Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

K-WIRE DOUBLE ENDED 9' .035 TR

Facility

$15.83

Service Code	HCPCS C1713
Hospital Charge Code	270667888
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 9' .035 TR

Facility

$15.83

Service Code	HCPCS C1713
Hospital Charge Code	270667888
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 9' .045 TR

Facility

$95.00

Hospital Charge Code	270667889
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 9' .045 TR

Facility

$95.00

Hospital Charge Code	270667889
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' .062 TR

Facility

$15.83

Service Code	HCPCS C1713
Hospital Charge Code	270667891
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 9' .062 TR

Facility

$15.83

Service Code	HCPCS C1713
Hospital Charge Code	270667891
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 END POINT 4 IN

Facility

$88.50

Service Code	HCPCS C1713
Hospital Charge Code	270691504
Hospital Revenue Code	278
Min. Negotiated Rate	$13.28
Max. Negotiated Rate	$21.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.42
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$19.47
Rate for Payer: Qualcare PPO/HMO/WC	$13.28

K WIRE DOUBLE END POINT 4 IN

Facility

$88.50

Service Code	HCPCS C1713
Hospital Charge Code	270691504
Hospital Revenue Code	278
Min. Negotiated Rate	$2.13
Max. Negotiated Rate	$44.25
Rate for Payer: Aetna Commercial	$33.63
Rate for Payer: Aetna Medicare Advantage	$26.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.57
Rate for Payer: Cigna Commercial	$44.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.42
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$19.47
Rate for Payer: Qualcare PPO/HMO/WC	$13.28
Rate for Payer: UnitedHealthcare Community & State	$2.13
Rate for Payer: Wellpoint Medicaid Managed Care	$2.35

K WIRE DOUBLE TROCA 6 IN 1.6MM

Facility

$31.25

Service Code	HCPCS C1713
Hospital Charge Code	270687109
Hospital Revenue Code	278
Min. Negotiated Rate	$4.69
Max. Negotiated Rate	$7.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6.88
Rate for Payer: Qualcare PPO/HMO/WC	$4.69

K WIRE DOUBLE TROCA 6 IN 1.6MM

Facility

$31.25

Service Code	HCPCS C1713
Hospital Charge Code	270687109
Hospital Revenue Code	278
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$15.62
Rate for Payer: Aetna Commercial	$11.88
Rate for Payer: Aetna Medicare Advantage	$9.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.97
Rate for Payer: Cigna Commercial	$15.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6.88
Rate for Payer: Qualcare PPO/HMO/WC	$4.69
Rate for Payer: UnitedHealthcare Community & State	$0.75
Rate for Payer: Wellpoint Medicaid Managed Care	$0.83

K-WIRE DOUBLE TROCAR .035x6

Facility

$175.00

Hospital Charge Code	270677347
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 DOUBLE TROCAR .035x6

Facility

$175.00

Hospital Charge Code	270677347
Hospital Revenue Code	272
Min. Negotiated Rate	$26.25
Max. Negotiated Rate	$26.25
Rate for Payer: Qualcare PPO/HMO/WC	$26.25

K WIRE DOUBLE TROCAR SMOOTH 0.

Facility

$23.50

Hospital Charge Code	270706062
Hospital Revenue Code	279
Min. Negotiated Rate	$3.52
Max. Negotiated Rate	$3.52
Rate for Payer: Qualcare PPO/HMO/WC	$3.52

K WIRE DOUBLE TROCAR SMOOTH 0.

Facility

$23.50

Hospital Charge Code	270706062
Hospital Revenue Code	279
Min. Negotiated Rate	$0.57
Max. Negotiated Rate	$11.75
Rate for Payer: Aetna Commercial	$8.93
Rate for Payer: Aetna Medicare Advantage	$7.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.99
Rate for Payer: Cigna Commercial	$11.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.05
Rate for Payer: Oxford Commercial	$4.70
Rate for Payer: Qualcare PPO/HMO/WC	$3.52
Rate for Payer: UnitedHealthcare Commercial	$4.70
Rate for Payer: UnitedHealthcare Community & State	$0.57
Rate for Payer: Wellpoint Medicaid Managed Care	$0.62

K-WIRE FIXATION

Facility

$1,027.80

Service Code	HCPCS C1713
Hospital Charge Code	270703689
Hospital Revenue Code	278
Min. Negotiated Rate	$154.17
Max. Negotiated Rate	$248.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$205.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$248.73
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$226.12
Rate for Payer: Qualcare PPO/HMO/WC	$154.17

K-WIRE FIXATION

Facility

$1,027.80

Service Code	HCPCS C1713
Hospital Charge Code	270703689
Hospital Revenue Code	278
Min. Negotiated Rate	$24.77
Max. Negotiated Rate	$513.90
Rate for Payer: Aetna Commercial	$390.56
Rate for Payer: Aetna Medicare Advantage	$308.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$262.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$262.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$205.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$262.09
Rate for Payer: Cigna Commercial	$513.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$248.73
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$226.12
Rate for Payer: Qualcare PPO/HMO/WC	$154.17
Rate for Payer: UnitedHealthcare Community & State	$24.77
Rate for Payer: Wellpoint Medicaid Managed Care	$27.24

KWIRE FIXATION 1.1MM 4 INCH DI

Facility

$21.00

Service Code	HCPCS C1713
Hospital Charge Code	270693652
Hospital Revenue Code	278
Min. Negotiated Rate	$3.15
Max. Negotiated Rate	$5.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4.62
Rate for Payer: Qualcare PPO/HMO/WC	$3.15

KWIRE FIXATION 1.1MM 4 INCH DI

Facility

$21.00

Service Code	HCPCS C1713
Hospital Charge Code	270693652
Hospital Revenue Code	278
Min. Negotiated Rate	$0.51
Max. Negotiated Rate	$10.50
Rate for Payer: Aetna Commercial	$7.98
Rate for Payer: Aetna Medicare Advantage	$6.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.36
Rate for Payer: Cigna Commercial	$10.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4.62
Rate for Payer: Qualcare PPO/HMO/WC	$3.15
Rate for Payer: UnitedHealthcare Community & State	$0.51
Rate for Payer: Wellpoint Medicaid Managed Care	$0.56

K WIRE FULLY THD 1.6MMX200MM

Facility

$370.00

Service Code	HCPCS C1713
Hospital Charge Code	270670011
Hospital Revenue Code	278
Min. Negotiated Rate	$55.50
Max. Negotiated Rate	$89.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$81.40
Rate for Payer: Qualcare PPO/HMO/WC	$55.50

K WIRE FULLY THD 1.6MMX200MM

Facility

$370.00

Service Code	HCPCS C1713
Hospital Charge Code	270670011
Hospital Revenue Code	278
Min. Negotiated Rate	$8.92
Max. Negotiated Rate	$185.00
Rate for Payer: Aetna Commercial	$140.60
Rate for Payer: Aetna Medicare Advantage	$111.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.35
Rate for Payer: Cigna Commercial	$185.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$81.40
Rate for Payer: Qualcare PPO/HMO/WC	$55.50
Rate for Payer: UnitedHealthcare Community & State	$8.92
Rate for Payer: Wellpoint Medicaid Managed Care	$9.80

K WIRE ISGL END SMOOTH 1.6

Facility

$115.50

Service Code	HCPCS C1713
Hospital Charge Code	270700689
Hospital Revenue Code	278
Min. Negotiated Rate	$17.32
Max. Negotiated Rate	$27.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$25.41
Rate for Payer: Qualcare PPO/HMO/WC	$17.32

K WIRE ISGL END SMOOTH 1.6

Facility

$115.50

Service Code	HCPCS C1713
Hospital Charge Code	270700689
Hospital Revenue Code	278
Min. Negotiated Rate	$2.78
Max. Negotiated Rate	$57.75
Rate for Payer: Aetna Commercial	$43.89
Rate for Payer: Aetna Medicare Advantage	$34.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.45
Rate for Payer: Cigna Commercial	$57.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$25.41
Rate for Payer: Qualcare PPO/HMO/WC	$17.32
Rate for Payer: UnitedHealthcare Community & State	$2.78
Rate for Payer: Wellpoint Medicaid Managed Care	$3.06

K-WIRE LENGTH 100MM BLUNT TIP

Facility

$151.20

Hospital Charge Code	270668722
Hospital Revenue Code	272
Min. Negotiated Rate	$22.68
Max. Negotiated Rate	$22.68
Rate for Payer: Qualcare PPO/HMO/WC	$22.68

K-WIRE LENGTH 100MM BLUNT TIP

Facility

$151.20

Hospital Charge Code	270668722
Hospital Revenue Code	272
Min. Negotiated Rate	$3.64
Max. Negotiated Rate	$75.60
Rate for Payer: Aetna Commercial	$57.46
Rate for Payer: Aetna Medicare Advantage	$45.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.56
Rate for Payer: Cigna Commercial	$75.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.36
Rate for Payer: Oxford Commercial	$30.24
Rate for Payer: Qualcare PPO/HMO/WC	$22.68
Rate for Payer: UnitedHealthcare Commercial	$30.24
Rate for Payer: UnitedHealthcare Community & State	$3.64
Rate for Payer: Wellpoint Medicaid Managed Care	$4.01

KWIRE MONSTER SS SM 0.9MM

Facility

$115.50

Service Code	HCPCS C1713
Hospital Charge Code	2707002502
Hospital Revenue Code	278
Min. Negotiated Rate	$17.32
Max. Negotiated Rate	$27.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$25.41
Rate for Payer: Qualcare PPO/HMO/WC	$17.32

Know your out-of-pocket cost for care.

All Charges