Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW VALOR 5.0x70MM

Facility

$1,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270677451
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 5.0x70MM

Facility

$1,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270677451
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 5.0X75MM

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270699020
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 5.0X75MM

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270699020
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 5X100MM

Facility

$2,630.00

Service Code	HCPCS C1713
Hospital Charge Code	270697000
Hospital Revenue Code	278
Min. Negotiated Rate	$394.50
Max. Negotiated Rate	$636.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$526.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$636.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$578.60
Rate for Payer: Qualcare PPO/HMO/WC	$394.50

SCREW VALOR 5X100MM

Facility

$2,630.00

Service Code	HCPCS C1713
Hospital Charge Code	270697000
Hospital Revenue Code	278
Min. Negotiated Rate	$63.38
Max. Negotiated Rate	$1,315.00
Rate for Payer: Aetna Commercial	$999.40
Rate for Payer: Aetna Medicare Advantage	$789.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$670.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$670.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$526.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$670.65
Rate for Payer: Cigna Commercial	$1,315.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$636.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$578.60
Rate for Payer: Qualcare PPO/HMO/WC	$394.50
Rate for Payer: UnitedHealthcare Community & State	$63.38
Rate for Payer: Wellpoint Medicaid Managed Care	$69.69

SCREW VALOR 5X25MM

Facility

$1,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270677450
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 5X25MM

Facility

$1,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270677450
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 5X35MM

Facility

$2,630.00

Service Code	HCPCS C1713
Hospital Charge Code	270697013
Hospital Revenue Code	278
Min. Negotiated Rate	$63.38
Max. Negotiated Rate	$1,315.00
Rate for Payer: Aetna Commercial	$999.40
Rate for Payer: Aetna Medicare Advantage	$789.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$670.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$670.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$526.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$670.65
Rate for Payer: Cigna Commercial	$1,315.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$636.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$578.60
Rate for Payer: Qualcare PPO/HMO/WC	$394.50
Rate for Payer: UnitedHealthcare Community & State	$63.38
Rate for Payer: Wellpoint Medicaid Managed Care	$69.69

SCREW VALOR 5X35MM

Facility

$2,630.00

Service Code	HCPCS C1713
Hospital Charge Code	270697013
Hospital Revenue Code	278
Min. Negotiated Rate	$394.50
Max. Negotiated Rate	$636.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$526.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$636.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$578.60
Rate for Payer: Qualcare PPO/HMO/WC	$394.50

SCREW VALOR 5X40MM

Facility

$2,630.00

Service Code	HCPCS C1713
Hospital Charge Code	270697012
Hospital Revenue Code	278
Min. Negotiated Rate	$394.50
Max. Negotiated Rate	$636.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$526.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$636.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$578.60
Rate for Payer: Qualcare PPO/HMO/WC	$394.50

SCREW VALOR 5X40MM

Facility

$2,630.00

Service Code	HCPCS C1713
Hospital Charge Code	270697012
Hospital Revenue Code	278
Min. Negotiated Rate	$63.38
Max. Negotiated Rate	$1,315.00
Rate for Payer: Aetna Commercial	$999.40
Rate for Payer: Aetna Medicare Advantage	$789.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$670.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$670.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$526.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$670.65
Rate for Payer: Cigna Commercial	$1,315.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$636.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$578.60
Rate for Payer: Qualcare PPO/HMO/WC	$394.50
Rate for Payer: UnitedHealthcare Community & State	$63.38
Rate for Payer: Wellpoint Medicaid Managed Care	$69.69

SCREW VALOR 5X55MM

Facility

$1,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270678178
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 5X55MM

Facility

$1,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270678178
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 5X75MM

Facility

$1,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270678177
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 5X75MM

Facility

$1,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270678177
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 5X85MM

Facility

$2,630.00

Service Code	HCPCS C1713
Hospital Charge Code	270697002
Hospital Revenue Code	278
Min. Negotiated Rate	$63.38
Max. Negotiated Rate	$1,315.00
Rate for Payer: Aetna Commercial	$999.40
Rate for Payer: Aetna Medicare Advantage	$789.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$670.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$670.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$526.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$670.65
Rate for Payer: Cigna Commercial	$1,315.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$636.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$578.60
Rate for Payer: Qualcare PPO/HMO/WC	$394.50
Rate for Payer: UnitedHealthcare Community & State	$63.38
Rate for Payer: Wellpoint Medicaid Managed Care	$69.69

SCREW VALOR 5X85MM

Facility

$2,630.00

Service Code	HCPCS C1713
Hospital Charge Code	270697002
Hospital Revenue Code	278
Min. Negotiated Rate	$394.50
Max. Negotiated Rate	$636.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$526.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$636.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$578.60
Rate for Payer: Qualcare PPO/HMO/WC	$394.50

SCREW VALOR 5x90MM

Facility

$1,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270677447
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 5x90MM

Facility

$1,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270677447
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 ANKLE 5.0X80MM

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270699264
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 ANKLE 5.0X80MM

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270699264
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 VAL SELFTAP SD 5.0X38MM

Facility

$907.85

Service Code	HCPCS C1713
Hospital Charge Code	270691217
Hospital Revenue Code	278
Min. Negotiated Rate	$21.88
Max. Negotiated Rate	$453.93
Rate for Payer: Aetna Commercial	$344.98
Rate for Payer: Aetna Medicare Advantage	$272.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$231.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$231.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$231.50
Rate for Payer: Cigna Commercial	$453.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$199.73
Rate for Payer: Qualcare PPO/HMO/WC	$136.18
Rate for Payer: UnitedHealthcare Community & State	$21.88
Rate for Payer: Wellpoint Medicaid Managed Care	$24.06

SCREW VAL SELFTAP SD 5.0X38MM

Facility

$907.85

Service Code	HCPCS C1713
Hospital Charge Code	270691217
Hospital Revenue Code	278
Min. Negotiated Rate	$136.18
Max. Negotiated Rate	$219.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$199.73
Rate for Payer: Qualcare PPO/HMO/WC	$136.18

SCREW VAL TI 1.6 MM X 10 MM

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270689949
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