Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

NAIL LONG RIGHT 10X400MMX120

Facility

$17,580.00

Hospital Charge Code	270664777
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 RIGHT 10X400MMX120

Facility

$17,580.00

Hospital Charge Code	270664777
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 TI LEFT 10x360mm

Facility

$18,460.00

Hospital Charge Code	270671131
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 LONG TI LEFT 10x360mm

Facility

$18,460.00

Hospital Charge Code	270671131
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 MDN RF IM 14 X34 22401434

Facility

$5,106.00

Hospital Charge Code	270635172
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 MDN RF IM 14 X34 22401434

Facility

$5,106.00

Hospital Charge Code	270635172
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 OST IKA KNEE 14/30 150MM

Facility

$10,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270678246
Hospital Revenue Code	278
Min. Negotiated Rate	$1,500.00
Max. Negotiated Rate	$2,420.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,420.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,200.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,500.00

NAIL OST IKA KNEE 14/30 150MM

Facility

$10,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270678246
Hospital Revenue Code	278
Min. Negotiated Rate	$241.00
Max. Negotiated Rate	$5,000.00
Rate for Payer: Aetna Commercial	$3,800.00
Rate for Payer: Aetna Medicare Advantage	$3,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,550.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,550.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,550.00
Rate for Payer: Cigna Commercial	$5,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,420.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,200.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,500.00
Rate for Payer: UnitedHealthcare Community & State	$241.00
Rate for Payer: Wellpoint Medicaid Managed Care	$265.00

NAIL OST IKA KNEE 16/30 150MM

Facility

$10,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270678245
Hospital Revenue Code	278
Min. Negotiated Rate	$1,500.00
Max. Negotiated Rate	$2,420.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,420.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,200.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,500.00

NAIL OST IKA KNEE 16/30 150MM

Facility

$10,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270678245
Hospital Revenue Code	278
Min. Negotiated Rate	$241.00
Max. Negotiated Rate	$5,000.00
Rate for Payer: Aetna Commercial	$3,800.00
Rate for Payer: Aetna Medicare Advantage	$3,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,550.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,550.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,550.00
Rate for Payer: Cigna Commercial	$5,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,420.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,200.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,500.00
Rate for Payer: UnitedHealthcare Community & State	$241.00
Rate for Payer: Wellpoint Medicaid Managed Care	$265.00

NAIL PANTA 11LGx180MM

Facility

$16,651.80

Hospital Charge Code	270666222
Hospital Revenue Code	278
Min. Negotiated Rate	$401.31
Max. Negotiated Rate	$8,325.90
Rate for Payer: Aetna Commercial	$6,327.68
Rate for Payer: Aetna Medicare Advantage	$4,995.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,246.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,246.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,330.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,246.21
Rate for Payer: Cigna Commercial	$8,325.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,029.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,663.40
Rate for Payer: Qualcare PPO/HMO/WC	$2,497.77
Rate for Payer: UnitedHealthcare Community & State	$401.31
Rate for Payer: Wellpoint Medicaid Managed Care	$441.27

NAIL PANTA 11LGx180MM

Facility

$16,651.80

Hospital Charge Code	270666222
Hospital Revenue Code	278
Min. Negotiated Rate	$2,497.77
Max. Negotiated Rate	$4,029.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,330.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,029.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,663.40
Rate for Payer: Qualcare PPO/HMO/WC	$2,497.77

NAIL PHOENIX 12MM 300MM

Facility

$13,110.00

Service Code	HCPCS C1713
Hospital Charge Code	270693958
Hospital Revenue Code	278
Min. Negotiated Rate	$1,966.50
Max. Negotiated Rate	$3,172.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,622.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,172.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,884.20
Rate for Payer: Qualcare PPO/HMO/WC	$1,966.50

NAIL PHOENIX 12MM 300MM

Facility

$13,110.00

Service Code	HCPCS C1713
Hospital Charge Code	270693958
Hospital Revenue Code	278
Min. Negotiated Rate	$315.95
Max. Negotiated Rate	$6,555.00
Rate for Payer: Aetna Commercial	$4,981.80
Rate for Payer: Aetna Medicare Advantage	$3,933.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,343.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,343.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,622.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,343.05
Rate for Payer: Cigna Commercial	$6,555.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,172.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,884.20
Rate for Payer: Qualcare PPO/HMO/WC	$1,966.50
Rate for Payer: UnitedHealthcare Community & State	$315.95
Rate for Payer: Wellpoint Medicaid Managed Care	$347.42

NAIL PHOENIX RET SYSTEM

Facility

$8,175.00

Service Code	HCPCS C1713
Hospital Charge Code	270701953
Hospital Revenue Code	278
Min. Negotiated Rate	$197.02
Max. Negotiated Rate	$4,087.50
Rate for Payer: Aetna Commercial	$3,106.50
Rate for Payer: Aetna Medicare Advantage	$2,452.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,084.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,084.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,635.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,084.62
Rate for Payer: Cigna Commercial	$4,087.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,978.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,798.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,226.25
Rate for Payer: UnitedHealthcare Community & State	$197.02
Rate for Payer: Wellpoint Medicaid Managed Care	$216.64

NAIL PHOENIX RET SYSTEM

Facility

$8,175.00

Service Code	HCPCS C1713
Hospital Charge Code	270701953
Hospital Revenue Code	278
Min. Negotiated Rate	$1,226.25
Max. Negotiated Rate	$1,978.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,635.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,978.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,798.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,226.25

NAIL PHOENIX TIBIAL 10.5x370mm

Facility

$8,240.00

Hospital Charge Code	270665516
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 PHOENIX TIBIAL 10.5x370mm

Facility

$8,240.00

Hospital Charge Code	270665516
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

NAILR/A GRDFEM10X340TI CA

Facility

$7,054.45

Service Code	HCPCS C1713
Hospital Charge Code	270680162
Hospital Revenue Code	278
Min. Negotiated Rate	$1,058.17
Max. Negotiated Rate	$1,707.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,410.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,707.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,551.98
Rate for Payer: Qualcare PPO/HMO/WC	$1,058.17

NAILR/A GRDFEM10X340TI CA

Facility

$7,054.45

Service Code	HCPCS C1713
Hospital Charge Code	270680162
Hospital Revenue Code	278
Min. Negotiated Rate	$170.01
Max. Negotiated Rate	$3,527.22
Rate for Payer: Aetna Commercial	$2,680.69
Rate for Payer: Aetna Medicare Advantage	$2,116.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,798.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,798.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,410.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,798.88
Rate for Payer: Cigna Commercial	$3,527.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,707.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,551.98
Rate for Payer: Qualcare PPO/HMO/WC	$1,058.17
Rate for Payer: UnitedHealthcare Community & State	$170.01
Rate for Payer: Wellpoint Medicaid Managed Care	$186.94

NAIL RECON TI FEMORAL 10x380MM

Facility

$6,645.00

Hospital Charge Code	270677439
Hospital Revenue Code	278
Min. Negotiated Rate	$996.75
Max. Negotiated Rate	$1,608.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,329.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,608.09
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,461.90
Rate for Payer: Qualcare PPO/HMO/WC	$996.75

NAIL RECON TI FEMORAL 10x380MM

Facility

$6,645.00

Hospital Charge Code	270677439
Hospital Revenue Code	278
Min. Negotiated Rate	$160.14
Max. Negotiated Rate	$3,322.50
Rate for Payer: Aetna Commercial	$2,525.10
Rate for Payer: Aetna Medicare Advantage	$1,993.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,694.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,694.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,329.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,694.47
Rate for Payer: Cigna Commercial	$3,322.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,608.09
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,461.90
Rate for Payer: Qualcare PPO/HMO/WC	$996.75
Rate for Payer: UnitedHealthcare Community & State	$160.14
Rate for Payer: Wellpoint Medicaid Managed Care	$176.09

NAIL RETRO 12MM X 320MM

Facility

$16,350.00

Service Code	HCPCS C1713
Hospital Charge Code	270682259
Hospital Revenue Code	278
Min. Negotiated Rate	$394.04
Max. Negotiated Rate	$8,175.00
Rate for Payer: Aetna Commercial	$6,213.00
Rate for Payer: Aetna Medicare Advantage	$4,905.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,169.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,169.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,270.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,169.25
Rate for Payer: Cigna Commercial	$8,175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,956.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,597.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,452.50
Rate for Payer: UnitedHealthcare Community & State	$394.04
Rate for Payer: Wellpoint Medicaid Managed Care	$433.27

NAIL RETRO 12MM X 320MM

Facility

$16,350.00

Service Code	HCPCS C1713
Hospital Charge Code	270682259
Hospital Revenue Code	278
Min. Negotiated Rate	$2,452.50
Max. Negotiated Rate	$3,956.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,270.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,956.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,597.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,452.50

NAIL RETRO FEMORAL TI 10x360MM

Facility

$7,054.45

Service Code	HCPCS C1713
Hospital Charge Code	270676337
Hospital Revenue Code	278
Min. Negotiated Rate	$170.01
Max. Negotiated Rate	$3,527.22
Rate for Payer: Aetna Commercial	$2,680.69
Rate for Payer: Aetna Medicare Advantage	$2,116.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,798.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,798.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,410.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,798.88
Rate for Payer: Cigna Commercial	$3,527.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,707.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,551.98
Rate for Payer: Qualcare PPO/HMO/WC	$1,058.17
Rate for Payer: UnitedHealthcare Community & State	$170.01
Rate for Payer: Wellpoint Medicaid Managed Care	$186.94

Know your out-of-pocket cost for care.

All Charges