Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

K-WIRE BLUNT TIP

Facility

$1,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270692116
Hospital Revenue Code	278
Min. Negotiated Rate	$30.12
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$475.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$275.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Community & State	$30.12
Rate for Payer: Wellpoint Medicaid Managed Care	$33.12

KWIRE BONE 1.6MM 9IN

Facility

$187.50

Service Code	HCPCS C1713
Hospital Charge Code	270687077
Hospital Revenue Code	278
Min. Negotiated Rate	$28.12
Max. Negotiated Rate	$45.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.38
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$41.25
Rate for Payer: Qualcare PPO/HMO/WC	$28.12

KWIRE BONE 1.6MM 9IN

Facility

$187.50

Service Code	HCPCS C1713
Hospital Charge Code	270687077
Hospital Revenue Code	278
Min. Negotiated Rate	$4.52
Max. Negotiated Rate	$93.75
Rate for Payer: Aetna Commercial	$71.25
Rate for Payer: Aetna Medicare Advantage	$56.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.81
Rate for Payer: Cigna Commercial	$93.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.38
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$41.25
Rate for Payer: Qualcare PPO/HMO/WC	$28.12
Rate for Payer: UnitedHealthcare Community & State	$4.52
Rate for Payer: Wellpoint Medicaid Managed Care	$4.97

K-WIRE CAP (PIN GUARD) .045

Facility

$99.00

Hospital Charge Code	270331588
Hospital Revenue Code	272
Min. Negotiated Rate	$2.39
Max. Negotiated Rate	$49.50
Rate for Payer: Aetna Commercial	$37.62
Rate for Payer: Aetna Medicare Advantage	$29.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.25
Rate for Payer: Cigna Commercial	$49.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.70
Rate for Payer: Oxford Commercial	$19.80
Rate for Payer: Qualcare PPO/HMO/WC	$14.85
Rate for Payer: UnitedHealthcare Commercial	$19.80
Rate for Payer: UnitedHealthcare Community & State	$2.39
Rate for Payer: Wellpoint Medicaid Managed Care	$2.62

K-WIRE CAP (PIN GUARD) .045

Facility

$99.00

Hospital Charge Code	270331588
Hospital Revenue Code	272
Min. Negotiated Rate	$14.85
Max. Negotiated Rate	$14.85
Rate for Payer: Qualcare PPO/HMO/WC	$14.85

K WIRE COCR 1.1 X 105 MM

Facility

$140.00

Service Code	HCPCS C1713
Hospital Charge Code	270689420
Hospital Revenue Code	278
Min. Negotiated Rate	$3.37
Max. Negotiated Rate	$70.00
Rate for Payer: Aetna Commercial	$53.20
Rate for Payer: Aetna Medicare Advantage	$42.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.70
Rate for Payer: Cigna Commercial	$70.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.88
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$30.80
Rate for Payer: Qualcare PPO/HMO/WC	$21.00
Rate for Payer: UnitedHealthcare Community & State	$3.37
Rate for Payer: Wellpoint Medicaid Managed Care	$3.71

K WIRE COCR 1.1 X 105 MM

Facility

$140.00

Service Code	HCPCS C1713
Hospital Charge Code	270689420
Hospital Revenue Code	278
Min. Negotiated Rate	$21.00
Max. Negotiated Rate	$33.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.88
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$30.80
Rate for Payer: Qualcare PPO/HMO/WC	$21.00

K-WIRE COCR 1.4 X 127MM

Facility

$140.00

Hospital Charge Code	270686588
Hospital Revenue Code	272
Min. Negotiated Rate	$3.37
Max. Negotiated Rate	$70.00
Rate for Payer: Aetna Commercial	$53.20
Rate for Payer: Aetna Medicare Advantage	$42.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.70
Rate for Payer: Cigna Commercial	$70.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.00
Rate for Payer: Oxford Commercial	$28.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.00
Rate for Payer: UnitedHealthcare Commercial	$28.00
Rate for Payer: UnitedHealthcare Community & State	$3.37
Rate for Payer: Wellpoint Medicaid Managed Care	$3.71

K-WIRE COCR 1.4 X 127MM

Facility

$140.00

Hospital Charge Code	270686588
Hospital Revenue Code	272
Min. Negotiated Rate	$21.00
Max. Negotiated Rate	$21.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.00

KWIRE DBL TROCAR 0.062X6INCH

Facility

$22.25

Service Code	HCPCS C1713
Hospital Charge Code	270699577
Hospital Revenue Code	278
Min. Negotiated Rate	$3.34
Max. Negotiated Rate	$5.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.38
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4.89
Rate for Payer: Qualcare PPO/HMO/WC	$3.34

KWIRE DBL TROCAR 0.062X6INCH

Facility

$22.25

Service Code	HCPCS C1713
Hospital Charge Code	270699577
Hospital Revenue Code	278
Min. Negotiated Rate	$0.54
Max. Negotiated Rate	$11.12
Rate for Payer: Aetna Commercial	$8.46
Rate for Payer: Aetna Medicare Advantage	$6.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.67
Rate for Payer: Cigna Commercial	$11.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.38
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4.89
Rate for Payer: Qualcare PPO/HMO/WC	$3.34
Rate for Payer: UnitedHealthcare Community & State	$0.54
Rate for Payer: Wellpoint Medicaid Managed Care	$0.59

K-WIRE DOUBLE ENDED .045x6

Facility

$75.00

Service Code	HCPCS C1713
Hospital Charge Code	270679470
Hospital Revenue Code	278
Min. Negotiated Rate	$1.81
Max. Negotiated Rate	$37.50
Rate for Payer: Aetna Commercial	$28.50
Rate for Payer: Aetna Medicare Advantage	$22.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.12
Rate for Payer: Cigna Commercial	$37.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$16.50
Rate for Payer: Qualcare PPO/HMO/WC	$11.25
Rate for Payer: UnitedHealthcare Community & State	$1.81
Rate for Payer: Wellpoint Medicaid Managed Care	$1.99

K-WIRE DOUBLE ENDED .045x6

Facility

$75.00

Service Code	HCPCS C1713
Hospital Charge Code	270679470
Hospital Revenue Code	278
Min. Negotiated Rate	$11.25
Max. Negotiated Rate	$18.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$16.50
Rate for Payer: Qualcare PPO/HMO/WC	$11.25

K-WIRE (DOUBLE ENDED) 1.4 X 15

Facility

$120.00

Hospital Charge Code	270687159
Hospital Revenue Code	272
Min. Negotiated Rate	$18.00
Max. Negotiated Rate	$18.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.00

K-WIRE (DOUBLE ENDED) 1.4 X 15

Facility

$120.00

Hospital Charge Code	270687159
Hospital Revenue Code	272
Min. Negotiated Rate	$2.89
Max. Negotiated Rate	$60.00
Rate for Payer: Aetna Commercial	$45.60
Rate for Payer: Aetna Medicare Advantage	$36.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.60
Rate for Payer: Cigna Commercial	$60.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.00
Rate for Payer: Oxford Commercial	$24.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.00
Rate for Payer: UnitedHealthcare Commercial	$24.00
Rate for Payer: UnitedHealthcare Community & State	$2.89
Rate for Payer: Wellpoint Medicaid Managed Care	$3.18

K-WIRE DOUBLE ENDED 4..028 TR

Facility

$95.00

Hospital Charge Code	270667885
Hospital Revenue Code	278
Min. Negotiated Rate	$14.25
Max. Negotiated Rate	$22.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.99
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$20.90
Rate for Payer: Qualcare PPO/HMO/WC	$14.25

K-WIRE DOUBLE ENDED 4..028 TR

Facility

$95.00

Hospital Charge Code	270667885
Hospital Revenue Code	278
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) NJ Health	$19.00
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	$22.99
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$20.90
Rate for Payer: Qualcare PPO/HMO/WC	$14.25
Rate for Payer: UnitedHealthcare Community & State	$2.29
Rate for Payer: Wellpoint Medicaid Managed Care	$2.52

K-WIRE DOUBLE ENDED 4 .035 TR

Facility

$15.83

Service Code	HCPCS C1713
Hospital Charge Code	270667882
Hospital Revenue Code	278
Min. Negotiated Rate	$0.38
Max. Negotiated Rate	$7.92
Rate for Payer: Aetna Commercial	$6.02
Rate for Payer: Aetna Medicare Advantage	$4.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.04
Rate for Payer: Cigna Commercial	$7.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3.48
Rate for Payer: Qualcare PPO/HMO/WC	$2.37
Rate for Payer: UnitedHealthcare Community & State	$0.38
Rate for Payer: Wellpoint Medicaid Managed Care	$0.42

K-WIRE DOUBLE ENDED 4 .035 TR

Facility

$15.83

Service Code	HCPCS C1713
Hospital Charge Code	270667882
Hospital Revenue Code	278
Min. Negotiated Rate	$2.37
Max. Negotiated Rate	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3.48
Rate for Payer: Qualcare PPO/HMO/WC	$2.37

K-WIRE DOUBLE ENDED 4 .045 TR

Facility

$15.83

Service Code	HCPCS C1713
Hospital Charge Code	270667883
Hospital Revenue Code	278
Min. Negotiated Rate	$2.37
Max. Negotiated Rate	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3.48
Rate for Payer: Qualcare PPO/HMO/WC	$2.37

K-WIRE DOUBLE ENDED 4 .045 TR

Facility

$15.83

Service Code	HCPCS C1713
Hospital Charge Code	270667883
Hospital Revenue Code	278
Min. Negotiated Rate	$0.38
Max. Negotiated Rate	$7.92
Rate for Payer: Aetna Commercial	$6.02
Rate for Payer: Aetna Medicare Advantage	$4.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.04
Rate for Payer: Cigna Commercial	$7.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3.48
Rate for Payer: Qualcare PPO/HMO/WC	$2.37
Rate for Payer: UnitedHealthcare Community & State	$0.38
Rate for Payer: Wellpoint Medicaid Managed Care	$0.42

K-WIRE DOUBLE ENDED 4 .062 TR

Facility

$15.83

Hospital Charge Code	270667884
Hospital Revenue Code	272
Min. Negotiated Rate	$2.37
Max. Negotiated Rate	$2.37
Rate for Payer: Qualcare PPO/HMO/WC	$2.37

K-WIRE DOUBLE ENDED 4 .062 TR

Facility

$15.83

Hospital Charge Code	270667884
Hospital Revenue Code	272
Min. Negotiated Rate	$0.38
Max. Negotiated Rate	$7.92
Rate for Payer: Aetna Commercial	$6.02
Rate for Payer: Aetna Medicare Advantage	$4.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.04
Rate for Payer: Cigna Commercial	$7.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.75
Rate for Payer: Oxford Commercial	$3.17
Rate for Payer: Qualcare PPO/HMO/WC	$2.37
Rate for Payer: UnitedHealthcare Commercial	$3.17
Rate for Payer: UnitedHealthcare Community & State	$0.38
Rate for Payer: Wellpoint Medicaid Managed Care	$0.42

K-WIRE DOUBLE ENDED 9' .028 TR

Facility

$95.00

Hospital Charge Code	270667886
Hospital Revenue Code	278
Min. Negotiated Rate	$14.25
Max. Negotiated Rate	$22.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.99
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$20.90
Rate for Payer: Qualcare PPO/HMO/WC	$14.25

K-WIRE DOUBLE ENDED 9' .028 TR

Facility

$95.00

Hospital Charge Code	270667886
Hospital Revenue Code	278
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) NJ Health	$19.00
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	$22.99
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$20.90
Rate for Payer: Qualcare PPO/HMO/WC	$14.25
Rate for Payer: UnitedHealthcare Community & State	$2.29
Rate for Payer: Wellpoint Medicaid Managed Care	$2.52

Know your out-of-pocket cost for care.

All Charges