Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

NAIL RETRO FEMORAL TI 10x360MM

Facility

$7,054.45

Service Code	HCPCS C1713
Hospital Charge Code	270676337
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

NAIL RETRO FEMORAL TI 11x320MM

Facility

$6,849.00

Hospital Charge Code	270676886
Hospital Revenue Code	278
Min. Negotiated Rate	$165.06
Max. Negotiated Rate	$3,424.50
Rate for Payer: Aetna Commercial	$2,602.62
Rate for Payer: Aetna Medicare Advantage	$2,054.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,746.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,746.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,369.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,746.49
Rate for Payer: Cigna Commercial	$3,424.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,657.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,506.78
Rate for Payer: Qualcare PPO/HMO/WC	$1,027.35
Rate for Payer: UnitedHealthcare Community & State	$165.06
Rate for Payer: Wellpoint Medicaid Managed Care	$181.50

NAIL RETRO FEMORAL TI 11x320MM

Facility

$6,849.00

Hospital Charge Code	270676886
Hospital Revenue Code	278
Min. Negotiated Rate	$1,027.35
Max. Negotiated Rate	$1,657.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,369.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,657.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,506.78
Rate for Payer: Qualcare PPO/HMO/WC	$1,027.35

NAIL RETRO FEMORAL TI 11x340mm

Facility

$6,849.00

Hospital Charge Code	270671809
Hospital Revenue Code	278
Min. Negotiated Rate	$1,027.35
Max. Negotiated Rate	$1,657.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,369.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,657.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,506.78
Rate for Payer: Qualcare PPO/HMO/WC	$1,027.35

NAIL RETRO FEMORAL TI 11x340mm

Facility

$6,849.00

Hospital Charge Code	270671809
Hospital Revenue Code	278
Min. Negotiated Rate	$165.06
Max. Negotiated Rate	$3,424.50
Rate for Payer: Aetna Commercial	$2,602.62
Rate for Payer: Aetna Medicare Advantage	$2,054.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,746.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,746.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,369.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,746.49
Rate for Payer: Cigna Commercial	$3,424.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,657.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,506.78
Rate for Payer: Qualcare PPO/HMO/WC	$1,027.35
Rate for Payer: UnitedHealthcare Community & State	$165.06
Rate for Payer: Wellpoint Medicaid Managed Care	$181.50

NAIL RETRO FEMORAL TI 11x360mm

Facility

$6,849.00

Hospital Charge Code	270675112
Hospital Revenue Code	278
Min. Negotiated Rate	$165.06
Max. Negotiated Rate	$3,424.50
Rate for Payer: Aetna Commercial	$2,602.62
Rate for Payer: Aetna Medicare Advantage	$2,054.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,746.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,746.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,369.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,746.49
Rate for Payer: Cigna Commercial	$3,424.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,657.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,506.78
Rate for Payer: Qualcare PPO/HMO/WC	$1,027.35
Rate for Payer: UnitedHealthcare Community & State	$165.06
Rate for Payer: Wellpoint Medicaid Managed Care	$181.50

NAIL RETRO FEMORAL TI 11x360mm

Facility

$6,849.00

Hospital Charge Code	270675112
Hospital Revenue Code	278
Min. Negotiated Rate	$1,027.35
Max. Negotiated Rate	$1,657.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,369.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,657.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,506.78
Rate for Payer: Qualcare PPO/HMO/WC	$1,027.35

NAIL RETROGRADE 5mm x 80mm

Facility

$4,613.65

Hospital Charge Code	270626962
Hospital Revenue Code	278
Min. Negotiated Rate	$692.05
Max. Negotiated Rate	$1,116.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$922.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,116.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,015.00
Rate for Payer: Qualcare PPO/HMO/WC	$692.05

NAIL RETROGRADE 5mm x 80mm

Facility

$4,613.65

Hospital Charge Code	270626962
Hospital Revenue Code	278
Min. Negotiated Rate	$111.19
Max. Negotiated Rate	$2,306.82
Rate for Payer: Aetna Commercial	$1,753.19
Rate for Payer: Aetna Medicare Advantage	$1,384.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,176.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,176.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$922.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,176.48
Rate for Payer: Cigna Commercial	$2,306.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,116.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,015.00
Rate for Payer: Qualcare PPO/HMO/WC	$692.05
Rate for Payer: UnitedHealthcare Community & State	$111.19
Rate for Payer: Wellpoint Medicaid Managed Care	$122.26

NAIL RFNA ANGLED 10X400MM 5D

Facility

$22,745.00

Service Code	HCPCS C1713
Hospital Charge Code	270699428
Hospital Revenue Code	278
Min. Negotiated Rate	$548.15
Max. Negotiated Rate	$11,372.50
Rate for Payer: Aetna Commercial	$8,643.10
Rate for Payer: Aetna Medicare Advantage	$6,823.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,799.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,799.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,549.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,799.98
Rate for Payer: Cigna Commercial	$11,372.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,504.29
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,003.90
Rate for Payer: Qualcare PPO/HMO/WC	$3,411.75
Rate for Payer: UnitedHealthcare Community & State	$548.15
Rate for Payer: Wellpoint Medicaid Managed Care	$602.74

NAIL RFNA ANGLED 10X400MM 5D

Facility

$22,745.00

Service Code	HCPCS C1713
Hospital Charge Code	270699428
Hospital Revenue Code	278
Min. Negotiated Rate	$3,411.75
Max. Negotiated Rate	$5,504.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,549.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,504.29
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,003.90
Rate for Payer: Qualcare PPO/HMO/WC	$3,411.75

NAIL RFNA STD BEND 11X340MM

Facility

$9,916.50

Service Code	HCPCS C1713
Hospital Charge Code	270698098
Hospital Revenue Code	278
Min. Negotiated Rate	$238.99
Max. Negotiated Rate	$4,958.25
Rate for Payer: Aetna Commercial	$3,768.27
Rate for Payer: Aetna Medicare Advantage	$2,974.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,528.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,528.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,983.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,528.71
Rate for Payer: Cigna Commercial	$4,958.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,399.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,181.63
Rate for Payer: Qualcare PPO/HMO/WC	$1,487.47
Rate for Payer: UnitedHealthcare Community & State	$238.99
Rate for Payer: Wellpoint Medicaid Managed Care	$262.79

NAIL RFNA STD BEND 11X340MM

Facility

$9,916.50

Service Code	HCPCS C1713
Hospital Charge Code	270698098
Hospital Revenue Code	278
Min. Negotiated Rate	$1,487.47
Max. Negotiated Rate	$2,399.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,983.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,399.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,181.63
Rate for Payer: Qualcare PPO/HMO/WC	$1,487.47

NAIL RIGHT 11X400MMX125 DEG

Facility

$16,440.00

Hospital Charge Code	270670508
Hospital Revenue Code	278
Min. Negotiated Rate	$2,466.00
Max. Negotiated Rate	$3,978.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,288.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,978.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,616.80
Rate for Payer: Qualcare PPO/HMO/WC	$2,466.00

NAIL RIGHT 11X400MMX125 DEG

Facility

$16,440.00

Hospital Charge Code	270670508
Hospital Revenue Code	278
Min. Negotiated Rate	$396.20
Max. Negotiated Rate	$8,220.00
Rate for Payer: Aetna Commercial	$6,247.20
Rate for Payer: Aetna Medicare Advantage	$4,932.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,192.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,192.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,288.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,192.20
Rate for Payer: Cigna Commercial	$8,220.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,978.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,616.80
Rate for Payer: Qualcare PPO/HMO/WC	$2,466.00
Rate for Payer: UnitedHealthcare Community & State	$396.20
Rate for Payer: Wellpoint Medicaid Managed Care	$435.66

NAIL RIGHT 11X420MMX125 DEG

Facility

$16,440.00

Hospital Charge Code	270670507
Hospital Revenue Code	278
Min. Negotiated Rate	$396.20
Max. Negotiated Rate	$8,220.00
Rate for Payer: Aetna Commercial	$6,247.20
Rate for Payer: Aetna Medicare Advantage	$4,932.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,192.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,192.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,288.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,192.20
Rate for Payer: Cigna Commercial	$8,220.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,978.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,616.80
Rate for Payer: Qualcare PPO/HMO/WC	$2,466.00
Rate for Payer: UnitedHealthcare Community & State	$396.20
Rate for Payer: Wellpoint Medicaid Managed Care	$435.66

NAIL RIGHT 11X420MMX125 DEG

Facility

$16,440.00

Hospital Charge Code	270670507
Hospital Revenue Code	278
Min. Negotiated Rate	$2,466.00
Max. Negotiated Rate	$3,978.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,288.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,978.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,616.80
Rate for Payer: Qualcare PPO/HMO/WC	$2,466.00

NAIL SBFS

Facility

$2,030.00

Hospital Charge Code	270657694
Hospital Revenue Code	278
Min. Negotiated Rate	$304.50
Max. Negotiated Rate	$491.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$406.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$491.26
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$446.60
Rate for Payer: Qualcare PPO/HMO/WC	$304.50

NAIL SBFS

Facility

$2,030.00

Hospital Charge Code	270657694
Hospital Revenue Code	278
Min. Negotiated Rate	$48.92
Max. Negotiated Rate	$1,015.00
Rate for Payer: Aetna Commercial	$771.40
Rate for Payer: Aetna Medicare Advantage	$609.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$517.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$517.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$406.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$517.65
Rate for Payer: Cigna Commercial	$1,015.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$491.26
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$446.60
Rate for Payer: Qualcare PPO/HMO/WC	$304.50
Rate for Payer: UnitedHealthcare Community & State	$48.92
Rate for Payer: Wellpoint Medicaid Managed Care	$53.80

NAIL SHF GAMMA 12/125 33700225

Facility

$3,701.65

Hospital Charge Code	270601379
Hospital Revenue Code	274
Min. Negotiated Rate	$89.21
Max. Negotiated Rate	$1,850.83
Rate for Payer: Aetna Commercial	$1,406.63
Rate for Payer: Aetna Medicare Advantage	$1,110.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$943.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$943.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$740.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$943.92
Rate for Payer: Cigna Commercial	$1,850.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$895.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$814.36
Rate for Payer: Qualcare PPO/HMO/WC	$555.25
Rate for Payer: UnitedHealthcare Community & State	$89.21
Rate for Payer: Wellpoint Medicaid Managed Care	$98.09

NAIL SHF GAMMA 12/125 33700225

Facility

$3,701.65

Hospital Charge Code	270601379
Hospital Revenue Code	274
Min. Negotiated Rate	$555.25
Max. Negotiated Rate	$895.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$740.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$895.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$814.36
Rate for Payer: Qualcare PPO/HMO/WC	$555.25

NAIL SHF GAMMA12/135 33700235*

Facility

$2,193.00

Hospital Charge Code	1605484
Hospital Revenue Code	278
Min. Negotiated Rate	$52.85
Max. Negotiated Rate	$1,096.50
Rate for Payer: Aetna Commercial	$833.34
Rate for Payer: Aetna Medicare Advantage	$657.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$559.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$559.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$438.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$559.22
Rate for Payer: Cigna Commercial	$1,096.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$530.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$482.46
Rate for Payer: Qualcare PPO/HMO/WC	$328.95
Rate for Payer: UnitedHealthcare Community & State	$52.85
Rate for Payer: Wellpoint Medicaid Managed Care	$58.11

NAIL SHF GAMMA12/135 33700235*

Facility

$2,193.00

Hospital Charge Code	1605484
Hospital Revenue Code	278
Min. Negotiated Rate	$328.95
Max. Negotiated Rate	$530.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$438.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$530.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$482.46
Rate for Payer: Qualcare PPO/HMO/WC	$328.95

NAIL SHF GAMMA12/140 33700240*

Facility

$2,193.00

Hospital Charge Code	1605492
Hospital Revenue Code	274
Min. Negotiated Rate	$52.85
Max. Negotiated Rate	$1,096.50
Rate for Payer: Aetna Commercial	$833.34
Rate for Payer: Aetna Medicare Advantage	$657.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$559.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$559.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$438.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$559.22
Rate for Payer: Cigna Commercial	$1,096.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$530.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$482.46
Rate for Payer: Qualcare PPO/HMO/WC	$328.95
Rate for Payer: UnitedHealthcare Community & State	$52.85
Rate for Payer: Wellpoint Medicaid Managed Care	$58.11

NAIL SHF GAMMA12/140 33700240*

Facility

$2,193.00

Hospital Charge Code	1605492
Hospital Revenue Code	274
Min. Negotiated Rate	$328.95
Max. Negotiated Rate	$530.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$438.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$530.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$482.46
Rate for Payer: Qualcare PPO/HMO/WC	$328.95

Know your out-of-pocket cost for care.

All Charges