max. Negotiated Rate	$732.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$605.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$732.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$665.50
Rate for Payer: Qualcare PPO/HMO/WC	$453.75

SCREW SHANK 6.5X40MM 2C

Facility

$3,025.00

Service Code	HCPCS C1713
Hospital Charge Code	270691779
Hospital Revenue Code	278
Min. Negotiated Rate	$453.75
Max. Negotiated Rate	$732.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$605.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$732.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$665.50
Rate for Payer: Qualcare PPO/HMO/WC	$453.75

SCREW SHANK 6.5X40MM 2C

Facility

$3,025.00

Service Code	HCPCS C1713
Hospital Charge Code	270691779
Hospital Revenue Code	278
Min. Negotiated Rate	$72.90
Max. Negotiated Rate	$1,512.50
Rate for Payer: Aetna Commercial	$1,149.50
Rate for Payer: Aetna Medicare Advantage	$907.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$771.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$771.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$605.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$771.38
Rate for Payer: Cigna Commercial	$1,512.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$732.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$665.50
Rate for Payer: Qualcare PPO/HMO/WC	$453.75
Rate for Payer: UnitedHealthcare Community & State	$72.90
Rate for Payer: Wellpoint Medicaid Managed Care	$80.16

SCREW SHANK 6.5X40MM MODULA

Facility

$4,865.00

Service Code	HCPCS C1713
Hospital Charge Code	270660948
Hospital Revenue Code	278
Min. Negotiated Rate	$117.25
Max. Negotiated Rate	$2,432.50
Rate for Payer: Aetna Commercial	$1,848.70
Rate for Payer: Aetna Medicare Advantage	$1,459.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,240.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,240.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$973.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,240.58
Rate for Payer: Cigna Commercial	$2,432.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,177.33
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,070.30
Rate for Payer: Qualcare PPO/HMO/WC	$729.75
Rate for Payer: UnitedHealthcare Community & State	$117.25
Rate for Payer: Wellpoint Medicaid Managed Care	$128.92

SCREW SHANK 6.5X40MM MODULA

Facility

$4,865.00

Service Code	HCPCS C1713
Hospital Charge Code	270660948
Hospital Revenue Code	278
Min. Negotiated Rate	$729.75
Max. Negotiated Rate	$1,177.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$973.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,177.33
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,070.30
Rate for Payer: Qualcare PPO/HMO/WC	$729.75

SCREW SHANK 6.5X45MM 2C

Facility

$3,025.00

Service Code	HCPCS C1713
Hospital Charge Code	270691456
Hospital Revenue Code	278
Min. Negotiated Rate	$72.90
Max. Negotiated Rate	$1,512.50
Rate for Payer: Aetna Commercial	$1,149.50
Rate for Payer: Aetna Medicare Advantage	$907.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$771.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$771.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$605.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$771.38
Rate for Payer: Cigna Commercial	$1,512.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$732.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$665.50
Rate for Payer: Qualcare PPO/HMO/WC	$453.75
Rate for Payer: UnitedHealthcare Community & State	$72.90
Rate for Payer: Wellpoint Medicaid Managed Care	$80.16

SCREW SHANK 6.5X45MM 2C

Facility

$3,025.00

Service Code	HCPCS C1713
Hospital Charge Code	270691456
Hospital Revenue Code	278
Min. Negotiated Rate	$453.75
Max. Negotiated Rate	$732.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$605.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$732.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$665.50
Rate for Payer: Qualcare PPO/HMO/WC	$453.75

SCREW SHANK 7.5 X 40 MM 2C

Facility

$3,025.00

Service Code	HCPCS C1713
Hospital Charge Code	270691818
Hospital Revenue Code	278
Min. Negotiated Rate	$72.90
Max. Negotiated Rate	$1,512.50
Rate for Payer: Aetna Commercial	$1,149.50
Rate for Payer: Aetna Medicare Advantage	$907.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$771.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$771.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$605.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$771.38
Rate for Payer: Cigna Commercial	$1,512.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$732.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$665.50
Rate for Payer: Qualcare PPO/HMO/WC	$453.75
Rate for Payer: UnitedHealthcare Community & State	$72.90
Rate for Payer: Wellpoint Medicaid Managed Care	$80.16

SCREW SHANK 7.5 X 40 MM 2C

Facility

$3,025.00

Service Code	HCPCS C1713
Hospital Charge Code	270691818
Hospital Revenue Code	278
Min. Negotiated Rate	$453.75
Max. Negotiated Rate	$732.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$605.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$732.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$665.50
Rate for Payer: Qualcare PPO/HMO/WC	$453.75

SCREW SHANK MODULAR 7.5X55MM

Facility

$6,740.00

Service Code	HCPCS C1713
Hospital Charge Code	270698159
Hospital Revenue Code	278
Min. Negotiated Rate	$162.43
Max. Negotiated Rate	$3,370.00
Rate for Payer: Aetna Commercial	$2,561.20
Rate for Payer: Aetna Medicare Advantage	$2,022.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,718.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,718.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,348.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,718.70
Rate for Payer: Cigna Commercial	$3,370.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,631.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,482.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,011.00
Rate for Payer: UnitedHealthcare Community & State	$162.43
Rate for Payer: Wellpoint Medicaid Managed Care	$178.61

SCREW SHANK MODULAR 7.5X55MM

Facility

$6,740.00

Service Code	HCPCS C1713
Hospital Charge Code	270698159
Hospital Revenue Code	278
Min. Negotiated Rate	$1,011.00
Max. Negotiated Rate	$1,631.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,348.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,631.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,482.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,011.00

Know your out-of-pocket cost for care.

All Charges