Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW VA LCKNG S/TAP 2.7x22MM

Facility

$623.80

Service Code	HCPCS C1713
Hospital Charge Code	270669502
Hospital Revenue Code	278
Min. Negotiated Rate	$93.57
Max. Negotiated Rate	$150.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$137.24
Rate for Payer: Qualcare PPO/HMO/WC	$93.57

SCREW VA LCKNG S/TAP 2.7x22MM

Facility

$623.80

Service Code	HCPCS C1713
Hospital Charge Code	270669502
Hospital Revenue Code	278
Min. Negotiated Rate	$15.03
Max. Negotiated Rate	$311.90
Rate for Payer: Aetna Commercial	$237.04
Rate for Payer: Aetna Medicare Advantage	$187.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.07
Rate for Payer: Cigna Commercial	$311.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$137.24
Rate for Payer: Qualcare PPO/HMO/WC	$93.57
Rate for Payer: UnitedHealthcare Community & State	$15.03
Rate for Payer: Wellpoint Medicaid Managed Care	$16.53

SCREW VA LCKNG S/TAP 2.7x24MM

Facility

$623.80

Service Code	HCPCS C1713
Hospital Charge Code	270668006
Hospital Revenue Code	278
Min. Negotiated Rate	$93.57
Max. Negotiated Rate	$150.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$137.24
Rate for Payer: Qualcare PPO/HMO/WC	$93.57

SCREW VA LCKNG S/TAP 2.7x24MM

Facility

$623.80

Service Code	HCPCS C1713
Hospital Charge Code	270668006
Hospital Revenue Code	278
Min. Negotiated Rate	$15.03
Max. Negotiated Rate	$311.90
Rate for Payer: Aetna Commercial	$237.04
Rate for Payer: Aetna Medicare Advantage	$187.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.07
Rate for Payer: Cigna Commercial	$311.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$137.24
Rate for Payer: Qualcare PPO/HMO/WC	$93.57
Rate for Payer: UnitedHealthcare Community & State	$15.03
Rate for Payer: Wellpoint Medicaid Managed Care	$16.53

SCREW VA LCKNG S/TAP 2.7x26MM

Facility

$623.80

Service Code	HCPCS C1713
Hospital Charge Code	270668007
Hospital Revenue Code	278
Min. Negotiated Rate	$15.03
Max. Negotiated Rate	$311.90
Rate for Payer: Aetna Commercial	$237.04
Rate for Payer: Aetna Medicare Advantage	$187.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.07
Rate for Payer: Cigna Commercial	$311.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$137.24
Rate for Payer: Qualcare PPO/HMO/WC	$93.57
Rate for Payer: UnitedHealthcare Community & State	$15.03
Rate for Payer: Wellpoint Medicaid Managed Care	$16.53

SCREW VA LCKNG S/TAP 2.7x26MM

Facility

$623.80

Service Code	HCPCS C1713
Hospital Charge Code	270668007
Hospital Revenue Code	278
Min. Negotiated Rate	$93.57
Max. Negotiated Rate	$150.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$137.24
Rate for Payer: Qualcare PPO/HMO/WC	$93.57

SCREW VA LCKNG S/TAP 2.7x28MM

Facility

$623.80

Service Code	HCPCS C1713
Hospital Charge Code	270675824
Hospital Revenue Code	278
Min. Negotiated Rate	$15.03
Max. Negotiated Rate	$311.90
Rate for Payer: Aetna Commercial	$237.04
Rate for Payer: Aetna Medicare Advantage	$187.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.07
Rate for Payer: Cigna Commercial	$311.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$137.24
Rate for Payer: Qualcare PPO/HMO/WC	$93.57
Rate for Payer: UnitedHealthcare Community & State	$15.03
Rate for Payer: Wellpoint Medicaid Managed Care	$16.53

SCREW VA LCKNG S/TAP 2.7x28MM

Facility

$623.80

Service Code	HCPCS C1713
Hospital Charge Code	270675824
Hospital Revenue Code	278
Min. Negotiated Rate	$93.57
Max. Negotiated Rate	$150.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$137.24
Rate for Payer: Qualcare PPO/HMO/WC	$93.57

SCREW VA LCKNG S/TAP 2.7x30MM

Facility

$623.80

Service Code	HCPCS C1713
Hospital Charge Code	270670538
Hospital Revenue Code	278
Min. Negotiated Rate	$15.03
Max. Negotiated Rate	$311.90
Rate for Payer: Aetna Commercial	$237.04
Rate for Payer: Aetna Medicare Advantage	$187.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.07
Rate for Payer: Cigna Commercial	$311.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$137.24
Rate for Payer: Qualcare PPO/HMO/WC	$93.57
Rate for Payer: UnitedHealthcare Community & State	$15.03
Rate for Payer: Wellpoint Medicaid Managed Care	$16.53

SCREW VA LCKNG S/TAP 2.7x30MM

Facility

$623.80

Service Code	HCPCS C1713
Hospital Charge Code	270670538
Hospital Revenue Code	278
Min. Negotiated Rate	$93.57
Max. Negotiated Rate	$150.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$137.24
Rate for Payer: Qualcare PPO/HMO/WC	$93.57

SCREW VA LCKNG S/TAP 2.7x32MM

Facility

$623.80

Service Code	HCPCS C1713
Hospital Charge Code	270668471
Hospital Revenue Code	278
Min. Negotiated Rate	$15.03
Max. Negotiated Rate	$311.90
Rate for Payer: Aetna Commercial	$237.04
Rate for Payer: Aetna Medicare Advantage	$187.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.07
Rate for Payer: Cigna Commercial	$311.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$137.24
Rate for Payer: Qualcare PPO/HMO/WC	$93.57
Rate for Payer: UnitedHealthcare Community & State	$15.03
Rate for Payer: Wellpoint Medicaid Managed Care	$16.53

SCREW VA LCKNG S/TAP 2.7x32MM

Facility

$623.80

Service Code	HCPCS C1713
Hospital Charge Code	270668471
Hospital Revenue Code	278
Min. Negotiated Rate	$93.57
Max. Negotiated Rate	$150.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$137.24
Rate for Payer: Qualcare PPO/HMO/WC	$93.57

SCREW VA LCKNG S/TAP 2.7x34MM

Facility

$605.65

Service Code	HCPCS C1713
Hospital Charge Code	270669495
Hospital Revenue Code	278
Min. Negotiated Rate	$90.85
Max. Negotiated Rate	$146.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$121.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$146.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$133.24
Rate for Payer: Qualcare PPO/HMO/WC	$90.85

SCREW VA LCKNG S/TAP 2.7x34MM

Facility

$605.65

Service Code	HCPCS C1713
Hospital Charge Code	270669495
Hospital Revenue Code	278
Min. Negotiated Rate	$14.60
Max. Negotiated Rate	$302.82
Rate for Payer: Aetna Commercial	$230.15
Rate for Payer: Aetna Medicare Advantage	$181.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$154.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$154.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$121.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$154.44
Rate for Payer: Cigna Commercial	$302.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$146.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$133.24
Rate for Payer: Qualcare PPO/HMO/WC	$90.85
Rate for Payer: UnitedHealthcare Community & State	$14.60
Rate for Payer: Wellpoint Medicaid Managed Care	$16.05

SCREW VA LCKNG S/TAP 2.7x36MM

Facility

$623.80

Service Code	HCPCS C1713
Hospital Charge Code	270668472
Hospital Revenue Code	278
Min. Negotiated Rate	$93.57
Max. Negotiated Rate	$150.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$137.24
Rate for Payer: Qualcare PPO/HMO/WC	$93.57

SCREW VA LCKNG S/TAP 2.7x36MM

Facility

$623.80

Service Code	HCPCS C1713
Hospital Charge Code	270668472
Hospital Revenue Code	278
Min. Negotiated Rate	$15.03
Max. Negotiated Rate	$311.90
Rate for Payer: Aetna Commercial	$237.04
Rate for Payer: Aetna Medicare Advantage	$187.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.07
Rate for Payer: Cigna Commercial	$311.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$137.24
Rate for Payer: Qualcare PPO/HMO/WC	$93.57
Rate for Payer: UnitedHealthcare Community & State	$15.03
Rate for Payer: Wellpoint Medicaid Managed Care	$16.53

SCREW VA LCKNG S/TAP 2.7x38MM

Facility

$623.80

Service Code	HCPCS C1713
Hospital Charge Code	270669496
Hospital Revenue Code	278
Min. Negotiated Rate	$15.03
Max. Negotiated Rate	$311.90
Rate for Payer: Aetna Commercial	$237.04
Rate for Payer: Aetna Medicare Advantage	$187.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.07
Rate for Payer: Cigna Commercial	$311.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$137.24
Rate for Payer: Qualcare PPO/HMO/WC	$93.57
Rate for Payer: UnitedHealthcare Community & State	$15.03
Rate for Payer: Wellpoint Medicaid Managed Care	$16.53

SCREW VA LCKNG S/TAP 2.7x38MM

Facility

$623.80

Service Code	HCPCS C1713
Hospital Charge Code	270669496
Hospital Revenue Code	278
Min. Negotiated Rate	$93.57
Max. Negotiated Rate	$150.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$137.24
Rate for Payer: Qualcare PPO/HMO/WC	$93.57

SCREW VA LCKNG S/TAP 2.7x40MM

Facility

$623.80

Service Code	HCPCS C1713
Hospital Charge Code	270668473
Hospital Revenue Code	278
Min. Negotiated Rate	$15.03
Max. Negotiated Rate	$311.90
Rate for Payer: Aetna Commercial	$237.04
Rate for Payer: Aetna Medicare Advantage	$187.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.07
Rate for Payer: Cigna Commercial	$311.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$137.24
Rate for Payer: Qualcare PPO/HMO/WC	$93.57
Rate for Payer: UnitedHealthcare Community & State	$15.03
Rate for Payer: Wellpoint Medicaid Managed Care	$16.53

SCREW VA LCKNG S/TAP 2.7x40MM

Facility

$623.80

Service Code	HCPCS C1713
Hospital Charge Code	270668473
Hospital Revenue Code	278
Min. Negotiated Rate	$93.57
Max. Negotiated Rate	$150.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$137.24
Rate for Payer: Qualcare PPO/HMO/WC	$93.57

SCREW VA LCKNG S/TAP 2.7x42MM

Facility

$605.65

Service Code	HCPCS C1713
Hospital Charge Code	270677600
Hospital Revenue Code	278
Min. Negotiated Rate	$90.85
Max. Negotiated Rate	$146.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$121.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$146.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$133.24
Rate for Payer: Qualcare PPO/HMO/WC	$90.85

SCREW VA LCKNG S/TAP 2.7x42MM

Facility

$605.65

Service Code	HCPCS C1713
Hospital Charge Code	270677600
Hospital Revenue Code	278
Min. Negotiated Rate	$14.60
Max. Negotiated Rate	$302.82
Rate for Payer: Aetna Commercial	$230.15
Rate for Payer: Aetna Medicare Advantage	$181.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$154.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$154.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$121.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$154.44
Rate for Payer: Cigna Commercial	$302.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$146.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$133.24
Rate for Payer: Qualcare PPO/HMO/WC	$90.85
Rate for Payer: UnitedHealthcare Community & State	$14.60
Rate for Payer: Wellpoint Medicaid Managed Care	$16.05

SCREW VA LCKNG S/TAP 2.7x44MM

Facility

$605.65

Service Code	HCPCS C1713
Hospital Charge Code	270676868
Hospital Revenue Code	278
Min. Negotiated Rate	$90.85
Max. Negotiated Rate	$146.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$121.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$146.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$133.24
Rate for Payer: Qualcare PPO/HMO/WC	$90.85

SCREW VA LCKNG S/TAP 2.7x44MM

Facility

$605.65

Service Code	HCPCS C1713
Hospital Charge Code	270676868
Hospital Revenue Code	278
Min. Negotiated Rate	$14.60
Max. Negotiated Rate	$302.82
Rate for Payer: Aetna Commercial	$230.15
Rate for Payer: Aetna Medicare Advantage	$181.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$154.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$154.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$121.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$154.44
Rate for Payer: Cigna Commercial	$302.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$146.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$133.24
Rate for Payer: Qualcare PPO/HMO/WC	$90.85
Rate for Payer: UnitedHealthcare Community & State	$14.60
Rate for Payer: Wellpoint Medicaid Managed Care	$16.05

SCREW VA LCKNG S/TAP 2.7x46MM

Facility

$623.80

Service Code	HCPCS C1713
Hospital Charge Code	270660890
Hospital Revenue Code	278
Min. Negotiated Rate	$15.03
Max. Negotiated Rate	$311.90
Rate for Payer: Aetna Commercial	$237.04
Rate for Payer: Aetna Medicare Advantage	$187.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.07
Rate for Payer: Cigna Commercial	$311.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$137.24
Rate for Payer: Qualcare PPO/HMO/WC	$93.57
Rate for Payer: UnitedHealthcare Community & State	$15.03
Rate for Payer: Wellpoint Medicaid Managed Care	$16.53

Know your out-of-pocket cost for care.

All Charges