Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW SPIN TI CA SD 4.6X15MM

Facility

$1,365.90

Service Code	HCPCS C1713
Hospital Charge Code	270693878
Hospital Revenue Code	278
Min. Negotiated Rate	$32.92
Max. Negotiated Rate	$682.95
Rate for Payer: Aetna Commercial	$519.04
Rate for Payer: Aetna Medicare Advantage	$409.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$348.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$348.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$273.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$348.30
Rate for Payer: Cigna Commercial	$682.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$330.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$300.50
Rate for Payer: Qualcare PPO/HMO/WC	$204.88
Rate for Payer: UnitedHealthcare Community & State	$32.92
Rate for Payer: Wellpoint Medicaid Managed Care	$36.20

SCREW SPNL CORT FIX 5X26MM

Facility

$7,836.15

Service Code	HCPCS C1713
Hospital Charge Code	270693345
Hospital Revenue Code	278
Min. Negotiated Rate	$1,175.42
Max. Negotiated Rate	$1,896.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,567.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,896.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,723.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,175.42

SCREW SPNL CORT FIX 5X26MM

Facility

$7,836.15

Service Code	HCPCS C1713
Hospital Charge Code	270693345
Hospital Revenue Code	278
Min. Negotiated Rate	$188.85
Max. Negotiated Rate	$3,918.07
Rate for Payer: Aetna Commercial	$2,977.74
Rate for Payer: Aetna Medicare Advantage	$2,350.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,998.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,998.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,567.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,998.22
Rate for Payer: Cigna Commercial	$3,918.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,896.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,723.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,175.42
Rate for Payer: UnitedHealthcare Community & State	$188.85
Rate for Payer: Wellpoint Medicaid Managed Care	$207.66

SCREW SPNL CORT FIX 5X30MM

Facility

$7,836.15

Service Code	HCPCS C1713
Hospital Charge Code	270693344
Hospital Revenue Code	278
Min. Negotiated Rate	$1,175.42
Max. Negotiated Rate	$1,896.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,567.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,896.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,723.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,175.42

SCREW SPNL CORT FIX 5X30MM

Facility

$7,836.15

Service Code	HCPCS C1713
Hospital Charge Code	270693344
Hospital Revenue Code	278
Min. Negotiated Rate	$188.85
Max. Negotiated Rate	$3,918.07
Rate for Payer: Aetna Commercial	$2,977.74
Rate for Payer: Aetna Medicare Advantage	$2,350.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,998.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,998.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,567.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,998.22
Rate for Payer: Cigna Commercial	$3,918.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,896.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,723.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,175.42
Rate for Payer: UnitedHealthcare Community & State	$188.85
Rate for Payer: Wellpoint Medicaid Managed Care	$207.66

SCREW SPNL FXD 3.75X14MM

Facility

$5,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270699547
Hospital Revenue Code	278
Min. Negotiated Rate	$825.00
Max. Negotiated Rate	$1,331.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,331.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,210.00
Rate for Payer: Qualcare PPO/HMO/WC	$825.00

SCREW SPNL FXD 3.75X14MM

Facility

$5,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270699547
Hospital Revenue Code	278
Min. Negotiated Rate	$132.55
Max. Negotiated Rate	$2,750.00
Rate for Payer: Aetna Commercial	$2,090.00
Rate for Payer: Aetna Medicare Advantage	$1,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,402.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,402.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,402.50
Rate for Payer: Cigna Commercial	$2,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,331.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,210.00
Rate for Payer: Qualcare PPO/HMO/WC	$825.00
Rate for Payer: UnitedHealthcare Community & State	$132.55
Rate for Payer: Wellpoint Medicaid Managed Care	$145.75

SCREW SPNL HD PLYAX HD MARINER

Facility

$5,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270695154
Hospital Revenue Code	278
Min. Negotiated Rate	$806.25
Max. Negotiated Rate	$1,300.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,075.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,300.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,182.50
Rate for Payer: Qualcare PPO/HMO/WC	$806.25

SCREW SPNL HD PLYAX HD MARINER

Facility

$5,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270695154
Hospital Revenue Code	278
Min. Negotiated Rate	$129.54
Max. Negotiated Rate	$2,687.50
Rate for Payer: Aetna Commercial	$2,042.50
Rate for Payer: Aetna Medicare Advantage	$1,612.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,370.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,370.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,075.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,370.62
Rate for Payer: Cigna Commercial	$2,687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,300.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,182.50
Rate for Payer: Qualcare PPO/HMO/WC	$806.25
Rate for Payer: UnitedHealthcare Community & State	$129.54
Rate for Payer: Wellpoint Medicaid Managed Care	$142.44

SCREW SP PED MAXCESS-C 14MM

Facility

$850.00

Service Code	HCPCS C1713
Hospital Charge Code	270693751
Hospital Revenue Code	278
Min. Negotiated Rate	$127.50
Max. Negotiated Rate	$205.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$205.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$187.00
Rate for Payer: Qualcare PPO/HMO/WC	$127.50

SCREW SP PED MAXCESS-C 14MM

Facility

$850.00

Service Code	HCPCS C1713
Hospital Charge Code	270693751
Hospital Revenue Code	278
Min. Negotiated Rate	$20.48
Max. Negotiated Rate	$425.00
Rate for Payer: Aetna Commercial	$323.00
Rate for Payer: Aetna Medicare Advantage	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$170.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$216.75
Rate for Payer: Cigna Commercial	$425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$205.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$187.00
Rate for Payer: Qualcare PPO/HMO/WC	$127.50
Rate for Payer: UnitedHealthcare Community & State	$20.48
Rate for Payer: Wellpoint Medicaid Managed Care	$22.52

SCREW S/S 4.0 x 12mm 20114012D

Facility

$2,970.00

Hospital Charge Code	270648862
Hospital Revenue Code	278
Min. Negotiated Rate	$71.58
Max. Negotiated Rate	$1,485.00
Rate for Payer: Aetna Commercial	$1,128.60
Rate for Payer: Aetna Medicare Advantage	$891.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$757.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$757.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$594.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$757.35
Rate for Payer: Cigna Commercial	$1,485.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$718.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$653.40
Rate for Payer: Qualcare PPO/HMO/WC	$445.50
Rate for Payer: UnitedHealthcare Community & State	$71.58
Rate for Payer: Wellpoint Medicaid Managed Care	$78.70

SCREW S/S 4.0 x 12mm 20114012D

Facility

$2,970.00

Hospital Charge Code	270648862
Hospital Revenue Code	278
Min. Negotiated Rate	$445.50
Max. Negotiated Rate	$718.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$594.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$718.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$653.40
Rate for Payer: Qualcare PPO/HMO/WC	$445.50

SCREW SS CMP KREULOCK 3.5X14MM

Facility

$1,599.00

Service Code	HCPCS C1713
Hospital Charge Code	270700081
Hospital Revenue Code	278
Min. Negotiated Rate	$239.85
Max. Negotiated Rate	$386.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$319.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$386.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$351.78
Rate for Payer: Qualcare PPO/HMO/WC	$239.85

SCREW SS CMP KREULOCK 3.5X14MM

Facility

$1,599.00

Service Code	HCPCS C1713
Hospital Charge Code	270700081
Hospital Revenue Code	278
Min. Negotiated Rate	$38.54
Max. Negotiated Rate	$799.50
Rate for Payer: Aetna Commercial	$607.62
Rate for Payer: Aetna Medicare Advantage	$479.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$407.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$407.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$319.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$407.75
Rate for Payer: Cigna Commercial	$799.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$386.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$351.78
Rate for Payer: Qualcare PPO/HMO/WC	$239.85
Rate for Payer: UnitedHealthcare Community & State	$38.54
Rate for Payer: Wellpoint Medicaid Managed Care	$42.37

SCREWS SET

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270681179
Hospital Revenue Code	278
Min. Negotiated Rate	$24.10
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$380.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$220.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00
Rate for Payer: UnitedHealthcare Community & State	$24.10
Rate for Payer: Wellpoint Medicaid Managed Care	$26.50

SCREWS SET

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270681179
Hospital Revenue Code	278
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$242.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$220.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

SCREW STALIF C ABO 4MM X 15

Facility

$3,075.00

Service Code	HCPCS C1713
Hospital Charge Code	270667978
Hospital Revenue Code	278
Min. Negotiated Rate	$74.11
Max. Negotiated Rate	$1,537.50
Rate for Payer: Aetna Commercial	$1,168.50
Rate for Payer: Aetna Medicare Advantage	$922.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$784.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$784.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$615.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$784.12
Rate for Payer: Cigna Commercial	$1,537.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$744.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$676.50
Rate for Payer: Qualcare PPO/HMO/WC	$461.25
Rate for Payer: UnitedHealthcare Community & State	$74.11
Rate for Payer: Wellpoint Medicaid Managed Care	$81.49

SCREW STALIF C ABO 4MM X 15

Facility

$3,075.00

Service Code	HCPCS C1713
Hospital Charge Code	270667978
Hospital Revenue Code	278
Min. Negotiated Rate	$461.25
Max. Negotiated Rate	$744.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$615.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$744.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$676.50
Rate for Payer: Qualcare PPO/HMO/WC	$461.25

SCREW STALIF C ABO 4X13CM

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270693226
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$363.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$330.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

SCREW STALIF C ABO 4X13CM

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270693226
Hospital Revenue Code	278
Min. Negotiated Rate	$36.15
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$570.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$330.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00
Rate for Payer: UnitedHealthcare Community & State	$36.15
Rate for Payer: Wellpoint Medicaid Managed Care	$39.75

SCREW STALIF C CERV ABO 4X14MM

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270695144
Hospital Revenue Code	278
Min. Negotiated Rate	$36.15
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$570.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$330.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00
Rate for Payer: UnitedHealthcare Community & State	$36.15
Rate for Payer: Wellpoint Medicaid Managed Care	$39.75

SCREW STALIF C CERV ABO 4X14MM

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270695144
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$363.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$330.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

SCREW S/TAPPING 5.0x14MM STER

Facility

$1,257.00

Hospital Charge Code	270677139
Hospital Revenue Code	278
Min. Negotiated Rate	$188.55
Max. Negotiated Rate	$304.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$251.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$304.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$276.54
Rate for Payer: Qualcare PPO/HMO/WC	$188.55

SCREW S/TAPPING 5.0x14MM STER

Facility

$1,257.00

Hospital Charge Code	270677139
Hospital Revenue Code	278
Min. Negotiated Rate	$30.29
Max. Negotiated Rate	$628.50
Rate for Payer: Aetna Commercial	$477.66
Rate for Payer: Aetna Medicare Advantage	$377.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$320.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$320.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$251.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$320.54
Rate for Payer: Cigna Commercial	$628.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$304.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$276.54
Rate for Payer: Qualcare PPO/HMO/WC	$188.55
Rate for Payer: UnitedHealthcare Community & State	$30.29
Rate for Payer: Wellpoint Medicaid Managed Care	$33.31

Know your out-of-pocket cost for care.

All Charges