Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

FEMORAL NAIL LEFT

Facility

$13,910.00

Hospital Charge Code	27065601
Hospital Revenue Code	278
Min. Negotiated Rate	$2,086.50
Max. Negotiated Rate	$3,366.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,782.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,366.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,060.20
Rate for Payer: Qualcare PPO/HMO/WC	$2,086.50

FEMORAL N BLOCK SGL RT

Facility

$4,204.50

Service Code	HCPCS 64447
Hospital Charge Code	16000266
Hospital Revenue Code	360
Min. Negotiated Rate	$101.33
Max. Negotiated Rate	$3,593.00
Rate for Payer: Aetna Commercial	$2,281.02
Rate for Payer: Aetna Medicare Advantage	$2,717.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,027.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,027.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$838.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,027.13
Rate for Payer: Cigna Commercial	$1,680.99
Rate for Payer: Cigna Medicare Advantage	$838.61
Rate for Payer: Clover Medicare Advantage	$796.68
Rate for Payer: EmblemHealth Commercial	$2,515.83
Rate for Payer: Humana Medicare Advantage	$863.77
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$838.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,261.35
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$630.67
Rate for Payer: UnitedHealthcare Commercial	$3,593.00
Rate for Payer: UnitedHealthcare Community & State	$101.33
Rate for Payer: UnitedHealthcare Medicare Advantage	$838.61
Rate for Payer: Wellcare Medicare Advantage	$838.61
Rate for Payer: Wellpoint Medicaid Managed Care	$111.42

FEMORAL N BLOCK SGL RT

Facility

$4,204.50

Service Code	HCPCS 64447
Hospital Charge Code	16000266
Hospital Revenue Code	360
Min. Negotiated Rate	$630.67
Max. Negotiated Rate	$630.67
Rate for Payer: Qualcare PPO/HMO/WC	$630.67

FEMORAL NECK SYS PLT 2 H STERI

Facility

$3,231.35

Service Code	HCPCS C1713
Hospital Charge Code	270690899
Hospital Revenue Code	278
Min. Negotiated Rate	$484.70
Max. Negotiated Rate	$781.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$646.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$781.99
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$710.90
Rate for Payer: Qualcare PPO/HMO/WC	$484.70

FEMORAL NECK SYS PLT 2 H STERI

Facility

$3,231.35

Service Code	HCPCS C1713
Hospital Charge Code	270690899
Hospital Revenue Code	278
Min. Negotiated Rate	$77.88
Max. Negotiated Rate	$1,615.67
Rate for Payer: Aetna Commercial	$1,227.91
Rate for Payer: Aetna Medicare Advantage	$969.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$823.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$823.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$646.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$823.99
Rate for Payer: Cigna Commercial	$1,615.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$781.99
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$710.90
Rate for Payer: Qualcare PPO/HMO/WC	$484.70
Rate for Payer: UnitedHealthcare Community & State	$77.88
Rate for Payer: Wellpoint Medicaid Managed Care	$85.63

FEMORAL NECK SYSTEM PLATE 1 HO

Facility

$4,005.00

Service Code	HCPCS C1713
Hospital Charge Code	270686942
Hospital Revenue Code	278
Min. Negotiated Rate	$96.52
Max. Negotiated Rate	$2,002.50
Rate for Payer: Aetna Commercial	$1,521.90
Rate for Payer: Aetna Medicare Advantage	$1,201.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,021.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,021.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$801.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,021.27
Rate for Payer: Cigna Commercial	$2,002.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$969.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$881.10
Rate for Payer: Qualcare PPO/HMO/WC	$600.75
Rate for Payer: UnitedHealthcare Community & State	$96.52
Rate for Payer: Wellpoint Medicaid Managed Care	$106.13

FEMORAL NECK SYSTEM PLATE 1 HO

Facility

$4,005.00

Service Code	HCPCS C1713
Hospital Charge Code	270686942
Hospital Revenue Code	278
Min. Negotiated Rate	$600.75
Max. Negotiated Rate	$969.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$801.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$969.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$881.10
Rate for Payer: Qualcare PPO/HMO/WC	$600.75

FEMORAL NEXGEN LCCK, SZ D-LT

Facility

$28,661.45

Hospital Charge Code	270669762
Hospital Revenue Code	278
Min. Negotiated Rate	$690.74
Max. Negotiated Rate	$14,330.73
Rate for Payer: Aetna Commercial	$10,891.35
Rate for Payer: Aetna Medicare Advantage	$8,598.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,308.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,308.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,732.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,308.67
Rate for Payer: Cigna Commercial	$14,330.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,936.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,305.52
Rate for Payer: Qualcare PPO/HMO/WC	$4,299.22
Rate for Payer: UnitedHealthcare Community & State	$690.74
Rate for Payer: Wellpoint Medicaid Managed Care	$759.53

FEMORAL NEXGEN LCCK, SZ D-LT

Facility

$28,661.45

Hospital Charge Code	270669762
Hospital Revenue Code	278
Min. Negotiated Rate	$4,299.22
Max. Negotiated Rate	$6,936.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,732.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,936.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,305.52
Rate for Payer: Qualcare PPO/HMO/WC	$4,299.22

FEMORAL OSS POROUS 3cm RIGHT

Facility

$17,470.00

Service Code	HCPCS C1776
Hospital Charge Code	270673543
Hospital Revenue Code	278
Min. Negotiated Rate	$421.03
Max. Negotiated Rate	$8,735.00
Rate for Payer: Aetna Commercial	$6,638.60
Rate for Payer: Aetna Medicare Advantage	$5,241.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,454.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,454.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,494.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,454.85
Rate for Payer: Cigna Commercial	$8,735.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,227.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,843.40
Rate for Payer: Qualcare PPO/HMO/WC	$2,620.50
Rate for Payer: UnitedHealthcare Community & State	$421.03
Rate for Payer: Wellpoint Medicaid Managed Care	$462.95

FEMORAL OSS POROUS 3cm RIGHT

Facility

$17,470.00

Service Code	HCPCS C1776
Hospital Charge Code	270673543
Hospital Revenue Code	278
Min. Negotiated Rate	$2,620.50
Max. Negotiated Rate	$4,227.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,494.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,227.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,843.40
Rate for Payer: Qualcare PPO/HMO/WC	$2,620.50

FEMORAL POLY OSS SET 12

Facility

$3,333.30

Service Code	HCPCS C1776
Hospital Charge Code	270667951
Hospital Revenue Code	278
Min. Negotiated Rate	$500.00
Max. Negotiated Rate	$806.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$666.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$806.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$733.33
Rate for Payer: Qualcare PPO/HMO/WC	$500.00

FEMORAL POLY OSS SET 12

Facility

$3,333.30

Service Code	HCPCS C1776
Hospital Charge Code	270667951
Hospital Revenue Code	278
Min. Negotiated Rate	$80.33
Max. Negotiated Rate	$1,666.65
Rate for Payer: Aetna Commercial	$1,266.65
Rate for Payer: Aetna Medicare Advantage	$999.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$849.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$849.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$666.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$849.99
Rate for Payer: Cigna Commercial	$1,666.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$806.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$733.33
Rate for Payer: Qualcare PPO/HMO/WC	$500.00
Rate for Payer: UnitedHealthcare Community & State	$80.33
Rate for Payer: Wellpoint Medicaid Managed Care	$88.33

FEMORAL POR ECHO LAT 15X155MM

Facility

$10,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270690735
Hospital Revenue Code	278
Min. Negotiated Rate	$1,575.00
Max. Negotiated Rate	$2,541.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,541.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,310.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,575.00

FEMORAL POR ECHO LAT 15X155MM

Facility

$10,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270690735
Hospital Revenue Code	278
Min. Negotiated Rate	$253.05
Max. Negotiated Rate	$5,250.00
Rate for Payer: Aetna Commercial	$3,990.00
Rate for Payer: Aetna Medicare Advantage	$3,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,677.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,677.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,677.50
Rate for Payer: Cigna Commercial	$5,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,541.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,310.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,575.00
Rate for Payer: UnitedHealthcare Community & State	$253.05
Rate for Payer: Wellpoint Medicaid Managed Care	$278.25

FEMORAL POROUS

Facility

$17,230.00

Hospital Charge Code	270666952
Hospital Revenue Code	278
Min. Negotiated Rate	$415.24
Max. Negotiated Rate	$8,615.00
Rate for Payer: Aetna Commercial	$6,547.40
Rate for Payer: Aetna Medicare Advantage	$5,169.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,393.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,393.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,446.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,393.65
Rate for Payer: Cigna Commercial	$8,615.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,169.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,790.60
Rate for Payer: Qualcare PPO/HMO/WC	$2,584.50
Rate for Payer: UnitedHealthcare Community & State	$415.24
Rate for Payer: Wellpoint Medicaid Managed Care	$456.60

FEMORAL POROUS

Facility

$17,230.00

Hospital Charge Code	270666952
Hospital Revenue Code	278
Min. Negotiated Rate	$2,584.50
Max. Negotiated Rate	$4,169.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,446.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,169.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,790.60
Rate for Payer: Qualcare PPO/HMO/WC	$2,584.50

FEMORAL POROUS COVERED STEM 4X

Facility

$10,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270703973
Hospital Revenue Code	278
Min. Negotiated Rate	$1,537.50
Max. Negotiated Rate	$2,480.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,480.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,255.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,537.50

FEMORAL POROUS COVERED STEM 4X

Facility

$10,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270703973
Hospital Revenue Code	278
Min. Negotiated Rate	$247.03
Max. Negotiated Rate	$5,125.00
Rate for Payer: Aetna Commercial	$3,895.00
Rate for Payer: Aetna Medicare Advantage	$3,075.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,613.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,613.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,613.75
Rate for Payer: Cigna Commercial	$5,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,480.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,255.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,537.50
Rate for Payer: UnitedHealthcare Community & State	$247.03
Rate for Payer: Wellpoint Medicaid Managed Care	$271.62

FEMORAL POST ASYM STAB SZ2 RT

Facility

$9,475.20

Service Code	HCPCS C1776
Hospital Charge Code	270670752
Hospital Revenue Code	278
Min. Negotiated Rate	$228.35
Max. Negotiated Rate	$4,737.60
Rate for Payer: Aetna Commercial	$3,600.58
Rate for Payer: Aetna Medicare Advantage	$2,842.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,416.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,416.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,895.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,416.18
Rate for Payer: Cigna Commercial	$4,737.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,293.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,084.54
Rate for Payer: Qualcare PPO/HMO/WC	$1,421.28
Rate for Payer: UnitedHealthcare Community & State	$228.35
Rate for Payer: Wellpoint Medicaid Managed Care	$251.09

FEMORAL POST ASYM STAB SZ2 RT

Facility

$9,475.20

Service Code	HCPCS C1776
Hospital Charge Code	270670752
Hospital Revenue Code	278
Min. Negotiated Rate	$1,421.28
Max. Negotiated Rate	$2,293.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,895.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,293.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,084.54
Rate for Payer: Qualcare PPO/HMO/WC	$1,421.28

FEMORAL POST BLK SCW SZ4 10MM

Facility

$3,861.00

Service Code	HCPCS C1776
Hospital Charge Code	270670652
Hospital Revenue Code	278
Min. Negotiated Rate	$579.15
Max. Negotiated Rate	$934.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$772.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$934.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$849.42
Rate for Payer: Qualcare PPO/HMO/WC	$579.15

FEMORAL POST BLK SCW SZ4 10MM

Facility

$3,861.00

Service Code	HCPCS C1776
Hospital Charge Code	270670652
Hospital Revenue Code	278
Min. Negotiated Rate	$93.05
Max. Negotiated Rate	$1,930.50
Rate for Payer: Aetna Commercial	$1,467.18
Rate for Payer: Aetna Medicare Advantage	$1,158.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$984.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$984.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$772.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$984.55
Rate for Payer: Cigna Commercial	$1,930.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$934.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$849.42
Rate for Payer: Qualcare PPO/HMO/WC	$579.15
Rate for Payer: UnitedHealthcare Community & State	$93.05
Rate for Payer: Wellpoint Medicaid Managed Care	$102.32

FEMORAL POST BLK SCW SZ4 5MM

Facility

$3,861.00

Hospital Charge Code	270670653
Hospital Revenue Code	278
Min. Negotiated Rate	$579.15
Max. Negotiated Rate	$934.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$772.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$934.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$849.42
Rate for Payer: Qualcare PPO/HMO/WC	$579.15

FEMORAL POST BLK SCW SZ4 5MM

Facility

$3,861.00

Hospital Charge Code	270670653
Hospital Revenue Code	278
Min. Negotiated Rate	$93.05
Max. Negotiated Rate	$1,930.50
Rate for Payer: Aetna Commercial	$1,467.18
Rate for Payer: Aetna Medicare Advantage	$1,158.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$984.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$984.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$772.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$984.55
Rate for Payer: Cigna Commercial	$1,930.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$934.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$849.42
Rate for Payer: Qualcare PPO/HMO/WC	$579.15
Rate for Payer: UnitedHealthcare Community & State	$93.05
Rate for Payer: Wellpoint Medicaid Managed Care	$102.32

Know your out-of-pocket cost for care.

All Charges