Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW SYN EMERG 2 X 4 400.784

Facility

$246.45

Hospital Charge Code	270617339
Hospital Revenue Code	278
Min. Negotiated Rate	$5.94
Max. Negotiated Rate	$123.22
Rate for Payer: Aetna Commercial	$93.65
Rate for Payer: Aetna Medicare Advantage	$73.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.84
Rate for Payer: Cigna Commercial	$123.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.64
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$54.22
Rate for Payer: Qualcare PPO/HMO/WC	$36.97
Rate for Payer: UnitedHealthcare Community & State	$5.94
Rate for Payer: Wellpoint Medicaid Managed Care	$6.53

SCREW SYN EMERG 2 X 4 400.784

Facility

$246.45

Hospital Charge Code	270617339
Hospital Revenue Code	278
Min. Negotiated Rate	$36.97
Max. Negotiated Rate	$59.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.64
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$54.22
Rate for Payer: Qualcare PPO/HMO/WC	$36.97

SCREW SYN EXPANSN HEAD 497-04

Facility

$1,018.45

Hospital Charge Code	270609417
Hospital Revenue Code	278
Min. Negotiated Rate	$152.77
Max. Negotiated Rate	$246.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$203.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$246.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$224.06
Rate for Payer: Qualcare PPO/HMO/WC	$152.77

SCREW SYN EXPANSN HEAD 497-04

Facility

$1,018.45

Hospital Charge Code	270609417
Hospital Revenue Code	278
Min. Negotiated Rate	$24.54
Max. Negotiated Rate	$509.23
Rate for Payer: Aetna Commercial	$387.01
Rate for Payer: Aetna Medicare Advantage	$305.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$259.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$259.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$203.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$259.70
Rate for Payer: Cigna Commercial	$509.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$246.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$224.06
Rate for Payer: Qualcare PPO/HMO/WC	$152.77
Rate for Payer: UnitedHealthcare Community & State	$24.54
Rate for Payer: Wellpoint Medicaid Managed Care	$26.99

SCREW SYNFIX EVO FINE 20MM

Facility

$4,097.70

Service Code	HCPCS C1713
Hospital Charge Code	270698985
Hospital Revenue Code	278
Min. Negotiated Rate	$614.65
Max. Negotiated Rate	$991.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$819.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$991.64
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$901.49
Rate for Payer: Qualcare PPO/HMO/WC	$614.65

SCREW SYNFIX EVO FINE 20MM

Facility

$4,097.70

Service Code	HCPCS C1713
Hospital Charge Code	270698985
Hospital Revenue Code	278
Min. Negotiated Rate	$98.75
Max. Negotiated Rate	$2,048.85
Rate for Payer: Aetna Commercial	$1,557.13
Rate for Payer: Aetna Medicare Advantage	$1,229.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,044.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,044.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$819.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,044.91
Rate for Payer: Cigna Commercial	$2,048.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$991.64
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$901.49
Rate for Payer: Qualcare PPO/HMO/WC	$614.65
Rate for Payer: UnitedHealthcare Community & State	$98.75
Rate for Payer: Wellpoint Medicaid Managed Care	$108.59

SCREW SYN LOCKING 497-78

Facility

$211.25

Service Code	HCPCS C1713
Hospital Charge Code	270609418
Hospital Revenue Code	278
Min. Negotiated Rate	$31.69
Max. Negotiated Rate	$51.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$42.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$46.48
Rate for Payer: Qualcare PPO/HMO/WC	$31.69

SCREW SYN LOCKING 497-78

Facility

$211.25

Service Code	HCPCS C1713
Hospital Charge Code	270609418
Hospital Revenue Code	278
Min. Negotiated Rate	$5.09
Max. Negotiated Rate	$105.62
Rate for Payer: Aetna Commercial	$80.28
Rate for Payer: Aetna Medicare Advantage	$63.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$42.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.87
Rate for Payer: Cigna Commercial	$105.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$46.48
Rate for Payer: Qualcare PPO/HMO/WC	$31.69
Rate for Payer: UnitedHealthcare Community & State	$5.09
Rate for Payer: Wellpoint Medicaid Managed Care	$5.60

SCREW SYN LOCKING 6MM 450.865S

Facility

$698.45

Hospital Charge Code	270627047
Hospital Revenue Code	278
Min. Negotiated Rate	$16.83
Max. Negotiated Rate	$349.23
Rate for Payer: Aetna Commercial	$265.41
Rate for Payer: Aetna Medicare Advantage	$209.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$139.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.10
Rate for Payer: Cigna Commercial	$349.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$153.66
Rate for Payer: Qualcare PPO/HMO/WC	$104.77
Rate for Payer: UnitedHealthcare Community & State	$16.83
Rate for Payer: Wellpoint Medicaid Managed Care	$18.51

SCREW SYN LOCKING 6MM 450.865S

Facility

$698.45

Hospital Charge Code	270627047
Hospital Revenue Code	278
Min. Negotiated Rate	$104.77
Max. Negotiated Rate	$169.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$139.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$153.66
Rate for Payer: Qualcare PPO/HMO/WC	$104.77

SCREW SYN LOCKING 6MM 450.869S

Facility

$698.45

Hospital Charge Code	270627048
Hospital Revenue Code	278
Min. Negotiated Rate	$104.77
Max. Negotiated Rate	$169.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$139.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$153.66
Rate for Payer: Qualcare PPO/HMO/WC	$104.77

SCREW SYN LOCKING 6MM 450.869S

Facility

$698.45

Hospital Charge Code	270627048
Hospital Revenue Code	278
Min. Negotiated Rate	$16.83
Max. Negotiated Rate	$349.23
Rate for Payer: Aetna Commercial	$265.41
Rate for Payer: Aetna Medicare Advantage	$209.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$139.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.10
Rate for Payer: Cigna Commercial	$349.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$153.66
Rate for Payer: Qualcare PPO/HMO/WC	$104.77
Rate for Payer: UnitedHealthcare Community & State	$16.83
Rate for Payer: Wellpoint Medicaid Managed Care	$18.51

SCREW SYN SCHZ 6/190MM 294.68

Facility

$424.00

Service Code	HCPCS C1713
Hospital Charge Code	270615261
Hospital Revenue Code	278
Min. Negotiated Rate	$10.22
Max. Negotiated Rate	$212.00
Rate for Payer: Aetna Commercial	$161.12
Rate for Payer: Aetna Medicare Advantage	$127.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$108.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$108.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$108.12
Rate for Payer: Cigna Commercial	$212.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.61
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$93.28
Rate for Payer: Qualcare PPO/HMO/WC	$63.60
Rate for Payer: UnitedHealthcare Community & State	$10.22
Rate for Payer: Wellpoint Medicaid Managed Care	$11.24

SCREW SYN SCHZ 6/190MM 294.68

Facility

$424.00

Service Code	HCPCS C1713
Hospital Charge Code	270615261
Hospital Revenue Code	278
Min. Negotiated Rate	$63.60
Max. Negotiated Rate	$102.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.61
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$93.28
Rate for Payer: Qualcare PPO/HMO/WC	$63.60

SCREW SYN SD 4 1.3 400334

Facility

$238.45

Hospital Charge Code	270626835
Hospital Revenue Code	278
Min. Negotiated Rate	$35.77
Max. Negotiated Rate	$57.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$52.46
Rate for Payer: Qualcare PPO/HMO/WC	$35.77

SCREW SYN SD 4 1.3 400334

Facility

$238.45

Hospital Charge Code	270626835
Hospital Revenue Code	278
Min. Negotiated Rate	$5.75
Max. Negotiated Rate	$119.22
Rate for Payer: Aetna Commercial	$90.61
Rate for Payer: Aetna Medicare Advantage	$71.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.80
Rate for Payer: Cigna Commercial	$119.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$52.46
Rate for Payer: Qualcare PPO/HMO/WC	$35.77
Rate for Payer: UnitedHealthcare Community & State	$5.75
Rate for Payer: Wellpoint Medicaid Managed Care	$6.32

SCREW SYN SD 5 1.3 400335

Facility

$238.45

Hospital Charge Code	270626839
Hospital Revenue Code	278
Min. Negotiated Rate	$5.75
Max. Negotiated Rate	$119.22
Rate for Payer: Aetna Commercial	$90.61
Rate for Payer: Aetna Medicare Advantage	$71.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.80
Rate for Payer: Cigna Commercial	$119.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$52.46
Rate for Payer: Qualcare PPO/HMO/WC	$35.77
Rate for Payer: UnitedHealthcare Community & State	$5.75
Rate for Payer: Wellpoint Medicaid Managed Care	$6.32

SCREW SYN SD 5 1.3 400335

Facility

$238.45

Hospital Charge Code	270626839
Hospital Revenue Code	278
Min. Negotiated Rate	$35.77
Max. Negotiated Rate	$57.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$52.46
Rate for Payer: Qualcare PPO/HMO/WC	$35.77

SCREW SYN ST 1.5 6 400.736

Facility

$231.25

Hospital Charge Code	270617337
Hospital Revenue Code	278
Min. Negotiated Rate	$5.57
Max. Negotiated Rate	$115.62
Rate for Payer: Aetna Commercial	$87.88
Rate for Payer: Aetna Medicare Advantage	$69.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.97
Rate for Payer: Cigna Commercial	$115.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$50.88
Rate for Payer: Qualcare PPO/HMO/WC	$34.69
Rate for Payer: UnitedHealthcare Community & State	$5.57
Rate for Payer: Wellpoint Medicaid Managed Care	$6.13

SCREW SYN ST 1.5 6 400.736

Facility

$231.25

Hospital Charge Code	270617337
Hospital Revenue Code	278
Min. Negotiated Rate	$34.69
Max. Negotiated Rate	$55.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$50.88
Rate for Payer: Qualcare PPO/HMO/WC	$34.69

SCREW SYNTHES 5.0 COVE 25 MM

Facility

$1,099.05

Service Code	HCPCS C1713
Hospital Charge Code	270691606
Hospital Revenue Code	278
Min. Negotiated Rate	$164.86
Max. Negotiated Rate	$265.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$219.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$265.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$241.79
Rate for Payer: Qualcare PPO/HMO/WC	$164.86

SCREW SYNTHES 5.0 COVE 25 MM

Facility

$1,099.05

Service Code	HCPCS C1713
Hospital Charge Code	270691606
Hospital Revenue Code	278
Min. Negotiated Rate	$26.49
Max. Negotiated Rate	$549.52
Rate for Payer: Aetna Commercial	$417.64
Rate for Payer: Aetna Medicare Advantage	$329.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$280.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$280.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$219.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$280.26
Rate for Payer: Cigna Commercial	$549.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$265.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$241.79
Rate for Payer: Qualcare PPO/HMO/WC	$164.86
Rate for Payer: UnitedHealthcare Community & State	$26.49
Rate for Payer: Wellpoint Medicaid Managed Care	$29.12

SCREW SYNTHES 5.0 COVE 30 MM

Facility

$1,098.90

Service Code	HCPCS C1713
Hospital Charge Code	270691594
Hospital Revenue Code	278
Min. Negotiated Rate	$164.84
Max. Negotiated Rate	$265.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$219.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$265.93
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$241.76
Rate for Payer: Qualcare PPO/HMO/WC	$164.84

SCREW SYNTHES 5.0 COVE 30 MM

Facility

$1,098.90

Service Code	HCPCS C1713
Hospital Charge Code	270691594
Hospital Revenue Code	278
Min. Negotiated Rate	$26.48
Max. Negotiated Rate	$549.45
Rate for Payer: Aetna Commercial	$417.58
Rate for Payer: Aetna Medicare Advantage	$329.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$280.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$280.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$219.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$280.22
Rate for Payer: Cigna Commercial	$549.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$265.93
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$241.76
Rate for Payer: Qualcare PPO/HMO/WC	$164.84
Rate for Payer: UnitedHealthcare Community & State	$26.48
Rate for Payer: Wellpoint Medicaid Managed Care	$29.12

SCREW SYNTHES 5.0 COVE 55 MM

Facility

$1,098.90

Service Code	HCPCS C1713
Hospital Charge Code	270691595
Hospital Revenue Code	278
Min. Negotiated Rate	$26.48
Max. Negotiated Rate	$549.45
Rate for Payer: Aetna Commercial	$417.58
Rate for Payer: Aetna Medicare Advantage	$329.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$280.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$280.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$219.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$280.22
Rate for Payer: Cigna Commercial	$549.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$265.93
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$241.76
Rate for Payer: Qualcare PPO/HMO/WC	$164.84
Rate for Payer: UnitedHealthcare Community & State	$26.48
Rate for Payer: Wellpoint Medicaid Managed Care	$29.12

Know your out-of-pocket cost for care.

All Charges