Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW TI CAN CMP HDLS 5.5 ST32

Facility

$1,882.50

Service Code	HCPCS C1713
Hospital Charge Code	270695360
Hospital Revenue Code	278
Min. Negotiated Rate	$45.37
Max. Negotiated Rate	$941.25
Rate for Payer: Aetna Commercial	$715.35
Rate for Payer: Aetna Medicare Advantage	$564.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$480.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$480.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$376.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$480.04
Rate for Payer: Cigna Commercial	$941.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$455.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$414.15
Rate for Payer: Qualcare PPO/HMO/WC	$282.38
Rate for Payer: UnitedHealthcare Community & State	$45.37
Rate for Payer: Wellpoint Medicaid Managed Care	$49.89

SCREW TI CAN CMP HDLS 5.5 ST32

Facility

$1,882.50

Service Code	HCPCS C1713
Hospital Charge Code	270695360
Hospital Revenue Code	278
Min. Negotiated Rate	$282.38
Max. Negotiated Rate	$455.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$376.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$455.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$414.15
Rate for Payer: Qualcare PPO/HMO/WC	$282.38

SCREW TI CAN CMP HDLS 5.5 ST34

Facility

$3,382.50

Service Code	HCPCS C1713
Hospital Charge Code	270695361
Hospital Revenue Code	278
Min. Negotiated Rate	$507.38
Max. Negotiated Rate	$818.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$676.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$818.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$744.15
Rate for Payer: Qualcare PPO/HMO/WC	$507.38

SCREW TI CAN CMP HDLS 5.5 ST34

Facility

$3,382.50

Service Code	HCPCS C1713
Hospital Charge Code	270695361
Hospital Revenue Code	278
Min. Negotiated Rate	$81.52
Max. Negotiated Rate	$1,691.25
Rate for Payer: Aetna Commercial	$1,285.35
Rate for Payer: Aetna Medicare Advantage	$1,014.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$862.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$862.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$676.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$862.54
Rate for Payer: Cigna Commercial	$1,691.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$818.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$744.15
Rate for Payer: Qualcare PPO/HMO/WC	$507.38
Rate for Payer: UnitedHealthcare Community & State	$81.52
Rate for Payer: Wellpoint Medicaid Managed Care	$89.64

SCREW TI CAN CMP HDLS 5.5 ST40

Facility

$3,382.50

Service Code	HCPCS C1713
Hospital Charge Code	270695362
Hospital Revenue Code	278
Min. Negotiated Rate	$81.52
Max. Negotiated Rate	$1,691.25
Rate for Payer: Aetna Commercial	$1,285.35
Rate for Payer: Aetna Medicare Advantage	$1,014.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$862.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$862.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$676.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$862.54
Rate for Payer: Cigna Commercial	$1,691.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$818.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$744.15
Rate for Payer: Qualcare PPO/HMO/WC	$507.38
Rate for Payer: UnitedHealthcare Community & State	$81.52
Rate for Payer: Wellpoint Medicaid Managed Care	$89.64

SCREW TI CAN CMP HDLS 5.5 ST40

Facility

$3,382.50

Service Code	HCPCS C1713
Hospital Charge Code	270695362
Hospital Revenue Code	278
Min. Negotiated Rate	$507.38
Max. Negotiated Rate	$818.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$676.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$818.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$744.15
Rate for Payer: Qualcare PPO/HMO/WC	$507.38

SCREW TI CAN CMP HDLS 6.5 ST32

Facility

$3,382.50

Service Code	HCPCS C1713
Hospital Charge Code	270695359
Hospital Revenue Code	278
Min. Negotiated Rate	$81.52
Max. Negotiated Rate	$1,691.25
Rate for Payer: Aetna Commercial	$1,285.35
Rate for Payer: Aetna Medicare Advantage	$1,014.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$862.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$862.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$676.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$862.54
Rate for Payer: Cigna Commercial	$1,691.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$818.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$744.15
Rate for Payer: Qualcare PPO/HMO/WC	$507.38
Rate for Payer: UnitedHealthcare Community & State	$81.52
Rate for Payer: Wellpoint Medicaid Managed Care	$89.64

SCREW TI CAN CMP HDLS 6.5 ST32

Facility

$3,382.50

Service Code	HCPCS C1713
Hospital Charge Code	270695359
Hospital Revenue Code	278
Min. Negotiated Rate	$507.38
Max. Negotiated Rate	$818.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$676.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$818.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$744.15
Rate for Payer: Qualcare PPO/HMO/WC	$507.38

SCREWTICANCOMPHDLSST2.5X28MM

Facility

$4,780.00

Service Code	HCPCS C1713
Hospital Charge Code	270700201
Hospital Revenue Code	278
Min. Negotiated Rate	$115.20
Max. Negotiated Rate	$2,390.00
Rate for Payer: Aetna Commercial	$1,816.40
Rate for Payer: Aetna Medicare Advantage	$1,434.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,218.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,218.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$956.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,218.90
Rate for Payer: Cigna Commercial	$2,390.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,156.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,051.60
Rate for Payer: Qualcare PPO/HMO/WC	$717.00
Rate for Payer: UnitedHealthcare Community & State	$115.20
Rate for Payer: Wellpoint Medicaid Managed Care	$126.67

SCREWTICANCOMPHDLSST2.5X28MM

Facility

$4,780.00

Service Code	HCPCS C1713
Hospital Charge Code	270700201
Hospital Revenue Code	278
Min. Negotiated Rate	$717.00
Max. Negotiated Rate	$1,156.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$956.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,156.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,051.60
Rate for Payer: Qualcare PPO/HMO/WC	$717.00

SCREW Ti CANN 7.0X110mm 345736

Facility

$818.45

Hospital Charge Code	270632037
Hospital Revenue Code	278
Min. Negotiated Rate	$19.72
Max. Negotiated Rate	$409.23
Rate for Payer: Aetna Commercial	$311.01
Rate for Payer: Aetna Medicare Advantage	$245.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$208.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$208.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$163.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$208.70
Rate for Payer: Cigna Commercial	$409.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$198.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$180.06
Rate for Payer: Qualcare PPO/HMO/WC	$122.77
Rate for Payer: UnitedHealthcare Community & State	$19.72
Rate for Payer: Wellpoint Medicaid Managed Care	$21.69

SCREW Ti CANN 7.0X110mm 345736

Facility

$818.45

Hospital Charge Code	270632037
Hospital Revenue Code	278
Min. Negotiated Rate	$122.77
Max. Negotiated Rate	$198.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$163.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$198.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$180.06
Rate for Payer: Qualcare PPO/HMO/WC	$122.77

SCREW TI CANN COMP FT 3.5X30MM

Facility

$2,255.00

Service Code	HCPCS C1713
Hospital Charge Code	270700348
Hospital Revenue Code	278
Min. Negotiated Rate	$54.35
Max. Negotiated Rate	$1,127.50
Rate for Payer: Aetna Commercial	$856.90
Rate for Payer: Aetna Medicare Advantage	$676.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$575.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$575.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$451.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$575.02
Rate for Payer: Cigna Commercial	$1,127.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$545.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$496.10
Rate for Payer: Qualcare PPO/HMO/WC	$338.25
Rate for Payer: UnitedHealthcare Community & State	$54.35
Rate for Payer: Wellpoint Medicaid Managed Care	$59.76

SCREW TI CANN COMP FT 3.5X30MM

Facility

$2,255.00

Service Code	HCPCS C1713
Hospital Charge Code	270700348
Hospital Revenue Code	278
Min. Negotiated Rate	$338.25
Max. Negotiated Rate	$545.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$451.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$545.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$496.10
Rate for Payer: Qualcare PPO/HMO/WC	$338.25

SCREW TI CANN COMP FT 3.5X40MM

Facility

$2,255.00

Service Code	HCPCS C1713
Hospital Charge Code	270700350
Hospital Revenue Code	278
Min. Negotiated Rate	$54.35
Max. Negotiated Rate	$1,127.50
Rate for Payer: Aetna Commercial	$856.90
Rate for Payer: Aetna Medicare Advantage	$676.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$575.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$575.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$451.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$575.02
Rate for Payer: Cigna Commercial	$1,127.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$545.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$496.10
Rate for Payer: Qualcare PPO/HMO/WC	$338.25
Rate for Payer: UnitedHealthcare Community & State	$54.35
Rate for Payer: Wellpoint Medicaid Managed Care	$59.76

SCREW TI CANN COMP FT 3.5X40MM

Facility

$2,255.00

Service Code	HCPCS C1713
Hospital Charge Code	270700350
Hospital Revenue Code	278
Min. Negotiated Rate	$338.25
Max. Negotiated Rate	$545.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$451.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$545.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$496.10
Rate for Payer: Qualcare PPO/HMO/WC	$338.25

SCREW TI CANN COMP HL 6.5X75MM

Facility

$8,860.00

Service Code	HCPCS C1713
Hospital Charge Code	270700124
Hospital Revenue Code	278
Min. Negotiated Rate	$213.53
Max. Negotiated Rate	$4,430.00
Rate for Payer: Aetna Commercial	$3,366.80
Rate for Payer: Aetna Medicare Advantage	$2,658.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,259.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,259.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,772.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,259.30
Rate for Payer: Cigna Commercial	$4,430.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,144.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,949.20
Rate for Payer: Qualcare PPO/HMO/WC	$1,329.00
Rate for Payer: UnitedHealthcare Community & State	$213.53
Rate for Payer: Wellpoint Medicaid Managed Care	$234.79

SCREW TI CANN COMP HL 6.5X75MM

Facility

$8,860.00

Service Code	HCPCS C1713
Hospital Charge Code	270700124
Hospital Revenue Code	278
Min. Negotiated Rate	$1,329.00
Max. Negotiated Rate	$2,144.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,772.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,144.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,949.20
Rate for Payer: Qualcare PPO/HMO/WC	$1,329.00

SCREW TI CANN FT 4.0X18MM

Facility

$259.40

Service Code	HCPCS C1713
Hospital Charge Code	270696913
Hospital Revenue Code	278
Min. Negotiated Rate	$6.25
Max. Negotiated Rate	$129.70
Rate for Payer: Aetna Commercial	$98.57
Rate for Payer: Aetna Medicare Advantage	$77.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.15
Rate for Payer: Cigna Commercial	$129.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.77
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$57.07
Rate for Payer: Qualcare PPO/HMO/WC	$38.91
Rate for Payer: UnitedHealthcare Community & State	$6.25
Rate for Payer: Wellpoint Medicaid Managed Care	$6.87

SCREW TI CANN FT 4.0X18MM

Facility

$259.40

Service Code	HCPCS C1713
Hospital Charge Code	270696913
Hospital Revenue Code	278
Min. Negotiated Rate	$38.91
Max. Negotiated Rate	$62.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.77
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$57.07
Rate for Payer: Qualcare PPO/HMO/WC	$38.91

SCREW TI CANN SHORT 6.5X60MM

Facility

$1,809.50

Service Code	HCPCS C1713
Hospital Charge Code	270697391
Hospital Revenue Code	278
Min. Negotiated Rate	$43.61
Max. Negotiated Rate	$904.75
Rate for Payer: Aetna Commercial	$687.61
Rate for Payer: Aetna Medicare Advantage	$542.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$461.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$461.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$361.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$461.42
Rate for Payer: Cigna Commercial	$904.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$437.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$398.09
Rate for Payer: Qualcare PPO/HMO/WC	$271.43
Rate for Payer: UnitedHealthcare Community & State	$43.61
Rate for Payer: Wellpoint Medicaid Managed Care	$47.95

SCREW TI CANN SHORT 6.5X60MM

Facility

$1,809.50

Service Code	HCPCS C1713
Hospital Charge Code	270697391
Hospital Revenue Code	278
Min. Negotiated Rate	$271.43
Max. Negotiated Rate	$437.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$361.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$437.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$398.09
Rate for Payer: Qualcare PPO/HMO/WC	$271.43

SCREW TI CANN ST 5X80MM

Facility

$1,809.50

Service Code	HCPCS C1713
Hospital Charge Code	270698492
Hospital Revenue Code	278
Min. Negotiated Rate	$43.61
Max. Negotiated Rate	$904.75
Rate for Payer: Aetna Commercial	$687.61
Rate for Payer: Aetna Medicare Advantage	$542.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$461.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$461.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$361.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$461.42
Rate for Payer: Cigna Commercial	$904.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$437.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$398.09
Rate for Payer: Qualcare PPO/HMO/WC	$271.43
Rate for Payer: UnitedHealthcare Community & State	$43.61
Rate for Payer: Wellpoint Medicaid Managed Care	$47.95

SCREW TI CANN ST 5X80MM

Facility

$1,809.50

Service Code	HCPCS C1713
Hospital Charge Code	270698492
Hospital Revenue Code	278
Min. Negotiated Rate	$271.43
Max. Negotiated Rate	$437.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$361.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$437.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$398.09
Rate for Payer: Qualcare PPO/HMO/WC	$271.43

SCREW TI CANN ST 5X85MM

Facility

$1,809.50

Service Code	HCPCS C1713
Hospital Charge Code	270698491
Hospital Revenue Code	278
Min. Negotiated Rate	$271.43
Max. Negotiated Rate	$437.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$361.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$437.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$398.09
Rate for Payer: Qualcare PPO/HMO/WC	$271.43

Know your out-of-pocket cost for care.

All Charges