Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

NAIL HUMERAL 7MM X 220 MM

Facility

$7,605.00

Hospital Charge Code	270667567
Hospital Revenue Code	278
Min. Negotiated Rate	$183.28
Max. Negotiated Rate	$3,802.50
Rate for Payer: Aetna Commercial	$2,889.90
Rate for Payer: Aetna Medicare Advantage	$2,281.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,939.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,939.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,521.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,939.28
Rate for Payer: Cigna Commercial	$3,802.50
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
Rate for Payer: UnitedHealthcare Community & State	$183.28
Rate for Payer: Wellpoint Medicaid Managed Care	$201.53

NAIL HUMERAL 7MM X 230 MM

Facility

$7,605.00

Hospital Charge Code	270667566
Hospital Revenue Code	278
Min. Negotiated Rate	$183.28
Max. Negotiated Rate	$3,802.50
Rate for Payer: Aetna Commercial	$2,889.90
Rate for Payer: Aetna Medicare Advantage	$2,281.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,939.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,939.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,521.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,939.28
Rate for Payer: Cigna Commercial	$3,802.50
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
Rate for Payer: UnitedHealthcare Community & State	$183.28
Rate for Payer: Wellpoint Medicaid Managed Care	$201.53

NAIL HUMERAL 7MM X 230 MM

Facility

$7,605.00

Hospital Charge Code	270667566
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

NAIL HUMERAL 7TI MULTIOC 240-S

Facility

$11,046.75

Service Code	HCPCS C1713
Hospital Charge Code	270694990
Hospital Revenue Code	278
Min. Negotiated Rate	$266.23
Max. Negotiated Rate	$5,523.38
Rate for Payer: Aetna Commercial	$4,197.77
Rate for Payer: Aetna Medicare Advantage	$3,314.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,816.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,816.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,209.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,816.92
Rate for Payer: Cigna Commercial	$5,523.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,673.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,430.28
Rate for Payer: Qualcare PPO/HMO/WC	$1,657.01
Rate for Payer: UnitedHealthcare Community & State	$266.23
Rate for Payer: Wellpoint Medicaid Managed Care	$292.74

NAIL HUMERAL 7TI MULTIOC 240-S

Facility

$11,046.75

Service Code	HCPCS C1713
Hospital Charge Code	270694990
Hospital Revenue Code	278
Min. Negotiated Rate	$1,657.01
Max. Negotiated Rate	$2,673.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,209.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,673.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,430.28
Rate for Payer: Qualcare PPO/HMO/WC	$1,657.01

NAIL HUMERAL 7 X 270MM

Facility

$9,120.35

Service Code	HCPCS C1713
Hospital Charge Code	270688208
Hospital Revenue Code	278
Min. Negotiated Rate	$1,368.05
Max. Negotiated Rate	$2,207.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,824.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,207.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,006.48
Rate for Payer: Qualcare PPO/HMO/WC	$1,368.05

NAIL HUMERAL 7 X 270MM

Facility

$9,120.35

Service Code	HCPCS C1713
Hospital Charge Code	270688208
Hospital Revenue Code	278
Min. Negotiated Rate	$219.80
Max. Negotiated Rate	$4,560.18
Rate for Payer: Aetna Commercial	$3,465.73
Rate for Payer: Aetna Medicare Advantage	$2,736.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,325.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,325.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,824.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,325.69
Rate for Payer: Cigna Commercial	$4,560.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,207.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,006.48
Rate for Payer: Qualcare PPO/HMO/WC	$1,368.05
Rate for Payer: UnitedHealthcare Community & State	$219.80
Rate for Payer: Wellpoint Medicaid Managed Care	$241.69

NAIL HUMERAL 8 24 340624

Facility

$5,360.00

Hospital Charge Code	270612315
Hospital Revenue Code	278
Min. Negotiated Rate	$129.18
Max. Negotiated Rate	$2,680.00
Rate for Payer: Aetna Commercial	$2,036.80
Rate for Payer: Aetna Medicare Advantage	$1,608.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,366.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,366.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,072.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,366.80
Rate for Payer: Cigna Commercial	$2,680.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,297.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,179.20
Rate for Payer: Qualcare PPO/HMO/WC	$804.00
Rate for Payer: UnitedHealthcare Community & State	$129.18
Rate for Payer: Wellpoint Medicaid Managed Care	$142.04

NAIL HUMERAL 8 24 340624

Facility

$5,360.00

Hospital Charge Code	270612315
Hospital Revenue Code	278
Min. Negotiated Rate	$804.00
Max. Negotiated Rate	$1,297.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,072.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,297.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,179.20
Rate for Payer: Qualcare PPO/HMO/WC	$804.00

NAIL HUMERAL 8.5 MM LEFT 225 M

Facility

$975.00

Service Code	HCPCS C1713
Hospital Charge Code	270689085
Hospital Revenue Code	278
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$235.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$214.50
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

NAIL HUMERAL 8.5 MM LEFT 225 M

Facility

$975.00

Service Code	HCPCS C1713
Hospital Charge Code	270689085
Hospital Revenue Code	278
Min. Negotiated Rate	$23.50
Max. Negotiated Rate	$487.50
Rate for Payer: Aetna Commercial	$370.50
Rate for Payer: Aetna Medicare Advantage	$292.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.62
Rate for Payer: Cigna Commercial	$487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$214.50
Rate for Payer: Qualcare PPO/HMO/WC	$146.25
Rate for Payer: UnitedHealthcare Community & State	$23.50
Rate for Payer: Wellpoint Medicaid Managed Care	$25.84

NAIL HUMERAL 8mm X 28cm 340628

Facility

$6,680.00

Hospital Charge Code	270641406
Hospital Revenue Code	278
Min. Negotiated Rate	$1,002.00
Max. Negotiated Rate	$1,616.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,336.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,616.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,469.60
Rate for Payer: Qualcare PPO/HMO/WC	$1,002.00

NAIL HUMERAL 8mm X 28cm 340628

Facility

$6,680.00

Hospital Charge Code	270641406
Hospital Revenue Code	278
Min. Negotiated Rate	$160.99
Max. Negotiated Rate	$3,340.00
Rate for Payer: Aetna Commercial	$2,538.40
Rate for Payer: Aetna Medicare Advantage	$2,004.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,703.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,703.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,336.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,703.40
Rate for Payer: Cigna Commercial	$3,340.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,616.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,469.60
Rate for Payer: Qualcare PPO/HMO/WC	$1,002.00
Rate for Payer: UnitedHealthcare Community & State	$160.99
Rate for Payer: Wellpoint Medicaid Managed Care	$177.02

NAIL HUMERAL 9.5MMx160MM RIGHT

Facility

$11,000.00

Hospital Charge Code	270650152
Hospital Revenue Code	278
Min. Negotiated Rate	$1,650.00
Max. Negotiated Rate	$2,662.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,662.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,420.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,650.00

NAIL HUMERAL 9.5MMx160MM RIGHT

Facility

$11,000.00

Hospital Charge Code	270650152
Hospital Revenue Code	278
Min. Negotiated Rate	$265.10
Max. Negotiated Rate	$5,500.00
Rate for Payer: Aetna Commercial	$4,180.00
Rate for Payer: Aetna Medicare Advantage	$3,300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,805.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,805.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,805.00
Rate for Payer: Cigna Commercial	$5,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,662.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,420.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,650.00
Rate for Payer: UnitedHealthcare Community & State	$265.10
Rate for Payer: Wellpoint Medicaid Managed Care	$291.50

NAIL HUMERAL 9mm X 24cm 340724

Facility

$5,360.00

Hospital Charge Code	270637677
Hospital Revenue Code	278
Min. Negotiated Rate	$129.18
Max. Negotiated Rate	$2,680.00
Rate for Payer: Aetna Commercial	$2,036.80
Rate for Payer: Aetna Medicare Advantage	$1,608.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,366.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,366.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,072.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,366.80
Rate for Payer: Cigna Commercial	$2,680.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,297.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,179.20
Rate for Payer: Qualcare PPO/HMO/WC	$804.00
Rate for Payer: UnitedHealthcare Community & State	$129.18
Rate for Payer: Wellpoint Medicaid Managed Care	$142.04

NAIL HUMERAL 9mm X 24cm 340724

Facility

$5,360.00

Hospital Charge Code	270637677
Hospital Revenue Code	278
Min. Negotiated Rate	$804.00
Max. Negotiated Rate	$1,297.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,072.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,297.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,179.20
Rate for Payer: Qualcare PPO/HMO/WC	$804.00

NAIL HUMERAL PROX 8 .0

Facility

$8,003.10

Service Code	HCPCS C1713
Hospital Charge Code	270687425
Hospital Revenue Code	278
Min. Negotiated Rate	$1,200.46
Max. Negotiated Rate	$1,936.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,600.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,936.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,760.68
Rate for Payer: Qualcare PPO/HMO/WC	$1,200.46

NAIL HUMERAL PROX 8 .0

Facility

$8,003.10

Service Code	HCPCS C1713
Hospital Charge Code	270687425
Hospital Revenue Code	278
Min. Negotiated Rate	$192.87
Max. Negotiated Rate	$4,001.55
Rate for Payer: Aetna Commercial	$3,041.18
Rate for Payer: Aetna Medicare Advantage	$2,400.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,040.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,040.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,600.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,040.79
Rate for Payer: Cigna Commercial	$4,001.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,936.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,760.68
Rate for Payer: Qualcare PPO/HMO/WC	$1,200.46
Rate for Payer: UnitedHealthcare Community & State	$192.87
Rate for Payer: Wellpoint Medicaid Managed Care	$212.08

NAIL HUMERAL PROX RT 9.5x180MM

Facility

$8,003.10

Service Code	HCPCS C1713
Hospital Charge Code	270651079
Hospital Revenue Code	278
Min. Negotiated Rate	$192.87
Max. Negotiated Rate	$4,001.55
Rate for Payer: Aetna Commercial	$3,041.18
Rate for Payer: Aetna Medicare Advantage	$2,400.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,040.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,040.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,600.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,040.79
Rate for Payer: Cigna Commercial	$4,001.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,936.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,760.68
Rate for Payer: Qualcare PPO/HMO/WC	$1,200.46
Rate for Payer: UnitedHealthcare Community & State	$192.87
Rate for Payer: Wellpoint Medicaid Managed Care	$212.08

NAIL HUMERAL PROX RT 9.5x180MM

Facility

$8,003.10

Service Code	HCPCS C1713
Hospital Charge Code	270651079
Hospital Revenue Code	278
Min. Negotiated Rate	$1,200.46
Max. Negotiated Rate	$1,936.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,600.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,936.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,760.68
Rate for Payer: Qualcare PPO/HMO/WC	$1,200.46

NAIL HUMERAL RIGHT TI 8.5 MM 2

Facility

$9,120.20

Service Code	HCPCS C1713
Hospital Charge Code	270688995
Hospital Revenue Code	278
Min. Negotiated Rate	$219.80
Max. Negotiated Rate	$4,560.10
Rate for Payer: Aetna Commercial	$3,465.68
Rate for Payer: Aetna Medicare Advantage	$2,736.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,325.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,325.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,824.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,325.65
Rate for Payer: Cigna Commercial	$4,560.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,207.09
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,006.44
Rate for Payer: Qualcare PPO/HMO/WC	$1,368.03
Rate for Payer: UnitedHealthcare Community & State	$219.80
Rate for Payer: Wellpoint Medicaid Managed Care	$241.69

NAIL HUMERAL RIGHT TI 8.5 MM 2

Facility

$9,120.20

Service Code	HCPCS C1713
Hospital Charge Code	270688995
Hospital Revenue Code	278
Min. Negotiated Rate	$1,368.03
Max. Negotiated Rate	$2,207.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,824.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,207.09
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,006.44
Rate for Payer: Qualcare PPO/HMO/WC	$1,368.03

NAIL HUMERAL TI 7X180MM RT

Facility

$27,020.00

Service Code	HCPCS C1713
Hospital Charge Code	270700668
Hospital Revenue Code	278
Min. Negotiated Rate	$651.18
Max. Negotiated Rate	$13,510.00
Rate for Payer: Aetna Commercial	$10,267.60
Rate for Payer: Aetna Medicare Advantage	$8,106.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,890.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,890.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,404.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,890.10
Rate for Payer: Cigna Commercial	$13,510.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,538.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,944.40
Rate for Payer: Qualcare PPO/HMO/WC	$4,053.00
Rate for Payer: UnitedHealthcare Community & State	$651.18
Rate for Payer: Wellpoint Medicaid Managed Care	$716.03

NAIL HUMERAL TI 7X180MM RT

Facility

$27,020.00

Service Code	HCPCS C1713
Hospital Charge Code	270700668
Hospital Revenue Code	278
Min. Negotiated Rate	$4,053.00
Max. Negotiated Rate	$6,538.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,404.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,538.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,944.40
Rate for Payer: Qualcare PPO/HMO/WC	$4,053.00

Know your out-of-pocket cost for care.

All Charges