Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

62MM TM SHELL MULTIHOLE

Facility

$8,660.65

Hospital Charge Code	270656934
Hospital Revenue Code	278
Min. Negotiated Rate	$208.72
Max. Negotiated Rate	$4,330.32
Rate for Payer: Aetna Commercial	$3,291.05
Rate for Payer: Aetna Medicare Advantage	$2,598.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,208.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,208.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,732.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,208.47
Rate for Payer: Cigna Commercial	$4,330.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,095.88
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,905.34
Rate for Payer: Qualcare PPO/HMO/WC	$1,299.10
Rate for Payer: UnitedHealthcare Community & State	$208.72
Rate for Payer: Wellpoint Medicaid Managed Care	$229.51

62MM TM SHELL MULTIHOLE

Facility

$8,660.65

Hospital Charge Code	270656934
Hospital Revenue Code	278
Min. Negotiated Rate	$1,299.10
Max. Negotiated Rate	$2,095.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,732.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,095.88
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,905.34
Rate for Payer: Qualcare PPO/HMO/WC	$1,299.10

65 - 5.0 CANN. LOCKING SAW

Facility

$1,190.25

Hospital Charge Code	270656664
Hospital Revenue Code	272
Min. Negotiated Rate	$28.69
Max. Negotiated Rate	$595.12
Rate for Payer: Aetna Commercial	$452.30
Rate for Payer: Aetna Medicare Advantage	$357.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$303.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$303.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$303.51
Rate for Payer: Cigna Commercial	$595.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$357.07
Rate for Payer: Oxford Commercial	$238.05
Rate for Payer: Qualcare PPO/HMO/WC	$178.54
Rate for Payer: UnitedHealthcare Commercial	$238.05
Rate for Payer: UnitedHealthcare Community & State	$28.69
Rate for Payer: Wellpoint Medicaid Managed Care	$31.54

65 - 5.0 CANN. LOCKING SAW

Facility

$1,190.25

Hospital Charge Code	270656664
Hospital Revenue Code	272
Min. Negotiated Rate	$178.54
Max. Negotiated Rate	$178.54
Rate for Payer: Qualcare PPO/HMO/WC	$178.54

6.5 CANN SCREW 16MM THREAD 45M

Facility

$1,136.25

Service Code	HCPCS C1713
Hospital Charge Code	270682193
Hospital Revenue Code	278
Min. Negotiated Rate	$27.38
Max. Negotiated Rate	$568.12
Rate for Payer: Aetna Commercial	$431.77
Rate for Payer: Aetna Medicare Advantage	$340.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$289.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$289.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$227.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$289.74
Rate for Payer: Cigna Commercial	$568.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$274.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$249.97
Rate for Payer: Qualcare PPO/HMO/WC	$170.44
Rate for Payer: UnitedHealthcare Community & State	$27.38
Rate for Payer: Wellpoint Medicaid Managed Care	$30.11

6.5 CANN SCREW 16MM THREAD 45M

Facility

$1,136.25

Service Code	HCPCS C1713
Hospital Charge Code	270682193
Hospital Revenue Code	278
Min. Negotiated Rate	$170.44
Max. Negotiated Rate	$274.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$227.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$274.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$249.97
Rate for Payer: Qualcare PPO/HMO/WC	$170.44

6.5MM LOW PROF HEX SCREW 15MM

Facility

$1,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270686732
Hospital Revenue Code	278
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$423.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$385.00
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

6.5MM LOW PROF HEX SCREW 15MM

Facility

$1,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270686732
Hospital Revenue Code	278
Min. Negotiated Rate	$42.17
Max. Negotiated Rate	$875.00
Rate for Payer: Aetna Commercial	$665.00
Rate for Payer: Aetna Medicare Advantage	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.25
Rate for Payer: Cigna Commercial	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$385.00
Rate for Payer: Qualcare PPO/HMO/WC	$262.50
Rate for Payer: UnitedHealthcare Community & State	$42.17
Rate for Payer: Wellpoint Medicaid Managed Care	$46.38

6.5MM LOW PROF HEX SCREW 20MM

Facility

$307.85

Service Code	HCPCS C1713
Hospital Charge Code	270686733
Hospital Revenue Code	278
Min. Negotiated Rate	$7.42
Max. Negotiated Rate	$153.93
Rate for Payer: Aetna Commercial	$116.98
Rate for Payer: Aetna Medicare Advantage	$92.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78.50
Rate for Payer: Cigna Commercial	$153.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$67.73
Rate for Payer: Qualcare PPO/HMO/WC	$46.18
Rate for Payer: UnitedHealthcare Community & State	$7.42
Rate for Payer: Wellpoint Medicaid Managed Care	$8.16

6.5MM LOW PROF HEX SCREW 20MM

Facility

$307.85

Service Code	HCPCS C1713
Hospital Charge Code	270686733
Hospital Revenue Code	278
Min. Negotiated Rate	$46.18
Max. Negotiated Rate	$74.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$67.73
Rate for Payer: Qualcare PPO/HMO/WC	$46.18

6.5MM LOW PROFILE HEX SCREW 30

Facility

$1,040.00

Service Code	HCPCS C1713
Hospital Charge Code	270684556
Hospital Revenue Code	278
Min. Negotiated Rate	$156.00
Max. Negotiated Rate	$251.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$208.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$251.68
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$228.80
Rate for Payer: Qualcare PPO/HMO/WC	$156.00

6.5MM LOW PROFILE HEX SCREW 30

Facility

$1,040.00

Service Code	HCPCS C1713
Hospital Charge Code	270684556
Hospital Revenue Code	278
Min. Negotiated Rate	$25.06
Max. Negotiated Rate	$520.00
Rate for Payer: Aetna Commercial	$395.20
Rate for Payer: Aetna Medicare Advantage	$312.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$265.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$265.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$208.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$265.20
Rate for Payer: Cigna Commercial	$520.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$251.68
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$228.80
Rate for Payer: Qualcare PPO/HMO/WC	$156.00
Rate for Payer: UnitedHealthcare Community & State	$25.06
Rate for Payer: Wellpoint Medicaid Managed Care	$27.56

65MM ROD

Facility

$875.00

Hospital Charge Code	270702887
Hospital Revenue Code	278
Min. Negotiated Rate	$21.09
Max. Negotiated Rate	$437.50
Rate for Payer: Aetna Commercial	$332.50
Rate for Payer: Aetna Medicare Advantage	$262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.12
Rate for Payer: Cigna Commercial	$437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$192.50
Rate for Payer: Qualcare PPO/HMO/WC	$131.25
Rate for Payer: UnitedHealthcare Community & State	$21.09
Rate for Payer: Wellpoint Medicaid Managed Care	$23.19

65MM ROD

Facility

$875.00

Hospital Charge Code	270702887
Hospital Revenue Code	278
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$211.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$192.50
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

6.5MM TAP

Facility

$1,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270705994
Hospital Revenue Code	278
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$302.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$275.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

6.5MM TAP

Facility

$1,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270705994
Hospital Revenue Code	278
Min. Negotiated Rate	$30.12
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$475.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$275.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Community & State	$30.12
Rate for Payer: Wellpoint Medicaid Managed Care	$33.12

6.5X30MM BRIGADE PLATE SCREW

Facility

$14,406.00

Service Code	HCPCS C1713
Hospital Charge Code	270703758
Hospital Revenue Code	278
Min. Negotiated Rate	$2,160.90
Max. Negotiated Rate	$3,486.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,881.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,486.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,169.32
Rate for Payer: Qualcare PPO/HMO/WC	$2,160.90

6.5X30MM BRIGADE PLATE SCREW

Facility

$14,406.00

Service Code	HCPCS C1713
Hospital Charge Code	270703758
Hospital Revenue Code	278
Min. Negotiated Rate	$347.18
Max. Negotiated Rate	$7,203.00
Rate for Payer: Aetna Commercial	$5,474.28
Rate for Payer: Aetna Medicare Advantage	$4,321.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,673.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,673.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,881.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,673.53
Rate for Payer: Cigna Commercial	$7,203.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,486.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,169.32
Rate for Payer: Qualcare PPO/HMO/WC	$2,160.90
Rate for Payer: UnitedHealthcare Community & State	$347.18
Rate for Payer: Wellpoint Medicaid Managed Care	$381.76

6.5X32.5MM BRIGADE PLATE SCREW

Facility

$1,915.55

Service Code	HCPCS C1713
Hospital Charge Code	270704087
Hospital Revenue Code	278
Min. Negotiated Rate	$46.16
Max. Negotiated Rate	$957.77
Rate for Payer: Aetna Commercial	$727.91
Rate for Payer: Aetna Medicare Advantage	$574.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$488.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$488.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$383.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$488.47
Rate for Payer: Cigna Commercial	$957.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$463.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$421.42
Rate for Payer: Qualcare PPO/HMO/WC	$287.33
Rate for Payer: UnitedHealthcare Community & State	$46.16
Rate for Payer: Wellpoint Medicaid Managed Care	$50.76

6.5X32.5MM BRIGADE PLATE SCREW

Facility

$1,915.55

Service Code	HCPCS C1713
Hospital Charge Code	270704087
Hospital Revenue Code	278
Min. Negotiated Rate	$287.33
Max. Negotiated Rate	$463.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$383.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$463.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$421.42
Rate for Payer: Qualcare PPO/HMO/WC	$287.33

6.5X35MM POLY SCREW

Facility

$4,450.00

Service Code	HCPCS C1713
Hospital Charge Code	270705943
Hospital Revenue Code	278
Min. Negotiated Rate	$667.50
Max. Negotiated Rate	$1,076.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$890.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,076.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$979.00
Rate for Payer: Qualcare PPO/HMO/WC	$667.50

6.5X35MM POLY SCREW

Facility

$4,450.00

Service Code	HCPCS C1713
Hospital Charge Code	270705943
Hospital Revenue Code	278
Min. Negotiated Rate	$107.25
Max. Negotiated Rate	$2,225.00
Rate for Payer: Aetna Commercial	$1,691.00
Rate for Payer: Aetna Medicare Advantage	$1,335.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,134.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,134.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$890.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,134.75
Rate for Payer: Cigna Commercial	$2,225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,076.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$979.00
Rate for Payer: Qualcare PPO/HMO/WC	$667.50
Rate for Payer: UnitedHealthcare Community & State	$107.25
Rate for Payer: Wellpoint Medicaid Managed Care	$117.92

6.5X40MM POLY SCREW

Facility

$4,450.00

Service Code	HCPCS C1713
Hospital Charge Code	270705942
Hospital Revenue Code	278
Min. Negotiated Rate	$107.25
Max. Negotiated Rate	$2,225.00
Rate for Payer: Aetna Commercial	$1,691.00
Rate for Payer: Aetna Medicare Advantage	$1,335.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,134.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,134.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$890.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,134.75
Rate for Payer: Cigna Commercial	$2,225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,076.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$979.00
Rate for Payer: Qualcare PPO/HMO/WC	$667.50
Rate for Payer: UnitedHealthcare Community & State	$107.25
Rate for Payer: Wellpoint Medicaid Managed Care	$117.92

6.5X40MM POLY SCREW

Facility

$4,450.00

Service Code	HCPCS C1713
Hospital Charge Code	270705942
Hospital Revenue Code	278
Min. Negotiated Rate	$667.50
Max. Negotiated Rate	$1,076.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$890.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,076.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$979.00
Rate for Payer: Qualcare PPO/HMO/WC	$667.50

6.5X 45MM SHANKS

Facility

$6,740.00

Service Code	HCPCS C1713
Hospital Charge Code	270697218
Hospital Revenue Code	278
Min. Negotiated Rate	$162.43
Max. Negotiated Rate	$3,370.00
Rate for Payer: Aetna Commercial	$2,561.20
Rate for Payer: Aetna Medicare Advantage	$2,022.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,718.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,718.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,348.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,718.70
Rate for Payer: Cigna Commercial	$3,370.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,631.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,482.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,011.00
Rate for Payer: UnitedHealthcare Community & State	$162.43
Rate for Payer: Wellpoint Medicaid Managed Care	$178.61

Know your out-of-pocket cost for care.

All Charges