Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW S/TAPPING 5.0x16MM STER

Facility

$1,257.00

Hospital Charge Code	270677140
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 5.0x16MM STER

Facility

$1,257.00

Hospital Charge Code	270677140
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

SCREW S/TAPPING 5.0x18MM STER

Facility

$1,257.00

Hospital Charge Code	270677141
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 5.0x18MM STER

Facility

$1,257.00

Hospital Charge Code	270677141
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

SCREW STAR DRIVER 5.0 MM 12 MM

Facility

$1,296.15

Service Code	HCPCS C1713
Hospital Charge Code	270691469
Hospital Revenue Code	278
Min. Negotiated Rate	$194.42
Max. Negotiated Rate	$313.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$259.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$313.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$285.15
Rate for Payer: Qualcare PPO/HMO/WC	$194.42

SCREW STAR DRIVER 5.0 MM 12 MM

Facility

$1,296.15

Service Code	HCPCS C1713
Hospital Charge Code	270691469
Hospital Revenue Code	278
Min. Negotiated Rate	$31.24
Max. Negotiated Rate	$648.08
Rate for Payer: Aetna Commercial	$492.54
Rate for Payer: Aetna Medicare Advantage	$388.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$330.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$330.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$259.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$330.52
Rate for Payer: Cigna Commercial	$648.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$313.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$285.15
Rate for Payer: Qualcare PPO/HMO/WC	$194.42
Rate for Payer: UnitedHealthcare Community & State	$31.24
Rate for Payer: Wellpoint Medicaid Managed Care	$34.35

SCREW STD SELF DRILL 3.5X12MM

Facility

$6,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270695548
Hospital Revenue Code	278
Min. Negotiated Rate	$1,012.50
Max. Negotiated Rate	$1,633.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,633.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,485.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50

SCREW STD SELF DRILL 3.5X12MM

Facility

$6,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270695548
Hospital Revenue Code	278
Min. Negotiated Rate	$162.68
Max. Negotiated Rate	$3,375.00
Rate for Payer: Aetna Commercial	$2,565.00
Rate for Payer: Aetna Medicare Advantage	$2,025.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,721.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,721.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,721.25
Rate for Payer: Cigna Commercial	$3,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,633.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,485.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50
Rate for Payer: UnitedHealthcare Community & State	$162.68
Rate for Payer: Wellpoint Medicaid Managed Care	$178.88

SCREW ST FA RESCUE 4.5X18MM

Facility

$1,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270700538
Hospital Revenue Code	278
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$302.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$275.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

SCREW ST FA RESCUE 4.5X18MM

Facility

$1,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270700538
Hospital Revenue Code	278
Min. Negotiated Rate	$30.12
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$475.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$275.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Community & State	$30.12
Rate for Payer: Wellpoint Medicaid Managed Care	$33.12

SCREW STK RSB FT 7 20 905600

Facility

$1,127.25

Hospital Charge Code	270616378
Hospital Revenue Code	278
Min. Negotiated Rate	$27.17
Max. Negotiated Rate	$563.62
Rate for Payer: Aetna Commercial	$428.36
Rate for Payer: Aetna Medicare Advantage	$338.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$287.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$287.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$287.45
Rate for Payer: Cigna Commercial	$563.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$248.00
Rate for Payer: Qualcare PPO/HMO/WC	$169.09
Rate for Payer: UnitedHealthcare Community & State	$27.17
Rate for Payer: Wellpoint Medicaid Managed Care	$29.87

SCREW STK RSB FT 7 20 905600

Facility

$1,127.25

Hospital Charge Code	270616378
Hospital Revenue Code	278
Min. Negotiated Rate	$169.09
Max. Negotiated Rate	$272.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$248.00
Rate for Payer: Qualcare PPO/HMO/WC	$169.09

SCREW STK RSB FT 7 25 905601

Facility

$1,127.25

Hospital Charge Code	270616376
Hospital Revenue Code	278
Min. Negotiated Rate	$27.17
Max. Negotiated Rate	$563.62
Rate for Payer: Aetna Commercial	$428.36
Rate for Payer: Aetna Medicare Advantage	$338.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$287.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$287.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$287.45
Rate for Payer: Cigna Commercial	$563.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$248.00
Rate for Payer: Qualcare PPO/HMO/WC	$169.09
Rate for Payer: UnitedHealthcare Community & State	$27.17
Rate for Payer: Wellpoint Medicaid Managed Care	$29.87

SCREW STK RSB FT 7 25 905601

Facility

$1,127.25

Hospital Charge Code	270616376
Hospital Revenue Code	278
Min. Negotiated Rate	$169.09
Max. Negotiated Rate	$272.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$248.00
Rate for Payer: Qualcare PPO/HMO/WC	$169.09

SCREW STK RSB FT 8 30 905605

Facility

$1,127.25

Hospital Charge Code	270616375
Hospital Revenue Code	278
Min. Negotiated Rate	$169.09
Max. Negotiated Rate	$272.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$248.00
Rate for Payer: Qualcare PPO/HMO/WC	$169.09

SCREW STK RSB FT 8 30 905605

Facility

$1,127.25

Hospital Charge Code	270616375
Hospital Revenue Code	278
Min. Negotiated Rate	$27.17
Max. Negotiated Rate	$563.62
Rate for Payer: Aetna Commercial	$428.36
Rate for Payer: Aetna Medicare Advantage	$338.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$287.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$287.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$287.45
Rate for Payer: Cigna Commercial	$563.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$248.00
Rate for Payer: Qualcare PPO/HMO/WC	$169.09
Rate for Payer: UnitedHealthcare Community & State	$27.17
Rate for Payer: Wellpoint Medicaid Managed Care	$29.87

SCREW STK RSB FT 9 25 905607

Facility

$1,127.25

Hospital Charge Code	270616377
Hospital Revenue Code	278
Min. Negotiated Rate	$27.17
Max. Negotiated Rate	$563.62
Rate for Payer: Aetna Commercial	$428.36
Rate for Payer: Aetna Medicare Advantage	$338.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$287.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$287.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$287.45
Rate for Payer: Cigna Commercial	$563.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$248.00
Rate for Payer: Qualcare PPO/HMO/WC	$169.09
Rate for Payer: UnitedHealthcare Community & State	$27.17
Rate for Payer: Wellpoint Medicaid Managed Care	$29.87

SCREW STK RSB FT 9 25 905607

Facility

$1,127.25

Hospital Charge Code	270616377
Hospital Revenue Code	278
Min. Negotiated Rate	$169.09
Max. Negotiated Rate	$272.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$248.00
Rate for Payer: Qualcare PPO/HMO/WC	$169.09

SCREW STRM LOCKING 2.7X12MM ST

Facility

$780.00

Service Code	HCPCS C1713
Hospital Charge Code	270693325
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 STRM LOCKING 2.7X12MM ST

Facility

$780.00

Service Code	HCPCS C1713
Hospital Charge Code	270693325
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 STRM LOCKING 2.7X14MM ST

Facility

$780.00

Service Code	HCPCS C1713
Hospital Charge Code	270693509
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 STRM LOCKING 2.7X14MM ST

Facility

$780.00

Service Code	HCPCS C1713
Hospital Charge Code	270693509
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 STRM LOCKING 2.7X16MM ST

Facility

$780.00

Service Code	HCPCS C1713
Hospital Charge Code	270693508
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 STRM LOCKING 2.7X16MM ST

Facility

$780.00

Service Code	HCPCS C1713
Hospital Charge Code	270693508
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 STRM NL 2.4 X 12MM RS ST

Facility

$920.00

Service Code	HCPCS C1713
Hospital Charge Code	270692252
Hospital Revenue Code	278
Min. Negotiated Rate	$138.00
Max. Negotiated Rate	$222.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$184.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$222.64
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$202.40
Rate for Payer: Qualcare PPO/HMO/WC	$138.00

Know your out-of-pocket cost for care.

All Charges