Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

2.75 CANNULATED DRILL

Facility

$935.00

Hospital Charge Code	270687158
Hospital Revenue Code	272
Min. Negotiated Rate	$140.25
Max. Negotiated Rate	$140.25
Rate for Payer: Qualcare PPO/HMO/WC	$140.25

2.75 CANNULATED DRILL

Facility

$935.00

Hospital Charge Code	270687158
Hospital Revenue Code	272
Min. Negotiated Rate	$22.53
Max. Negotiated Rate	$467.50
Rate for Payer: Aetna Commercial	$355.30
Rate for Payer: Aetna Medicare Advantage	$280.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$238.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$238.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$238.43
Rate for Payer: Cigna Commercial	$467.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$280.50
Rate for Payer: Oxford Commercial	$187.00
Rate for Payer: Qualcare PPO/HMO/WC	$140.25
Rate for Payer: UnitedHealthcare Commercial	$187.00
Rate for Payer: UnitedHealthcare Community & State	$22.53
Rate for Payer: Wellpoint Medicaid Managed Care	$24.78

2.7 DISTAL FIB. PLATE 9 HOLE

Facility

$4,533.05

Service Code	HCPCS C1713
Hospital Charge Code	270677405
Hospital Revenue Code	278
Min. Negotiated Rate	$109.25
Max. Negotiated Rate	$2,266.53
Rate for Payer: Aetna Commercial	$1,722.56
Rate for Payer: Aetna Medicare Advantage	$1,359.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,155.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,155.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$906.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,155.93
Rate for Payer: Cigna Commercial	$2,266.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,097.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$997.27
Rate for Payer: Qualcare PPO/HMO/WC	$679.96
Rate for Payer: UnitedHealthcare Community & State	$109.25
Rate for Payer: Wellpoint Medicaid Managed Care	$120.13

2.7 DISTAL FIB. PLATE 9 HOLE

Facility

$4,533.05

Service Code	HCPCS C1713
Hospital Charge Code	270677405
Hospital Revenue Code	278
Min. Negotiated Rate	$679.96
Max. Negotiated Rate	$1,097.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$906.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,097.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$997.27
Rate for Payer: Qualcare PPO/HMO/WC	$679.96

2.7 DRILL

Facility

$1,463.40

Service Code	HCPCS C1713
Hospital Charge Code	270705250
Hospital Revenue Code	278
Min. Negotiated Rate	$35.27
Max. Negotiated Rate	$731.70
Rate for Payer: Aetna Commercial	$556.09
Rate for Payer: Aetna Medicare Advantage	$439.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$373.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$373.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$292.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$373.17
Rate for Payer: Cigna Commercial	$731.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$354.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$321.95
Rate for Payer: Qualcare PPO/HMO/WC	$219.51
Rate for Payer: UnitedHealthcare Community & State	$35.27
Rate for Payer: Wellpoint Medicaid Managed Care	$38.78

2.7 DRILL

Facility

$1,463.40

Service Code	HCPCS C1713
Hospital Charge Code	270703607
Hospital Revenue Code	278
Min. Negotiated Rate	$35.27
Max. Negotiated Rate	$731.70
Rate for Payer: Aetna Commercial	$556.09
Rate for Payer: Aetna Medicare Advantage	$439.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$373.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$373.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$292.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$373.17
Rate for Payer: Cigna Commercial	$731.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$354.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$321.95
Rate for Payer: Qualcare PPO/HMO/WC	$219.51
Rate for Payer: UnitedHealthcare Community & State	$35.27
Rate for Payer: Wellpoint Medicaid Managed Care	$38.78

2.7 DRILL

Facility

$1,463.40

Service Code	HCPCS C1713
Hospital Charge Code	270703607
Hospital Revenue Code	278
Min. Negotiated Rate	$219.51
Max. Negotiated Rate	$354.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$292.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$354.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$321.95
Rate for Payer: Qualcare PPO/HMO/WC	$219.51

2.7 DRILL

Facility

$1,463.40

Service Code	HCPCS C1713
Hospital Charge Code	270705250
Hospital Revenue Code	278
Min. Negotiated Rate	$219.51
Max. Negotiated Rate	$354.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$292.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$354.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$321.95
Rate for Payer: Qualcare PPO/HMO/WC	$219.51

2.7 DRILL BIT

Facility

$610.00

Hospital Charge Code	270672025
Hospital Revenue Code	272
Min. Negotiated Rate	$91.50
Max. Negotiated Rate	$91.50
Rate for Payer: Qualcare PPO/HMO/WC	$91.50

2.7 DRILL BIT

Facility

$610.00

Hospital Charge Code	270672025
Hospital Revenue Code	272
Min. Negotiated Rate	$14.70
Max. Negotiated Rate	$305.00
Rate for Payer: Aetna Commercial	$231.80
Rate for Payer: Aetna Medicare Advantage	$183.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$155.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$155.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$155.55
Rate for Payer: Cigna Commercial	$305.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$183.00
Rate for Payer: Oxford Commercial	$122.00
Rate for Payer: Qualcare PPO/HMO/WC	$91.50
Rate for Payer: UnitedHealthcare Commercial	$122.00
Rate for Payer: UnitedHealthcare Community & State	$14.70
Rate for Payer: Wellpoint Medicaid Managed Care	$16.16

2.7 DRILL BIT LONG

Facility

$775.15

Hospital Charge Code	270656860
Hospital Revenue Code	272
Min. Negotiated Rate	$18.68
Max. Negotiated Rate	$387.57
Rate for Payer: Aetna Commercial	$294.56
Rate for Payer: Aetna Medicare Advantage	$232.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.66
Rate for Payer: Cigna Commercial	$387.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.54
Rate for Payer: Oxford Commercial	$155.03
Rate for Payer: Qualcare PPO/HMO/WC	$116.27
Rate for Payer: UnitedHealthcare Commercial	$155.03
Rate for Payer: UnitedHealthcare Community & State	$18.68
Rate for Payer: Wellpoint Medicaid Managed Care	$20.54

2.7 DRILL BIT LONG

Facility

$775.15

Hospital Charge Code	270656860
Hospital Revenue Code	272
Min. Negotiated Rate	$116.27
Max. Negotiated Rate	$116.27
Rate for Payer: Qualcare PPO/HMO/WC	$116.27

2.7 LCP 8 HOLE PLATE

Facility

$1,758.20

Service Code	HCPCS C1713
Hospital Charge Code	270674355
Hospital Revenue Code	278
Min. Negotiated Rate	$42.37
Max. Negotiated Rate	$879.10
Rate for Payer: Aetna Commercial	$668.12
Rate for Payer: Aetna Medicare Advantage	$527.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$448.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$448.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$351.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$448.34
Rate for Payer: Cigna Commercial	$879.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$425.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$386.80
Rate for Payer: Qualcare PPO/HMO/WC	$263.73
Rate for Payer: UnitedHealthcare Community & State	$42.37
Rate for Payer: Wellpoint Medicaid Managed Care	$46.59

2.7 LCP 8 HOLE PLATE

Facility

$1,758.20

Service Code	HCPCS C1713
Hospital Charge Code	270674355
Hospital Revenue Code	278
Min. Negotiated Rate	$263.73
Max. Negotiated Rate	$425.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$351.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$425.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$386.80
Rate for Payer: Qualcare PPO/HMO/WC	$263.73

2.7 LOCKING 10MM

Facility

$518.15

Hospital Charge Code	270656863
Hospital Revenue Code	278
Min. Negotiated Rate	$77.72
Max. Negotiated Rate	$125.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$113.99
Rate for Payer: Qualcare PPO/HMO/WC	$77.72

2.7 LOCKING 10MM

Facility

$518.15

Hospital Charge Code	270656863
Hospital Revenue Code	278
Min. Negotiated Rate	$12.49
Max. Negotiated Rate	$259.07
Rate for Payer: Aetna Commercial	$196.90
Rate for Payer: Aetna Medicare Advantage	$155.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.13
Rate for Payer: Cigna Commercial	$259.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$113.99
Rate for Payer: Qualcare PPO/HMO/WC	$77.72
Rate for Payer: UnitedHealthcare Community & State	$12.49
Rate for Payer: Wellpoint Medicaid Managed Care	$13.73

2.7 LOCKING 12MM

Facility

$518.15

Hospital Charge Code	270656865
Hospital Revenue Code	278
Min. Negotiated Rate	$77.72
Max. Negotiated Rate	$125.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$113.99
Rate for Payer: Qualcare PPO/HMO/WC	$77.72

2.7 LOCKING 12MM

Facility

$518.15

Hospital Charge Code	270656865
Hospital Revenue Code	278
Min. Negotiated Rate	$12.49
Max. Negotiated Rate	$259.07
Rate for Payer: Aetna Commercial	$196.90
Rate for Payer: Aetna Medicare Advantage	$155.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.13
Rate for Payer: Cigna Commercial	$259.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$113.99
Rate for Payer: Qualcare PPO/HMO/WC	$77.72
Rate for Payer: UnitedHealthcare Community & State	$12.49
Rate for Payer: Wellpoint Medicaid Managed Care	$13.73

2.7 LOCKING 16MM

Facility

$518.15

Hospital Charge Code	270656862
Hospital Revenue Code	278
Min. Negotiated Rate	$77.72
Max. Negotiated Rate	$125.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$113.99
Rate for Payer: Qualcare PPO/HMO/WC	$77.72

2.7 LOCKING 16MM

Facility

$518.15

Hospital Charge Code	270656862
Hospital Revenue Code	278
Min. Negotiated Rate	$12.49
Max. Negotiated Rate	$259.07
Rate for Payer: Aetna Commercial	$196.90
Rate for Payer: Aetna Medicare Advantage	$155.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.13
Rate for Payer: Cigna Commercial	$259.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$113.99
Rate for Payer: Qualcare PPO/HMO/WC	$77.72
Rate for Payer: UnitedHealthcare Community & State	$12.49
Rate for Payer: Wellpoint Medicaid Managed Care	$13.73

2.7 LOCKING 24MM

Facility

$1,036.30

Hospital Charge Code	270656867
Hospital Revenue Code	278
Min. Negotiated Rate	$24.97
Max. Negotiated Rate	$518.15
Rate for Payer: Aetna Commercial	$393.79
Rate for Payer: Aetna Medicare Advantage	$310.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$264.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$264.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$207.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$264.26
Rate for Payer: Cigna Commercial	$518.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$250.78
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$227.99
Rate for Payer: Qualcare PPO/HMO/WC	$155.44
Rate for Payer: UnitedHealthcare Community & State	$24.97
Rate for Payer: Wellpoint Medicaid Managed Care	$27.46

2.7 LOCKING 24MM

Facility

$1,036.30

Hospital Charge Code	270656867
Hospital Revenue Code	278
Min. Negotiated Rate	$155.44
Max. Negotiated Rate	$250.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$207.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$250.78
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$227.99
Rate for Payer: Qualcare PPO/HMO/WC	$155.44

2.7 LOCKING 30MM

Facility

$518.15

Hospital Charge Code	270656868
Hospital Revenue Code	278
Min. Negotiated Rate	$77.72
Max. Negotiated Rate	$125.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$113.99
Rate for Payer: Qualcare PPO/HMO/WC	$77.72

2.7 LOCKING 30MM

Facility

$518.15

Hospital Charge Code	270656868
Hospital Revenue Code	278
Min. Negotiated Rate	$12.49
Max. Negotiated Rate	$259.07
Rate for Payer: Aetna Commercial	$196.90
Rate for Payer: Aetna Medicare Advantage	$155.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.13
Rate for Payer: Cigna Commercial	$259.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$113.99
Rate for Payer: Qualcare PPO/HMO/WC	$77.72
Rate for Payer: UnitedHealthcare Community & State	$12.49
Rate for Payer: Wellpoint Medicaid Managed Care	$13.73

2.7 LOKCING 22MM

Facility

$518.75

Hospital Charge Code	270656866
Hospital Revenue Code	278
Min. Negotiated Rate	$12.50
Max. Negotiated Rate	$259.38
Rate for Payer: Aetna Commercial	$197.12
Rate for Payer: Aetna Medicare Advantage	$155.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.28
Rate for Payer: Cigna Commercial	$259.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$114.12
Rate for Payer: Qualcare PPO/HMO/WC	$77.81
Rate for Payer: UnitedHealthcare Community & State	$12.50
Rate for Payer: Wellpoint Medicaid Managed Care	$13.75

Know your out-of-pocket cost for care.

All Charges