Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW SOLID PEDICLE 5.5x35MM

Facility

$9,280.00

Hospital Charge Code	270658051
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 5.5x40MM

Facility

$9,280.00

Service Code	HCPCS C1713
Hospital Charge Code	270656134
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 5.5x40MM

Facility

$9,280.00

Service Code	HCPCS C1713
Hospital Charge Code	270656134
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 5.5x45MM

Facility

$9,280.00

Service Code	HCPCS C1713
Hospital Charge Code	270656136
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 5.5x45MM

Facility

$9,280.00

Service Code	HCPCS C1713
Hospital Charge Code	270656136
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 5.5x50MM

Facility

$9,280.00

Service Code	HCPCS C1713
Hospital Charge Code	270656139
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 5.5x50MM

Facility

$9,280.00

Service Code	HCPCS C1713
Hospital Charge Code	270656139
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 6.5x40MM

Facility

$8,900.00

Service Code	HCPCS C1713
Hospital Charge Code	270665486
Hospital Revenue Code	278
Min. Negotiated Rate	$1,335.00
Max. Negotiated Rate	$2,153.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,780.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,153.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,958.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,335.00

SCREW SOLID PEDICLE 6.5x40MM

Facility

$8,900.00

Service Code	HCPCS C1713
Hospital Charge Code	270665486
Hospital Revenue Code	278
Min. Negotiated Rate	$214.49
Max. Negotiated Rate	$4,450.00
Rate for Payer: Aetna Commercial	$3,382.00
Rate for Payer: Aetna Medicare Advantage	$2,670.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,269.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,269.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,780.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,269.50
Rate for Payer: Cigna Commercial	$4,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,153.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,958.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,335.00
Rate for Payer: UnitedHealthcare Community & State	$214.49
Rate for Payer: Wellpoint Medicaid Managed Care	$235.85

SCREW SOLID PEDICLE 6.5x45MM

Facility

$9,280.00

Hospital Charge Code	270676538
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 6.5x45MM

Facility

$9,280.00

Hospital Charge Code	270676538
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 6.5x50MM

Facility

$9,280.00

Hospital Charge Code	270656122
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 6.5x50MM

Facility

$9,280.00

Hospital Charge Code	270676540
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 6.5x50MM

Facility

$9,280.00

Hospital Charge Code	270676540
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 6.5x50MM

Facility

$9,280.00

Hospital Charge Code	270656122
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 6.5x55MM

Facility

$9,280.00

Hospital Charge Code	270676539
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 6.5x55MM

Facility

$9,280.00

Hospital Charge Code	270676539
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 7.5x40MM

Facility

$9,280.00

Hospital Charge Code	270671181
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 7.5x40MM

Facility

$9,280.00

Hospital Charge Code	270671181
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 7.5x50MM

Facility

$8,900.00

Service Code	HCPCS C1713
Hospital Charge Code	270671180
Hospital Revenue Code	278
Min. Negotiated Rate	$214.49
Max. Negotiated Rate	$4,450.00
Rate for Payer: Aetna Commercial	$3,382.00
Rate for Payer: Aetna Medicare Advantage	$2,670.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,269.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,269.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,780.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,269.50
Rate for Payer: Cigna Commercial	$4,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,153.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,958.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,335.00
Rate for Payer: UnitedHealthcare Community & State	$214.49
Rate for Payer: Wellpoint Medicaid Managed Care	$235.85

SCREW SOLID PEDICLE 7.5x50MM

Facility

$8,900.00

Service Code	HCPCS C1713
Hospital Charge Code	270671180
Hospital Revenue Code	278
Min. Negotiated Rate	$1,335.00
Max. Negotiated Rate	$2,153.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,780.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,153.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,958.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,335.00

SCREW SOLID PEDICLE 7.5x55MM

Facility

$8,900.00

Service Code	HCPCS C1713
Hospital Charge Code	270671179
Hospital Revenue Code	278
Min. Negotiated Rate	$214.49
Max. Negotiated Rate	$4,450.00
Rate for Payer: Aetna Commercial	$3,382.00
Rate for Payer: Aetna Medicare Advantage	$2,670.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,269.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,269.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,780.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,269.50
Rate for Payer: Cigna Commercial	$4,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,153.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,958.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,335.00
Rate for Payer: UnitedHealthcare Community & State	$214.49
Rate for Payer: Wellpoint Medicaid Managed Care	$235.85

SCREW SOLID PEDICLE 7.5x55MM

Facility

$8,900.00

Service Code	HCPCS C1713
Hospital Charge Code	270671179
Hospital Revenue Code	278
Min. Negotiated Rate	$1,335.00
Max. Negotiated Rate	$2,153.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,780.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,153.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,958.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,335.00

SCREW SOLSTICE POLYAX 3.5X12MM

Facility

$3,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270699305
Hospital Revenue Code	278
Min. Negotiated Rate	$562.50
Max. Negotiated Rate	$907.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$907.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$825.00
Rate for Payer: Qualcare PPO/HMO/WC	$562.50

SCREW SOLSTICE POLYAX 3.5X12MM

Facility

$3,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270699305
Hospital Revenue Code	278
Min. Negotiated Rate	$90.38
Max. Negotiated Rate	$1,875.00
Rate for Payer: Aetna Commercial	$1,425.00
Rate for Payer: Aetna Medicare Advantage	$1,125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$956.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$956.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$956.25
Rate for Payer: Cigna Commercial	$1,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$907.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$825.00
Rate for Payer: Qualcare PPO/HMO/WC	$562.50
Rate for Payer: UnitedHealthcare Community & State	$90.38
Rate for Payer: Wellpoint Medicaid Managed Care	$99.38

Know your out-of-pocket cost for care.

All Charges