Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

PINBALL JURGAN REF 3/32

Facility

$64.00

Hospital Charge Code	270601401
Hospital Revenue Code	272
Min. Negotiated Rate	$1.54
Max. Negotiated Rate	$32.00
Rate for Payer: Aetna Commercial	$24.32
Rate for Payer: Aetna Medicare Advantage	$19.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.32
Rate for Payer: Cigna Commercial	$32.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.20
Rate for Payer: Oxford Commercial	$12.80
Rate for Payer: Qualcare PPO/HMO/WC	$9.60
Rate for Payer: UnitedHealthcare Commercial	$12.80
Rate for Payer: UnitedHealthcare Community & State	$1.54
Rate for Payer: Wellpoint Medicaid Managed Care	$1.70

PINBALL JURGAN REF 3/32

Facility

$64.00

Hospital Charge Code	270601401
Hospital Revenue Code	272
Min. Negotiated Rate	$9.60
Max. Negotiated Rate	$9.60
Rate for Payer: Qualcare PPO/HMO/WC	$9.60

PINBALL JURGAN REF 5/64

Facility

$64.00

Hospital Charge Code	270601041
Hospital Revenue Code	272
Min. Negotiated Rate	$9.60
Max. Negotiated Rate	$9.60
Rate for Payer: Qualcare PPO/HMO/WC	$9.60

PINBALL JURGAN REF 5/64

Facility

$64.00

Hospital Charge Code	270601041
Hospital Revenue Code	272
Min. Negotiated Rate	$1.54
Max. Negotiated Rate	$32.00
Rate for Payer: Aetna Commercial	$24.32
Rate for Payer: Aetna Medicare Advantage	$19.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.32
Rate for Payer: Cigna Commercial	$32.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.20
Rate for Payer: Oxford Commercial	$12.80
Rate for Payer: Qualcare PPO/HMO/WC	$9.60
Rate for Payer: UnitedHealthcare Commercial	$12.80
Rate for Payer: UnitedHealthcare Community & State	$1.54
Rate for Payer: Wellpoint Medicaid Managed Care	$1.70

PINBALL JURGAN REF 5/64

Facility

$33.65

Hospital Charge Code	270601040
Hospital Revenue Code	272
Min. Negotiated Rate	$5.05
Max. Negotiated Rate	$5.05
Rate for Payer: Qualcare PPO/HMO/WC	$5.05

PINBALL JURGAN REF 5/64

Facility

$33.65

Hospital Charge Code	270601040
Hospital Revenue Code	272
Min. Negotiated Rate	$0.81
Max. Negotiated Rate	$16.82
Rate for Payer: Aetna Commercial	$12.79
Rate for Payer: Aetna Medicare Advantage	$10.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.58
Rate for Payer: Cigna Commercial	$16.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.10
Rate for Payer: Oxford Commercial	$6.73
Rate for Payer: Qualcare PPO/HMO/WC	$5.05
Rate for Payer: UnitedHealthcare Commercial	$6.73
Rate for Payer: UnitedHealthcare Community & State	$0.81
Rate for Payer: Wellpoint Medicaid Managed Care	$0.89

PIN BENDING 2.0MM LCP PLATE

Facility

$732.00

Hospital Charge Code	270676859
Hospital Revenue Code	272
Min. Negotiated Rate	$109.80
Max. Negotiated Rate	$109.80
Rate for Payer: Qualcare PPO/HMO/WC	$109.80

PIN BENDING 2.0MM LCP PLATE

Facility

$732.00

Hospital Charge Code	270676859
Hospital Revenue Code	272
Min. Negotiated Rate	$17.64
Max. Negotiated Rate	$366.00
Rate for Payer: Aetna Commercial	$278.16
Rate for Payer: Aetna Medicare Advantage	$219.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$186.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$186.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$186.66
Rate for Payer: Cigna Commercial	$366.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.60
Rate for Payer: Oxford Commercial	$146.40
Rate for Payer: Qualcare PPO/HMO/WC	$109.80
Rate for Payer: UnitedHealthcare Commercial	$146.40
Rate for Payer: UnitedHealthcare Community & State	$17.64
Rate for Payer: Wellpoint Medicaid Managed Care	$19.40

PIN BENDING 2.4MM LCKNG PLATE

Facility

$483.00

Hospital Charge Code	270676856
Hospital Revenue Code	272
Min. Negotiated Rate	$72.45
Max. Negotiated Rate	$72.45
Rate for Payer: Qualcare PPO/HMO/WC	$72.45

PIN BENDING 2.4MM LCKNG PLATE

Facility

$483.00

Hospital Charge Code	270676856
Hospital Revenue Code	272
Min. Negotiated Rate	$11.64
Max. Negotiated Rate	$241.50
Rate for Payer: Aetna Commercial	$183.54
Rate for Payer: Aetna Medicare Advantage	$144.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$123.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$123.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$123.17
Rate for Payer: Cigna Commercial	$241.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.90
Rate for Payer: Oxford Commercial	$96.60
Rate for Payer: Qualcare PPO/HMO/WC	$72.45
Rate for Payer: UnitedHealthcare Commercial	$96.60
Rate for Payer: UnitedHealthcare Community & State	$11.64
Rate for Payer: Wellpoint Medicaid Managed Care	$12.80

PIN BMT GUIDE 3.2 35.5 471132

Facility

$299.25

Hospital Charge Code	270617179
Hospital Revenue Code	278
Min. Negotiated Rate	$7.21
Max. Negotiated Rate	$149.62
Rate for Payer: Aetna Commercial	$113.72
Rate for Payer: Aetna Medicare Advantage	$89.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$59.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.31
Rate for Payer: Cigna Commercial	$149.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.42
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$65.83
Rate for Payer: Qualcare PPO/HMO/WC	$44.89
Rate for Payer: UnitedHealthcare Community & State	$7.21
Rate for Payer: Wellpoint Medicaid Managed Care	$7.93

PIN BMT GUIDE 3.2 35.5 471132

Facility

$299.25

Hospital Charge Code	270617179
Hospital Revenue Code	278
Min. Negotiated Rate	$44.89
Max. Negotiated Rate	$72.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$59.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.42
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$65.83
Rate for Payer: Qualcare PPO/HMO/WC	$44.89

PIN BMT GUIDE BALLTIP CP500543

Facility

$460.85

Hospital Charge Code	270610795
Hospital Revenue Code	278
Min. Negotiated Rate	$11.11
Max. Negotiated Rate	$230.43
Rate for Payer: Aetna Commercial	$175.12
Rate for Payer: Aetna Medicare Advantage	$138.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$117.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$117.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$92.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$117.52
Rate for Payer: Cigna Commercial	$230.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$101.39
Rate for Payer: Qualcare PPO/HMO/WC	$69.13
Rate for Payer: UnitedHealthcare Community & State	$11.11
Rate for Payer: Wellpoint Medicaid Managed Care	$12.21

PIN BMT GUIDE BALLTIP CP500543

Facility

$460.85

Hospital Charge Code	270610795
Hospital Revenue Code	278
Min. Negotiated Rate	$69.13
Max. Negotiated Rate	$111.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$92.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$101.39
Rate for Payer: Qualcare PPO/HMO/WC	$69.13

PIN BMT GUIDE BALLTIP CP500544

Facility

$460.85

Hospital Charge Code	270610796
Hospital Revenue Code	278
Min. Negotiated Rate	$11.11
Max. Negotiated Rate	$230.43
Rate for Payer: Aetna Commercial	$175.12
Rate for Payer: Aetna Medicare Advantage	$138.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$117.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$117.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$92.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$117.52
Rate for Payer: Cigna Commercial	$230.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$101.39
Rate for Payer: Qualcare PPO/HMO/WC	$69.13
Rate for Payer: UnitedHealthcare Community & State	$11.11
Rate for Payer: Wellpoint Medicaid Managed Care	$12.21

PIN BMT GUIDE BALLTIP CP500544

Facility

$460.85

Hospital Charge Code	270610796
Hospital Revenue Code	278
Min. Negotiated Rate	$69.13
Max. Negotiated Rate	$111.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$92.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$101.39
Rate for Payer: Qualcare PPO/HMO/WC	$69.13

PIN BMT GUIDE THREADED 328010

Facility

$300.00

Hospital Charge Code	270612177
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$72.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$66.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

PIN BMT GUIDE THREADED 328010

Facility

$300.00

Hospital Charge Code	270612177
Hospital Revenue Code	278
Min. Negotiated Rate	$7.23
Max. Negotiated Rate	$150.00
Rate for Payer: Aetna Commercial	$114.00
Rate for Payer: Aetna Medicare Advantage	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$66.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00
Rate for Payer: UnitedHealthcare Community & State	$7.23
Rate for Payer: Wellpoint Medicaid Managed Care	$7.95

PIN BMT STEINMAN 12 1/8 361681

Facility

$231.25

Hospital Charge Code	270621701
Hospital Revenue Code	278
Min. Negotiated Rate	$34.69
Max. Negotiated Rate	$55.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$50.88
Rate for Payer: Qualcare PPO/HMO/WC	$34.69

PIN BMT STEINMAN 12 1/8 361681

Facility

$231.25

Hospital Charge Code	270621701
Hospital Revenue Code	278
Min. Negotiated Rate	$5.57
Max. Negotiated Rate	$115.62
Rate for Payer: Aetna Commercial	$87.88
Rate for Payer: Aetna Medicare Advantage	$69.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.97
Rate for Payer: Cigna Commercial	$115.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$50.88
Rate for Payer: Qualcare PPO/HMO/WC	$34.69
Rate for Payer: UnitedHealthcare Community & State	$5.57
Rate for Payer: Wellpoint Medicaid Managed Care	$6.13

PIN BONE 3.2MM X 140MM

Facility

$340.00

Hospital Charge Code	270669172
Hospital Revenue Code	278
Min. Negotiated Rate	$8.19
Max. Negotiated Rate	$170.00
Rate for Payer: Aetna Commercial	$129.20
Rate for Payer: Aetna Medicare Advantage	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$68.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.70
Rate for Payer: Cigna Commercial	$170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.28
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$74.80
Rate for Payer: Qualcare PPO/HMO/WC	$51.00
Rate for Payer: UnitedHealthcare Community & State	$8.19
Rate for Payer: Wellpoint Medicaid Managed Care	$9.01

PIN BONE 3.2MM X 140MM

Facility

$340.00

Hospital Charge Code	270669172
Hospital Revenue Code	278
Min. Negotiated Rate	$51.00
Max. Negotiated Rate	$82.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$68.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.28
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$74.80
Rate for Payer: Qualcare PPO/HMO/WC	$51.00

PIN BONE 3.2MMX80MM

Facility

$340.00

Hospital Charge Code	270669173
Hospital Revenue Code	278
Min. Negotiated Rate	$51.00
Max. Negotiated Rate	$82.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$68.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.28
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$74.80
Rate for Payer: Qualcare PPO/HMO/WC	$51.00

PIN BONE 3.2MMX80MM

Facility

$340.00

Hospital Charge Code	270669173
Hospital Revenue Code	278
Min. Negotiated Rate	$8.19
Max. Negotiated Rate	$170.00
Rate for Payer: Aetna Commercial	$129.20
Rate for Payer: Aetna Medicare Advantage	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$68.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.70
Rate for Payer: Cigna Commercial	$170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.28
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$74.80
Rate for Payer: Qualcare PPO/HMO/WC	$51.00
Rate for Payer: UnitedHealthcare Community & State	$8.19
Rate for Payer: Wellpoint Medicaid Managed Care	$9.01

PIN BONE 4x140MM

Facility

$1,010.00

Service Code	HCPCS C1713
Hospital Charge Code	270676364
Hospital Revenue Code	278
Min. Negotiated Rate	$151.50
Max. Negotiated Rate	$244.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$202.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$244.42
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$222.20
Rate for Payer: Qualcare PPO/HMO/WC	$151.50

Know your out-of-pocket cost for care.

All Charges