Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW SHORT THREAD 6.2 X 56 MM

Facility

$3,231.25

Service Code	HCPCS C1713
Hospital Charge Code	270701365
Hospital Revenue Code	278
Min. Negotiated Rate	$77.87
Max. Negotiated Rate	$1,615.62
Rate for Payer: Aetna Commercial	$1,227.88
Rate for Payer: Aetna Medicare Advantage	$969.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$823.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$823.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$646.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$823.97
Rate for Payer: Cigna Commercial	$1,615.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$781.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$710.88
Rate for Payer: Qualcare PPO/HMO/WC	$484.69
Rate for Payer: UnitedHealthcare Community & State	$77.87
Rate for Payer: Wellpoint Medicaid Managed Care	$85.63

SCREW SHRF GAMMA LAG 12/90MM

Facility

$1,447.25

Hospital Charge Code	270601378
Hospital Revenue Code	278
Min. Negotiated Rate	$34.88
Max. Negotiated Rate	$723.62
Rate for Payer: Aetna Commercial	$549.96
Rate for Payer: Aetna Medicare Advantage	$434.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$369.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$369.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$289.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$369.05
Rate for Payer: Cigna Commercial	$723.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$350.23
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$318.39
Rate for Payer: Qualcare PPO/HMO/WC	$217.09
Rate for Payer: UnitedHealthcare Community & State	$34.88
Rate for Payer: Wellpoint Medicaid Managed Care	$38.35

SCREW SHRF GAMMA LAG 12/90MM

Facility

$1,447.25

Hospital Charge Code	270601378
Hospital Revenue Code	278
Min. Negotiated Rate	$217.09
Max. Negotiated Rate	$350.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$289.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$350.23
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$318.39
Rate for Payer: Qualcare PPO/HMO/WC	$217.09

SCREW SHRF GAMMA SET

Facility

$396.85

Hospital Charge Code	270601377
Hospital Revenue Code	278
Min. Negotiated Rate	$9.56
Max. Negotiated Rate	$198.43
Rate for Payer: Aetna Commercial	$150.80
Rate for Payer: Aetna Medicare Advantage	$119.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$101.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$101.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$79.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$101.20
Rate for Payer: Cigna Commercial	$198.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$87.31
Rate for Payer: Qualcare PPO/HMO/WC	$59.53
Rate for Payer: UnitedHealthcare Community & State	$9.56
Rate for Payer: Wellpoint Medicaid Managed Care	$10.52

SCREW SHRF GAMMA SET

Facility

$396.85

Hospital Charge Code	270601377
Hospital Revenue Code	278
Min. Negotiated Rate	$59.53
Max. Negotiated Rate	$96.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$79.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$87.31
Rate for Payer: Qualcare PPO/HMO/WC	$59.53

SCREW SI 14MM

Facility

$600.00

Hospital Charge Code	270703568
Hospital Revenue Code	278
Min. Negotiated Rate	$14.46
Max. Negotiated Rate	$300.00
Rate for Payer: Aetna Commercial	$228.00
Rate for Payer: Aetna Medicare Advantage	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.00
Rate for Payer: Cigna Commercial	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$132.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.00
Rate for Payer: UnitedHealthcare Community & State	$14.46
Rate for Payer: Wellpoint Medicaid Managed Care	$15.90

SCREW SI 14MM

Facility

$600.00

Hospital Charge Code	270703568
Hospital Revenue Code	278
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$145.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$132.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

SCREW SI 5.5 POLYAX 7X45MM

Facility

$6,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270698986
Hospital Revenue Code	278
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$1,452.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,320.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

SCREW SI 5.5 POLYAX 7X45MM

Facility

$6,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270698986
Hospital Revenue Code	278
Min. Negotiated Rate	$144.60
Max. Negotiated Rate	$3,000.00
Rate for Payer: Aetna Commercial	$2,280.00
Rate for Payer: Aetna Medicare Advantage	$1,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,530.00
Rate for Payer: Cigna Commercial	$3,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,320.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00
Rate for Payer: UnitedHealthcare Community & State	$144.60
Rate for Payer: Wellpoint Medicaid Managed Care	$159.00

SCREW SIDE RAIL 1 1/2 IN

Facility

$41.30

Hospital Charge Code	270679662
Hospital Revenue Code	272
Min. Negotiated Rate	$1.00
Max. Negotiated Rate	$20.65
Rate for Payer: Aetna Commercial	$15.69
Rate for Payer: Aetna Medicare Advantage	$12.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.53
Rate for Payer: Cigna Commercial	$20.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.39
Rate for Payer: Oxford Commercial	$8.26
Rate for Payer: Qualcare PPO/HMO/WC	$6.20
Rate for Payer: UnitedHealthcare Commercial	$8.26
Rate for Payer: UnitedHealthcare Community & State	$1.00
Rate for Payer: Wellpoint Medicaid Managed Care	$1.09

SCREW SIDE RAIL 1 1/2 IN

Facility

$41.30

Hospital Charge Code	270679662
Hospital Revenue Code	272
Min. Negotiated Rate	$6.20
Max. Negotiated Rate	$6.20
Rate for Payer: Qualcare PPO/HMO/WC	$6.20

SCREW SIMPACT 14.5X35MM

Facility

$13,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270696487
Hospital Revenue Code	278
Min. Negotiated Rate	$313.30
Max. Negotiated Rate	$6,500.00
Rate for Payer: Aetna Commercial	$4,940.00
Rate for Payer: Aetna Medicare Advantage	$3,900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,315.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,315.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,315.00
Rate for Payer: Cigna Commercial	$6,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,146.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,860.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,950.00
Rate for Payer: UnitedHealthcare Community & State	$313.30
Rate for Payer: Wellpoint Medicaid Managed Care	$344.50

SCREW SIMPACT 14.5X35MM

Facility

$13,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270696487
Hospital Revenue Code	278
Min. Negotiated Rate	$1,950.00
Max. Negotiated Rate	$3,146.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,146.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,860.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,950.00

SCREW SIMPACT 14.5X45MM

Facility

$13,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270697137
Hospital Revenue Code	278
Min. Negotiated Rate	$1,950.00
Max. Negotiated Rate	$3,146.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,146.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,860.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,950.00

SCREW SIMPACT 14.5X45MM

Facility

$13,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270697137
Hospital Revenue Code	278
Min. Negotiated Rate	$313.30
Max. Negotiated Rate	$6,500.00
Rate for Payer: Aetna Commercial	$4,940.00
Rate for Payer: Aetna Medicare Advantage	$3,900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,315.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,315.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,315.00
Rate for Payer: Cigna Commercial	$6,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,146.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,860.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,950.00
Rate for Payer: UnitedHealthcare Community & State	$313.30
Rate for Payer: Wellpoint Medicaid Managed Care	$344.50

SCREW SI POLY AXL 6x45mm

Facility

$9,825.00

Hospital Charge Code	270665205
Hospital Revenue Code	278
Min. Negotiated Rate	$236.78
Max. Negotiated Rate	$4,912.50
Rate for Payer: Aetna Commercial	$3,733.50
Rate for Payer: Aetna Medicare Advantage	$2,947.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,505.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,505.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,965.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,505.38
Rate for Payer: Cigna Commercial	$4,912.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,377.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,161.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,473.75
Rate for Payer: UnitedHealthcare Community & State	$236.78
Rate for Payer: Wellpoint Medicaid Managed Care	$260.36

SCREW SI POLY AXL 6x45mm

Facility

$9,825.00

Hospital Charge Code	270665205
Hospital Revenue Code	278
Min. Negotiated Rate	$1,473.75
Max. Negotiated Rate	$2,377.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,965.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,377.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,161.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,473.75

SCREW SIROS-O SI DT 9.5X40MM

Facility

$17,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270699523
Hospital Revenue Code	278
Min. Negotiated Rate	$2,662.50
Max. Negotiated Rate	$4,295.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,295.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,905.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,662.50

SCREW SIROS-O SI DT 9.5X40MM

Facility

$17,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270699523
Hospital Revenue Code	278
Min. Negotiated Rate	$427.77
Max. Negotiated Rate	$8,875.00
Rate for Payer: Aetna Commercial	$6,745.00
Rate for Payer: Aetna Medicare Advantage	$5,325.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,526.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,526.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,550.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,526.25
Rate for Payer: Cigna Commercial	$8,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,295.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,905.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,662.50
Rate for Payer: UnitedHealthcare Community & State	$427.77
Rate for Payer: Wellpoint Medicaid Managed Care	$470.38

SCREW SKYLINE 16MM

Facility

$1,258.75

Service Code	HCPCS C1713
Hospital Charge Code	270667193
Hospital Revenue Code	278
Min. Negotiated Rate	$188.81
Max. Negotiated Rate	$304.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$251.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$304.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$276.93
Rate for Payer: Qualcare PPO/HMO/WC	$188.81

SCREW SKYLINE 16MM

Facility

$1,258.75

Service Code	HCPCS C1713
Hospital Charge Code	270667193
Hospital Revenue Code	278
Min. Negotiated Rate	$30.34
Max. Negotiated Rate	$629.38
Rate for Payer: Aetna Commercial	$478.32
Rate for Payer: Aetna Medicare Advantage	$377.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$320.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$320.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$251.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$320.98
Rate for Payer: Cigna Commercial	$629.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$304.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$276.93
Rate for Payer: Qualcare PPO/HMO/WC	$188.81
Rate for Payer: UnitedHealthcare Community & State	$30.34
Rate for Payer: Wellpoint Medicaid Managed Care	$33.36

SCREW SKY VARIABLE SD 14 MM

Facility

$1,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270668467
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 SKY VARIABLE SD 14 MM

Facility

$1,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270668467
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 SKY VARIABLE SD 16MM

Facility

$1,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270663489
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 SKY VARIABLE SD 16MM

Facility

$1,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270663489
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

Know your out-of-pocket cost for care.

All Charges