Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

2.7 STANDARD DRILL BIT

Facility

$775.15

Hospital Charge Code	270661358
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 STANDARD DRILL BIT

Facility

$775.15

Hospital Charge Code	270661358
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 VA LOCKING ANT PATELLA PL

Facility

$10,419.75

Service Code	HCPCS C1713
Hospital Charge Code	270697039
Hospital Revenue Code	278
Min. Negotiated Rate	$251.12
Max. Negotiated Rate	$5,209.88
Rate for Payer: Aetna Commercial	$3,959.51
Rate for Payer: Aetna Medicare Advantage	$3,125.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,657.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,657.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,083.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,657.04
Rate for Payer: Cigna Commercial	$5,209.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,521.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,292.34
Rate for Payer: Qualcare PPO/HMO/WC	$1,562.96
Rate for Payer: UnitedHealthcare Community & State	$251.12
Rate for Payer: Wellpoint Medicaid Managed Care	$276.12

2.7 VA LOCKING ANT PATELLA PL

Facility

$10,419.75

Service Code	HCPCS C1713
Hospital Charge Code	270697039
Hospital Revenue Code	278
Min. Negotiated Rate	$1,562.96
Max. Negotiated Rate	$2,521.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,083.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,521.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,292.34
Rate for Payer: Qualcare PPO/HMO/WC	$1,562.96

2.7 X 12 LOCKING SCREW

Facility

$525.00

Hospital Charge Code	270656432
Hospital Revenue Code	278
Min. Negotiated Rate	$78.75
Max. Negotiated Rate	$127.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$105.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$115.50
Rate for Payer: Qualcare PPO/HMO/WC	$78.75

2.7 X 12 LOCKING SCREW

Facility

$525.00

Hospital Charge Code	270656432
Hospital Revenue Code	278
Min. Negotiated Rate	$12.65
Max. Negotiated Rate	$262.50
Rate for Payer: Aetna Commercial	$199.50
Rate for Payer: Aetna Medicare Advantage	$157.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$105.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.88
Rate for Payer: Cigna Commercial	$262.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$115.50
Rate for Payer: Qualcare PPO/HMO/WC	$78.75
Rate for Payer: UnitedHealthcare Community & State	$12.65
Rate for Payer: Wellpoint Medicaid Managed Care	$13.91

2.7 X 12MM SNAP OFF SCREW

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270687473
Hospital Revenue Code	278
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$181.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$165.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

2.7 X 12MM SNAP OFF SCREW

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270687473
Hospital Revenue Code	278
Min. Negotiated Rate	$18.07
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$165.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Community & State	$18.07
Rate for Payer: Wellpoint Medicaid Managed Care	$19.88

2.7 X 14 LOCKING SCREW

Facility

$525.00

Service Code	HCPCS C1713
Hospital Charge Code	270656433
Hospital Revenue Code	278
Min. Negotiated Rate	$78.75
Max. Negotiated Rate	$127.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$105.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$115.50
Rate for Payer: Qualcare PPO/HMO/WC	$78.75

2.7 X 14 LOCKING SCREW

Facility

$525.00

Service Code	HCPCS C1713
Hospital Charge Code	270656433
Hospital Revenue Code	278
Min. Negotiated Rate	$12.65
Max. Negotiated Rate	$262.50
Rate for Payer: Aetna Commercial	$199.50
Rate for Payer: Aetna Medicare Advantage	$157.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$105.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.88
Rate for Payer: Cigna Commercial	$262.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$115.50
Rate for Payer: Qualcare PPO/HMO/WC	$78.75
Rate for Payer: UnitedHealthcare Community & State	$12.65
Rate for Payer: Wellpoint Medicaid Managed Care	$13.91

2.7 X 16MM SCREW

Facility

$1,250.00

Hospital Charge Code	270656711
Hospital Revenue Code	278
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$302.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
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

2.7 X 16MM SCREW

Facility

$1,250.00

Hospital Charge Code	270656711
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

2.7 X 18MM ANGELED TENFUSE

Facility

$5,390.00

Hospital Charge Code	270663811
Hospital Revenue Code	278
Min. Negotiated Rate	$129.90
Max. Negotiated Rate	$2,695.00
Rate for Payer: Aetna Commercial	$2,048.20
Rate for Payer: Aetna Medicare Advantage	$1,617.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,374.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,374.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,078.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,374.45
Rate for Payer: Cigna Commercial	$2,695.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,304.38
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,185.80
Rate for Payer: Qualcare PPO/HMO/WC	$808.50
Rate for Payer: UnitedHealthcare Community & State	$129.90
Rate for Payer: Wellpoint Medicaid Managed Care	$142.84

2.7 X 18MM ANGELED TENFUSE

Facility

$5,390.00

Hospital Charge Code	270663811
Hospital Revenue Code	278
Min. Negotiated Rate	$808.50
Max. Negotiated Rate	$1,304.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,078.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,304.38
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,185.80
Rate for Payer: Qualcare PPO/HMO/WC	$808.50

2.7 X 18MM SCREW

Facility

$1,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270656727
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

2.7 X 18MM SCREW

Facility

$1,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270656727
Hospital Revenue Code	278
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$302.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
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

2.7X3.5X109MM PLATE 6-HOLE

Facility

$8,685.00

Hospital Charge Code	270704198
Hospital Revenue Code	278
Min. Negotiated Rate	$1,302.75
Max. Negotiated Rate	$2,101.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,737.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,101.77
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,910.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,302.75

2.7X3.5X109MM PLATE 6-HOLE

Facility

$8,685.00

Hospital Charge Code	270704198
Hospital Revenue Code	278
Min. Negotiated Rate	$209.31
Max. Negotiated Rate	$4,342.50
Rate for Payer: Aetna Commercial	$3,300.30
Rate for Payer: Aetna Medicare Advantage	$2,605.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,214.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,214.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,737.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,214.68
Rate for Payer: Cigna Commercial	$4,342.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,101.77
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,910.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,302.75
Rate for Payer: UnitedHealthcare Community & State	$209.31
Rate for Payer: Wellpoint Medicaid Managed Care	$230.15

2.7X37MM HOOK PLATE, 3HOLES

Facility

$10,040.00

Service Code	HCPCS C1713
Hospital Charge Code	270704199
Hospital Revenue Code	278
Min. Negotiated Rate	$1,506.00
Max. Negotiated Rate	$2,429.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,008.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,429.68
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,208.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,506.00

2.7X37MM HOOK PLATE, 3HOLES

Facility

$10,040.00

Service Code	HCPCS C1713
Hospital Charge Code	270704199
Hospital Revenue Code	278
Min. Negotiated Rate	$241.96
Max. Negotiated Rate	$5,020.00
Rate for Payer: Aetna Commercial	$3,815.20
Rate for Payer: Aetna Medicare Advantage	$3,012.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,560.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,560.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,008.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,560.20
Rate for Payer: Cigna Commercial	$5,020.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,429.68
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,208.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,506.00
Rate for Payer: UnitedHealthcare Community & State	$241.96
Rate for Payer: Wellpoint Medicaid Managed Care	$266.06

27X40X12MM CAGE

Facility

$31,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270704058
Hospital Revenue Code	278
Min. Negotiated Rate	$4,725.00
Max. Negotiated Rate	$7,623.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,623.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,930.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,725.00

27X40X12MM CAGE

Facility

$31,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270704058
Hospital Revenue Code	278
Min. Negotiated Rate	$759.15
Max. Negotiated Rate	$15,750.00
Rate for Payer: Aetna Commercial	$11,970.00
Rate for Payer: Aetna Medicare Advantage	$9,450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,032.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,032.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,032.50
Rate for Payer: Cigna Commercial	$15,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,623.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,930.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,725.00
Rate for Payer: UnitedHealthcare Community & State	$759.15
Rate for Payer: Wellpoint Medicaid Managed Care	$834.75

27X40X14MM CAGE

Facility

$31,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270704061
Hospital Revenue Code	278
Min. Negotiated Rate	$4,725.00
Max. Negotiated Rate	$7,623.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,623.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,930.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,725.00

27X40X14MM CAGE

Facility

$31,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270704061
Hospital Revenue Code	278
Min. Negotiated Rate	$759.15
Max. Negotiated Rate	$15,750.00
Rate for Payer: Aetna Commercial	$11,970.00
Rate for Payer: Aetna Medicare Advantage	$9,450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,032.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,032.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,032.50
Rate for Payer: Cigna Commercial	$15,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,623.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,930.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,725.00
Rate for Payer: UnitedHealthcare Community & State	$759.15
Rate for Payer: Wellpoint Medicaid Managed Care	$834.75

28-3.5MM FEMORAL HEAD CERAMIC

Facility

$6,000.00

Service Code	HCPCS C1889
Hospital Charge Code	270705863
Hospital Revenue Code	278
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$1,452.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,320.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

Know your out-of-pocket cost for care.

All Charges