Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

K WIRE 1.4 X 150 MM

Facility

$210.00

Service Code	HCPCS C1713
Hospital Charge Code	270690339
Hospital Revenue Code	278
Min. Negotiated Rate	$5.06
Max. Negotiated Rate	$105.00
Rate for Payer: Aetna Commercial	$79.80
Rate for Payer: Aetna Medicare Advantage	$63.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$42.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.55
Rate for Payer: Cigna Commercial	$105.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.82
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$46.20
Rate for Payer: Qualcare PPO/HMO/WC	$31.50
Rate for Payer: UnitedHealthcare Community & State	$5.06
Rate for Payer: Wellpoint Medicaid Managed Care	$5.57

K-WIRE 1.4x150MM BLUNT/TROCAR

Facility

$115.00

Hospital Charge Code	270662459
Hospital Revenue Code	272
Min. Negotiated Rate	$17.25
Max. Negotiated Rate	$17.25
Rate for Payer: Qualcare PPO/HMO/WC	$17.25

K-WIRE 1.4x150MM BLUNT/TROCAR

Facility

$115.00

Hospital Charge Code	270662459
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 1.4x228MM

Facility

$115.00

Hospital Charge Code	270670889
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 1.4x228MM

Facility

$115.00

Hospital Charge Code	270670889
Hospital Revenue Code	272
Min. Negotiated Rate	$17.25
Max. Negotiated Rate	$17.25
Rate for Payer: Qualcare PPO/HMO/WC	$17.25

K WIRE 1.5MM

Facility

$593.75

Hospital Charge Code	270701684
Hospital Revenue Code	278
Min. Negotiated Rate	$14.31
Max. Negotiated Rate	$296.88
Rate for Payer: Aetna Commercial	$225.62
Rate for Payer: Aetna Medicare Advantage	$178.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$118.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.41
Rate for Payer: Cigna Commercial	$296.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$130.62
Rate for Payer: Qualcare PPO/HMO/WC	$89.06
Rate for Payer: UnitedHealthcare Community & State	$14.31
Rate for Payer: Wellpoint Medicaid Managed Care	$15.73

K WIRE 1.5MM

Facility

$593.75

Hospital Charge Code	270701684
Hospital Revenue Code	278
Min. Negotiated Rate	$89.06
Max. Negotiated Rate	$143.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$118.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$130.62
Rate for Payer: Qualcare PPO/HMO/WC	$89.06

KWIRE 1.5MM SS BEVELED 18INCH

Facility

$600.00

Service Code	HCPCS C1713
Hospital Charge Code	270695822
Hospital Revenue Code	278
Min. Negotiated Rate	$14.46
Max. Negotiated Rate	$300.00
Rate for Payer: Aetna Commercial	$228.00
Rate for Payer: Aetna Medicare Advantage	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.00
Rate for Payer: Cigna Commercial	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$132.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.00
Rate for Payer: UnitedHealthcare Community & State	$14.46
Rate for Payer: Wellpoint Medicaid Managed Care	$15.90

KWIRE 1.5MM SS BEVELED 18INCH

Facility

$600.00

Service Code	HCPCS C1713
Hospital Charge Code	270695822
Hospital Revenue Code	278
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$145.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$132.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

K-WIRE 1.6

Facility

$162.35

Hospital Charge Code	270681465
Hospital Revenue Code	272
Min. Negotiated Rate	$24.35
Max. Negotiated Rate	$24.35
Rate for Payer: Qualcare PPO/HMO/WC	$24.35

K-WIRE 1.6

Facility

$162.35

Hospital Charge Code	270681465
Hospital Revenue Code	272
Min. Negotiated Rate	$3.91
Max. Negotiated Rate	$81.17
Rate for Payer: Aetna Commercial	$61.69
Rate for Payer: Aetna Medicare Advantage	$48.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.40
Rate for Payer: Cigna Commercial	$81.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.70
Rate for Payer: Oxford Commercial	$32.47
Rate for Payer: Qualcare PPO/HMO/WC	$24.35
Rate for Payer: UnitedHealthcare Commercial	$32.47
Rate for Payer: UnitedHealthcare Community & State	$3.91
Rate for Payer: Wellpoint Medicaid Managed Care	$4.30

K-WIRE 1.60MMX20CM 316 LVM

Facility

$550.00

Service Code	HCPCS C1713
Hospital Charge Code	270701672
Hospital Revenue Code	278
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$133.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

K-WIRE 1.60MMX20CM 316 LVM

Facility

$550.00

Service Code	HCPCS C1713
Hospital Charge Code	270701672
Hospital Revenue Code	278
Min. Negotiated Rate	$13.26
Max. Negotiated Rate	$275.00
Rate for Payer: Aetna Commercial	$209.00
Rate for Payer: Aetna Medicare Advantage	$165.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$82.50
Rate for Payer: UnitedHealthcare Community & State	$13.26
Rate for Payer: Wellpoint Medicaid Managed Care	$14.57

K-WIRE 1.6 mm

Facility

$287.50

Hospital Charge Code	270679926
Hospital Revenue Code	272
Min. Negotiated Rate	$43.12
Max. Negotiated Rate	$43.12
Rate for Payer: Qualcare PPO/HMO/WC	$43.12

K-WIRE 1.6 mm

Facility

$287.50

Hospital Charge Code	270679926
Hospital Revenue Code	272
Min. Negotiated Rate	$6.93
Max. Negotiated Rate	$143.75
Rate for Payer: Aetna Commercial	$109.25
Rate for Payer: Aetna Medicare Advantage	$86.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$73.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$73.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$73.31
Rate for Payer: Cigna Commercial	$143.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.25
Rate for Payer: Oxford Commercial	$57.50
Rate for Payer: Qualcare PPO/HMO/WC	$43.12
Rate for Payer: UnitedHealthcare Commercial	$57.50
Rate for Payer: UnitedHealthcare Community & State	$6.93
Rate for Payer: Wellpoint Medicaid Managed Care	$7.62

K- WIRE 1.6MM

Facility

$95.00

Hospital Charge Code	270665940
Hospital Revenue Code	272
Min. Negotiated Rate	$2.29
Max. Negotiated Rate	$47.50
Rate for Payer: Aetna Commercial	$36.10
Rate for Payer: Aetna Medicare Advantage	$28.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.23
Rate for Payer: Cigna Commercial	$47.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.50
Rate for Payer: Oxford Commercial	$19.00
Rate for Payer: Qualcare PPO/HMO/WC	$14.25
Rate for Payer: UnitedHealthcare Commercial	$19.00
Rate for Payer: UnitedHealthcare Community & State	$2.29
Rate for Payer: Wellpoint Medicaid Managed Care	$2.52

K- WIRE 1.6MM

Facility

$95.00

Hospital Charge Code	270665940
Hospital Revenue Code	272
Min. Negotiated Rate	$14.25
Max. Negotiated Rate	$14.25
Rate for Payer: Qualcare PPO/HMO/WC	$14.25

K-WIRE 1.6MM

Facility

$135.00

Hospital Charge Code	270663856
Hospital Revenue Code	270
Min. Negotiated Rate	$20.25
Max. Negotiated Rate	$20.25
Rate for Payer: Qualcare PPO/HMO/WC	$20.25

K-WIRE 1.6MM

Facility

$18.33

Hospital Charge Code	270658918
Hospital Revenue Code	272
Min. Negotiated Rate	$2.75
Max. Negotiated Rate	$2.75
Rate for Payer: Qualcare PPO/HMO/WC	$2.75

K-WIRE 1.6MM

Facility

$18.33

Hospital Charge Code	270658918
Hospital Revenue Code	272
Min. Negotiated Rate	$0.44
Max. Negotiated Rate	$9.16
Rate for Payer: Aetna Commercial	$6.97
Rate for Payer: Aetna Medicare Advantage	$5.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.67
Rate for Payer: Cigna Commercial	$9.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.50
Rate for Payer: Oxford Commercial	$3.67
Rate for Payer: Qualcare PPO/HMO/WC	$2.75
Rate for Payer: UnitedHealthcare Commercial	$3.67
Rate for Payer: UnitedHealthcare Community & State	$0.44
Rate for Payer: Wellpoint Medicaid Managed Care	$0.49

K-WIRE 1.6MM

Facility

$135.00

Hospital Charge Code	270663856
Hospital Revenue Code	270
Min. Negotiated Rate	$3.25
Max. Negotiated Rate	$67.50
Rate for Payer: Aetna Commercial	$51.30
Rate for Payer: Aetna Medicare Advantage	$40.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.42
Rate for Payer: Cigna Commercial	$67.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.50
Rate for Payer: Oxford Commercial	$27.00
Rate for Payer: Qualcare PPO/HMO/WC	$20.25
Rate for Payer: UnitedHealthcare Commercial	$27.00
Rate for Payer: UnitedHealthcare Community & State	$3.25
Rate for Payer: Wellpoint Medicaid Managed Care	$3.58

K-WIRE 1.6mm 144256

Facility

$180.00

Service Code	HCPCS C1713
Hospital Charge Code	270632806
Hospital Revenue Code	278
Min. Negotiated Rate	$27.00
Max. Negotiated Rate	$43.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$39.60
Rate for Payer: Qualcare PPO/HMO/WC	$27.00

K-WIRE 1.6mm 144256

Facility

$180.00

Service Code	HCPCS C1713
Hospital Charge Code	270632806
Hospital Revenue Code	278
Min. Negotiated Rate	$4.34
Max. Negotiated Rate	$90.00
Rate for Payer: Aetna Commercial	$68.40
Rate for Payer: Aetna Medicare Advantage	$54.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.90
Rate for Payer: Cigna Commercial	$90.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$39.60
Rate for Payer: Qualcare PPO/HMO/WC	$27.00
Rate for Payer: UnitedHealthcare Community & State	$4.34
Rate for Payer: Wellpoint Medicaid Managed Care	$4.77

K-WIRE 1.6MM/150MM

Facility

$43.57

Service Code	HCPCS C1713
Hospital Charge Code	270652501
Hospital Revenue Code	278
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$21.79
Rate for Payer: Aetna Commercial	$16.56
Rate for Payer: Aetna Medicare Advantage	$13.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.11
Rate for Payer: Cigna Commercial	$21.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$9.59
Rate for Payer: Qualcare PPO/HMO/WC	$6.54
Rate for Payer: UnitedHealthcare Community & State	$1.05
Rate for Payer: Wellpoint Medicaid Managed Care	$1.15

K-WIRE 1.6MM/150MM

Facility

$43.57

Service Code	HCPCS C1713
Hospital Charge Code	270652501
Hospital Revenue Code	278
Min. Negotiated Rate	$6.54
Max. Negotiated Rate	$10.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.71
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$9.59
Rate for Payer: Qualcare PPO/HMO/WC	$6.54

Know your out-of-pocket cost for care.

All Charges