Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

NAIL FEMORAL RETRO 9X460MM

Facility

$10,925.00

Service Code	HCPCS C1713
Hospital Charge Code	270700116
Hospital Revenue Code	278
Min. Negotiated Rate	$1,638.75
Max. Negotiated Rate	$2,643.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,185.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,643.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,403.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,638.75

NAIL FEMORAL RETRO 9X460MM

Facility

$10,925.00

Service Code	HCPCS C1713
Hospital Charge Code	270700116
Hospital Revenue Code	278
Min. Negotiated Rate	$263.29
Max. Negotiated Rate	$5,462.50
Rate for Payer: Aetna Commercial	$4,151.50
Rate for Payer: Aetna Medicare Advantage	$3,277.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,785.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,785.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,185.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,785.88
Rate for Payer: Cigna Commercial	$5,462.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,643.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,403.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,638.75
Rate for Payer: UnitedHealthcare Community & State	$263.29
Rate for Payer: Wellpoint Medicaid Managed Care	$289.51

NAIL FEMORL 10x38 RT 225738010

Facility

$5,193.20

Hospital Charge Code	270632311
Hospital Revenue Code	278
Min. Negotiated Rate	$778.98
Max. Negotiated Rate	$1,256.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,038.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,256.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,142.50
Rate for Payer: Qualcare PPO/HMO/WC	$778.98

NAIL FEMORL 10x38 RT 225738010

Facility

$5,193.20

Hospital Charge Code	270632311
Hospital Revenue Code	278
Min. Negotiated Rate	$125.16
Max. Negotiated Rate	$2,596.60
Rate for Payer: Aetna Commercial	$1,973.42
Rate for Payer: Aetna Medicare Advantage	$1,557.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,324.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,324.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,038.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,324.27
Rate for Payer: Cigna Commercial	$2,596.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,256.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,142.50
Rate for Payer: Qualcare PPO/HMO/WC	$778.98
Rate for Payer: UnitedHealthcare Community & State	$125.16
Rate for Payer: Wellpoint Medicaid Managed Care	$137.62

NAIL FEMRAL I/M 14x18 22401418

Facility

$4,766.65

Hospital Charge Code	270632353
Hospital Revenue Code	278
Min. Negotiated Rate	$114.88
Max. Negotiated Rate	$2,383.32
Rate for Payer: Aetna Commercial	$1,811.33
Rate for Payer: Aetna Medicare Advantage	$1,429.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,215.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,215.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$953.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,215.50
Rate for Payer: Cigna Commercial	$2,383.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,153.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,048.66
Rate for Payer: Qualcare PPO/HMO/WC	$715.00
Rate for Payer: UnitedHealthcare Community & State	$114.88
Rate for Payer: Wellpoint Medicaid Managed Care	$126.32

NAIL FEMRAL I/M 14x18 22401418

Facility

$4,766.65

Hospital Charge Code	270632353
Hospital Revenue Code	278
Min. Negotiated Rate	$715.00
Max. Negotiated Rate	$1,153.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$953.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,153.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,048.66
Rate for Payer: Qualcare PPO/HMO/WC	$715.00

NAIL FEM RET10.5X380 14444238

Facility

$6,720.00

Hospital Charge Code	270645056
Hospital Revenue Code	278
Min. Negotiated Rate	$161.95
Max. Negotiated Rate	$3,360.00
Rate for Payer: Aetna Commercial	$2,553.60
Rate for Payer: Aetna Medicare Advantage	$2,016.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,713.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,713.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,344.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,713.60
Rate for Payer: Cigna Commercial	$3,360.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,626.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,478.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,008.00
Rate for Payer: UnitedHealthcare Community & State	$161.95
Rate for Payer: Wellpoint Medicaid Managed Care	$178.08

NAIL FEM RET10.5X380 14444238

Facility

$6,720.00

Hospital Charge Code	270645056
Hospital Revenue Code	278
Min. Negotiated Rate	$1,008.00
Max. Negotiated Rate	$1,626.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,344.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,626.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,478.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,008.00

NAIL FEM RET 12X360mm 14444336

Facility

$6,720.00

Hospital Charge Code	270645061
Hospital Revenue Code	278
Min. Negotiated Rate	$1,008.00
Max. Negotiated Rate	$1,626.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,344.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,626.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,478.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,008.00

NAIL FEM RET 12X360mm 14444336

Facility

$6,720.00

Hospital Charge Code	270645061
Hospital Revenue Code	278
Min. Negotiated Rate	$161.95
Max. Negotiated Rate	$3,360.00
Rate for Payer: Aetna Commercial	$2,553.60
Rate for Payer: Aetna Medicare Advantage	$2,016.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,713.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,713.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,344.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,713.60
Rate for Payer: Cigna Commercial	$3,360.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,626.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,478.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,008.00
Rate for Payer: UnitedHealthcare Community & State	$161.95
Rate for Payer: Wellpoint Medicaid Managed Care	$178.08

NAIL FEM RETRO 10.5mmx440mm

Facility

$9,710.00

Hospital Charge Code	270663670
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 FEM RETRO 10.5mmx440mm

Facility

$9,710.00

Hospital Charge Code	270663670
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 FEM RETRO 10.5X340MM

Facility

$9,710.00

Service Code	HCPCS C1713
Hospital Charge Code	270662018
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 FEM RETRO 10.5X340MM

Facility

$9,710.00

Service Code	HCPCS C1713
Hospital Charge Code	270662018
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 FEM RETRO 12x348mm

Facility

$9,710.00

Hospital Charge Code	270675928
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 FEM RETRO 12x348mm

Facility

$9,710.00

Hospital Charge Code	270675928
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 FEM RETROGRADE 10.5x360mm

Facility

$9,070.00

Hospital Charge Code	270645513
Hospital Revenue Code	278
Min. Negotiated Rate	$1,360.50
Max. Negotiated Rate	$2,194.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,814.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,194.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,995.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,360.50

NAIL FEM RETROGRADE 10.5x360mm

Facility

$9,070.00

Hospital Charge Code	270645513
Hospital Revenue Code	278
Min. Negotiated Rate	$218.59
Max. Negotiated Rate	$4,535.00
Rate for Payer: Aetna Commercial	$3,446.60
Rate for Payer: Aetna Medicare Advantage	$2,721.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,312.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,312.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,814.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,312.85
Rate for Payer: Cigna Commercial	$4,535.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,194.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,995.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,360.50
Rate for Payer: UnitedHealthcare Community & State	$218.59
Rate for Payer: Wellpoint Medicaid Managed Care	$240.35

NAIL FEM TRH 10.5x380 14443338

Facility

$9,400.00

Hospital Charge Code	270641743
Hospital Revenue Code	278
Min. Negotiated Rate	$226.54
Max. Negotiated Rate	$4,700.00
Rate for Payer: Aetna Commercial	$3,572.00
Rate for Payer: Aetna Medicare Advantage	$2,820.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,397.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,397.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,880.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,397.00
Rate for Payer: Cigna Commercial	$4,700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,274.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,068.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,410.00
Rate for Payer: UnitedHealthcare Community & State	$226.54
Rate for Payer: Wellpoint Medicaid Managed Care	$249.10

NAIL FEM TRH 10.5x380 14443338

Facility

$9,400.00

Hospital Charge Code	270641743
Hospital Revenue Code	278
Min. Negotiated Rate	$1,410.00
Max. Negotiated Rate	$2,274.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,880.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,274.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,068.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,410.00

NAIL FEM TROCH 10.5x360mm RT

Facility

$11,950.00

Hospital Charge Code	270675721
Hospital Revenue Code	278
Min. Negotiated Rate	$288.00
Max. Negotiated Rate	$5,975.00
Rate for Payer: Aetna Commercial	$4,541.00
Rate for Payer: Aetna Medicare Advantage	$3,585.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,047.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,047.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,390.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,047.25
Rate for Payer: Cigna Commercial	$5,975.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,891.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,629.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,792.50
Rate for Payer: UnitedHealthcare Community & State	$288.00
Rate for Payer: Wellpoint Medicaid Managed Care	$316.68

NAIL FEM TROCH 10.5x360mm RT

Facility

$11,950.00

Hospital Charge Code	270675721
Hospital Revenue Code	278
Min. Negotiated Rate	$1,792.50
Max. Negotiated Rate	$2,891.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,390.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,891.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,629.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,792.50

NAIL FEM TROCH RT 10.5MMX300MM

Facility

$11,950.00

Hospital Charge Code	270664094
Hospital Revenue Code	278
Min. Negotiated Rate	$1,792.50
Max. Negotiated Rate	$2,891.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,390.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,891.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,629.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,792.50

NAIL FEM TROCH RT 10.5MMX300MM

Facility

$11,950.00

Hospital Charge Code	270664094
Hospital Revenue Code	278
Min. Negotiated Rate	$288.00
Max. Negotiated Rate	$5,975.00
Rate for Payer: Aetna Commercial	$4,541.00
Rate for Payer: Aetna Medicare Advantage	$3,585.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,047.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,047.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,390.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,047.25
Rate for Payer: Cigna Commercial	$5,975.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,891.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,629.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,792.50
Rate for Payer: UnitedHealthcare Community & State	$288.00
Rate for Payer: Wellpoint Medicaid Managed Care	$316.68

NAIL FEM TROCH RT 10.5x440mm

Facility

$11,950.00

Service Code	HCPCS C1713
Hospital Charge Code	270673235
Hospital Revenue Code	278
Min. Negotiated Rate	$1,792.50
Max. Negotiated Rate	$2,891.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,390.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,891.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,629.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,792.50

Know your out-of-pocket cost for care.

All Charges