Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW THD CAN HDLS 4X32MM

Facility

$1,251.25

Service Code	HCPCS C1713
Hospital Charge Code	270700276
Hospital Revenue Code	278
Min. Negotiated Rate	$30.16
Max. Negotiated Rate	$625.62
Rate for Payer: Aetna Commercial	$475.48
Rate for Payer: Aetna Medicare Advantage	$375.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$319.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$319.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$319.07
Rate for Payer: Cigna Commercial	$625.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$275.27
Rate for Payer: Qualcare PPO/HMO/WC	$187.69
Rate for Payer: UnitedHealthcare Community & State	$30.16
Rate for Payer: Wellpoint Medicaid Managed Care	$33.16

SCREW THD COMPRESSION 30X22MM

Facility

$1,410.00

Hospital Charge Code	270670540
Hospital Revenue Code	278
Min. Negotiated Rate	$211.50
Max. Negotiated Rate	$341.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$282.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$341.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$310.20
Rate for Payer: Qualcare PPO/HMO/WC	$211.50

SCREW THD COMPRESSION 30X22MM

Facility

$1,410.00

Hospital Charge Code	270670540
Hospital Revenue Code	278
Min. Negotiated Rate	$33.98
Max. Negotiated Rate	$705.00
Rate for Payer: Aetna Commercial	$535.80
Rate for Payer: Aetna Medicare Advantage	$423.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$359.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$359.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$282.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$359.55
Rate for Payer: Cigna Commercial	$705.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$341.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$310.20
Rate for Payer: Qualcare PPO/HMO/WC	$211.50
Rate for Payer: UnitedHealthcare Community & State	$33.98
Rate for Payer: Wellpoint Medicaid Managed Care	$37.37

SCREW THD FULL HD 2.5 X 44MM

Facility

$192.50

Service Code	HCPCS C1713
Hospital Charge Code	270701922
Hospital Revenue Code	278
Min. Negotiated Rate	$28.88
Max. Negotiated Rate	$46.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$42.35
Rate for Payer: Qualcare PPO/HMO/WC	$28.88

SCREW THD FULL HD 2.5 X 44MM

Facility

$192.50

Service Code	HCPCS C1713
Hospital Charge Code	270701922
Hospital Revenue Code	278
Min. Negotiated Rate	$4.64
Max. Negotiated Rate	$96.25
Rate for Payer: Aetna Commercial	$73.15
Rate for Payer: Aetna Medicare Advantage	$57.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.09
Rate for Payer: Cigna Commercial	$96.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$42.35
Rate for Payer: Qualcare PPO/HMO/WC	$28.88
Rate for Payer: UnitedHealthcare Community & State	$4.64
Rate for Payer: Wellpoint Medicaid Managed Care	$5.10

SCREW THD FULL HD 2.5 X 44MM

Facility

$962.50

Service Code	HCPCS C1713
Hospital Charge Code	270270922
Hospital Revenue Code	278
Min. Negotiated Rate	$144.38
Max. Negotiated Rate	$232.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$192.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.93
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$211.75
Rate for Payer: Qualcare PPO/HMO/WC	$144.38

SCREW THD FULL HD 2.5 X 44MM

Facility

$962.50

Service Code	HCPCS C1713
Hospital Charge Code	270270922
Hospital Revenue Code	278
Min. Negotiated Rate	$23.20
Max. Negotiated Rate	$481.25
Rate for Payer: Aetna Commercial	$365.75
Rate for Payer: Aetna Medicare Advantage	$288.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$245.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$245.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$192.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$245.44
Rate for Payer: Cigna Commercial	$481.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.93
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$211.75
Rate for Payer: Qualcare PPO/HMO/WC	$144.38
Rate for Payer: UnitedHealthcare Community & State	$23.20
Rate for Payer: Wellpoint Medicaid Managed Care	$25.51

SCREW THD HDLS 2 X 18MM

Facility

$1,141.25

Service Code	HCPCS C1713
Hospital Charge Code	270701957
Hospital Revenue Code	278
Min. Negotiated Rate	$171.19
Max. Negotiated Rate	$276.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$228.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$276.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$251.07
Rate for Payer: Qualcare PPO/HMO/WC	$171.19

SCREW THD HDLS 2 X 18MM

Facility

$1,141.25

Service Code	HCPCS C1713
Hospital Charge Code	270701957
Hospital Revenue Code	278
Min. Negotiated Rate	$27.50
Max. Negotiated Rate	$570.62
Rate for Payer: Aetna Commercial	$433.68
Rate for Payer: Aetna Medicare Advantage	$342.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$291.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$291.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$228.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$291.02
Rate for Payer: Cigna Commercial	$570.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$276.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$251.07
Rate for Payer: Qualcare PPO/HMO/WC	$171.19
Rate for Payer: UnitedHealthcare Community & State	$27.50
Rate for Payer: Wellpoint Medicaid Managed Care	$30.24

SCREW THD HDLS 2 X 22MM

Facility

$1,141.25

Service Code	HCPCS C1713
Hospital Charge Code	270701958
Hospital Revenue Code	278
Min. Negotiated Rate	$27.50
Max. Negotiated Rate	$570.62
Rate for Payer: Aetna Commercial	$433.68
Rate for Payer: Aetna Medicare Advantage	$342.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$291.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$291.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$228.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$291.02
Rate for Payer: Cigna Commercial	$570.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$276.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$251.07
Rate for Payer: Qualcare PPO/HMO/WC	$171.19
Rate for Payer: UnitedHealthcare Community & State	$27.50
Rate for Payer: Wellpoint Medicaid Managed Care	$30.24

SCREW THD HDLS 2 X 22MM

Facility

$1,141.25

Service Code	HCPCS C1713
Hospital Charge Code	270701958
Hospital Revenue Code	278
Min. Negotiated Rate	$171.19
Max. Negotiated Rate	$276.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$228.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$276.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$251.07
Rate for Payer: Qualcare PPO/HMO/WC	$171.19

SCREW THRD TI LOCKING 3.5X18MM

Facility

$975.00

Service Code	HCPCS C1713
Hospital Charge Code	270684110
Hospital Revenue Code	278
Min. Negotiated Rate	$23.50
Max. Negotiated Rate	$487.50
Rate for Payer: Aetna Commercial	$370.50
Rate for Payer: Aetna Medicare Advantage	$292.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.62
Rate for Payer: Cigna Commercial	$487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$214.50
Rate for Payer: Qualcare PPO/HMO/WC	$146.25
Rate for Payer: UnitedHealthcare Community & State	$23.50
Rate for Payer: Wellpoint Medicaid Managed Care	$25.84

SCREW THRD TI LOCKING 3.5X18MM

Facility

$975.00

Service Code	HCPCS C1713
Hospital Charge Code	270684110
Hospital Revenue Code	278
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$235.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$214.50
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

SCREW THREADED SI 9.5X40MM

Facility

$18,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270698723
Hospital Revenue Code	278
Min. Negotiated Rate	$2,737.50
Max. Negotiated Rate	$4,416.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,416.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,015.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,737.50

SCREW THREADED SI 9.5X40MM

Facility

$18,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270698723
Hospital Revenue Code	278
Min. Negotiated Rate	$439.82
Max. Negotiated Rate	$9,125.00
Rate for Payer: Aetna Commercial	$6,935.00
Rate for Payer: Aetna Medicare Advantage	$5,475.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,653.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,653.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,653.75
Rate for Payer: Cigna Commercial	$9,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,416.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,015.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,737.50
Rate for Payer: UnitedHealthcare Community & State	$439.82
Rate for Payer: Wellpoint Medicaid Managed Care	$483.62

SCREW THREADED SI 9.5X45MM

Facility

$18,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270698724
Hospital Revenue Code	278
Min. Negotiated Rate	$2,737.50
Max. Negotiated Rate	$4,416.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,416.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,015.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,737.50

SCREW THREADED SI 9.5X45MM

Facility

$18,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270698724
Hospital Revenue Code	278
Min. Negotiated Rate	$439.82
Max. Negotiated Rate	$9,125.00
Rate for Payer: Aetna Commercial	$6,935.00
Rate for Payer: Aetna Medicare Advantage	$5,475.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,653.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,653.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,653.75
Rate for Payer: Cigna Commercial	$9,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,416.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,015.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,737.50
Rate for Payer: UnitedHealthcare Community & State	$439.82
Rate for Payer: Wellpoint Medicaid Managed Care	$483.62

SCREW THREAD HEADED 3.5X 38 MM

Facility

$962.50

Service Code	HCPCS C1713
Hospital Charge Code	270701529
Hospital Revenue Code	278
Min. Negotiated Rate	$23.20
Max. Negotiated Rate	$481.25
Rate for Payer: Aetna Commercial	$365.75
Rate for Payer: Aetna Medicare Advantage	$288.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$245.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$245.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$192.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$245.44
Rate for Payer: Cigna Commercial	$481.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.93
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$211.75
Rate for Payer: Qualcare PPO/HMO/WC	$144.38
Rate for Payer: UnitedHealthcare Community & State	$23.20
Rate for Payer: Wellpoint Medicaid Managed Care	$25.51

SCREW THREAD HEADED 3.5X 38 MM

Facility

$962.50

Service Code	HCPCS C1713
Hospital Charge Code	270701529
Hospital Revenue Code	278
Min. Negotiated Rate	$144.38
Max. Negotiated Rate	$232.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$192.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.93
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$211.75
Rate for Payer: Qualcare PPO/HMO/WC	$144.38

SCREW THREAD SHORT 2.4 X 17MM

Facility

$859.35

Service Code	HCPCS C1713
Hospital Charge Code	270688179
Hospital Revenue Code	278
Min. Negotiated Rate	$20.71
Max. Negotiated Rate	$429.68
Rate for Payer: Aetna Commercial	$326.55
Rate for Payer: Aetna Medicare Advantage	$257.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$219.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$219.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$219.13
Rate for Payer: Cigna Commercial	$429.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$189.06
Rate for Payer: Qualcare PPO/HMO/WC	$128.90
Rate for Payer: UnitedHealthcare Community & State	$20.71
Rate for Payer: Wellpoint Medicaid Managed Care	$22.77

SCREW THREAD SHORT 2.4 X 17MM

Facility

$859.35

Service Code	HCPCS C1713
Hospital Charge Code	270688179
Hospital Revenue Code	278
Min. Negotiated Rate	$128.90
Max. Negotiated Rate	$207.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$189.06
Rate for Payer: Qualcare PPO/HMO/WC	$128.90

SCREW TI 2.4 X 16 MM VAL

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270690211
Hospital Revenue Code	278
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$169.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$154.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

SCREW TI 2.4 X 16 MM VAL

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270690211
Hospital Revenue Code	278
Min. Negotiated Rate	$16.87
Max. Negotiated Rate	$350.00
Rate for Payer: Aetna Commercial	$266.00
Rate for Payer: Aetna Medicare Advantage	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.50
Rate for Payer: Cigna Commercial	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$154.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00
Rate for Payer: UnitedHealthcare Community & State	$16.87
Rate for Payer: Wellpoint Medicaid Managed Care	$18.55

SCREW TI 2.4 X 20 MM VAL

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270690212
Hospital Revenue Code	278
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$169.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$154.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

SCREW TI 2.4 X 20 MM VAL

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270690212
Hospital Revenue Code	278
Min. Negotiated Rate	$16.87
Max. Negotiated Rate	$350.00
Rate for Payer: Aetna Commercial	$266.00
Rate for Payer: Aetna Medicare Advantage	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.50
Rate for Payer: Cigna Commercial	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$154.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00
Rate for Payer: UnitedHealthcare Community & State	$16.87
Rate for Payer: Wellpoint Medicaid Managed Care	$18.55

Know your out-of-pocket cost for care.

All Charges