Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

K-WIRE 1.1MM

Facility

$100.00

Service Code	HCPCS C1713
Hospital Charge Code	270677435
Hospital Revenue Code	278
Min. Negotiated Rate	$2.41
Max. Negotiated Rate	$50.00
Rate for Payer: Aetna Commercial	$38.00
Rate for Payer: Aetna Medicare Advantage	$30.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.50
Rate for Payer: Cigna Commercial	$50.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$22.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.00
Rate for Payer: UnitedHealthcare Community & State	$2.41
Rate for Payer: Wellpoint Medicaid Managed Care	$2.65

KWIRE 1.1MM

Facility

$215.00

Hospital Charge Code	270683201
Hospital Revenue Code	272
Min. Negotiated Rate	$32.25
Max. Negotiated Rate	$32.25
Rate for Payer: Qualcare PPO/HMO/WC	$32.25

KWIRE 1.1MM

Facility

$215.00

Hospital Charge Code	270683201
Hospital Revenue Code	272
Min. Negotiated Rate	$5.18
Max. Negotiated Rate	$107.50
Rate for Payer: Aetna Commercial	$81.70
Rate for Payer: Aetna Medicare Advantage	$64.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.83
Rate for Payer: Cigna Commercial	$107.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.50
Rate for Payer: Oxford Commercial	$43.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.25
Rate for Payer: UnitedHealthcare Commercial	$43.00
Rate for Payer: UnitedHealthcare Community & State	$5.18
Rate for Payer: Wellpoint Medicaid Managed Care	$5.70

K WIRE 1.1MM DOUBLE TIPPED

Facility

$154.50

Service Code	HCPCS C1713
Hospital Charge Code	270703700
Hospital Revenue Code	278
Min. Negotiated Rate	$3.72
Max. Negotiated Rate	$77.25
Rate for Payer: Aetna Commercial	$58.71
Rate for Payer: Aetna Medicare Advantage	$46.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.40
Rate for Payer: Cigna Commercial	$77.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$33.99
Rate for Payer: Qualcare PPO/HMO/WC	$23.18
Rate for Payer: UnitedHealthcare Community & State	$3.72
Rate for Payer: Wellpoint Medicaid Managed Care	$4.09

K WIRE 1.1MM DOUBLE TIPPED

Facility

$154.50

Service Code	HCPCS C1713
Hospital Charge Code	270703700
Hospital Revenue Code	278
Min. Negotiated Rate	$23.18
Max. Negotiated Rate	$37.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$33.99
Rate for Payer: Qualcare PPO/HMO/WC	$23.18

K-WIRE 1.1mm NCS-GP11

Facility

$60.00

Service Code	HCPCS C1713
Hospital Charge Code	270643530
Hospital Revenue Code	272
Min. Negotiated Rate	$1.45
Max. Negotiated Rate	$30.00
Rate for Payer: Aetna Commercial	$22.80
Rate for Payer: Aetna Medicare Advantage	$18.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.30
Rate for Payer: Cigna Commercial	$30.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.00
Rate for Payer: Oxford Commercial	$12.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00
Rate for Payer: UnitedHealthcare Commercial	$12.00
Rate for Payer: UnitedHealthcare Community & State	$1.45
Rate for Payer: Wellpoint Medicaid Managed Care	$1.59

K-WIRE 1.1mm NCS-GP11

Facility

$60.00

Service Code	HCPCS C1713
Hospital Charge Code	270643530
Hospital Revenue Code	272
Min. Negotiated Rate	$9.00
Max. Negotiated Rate	$9.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00

K-WIRE 1.1 X 100M OLIVE

Facility

$414.10

Hospital Charge Code	270667921
Hospital Revenue Code	272
Min. Negotiated Rate	$9.98
Max. Negotiated Rate	$207.05
Rate for Payer: Aetna Commercial	$157.36
Rate for Payer: Aetna Medicare Advantage	$124.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$105.60
Rate for Payer: Cigna Commercial	$207.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$124.23
Rate for Payer: Oxford Commercial	$82.82
Rate for Payer: Qualcare PPO/HMO/WC	$62.12
Rate for Payer: UnitedHealthcare Commercial	$82.82
Rate for Payer: UnitedHealthcare Community & State	$9.98
Rate for Payer: Wellpoint Medicaid Managed Care	$10.97

K-WIRE 1.1 X 100M OLIVE

Facility

$414.10

Hospital Charge Code	270667921
Hospital Revenue Code	272
Min. Negotiated Rate	$62.12
Max. Negotiated Rate	$62.12
Rate for Payer: Qualcare PPO/HMO/WC	$62.12

K-WIRE 1.1x150MM

Facility

$115.00

Hospital Charge Code	270662460
Hospital Revenue Code	272
Min. Negotiated Rate	$2.77
Max. Negotiated Rate	$57.50
Rate for Payer: Aetna Commercial	$43.70
Rate for Payer: Aetna Medicare Advantage	$34.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.32
Rate for Payer: Cigna Commercial	$57.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.50
Rate for Payer: Oxford Commercial	$23.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.25
Rate for Payer: UnitedHealthcare Commercial	$23.00
Rate for Payer: UnitedHealthcare Community & State	$2.77
Rate for Payer: Wellpoint Medicaid Managed Care	$3.05

K-WIRE 1.1x150MM

Facility

$115.00

Hospital Charge Code	270662460
Hospital Revenue Code	272
Min. Negotiated Rate	$17.25
Max. Negotiated Rate	$17.25
Rate for Payer: Qualcare PPO/HMO/WC	$17.25

KWIRE 1.1X150MM

Facility

$942.50

Service Code	HCPCS C1713
Hospital Charge Code	270692674
Hospital Revenue Code	278
Min. Negotiated Rate	$22.71
Max. Negotiated Rate	$471.25
Rate for Payer: Aetna Commercial	$358.15
Rate for Payer: Aetna Medicare Advantage	$282.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$240.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$240.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$188.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$240.34
Rate for Payer: Cigna Commercial	$471.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$228.09
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$207.35
Rate for Payer: Qualcare PPO/HMO/WC	$141.38
Rate for Payer: UnitedHealthcare Community & State	$22.71
Rate for Payer: Wellpoint Medicaid Managed Care	$24.98

KWIRE 1.1X150MM

Facility

$942.50

Service Code	HCPCS C1713
Hospital Charge Code	270692674
Hospital Revenue Code	278
Min. Negotiated Rate	$141.38
Max. Negotiated Rate	$228.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$188.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$228.09
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$207.35
Rate for Payer: Qualcare PPO/HMO/WC	$141.38

K-WIRE 1.1X150MM TROCAR TIP

Facility

$942.50

Service Code	HCPCS C1713
Hospital Charge Code	270692845
Hospital Revenue Code	278
Min. Negotiated Rate	$141.38
Max. Negotiated Rate	$228.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$188.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$228.09
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$207.35
Rate for Payer: Qualcare PPO/HMO/WC	$141.38

K-WIRE 1.1X150MM TROCAR TIP

Facility

$942.50

Service Code	HCPCS C1713
Hospital Charge Code	270692845
Hospital Revenue Code	278
Min. Negotiated Rate	$22.71
Max. Negotiated Rate	$471.25
Rate for Payer: Aetna Commercial	$358.15
Rate for Payer: Aetna Medicare Advantage	$282.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$240.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$240.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$188.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$240.34
Rate for Payer: Cigna Commercial	$471.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$228.09
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$207.35
Rate for Payer: Qualcare PPO/HMO/WC	$141.38
Rate for Payer: UnitedHealthcare Community & State	$22.71
Rate for Payer: Wellpoint Medicaid Managed Care	$24.98

KWIRE 1.1 X 229MM (9 INCH)

Facility

$196.90

Service Code	HCPCS C1713
Hospital Charge Code	270687076
Hospital Revenue Code	278
Min. Negotiated Rate	$29.54
Max. Negotiated Rate	$47.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$43.32
Rate for Payer: Qualcare PPO/HMO/WC	$29.54

KWIRE 1.1 X 229MM (9 INCH)

Facility

$196.90

Service Code	HCPCS C1713
Hospital Charge Code	270687076
Hospital Revenue Code	278
Min. Negotiated Rate	$4.75
Max. Negotiated Rate	$98.45
Rate for Payer: Aetna Commercial	$74.82
Rate for Payer: Aetna Medicare Advantage	$59.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.21
Rate for Payer: Cigna Commercial	$98.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$43.32
Rate for Payer: Qualcare PPO/HMO/WC	$29.54
Rate for Payer: UnitedHealthcare Community & State	$4.75
Rate for Payer: Wellpoint Medicaid Managed Care	$5.22

K-WIRE 1.25

Facility

$7,020.00

Service Code	HCPCS C1713
Hospital Charge Code	270691910
Hospital Revenue Code	278
Min. Negotiated Rate	$1,053.00
Max. Negotiated Rate	$1,698.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,404.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,698.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,544.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,053.00

K-WIRE 1.25

Facility

$7,020.00

Service Code	HCPCS C1713
Hospital Charge Code	270691910
Hospital Revenue Code	278
Min. Negotiated Rate	$169.18
Max. Negotiated Rate	$3,510.00
Rate for Payer: Aetna Commercial	$2,667.60
Rate for Payer: Aetna Medicare Advantage	$2,106.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,790.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,790.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,404.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,790.10
Rate for Payer: Cigna Commercial	$3,510.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,698.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,544.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,053.00
Rate for Payer: UnitedHealthcare Community & State	$169.18
Rate for Payer: Wellpoint Medicaid Managed Care	$186.03

K WIRE 1.25 MM

Facility

$390.10

Service Code	HCPCS C1713
Hospital Charge Code	270689731
Hospital Revenue Code	278
Min. Negotiated Rate	$9.40
Max. Negotiated Rate	$195.05
Rate for Payer: Aetna Commercial	$148.24
Rate for Payer: Aetna Medicare Advantage	$117.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$78.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.48
Rate for Payer: Cigna Commercial	$195.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$85.82
Rate for Payer: Qualcare PPO/HMO/WC	$58.52
Rate for Payer: UnitedHealthcare Community & State	$9.40
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

K WIRE 1.25 MM

Facility

$390.10

Service Code	HCPCS C1713
Hospital Charge Code	270689731
Hospital Revenue Code	278
Min. Negotiated Rate	$58.52
Max. Negotiated Rate	$94.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$78.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$85.82
Rate for Payer: Qualcare PPO/HMO/WC	$58.52

K-WIRE 1.25 MM

Facility

$937.35

Service Code	HCPCS C1713
Hospital Charge Code	270665342
Hospital Revenue Code	278
Min. Negotiated Rate	$140.60
Max. Negotiated Rate	$226.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$187.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$226.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$206.22
Rate for Payer: Qualcare PPO/HMO/WC	$140.60

K-WIRE 1.25 MM

Facility

$937.35

Service Code	HCPCS C1713
Hospital Charge Code	270665342
Hospital Revenue Code	278
Min. Negotiated Rate	$22.59
Max. Negotiated Rate	$468.68
Rate for Payer: Aetna Commercial	$356.19
Rate for Payer: Aetna Medicare Advantage	$281.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$239.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$239.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$187.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$239.02
Rate for Payer: Cigna Commercial	$468.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$226.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$206.22
Rate for Payer: Qualcare PPO/HMO/WC	$140.60
Rate for Payer: UnitedHealthcare Community & State	$22.59
Rate for Payer: Wellpoint Medicaid Managed Care	$24.84

K-WIRE 1.25MM/150MM

Facility

$435.70

Hospital Charge Code	270603555
Hospital Revenue Code	278
Min. Negotiated Rate	$65.36
Max. Negotiated Rate	$105.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$87.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$95.85
Rate for Payer: Qualcare PPO/HMO/WC	$65.36

K-WIRE 1.25MM/150MM

Facility

$435.70

Hospital Charge Code	270603555
Hospital Revenue Code	278
Min. Negotiated Rate	$10.50
Max. Negotiated Rate	$217.85
Rate for Payer: Aetna Commercial	$165.57
Rate for Payer: Aetna Medicare Advantage	$130.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$111.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$111.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$87.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$111.10
Rate for Payer: Cigna Commercial	$217.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$95.85
Rate for Payer: Qualcare PPO/HMO/WC	$65.36
Rate for Payer: UnitedHealthcare Community & State	$10.50
Rate for Payer: Wellpoint Medicaid Managed Care	$11.55

Know your out-of-pocket cost for care.

All Charges