Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

NAIL TROCH 11X170MM

Facility

$1,530.00

Service Code	HCPCS C1713
Hospital Charge Code	270701091
Hospital Revenue Code	278
Min. Negotiated Rate	$229.50
Max. Negotiated Rate	$370.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$306.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$370.26
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$336.60
Rate for Payer: Qualcare PPO/HMO/WC	$229.50

NAIL TROCH 11x22cm

Facility

$6,825.00

Service Code	HCPCS C1713
Hospital Charge Code	270636173
Hospital Revenue Code	278
Min. Negotiated Rate	$1,023.75
Max. Negotiated Rate	$1,651.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,365.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,651.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,501.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,023.75

NAIL TROCH 11x22cm

Facility

$6,825.00

Service Code	HCPCS C1713
Hospital Charge Code	270636173
Hospital Revenue Code	278
Min. Negotiated Rate	$164.48
Max. Negotiated Rate	$3,412.50
Rate for Payer: Aetna Commercial	$2,593.50
Rate for Payer: Aetna Medicare Advantage	$2,047.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,740.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,740.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,365.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,740.38
Rate for Payer: Cigna Commercial	$3,412.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,651.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,501.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,023.75
Rate for Payer: UnitedHealthcare Community & State	$164.48
Rate for Payer: Wellpoint Medicaid Managed Care	$180.86

NAIL TROCH 11X36mm RT DC28336

Facility

$7,800.00

Hospital Charge Code	270639886
Hospital Revenue Code	278
Min. Negotiated Rate	$1,170.00
Max. Negotiated Rate	$1,887.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,560.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,887.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,716.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,170.00

NAIL TROCH 11X36mm RT DC28336

Facility

$7,800.00

Hospital Charge Code	270639886
Hospital Revenue Code	278
Min. Negotiated Rate	$187.98
Max. Negotiated Rate	$3,900.00
Rate for Payer: Aetna Commercial	$2,964.00
Rate for Payer: Aetna Medicare Advantage	$2,340.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,989.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,989.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,560.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,989.00
Rate for Payer: Cigna Commercial	$3,900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,887.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,716.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,170.00
Rate for Payer: UnitedHealthcare Community & State	$187.98
Rate for Payer: Wellpoint Medicaid Managed Care	$206.70

NAIL TROCH 125D 12X170MM

Facility

$13,120.00

Service Code	HCPCS C1713
Hospital Charge Code	270700452
Hospital Revenue Code	278
Min. Negotiated Rate	$316.19
Max. Negotiated Rate	$6,560.00
Rate for Payer: Aetna Commercial	$4,985.60
Rate for Payer: Aetna Medicare Advantage	$3,936.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,345.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,345.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,624.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,345.60
Rate for Payer: Cigna Commercial	$6,560.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,175.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,886.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,968.00
Rate for Payer: UnitedHealthcare Community & State	$316.19
Rate for Payer: Wellpoint Medicaid Managed Care	$347.68

NAIL TROCH 125D 12X170MM

Facility

$13,120.00

Service Code	HCPCS C1713
Hospital Charge Code	270700452
Hospital Revenue Code	278
Min. Negotiated Rate	$1,968.00
Max. Negotiated Rate	$3,175.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,624.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,175.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,886.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,968.00

NAIL TROCHANTERIC 130DEG 10X17

Facility

$13,770.00

Hospital Charge Code	270670994
Hospital Revenue Code	278
Min. Negotiated Rate	$2,065.50
Max. Negotiated Rate	$3,332.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,754.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,332.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,029.40
Rate for Payer: Qualcare PPO/HMO/WC	$2,065.50

NAIL TROCHANTERIC 130DEG 10X17

Facility

$13,770.00

Hospital Charge Code	270670994
Hospital Revenue Code	278
Min. Negotiated Rate	$331.86
Max. Negotiated Rate	$6,885.00
Rate for Payer: Aetna Commercial	$5,232.60
Rate for Payer: Aetna Medicare Advantage	$4,131.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,511.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,511.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,754.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,511.35
Rate for Payer: Cigna Commercial	$6,885.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,332.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,029.40
Rate for Payer: Qualcare PPO/HMO/WC	$2,065.50
Rate for Payer: UnitedHealthcare Community & State	$331.86
Rate for Payer: Wellpoint Medicaid Managed Care	$364.90

NAIL TROCH FIX 10x170mm 130DEG

Facility

$5,741.20

Service Code	HCPCS C1713
Hospital Charge Code	270645389
Hospital Revenue Code	278
Min. Negotiated Rate	$138.36
Max. Negotiated Rate	$2,870.60
Rate for Payer: Aetna Commercial	$2,181.66
Rate for Payer: Aetna Medicare Advantage	$1,722.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,464.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,464.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,148.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,464.01
Rate for Payer: Cigna Commercial	$2,870.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,389.37
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,263.06
Rate for Payer: Qualcare PPO/HMO/WC	$861.18
Rate for Payer: UnitedHealthcare Community & State	$138.36
Rate for Payer: Wellpoint Medicaid Managed Care	$152.14

NAIL TROCH FIX 10x170mm 130DEG

Facility

$5,741.20

Service Code	HCPCS C1713
Hospital Charge Code	270645389
Hospital Revenue Code	278
Min. Negotiated Rate	$861.18
Max. Negotiated Rate	$1,389.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,148.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,389.37
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,263.06
Rate for Payer: Qualcare PPO/HMO/WC	$861.18

NAIL TROCH FIX 10x380MM 130DEG

Facility

$7,812.00

Service Code	HCPCS C1713
Hospital Charge Code	270674050
Hospital Revenue Code	278
Min. Negotiated Rate	$1,171.80
Max. Negotiated Rate	$1,890.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,562.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,890.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,718.64
Rate for Payer: Qualcare PPO/HMO/WC	$1,171.80

NAIL TROCH FIX 10x380MM 130DEG

Facility

$7,812.00

Service Code	HCPCS C1713
Hospital Charge Code	270674050
Hospital Revenue Code	278
Min. Negotiated Rate	$188.27
Max. Negotiated Rate	$3,906.00
Rate for Payer: Aetna Commercial	$2,968.56
Rate for Payer: Aetna Medicare Advantage	$2,343.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,992.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,992.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,562.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,992.06
Rate for Payer: Cigna Commercial	$3,906.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,890.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,718.64
Rate for Payer: Qualcare PPO/HMO/WC	$1,171.80
Rate for Payer: UnitedHealthcare Community & State	$188.27
Rate for Payer: Wellpoint Medicaid Managed Care	$207.02

NAIL TROCH FIX 11x170mm 130DEG

Facility

$5,741.20

Service Code	HCPCS C1713
Hospital Charge Code	270646463
Hospital Revenue Code	278
Min. Negotiated Rate	$861.18
Max. Negotiated Rate	$1,389.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,148.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,389.37
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,263.06
Rate for Payer: Qualcare PPO/HMO/WC	$861.18

NAIL TROCH FIX 11x170mm 130DEG

Facility

$5,741.20

Service Code	HCPCS C1713
Hospital Charge Code	270646463
Hospital Revenue Code	278
Min. Negotiated Rate	$138.36
Max. Negotiated Rate	$2,870.60
Rate for Payer: Aetna Commercial	$2,181.66
Rate for Payer: Aetna Medicare Advantage	$1,722.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,464.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,464.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,148.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,464.01
Rate for Payer: Cigna Commercial	$2,870.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,389.37
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,263.06
Rate for Payer: Qualcare PPO/HMO/WC	$861.18
Rate for Payer: UnitedHealthcare Community & State	$138.36
Rate for Payer: Wellpoint Medicaid Managed Care	$152.14

NAIL TROCH FIX 12x170mm 130DEG

Facility

$5,741.20

Service Code	HCPCS C1713
Hospital Charge Code	270641672
Hospital Revenue Code	278
Min. Negotiated Rate	$138.36
Max. Negotiated Rate	$2,870.60
Rate for Payer: Aetna Commercial	$2,181.66
Rate for Payer: Aetna Medicare Advantage	$1,722.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,464.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,464.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,148.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,464.01
Rate for Payer: Cigna Commercial	$2,870.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,389.37
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,263.06
Rate for Payer: Qualcare PPO/HMO/WC	$861.18
Rate for Payer: UnitedHealthcare Community & State	$138.36
Rate for Payer: Wellpoint Medicaid Managed Care	$152.14

NAIL TROCH FIX 12x170mm 130DEG

Facility

$5,741.20

Service Code	HCPCS C1713
Hospital Charge Code	270641672
Hospital Revenue Code	278
Min. Negotiated Rate	$861.18
Max. Negotiated Rate	$1,389.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,148.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,389.37
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,263.06
Rate for Payer: Qualcare PPO/HMO/WC	$861.18

NAIL TROCH FIX 340mm LEFT

Facility

$7,555.05

Service Code	HCPCS C1713
Hospital Charge Code	270652815
Hospital Revenue Code	278
Min. Negotiated Rate	$182.08
Max. Negotiated Rate	$3,777.53
Rate for Payer: Aetna Commercial	$2,870.92
Rate for Payer: Aetna Medicare Advantage	$2,266.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,926.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,926.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,511.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,926.54
Rate for Payer: Cigna Commercial	$3,777.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,828.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,662.11
Rate for Payer: Qualcare PPO/HMO/WC	$1,133.26
Rate for Payer: UnitedHealthcare Community & State	$182.08
Rate for Payer: Wellpoint Medicaid Managed Care	$200.21

NAIL TROCH FIX 340mm LEFT

Facility

$7,555.05

Service Code	HCPCS C1713
Hospital Charge Code	270652815
Hospital Revenue Code	278
Min. Negotiated Rate	$1,133.26
Max. Negotiated Rate	$1,828.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,511.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,828.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,662.11
Rate for Payer: Qualcare PPO/HMO/WC	$1,133.26

NAIL TROCH FIX 380mm LEFT

Facility

$7,335.00

Service Code	HCPCS C1713
Hospital Charge Code	270656649
Hospital Revenue Code	278
Min. Negotiated Rate	$176.77
Max. Negotiated Rate	$3,667.50
Rate for Payer: Aetna Commercial	$2,787.30
Rate for Payer: Aetna Medicare Advantage	$2,200.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,870.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,870.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,467.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,870.42
Rate for Payer: Cigna Commercial	$3,667.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,775.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,613.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,100.25
Rate for Payer: UnitedHealthcare Community & State	$176.77
Rate for Payer: Wellpoint Medicaid Managed Care	$194.38

NAIL TROCH FIX 380mm LEFT

Facility

$7,335.00

Service Code	HCPCS C1713
Hospital Charge Code	270656649
Hospital Revenue Code	278
Min. Negotiated Rate	$1,100.25
Max. Negotiated Rate	$1,775.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,467.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,775.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,613.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,100.25

NAIL TROCH KIT 10x170MM 120 DE

Facility

$9,742.20

Hospital Charge Code	270671167
Hospital Revenue Code	278
Min. Negotiated Rate	$234.79
Max. Negotiated Rate	$4,871.10
Rate for Payer: Aetna Commercial	$3,702.04
Rate for Payer: Aetna Medicare Advantage	$2,922.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,484.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,484.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,948.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,484.26
Rate for Payer: Cigna Commercial	$4,871.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,357.61
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,143.28
Rate for Payer: Qualcare PPO/HMO/WC	$1,461.33
Rate for Payer: UnitedHealthcare Community & State	$234.79
Rate for Payer: Wellpoint Medicaid Managed Care	$258.17

NAIL TROCH KIT 10x170MM 120 DE

Facility

$9,742.20

Hospital Charge Code	270671167
Hospital Revenue Code	278
Min. Negotiated Rate	$1,461.33
Max. Negotiated Rate	$2,357.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,948.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,357.61
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,143.28
Rate for Payer: Qualcare PPO/HMO/WC	$1,461.33

NAIL TROCH LG 11mm RT 40 28340

Facility

$7,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270641179
Hospital Revenue Code	278
Min. Negotiated Rate	$187.98
Max. Negotiated Rate	$3,900.00
Rate for Payer: Aetna Commercial	$2,964.00
Rate for Payer: Aetna Medicare Advantage	$2,340.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,989.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,989.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,560.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,989.00
Rate for Payer: Cigna Commercial	$3,900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,887.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,716.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,170.00
Rate for Payer: UnitedHealthcare Community & State	$187.98
Rate for Payer: Wellpoint Medicaid Managed Care	$206.70

NAIL TROCH LG 11mm RT 40 28340

Facility

$7,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270641179
Hospital Revenue Code	278
Min. Negotiated Rate	$1,170.00
Max. Negotiated Rate	$1,887.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,560.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,887.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,716.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,170.00

Know your out-of-pocket cost for care.

All Charges