Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

NAIL TIBIAL IM 11X38 225338011

Facility

$3,570.50

Hospital Charge Code	270634683
Hospital Revenue Code	278
Min. Negotiated Rate	$535.58
Max. Negotiated Rate	$864.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$714.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$864.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$785.51
Rate for Payer: Qualcare PPO/HMO/WC	$535.58

NAIL TIBIAL IM 11X38 225338011

Facility

$3,570.50

Hospital Charge Code	270634683
Hospital Revenue Code	278
Min. Negotiated Rate	$86.05
Max. Negotiated Rate	$1,785.25
Rate for Payer: Aetna Commercial	$1,356.79
Rate for Payer: Aetna Medicare Advantage	$1,071.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$910.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$910.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$714.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$910.48
Rate for Payer: Cigna Commercial	$1,785.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$864.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$785.51
Rate for Payer: Qualcare PPO/HMO/WC	$535.58
Rate for Payer: UnitedHealthcare Community & State	$86.05
Rate for Payer: Wellpoint Medicaid Managed Care	$94.62

NAIL TIBIAL IM LKG TI 9X330MM

Facility

$6,950.00

Service Code	HCPCS C1713
Hospital Charge Code	270697855
Hospital Revenue Code	278
Min. Negotiated Rate	$167.50
Max. Negotiated Rate	$3,475.00
Rate for Payer: Aetna Commercial	$2,641.00
Rate for Payer: Aetna Medicare Advantage	$2,085.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,772.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,772.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,390.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,772.25
Rate for Payer: Cigna Commercial	$3,475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,681.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,529.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,042.50
Rate for Payer: UnitedHealthcare Community & State	$167.50
Rate for Payer: Wellpoint Medicaid Managed Care	$184.18

NAIL TIBIAL IM LKG TI 9X330MM

Facility

$6,950.00

Service Code	HCPCS C1713
Hospital Charge Code	270697855
Hospital Revenue Code	278
Min. Negotiated Rate	$1,042.50
Max. Negotiated Rate	$1,681.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,390.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,681.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,529.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,042.50

NAIL TIBIAL LOCKING 10.5X360MM

Facility

$8,225.00

Service Code	HCPCS C1713
Hospital Charge Code	270646651
Hospital Revenue Code	278
Min. Negotiated Rate	$198.22
Max. Negotiated Rate	$4,112.50
Rate for Payer: Aetna Commercial	$3,125.50
Rate for Payer: Aetna Medicare Advantage	$2,467.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,097.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,097.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,645.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,097.38
Rate for Payer: Cigna Commercial	$4,112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,990.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,809.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,233.75
Rate for Payer: UnitedHealthcare Community & State	$198.22
Rate for Payer: Wellpoint Medicaid Managed Care	$217.96

NAIL TIBIAL LOCKING 10.5X360MM

Facility

$8,225.00

Service Code	HCPCS C1713
Hospital Charge Code	270646651
Hospital Revenue Code	278
Min. Negotiated Rate	$1,233.75
Max. Negotiated Rate	$1,990.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,645.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,990.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,809.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,233.75

NAIL TIBIAL M/D10x26 225326009

Facility

$3,743.20

Hospital Charge Code	270639118
Hospital Revenue Code	278
Min. Negotiated Rate	$90.21
Max. Negotiated Rate	$1,871.60
Rate for Payer: Aetna Commercial	$1,422.42
Rate for Payer: Aetna Medicare Advantage	$1,122.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$954.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$954.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$748.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$954.52
Rate for Payer: Cigna Commercial	$1,871.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$905.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$823.50
Rate for Payer: Qualcare PPO/HMO/WC	$561.48
Rate for Payer: UnitedHealthcare Community & State	$90.21
Rate for Payer: Wellpoint Medicaid Managed Care	$99.19

NAIL TIBIAL M/D10x26 225326009

Facility

$3,743.20

Hospital Charge Code	270639118
Hospital Revenue Code	278
Min. Negotiated Rate	$561.48
Max. Negotiated Rate	$905.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$748.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$905.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$823.50
Rate for Payer: Qualcare PPO/HMO/WC	$561.48

NAIL TIBIAL PHOENIX 9X350MM

Facility

$6,950.00

Service Code	HCPCS C1713
Hospital Charge Code	270697752
Hospital Revenue Code	278
Min. Negotiated Rate	$167.50
Max. Negotiated Rate	$3,475.00
Rate for Payer: Aetna Commercial	$2,641.00
Rate for Payer: Aetna Medicare Advantage	$2,085.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,772.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,772.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,390.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,772.25
Rate for Payer: Cigna Commercial	$3,475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,681.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,529.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,042.50
Rate for Payer: UnitedHealthcare Community & State	$167.50
Rate for Payer: Wellpoint Medicaid Managed Care	$184.18

NAIL TIBIAL PHOENIX 9X350MM

Facility

$6,950.00

Service Code	HCPCS C1713
Hospital Charge Code	270697752
Hospital Revenue Code	278
Min. Negotiated Rate	$1,042.50
Max. Negotiated Rate	$1,681.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,390.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,681.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,529.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,042.50

NAIL TIBIAL PROX BEND 9x315mm

Facility

$6,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270671293
Hospital Revenue Code	278
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$1,452.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,320.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

NAIL TIBIAL PROX BEND 9x315mm

Facility

$6,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270671293
Hospital Revenue Code	278
Min. Negotiated Rate	$144.60
Max. Negotiated Rate	$3,000.00
Rate for Payer: Aetna Commercial	$2,280.00
Rate for Payer: Aetna Medicare Advantage	$1,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,530.00
Rate for Payer: Cigna Commercial	$3,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,320.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00
Rate for Payer: UnitedHealthcare Community & State	$144.60
Rate for Payer: Wellpoint Medicaid Managed Care	$159.00

NAIL TIBIAL PROX BEND 9x330mm

Facility

$6,180.00

Service Code	HCPCS C1713
Hospital Charge Code	270671305
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 TIBIAL PROX BEND 9x330mm

Facility

$6,180.00

Service Code	HCPCS C1713
Hospital Charge Code	270671305
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 TIBIAL STANDARD 9X345MM

Facility

$11,410.00

Hospital Charge Code	270668416
Hospital Revenue Code	278
Min. Negotiated Rate	$1,711.50
Max. Negotiated Rate	$2,761.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,282.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,761.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,510.20
Rate for Payer: Qualcare PPO/HMO/WC	$1,711.50

NAIL TIBIAL STANDARD 9X345MM

Facility

$11,410.00

Hospital Charge Code	270668416
Hospital Revenue Code	278
Min. Negotiated Rate	$274.98
Max. Negotiated Rate	$5,705.00
Rate for Payer: Aetna Commercial	$4,335.80
Rate for Payer: Aetna Medicare Advantage	$3,423.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,909.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,909.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,282.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,909.55
Rate for Payer: Cigna Commercial	$5,705.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,761.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,510.20
Rate for Payer: Qualcare PPO/HMO/WC	$1,711.50
Rate for Payer: UnitedHealthcare Community & State	$274.98
Rate for Payer: Wellpoint Medicaid Managed Care	$302.37

NAIL TIBIAL STRD 9x285mm

Facility

$7,913.50

Hospital Charge Code	270671681
Hospital Revenue Code	278
Min. Negotiated Rate	$190.72
Max. Negotiated Rate	$3,956.75
Rate for Payer: Aetna Commercial	$3,007.13
Rate for Payer: Aetna Medicare Advantage	$2,374.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,017.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,017.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,582.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,017.94
Rate for Payer: Cigna Commercial	$3,956.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,915.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,740.97
Rate for Payer: Qualcare PPO/HMO/WC	$1,187.03
Rate for Payer: UnitedHealthcare Community & State	$190.72
Rate for Payer: Wellpoint Medicaid Managed Care	$209.71

NAIL TIBIAL STRD 9x285mm

Facility

$7,913.50

Hospital Charge Code	270671681
Hospital Revenue Code	278
Min. Negotiated Rate	$1,187.03
Max. Negotiated Rate	$1,915.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,582.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,915.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,740.97
Rate for Payer: Qualcare PPO/HMO/WC	$1,187.03

NAIL TIBIAL T2 ALPHA 10X255MM

Facility

$12,079.30

Service Code	HCPCS C1713
Hospital Charge Code	270694559
Hospital Revenue Code	278
Min. Negotiated Rate	$291.11
Max. Negotiated Rate	$6,039.65
Rate for Payer: Aetna Commercial	$4,590.13
Rate for Payer: Aetna Medicare Advantage	$3,623.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,080.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,080.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,415.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,080.22
Rate for Payer: Cigna Commercial	$6,039.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,923.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,657.45
Rate for Payer: Qualcare PPO/HMO/WC	$1,811.89
Rate for Payer: UnitedHealthcare Community & State	$291.11
Rate for Payer: Wellpoint Medicaid Managed Care	$320.10

NAIL TIBIAL T2 ALPHA 10X255MM

Facility

$12,079.30

Service Code	HCPCS C1713
Hospital Charge Code	270694559
Hospital Revenue Code	278
Min. Negotiated Rate	$1,811.89
Max. Negotiated Rate	$2,923.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,415.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,923.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,657.45
Rate for Payer: Qualcare PPO/HMO/WC	$1,811.89

NAIL TIBIAL TI CANN 10x330mm

Facility

$6,000.00

Hospital Charge Code	270656596
Hospital Revenue Code	278
Min. Negotiated Rate	$144.60
Max. Negotiated Rate	$3,000.00
Rate for Payer: Aetna Commercial	$2,280.00
Rate for Payer: Aetna Medicare Advantage	$1,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,530.00
Rate for Payer: Cigna Commercial	$3,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,320.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00
Rate for Payer: UnitedHealthcare Community & State	$144.60
Rate for Payer: Wellpoint Medicaid Managed Care	$159.00

NAIL TIBIAL TI CANN 10x330mm

Facility

$6,000.00

Hospital Charge Code	270656596
Hospital Revenue Code	278
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$1,452.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,320.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

NAIL TIBIAL TI CANN 11x315mm

Facility

$6,000.00

Hospital Charge Code	270656598
Hospital Revenue Code	278
Min. Negotiated Rate	$144.60
Max. Negotiated Rate	$3,000.00
Rate for Payer: Aetna Commercial	$2,280.00
Rate for Payer: Aetna Medicare Advantage	$1,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,530.00
Rate for Payer: Cigna Commercial	$3,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,320.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00
Rate for Payer: UnitedHealthcare Community & State	$144.60
Rate for Payer: Wellpoint Medicaid Managed Care	$159.00

NAIL TIBIAL TI CANN 11x315mm

Facility

$6,000.00

Hospital Charge Code	270656598
Hospital Revenue Code	278
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$1,452.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,320.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

NAIL TIBIAL TI CANN 11x405mm

Facility

$6,000.00

Hospital Charge Code	270665479
Hospital Revenue Code	278
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$1,452.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,320.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

Know your out-of-pocket cost for care.

All Charges