Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

NAIL-LCKG. ANKLE 10X180MM

Facility

$3,808.35

Service Code	HCPCS C1713
Hospital Charge Code	270656943
Hospital Revenue Code	278
Min. Negotiated Rate	$571.25
Max. Negotiated Rate	$921.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$761.67
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

NAIL LEFT GAMA 3 10X380MM

Facility

$17,580.00

Service Code	HCPCS C1713
Hospital Charge Code	270664109
Hospital Revenue Code	278
Min. Negotiated Rate	$2,637.00
Max. Negotiated Rate	$4,254.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,516.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,254.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,867.60
Rate for Payer: Qualcare PPO/HMO/WC	$2,637.00

NAIL LEFT GAMA 3 10X380MM

Facility

$17,580.00

Service Code	HCPCS C1713
Hospital Charge Code	270664109
Hospital Revenue Code	278
Min. Negotiated Rate	$423.68
Max. Negotiated Rate	$8,790.00
Rate for Payer: Aetna Commercial	$6,680.40
Rate for Payer: Aetna Medicare Advantage	$5,274.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,482.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,482.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,516.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,482.90
Rate for Payer: Cigna Commercial	$8,790.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,254.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,867.60
Rate for Payer: Qualcare PPO/HMO/WC	$2,637.00
Rate for Payer: UnitedHealthcare Community & State	$423.68
Rate for Payer: Wellpoint Medicaid Managed Care	$465.87

NAIL LEFT GAMA 3 10X400MM

Facility

$17,575.00

Hospital Charge Code	270664110
Hospital Revenue Code	278
Min. Negotiated Rate	$2,636.25
Max. Negotiated Rate	$4,253.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,515.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,253.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,866.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,636.25

NAIL LEFT GAMA 3 10X400MM

Facility

$17,575.00

Hospital Charge Code	270664110
Hospital Revenue Code	278
Min. Negotiated Rate	$423.56
Max. Negotiated Rate	$8,787.50
Rate for Payer: Aetna Commercial	$6,678.50
Rate for Payer: Aetna Medicare Advantage	$5,272.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,481.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,481.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,515.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,481.62
Rate for Payer: Cigna Commercial	$8,787.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,253.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,866.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,636.25
Rate for Payer: UnitedHealthcare Community & State	$423.56
Rate for Payer: Wellpoint Medicaid Managed Care	$465.74

NAIL LOCKING ANKLE

Facility

$14,820.00

Service Code	HCPCS C1713
Hospital Charge Code	270691270
Hospital Revenue Code	278
Min. Negotiated Rate	$2,223.00
Max. Negotiated Rate	$3,586.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,964.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,586.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,260.40
Rate for Payer: Qualcare PPO/HMO/WC	$2,223.00

NAIL LOCKING ANKLE

Facility

$14,820.00

Service Code	HCPCS C1713
Hospital Charge Code	270691270
Hospital Revenue Code	278
Min. Negotiated Rate	$357.16
Max. Negotiated Rate	$7,410.00
Rate for Payer: Aetna Commercial	$5,631.60
Rate for Payer: Aetna Medicare Advantage	$4,446.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,779.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,779.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,964.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,779.10
Rate for Payer: Cigna Commercial	$7,410.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,586.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,260.40
Rate for Payer: Qualcare PPO/HMO/WC	$2,223.00
Rate for Payer: UnitedHealthcare Community & State	$357.16
Rate for Payer: Wellpoint Medicaid Managed Care	$392.73

NAIL LOCKING TIBIAL 10.5x280mm

Facility

$8,240.00

Hospital Charge Code	270665226
Hospital Revenue Code	278
Min. Negotiated Rate	$198.58
Max. Negotiated Rate	$4,120.00
Rate for Payer: Aetna Commercial	$3,131.20
Rate for Payer: Aetna Medicare Advantage	$2,472.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,101.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,101.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,648.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,101.20
Rate for Payer: Cigna Commercial	$4,120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,994.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,812.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,236.00
Rate for Payer: UnitedHealthcare Community & State	$198.58
Rate for Payer: Wellpoint Medicaid Managed Care	$218.36

NAIL LOCKING TIBIAL 10.5x280mm

Facility

$8,240.00

Hospital Charge Code	270665226
Hospital Revenue Code	278
Min. Negotiated Rate	$1,236.00
Max. Negotiated Rate	$1,994.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,648.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,994.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,812.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,236.00

NAIL LOCKING TIBIAL 10.5X300MM

Facility

$8,240.00

Hospital Charge Code	270664093
Hospital Revenue Code	270
Min. Negotiated Rate	$1,236.00
Max. Negotiated Rate	$1,236.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,236.00

NAIL LOCKING TIBIAL 10.5X300MM

Facility

$8,240.00

Hospital Charge Code	270664093
Hospital Revenue Code	270
Min. Negotiated Rate	$198.58
Max. Negotiated Rate	$4,120.00
Rate for Payer: Aetna Commercial	$3,131.20
Rate for Payer: Aetna Medicare Advantage	$2,472.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,101.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,101.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,101.20
Rate for Payer: Cigna Commercial	$4,120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,472.00
Rate for Payer: Oxford Commercial	$1,648.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,236.00
Rate for Payer: UnitedHealthcare Commercial	$1,648.00
Rate for Payer: UnitedHealthcare Community & State	$198.58
Rate for Payer: Wellpoint Medicaid Managed Care	$218.36

NAIL LONG

Facility

$16,745.00

Hospital Charge Code	270661840
Hospital Revenue Code	278
Min. Negotiated Rate	$2,511.75
Max. Negotiated Rate	$4,052.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,349.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,052.29
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,683.90
Rate for Payer: Qualcare PPO/HMO/WC	$2,511.75

NAIL LONG

Facility

$16,745.00

Hospital Charge Code	270661840
Hospital Revenue Code	278
Min. Negotiated Rate	$403.55
Max. Negotiated Rate	$8,372.50
Rate for Payer: Aetna Commercial	$6,363.10
Rate for Payer: Aetna Medicare Advantage	$5,023.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,269.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,269.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,349.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,269.98
Rate for Payer: Cigna Commercial	$8,372.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,052.29
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,683.90
Rate for Payer: Qualcare PPO/HMO/WC	$2,511.75
Rate for Payer: UnitedHealthcare Community & State	$403.55
Rate for Payer: Wellpoint Medicaid Managed Care	$443.74

NAIL LONG KIT 10X360X125 R1.5

Facility

$17,580.00

Service Code	HCPCS C1713
Hospital Charge Code	270664724
Hospital Revenue Code	278
Min. Negotiated Rate	$423.68
Max. Negotiated Rate	$8,790.00
Rate for Payer: Aetna Commercial	$6,680.40
Rate for Payer: Aetna Medicare Advantage	$5,274.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,482.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,482.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,516.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,482.90
Rate for Payer: Cigna Commercial	$8,790.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,254.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,867.60
Rate for Payer: Qualcare PPO/HMO/WC	$2,637.00
Rate for Payer: UnitedHealthcare Community & State	$423.68
Rate for Payer: Wellpoint Medicaid Managed Care	$465.87

NAIL LONG KIT 10X360X125 R1.5

Facility

$17,580.00

Service Code	HCPCS C1713
Hospital Charge Code	270664724
Hospital Revenue Code	278
Min. Negotiated Rate	$2,637.00
Max. Negotiated Rate	$4,254.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,516.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,254.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,867.60
Rate for Payer: Qualcare PPO/HMO/WC	$2,637.00

NAIL LONG LEFT 10 X 340 MM 125

Facility

$2,370.00

Service Code	HCPCS C1713
Hospital Charge Code	270648627
Hospital Revenue Code	278
Min. Negotiated Rate	$57.12
Max. Negotiated Rate	$1,185.00
Rate for Payer: Aetna Commercial	$900.60
Rate for Payer: Aetna Medicare Advantage	$711.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$604.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$604.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$474.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$604.35
Rate for Payer: Cigna Commercial	$1,185.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$573.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$521.40
Rate for Payer: Qualcare PPO/HMO/WC	$355.50
Rate for Payer: UnitedHealthcare Community & State	$57.12
Rate for Payer: Wellpoint Medicaid Managed Care	$62.80

NAIL LONG LEFT 10 X 340 MM 125

Facility

$2,370.00

Service Code	HCPCS C1713
Hospital Charge Code	270648627
Hospital Revenue Code	278
Min. Negotiated Rate	$355.50
Max. Negotiated Rate	$573.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$474.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$573.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$521.40
Rate for Payer: Qualcare PPO/HMO/WC	$355.50

NAIL LONG LEFT 10 X 340 MM 125

Facility

$17,580.00

Service Code	HCPCS C1713
Hospital Charge Code	270656536
Hospital Revenue Code	278
Min. Negotiated Rate	$2,637.00
Max. Negotiated Rate	$4,254.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,516.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,254.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,867.60
Rate for Payer: Qualcare PPO/HMO/WC	$2,637.00

NAIL LONG LEFT 10 X 340 MM 125

Facility

$17,580.00

Service Code	HCPCS C1713
Hospital Charge Code	270656536
Hospital Revenue Code	278
Min. Negotiated Rate	$423.68
Max. Negotiated Rate	$8,790.00
Rate for Payer: Aetna Commercial	$6,680.40
Rate for Payer: Aetna Medicare Advantage	$5,274.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,482.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,482.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,516.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,482.90
Rate for Payer: Cigna Commercial	$8,790.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,254.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,867.60
Rate for Payer: Qualcare PPO/HMO/WC	$2,637.00
Rate for Payer: UnitedHealthcare Community & State	$423.68
Rate for Payer: Wellpoint Medicaid Managed Care	$465.87

Nail Long Proxi HumeralLEFT 8v

Facility

$13,990.00

Hospital Charge Code	270665197
Hospital Revenue Code	278
Min. Negotiated Rate	$337.16
Max. Negotiated Rate	$6,995.00
Rate for Payer: Aetna Commercial	$5,316.20
Rate for Payer: Aetna Medicare Advantage	$4,197.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,567.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,567.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,798.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,567.45
Rate for Payer: Cigna Commercial	$6,995.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,385.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,077.80
Rate for Payer: Qualcare PPO/HMO/WC	$2,098.50
Rate for Payer: UnitedHealthcare Community & State	$337.16
Rate for Payer: Wellpoint Medicaid Managed Care	$370.74

Nail Long Proxi HumeralLEFT 8v

Facility

$13,990.00

Hospital Charge Code	270665197
Hospital Revenue Code	278
Min. Negotiated Rate	$2,098.50
Max. Negotiated Rate	$3,385.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,798.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,385.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,077.80
Rate for Payer: Qualcare PPO/HMO/WC	$2,098.50

NAIL LONG PROXIMAL HUMERAL RT

Facility

$1,340.00

Hospital Charge Code	270661244
Hospital Revenue Code	278
Min. Negotiated Rate	$201.00
Max. Negotiated Rate	$324.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$268.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.28
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$294.80
Rate for Payer: Qualcare PPO/HMO/WC	$201.00

NAIL LONG PROXIMAL HUMERAL RT

Facility

$1,340.00

Hospital Charge Code	270661244
Hospital Revenue Code	278
Min. Negotiated Rate	$32.29
Max. Negotiated Rate	$670.00
Rate for Payer: Aetna Commercial	$509.20
Rate for Payer: Aetna Medicare Advantage	$402.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$341.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$341.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$268.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$341.70
Rate for Payer: Cigna Commercial	$670.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.28
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$294.80
Rate for Payer: Qualcare PPO/HMO/WC	$201.00
Rate for Payer: UnitedHealthcare Community & State	$32.29
Rate for Payer: Wellpoint Medicaid Managed Care	$35.51

NAIL LONG R1.5 TI RT 10X420MM

Facility

$17,580.00

Hospital Charge Code	270667983
Hospital Revenue Code	278
Min. Negotiated Rate	$423.68
Max. Negotiated Rate	$8,790.00
Rate for Payer: Aetna Commercial	$6,680.40
Rate for Payer: Aetna Medicare Advantage	$5,274.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,482.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,482.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,516.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,482.90
Rate for Payer: Cigna Commercial	$8,790.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,254.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,867.60
Rate for Payer: Qualcare PPO/HMO/WC	$2,637.00
Rate for Payer: UnitedHealthcare Community & State	$423.68
Rate for Payer: Wellpoint Medicaid Managed Care	$465.87

NAIL LONG R1.5 TI RT 10X420MM

Facility

$17,580.00

Hospital Charge Code	270667983
Hospital Revenue Code	278
Min. Negotiated Rate	$2,637.00
Max. Negotiated Rate	$4,254.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,516.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,254.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,867.60
Rate for Payer: Qualcare PPO/HMO/WC	$2,637.00

Know your out-of-pocket cost for care.

All Charges