Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

4.0MM ROUBD FLUTED AGGRESSIVE

Facility

$620.00

Hospital Charge Code	270702862
Hospital Revenue Code	270
Min. Negotiated Rate	$93.00
Max. Negotiated Rate	$93.00
Rate for Payer: Qualcare PPO/HMO/WC	$93.00

4.0MM SCHNZ SCRW SPADEPNT 80MM

Facility

$378.75

Service Code	HCPCS C1713
Hospital Charge Code	270601801
Hospital Revenue Code	278
Min. Negotiated Rate	$9.13
Max. Negotiated Rate	$189.38
Rate for Payer: Aetna Commercial	$143.93
Rate for Payer: Aetna Medicare Advantage	$113.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$96.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$96.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$96.58
Rate for Payer: Cigna Commercial	$189.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$83.33
Rate for Payer: Qualcare PPO/HMO/WC	$56.81
Rate for Payer: UnitedHealthcare Community & State	$9.13
Rate for Payer: Wellpoint Medicaid Managed Care	$10.04

4.0MM SCHNZ SCRW SPADEPNT 80MM

Facility

$378.75

Service Code	HCPCS C1713
Hospital Charge Code	270601801
Hospital Revenue Code	278
Min. Negotiated Rate	$56.81
Max. Negotiated Rate	$91.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$83.33
Rate for Payer: Qualcare PPO/HMO/WC	$56.81

4.0MM SCHNZ SCRW SPADPNT 100MM

Facility

$378.75

Service Code	HCPCS C1713
Hospital Charge Code	270601802
Hospital Revenue Code	278
Min. Negotiated Rate	$9.13
Max. Negotiated Rate	$189.38
Rate for Payer: Aetna Commercial	$143.93
Rate for Payer: Aetna Medicare Advantage	$113.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$96.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$96.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$96.58
Rate for Payer: Cigna Commercial	$189.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$83.33
Rate for Payer: Qualcare PPO/HMO/WC	$56.81
Rate for Payer: UnitedHealthcare Community & State	$9.13
Rate for Payer: Wellpoint Medicaid Managed Care	$10.04

4.0MM SCHNZ SCRW SPADPNT 100MM

Facility

$378.75

Service Code	HCPCS C1713
Hospital Charge Code	270601802
Hospital Revenue Code	278
Min. Negotiated Rate	$56.81
Max. Negotiated Rate	$91.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$83.33
Rate for Payer: Qualcare PPO/HMO/WC	$56.81

4.0mm SELF-DRILL SCHANZ SCREW

Facility

$643.75

Hospital Charge Code	270702320
Hospital Revenue Code	278
Min. Negotiated Rate	$15.51
Max. Negotiated Rate	$321.88
Rate for Payer: Aetna Commercial	$244.62
Rate for Payer: Aetna Medicare Advantage	$193.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$164.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$164.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$128.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$164.16
Rate for Payer: Cigna Commercial	$321.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$155.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$141.62
Rate for Payer: Qualcare PPO/HMO/WC	$96.56
Rate for Payer: UnitedHealthcare Community & State	$15.51
Rate for Payer: Wellpoint Medicaid Managed Care	$17.06

4.0mm SELF-DRILL SCHANZ SCREW

Facility

$643.75

Hospital Charge Code	270702320
Hospital Revenue Code	278
Min. Negotiated Rate	$96.56
Max. Negotiated Rate	$155.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$128.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$155.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$141.62
Rate for Payer: Qualcare PPO/HMO/WC	$96.56

4.0MM TAP GPS

Facility

$6,190.00

Hospital Charge Code	270697223
Hospital Revenue Code	272
Min. Negotiated Rate	$928.50
Max. Negotiated Rate	$928.50
Rate for Payer: Qualcare PPO/HMO/WC	$928.50

4.0MM TAP GPS

Facility

$6,190.00

Hospital Charge Code	270697223
Hospital Revenue Code	272
Min. Negotiated Rate	$149.18
Max. Negotiated Rate	$3,095.00
Rate for Payer: Aetna Commercial	$2,352.20
Rate for Payer: Aetna Medicare Advantage	$1,857.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,578.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,578.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,578.45
Rate for Payer: Cigna Commercial	$3,095.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,857.00
Rate for Payer: Oxford Commercial	$1,238.00
Rate for Payer: Qualcare PPO/HMO/WC	$928.50
Rate for Payer: UnitedHealthcare Commercial	$1,238.00
Rate for Payer: UnitedHealthcare Community & State	$149.18
Rate for Payer: Wellpoint Medicaid Managed Care	$164.03

4.0MM X 36MM PTTHR CANN SCREW

Facility

$825.00

Service Code	HCPCS C1713
Hospital Charge Code	270671979
Hospital Revenue Code	278
Min. Negotiated Rate	$19.88
Max. Negotiated Rate	$412.50
Rate for Payer: Aetna Commercial	$313.50
Rate for Payer: Aetna Medicare Advantage	$247.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$210.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$210.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$165.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$210.38
Rate for Payer: Cigna Commercial	$412.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$199.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$123.75
Rate for Payer: UnitedHealthcare Community & State	$19.88
Rate for Payer: Wellpoint Medicaid Managed Care	$21.86

4.0MM X 36MM PTTHR CANN SCREW

Facility

$825.00

Service Code	HCPCS C1713
Hospital Charge Code	270671979
Hospital Revenue Code	278
Min. Negotiated Rate	$123.75
Max. Negotiated Rate	$199.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$165.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$199.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$123.75

4.0 SCREW

Facility

$652.00

Hospital Charge Code	270335946
Hospital Revenue Code	278
Min. Negotiated Rate	$15.71
Max. Negotiated Rate	$326.00
Rate for Payer: Aetna Commercial	$247.76
Rate for Payer: Aetna Medicare Advantage	$195.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$166.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$166.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$166.26
Rate for Payer: Cigna Commercial	$326.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.78
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$143.44
Rate for Payer: Qualcare PPO/HMO/WC	$97.80
Rate for Payer: UnitedHealthcare Community & State	$15.71
Rate for Payer: Wellpoint Medicaid Managed Care	$17.28

4.0 SCREW

Facility

$652.00

Hospital Charge Code	270335946
Hospital Revenue Code	278
Min. Negotiated Rate	$97.80
Max. Negotiated Rate	$157.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.78
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$143.44
Rate for Payer: Qualcare PPO/HMO/WC	$97.80

4.0X10 PART THD CANC SCR

Facility

$302.50

Service Code	HCPCS C1713
Hospital Charge Code	270704665
Hospital Revenue Code	278
Min. Negotiated Rate	$45.38
Max. Negotiated Rate	$73.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$66.55
Rate for Payer: Qualcare PPO/HMO/WC	$45.38

4.0X10 PART THD CANC SCR

Facility

$302.50

Service Code	HCPCS C1713
Hospital Charge Code	270704665
Hospital Revenue Code	278
Min. Negotiated Rate	$7.29
Max. Negotiated Rate	$151.25
Rate for Payer: Aetna Commercial	$114.95
Rate for Payer: Aetna Medicare Advantage	$90.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$77.14
Rate for Payer: Cigna Commercial	$151.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$66.55
Rate for Payer: Qualcare PPO/HMO/WC	$45.38
Rate for Payer: UnitedHealthcare Community & State	$7.29
Rate for Payer: Wellpoint Medicaid Managed Care	$8.02

4.0X12MM BONE SCREW

Facility

$525.00

Service Code	HCPCS C1713
Hospital Charge Code	270705463
Hospital Revenue Code	278
Min. Negotiated Rate	$78.75
Max. Negotiated Rate	$127.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$105.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$115.50
Rate for Payer: Qualcare PPO/HMO/WC	$78.75

4.0X12MM BONE SCREW

Facility

$525.00

Service Code	HCPCS C1713
Hospital Charge Code	270705463
Hospital Revenue Code	278
Min. Negotiated Rate	$12.65
Max. Negotiated Rate	$262.50
Rate for Payer: Aetna Commercial	$199.50
Rate for Payer: Aetna Medicare Advantage	$157.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$105.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.88
Rate for Payer: Cigna Commercial	$262.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$115.50
Rate for Payer: Qualcare PPO/HMO/WC	$78.75
Rate for Payer: UnitedHealthcare Community & State	$12.65
Rate for Payer: Wellpoint Medicaid Managed Care	$13.91

4.0 X 12MM DRILL BIT

Facility

$1,790.00

Hospital Charge Code	270656624
Hospital Revenue Code	272
Min. Negotiated Rate	$268.50
Max. Negotiated Rate	$268.50
Rate for Payer: Qualcare PPO/HMO/WC	$268.50

4.0 X 12MM DRILL BIT

Facility

$1,790.00

Hospital Charge Code	270656624
Hospital Revenue Code	272
Min. Negotiated Rate	$43.14
Max. Negotiated Rate	$895.00
Rate for Payer: Aetna Commercial	$680.20
Rate for Payer: Aetna Medicare Advantage	$537.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$456.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$456.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$456.45
Rate for Payer: Cigna Commercial	$895.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$537.00
Rate for Payer: Oxford Commercial	$358.00
Rate for Payer: Qualcare PPO/HMO/WC	$268.50
Rate for Payer: UnitedHealthcare Commercial	$358.00
Rate for Payer: UnitedHealthcare Community & State	$43.14
Rate for Payer: Wellpoint Medicaid Managed Care	$47.44

4.0 X 14 MM FIXED SCREWS

Facility

$2,535.00

Hospital Charge Code	270656626
Hospital Revenue Code	278
Min. Negotiated Rate	$380.25
Max. Negotiated Rate	$613.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$507.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$613.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$557.70
Rate for Payer: Qualcare PPO/HMO/WC	$380.25

4.0 X 14 MM FIXED SCREWS

Facility

$2,535.00

Hospital Charge Code	270656626
Hospital Revenue Code	278
Min. Negotiated Rate	$61.09
Max. Negotiated Rate	$1,267.50
Rate for Payer: Aetna Commercial	$963.30
Rate for Payer: Aetna Medicare Advantage	$760.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$646.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$646.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$507.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$646.42
Rate for Payer: Cigna Commercial	$1,267.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$613.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$557.70
Rate for Payer: Qualcare PPO/HMO/WC	$380.25
Rate for Payer: UnitedHealthcare Community & State	$61.09
Rate for Payer: Wellpoint Medicaid Managed Care	$67.18

4.0 X 14MM VARIABLE SCREWS

Facility

$2,535.00

Hospital Charge Code	270656628
Hospital Revenue Code	278
Min. Negotiated Rate	$380.25
Max. Negotiated Rate	$613.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$507.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$613.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$557.70
Rate for Payer: Qualcare PPO/HMO/WC	$380.25

4.0 X 14MM VARIABLE SCREWS

Facility

$2,535.00

Hospital Charge Code	270656628
Hospital Revenue Code	278
Min. Negotiated Rate	$61.09
Max. Negotiated Rate	$1,267.50
Rate for Payer: Aetna Commercial	$963.30
Rate for Payer: Aetna Medicare Advantage	$760.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$646.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$646.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$507.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$646.42
Rate for Payer: Cigna Commercial	$1,267.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$613.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$557.70
Rate for Payer: Qualcare PPO/HMO/WC	$380.25
Rate for Payer: UnitedHealthcare Community & State	$61.09
Rate for Payer: Wellpoint Medicaid Managed Care	$67.18

4.0X16MM FIXED ANGLED SCREW

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270705956
Hospital Revenue Code	278
Min. Negotiated Rate	$18.07
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$165.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Community & State	$18.07
Rate for Payer: Wellpoint Medicaid Managed Care	$19.88

4.0X16MM FIXED ANGLED SCREW

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270705956
Hospital Revenue Code	278
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$181.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$165.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

Know your out-of-pocket cost for care.

All Charges