Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

NAIL GAMMA 11X380MM 125D LT

Facility

$17,730.00

Service Code	HCPCS C1713
Hospital Charge Code	270698912
Hospital Revenue Code	278
Min. Negotiated Rate	$427.29
Max. Negotiated Rate	$8,865.00
Rate for Payer: Aetna Commercial	$6,737.40
Rate for Payer: Aetna Medicare Advantage	$5,319.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,521.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,521.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,546.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,521.15
Rate for Payer: Cigna Commercial	$8,865.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,290.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,900.60
Rate for Payer: Qualcare PPO/HMO/WC	$2,659.50
Rate for Payer: UnitedHealthcare Community & State	$427.29
Rate for Payer: Wellpoint Medicaid Managed Care	$469.85

NAIL GAMMA 11X380MM 125D LT

Facility

$17,730.00

Service Code	HCPCS C1713
Hospital Charge Code	270698912
Hospital Revenue Code	278
Min. Negotiated Rate	$2,659.50
Max. Negotiated Rate	$4,290.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,546.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,290.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,900.60
Rate for Payer: Qualcare PPO/HMO/WC	$2,659.50

NAIL GAMMA LONG LT11X360MM125D

Facility

$17,730.00

Service Code	HCPCS C1713
Hospital Charge Code	270700390
Hospital Revenue Code	278
Min. Negotiated Rate	$427.29
Max. Negotiated Rate	$8,865.00
Rate for Payer: Aetna Commercial	$6,737.40
Rate for Payer: Aetna Medicare Advantage	$5,319.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,521.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,521.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,546.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,521.15
Rate for Payer: Cigna Commercial	$8,865.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,290.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,900.60
Rate for Payer: Qualcare PPO/HMO/WC	$2,659.50
Rate for Payer: UnitedHealthcare Community & State	$427.29
Rate for Payer: Wellpoint Medicaid Managed Care	$469.85

NAIL GAMMA LONG LT11X360MM125D

Facility

$17,730.00

Service Code	HCPCS C1713
Hospital Charge Code	270700390
Hospital Revenue Code	278
Min. Negotiated Rate	$2,659.50
Max. Negotiated Rate	$4,290.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,546.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,290.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,900.60
Rate for Payer: Qualcare PPO/HMO/WC	$2,659.50

NAIL HINDFOOT 10X180MM TI RT

Facility

$5,786.75

Service Code	HCPCS C1713
Hospital Charge Code	270693255
Hospital Revenue Code	278
Min. Negotiated Rate	$868.01
Max. Negotiated Rate	$1,400.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,157.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,400.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,273.09
Rate for Payer: Qualcare PPO/HMO/WC	$868.01

NAIL HINDFOOT 10X180MM TI RT

Facility

$5,786.75

Service Code	HCPCS C1713
Hospital Charge Code	270693255
Hospital Revenue Code	278
Min. Negotiated Rate	$139.46
Max. Negotiated Rate	$2,893.38
Rate for Payer: Aetna Commercial	$2,198.97
Rate for Payer: Aetna Medicare Advantage	$1,736.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,475.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,475.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,157.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,475.62
Rate for Payer: Cigna Commercial	$2,893.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,400.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,273.09
Rate for Payer: Qualcare PPO/HMO/WC	$868.01
Rate for Payer: UnitedHealthcare Community & State	$139.46
Rate for Payer: Wellpoint Medicaid Managed Care	$153.35

NAIL HIP AFFIXUS 125 9MM 180MM

Facility

$6,925.00

Service Code	HCPCS C1713
Hospital Charge Code	270704258
Hospital Revenue Code	278
Min. Negotiated Rate	$166.89
Max. Negotiated Rate	$3,462.50
Rate for Payer: Aetna Commercial	$2,631.50
Rate for Payer: Aetna Medicare Advantage	$2,077.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,765.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,765.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,385.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,765.88
Rate for Payer: Cigna Commercial	$3,462.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,675.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,523.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,038.75
Rate for Payer: UnitedHealthcare Community & State	$166.89
Rate for Payer: Wellpoint Medicaid Managed Care	$183.51

NAIL HIP AFFIXUS 125 9MM 180MM

Facility

$6,925.00

Service Code	HCPCS C1713
Hospital Charge Code	270704258
Hospital Revenue Code	278
Min. Negotiated Rate	$1,038.75
Max. Negotiated Rate	$1,675.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,385.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,675.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,523.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,038.75

NAIL HIP FRACT 130DEG 11x180mm

Facility

$6,650.00

Service Code	HCPCS C1713
Hospital Charge Code	270673673
Hospital Revenue Code	278
Min. Negotiated Rate	$997.50
Max. Negotiated Rate	$1,609.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,330.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,609.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,463.00
Rate for Payer: Qualcare PPO/HMO/WC	$997.50

NAIL HIP FRACT 130DEG 11x180mm

Facility

$6,650.00

Service Code	HCPCS C1713
Hospital Charge Code	270673673
Hospital Revenue Code	278
Min. Negotiated Rate	$160.26
Max. Negotiated Rate	$3,325.00
Rate for Payer: Aetna Commercial	$2,527.00
Rate for Payer: Aetna Medicare Advantage	$1,995.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,695.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,695.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,330.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,695.75
Rate for Payer: Cigna Commercial	$3,325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,609.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,463.00
Rate for Payer: Qualcare PPO/HMO/WC	$997.50
Rate for Payer: UnitedHealthcare Community & State	$160.26
Rate for Payer: Wellpoint Medicaid Managed Care	$176.22

NAIL HIP FRACTURE 130 9X 80MM

Facility

$6,925.00

Service Code	HCPCS C1713
Hospital Charge Code	270687111
Hospital Revenue Code	278
Min. Negotiated Rate	$166.89
Max. Negotiated Rate	$3,462.50
Rate for Payer: Aetna Commercial	$2,631.50
Rate for Payer: Aetna Medicare Advantage	$2,077.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,765.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,765.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,385.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,765.88
Rate for Payer: Cigna Commercial	$3,462.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,675.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,523.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,038.75
Rate for Payer: UnitedHealthcare Community & State	$166.89
Rate for Payer: Wellpoint Medicaid Managed Care	$183.51

NAIL HIP FRACTURE 130 9X 80MM

Facility

$6,925.00

Service Code	HCPCS C1713
Hospital Charge Code	270687111
Hospital Revenue Code	278
Min. Negotiated Rate	$1,038.75
Max. Negotiated Rate	$1,675.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,385.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,675.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,523.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,038.75

NAIL HIP FX LEFT 125D11X360MM

Facility

$9,825.00

Service Code	HCPCS C1713
Hospital Charge Code	270695970
Hospital Revenue Code	278
Min. Negotiated Rate	$236.78
Max. Negotiated Rate	$4,912.50
Rate for Payer: Aetna Commercial	$3,733.50
Rate for Payer: Aetna Medicare Advantage	$2,947.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,505.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,505.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,965.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,505.38
Rate for Payer: Cigna Commercial	$4,912.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,377.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,161.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,473.75
Rate for Payer: UnitedHealthcare Community & State	$236.78
Rate for Payer: Wellpoint Medicaid Managed Care	$260.36

NAIL HIP FX LEFT 125D11X360MM

Facility

$9,825.00

Service Code	HCPCS C1713
Hospital Charge Code	270695970
Hospital Revenue Code	278
Min. Negotiated Rate	$1,473.75
Max. Negotiated Rate	$2,377.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,965.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,377.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,161.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,473.75

NAIL HMD GAMMA 11 340 33706025

Facility

$4,193.65

Hospital Charge Code	270621775
Hospital Revenue Code	278
Min. Negotiated Rate	$101.07
Max. Negotiated Rate	$2,096.82
Rate for Payer: Aetna Commercial	$1,593.59
Rate for Payer: Aetna Medicare Advantage	$1,258.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,069.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,069.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$838.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,069.38
Rate for Payer: Cigna Commercial	$2,096.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,014.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$922.60
Rate for Payer: Qualcare PPO/HMO/WC	$629.05
Rate for Payer: UnitedHealthcare Community & State	$101.07
Rate for Payer: Wellpoint Medicaid Managed Care	$111.13

NAIL HMD GAMMA 11 340 33706025

Facility

$4,193.65

Hospital Charge Code	270621775
Hospital Revenue Code	278
Min. Negotiated Rate	$629.05
Max. Negotiated Rate	$1,014.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$838.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,014.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$922.60
Rate for Payer: Qualcare PPO/HMO/WC	$629.05

NAIL HMD GAMMA 11 360 33706125

Facility

$4,193.65

Hospital Charge Code	270620982
Hospital Revenue Code	278
Min. Negotiated Rate	$101.07
Max. Negotiated Rate	$2,096.82
Rate for Payer: Aetna Commercial	$1,593.59
Rate for Payer: Aetna Medicare Advantage	$1,258.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,069.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,069.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$838.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,069.38
Rate for Payer: Cigna Commercial	$2,096.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,014.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$922.60
Rate for Payer: Qualcare PPO/HMO/WC	$629.05
Rate for Payer: UnitedHealthcare Community & State	$101.07
Rate for Payer: Wellpoint Medicaid Managed Care	$111.13

NAIL HMD GAMMA 11 360 33706125

Facility

$4,193.65

Hospital Charge Code	270620982
Hospital Revenue Code	278
Min. Negotiated Rate	$629.05
Max. Negotiated Rate	$1,014.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$838.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,014.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$922.60
Rate for Payer: Qualcare PPO/HMO/WC	$629.05

NAIL HMD GAMMA 11/360 33707125

Facility

$3,992.00

Hospital Charge Code	270617157
Hospital Revenue Code	278
Min. Negotiated Rate	$598.80
Max. Negotiated Rate	$966.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$798.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$966.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$878.24
Rate for Payer: Qualcare PPO/HMO/WC	$598.80

NAIL HMD GAMMA 11/360 33707125

Facility

$3,992.00

Hospital Charge Code	270617157
Hospital Revenue Code	278
Min. Negotiated Rate	$96.21
Max. Negotiated Rate	$1,996.00
Rate for Payer: Aetna Commercial	$1,516.96
Rate for Payer: Aetna Medicare Advantage	$1,197.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,017.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,017.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$798.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,017.96
Rate for Payer: Cigna Commercial	$1,996.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$966.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$878.24
Rate for Payer: Qualcare PPO/HMO/WC	$598.80
Rate for Payer: UnitedHealthcare Community & State	$96.21
Rate for Payer: Wellpoint Medicaid Managed Care	$105.79

NAIL HMD GAMMA 11/380 33706225

Facility

$4,193.65

Hospital Charge Code	270621062
Hospital Revenue Code	278
Min. Negotiated Rate	$629.05
Max. Negotiated Rate	$1,014.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$838.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,014.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$922.60
Rate for Payer: Qualcare PPO/HMO/WC	$629.05

NAIL HMD GAMMA 11/380 33706225

Facility

$4,193.65

Hospital Charge Code	270621062
Hospital Revenue Code	278
Min. Negotiated Rate	$101.07
Max. Negotiated Rate	$2,096.82
Rate for Payer: Aetna Commercial	$1,593.59
Rate for Payer: Aetna Medicare Advantage	$1,258.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,069.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,069.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$838.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,069.38
Rate for Payer: Cigna Commercial	$2,096.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,014.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$922.60
Rate for Payer: Qualcare PPO/HMO/WC	$629.05
Rate for Payer: UnitedHealthcare Community & State	$101.07
Rate for Payer: Wellpoint Medicaid Managed Care	$111.13

NAIL HMD GAMMA 11/390 33707225

Facility

$3,802.45

Hospital Charge Code	270613072
Hospital Revenue Code	278
Min. Negotiated Rate	$570.37
Max. Negotiated Rate	$920.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$760.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$920.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$836.54
Rate for Payer: Qualcare PPO/HMO/WC	$570.37

NAIL HMD GAMMA 11/390 33707225

Facility

$3,802.45

Hospital Charge Code	270613072
Hospital Revenue Code	278
Min. Negotiated Rate	$91.64
Max. Negotiated Rate	$1,901.22
Rate for Payer: Aetna Commercial	$1,444.93
Rate for Payer: Aetna Medicare Advantage	$1,140.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$969.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$969.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$760.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$969.62
Rate for Payer: Cigna Commercial	$1,901.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$920.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$836.54
Rate for Payer: Qualcare PPO/HMO/WC	$570.37
Rate for Payer: UnitedHealthcare Community & State	$91.64
Rate for Payer: Wellpoint Medicaid Managed Care	$100.76

NAIL HUMERAL 7MM X 220 MM

Facility

$7,605.00

Hospital Charge Code	270667567
Hospital Revenue Code	278
Min. Negotiated Rate	$1,140.75
Max. Negotiated Rate	$1,840.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,521.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,840.41
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,673.10
Rate for Payer: Qualcare PPO/HMO/WC	$1,140.75

Know your out-of-pocket cost for care.

All Charges