Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

NAIL FEM IM 11x34 LT 225734001

Facility

$996.25

Hospital Charge Code	270634156
Hospital Revenue Code	278
Min. Negotiated Rate	$149.44
Max. Negotiated Rate	$241.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$199.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$241.09
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$219.18
Rate for Payer: Qualcare PPO/HMO/WC	$149.44

NAIL FEM IM 14x40 LT 225740004

Facility

$5,349.00

Hospital Charge Code	270633871
Hospital Revenue Code	278
Min. Negotiated Rate	$128.91
Max. Negotiated Rate	$2,674.50
Rate for Payer: Aetna Commercial	$2,032.62
Rate for Payer: Aetna Medicare Advantage	$1,604.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,363.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,363.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,069.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,363.99
Rate for Payer: Cigna Commercial	$2,674.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,294.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,176.78
Rate for Payer: Qualcare PPO/HMO/WC	$802.35
Rate for Payer: UnitedHealthcare Community & State	$128.91
Rate for Payer: Wellpoint Medicaid Managed Care	$141.75

NAIL FEM IM 14x40 LT 225740004

Facility

$5,349.00

Hospital Charge Code	270633871
Hospital Revenue Code	278
Min. Negotiated Rate	$802.35
Max. Negotiated Rate	$1,294.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,069.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,294.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,176.78
Rate for Payer: Qualcare PPO/HMO/WC	$802.35

NAIL FEML 11x28cm RETRO 343628

Facility

$4,905.50

Hospital Charge Code	270630851
Hospital Revenue Code	278
Min. Negotiated Rate	$118.22
Max. Negotiated Rate	$2,452.75
Rate for Payer: Aetna Commercial	$1,864.09
Rate for Payer: Aetna Medicare Advantage	$1,471.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,250.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,250.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$981.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,250.90
Rate for Payer: Cigna Commercial	$2,452.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,187.13
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,079.21
Rate for Payer: Qualcare PPO/HMO/WC	$735.83
Rate for Payer: UnitedHealthcare Community & State	$118.22
Rate for Payer: Wellpoint Medicaid Managed Care	$130.00

NAIL FEML 11x28cm RETRO 343628

Facility

$4,905.50

Hospital Charge Code	270630851
Hospital Revenue Code	278
Min. Negotiated Rate	$735.83
Max. Negotiated Rate	$1,187.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$981.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,187.13
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,079.21
Rate for Payer: Qualcare PPO/HMO/WC	$735.83

NAIL FEML I/M 12 X 34 22401234

Facility

$4,605.65

Hospital Charge Code	270625978
Hospital Revenue Code	278
Min. Negotiated Rate	$111.00
Max. Negotiated Rate	$2,302.82
Rate for Payer: Aetna Commercial	$1,750.15
Rate for Payer: Aetna Medicare Advantage	$1,381.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,174.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,174.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$921.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,174.44
Rate for Payer: Cigna Commercial	$2,302.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,114.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,013.24
Rate for Payer: Qualcare PPO/HMO/WC	$690.85
Rate for Payer: UnitedHealthcare Community & State	$111.00
Rate for Payer: Wellpoint Medicaid Managed Care	$122.05

NAIL FEML I/M 12 X 34 22401234

Facility

$4,605.65

Hospital Charge Code	270625978
Hospital Revenue Code	278
Min. Negotiated Rate	$690.85
Max. Negotiated Rate	$1,114.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$921.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,114.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,013.24
Rate for Payer: Qualcare PPO/HMO/WC	$690.85

NAIL FEMORAL 11x36 RET 343636

Facility

$8,320.00

Hospital Charge Code	270643370
Hospital Revenue Code	278
Min. Negotiated Rate	$1,248.00
Max. Negotiated Rate	$2,013.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,664.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,013.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,830.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,248.00

NAIL FEMORAL 11x36 RET 343636

Facility

$8,320.00

Hospital Charge Code	270643370
Hospital Revenue Code	278
Min. Negotiated Rate	$200.51
Max. Negotiated Rate	$4,160.00
Rate for Payer: Aetna Commercial	$3,161.60
Rate for Payer: Aetna Medicare Advantage	$2,496.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,121.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,121.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,664.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,121.60
Rate for Payer: Cigna Commercial	$4,160.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,013.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,830.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,248.00
Rate for Payer: UnitedHealthcare Community & State	$200.51
Rate for Payer: Wellpoint Medicaid Managed Care	$220.48

NAIL FEMORAL 11 X 380 MM

Facility

$14,980.00

Hospital Charge Code	270669250
Hospital Revenue Code	278
Min. Negotiated Rate	$2,247.00
Max. Negotiated Rate	$3,625.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,996.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,625.16
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,295.60
Rate for Payer: Qualcare PPO/HMO/WC	$2,247.00

NAIL FEMORAL 11 X 380 MM

Facility

$14,980.00

Hospital Charge Code	270669250
Hospital Revenue Code	278
Min. Negotiated Rate	$361.02
Max. Negotiated Rate	$7,490.00
Rate for Payer: Aetna Commercial	$5,692.40
Rate for Payer: Aetna Medicare Advantage	$4,494.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,819.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,819.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,996.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,819.90
Rate for Payer: Cigna Commercial	$7,490.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,625.16
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,295.60
Rate for Payer: Qualcare PPO/HMO/WC	$2,247.00
Rate for Payer: UnitedHealthcare Community & State	$361.02
Rate for Payer: Wellpoint Medicaid Managed Care	$396.97

NAIL FEMORAL 12x32 RETR 343632

Facility

$5,297.35

Hospital Charge Code	270632108
Hospital Revenue Code	278
Min. Negotiated Rate	$794.60
Max. Negotiated Rate	$1,281.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,059.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,281.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,165.42
Rate for Payer: Qualcare PPO/HMO/WC	$794.60

NAIL FEMORAL 12x32 RETR 343632

Facility

$5,297.35

Hospital Charge Code	270632108
Hospital Revenue Code	278
Min. Negotiated Rate	$127.67
Max. Negotiated Rate	$2,648.68
Rate for Payer: Aetna Commercial	$2,012.99
Rate for Payer: Aetna Medicare Advantage	$1,589.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,350.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,350.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,059.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,350.82
Rate for Payer: Cigna Commercial	$2,648.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,281.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,165.42
Rate for Payer: Qualcare PPO/HMO/WC	$794.60
Rate for Payer: UnitedHealthcare Community & State	$127.67
Rate for Payer: Wellpoint Medicaid Managed Care	$140.38

NAIL FEMORAL 12x34mm 343734

Facility

$8,320.00

Hospital Charge Code	270643468
Hospital Revenue Code	278
Min. Negotiated Rate	$200.51
Max. Negotiated Rate	$4,160.00
Rate for Payer: Aetna Commercial	$3,161.60
Rate for Payer: Aetna Medicare Advantage	$2,496.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,121.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,121.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,664.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,121.60
Rate for Payer: Cigna Commercial	$4,160.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,013.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,830.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,248.00
Rate for Payer: UnitedHealthcare Community & State	$200.51
Rate for Payer: Wellpoint Medicaid Managed Care	$220.48

NAIL FEMORAL 12x34mm 343734

Facility

$8,320.00

Hospital Charge Code	270643468
Hospital Revenue Code	278
Min. Negotiated Rate	$1,248.00
Max. Negotiated Rate	$2,013.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,664.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,013.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,830.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,248.00

NAIL FEMORAL IM 10mm 34cm RT

Facility

$5,562.95

Hospital Charge Code	270636661
Hospital Revenue Code	278
Min. Negotiated Rate	$834.44
Max. Negotiated Rate	$1,346.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,112.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,346.23
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,223.85
Rate for Payer: Qualcare PPO/HMO/WC	$834.44

NAIL FEMORAL IM 10mm 34cm RT

Facility

$5,562.95

Hospital Charge Code	270636661
Hospital Revenue Code	278
Min. Negotiated Rate	$134.07
Max. Negotiated Rate	$2,781.47
Rate for Payer: Aetna Commercial	$2,113.92
Rate for Payer: Aetna Medicare Advantage	$1,668.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,418.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,418.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,112.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,418.55
Rate for Payer: Cigna Commercial	$2,781.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,346.23
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,223.85
Rate for Payer: Qualcare PPO/HMO/WC	$834.44
Rate for Payer: UnitedHealthcare Community & State	$134.07
Rate for Payer: Wellpoint Medicaid Managed Care	$147.42

NAIL FEMORAL IM 14mm 34cm LT

Facility

$13,400.00

Service Code	HCPCS C1713
Hospital Charge Code	270632851
Hospital Revenue Code	278
Min. Negotiated Rate	$322.94
Max. Negotiated Rate	$6,700.00
Rate for Payer: Aetna Commercial	$5,092.00
Rate for Payer: Aetna Medicare Advantage	$4,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,417.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,417.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,680.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,417.00
Rate for Payer: Cigna Commercial	$6,700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,242.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,948.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,010.00
Rate for Payer: UnitedHealthcare Community & State	$322.94
Rate for Payer: Wellpoint Medicaid Managed Care	$355.10

NAIL FEMORAL IM 14mm 34cm LT

Facility

$13,400.00

Service Code	HCPCS C1713
Hospital Charge Code	270632851
Hospital Revenue Code	278
Min. Negotiated Rate	$2,010.00
Max. Negotiated Rate	$3,242.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,680.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,242.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,948.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,010.00

NAIL FEMORAL IM 2257-380-14

Facility

$5,563.25

Hospital Charge Code	270635483
Hospital Revenue Code	278
Min. Negotiated Rate	$834.49
Max. Negotiated Rate	$1,346.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,112.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,346.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,223.91
Rate for Payer: Qualcare PPO/HMO/WC	$834.49

NAIL FEMORAL IM 2257-380-14

Facility

$5,563.25

Hospital Charge Code	270635483
Hospital Revenue Code	278
Min. Negotiated Rate	$134.07
Max. Negotiated Rate	$2,781.62
Rate for Payer: Aetna Commercial	$2,114.03
Rate for Payer: Aetna Medicare Advantage	$1,668.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,418.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,418.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,112.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,418.63
Rate for Payer: Cigna Commercial	$2,781.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,346.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,223.91
Rate for Payer: Qualcare PPO/HMO/WC	$834.49
Rate for Payer: UnitedHealthcare Community & State	$134.07
Rate for Payer: Wellpoint Medicaid Managed Care	$147.43

NAIL FEMORAL RETRO 9MM x300MM

Facility

$9,710.00

Hospital Charge Code	270648133
Hospital Revenue Code	278
Min. Negotiated Rate	$234.01
Max. Negotiated Rate	$4,855.00
Rate for Payer: Aetna Commercial	$3,689.80
Rate for Payer: Aetna Medicare Advantage	$2,913.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,476.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,476.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,942.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,476.05
Rate for Payer: Cigna Commercial	$4,855.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,349.82
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,136.20
Rate for Payer: Qualcare PPO/HMO/WC	$1,456.50
Rate for Payer: UnitedHealthcare Community & State	$234.01
Rate for Payer: Wellpoint Medicaid Managed Care	$257.31

NAIL FEMORAL RETRO 9MM x300MM

Facility

$9,710.00

Hospital Charge Code	270648133
Hospital Revenue Code	278
Min. Negotiated Rate	$1,456.50
Max. Negotiated Rate	$2,349.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,942.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,349.82
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,136.20
Rate for Payer: Qualcare PPO/HMO/WC	$1,456.50

NAIL FEMORAL RETRO 9x340MM

Facility

$15,280.00

Service Code	HCPCS C1713
Hospital Charge Code	270677972
Hospital Revenue Code	278
Min. Negotiated Rate	$368.25
Max. Negotiated Rate	$7,640.00
Rate for Payer: Aetna Commercial	$5,806.40
Rate for Payer: Aetna Medicare Advantage	$4,584.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,896.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,896.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,056.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,896.40
Rate for Payer: Cigna Commercial	$7,640.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,697.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,361.60
Rate for Payer: Qualcare PPO/HMO/WC	$2,292.00
Rate for Payer: UnitedHealthcare Community & State	$368.25
Rate for Payer: Wellpoint Medicaid Managed Care	$404.92

NAIL FEMORAL RETRO 9x340MM

Facility

$15,280.00

Service Code	HCPCS C1713
Hospital Charge Code	270677972
Hospital Revenue Code	278
Min. Negotiated Rate	$2,292.00
Max. Negotiated Rate	$3,697.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,056.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,697.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,361.60
Rate for Payer: Qualcare PPO/HMO/WC	$2,292.00

Know your out-of-pocket cost for care.

All Charges