Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

NAIL HUMERL I/M 8x24 225424008

Facility

$4,935.15

Hospital Charge Code	270634031
Hospital Revenue Code	278
Min. Negotiated Rate	$118.94
Max. Negotiated Rate	$2,467.57
Rate for Payer: Aetna Commercial	$1,875.36
Rate for Payer: Aetna Medicare Advantage	$1,480.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,258.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,258.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$987.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,258.46
Rate for Payer: Cigna Commercial	$2,467.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,194.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,085.73
Rate for Payer: Qualcare PPO/HMO/WC	$740.27
Rate for Payer: UnitedHealthcare Community & State	$118.94
Rate for Payer: Wellpoint Medicaid Managed Care	$130.78

NAIL HUMERL I/M 8x24 225424008

Facility

$4,935.15

Hospital Charge Code	270634031
Hospital Revenue Code	278
Min. Negotiated Rate	$740.27
Max. Negotiated Rate	$1,194.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$987.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,194.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,085.73
Rate for Payer: Qualcare PPO/HMO/WC	$740.27

NAIL HUMERUS UNIVERSAL 9X240MM

Facility

$6,525.00

Service Code	HCPCS C1713
Hospital Charge Code	270694627
Hospital Revenue Code	278
Min. Negotiated Rate	$157.25
Max. Negotiated Rate	$3,262.50
Rate for Payer: Aetna Commercial	$2,479.50
Rate for Payer: Aetna Medicare Advantage	$1,957.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,663.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,663.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,305.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,663.88
Rate for Payer: Cigna Commercial	$3,262.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,579.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,435.50
Rate for Payer: Qualcare PPO/HMO/WC	$978.75
Rate for Payer: UnitedHealthcare Community & State	$157.25
Rate for Payer: Wellpoint Medicaid Managed Care	$172.91

NAIL HUMERUS UNIVERSAL 9X240MM

Facility

$6,525.00

Service Code	HCPCS C1713
Hospital Charge Code	270694627
Hospital Revenue Code	278
Min. Negotiated Rate	$978.75
Max. Negotiated Rate	$1,579.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,305.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,579.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,435.50
Rate for Payer: Qualcare PPO/HMO/WC	$978.75

NAIL HUM I/M 10mx24c 225424010

Facility

$4,791.45

Hospital Charge Code	270630548
Hospital Revenue Code	278
Min. Negotiated Rate	$115.47
Max. Negotiated Rate	$2,395.72
Rate for Payer: Aetna Commercial	$1,820.75
Rate for Payer: Aetna Medicare Advantage	$1,437.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,221.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,221.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$958.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,221.82
Rate for Payer: Cigna Commercial	$2,395.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,159.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,054.12
Rate for Payer: Qualcare PPO/HMO/WC	$718.72
Rate for Payer: UnitedHealthcare Community & State	$115.47
Rate for Payer: Wellpoint Medicaid Managed Care	$126.97

NAIL HUM I/M 10mx24c 225424010

Facility

$4,791.45

Hospital Charge Code	270630548
Hospital Revenue Code	278
Min. Negotiated Rate	$718.72
Max. Negotiated Rate	$1,159.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$958.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,159.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,054.12
Rate for Payer: Qualcare PPO/HMO/WC	$718.72

NAIL IM 12mmDIx20cm 2240-12-20

Facility

$5,106.00

Hospital Charge Code	270635476
Hospital Revenue Code	278
Min. Negotiated Rate	$123.05
Max. Negotiated Rate	$2,553.00
Rate for Payer: Aetna Commercial	$1,940.28
Rate for Payer: Aetna Medicare Advantage	$1,531.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,302.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,302.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,021.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,302.03
Rate for Payer: Cigna Commercial	$2,553.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,235.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,123.32
Rate for Payer: Qualcare PPO/HMO/WC	$765.90
Rate for Payer: UnitedHealthcare Community & State	$123.05
Rate for Payer: Wellpoint Medicaid Managed Care	$135.31

NAIL IM 12mmDIx20cm 2240-12-20

Facility

$5,106.00

Hospital Charge Code	270635476
Hospital Revenue Code	278
Min. Negotiated Rate	$765.90
Max. Negotiated Rate	$1,235.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,021.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,235.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,123.32
Rate for Payer: Qualcare PPO/HMO/WC	$765.90

NAIL IM 12mmDIx22cm 2240-12-22

Facility

$5,106.00

Hospital Charge Code	270635477
Hospital Revenue Code	278
Min. Negotiated Rate	$765.90
Max. Negotiated Rate	$1,235.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,021.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,235.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,123.32
Rate for Payer: Qualcare PPO/HMO/WC	$765.90

NAIL IM 12mmDIx22cm 2240-12-22

Facility

$5,106.00

Hospital Charge Code	270635477
Hospital Revenue Code	278
Min. Negotiated Rate	$123.05
Max. Negotiated Rate	$2,553.00
Rate for Payer: Aetna Commercial	$1,940.28
Rate for Payer: Aetna Medicare Advantage	$1,531.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,302.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,302.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,021.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,302.03
Rate for Payer: Cigna Commercial	$2,553.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,235.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,123.32
Rate for Payer: Qualcare PPO/HMO/WC	$765.90
Rate for Payer: UnitedHealthcare Community & State	$123.05
Rate for Payer: Wellpoint Medicaid Managed Care	$135.31

NAIL IM HIP RT 11X180MM 125D

Facility

$6,925.00

Service Code	HCPCS C1713
Hospital Charge Code	270650498
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 IM HIP RT 11X180MM 125D

Facility

$6,925.00

Service Code	HCPCS C1713
Hospital Charge Code	270650498
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 IM R-F 11mm 2240-11-36

Facility

$5,620.65

Hospital Charge Code	270639156
Hospital Revenue Code	278
Min. Negotiated Rate	$843.10
Max. Negotiated Rate	$1,360.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,124.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,360.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,236.54
Rate for Payer: Qualcare PPO/HMO/WC	$843.10

NAIL IM R-F 11mm 2240-11-36

Facility

$5,620.65

Hospital Charge Code	270639156
Hospital Revenue Code	278
Min. Negotiated Rate	$135.46
Max. Negotiated Rate	$2,810.32
Rate for Payer: Aetna Commercial	$2,135.85
Rate for Payer: Aetna Medicare Advantage	$1,686.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,433.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,433.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,124.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,433.27
Rate for Payer: Cigna Commercial	$2,810.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,360.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,236.54
Rate for Payer: Qualcare PPO/HMO/WC	$843.10
Rate for Payer: UnitedHealthcare Community & State	$135.46
Rate for Payer: Wellpoint Medicaid Managed Care	$148.95

NAIL IM R-F M/DN 14dia 20cm

Facility

$5,147.10

Hospital Charge Code	270637423
Hospital Revenue Code	278
Min. Negotiated Rate	$124.05
Max. Negotiated Rate	$2,573.55
Rate for Payer: Aetna Commercial	$1,955.90
Rate for Payer: Aetna Medicare Advantage	$1,544.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,312.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,312.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,029.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,312.51
Rate for Payer: Cigna Commercial	$2,573.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,245.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,132.36
Rate for Payer: Qualcare PPO/HMO/WC	$772.07
Rate for Payer: UnitedHealthcare Community & State	$124.05
Rate for Payer: Wellpoint Medicaid Managed Care	$136.40

NAIL IM R-F M/DN 14dia 20cm

Facility

$5,147.10

Hospital Charge Code	270637423
Hospital Revenue Code	278
Min. Negotiated Rate	$772.07
Max. Negotiated Rate	$1,245.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,029.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,245.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,132.36
Rate for Payer: Qualcare PPO/HMO/WC	$772.07

NAIL INSERT SLEEVE

Facility

$1,081.30

Hospital Charge Code	270703688
Hospital Revenue Code	272
Min. Negotiated Rate	$162.19
Max. Negotiated Rate	$162.19
Rate for Payer: Qualcare PPO/HMO/WC	$162.19

NAIL INSERT SLEEVE

Facility

$1,081.30

Hospital Charge Code	270703688
Hospital Revenue Code	272
Min. Negotiated Rate	$26.06
Max. Negotiated Rate	$540.65
Rate for Payer: Aetna Commercial	$410.89
Rate for Payer: Aetna Medicare Advantage	$324.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$275.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$275.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$275.73
Rate for Payer: Cigna Commercial	$540.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.39
Rate for Payer: Oxford Commercial	$216.26
Rate for Payer: Qualcare PPO/HMO/WC	$162.19
Rate for Payer: UnitedHealthcare Commercial	$216.26
Rate for Payer: UnitedHealthcare Community & State	$26.06
Rate for Payer: Wellpoint Medicaid Managed Care	$28.65

NAIL KIT LG R1.5 RT 10x360x125

Facility

$13,061.10

Service Code	HCPCS C1713
Hospital Charge Code	270671675
Hospital Revenue Code	278
Min. Negotiated Rate	$1,959.16
Max. Negotiated Rate	$3,160.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,612.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,160.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,873.44
Rate for Payer: Qualcare PPO/HMO/WC	$1,959.16

NAIL KIT LG R1.5 RT 10x360x125

Facility

$13,061.10

Service Code	HCPCS C1713
Hospital Charge Code	270671675
Hospital Revenue Code	278
Min. Negotiated Rate	$314.77
Max. Negotiated Rate	$6,530.55
Rate for Payer: Aetna Commercial	$4,963.22
Rate for Payer: Aetna Medicare Advantage	$3,918.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,330.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,330.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,612.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,330.58
Rate for Payer: Cigna Commercial	$6,530.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,160.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,873.44
Rate for Payer: Qualcare PPO/HMO/WC	$1,959.16
Rate for Payer: UnitedHealthcare Community & State	$314.77
Rate for Payer: Wellpoint Medicaid Managed Care	$346.12

NAIL KIT LONG R1.5 LF 10x340MM

Facility

$18,460.00

Service Code	HCPCS C1713
Hospital Charge Code	270672890
Hospital Revenue Code	278
Min. Negotiated Rate	$2,769.00
Max. Negotiated Rate	$4,467.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,692.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,467.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,061.20
Rate for Payer: Qualcare PPO/HMO/WC	$2,769.00

NAIL KIT LONG R1.5 LF 10x340MM

Facility

$18,460.00

Service Code	HCPCS C1713
Hospital Charge Code	270672890
Hospital Revenue Code	278
Min. Negotiated Rate	$444.89
Max. Negotiated Rate	$9,230.00
Rate for Payer: Aetna Commercial	$7,014.80
Rate for Payer: Aetna Medicare Advantage	$5,538.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,707.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,707.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,692.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,707.30
Rate for Payer: Cigna Commercial	$9,230.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,467.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,061.20
Rate for Payer: Qualcare PPO/HMO/WC	$2,769.00
Rate for Payer: UnitedHealthcare Community & State	$444.89
Rate for Payer: Wellpoint Medicaid Managed Care	$489.19

NAIL KIT R1.5 10X340MMX130

Facility

$18,460.00

Hospital Charge Code	270671000
Hospital Revenue Code	278
Min. Negotiated Rate	$2,769.00
Max. Negotiated Rate	$4,467.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,692.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,467.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,061.20
Rate for Payer: Qualcare PPO/HMO/WC	$2,769.00

NAIL KIT R1.5 10X340MMX130

Facility

$18,460.00

Hospital Charge Code	270671000
Hospital Revenue Code	278
Min. Negotiated Rate	$444.89
Max. Negotiated Rate	$9,230.00
Rate for Payer: Aetna Commercial	$7,014.80
Rate for Payer: Aetna Medicare Advantage	$5,538.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,707.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,707.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,692.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,707.30
Rate for Payer: Cigna Commercial	$9,230.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,467.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,061.20
Rate for Payer: Qualcare PPO/HMO/WC	$2,769.00
Rate for Payer: UnitedHealthcare Community & State	$444.89
Rate for Payer: Wellpoint Medicaid Managed Care	$489.19

NAIL-LCKG. ANKLE 10X180MM

Facility

$3,808.35

Service Code	HCPCS C1713
Hospital Charge Code	270656943
Hospital Revenue Code	278
Min. Negotiated Rate	$91.78
Max. Negotiated Rate	$1,904.17
Rate for Payer: Aetna Commercial	$1,447.17
Rate for Payer: Aetna Medicare Advantage	$1,142.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$971.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$971.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$761.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$971.13
Rate for Payer: Cigna Commercial	$1,904.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$921.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$837.84
Rate for Payer: Qualcare PPO/HMO/WC	$571.25
Rate for Payer: UnitedHealthcare Community & State	$91.78
Rate for Payer: Wellpoint Medicaid Managed Care	$100.92

Know your out-of-pocket cost for care.

All Charges