Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

K-WIRE 2 X TROCAR 1.1x100MM

Facility

$210.00

Hospital Charge Code	270675272
Hospital Revenue Code	272
Min. Negotiated Rate	$31.50
Max. Negotiated Rate	$31.50
Rate for Payer: Qualcare PPO/HMO/WC	$31.50

K-WIRE 3.0 MM

Facility

$955.00

Service Code	HCPCS C1713
Hospital Charge Code	270677454
Hospital Revenue Code	278
Min. Negotiated Rate	$23.02
Max. Negotiated Rate	$477.50
Rate for Payer: Aetna Commercial	$362.90
Rate for Payer: Aetna Medicare Advantage	$286.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$243.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$243.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$191.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$243.53
Rate for Payer: Cigna Commercial	$477.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$231.11
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$210.10
Rate for Payer: Qualcare PPO/HMO/WC	$143.25
Rate for Payer: UnitedHealthcare Community & State	$23.02
Rate for Payer: Wellpoint Medicaid Managed Care	$25.31

K-WIRE 3.0 MM

Facility

$955.00

Service Code	HCPCS C1713
Hospital Charge Code	270677454
Hospital Revenue Code	278
Min. Negotiated Rate	$143.25
Max. Negotiated Rate	$231.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$191.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$231.11
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$210.10
Rate for Payer: Qualcare PPO/HMO/WC	$143.25

K-WIRE 3.0MM THREAD TIP

Facility

$100.00

Hospital Charge Code	270656816
Hospital Revenue Code	272
Min. Negotiated Rate	$15.00
Max. Negotiated Rate	$15.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.00

K-WIRE 3.0MM THREAD TIP

Facility

$100.00

Hospital Charge Code	270656816
Hospital Revenue Code	272
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) PPO	$25.50
Rate for Payer: Cigna Commercial	$50.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.00
Rate for Payer: Oxford Commercial	$20.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.00
Rate for Payer: UnitedHealthcare Commercial	$20.00
Rate for Payer: UnitedHealthcare Community & State	$2.41
Rate for Payer: Wellpoint Medicaid Managed Care	$2.65

KWIRE 3.0X285MM

Facility

$948.75

Service Code	HCPCS C1713
Hospital Charge Code	270694560
Hospital Revenue Code	278
Min. Negotiated Rate	$22.86
Max. Negotiated Rate	$474.38
Rate for Payer: Aetna Commercial	$360.52
Rate for Payer: Aetna Medicare Advantage	$284.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$241.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$241.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$189.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$241.93
Rate for Payer: Cigna Commercial	$474.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$208.72
Rate for Payer: Qualcare PPO/HMO/WC	$142.31
Rate for Payer: UnitedHealthcare Community & State	$22.86
Rate for Payer: Wellpoint Medicaid Managed Care	$25.14

KWIRE 3.0X285MM

Facility

$948.75

Service Code	HCPCS C1713
Hospital Charge Code	270694560
Hospital Revenue Code	278
Min. Negotiated Rate	$142.31
Max. Negotiated Rate	$229.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$189.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$208.72
Rate for Payer: Qualcare PPO/HMO/WC	$142.31

K-WIRE 3.2X400MM COCR

Facility

$1,190.00

Hospital Charge Code	270670505
Hospital Revenue Code	272
Min. Negotiated Rate	$178.50
Max. Negotiated Rate	$178.50
Rate for Payer: Qualcare PPO/HMO/WC	$178.50

K-WIRE 3.2X400MM COCR

Facility

$1,190.00

Hospital Charge Code	270670505
Hospital Revenue Code	272
Min. Negotiated Rate	$28.68
Max. Negotiated Rate	$595.00
Rate for Payer: Aetna Commercial	$452.20
Rate for Payer: Aetna Medicare Advantage	$357.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$303.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$303.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$303.45
Rate for Payer: Cigna Commercial	$595.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$357.00
Rate for Payer: Oxford Commercial	$238.00
Rate for Payer: Qualcare PPO/HMO/WC	$178.50
Rate for Payer: UnitedHealthcare Commercial	$238.00
Rate for Payer: UnitedHealthcare Community & State	$28.68
Rate for Payer: Wellpoint Medicaid Managed Care	$31.54

K-WIRE 3.2x450MM

Facility

$707.75

Service Code	HCPCS C1713
Hospital Charge Code	270625252
Hospital Revenue Code	278
Min. Negotiated Rate	$106.16
Max. Negotiated Rate	$171.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$141.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$171.28
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$155.71
Rate for Payer: Qualcare PPO/HMO/WC	$106.16

K-WIRE 3.2x450MM

Facility

$707.75

Service Code	HCPCS C1713
Hospital Charge Code	270625252
Hospital Revenue Code	278
Min. Negotiated Rate	$17.06
Max. Negotiated Rate	$353.88
Rate for Payer: Aetna Commercial	$268.94
Rate for Payer: Aetna Medicare Advantage	$212.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$180.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$180.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$141.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$180.48
Rate for Payer: Cigna Commercial	$353.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$171.28
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$155.71
Rate for Payer: Qualcare PPO/HMO/WC	$106.16
Rate for Payer: UnitedHealthcare Community & State	$17.06
Rate for Payer: Wellpoint Medicaid Managed Care	$18.76

K-WIRE 3.2x600MM

Facility

$442.75

Hospital Charge Code	270666230
Hospital Revenue Code	272
Min. Negotiated Rate	$10.67
Max. Negotiated Rate	$221.38
Rate for Payer: Aetna Commercial	$168.25
Rate for Payer: Aetna Medicare Advantage	$132.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$112.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$112.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$112.90
Rate for Payer: Cigna Commercial	$221.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$132.82
Rate for Payer: Oxford Commercial	$88.55
Rate for Payer: Qualcare PPO/HMO/WC	$66.41
Rate for Payer: UnitedHealthcare Commercial	$88.55
Rate for Payer: UnitedHealthcare Community & State	$10.67
Rate for Payer: Wellpoint Medicaid Managed Care	$11.73

K-WIRE 3.2x600MM

Facility

$442.75

Hospital Charge Code	270666230
Hospital Revenue Code	272
Min. Negotiated Rate	$66.41
Max. Negotiated Rate	$66.41
Rate for Payer: Qualcare PPO/HMO/WC	$66.41

K-WIRE .45

Facility

$420.00

Service Code	HCPCS C1713
Hospital Charge Code	270661764
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

K-WIRE .45

Facility

$420.00

Service Code	HCPCS C1713
Hospital Charge Code	270661764
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

K- WIRE 6 .035

Facility

$12.10

Hospital Charge Code	270684571
Hospital Revenue Code	272
Min. Negotiated Rate	$0.29
Max. Negotiated Rate	$6.05
Rate for Payer: Aetna Commercial	$4.60
Rate for Payer: Aetna Medicare Advantage	$3.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.09
Rate for Payer: Cigna Commercial	$6.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.63
Rate for Payer: Oxford Commercial	$2.42
Rate for Payer: Qualcare PPO/HMO/WC	$1.81
Rate for Payer: UnitedHealthcare Commercial	$2.42
Rate for Payer: UnitedHealthcare Community & State	$0.29
Rate for Payer: Wellpoint Medicaid Managed Care	$0.32

K- WIRE 6 .035

Facility

$12.10

Hospital Charge Code	270684571
Hospital Revenue Code	272
Min. Negotiated Rate	$1.81
Max. Negotiated Rate	$1.81
Rate for Payer: Qualcare PPO/HMO/WC	$1.81

K- WIRE 6 .045

Facility

$12.10

Hospital Charge Code	270684572
Hospital Revenue Code	272
Min. Negotiated Rate	$0.29
Max. Negotiated Rate	$6.05
Rate for Payer: Aetna Commercial	$4.60
Rate for Payer: Aetna Medicare Advantage	$3.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.09
Rate for Payer: Cigna Commercial	$6.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.63
Rate for Payer: Oxford Commercial	$2.42
Rate for Payer: Qualcare PPO/HMO/WC	$1.81
Rate for Payer: UnitedHealthcare Commercial	$2.42
Rate for Payer: UnitedHealthcare Community & State	$0.29
Rate for Payer: Wellpoint Medicaid Managed Care	$0.32

K- WIRE 6 .045

Facility

$12.10

Hospital Charge Code	270684572
Hospital Revenue Code	272
Min. Negotiated Rate	$1.81
Max. Negotiated Rate	$1.81
Rate for Payer: Qualcare PPO/HMO/WC	$1.81

K- WIRE 6 .062

Facility

$12.10

Hospital Charge Code	270684573
Hospital Revenue Code	272
Min. Negotiated Rate	$1.81
Max. Negotiated Rate	$1.81
Rate for Payer: Qualcare PPO/HMO/WC	$1.81

K- WIRE 6 .062

Facility

$12.10

Hospital Charge Code	270684573
Hospital Revenue Code	272
Min. Negotiated Rate	$0.29
Max. Negotiated Rate	$6.05
Rate for Payer: Aetna Commercial	$4.60
Rate for Payer: Aetna Medicare Advantage	$3.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.09
Rate for Payer: Cigna Commercial	$6.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.63
Rate for Payer: Oxford Commercial	$2.42
Rate for Payer: Qualcare PPO/HMO/WC	$1.81
Rate for Payer: UnitedHealthcare Commercial	$2.42
Rate for Payer: UnitedHealthcare Community & State	$0.29
Rate for Payer: Wellpoint Medicaid Managed Care	$0.32

K WIRE .86 MM X 120 MM

Facility

$105.00

Hospital Charge Code	270688265
Hospital Revenue Code	272
Min. Negotiated Rate	$15.75
Max. Negotiated Rate	$15.75
Rate for Payer: Qualcare PPO/HMO/WC	$15.75

K WIRE .86 MM X 120 MM

Facility

$105.00

Hospital Charge Code	270688265
Hospital Revenue Code	272
Min. Negotiated Rate	$2.53
Max. Negotiated Rate	$52.50
Rate for Payer: Aetna Commercial	$39.90
Rate for Payer: Aetna Medicare Advantage	$31.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.77
Rate for Payer: Cigna Commercial	$52.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.50
Rate for Payer: Oxford Commercial	$21.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.75
Rate for Payer: UnitedHealthcare Commercial	$21.00
Rate for Payer: UnitedHealthcare Community & State	$2.53
Rate for Payer: Wellpoint Medicaid Managed Care	$2.78

K-WIRE .8X100MM TROCAR TIP

Facility

$175.00

Service Code	HCPCS C1713
Hospital Charge Code	270675315
Hospital Revenue Code	272
Min. Negotiated Rate	$4.22
Max. Negotiated Rate	$87.50
Rate for Payer: Aetna Commercial	$66.50
Rate for Payer: Aetna Medicare Advantage	$52.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.62
Rate for Payer: Cigna Commercial	$87.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.50
Rate for Payer: Oxford Commercial	$35.00
Rate for Payer: Qualcare PPO/HMO/WC	$26.25
Rate for Payer: UnitedHealthcare Commercial	$35.00
Rate for Payer: UnitedHealthcare Community & State	$4.22
Rate for Payer: Wellpoint Medicaid Managed Care	$4.64

K-WIRE .8X100MM TROCAR TIP

Facility

$175.00

Service Code	HCPCS C1713
Hospital Charge Code	270675315
Hospital Revenue Code	272
Min. Negotiated Rate	$26.25
Max. Negotiated Rate	$26.25
Rate for Payer: Qualcare PPO/HMO/WC	$26.25

Know your out-of-pocket cost for care.

All Charges