Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

ENDCAP BMT TIBIAL 345215

Facility

$718.45

Hospital Charge Code	270609859
Hospital Revenue Code	278
Min. Negotiated Rate	$107.77
Max. Negotiated Rate	$173.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$143.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$158.06
Rate for Payer: Qualcare PPO/HMO/WC	$107.77

ENDCAP BMT TIBIAL 345215

Facility

$718.45

Hospital Charge Code	270609859
Hospital Revenue Code	278
Min. Negotiated Rate	$17.31
Max. Negotiated Rate	$359.23
Rate for Payer: Aetna Commercial	$273.01
Rate for Payer: Aetna Medicare Advantage	$215.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$183.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$183.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$143.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$183.20
Rate for Payer: Cigna Commercial	$359.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$158.06
Rate for Payer: Qualcare PPO/HMO/WC	$107.77
Rate for Payer: UnitedHealthcare Community & State	$17.31
Rate for Payer: Wellpoint Medicaid Managed Care	$19.04

END CAP FOR 4.0mm SCHANZ PIN

Facility

$17.15

Hospital Charge Code	270644920
Hospital Revenue Code	272
Min. Negotiated Rate	$0.41
Max. Negotiated Rate	$8.57
Rate for Payer: Aetna Commercial	$6.52
Rate for Payer: Aetna Medicare Advantage	$5.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.37
Rate for Payer: Cigna Commercial	$8.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.14
Rate for Payer: Oxford Commercial	$3.43
Rate for Payer: Qualcare PPO/HMO/WC	$2.57
Rate for Payer: UnitedHealthcare Commercial	$3.43
Rate for Payer: UnitedHealthcare Community & State	$0.41
Rate for Payer: Wellpoint Medicaid Managed Care	$0.45

END CAP FOR 4.0mm SCHANZ PIN

Facility

$17.15

Hospital Charge Code	270644920
Hospital Revenue Code	272
Min. Negotiated Rate	$2.57
Max. Negotiated Rate	$2.57
Rate for Payer: Qualcare PPO/HMO/WC	$2.57

END CAP FOR RFNA 0MM

Facility

$2,595.00

Service Code	HCPCS C1713
Hospital Charge Code	270699469
Hospital Revenue Code	278
Min. Negotiated Rate	$62.54
Max. Negotiated Rate	$1,297.50
Rate for Payer: Aetna Commercial	$986.10
Rate for Payer: Aetna Medicare Advantage	$778.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$661.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$661.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$519.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$661.73
Rate for Payer: Cigna Commercial	$1,297.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$627.99
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$570.90
Rate for Payer: Qualcare PPO/HMO/WC	$389.25
Rate for Payer: UnitedHealthcare Community & State	$62.54
Rate for Payer: Wellpoint Medicaid Managed Care	$68.77

END CAP FOR RFNA 0MM

Facility

$2,595.00

Service Code	HCPCS C1713
Hospital Charge Code	270699469
Hospital Revenue Code	278
Min. Negotiated Rate	$389.25
Max. Negotiated Rate	$627.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$519.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$627.99
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$570.90
Rate for Payer: Qualcare PPO/HMO/WC	$389.25

END CAP HUMERAL NAIL 0400100S

Facility

$810.00

Hospital Charge Code	270637806
Hospital Revenue Code	272
Min. Negotiated Rate	$121.50
Max. Negotiated Rate	$121.50
Rate for Payer: Qualcare PPO/HMO/WC	$121.50

END CAP HUMERAL NAIL 0400100S

Facility

$810.00

Hospital Charge Code	270637806
Hospital Revenue Code	272
Min. Negotiated Rate	$19.52
Max. Negotiated Rate	$405.00
Rate for Payer: Aetna Commercial	$307.80
Rate for Payer: Aetna Medicare Advantage	$243.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$206.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$206.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$206.55
Rate for Payer: Cigna Commercial	$405.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$243.00
Rate for Payer: Oxford Commercial	$162.00
Rate for Payer: Qualcare PPO/HMO/WC	$121.50
Rate for Payer: UnitedHealthcare Commercial	$162.00
Rate for Payer: UnitedHealthcare Community & State	$19.52
Rate for Payer: Wellpoint Medicaid Managed Care	$21.46

ENDCAP LOCK CREO THREAD 5.5MM

Facility

$875.00

Service Code	HCPCS C1713
Hospital Charge Code	270693436
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

ENDCAP LOCK CREO THREAD 5.5MM

Facility

$875.00

Service Code	HCPCS C1713
Hospital Charge Code	270693436
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

ENDCAP LOCKING MIS CREO

Facility

$5,150.00

Service Code	HCPCS C1713
Hospital Charge Code	270693233
Hospital Revenue Code	278
Min. Negotiated Rate	$124.11
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$1,957.00
Rate for Payer: Aetna Medicare Advantage	$1,545.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,313.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,313.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,030.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,313.25
Rate for Payer: Cigna Commercial	$2,575.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,246.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,133.00
Rate for Payer: Qualcare PPO/HMO/WC	$772.50
Rate for Payer: UnitedHealthcare Community & State	$124.11
Rate for Payer: Wellpoint Medicaid Managed Care	$136.47

ENDCAP LOCKING MIS CREO

Facility

$5,150.00

Service Code	HCPCS C1713
Hospital Charge Code	270693233
Hospital Revenue Code	278
Min. Negotiated Rate	$772.50
Max. Negotiated Rate	$1,246.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,030.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,246.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,133.00
Rate for Payer: Qualcare PPO/HMO/WC	$772.50

END CAP OFFSET 11X5MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270699220
Hospital Revenue Code	278
Min. Negotiated Rate	$24.10
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$380.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$220.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00
Rate for Payer: UnitedHealthcare Community & State	$24.10
Rate for Payer: Wellpoint Medicaid Managed Care	$26.50

END CAP OFFSET 11X5MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270699220
Hospital Revenue Code	278
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$242.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$220.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

END CAP OFFSET 12X5mm 14444181

Facility

$552.00

Hospital Charge Code	270645057
Hospital Revenue Code	272
Min. Negotiated Rate	$13.30
Max. Negotiated Rate	$276.00
Rate for Payer: Aetna Commercial	$209.76
Rate for Payer: Aetna Medicare Advantage	$165.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.76
Rate for Payer: Cigna Commercial	$276.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$165.60
Rate for Payer: Oxford Commercial	$110.40
Rate for Payer: Qualcare PPO/HMO/WC	$82.80
Rate for Payer: UnitedHealthcare Commercial	$110.40
Rate for Payer: UnitedHealthcare Community & State	$13.30
Rate for Payer: Wellpoint Medicaid Managed Care	$14.63

END CAP OFFSET 12X5mm 14444181

Facility

$552.00

Hospital Charge Code	270645057
Hospital Revenue Code	272
Min. Negotiated Rate	$82.80
Max. Negotiated Rate	$82.80
Rate for Payer: Qualcare PPO/HMO/WC	$82.80

END CAP OFFSET13.5X15 14444193

Facility

$552.00

Hospital Charge Code	270645063
Hospital Revenue Code	272
Min. Negotiated Rate	$82.80
Max. Negotiated Rate	$82.80
Rate for Payer: Qualcare PPO/HMO/WC	$82.80

END CAP OFFSET13.5X15 14444193

Facility

$552.00

Hospital Charge Code	270645063
Hospital Revenue Code	272
Min. Negotiated Rate	$13.30
Max. Negotiated Rate	$276.00
Rate for Payer: Aetna Commercial	$209.76
Rate for Payer: Aetna Medicare Advantage	$165.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.76
Rate for Payer: Cigna Commercial	$276.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$165.60
Rate for Payer: Oxford Commercial	$110.40
Rate for Payer: Qualcare PPO/HMO/WC	$82.80
Rate for Payer: UnitedHealthcare Commercial	$110.40
Rate for Payer: UnitedHealthcare Community & State	$13.30
Rate for Payer: Wellpoint Medicaid Managed Care	$14.63

END CAP, SCREWS

Facility

$257.50

Hospital Charge Code	270702324
Hospital Revenue Code	278
Min. Negotiated Rate	$6.21
Max. Negotiated Rate	$128.75
Rate for Payer: Aetna Commercial	$97.85
Rate for Payer: Aetna Medicare Advantage	$77.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.66
Rate for Payer: Cigna Commercial	$128.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$56.65
Rate for Payer: Qualcare PPO/HMO/WC	$38.62
Rate for Payer: UnitedHealthcare Community & State	$6.21
Rate for Payer: Wellpoint Medicaid Managed Care	$6.82

END CAP, SCREWS

Facility

$257.50

Hospital Charge Code	270702324
Hospital Revenue Code	278
Min. Negotiated Rate	$38.62
Max. Negotiated Rate	$62.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$56.65
Rate for Payer: Qualcare PPO/HMO/WC	$38.62

ENDCAP SYN 458.10S

Facility

$450.45

Hospital Charge Code	270612762
Hospital Revenue Code	278
Min. Negotiated Rate	$10.86
Max. Negotiated Rate	$225.22
Rate for Payer: Aetna Commercial	$171.17
Rate for Payer: Aetna Medicare Advantage	$135.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.86
Rate for Payer: Cigna Commercial	$225.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$109.01
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$99.10
Rate for Payer: Qualcare PPO/HMO/WC	$67.57
Rate for Payer: UnitedHealthcare Community & State	$10.86
Rate for Payer: Wellpoint Medicaid Managed Care	$11.94

ENDCAP SYN 458.10S

Facility

$450.45

Hospital Charge Code	270612762
Hospital Revenue Code	278
Min. Negotiated Rate	$67.57
Max. Negotiated Rate	$109.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$109.01
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$99.10
Rate for Payer: Qualcare PPO/HMO/WC	$67.57

ENDCAP SYN FEM NAIL 450.896S

Facility

$668.85

Hospital Charge Code	270627049
Hospital Revenue Code	278
Min. Negotiated Rate	$16.12
Max. Negotiated Rate	$334.43
Rate for Payer: Aetna Commercial	$254.16
Rate for Payer: Aetna Medicare Advantage	$200.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$170.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$170.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$133.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$170.56
Rate for Payer: Cigna Commercial	$334.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$161.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$147.15
Rate for Payer: Qualcare PPO/HMO/WC	$100.33
Rate for Payer: UnitedHealthcare Community & State	$16.12
Rate for Payer: Wellpoint Medicaid Managed Care	$17.72

ENDCAP SYN FEM NAIL 450.896S

Facility

$668.85

Hospital Charge Code	270627049
Hospital Revenue Code	278
Min. Negotiated Rate	$100.33
Max. Negotiated Rate	$161.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$133.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$161.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$147.15
Rate for Payer: Qualcare PPO/HMO/WC	$100.33

ENDCAP SYN SPIR BLDE 457.010S

Facility

$907.25

Hospital Charge Code	270611968
Hospital Revenue Code	278
Min. Negotiated Rate	$21.86
Max. Negotiated Rate	$453.62
Rate for Payer: Aetna Commercial	$344.75
Rate for Payer: Aetna Medicare Advantage	$272.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$231.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$231.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$231.35
Rate for Payer: Cigna Commercial	$453.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$199.59
Rate for Payer: Qualcare PPO/HMO/WC	$136.09
Rate for Payer: UnitedHealthcare Community & State	$21.86
Rate for Payer: Wellpoint Medicaid Managed Care	$24.04

Know your out-of-pocket cost for care.

All Charges