Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

2.0MM DRILL BIT/QC/100MM

Facility

$337.40

Hospital Charge Code	270601803
Hospital Revenue Code	272
Min. Negotiated Rate	$8.13
Max. Negotiated Rate	$168.70
Rate for Payer: Aetna Commercial	$128.21
Rate for Payer: Aetna Medicare Advantage	$101.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.04
Rate for Payer: Cigna Commercial	$168.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.22
Rate for Payer: Oxford Commercial	$67.48
Rate for Payer: Qualcare PPO/HMO/WC	$50.61
Rate for Payer: UnitedHealthcare Commercial	$67.48
Rate for Payer: UnitedHealthcare Community & State	$8.13
Rate for Payer: Wellpoint Medicaid Managed Care	$8.94

2.0MM DRILL BIT/QC/100MM

Facility

$337.40

Hospital Charge Code	270601803
Hospital Revenue Code	272
Min. Negotiated Rate	$50.61
Max. Negotiated Rate	$50.61
Rate for Payer: Qualcare PPO/HMO/WC	$50.61

2.0MM K-WIRE W/15MM THREAD

Facility

$751.15

Hospital Charge Code	270682114
Hospital Revenue Code	272
Min. Negotiated Rate	$112.67
Max. Negotiated Rate	$112.67
Rate for Payer: Qualcare PPO/HMO/WC	$112.67

2.0MM K-WIRE W/15MM THREAD

Facility

$751.15

Hospital Charge Code	270682114
Hospital Revenue Code	272
Min. Negotiated Rate	$18.10
Max. Negotiated Rate	$375.57
Rate for Payer: Aetna Commercial	$285.44
Rate for Payer: Aetna Medicare Advantage	$225.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.54
Rate for Payer: Cigna Commercial	$375.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.34
Rate for Payer: Oxford Commercial	$150.23
Rate for Payer: Qualcare PPO/HMO/WC	$112.67
Rate for Payer: UnitedHealthcare Commercial	$150.23
Rate for Payer: UnitedHealthcare Community & State	$18.10
Rate for Payer: Wellpoint Medicaid Managed Care	$19.91

2.0MM LCP TM PLT 6H 45MM

Facility

$1,125.55

Service Code	HCPCS C1713
Hospital Charge Code	270690832
Hospital Revenue Code	278
Min. Negotiated Rate	$27.13
Max. Negotiated Rate	$562.77
Rate for Payer: Aetna Commercial	$427.71
Rate for Payer: Aetna Medicare Advantage	$337.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$287.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$287.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$287.02
Rate for Payer: Cigna Commercial	$562.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.38
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$247.62
Rate for Payer: Qualcare PPO/HMO/WC	$168.83
Rate for Payer: UnitedHealthcare Community & State	$27.13
Rate for Payer: Wellpoint Medicaid Managed Care	$29.83

2.0MM LCP TM PLT 6H 45MM

Facility

$1,125.55

Service Code	HCPCS C1713
Hospital Charge Code	270690832
Hospital Revenue Code	278
Min. Negotiated Rate	$168.83
Max. Negotiated Rate	$272.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.38
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$247.62
Rate for Payer: Qualcare PPO/HMO/WC	$168.83

2.0MMVALOCKSLFTPWT6SDRREC11M

Facility

$597.20

Service Code	HCPCS C1713
Hospital Charge Code	270690830
Hospital Revenue Code	278
Min. Negotiated Rate	$14.39
Max. Negotiated Rate	$298.60
Rate for Payer: Aetna Commercial	$226.94
Rate for Payer: Aetna Medicare Advantage	$179.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$152.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$152.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$152.29
Rate for Payer: Cigna Commercial	$298.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$131.38
Rate for Payer: Qualcare PPO/HMO/WC	$89.58
Rate for Payer: UnitedHealthcare Community & State	$14.39
Rate for Payer: Wellpoint Medicaid Managed Care	$15.83

2.0MMVALOCKSLFTPWT6SDRREC11M

Facility

$597.20

Service Code	HCPCS C1713
Hospital Charge Code	270690830
Hospital Revenue Code	278
Min. Negotiated Rate	$89.58
Max. Negotiated Rate	$144.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$131.38
Rate for Payer: Qualcare PPO/HMO/WC	$89.58

2.0MM WRIGHT MEDICAL HEX DRIVE

Facility

$742.50

Service Code	HCPCS C1713
Hospital Charge Code	270702607
Hospital Revenue Code	278
Min. Negotiated Rate	$17.89
Max. Negotiated Rate	$371.25
Rate for Payer: Aetna Commercial	$282.15
Rate for Payer: Aetna Medicare Advantage	$222.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$189.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$189.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$148.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$189.34
Rate for Payer: Cigna Commercial	$371.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$179.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$163.35
Rate for Payer: Qualcare PPO/HMO/WC	$111.38
Rate for Payer: UnitedHealthcare Community & State	$17.89
Rate for Payer: Wellpoint Medicaid Managed Care	$19.68

2.0MM WRIGHT MEDICAL HEX DRIVE

Facility

$742.50

Service Code	HCPCS C1713
Hospital Charge Code	270702607
Hospital Revenue Code	278
Min. Negotiated Rate	$111.38
Max. Negotiated Rate	$179.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$148.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$179.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$163.35
Rate for Payer: Qualcare PPO/HMO/WC	$111.38

2.0 OLIVE WIRE

Facility

$750.00

Hospital Charge Code	270339498
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

2.0 OLIVE WIRE

Facility

$750.00

Hospital Charge Code	270339498
Hospital Revenue Code	272
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) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.00
Rate for Payer: Oxford Commercial	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Commercial	$150.00
Rate for Payer: UnitedHealthcare Community & State	$18.07
Rate for Payer: Wellpoint Medicaid Managed Care	$19.88

2-0 STRATAFIX SH-1

Facility

$113.20

Hospital Charge Code	270686132
Hospital Revenue Code	272
Min. Negotiated Rate	$2.73
Max. Negotiated Rate	$56.60
Rate for Payer: Aetna Commercial	$43.02
Rate for Payer: Aetna Medicare Advantage	$33.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.87
Rate for Payer: Cigna Commercial	$56.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.96
Rate for Payer: Oxford Commercial	$22.64
Rate for Payer: Qualcare PPO/HMO/WC	$16.98
Rate for Payer: UnitedHealthcare Commercial	$22.64
Rate for Payer: UnitedHealthcare Community & State	$2.73
Rate for Payer: Wellpoint Medicaid Managed Care	$3.00

2-0 STRATAFIX SH-1

Facility

$113.20

Hospital Charge Code	270686132
Hospital Revenue Code	272
Min. Negotiated Rate	$16.98
Max. Negotiated Rate	$16.98
Rate for Payer: Qualcare PPO/HMO/WC	$16.98

2.0X12MM BONESCREW AXS

Facility

$461.85

Service Code	HCPCS C1713
Hospital Charge Code	270705885
Hospital Revenue Code	278
Min. Negotiated Rate	$69.28
Max. Negotiated Rate	$111.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$92.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.77
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$101.61
Rate for Payer: Qualcare PPO/HMO/WC	$69.28

2.0X12MM BONESCREW AXS

Facility

$461.85

Service Code	HCPCS C1713
Hospital Charge Code	270705885
Hospital Revenue Code	278
Min. Negotiated Rate	$11.13
Max. Negotiated Rate	$230.93
Rate for Payer: Aetna Commercial	$175.50
Rate for Payer: Aetna Medicare Advantage	$138.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$117.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$117.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$92.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$117.77
Rate for Payer: Cigna Commercial	$230.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.77
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$101.61
Rate for Payer: Qualcare PPO/HMO/WC	$69.28
Rate for Payer: UnitedHealthcare Community & State	$11.13
Rate for Payer: Wellpoint Medicaid Managed Care	$12.24

2.0X12MM DRILL

Facility

$750.00

Service Code	HCPCS 750
Hospital Charge Code	270705076
Hospital Revenue Code	279
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) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.00
Rate for Payer: Oxford Commercial	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Commercial	$150.00
Rate for Payer: UnitedHealthcare Community & State	$18.07
Rate for Payer: Wellpoint Medicaid Managed Care	$19.88

2.0X12MM DRILL

Facility

$750.00

Service Code	HCPCS 750
Hospital Charge Code	270705076
Hospital Revenue Code	279
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

2.0X12 QUICK FIX SCREW

Facility

$1,520.00

Service Code	HCPCS C1713
Hospital Charge Code	270656560
Hospital Revenue Code	278
Min. Negotiated Rate	$228.00
Max. Negotiated Rate	$367.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$304.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$334.40
Rate for Payer: Qualcare PPO/HMO/WC	$228.00

2.0X12 QUICK FIX SCREW

Facility

$1,520.00

Service Code	HCPCS C1713
Hospital Charge Code	270656560
Hospital Revenue Code	278
Min. Negotiated Rate	$36.63
Max. Negotiated Rate	$760.00
Rate for Payer: Aetna Commercial	$577.60
Rate for Payer: Aetna Medicare Advantage	$456.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$387.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$387.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$304.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$387.60
Rate for Payer: Cigna Commercial	$760.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$334.40
Rate for Payer: Qualcare PPO/HMO/WC	$228.00
Rate for Payer: UnitedHealthcare Community & State	$36.63
Rate for Payer: Wellpoint Medicaid Managed Care	$40.28

2.0 X 150 GUIDE PIN

Facility

$420.00

Service Code	HCPCS C1713
Hospital Charge Code	270688784
Hospital Revenue Code	278
Min. Negotiated Rate	$63.00
Max. Negotiated Rate	$101.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.64
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$92.40
Rate for Payer: Qualcare PPO/HMO/WC	$63.00

2.0 X 150 GUIDE PIN

Facility

$420.00

Service Code	HCPCS C1713
Hospital Charge Code	270688784
Hospital Revenue Code	278
Min. Negotiated Rate	$10.12
Max. Negotiated Rate	$210.00
Rate for Payer: Aetna Commercial	$159.60
Rate for Payer: Aetna Medicare Advantage	$126.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.10
Rate for Payer: Cigna Commercial	$210.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.64
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$92.40
Rate for Payer: Qualcare PPO/HMO/WC	$63.00
Rate for Payer: UnitedHealthcare Community & State	$10.12
Rate for Payer: Wellpoint Medicaid Managed Care	$11.13

2.0 X 150MM K-WIRE

Facility

$150.00

Hospital Charge Code	270339523
Hospital Revenue Code	278
Min. Negotiated Rate	$3.62
Max. Negotiated Rate	$75.00
Rate for Payer: Aetna Commercial	$57.00
Rate for Payer: Aetna Medicare Advantage	$45.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.25
Rate for Payer: Cigna Commercial	$75.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$33.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.50
Rate for Payer: UnitedHealthcare Community & State	$3.62
Rate for Payer: Wellpoint Medicaid Managed Care	$3.98

2.0 X 150MM K-WIRE

Facility

$150.00

Hospital Charge Code	270339523
Hospital Revenue Code	278
Min. Negotiated Rate	$22.50
Max. Negotiated Rate	$36.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$33.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.50

2.0X16MM CANNULATED SCREW

Facility

$1,074.75

Service Code	HCPCS C1713
Hospital Charge Code	270668752
Hospital Revenue Code	278
Min. Negotiated Rate	$161.21
Max. Negotiated Rate	$260.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$260.09
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$236.44
Rate for Payer: Qualcare PPO/HMO/WC	$161.21

Know your out-of-pocket cost for care.

All Charges