Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

NAIL TFNA 11x420MM 130DEG LT

Facility

$9,653.15

Service Code	HCPCS C1713
Hospital Charge Code	270675048
Hospital Revenue Code	278
Min. Negotiated Rate	$232.64
Max. Negotiated Rate	$4,826.57
Rate for Payer: Aetna Commercial	$3,668.20
Rate for Payer: Aetna Medicare Advantage	$2,895.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,461.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,461.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,930.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,461.55
Rate for Payer: Cigna Commercial	$4,826.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,336.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,123.69
Rate for Payer: Qualcare PPO/HMO/WC	$1,447.97
Rate for Payer: UnitedHealthcare Community & State	$232.64
Rate for Payer: Wellpoint Medicaid Managed Care	$255.81

NAIL TFNA 11x420MM 130DEG RT

Facility

$9,653.15

Service Code	HCPCS C1713
Hospital Charge Code	270677265
Hospital Revenue Code	278
Min. Negotiated Rate	$232.64
Max. Negotiated Rate	$4,826.57
Rate for Payer: Aetna Commercial	$3,668.20
Rate for Payer: Aetna Medicare Advantage	$2,895.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,461.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,461.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,930.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,461.55
Rate for Payer: Cigna Commercial	$4,826.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,336.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,123.69
Rate for Payer: Qualcare PPO/HMO/WC	$1,447.97
Rate for Payer: UnitedHealthcare Community & State	$232.64
Rate for Payer: Wellpoint Medicaid Managed Care	$255.81

NAIL TFNA 11x420MM 130DEG RT

Facility

$9,653.15

Service Code	HCPCS C1713
Hospital Charge Code	270677265
Hospital Revenue Code	278
Min. Negotiated Rate	$1,447.97
Max. Negotiated Rate	$2,336.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,930.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,336.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,123.69
Rate for Payer: Qualcare PPO/HMO/WC	$1,447.97

NAIL TFNA TI CAN 10X170MM 125D

Facility

$19,175.00

Service Code	HCPCS C1713
Hospital Charge Code	270700622
Hospital Revenue Code	278
Min. Negotiated Rate	$2,876.25
Max. Negotiated Rate	$4,640.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,835.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,640.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,218.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,876.25

NAIL TFNA TI CAN 10X170MM 125D

Facility

$19,175.00

Service Code	HCPCS C1713
Hospital Charge Code	270700622
Hospital Revenue Code	278
Min. Negotiated Rate	$462.12
Max. Negotiated Rate	$9,587.50
Rate for Payer: Aetna Commercial	$7,286.50
Rate for Payer: Aetna Medicare Advantage	$5,752.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,889.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,889.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,835.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,889.62
Rate for Payer: Cigna Commercial	$9,587.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,640.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,218.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,876.25
Rate for Payer: UnitedHealthcare Community & State	$462.12
Rate for Payer: Wellpoint Medicaid Managed Care	$508.14

NAIL Ti 011x180mmx125Deg TROC

Facility

$10,340.00

Service Code	HCPCS C1713
Hospital Charge Code	270645793
Hospital Revenue Code	278
Min. Negotiated Rate	$1,551.00
Max. Negotiated Rate	$2,502.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,068.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,502.28
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,274.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,551.00

NAIL Ti 011x180mmx125Deg TROC

Facility

$10,340.00

Service Code	HCPCS C1713
Hospital Charge Code	270645793
Hospital Revenue Code	278
Min. Negotiated Rate	$249.19
Max. Negotiated Rate	$5,170.00
Rate for Payer: Aetna Commercial	$3,929.20
Rate for Payer: Aetna Medicare Advantage	$3,102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,636.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,636.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,068.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,636.70
Rate for Payer: Cigna Commercial	$5,170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,502.28
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,274.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,551.00
Rate for Payer: UnitedHealthcare Community & State	$249.19
Rate for Payer: Wellpoint Medicaid Managed Care	$274.01

NAIL TIB 10x30m LO PRO34344230

Facility

$3,432.40

Hospital Charge Code	270634982
Hospital Revenue Code	278
Min. Negotiated Rate	$82.72
Max. Negotiated Rate	$1,716.20
Rate for Payer: Aetna Commercial	$1,304.31
Rate for Payer: Aetna Medicare Advantage	$1,029.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$875.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$875.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$686.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$875.26
Rate for Payer: Cigna Commercial	$1,716.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$830.64
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$755.13
Rate for Payer: Qualcare PPO/HMO/WC	$514.86
Rate for Payer: UnitedHealthcare Community & State	$82.72
Rate for Payer: Wellpoint Medicaid Managed Care	$90.96

NAIL TIB 10x30m LO PRO34344230

Facility

$3,432.40

Hospital Charge Code	270634982
Hospital Revenue Code	278
Min. Negotiated Rate	$514.86
Max. Negotiated Rate	$830.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$686.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$830.64
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$755.13
Rate for Payer: Qualcare PPO/HMO/WC	$514.86

NAIL TIB 9MM TIT CAN EX/330MM

Facility

$6,180.00

Service Code	HCPCS C1713
Hospital Charge Code	270679274
Hospital Revenue Code	278
Min. Negotiated Rate	$927.00
Max. Negotiated Rate	$1,495.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,236.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,495.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,359.60
Rate for Payer: Qualcare PPO/HMO/WC	$927.00

NAIL TIB 9MM TIT CAN EX/330MM

Facility

$6,180.00

Service Code	HCPCS C1713
Hospital Charge Code	270679274
Hospital Revenue Code	278
Min. Negotiated Rate	$148.94
Max. Negotiated Rate	$3,090.00
Rate for Payer: Aetna Commercial	$2,348.40
Rate for Payer: Aetna Medicare Advantage	$1,854.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,575.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,575.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,236.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,575.90
Rate for Payer: Cigna Commercial	$3,090.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,495.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,359.60
Rate for Payer: Qualcare PPO/HMO/WC	$927.00
Rate for Payer: UnitedHealthcare Community & State	$148.94
Rate for Payer: Wellpoint Medicaid Managed Care	$163.77

NAIL TIBIA 7.5MM X 280MM

Facility

$20,600.00

Service Code	HCPCS C1713
Hospital Charge Code	270705499
Hospital Revenue Code	278
Min. Negotiated Rate	$3,090.00
Max. Negotiated Rate	$4,985.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,985.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,532.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,090.00

NAIL TIBIA 7.5MM X 280MM

Facility

$20,600.00

Service Code	HCPCS C1713
Hospital Charge Code	270705499
Hospital Revenue Code	278
Min. Negotiated Rate	$496.46
Max. Negotiated Rate	$10,300.00
Rate for Payer: Aetna Commercial	$7,828.00
Rate for Payer: Aetna Medicare Advantage	$6,180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,253.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,253.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,253.00
Rate for Payer: Cigna Commercial	$10,300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,985.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,532.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,090.00
Rate for Payer: UnitedHealthcare Community & State	$496.46
Rate for Payer: Wellpoint Medicaid Managed Care	$545.90

NAIL TIBIAL 10x330mm

Facility

$5,586.00

Hospital Charge Code	270652816
Hospital Revenue Code	278
Min. Negotiated Rate	$837.90
Max. Negotiated Rate	$1,351.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,117.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,351.81
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,228.92
Rate for Payer: Qualcare PPO/HMO/WC	$837.90

NAIL TIBIAL 10x330mm

Facility

$5,586.00

Hospital Charge Code	270652816
Hospital Revenue Code	278
Min. Negotiated Rate	$134.62
Max. Negotiated Rate	$2,793.00
Rate for Payer: Aetna Commercial	$2,122.68
Rate for Payer: Aetna Medicare Advantage	$1,675.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,424.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,424.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,117.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,424.43
Rate for Payer: Cigna Commercial	$2,793.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,351.81
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,228.92
Rate for Payer: Qualcare PPO/HMO/WC	$837.90
Rate for Payer: UnitedHealthcare Community & State	$134.62
Rate for Payer: Wellpoint Medicaid Managed Care	$148.03

NAIL TIBIAL 10X330 MM

Facility

$13,580.00

Service Code	HCPCS C1713
Hospital Charge Code	270703692
Hospital Revenue Code	278
Min. Negotiated Rate	$327.28
Max. Negotiated Rate	$6,790.00
Rate for Payer: Aetna Commercial	$5,160.40
Rate for Payer: Aetna Medicare Advantage	$4,074.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,462.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,462.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,716.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,462.90
Rate for Payer: Cigna Commercial	$6,790.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,286.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,987.60
Rate for Payer: Qualcare PPO/HMO/WC	$2,037.00
Rate for Payer: UnitedHealthcare Community & State	$327.28
Rate for Payer: Wellpoint Medicaid Managed Care	$359.87

NAIL TIBIAL 10X330 MM

Facility

$13,580.00

Service Code	HCPCS C1713
Hospital Charge Code	270703692
Hospital Revenue Code	278
Min. Negotiated Rate	$2,037.00
Max. Negotiated Rate	$3,286.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,716.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,286.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,987.60
Rate for Payer: Qualcare PPO/HMO/WC	$2,037.00

NAIL TIBIAL 10X345MM

Facility

$8,297.00

Service Code	HCPCS C1713
Hospital Charge Code	270696024
Hospital Revenue Code	278
Min. Negotiated Rate	$1,244.55
Max. Negotiated Rate	$2,007.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,659.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,007.87
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,825.34
Rate for Payer: Qualcare PPO/HMO/WC	$1,244.55

NAIL TIBIAL 10X345MM

Facility

$8,297.00

Service Code	HCPCS C1713
Hospital Charge Code	270696024
Hospital Revenue Code	278
Min. Negotiated Rate	$199.96
Max. Negotiated Rate	$4,148.50
Rate for Payer: Aetna Commercial	$3,152.86
Rate for Payer: Aetna Medicare Advantage	$2,489.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,115.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,115.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,659.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,115.74
Rate for Payer: Cigna Commercial	$4,148.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,007.87
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,825.34
Rate for Payer: Qualcare PPO/HMO/WC	$1,244.55
Rate for Payer: UnitedHealthcare Community & State	$199.96
Rate for Payer: Wellpoint Medicaid Managed Care	$219.87

NAIL TIBIAL 11x315 1822-1131S

Facility

$7,375.00

Hospital Charge Code	270638650
Hospital Revenue Code	278
Min. Negotiated Rate	$177.74
Max. Negotiated Rate	$3,687.50
Rate for Payer: Aetna Commercial	$2,802.50
Rate for Payer: Aetna Medicare Advantage	$2,212.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,880.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,880.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,475.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,880.62
Rate for Payer: Cigna Commercial	$3,687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,784.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,622.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,106.25
Rate for Payer: UnitedHealthcare Community & State	$177.74
Rate for Payer: Wellpoint Medicaid Managed Care	$195.44

NAIL TIBIAL 11x315 1822-1131S

Facility

$7,375.00

Hospital Charge Code	270638650
Hospital Revenue Code	278
Min. Negotiated Rate	$1,106.25
Max. Negotiated Rate	$1,784.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,784.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,622.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,106.25

NAIL TIBIAL 9X300MM

Facility

$20,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270700305
Hospital Revenue Code	278
Min. Negotiated Rate	$482.00
Max. Negotiated Rate	$10,000.00
Rate for Payer: Aetna Commercial	$7,600.00
Rate for Payer: Aetna Medicare Advantage	$6,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,100.00
Rate for Payer: Cigna Commercial	$10,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,840.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,400.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,000.00
Rate for Payer: UnitedHealthcare Community & State	$482.00
Rate for Payer: Wellpoint Medicaid Managed Care	$530.00

NAIL TIBIAL 9X300MM

Facility

$20,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270700305
Hospital Revenue Code	278
Min. Negotiated Rate	$3,000.00
Max. Negotiated Rate	$4,840.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,840.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,400.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,000.00

NAIL TIBIAL 9X390

Facility

$8,240.00

Service Code	HCPCS C1713
Hospital Charge Code	270672757
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 TIBIAL 9X390

Facility

$8,240.00

Service Code	HCPCS C1713
Hospital Charge Code	270672757
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

Know your out-of-pocket cost for care.

All Charges