Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

K-WIRE TROCAR TIP 1.6MM

Facility

$185.00

Hospital Charge Code	270661697
Hospital Revenue Code	272
Min. Negotiated Rate	$27.75
Max. Negotiated Rate	$27.75
Rate for Payer: Qualcare PPO/HMO/WC	$27.75

KWIRE TROCAR TIP SMT 1.1X100MM

Facility

$115.50

Service Code	HCPCS C1713
Hospital Charge Code	270700496
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

KWIRE TROCAR TIP SMT 1.1X100MM

Facility

$115.50

Service Code	HCPCS C1713
Hospital Charge Code	270700496
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

KWIRE TROC TIP 1.4X23.5

Facility

$1,680.00

Service Code	HCPCS C1713
Hospital Charge Code	270703618
Hospital Revenue Code	278
Min. Negotiated Rate	$252.00
Max. Negotiated Rate	$406.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$336.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$406.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$369.60
Rate for Payer: Qualcare PPO/HMO/WC	$252.00

KWIRE TROC TIP 1.4X23.5

Facility

$1,680.00

Service Code	HCPCS C1713
Hospital Charge Code	270703618
Hospital Revenue Code	278
Min. Negotiated Rate	$40.49
Max. Negotiated Rate	$840.00
Rate for Payer: Aetna Commercial	$638.40
Rate for Payer: Aetna Medicare Advantage	$504.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$428.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$428.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$336.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$428.40
Rate for Payer: Cigna Commercial	$840.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$406.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$369.60
Rate for Payer: Qualcare PPO/HMO/WC	$252.00
Rate for Payer: UnitedHealthcare Community & State	$40.49
Rate for Payer: Wellpoint Medicaid Managed Care	$44.52

KWIRE TROC TIP SMTH 1.4X100MM

Facility

$231.00

Service Code	HCPCS C1713
Hospital Charge Code	270700502
Hospital Revenue Code	278
Min. Negotiated Rate	$34.65
Max. Negotiated Rate	$55.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$50.82
Rate for Payer: Qualcare PPO/HMO/WC	$34.65

KWIRE TROC TIP SMTH 1.4X100MM

Facility

$231.00

Service Code	HCPCS C1713
Hospital Charge Code	270700502
Hospital Revenue Code	278
Min. Negotiated Rate	$5.57
Max. Negotiated Rate	$115.50
Rate for Payer: Aetna Commercial	$87.78
Rate for Payer: Aetna Medicare Advantage	$69.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.91
Rate for Payer: Cigna Commercial	$115.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$50.82
Rate for Payer: Qualcare PPO/HMO/WC	$34.65
Rate for Payer: UnitedHealthcare Community & State	$5.57
Rate for Payer: Wellpoint Medicaid Managed Care	$6.12

K-WIRE W/OLIVE 1.2MM

Facility

$980.00

Service Code	HCPCS C1713
Hospital Charge Code	270661036
Hospital Revenue Code	278
Min. Negotiated Rate	$147.00
Max. Negotiated Rate	$237.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.16
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$215.60
Rate for Payer: Qualcare PPO/HMO/WC	$147.00

K-WIRE W/OLIVE 1.2MM

Facility

$980.00

Service Code	HCPCS C1713
Hospital Charge Code	270661036
Hospital Revenue Code	278
Min. Negotiated Rate	$23.62
Max. Negotiated Rate	$490.00
Rate for Payer: Aetna Commercial	$372.40
Rate for Payer: Aetna Medicare Advantage	$294.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$249.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$249.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$249.90
Rate for Payer: Cigna Commercial	$490.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.16
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$215.60
Rate for Payer: Qualcare PPO/HMO/WC	$147.00
Rate for Payer: UnitedHealthcare Community & State	$23.62
Rate for Payer: Wellpoint Medicaid Managed Care	$25.97

KWIRE W STOP F/T10 2X150MM

Facility

$1,400.00

Service Code	HCPCS C1713
Hospital Charge Code	270700727
Hospital Revenue Code	278
Min. Negotiated Rate	$33.74
Max. Negotiated Rate	$700.00
Rate for Payer: Aetna Commercial	$532.00
Rate for Payer: Aetna Medicare Advantage	$420.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$357.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$357.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$280.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$357.00
Rate for Payer: Cigna Commercial	$700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$338.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$308.00
Rate for Payer: Qualcare PPO/HMO/WC	$210.00
Rate for Payer: UnitedHealthcare Community & State	$33.74
Rate for Payer: Wellpoint Medicaid Managed Care	$37.10

KWIRE W STOP F/T10 2X150MM

Facility

$1,400.00

Service Code	HCPCS C1713
Hospital Charge Code	270700727
Hospital Revenue Code	278
Min. Negotiated Rate	$210.00
Max. Negotiated Rate	$338.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$280.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$338.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$308.00
Rate for Payer: Qualcare PPO/HMO/WC	$210.00

K-WIRE W/THD TROCAR PT 280MM

Facility

$72.89

Hospital Charge Code	270604428
Hospital Revenue Code	272
Min. Negotiated Rate	$10.93
Max. Negotiated Rate	$10.93
Rate for Payer: Qualcare PPO/HMO/WC	$10.93

K-WIRE W/THD TROCAR PT 280MM

Facility

$72.89

Hospital Charge Code	270604428
Hospital Revenue Code	272
Min. Negotiated Rate	$1.76
Max. Negotiated Rate	$36.45
Rate for Payer: Aetna Commercial	$27.70
Rate for Payer: Aetna Medicare Advantage	$21.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.59
Rate for Payer: Cigna Commercial	$36.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.87
Rate for Payer: Oxford Commercial	$14.58
Rate for Payer: Qualcare PPO/HMO/WC	$10.93
Rate for Payer: UnitedHealthcare Commercial	$14.58
Rate for Payer: UnitedHealthcare Community & State	$1.76
Rate for Payer: Wellpoint Medicaid Managed Care	$1.93

K-WIRE W/THRD TIP 1.25x100MM

Facility

$195.29

Service Code	HCPCS C1769
Hospital Charge Code	270622480
Hospital Revenue Code	278
Min. Negotiated Rate	$29.29
Max. Negotiated Rate	$47.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.26
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$42.96
Rate for Payer: Qualcare PPO/HMO/WC	$29.29

K-WIRE W/THRD TIP 1.25x100MM

Facility

$195.29

Service Code	HCPCS C1769
Hospital Charge Code	270622480
Hospital Revenue Code	278
Min. Negotiated Rate	$4.71
Max. Negotiated Rate	$97.64
Rate for Payer: Aetna Commercial	$74.21
Rate for Payer: Aetna Medicare Advantage	$58.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.80
Rate for Payer: Cigna Commercial	$97.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.26
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$42.96
Rate for Payer: Qualcare PPO/HMO/WC	$29.29
Rate for Payer: UnitedHealthcare Community & State	$4.71
Rate for Payer: Wellpoint Medicaid Managed Care	$5.18

K-WIRE W/TROCAR TIP 0.6x70MM

Facility

$327.55

Service Code	HCPCS C1713
Hospital Charge Code	270604408
Hospital Revenue Code	278
Min. Negotiated Rate	$7.89
Max. Negotiated Rate	$163.78
Rate for Payer: Aetna Commercial	$124.47
Rate for Payer: Aetna Medicare Advantage	$98.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$65.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.53
Rate for Payer: Cigna Commercial	$163.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.27
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$72.06
Rate for Payer: Qualcare PPO/HMO/WC	$49.13
Rate for Payer: UnitedHealthcare Community & State	$7.89
Rate for Payer: Wellpoint Medicaid Managed Care	$8.68

K-WIRE W/TROCAR TIP 0.6x70MM

Facility

$327.55

Service Code	HCPCS C1713
Hospital Charge Code	270604408
Hospital Revenue Code	278
Min. Negotiated Rate	$49.13
Max. Negotiated Rate	$79.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$65.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.27
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$72.06
Rate for Payer: Qualcare PPO/HMO/WC	$49.13

K-WIRE W/TROCAR TIP 0.8x70MM

Facility

$32.76

Service Code	HCPCS C1713
Hospital Charge Code	270604411
Hospital Revenue Code	278
Min. Negotiated Rate	$4.91
Max. Negotiated Rate	$7.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.93
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$7.21
Rate for Payer: Qualcare PPO/HMO/WC	$4.91

K-WIRE W/TROCAR TIP 0.8x70MM

Facility

$32.76

Service Code	HCPCS C1713
Hospital Charge Code	270604411
Hospital Revenue Code	278
Min. Negotiated Rate	$0.79
Max. Negotiated Rate	$16.38
Rate for Payer: Aetna Commercial	$12.45
Rate for Payer: Aetna Medicare Advantage	$9.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.35
Rate for Payer: Cigna Commercial	$16.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.93
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$7.21
Rate for Payer: Qualcare PPO/HMO/WC	$4.91
Rate for Payer: UnitedHealthcare Community & State	$0.79
Rate for Payer: Wellpoint Medicaid Managed Care	$0.87

K-WIRE W/TROCAR TIP 1.6x150MM

Facility

$38.83

Hospital Charge Code	270601824
Hospital Revenue Code	272
Min. Negotiated Rate	$5.82
Max. Negotiated Rate	$5.82
Rate for Payer: Qualcare PPO/HMO/WC	$5.82

K-WIRE W/TROCAR TIP 1.6x150MM

Facility

$38.83

Hospital Charge Code	270601824
Hospital Revenue Code	272
Min. Negotiated Rate	$0.94
Max. Negotiated Rate	$19.41
Rate for Payer: Aetna Commercial	$14.76
Rate for Payer: Aetna Medicare Advantage	$11.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.90
Rate for Payer: Cigna Commercial	$19.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.65
Rate for Payer: Oxford Commercial	$7.77
Rate for Payer: Qualcare PPO/HMO/WC	$5.82
Rate for Payer: UnitedHealthcare Commercial	$7.77
Rate for Payer: UnitedHealthcare Community & State	$0.94
Rate for Payer: Wellpoint Medicaid Managed Care	$1.03

K-WIRE W/TROCAR TIP 2.0x150MM

Facility

$38.83

Service Code	HCPCS C1713
Hospital Charge Code	270603558
Hospital Revenue Code	278
Min. Negotiated Rate	$0.94
Max. Negotiated Rate	$19.41
Rate for Payer: Aetna Commercial	$14.76
Rate for Payer: Aetna Medicare Advantage	$11.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.90
Rate for Payer: Cigna Commercial	$19.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8.54
Rate for Payer: Qualcare PPO/HMO/WC	$5.82
Rate for Payer: UnitedHealthcare Community & State	$0.94
Rate for Payer: Wellpoint Medicaid Managed Care	$1.03

K-WIRE W/TROCAR TIP 2.0x150MM

Facility

$38.83

Service Code	HCPCS C1713
Hospital Charge Code	270603558
Hospital Revenue Code	278
Min. Negotiated Rate	$5.82
Max. Negotiated Rate	$9.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8.54
Rate for Payer: Qualcare PPO/HMO/WC	$5.82

K-WIRE W/TROCAR TIP 2.5x285MM

Facility

$483.80

Hospital Charge Code	270637807
Hospital Revenue Code	272
Min. Negotiated Rate	$72.57
Max. Negotiated Rate	$72.57
Rate for Payer: Qualcare PPO/HMO/WC	$72.57

K-WIRE W/TROCAR TIP 2.5x285MM

Facility

$483.80

Hospital Charge Code	270637807
Hospital Revenue Code	272
Min. Negotiated Rate	$11.66
Max. Negotiated Rate	$241.90
Rate for Payer: Aetna Commercial	$183.84
Rate for Payer: Aetna Medicare Advantage	$145.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$123.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$123.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$123.37
Rate for Payer: Cigna Commercial	$241.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.14
Rate for Payer: Oxford Commercial	$96.76
Rate for Payer: Qualcare PPO/HMO/WC	$72.57
Rate for Payer: UnitedHealthcare Commercial	$96.76
Rate for Payer: UnitedHealthcare Community & State	$11.66
Rate for Payer: Wellpoint Medicaid Managed Care	$12.82

Know your out-of-pocket cost for care.

All Charges