Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

4.0X36 LOCK SCREW

Facility

$965.00

Hospital Charge Code	270656409
Hospital Revenue Code	278
Min. Negotiated Rate	$144.75
Max. Negotiated Rate	$233.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$193.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$233.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$212.30
Rate for Payer: Qualcare PPO/HMO/WC	$144.75

4.0X36 LOCK SCREW

Facility

$965.00

Hospital Charge Code	270656409
Hospital Revenue Code	278
Min. Negotiated Rate	$23.26
Max. Negotiated Rate	$482.50
Rate for Payer: Aetna Commercial	$366.70
Rate for Payer: Aetna Medicare Advantage	$289.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$246.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$246.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$193.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$246.07
Rate for Payer: Cigna Commercial	$482.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$233.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$212.30
Rate for Payer: Qualcare PPO/HMO/WC	$144.75
Rate for Payer: UnitedHealthcare Community & State	$23.26
Rate for Payer: Wellpoint Medicaid Managed Care	$25.57

4.0X42 LOCKING SCREW

Facility

$980.25

Service Code	HCPCS C1713
Hospital Charge Code	270671295
Hospital Revenue Code	278
Min. Negotiated Rate	$147.04
Max. Negotiated Rate	$237.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$215.66
Rate for Payer: Qualcare PPO/HMO/WC	$147.04

4.0X42 LOCKING SCREW

Facility

$980.25

Service Code	HCPCS C1713
Hospital Charge Code	270671295
Hospital Revenue Code	278
Min. Negotiated Rate	$23.62
Max. Negotiated Rate	$490.12
Rate for Payer: Aetna Commercial	$372.50
Rate for Payer: Aetna Medicare Advantage	$294.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$249.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$249.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$249.96
Rate for Payer: Cigna Commercial	$490.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$215.66
Rate for Payer: Qualcare PPO/HMO/WC	$147.04
Rate for Payer: UnitedHealthcare Community & State	$23.62
Rate for Payer: Wellpoint Medicaid Managed Care	$25.98

4.0X45MM PARTIAL TH SCREW

Facility

$145.00

Hospital Charge Code	270656411
Hospital Revenue Code	278
Min. Negotiated Rate	$21.75
Max. Negotiated Rate	$35.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.09
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.90
Rate for Payer: Qualcare PPO/HMO/WC	$21.75

4.0X45MM PARTIAL TH SCREW

Facility

$145.00

Hospital Charge Code	270656411
Hospital Revenue Code	278
Min. Negotiated Rate	$3.49
Max. Negotiated Rate	$72.50
Rate for Payer: Aetna Commercial	$55.10
Rate for Payer: Aetna Medicare Advantage	$43.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.98
Rate for Payer: Cigna Commercial	$72.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.09
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.90
Rate for Payer: Qualcare PPO/HMO/WC	$21.75
Rate for Payer: UnitedHealthcare Community & State	$3.49
Rate for Payer: Wellpoint Medicaid Managed Care	$3.84

4.0X46 LOCKING SCREW

Facility

$890.00

Hospital Charge Code	270656412
Hospital Revenue Code	278
Min. Negotiated Rate	$133.50
Max. Negotiated Rate	$215.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$178.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$215.38
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$195.80
Rate for Payer: Qualcare PPO/HMO/WC	$133.50

4.0X46 LOCKING SCREW

Facility

$890.00

Hospital Charge Code	270656412
Hospital Revenue Code	278
Min. Negotiated Rate	$21.45
Max. Negotiated Rate	$445.00
Rate for Payer: Aetna Commercial	$338.20
Rate for Payer: Aetna Medicare Advantage	$267.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$226.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$226.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$178.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$226.95
Rate for Payer: Cigna Commercial	$445.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$215.38
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$195.80
Rate for Payer: Qualcare PPO/HMO/WC	$133.50
Rate for Payer: UnitedHealthcare Community & State	$21.45
Rate for Payer: Wellpoint Medicaid Managed Care	$23.59

4.0X48 LOCKING SCREW

Facility

$890.00

Hospital Charge Code	270656413
Hospital Revenue Code	278
Min. Negotiated Rate	$21.45
Max. Negotiated Rate	$445.00
Rate for Payer: Aetna Commercial	$338.20
Rate for Payer: Aetna Medicare Advantage	$267.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$226.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$226.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$178.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$226.95
Rate for Payer: Cigna Commercial	$445.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$215.38
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$195.80
Rate for Payer: Qualcare PPO/HMO/WC	$133.50
Rate for Payer: UnitedHealthcare Community & State	$21.45
Rate for Payer: Wellpoint Medicaid Managed Care	$23.59

4.0X48 LOCKING SCREW

Facility

$890.00

Hospital Charge Code	270656413
Hospital Revenue Code	278
Min. Negotiated Rate	$133.50
Max. Negotiated Rate	$215.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$178.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$215.38
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$195.80
Rate for Payer: Qualcare PPO/HMO/WC	$133.50

4.0X60 CANCELLOUS SCREW

Facility

$965.00

Hospital Charge Code	270656414
Hospital Revenue Code	278
Min. Negotiated Rate	$23.26
Max. Negotiated Rate	$482.50
Rate for Payer: Aetna Commercial	$366.70
Rate for Payer: Aetna Medicare Advantage	$289.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$246.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$246.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$193.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$246.07
Rate for Payer: Cigna Commercial	$482.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$233.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$212.30
Rate for Payer: Qualcare PPO/HMO/WC	$144.75
Rate for Payer: UnitedHealthcare Community & State	$23.26
Rate for Payer: Wellpoint Medicaid Managed Care	$25.57

4.0X60 CANCELLOUS SCREW

Facility

$965.00

Hospital Charge Code	270656414
Hospital Revenue Code	278
Min. Negotiated Rate	$144.75
Max. Negotiated Rate	$233.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$193.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$233.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$212.30
Rate for Payer: Qualcare PPO/HMO/WC	$144.75

4.0X70 LOCKING SCREW

Facility

$965.00

Hospital Charge Code	270656415
Hospital Revenue Code	278
Min. Negotiated Rate	$23.26
Max. Negotiated Rate	$482.50
Rate for Payer: Aetna Commercial	$366.70
Rate for Payer: Aetna Medicare Advantage	$289.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$246.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$246.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$193.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$246.07
Rate for Payer: Cigna Commercial	$482.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$233.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$212.30
Rate for Payer: Qualcare PPO/HMO/WC	$144.75
Rate for Payer: UnitedHealthcare Community & State	$23.26
Rate for Payer: Wellpoint Medicaid Managed Care	$25.57

4.0X70 LOCKING SCREW

Facility

$965.00

Hospital Charge Code	270656415
Hospital Revenue Code	278
Min. Negotiated Rate	$144.75
Max. Negotiated Rate	$233.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$193.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$233.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$212.30
Rate for Payer: Qualcare PPO/HMO/WC	$144.75

4.0X75 LOCK SCREW

Facility

$965.00

Hospital Charge Code	270656410
Hospital Revenue Code	278
Min. Negotiated Rate	$23.26
Max. Negotiated Rate	$482.50
Rate for Payer: Aetna Commercial	$366.70
Rate for Payer: Aetna Medicare Advantage	$289.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$246.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$246.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$193.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$246.07
Rate for Payer: Cigna Commercial	$482.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$233.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$212.30
Rate for Payer: Qualcare PPO/HMO/WC	$144.75
Rate for Payer: UnitedHealthcare Community & State	$23.26
Rate for Payer: Wellpoint Medicaid Managed Care	$25.57

4.0X75 LOCK SCREW

Facility

$965.00

Hospital Charge Code	270656410
Hospital Revenue Code	278
Min. Negotiated Rate	$144.75
Max. Negotiated Rate	$233.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$193.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$233.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$212.30
Rate for Payer: Qualcare PPO/HMO/WC	$144.75

4.0X80 CANCELLOUS SCREW PARTIA

Facility

$145.00

Hospital Charge Code	270656437
Hospital Revenue Code	278
Min. Negotiated Rate	$3.49
Max. Negotiated Rate	$72.50
Rate for Payer: Aetna Commercial	$55.10
Rate for Payer: Aetna Medicare Advantage	$43.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.98
Rate for Payer: Cigna Commercial	$72.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.09
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.90
Rate for Payer: Qualcare PPO/HMO/WC	$21.75
Rate for Payer: UnitedHealthcare Community & State	$3.49
Rate for Payer: Wellpoint Medicaid Managed Care	$3.84

4.0X80 CANCELLOUS SCREW PARTIA

Facility

$145.00

Hospital Charge Code	270656437
Hospital Revenue Code	278
Min. Negotiated Rate	$21.75
Max. Negotiated Rate	$35.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.09
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.90
Rate for Payer: Qualcare PPO/HMO/WC	$21.75

4.0X95MM PARTIAL TH SCREW

Facility

$145.00

Hospital Charge Code	270656439
Hospital Revenue Code	278
Min. Negotiated Rate	$3.49
Max. Negotiated Rate	$72.50
Rate for Payer: Aetna Commercial	$55.10
Rate for Payer: Aetna Medicare Advantage	$43.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.98
Rate for Payer: Cigna Commercial	$72.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.09
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.90
Rate for Payer: Qualcare PPO/HMO/WC	$21.75
Rate for Payer: UnitedHealthcare Community & State	$3.49
Rate for Payer: Wellpoint Medicaid Managed Care	$3.84

4.0X95MM PARTIAL TH SCREW

Facility

$145.00

Hospital Charge Code	270656439
Hospital Revenue Code	278
Min. Negotiated Rate	$21.75
Max. Negotiated Rate	$35.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.09
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.90
Rate for Payer: Qualcare PPO/HMO/WC	$21.75

4.25X16MM VARIABLE SCREW

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270704838
Hospital Revenue Code	278
Min. Negotiated Rate	$15.06
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$237.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$137.50
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Community & State	$15.06
Rate for Payer: Wellpoint Medicaid Managed Care	$16.56

4.25X16MM VARIABLE SCREW

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270704838
Hospital Revenue Code	278
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$151.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$137.50
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

42MM PLATE, 3-LVL

Facility

$5,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270705954
Hospital Revenue Code	278
Min. Negotiated Rate	$120.50
Max. Negotiated Rate	$2,500.00
Rate for Payer: Aetna Commercial	$1,900.00
Rate for Payer: Aetna Medicare Advantage	$1,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,275.00
Rate for Payer: Cigna Commercial	$2,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,210.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,100.00
Rate for Payer: Qualcare PPO/HMO/WC	$750.00
Rate for Payer: UnitedHealthcare Community & State	$120.50
Rate for Payer: Wellpoint Medicaid Managed Care	$132.50

42MM PLATE, 3-LVL

Facility

$5,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270705954
Hospital Revenue Code	278
Min. Negotiated Rate	$750.00
Max. Negotiated Rate	$1,210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,210.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,100.00
Rate for Payer: Qualcare PPO/HMO/WC	$750.00

4.2X14MM SCREW

Facility

$4,275.00

Service Code	HCPCS 4275
Hospital Charge Code	270704993
Hospital Revenue Code	278
Min. Negotiated Rate	$103.03
Max. Negotiated Rate	$2,137.50
Rate for Payer: Aetna Commercial	$1,624.50
Rate for Payer: Aetna Medicare Advantage	$1,282.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,090.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,090.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$855.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,090.12
Rate for Payer: Cigna Commercial	$2,137.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,034.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$940.50
Rate for Payer: Qualcare PPO/HMO/WC	$641.25
Rate for Payer: UnitedHealthcare Community & State	$103.03
Rate for Payer: Wellpoint Medicaid Managed Care	$113.29

Know your out-of-pocket cost for care.

All Charges