Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW VA LOCKING 2.4x14mm

Facility

$595.20

Service Code	HCPCS C1713
Hospital Charge Code	270645539
Hospital Revenue Code	278
Min. Negotiated Rate	$89.28
Max. Negotiated Rate	$144.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$130.94
Rate for Payer: Qualcare PPO/HMO/WC	$89.28

SCREW VA LOCKING 2.4x20MM

Facility

$595.20

Service Code	HCPCS C1713
Hospital Charge Code	270646344
Hospital Revenue Code	278
Min. Negotiated Rate	$14.34
Max. Negotiated Rate	$297.60
Rate for Payer: Aetna Commercial	$226.18
Rate for Payer: Aetna Medicare Advantage	$178.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.78
Rate for Payer: Cigna Commercial	$297.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$130.94
Rate for Payer: Qualcare PPO/HMO/WC	$89.28
Rate for Payer: UnitedHealthcare Community & State	$14.34
Rate for Payer: Wellpoint Medicaid Managed Care	$15.77

SCREW VA LOCKING 2.4x20MM

Facility

$595.20

Service Code	HCPCS C1713
Hospital Charge Code	270646344
Hospital Revenue Code	278
Min. Negotiated Rate	$89.28
Max. Negotiated Rate	$144.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$130.94
Rate for Payer: Qualcare PPO/HMO/WC	$89.28

SCREW VA LOCKING 2.4x22MM

Facility

$595.20

Service Code	HCPCS C1713
Hospital Charge Code	270645540
Hospital Revenue Code	278
Min. Negotiated Rate	$89.28
Max. Negotiated Rate	$144.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$130.94
Rate for Payer: Qualcare PPO/HMO/WC	$89.28

SCREW VA LOCKING 2.4x22MM

Facility

$595.20

Service Code	HCPCS C1713
Hospital Charge Code	270645540
Hospital Revenue Code	278
Min. Negotiated Rate	$14.34
Max. Negotiated Rate	$297.60
Rate for Payer: Aetna Commercial	$226.18
Rate for Payer: Aetna Medicare Advantage	$178.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.78
Rate for Payer: Cigna Commercial	$297.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$130.94
Rate for Payer: Qualcare PPO/HMO/WC	$89.28
Rate for Payer: UnitedHealthcare Community & State	$14.34
Rate for Payer: Wellpoint Medicaid Managed Care	$15.77

SCREW VA LOCKING 2.4x28mm

Facility

$595.20

Service Code	HCPCS C1713
Hospital Charge Code	270646343
Hospital Revenue Code	278
Min. Negotiated Rate	$89.28
Max. Negotiated Rate	$144.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$130.94
Rate for Payer: Qualcare PPO/HMO/WC	$89.28

SCREW VA LOCKING 2.4x28mm

Facility

$595.20

Service Code	HCPCS C1713
Hospital Charge Code	270646343
Hospital Revenue Code	278
Min. Negotiated Rate	$14.34
Max. Negotiated Rate	$297.60
Rate for Payer: Aetna Commercial	$226.18
Rate for Payer: Aetna Medicare Advantage	$178.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.78
Rate for Payer: Cigna Commercial	$297.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$130.94
Rate for Payer: Qualcare PPO/HMO/WC	$89.28
Rate for Payer: UnitedHealthcare Community & State	$14.34
Rate for Payer: Wellpoint Medicaid Managed Care	$15.77

SCREW VA LOCKING 2.4x8MM

Facility

$595.20

Service Code	HCPCS C1713
Hospital Charge Code	270645640
Hospital Revenue Code	278
Min. Negotiated Rate	$14.34
Max. Negotiated Rate	$297.60
Rate for Payer: Aetna Commercial	$226.18
Rate for Payer: Aetna Medicare Advantage	$178.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.78
Rate for Payer: Cigna Commercial	$297.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$130.94
Rate for Payer: Qualcare PPO/HMO/WC	$89.28
Rate for Payer: UnitedHealthcare Community & State	$14.34
Rate for Payer: Wellpoint Medicaid Managed Care	$15.77

SCREW VA LOCKING 2.4x8MM

Facility

$595.20

Service Code	HCPCS C1713
Hospital Charge Code	270645640
Hospital Revenue Code	278
Min. Negotiated Rate	$89.28
Max. Negotiated Rate	$144.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$130.94
Rate for Payer: Qualcare PPO/HMO/WC	$89.28

SCREW VA LOCKING 3.5X18MM

Facility

$1,165.00

Service Code	HCPCS C1713
Hospital Charge Code	270697233
Hospital Revenue Code	278
Min. Negotiated Rate	$174.75
Max. Negotiated Rate	$281.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$233.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$281.93
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$256.30
Rate for Payer: Qualcare PPO/HMO/WC	$174.75

SCREW VA LOCKING 3.5X18MM

Facility

$1,165.00

Service Code	HCPCS C1713
Hospital Charge Code	270697233
Hospital Revenue Code	278
Min. Negotiated Rate	$28.08
Max. Negotiated Rate	$582.50
Rate for Payer: Aetna Commercial	$442.70
Rate for Payer: Aetna Medicare Advantage	$349.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$297.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$297.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$233.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$297.07
Rate for Payer: Cigna Commercial	$582.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$281.93
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$256.30
Rate for Payer: Qualcare PPO/HMO/WC	$174.75
Rate for Payer: UnitedHealthcare Community & State	$28.08
Rate for Payer: Wellpoint Medicaid Managed Care	$30.87

SCREWVALOPTILINKSTSD5.0X26MM

Facility

$881.40

Service Code	HCPCS C1713
Hospital Charge Code	270697363
Hospital Revenue Code	278
Min. Negotiated Rate	$21.24
Max. Negotiated Rate	$440.70
Rate for Payer: Aetna Commercial	$334.93
Rate for Payer: Aetna Medicare Advantage	$264.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$224.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$224.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$176.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$224.76
Rate for Payer: Cigna Commercial	$440.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$213.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$193.91
Rate for Payer: Qualcare PPO/HMO/WC	$132.21
Rate for Payer: UnitedHealthcare Community & State	$21.24
Rate for Payer: Wellpoint Medicaid Managed Care	$23.36

SCREWVALOPTILINKSTSD5.0X26MM

Facility

$881.40

Service Code	HCPCS C1713
Hospital Charge Code	270697363
Hospital Revenue Code	278
Min. Negotiated Rate	$132.21
Max. Negotiated Rate	$213.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$176.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$213.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$193.91
Rate for Payer: Qualcare PPO/HMO/WC	$132.21

SCREW VALOR 0.5X20MM

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270699087
Hospital Revenue Code	278
Min. Negotiated Rate	$36.15
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$570.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$330.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00
Rate for Payer: UnitedHealthcare Community & State	$36.15
Rate for Payer: Wellpoint Medicaid Managed Care	$39.75

SCREW VALOR 0.5X20MM

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270699087
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$363.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$330.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

SCREW VALOR 0.5X30MM

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270698861
Hospital Revenue Code	278
Min. Negotiated Rate	$36.15
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$570.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$330.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00
Rate for Payer: UnitedHealthcare Community & State	$36.15
Rate for Payer: Wellpoint Medicaid Managed Care	$39.75

SCREW VALOR 0.5X30MM

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270698861
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$363.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$330.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

SCREW VALOR 0.5X50MM

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270699086
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$363.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$330.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

SCREW VALOR 0.5X50MM

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270699086
Hospital Revenue Code	278
Min. Negotiated Rate	$36.15
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$570.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$330.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00
Rate for Payer: UnitedHealthcare Community & State	$36.15
Rate for Payer: Wellpoint Medicaid Managed Care	$39.75

SCREW VALOR 0.5X65MM

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270699088
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$363.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$330.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

SCREW VALOR 0.5X65MM

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270699088
Hospital Revenue Code	278
Min. Negotiated Rate	$36.15
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$570.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$330.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00
Rate for Payer: UnitedHealthcare Community & State	$36.15
Rate for Payer: Wellpoint Medicaid Managed Care	$39.75

SCREW VALOR 5.0x45MM

Facility

$1,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270677449
Hospital Revenue Code	278
Min. Negotiated Rate	$180.00
Max. Negotiated Rate	$290.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$240.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$264.00
Rate for Payer: Qualcare PPO/HMO/WC	$180.00

SCREW VALOR 5.0x45MM

Facility

$1,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270677449
Hospital Revenue Code	278
Min. Negotiated Rate	$28.92
Max. Negotiated Rate	$600.00
Rate for Payer: Aetna Commercial	$456.00
Rate for Payer: Aetna Medicare Advantage	$360.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$306.00
Rate for Payer: Cigna Commercial	$600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$264.00
Rate for Payer: Qualcare PPO/HMO/WC	$180.00
Rate for Payer: UnitedHealthcare Community & State	$28.92
Rate for Payer: Wellpoint Medicaid Managed Care	$31.80

SCREW VALOR 5.0x60MM

Facility

$1,200.00

Hospital Charge Code	270678205
Hospital Revenue Code	278
Min. Negotiated Rate	$28.92
Max. Negotiated Rate	$600.00
Rate for Payer: Aetna Commercial	$456.00
Rate for Payer: Aetna Medicare Advantage	$360.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$306.00
Rate for Payer: Cigna Commercial	$600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$264.00
Rate for Payer: Qualcare PPO/HMO/WC	$180.00
Rate for Payer: UnitedHealthcare Community & State	$28.92
Rate for Payer: Wellpoint Medicaid Managed Care	$31.80

SCREW VALOR 5.0x60MM

Facility

$1,200.00

Hospital Charge Code	270678205
Hospital Revenue Code	278
Min. Negotiated Rate	$180.00
Max. Negotiated Rate	$290.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$240.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$264.00
Rate for Payer: Qualcare PPO/HMO/WC	$180.00

Know your out-of-pocket cost for care.

All Charges