Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW SNAPOFF 2x11MM

Facility

$1,575.00

Service Code	HCPCS C1713
Hospital Charge Code	270673662
Hospital Revenue Code	278
Min. Negotiated Rate	$236.25
Max. Negotiated Rate	$381.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$315.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$381.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$346.50
Rate for Payer: Qualcare PPO/HMO/WC	$236.25

SCREW SNAPOFF 2x11MM

Facility

$1,575.00

Service Code	HCPCS C1713
Hospital Charge Code	270673662
Hospital Revenue Code	278
Min. Negotiated Rate	$37.96
Max. Negotiated Rate	$787.50
Rate for Payer: Aetna Commercial	$598.50
Rate for Payer: Aetna Medicare Advantage	$472.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$401.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$401.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$315.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$401.62
Rate for Payer: Cigna Commercial	$787.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$381.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$346.50
Rate for Payer: Qualcare PPO/HMO/WC	$236.25
Rate for Payer: UnitedHealthcare Community & State	$37.96
Rate for Payer: Wellpoint Medicaid Managed Care	$41.74

SCREW SNAPOFF BLUE 2x14MM

Facility

$1,575.00

Service Code	HCPCS C1713
Hospital Charge Code	270662538
Hospital Revenue Code	278
Min. Negotiated Rate	$37.96
Max. Negotiated Rate	$787.50
Rate for Payer: Aetna Commercial	$598.50
Rate for Payer: Aetna Medicare Advantage	$472.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$401.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$401.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$315.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$401.62
Rate for Payer: Cigna Commercial	$787.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$381.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$346.50
Rate for Payer: Qualcare PPO/HMO/WC	$236.25
Rate for Payer: UnitedHealthcare Community & State	$37.96
Rate for Payer: Wellpoint Medicaid Managed Care	$41.74

SCREW SNAPOFF BLUE 2x14MM

Facility

$1,575.00

Service Code	HCPCS C1713
Hospital Charge Code	270662538
Hospital Revenue Code	278
Min. Negotiated Rate	$236.25
Max. Negotiated Rate	$381.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$315.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$381.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$346.50
Rate for Payer: Qualcare PPO/HMO/WC	$236.25

SCREW SNAPOFF BLUE 3x13MM

Facility

$1,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270677152
Hospital Revenue Code	278
Min. Negotiated Rate	$28.92
Max. Negotiated Rate	$600.00
Rate for Payer: Aetna Commercial	$456.00
Rate for Payer: Aetna Medicare Advantage	$360.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$306.00
Rate for Payer: Cigna Commercial	$600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$264.00
Rate for Payer: Qualcare PPO/HMO/WC	$180.00
Rate for Payer: UnitedHealthcare Community & State	$28.92
Rate for Payer: Wellpoint Medicaid Managed Care	$31.80

SCREW SNAPOFF BLUE 3x13MM

Facility

$1,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270677152
Hospital Revenue Code	278
Min. Negotiated Rate	$180.00
Max. Negotiated Rate	$290.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$240.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$264.00
Rate for Payer: Qualcare PPO/HMO/WC	$180.00

SCREW SNR ST 5.0/6.4 70 122382

Facility

$683.25

Hospital Charge Code	270613592
Hospital Revenue Code	278
Min. Negotiated Rate	$102.49
Max. Negotiated Rate	$165.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$136.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$165.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$150.31
Rate for Payer: Qualcare PPO/HMO/WC	$102.49

SCREW SNR ST 5.0/6.4 70 122382

Facility

$683.25

Hospital Charge Code	270613592
Hospital Revenue Code	278
Min. Negotiated Rate	$16.47
Max. Negotiated Rate	$341.62
Rate for Payer: Aetna Commercial	$259.63
Rate for Payer: Aetna Medicare Advantage	$204.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$174.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$174.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$136.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$174.23
Rate for Payer: Cigna Commercial	$341.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$165.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$150.31
Rate for Payer: Qualcare PPO/HMO/WC	$102.49
Rate for Payer: UnitedHealthcare Community & State	$16.47
Rate for Payer: Wellpoint Medicaid Managed Care	$18.11

SCREW SOLD LOCKG 4.0X38 222587

Facility

$540.70

Hospital Charge Code	270633662
Hospital Revenue Code	278
Min. Negotiated Rate	$81.11
Max. Negotiated Rate	$130.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$118.95
Rate for Payer: Qualcare PPO/HMO/WC	$81.11

SCREW SOLD LOCKG 4.0X38 222587

Facility

$540.70

Hospital Charge Code	270633662
Hospital Revenue Code	278
Min. Negotiated Rate	$13.03
Max. Negotiated Rate	$270.35
Rate for Payer: Aetna Commercial	$205.47
Rate for Payer: Aetna Medicare Advantage	$162.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$137.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$137.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$137.88
Rate for Payer: Cigna Commercial	$270.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$118.95
Rate for Payer: Qualcare PPO/HMO/WC	$81.11
Rate for Payer: UnitedHealthcare Community & State	$13.03
Rate for Payer: Wellpoint Medicaid Managed Care	$14.33

SCREW SOLID 4.5X23MM

Facility

$7,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270695209
Hospital Revenue Code	278
Min. Negotiated Rate	$1,196.25
Max. Negotiated Rate	$1,929.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,595.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,929.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,754.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,196.25

SCREW SOLID 4.5X23MM

Facility

$7,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270695209
Hospital Revenue Code	278
Min. Negotiated Rate	$192.20
Max. Negotiated Rate	$3,987.50
Rate for Payer: Aetna Commercial	$3,030.50
Rate for Payer: Aetna Medicare Advantage	$2,392.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,033.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,033.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,595.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,033.62
Rate for Payer: Cigna Commercial	$3,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,929.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,754.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,196.25
Rate for Payer: UnitedHealthcare Community & State	$192.20
Rate for Payer: Wellpoint Medicaid Managed Care	$211.34

SCREW SOLID 4.5X25MM

Facility

$7,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270695210
Hospital Revenue Code	278
Min. Negotiated Rate	$1,196.25
Max. Negotiated Rate	$1,929.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,595.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,929.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,754.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,196.25

SCREW SOLID 4.5X25MM

Facility

$7,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270695210
Hospital Revenue Code	278
Min. Negotiated Rate	$192.20
Max. Negotiated Rate	$3,987.50
Rate for Payer: Aetna Commercial	$3,030.50
Rate for Payer: Aetna Medicare Advantage	$2,392.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,033.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,033.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,595.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,033.62
Rate for Payer: Cigna Commercial	$3,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,929.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,754.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,196.25
Rate for Payer: UnitedHealthcare Community & State	$192.20
Rate for Payer: Wellpoint Medicaid Managed Care	$211.34

SCREW SOLID COMPRESS 4mm/36mm

Facility

$6,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270681408
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 SOLID COMPRESS 4mm/36mm

Facility

$6,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270681408
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 SOLID LOCK 3.5X14MM

Facility

$7,610.00

Service Code	HCPCS C1713
Hospital Charge Code	270698545
Hospital Revenue Code	278
Min. Negotiated Rate	$183.40
Max. Negotiated Rate	$3,805.00
Rate for Payer: Aetna Commercial	$2,891.80
Rate for Payer: Aetna Medicare Advantage	$2,283.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,940.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,940.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,522.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,940.55
Rate for Payer: Cigna Commercial	$3,805.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,841.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,674.20
Rate for Payer: Qualcare PPO/HMO/WC	$1,141.50
Rate for Payer: UnitedHealthcare Community & State	$183.40
Rate for Payer: Wellpoint Medicaid Managed Care	$201.66

SCREW SOLID LOCK 3.5X14MM

Facility

$7,610.00

Service Code	HCPCS C1713
Hospital Charge Code	270698545
Hospital Revenue Code	278
Min. Negotiated Rate	$1,141.50
Max. Negotiated Rate	$1,841.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,522.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,841.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,674.20
Rate for Payer: Qualcare PPO/HMO/WC	$1,141.50

SCREW SOLID LOCKING 3.5X16MM

Facility

$1,015.00

Service Code	HCPCS C1713
Hospital Charge Code	270698552
Hospital Revenue Code	278
Min. Negotiated Rate	$152.25
Max. Negotiated Rate	$245.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$203.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$245.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$223.30
Rate for Payer: Qualcare PPO/HMO/WC	$152.25

SCREW SOLID LOCKING 3.5X16MM

Facility

$1,015.00

Service Code	HCPCS C1713
Hospital Charge Code	270698552
Hospital Revenue Code	278
Min. Negotiated Rate	$24.46
Max. Negotiated Rate	$507.50
Rate for Payer: Aetna Commercial	$385.70
Rate for Payer: Aetna Medicare Advantage	$304.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$258.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$258.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$203.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$258.82
Rate for Payer: Cigna Commercial	$507.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$245.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$223.30
Rate for Payer: Qualcare PPO/HMO/WC	$152.25
Rate for Payer: UnitedHealthcare Community & State	$24.46
Rate for Payer: Wellpoint Medicaid Managed Care	$26.90

SCREW SOLID NONLOCK 3.5X16MM

Facility

$1,065.00

Service Code	HCPCS C1713
Hospital Charge Code	270698546
Hospital Revenue Code	278
Min. Negotiated Rate	$25.67
Max. Negotiated Rate	$532.50
Rate for Payer: Aetna Commercial	$404.70
Rate for Payer: Aetna Medicare Advantage	$319.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$271.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$271.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$213.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$271.57
Rate for Payer: Cigna Commercial	$532.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$257.73
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$234.30
Rate for Payer: Qualcare PPO/HMO/WC	$159.75
Rate for Payer: UnitedHealthcare Community & State	$25.67
Rate for Payer: Wellpoint Medicaid Managed Care	$28.22

SCREW SOLID NONLOCK 3.5X16MM

Facility

$1,065.00

Service Code	HCPCS C1713
Hospital Charge Code	270698546
Hospital Revenue Code	278
Min. Negotiated Rate	$159.75
Max. Negotiated Rate	$257.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$213.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$257.73
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$234.30
Rate for Payer: Qualcare PPO/HMO/WC	$159.75

SCREW SOLID PEDICLE 5.5x30MM

Facility

$9,280.00

Hospital Charge Code	270658048
Hospital Revenue Code	278
Min. Negotiated Rate	$1,392.00
Max. Negotiated Rate	$2,245.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,856.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,245.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,041.60
Rate for Payer: Qualcare PPO/HMO/WC	$1,392.00

SCREW SOLID PEDICLE 5.5x30MM

Facility

$9,280.00

Hospital Charge Code	270658048
Hospital Revenue Code	278
Min. Negotiated Rate	$223.65
Max. Negotiated Rate	$4,640.00
Rate for Payer: Aetna Commercial	$3,526.40
Rate for Payer: Aetna Medicare Advantage	$2,784.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,366.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,366.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,856.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,366.40
Rate for Payer: Cigna Commercial	$4,640.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,245.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,041.60
Rate for Payer: Qualcare PPO/HMO/WC	$1,392.00
Rate for Payer: UnitedHealthcare Community & State	$223.65
Rate for Payer: Wellpoint Medicaid Managed Care	$245.92

SCREW SOLID PEDICLE 5.5x35MM

Facility

$9,280.00

Hospital Charge Code	270658051
Hospital Revenue Code	278
Min. Negotiated Rate	$223.65
Max. Negotiated Rate	$4,640.00
Rate for Payer: Aetna Commercial	$3,526.40
Rate for Payer: Aetna Medicare Advantage	$2,784.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,366.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,366.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,856.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,366.40
Rate for Payer: Cigna Commercial	$4,640.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,245.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,041.60
Rate for Payer: Qualcare PPO/HMO/WC	$1,392.00
Rate for Payer: UnitedHealthcare Community & State	$223.65
Rate for Payer: Wellpoint Medicaid Managed Care	$245.92

Know your out-of-pocket cost for care.

All Charges