Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW SLFTP CT 4.5 38 48453801

Facility

$66.80

Hospital Charge Code	270606034
Hospital Revenue Code	278
Min. Negotiated Rate	$1.61
Max. Negotiated Rate	$33.40
Rate for Payer: Aetna Commercial	$25.38
Rate for Payer: Aetna Medicare Advantage	$20.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.03
Rate for Payer: Cigna Commercial	$33.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.17
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$14.70
Rate for Payer: Qualcare PPO/HMO/WC	$10.02
Rate for Payer: UnitedHealthcare Community & State	$1.61
Rate for Payer: Wellpoint Medicaid Managed Care	$1.77

SCREW SLFTP CT 4.5 40 48454001

Facility

$64.25

Hospital Charge Code	270601792
Hospital Revenue Code	278
Min. Negotiated Rate	$1.55
Max. Negotiated Rate	$32.12
Rate for Payer: Aetna Commercial	$24.41
Rate for Payer: Aetna Medicare Advantage	$19.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.38
Rate for Payer: Cigna Commercial	$32.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$14.13
Rate for Payer: Qualcare PPO/HMO/WC	$9.64
Rate for Payer: UnitedHealthcare Community & State	$1.55
Rate for Payer: Wellpoint Medicaid Managed Care	$1.70

SCREW SLFTP CT 4.5 40 48454001

Facility

$64.25

Hospital Charge Code	270601792
Hospital Revenue Code	278
Min. Negotiated Rate	$9.64
Max. Negotiated Rate	$15.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$14.13
Rate for Payer: Qualcare PPO/HMO/WC	$9.64

SCREW SLFTP CT 4.5 42 48454201

Facility

$63.75

Hospital Charge Code	270601793
Hospital Revenue Code	278
Min. Negotiated Rate	$9.56
Max. Negotiated Rate	$15.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.43
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$14.03
Rate for Payer: Qualcare PPO/HMO/WC	$9.56

SCREW SLFTP CT 4.5 42 48454201

Facility

$63.75

Hospital Charge Code	270601793
Hospital Revenue Code	278
Min. Negotiated Rate	$1.54
Max. Negotiated Rate	$31.88
Rate for Payer: Aetna Commercial	$24.23
Rate for Payer: Aetna Medicare Advantage	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.26
Rate for Payer: Cigna Commercial	$31.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.43
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$14.03
Rate for Payer: Qualcare PPO/HMO/WC	$9.56
Rate for Payer: UnitedHealthcare Community & State	$1.54
Rate for Payer: Wellpoint Medicaid Managed Care	$1.69

SCREW SMN AFX 9 25 7207186

Facility

$660.85

Hospital Charge Code	270617674
Hospital Revenue Code	278
Min. Negotiated Rate	$15.93
Max. Negotiated Rate	$330.43
Rate for Payer: Aetna Commercial	$251.12
Rate for Payer: Aetna Medicare Advantage	$198.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.52
Rate for Payer: Cigna Commercial	$330.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.93
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$145.39
Rate for Payer: Qualcare PPO/HMO/WC	$99.13
Rate for Payer: UnitedHealthcare Community & State	$15.93
Rate for Payer: Wellpoint Medicaid Managed Care	$17.51

SCREW SMN AFX 9 25 7207186

Facility

$660.85

Hospital Charge Code	270617674
Hospital Revenue Code	278
Min. Negotiated Rate	$99.13
Max. Negotiated Rate	$159.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.93
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$145.39
Rate for Payer: Qualcare PPO/HMO/WC	$99.13

SCREW SMN CHS LAG 100MM 121109

Facility

$1,449.65

Hospital Charge Code	270621498
Hospital Revenue Code	278
Min. Negotiated Rate	$34.94
Max. Negotiated Rate	$724.83
Rate for Payer: Aetna Commercial	$550.87
Rate for Payer: Aetna Medicare Advantage	$434.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$369.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$369.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$289.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$369.66
Rate for Payer: Cigna Commercial	$724.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$350.82
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$318.92
Rate for Payer: Qualcare PPO/HMO/WC	$217.45
Rate for Payer: UnitedHealthcare Community & State	$34.94
Rate for Payer: Wellpoint Medicaid Managed Care	$38.42

SCREW SMN CHS LAG 100MM 121109

Facility

$1,449.65

Hospital Charge Code	270621498
Hospital Revenue Code	278
Min. Negotiated Rate	$217.45
Max. Negotiated Rate	$350.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$289.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$350.82
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$318.92
Rate for Payer: Qualcare PPO/HMO/WC	$217.45

SCREW SMN LOCK 4.5 35 122293

Facility

$828.85

Hospital Charge Code	270621497
Hospital Revenue Code	278
Min. Negotiated Rate	$19.98
Max. Negotiated Rate	$414.43
Rate for Payer: Aetna Commercial	$314.96
Rate for Payer: Aetna Medicare Advantage	$248.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$211.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$211.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$165.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$211.36
Rate for Payer: Cigna Commercial	$414.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$200.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$182.35
Rate for Payer: Qualcare PPO/HMO/WC	$124.33
Rate for Payer: UnitedHealthcare Community & State	$19.98
Rate for Payer: Wellpoint Medicaid Managed Care	$21.96

SCREW SMN LOCK 4.5 35 122293

Facility

$828.85

Hospital Charge Code	270621497
Hospital Revenue Code	278
Min. Negotiated Rate	$124.33
Max. Negotiated Rate	$200.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$165.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$200.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$182.35
Rate for Payer: Qualcare PPO/HMO/WC	$124.33

SCREW SMN LOCK 4.5 40 122294

Facility

$828.85

Hospital Charge Code	270621507
Hospital Revenue Code	278
Min. Negotiated Rate	$124.33
Max. Negotiated Rate	$200.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$165.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$200.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$182.35
Rate for Payer: Qualcare PPO/HMO/WC	$124.33

SCREW SMN LOCK 4.5 40 122294

Facility

$828.85

Hospital Charge Code	270621507
Hospital Revenue Code	278
Min. Negotiated Rate	$19.98
Max. Negotiated Rate	$414.43
Rate for Payer: Aetna Commercial	$314.96
Rate for Payer: Aetna Medicare Advantage	$248.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$211.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$211.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$165.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$211.36
Rate for Payer: Cigna Commercial	$414.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$200.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$182.35
Rate for Payer: Qualcare PPO/HMO/WC	$124.33
Rate for Payer: UnitedHealthcare Community & State	$19.98
Rate for Payer: Wellpoint Medicaid Managed Care	$21.96

SCREW SMN LOCK 5.0 25 122280

Facility

$704.00

Hospital Charge Code	270613591
Hospital Revenue Code	278
Min. Negotiated Rate	$105.60
Max. Negotiated Rate	$170.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.37
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$154.88
Rate for Payer: Qualcare PPO/HMO/WC	$105.60

SCREW SMN LOCK 5.0 25 122280

Facility

$704.00

Hospital Charge Code	270613591
Hospital Revenue Code	278
Min. Negotiated Rate	$16.97
Max. Negotiated Rate	$352.00
Rate for Payer: Aetna Commercial	$267.52
Rate for Payer: Aetna Medicare Advantage	$211.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$179.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$179.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$179.52
Rate for Payer: Cigna Commercial	$352.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.37
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$154.88
Rate for Payer: Qualcare PPO/HMO/WC	$105.60
Rate for Payer: UnitedHealthcare Community & State	$16.97
Rate for Payer: Wellpoint Medicaid Managed Care	$18.66

SCREW SNAPOFF 2.0 x 11mm

Facility

$1,090.00

Service Code	HCPCS C1713
Hospital Charge Code	270684789
Hospital Revenue Code	278
Min. Negotiated Rate	$26.27
Max. Negotiated Rate	$545.00
Rate for Payer: Aetna Commercial	$414.20
Rate for Payer: Aetna Medicare Advantage	$327.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$277.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$277.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$218.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$277.95
Rate for Payer: Cigna Commercial	$545.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$263.78
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$239.80
Rate for Payer: Qualcare PPO/HMO/WC	$163.50
Rate for Payer: UnitedHealthcare Community & State	$26.27
Rate for Payer: Wellpoint Medicaid Managed Care	$28.89

SCREW SNAPOFF 2.0 x 11mm

Facility

$1,090.00

Service Code	HCPCS C1713
Hospital Charge Code	270684789
Hospital Revenue Code	278
Min. Negotiated Rate	$163.50
Max. Negotiated Rate	$263.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$218.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$263.78
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$239.80
Rate for Payer: Qualcare PPO/HMO/WC	$163.50

SCREW SNAP-OFF 2.0x12mm

Facility

$1,375.00

Hospital Charge Code	270669710
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 SNAP-OFF 2.0x12mm

Facility

$1,375.00

Hospital Charge Code	270669710
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 SNAPOFF 2.0x12mm

Facility

$1,090.00

Service Code	HCPCS C1713
Hospital Charge Code	270678888
Hospital Revenue Code	278
Min. Negotiated Rate	$163.50
Max. Negotiated Rate	$263.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$218.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$263.78
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$239.80
Rate for Payer: Qualcare PPO/HMO/WC	$163.50

SCREW SNAPOFF 2.0x12mm

Facility

$1,090.00

Service Code	HCPCS C1713
Hospital Charge Code	270678888
Hospital Revenue Code	278
Min. Negotiated Rate	$26.27
Max. Negotiated Rate	$545.00
Rate for Payer: Aetna Commercial	$414.20
Rate for Payer: Aetna Medicare Advantage	$327.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$277.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$277.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$218.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$277.95
Rate for Payer: Cigna Commercial	$545.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$263.78
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$239.80
Rate for Payer: Qualcare PPO/HMO/WC	$163.50
Rate for Payer: UnitedHealthcare Community & State	$26.27
Rate for Payer: Wellpoint Medicaid Managed Care	$28.89

SCREW SNAP OFF 2.0X12MM

Facility

$780.00

Service Code	HCPCS C1713
Hospital Charge Code	270693326
Hospital Revenue Code	278
Min. Negotiated Rate	$117.00
Max. Negotiated Rate	$188.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$156.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$188.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$171.60
Rate for Payer: Qualcare PPO/HMO/WC	$117.00

SCREW SNAP OFF 2.0X12MM

Facility

$780.00

Service Code	HCPCS C1713
Hospital Charge Code	270693326
Hospital Revenue Code	278
Min. Negotiated Rate	$18.80
Max. Negotiated Rate	$390.00
Rate for Payer: Aetna Commercial	$296.40
Rate for Payer: Aetna Medicare Advantage	$234.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$198.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$198.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$156.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$198.90
Rate for Payer: Cigna Commercial	$390.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$188.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$171.60
Rate for Payer: Qualcare PPO/HMO/WC	$117.00
Rate for Payer: UnitedHealthcare Community & State	$18.80
Rate for Payer: Wellpoint Medicaid Managed Care	$20.67

SCREW SNAP OFF 2.2MMX12MM

Facility

$2,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270692057
Hospital Revenue Code	278
Min. Negotiated Rate	$393.75
Max. Negotiated Rate	$635.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$525.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$635.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$577.50
Rate for Payer: Qualcare PPO/HMO/WC	$393.75

SCREW SNAP OFF 2.2MMX12MM

Facility

$2,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270692057
Hospital Revenue Code	278
Min. Negotiated Rate	$63.26
Max. Negotiated Rate	$1,312.50
Rate for Payer: Aetna Commercial	$997.50
Rate for Payer: Aetna Medicare Advantage	$787.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$669.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$669.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$669.38
Rate for Payer: Cigna Commercial	$1,312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$635.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$577.50
Rate for Payer: Qualcare PPO/HMO/WC	$393.75
Rate for Payer: UnitedHealthcare Community & State	$63.26
Rate for Payer: Wellpoint Medicaid Managed Care	$69.56

Know your out-of-pocket cost for care.

All Charges