Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

PIN BONE 4x140MM

Facility

$1,010.00

Service Code	HCPCS C1713
Hospital Charge Code	270676364
Hospital Revenue Code	278
Min. Negotiated Rate	$24.34
Max. Negotiated Rate	$505.00
Rate for Payer: Aetna Commercial	$383.80
Rate for Payer: Aetna Medicare Advantage	$303.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$257.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$257.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$202.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$257.55
Rate for Payer: Cigna Commercial	$505.00
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
Rate for Payer: UnitedHealthcare Community & State	$24.34
Rate for Payer: Wellpoint Medicaid Managed Care	$26.77

PIN BONE 4X140MM

Facility

$340.00

Service Code	HCPCS C1713
Hospital Charge Code	270668481
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 4X140MM

Facility

$340.00

Service Code	HCPCS C1713
Hospital Charge Code	270668481
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 4x170MM

Facility

$1,010.00

Service Code	HCPCS C1713
Hospital Charge Code	270668611
Hospital Revenue Code	278
Min. Negotiated Rate	$24.34
Max. Negotiated Rate	$505.00
Rate for Payer: Aetna Commercial	$383.80
Rate for Payer: Aetna Medicare Advantage	$303.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$257.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$257.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$202.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$257.55
Rate for Payer: Cigna Commercial	$505.00
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
Rate for Payer: UnitedHealthcare Community & State	$24.34
Rate for Payer: Wellpoint Medicaid Managed Care	$26.77

PIN BONE 4x170MM

Facility

$1,010.00

Service Code	HCPCS C1713
Hospital Charge Code	270668611
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

PIN BONE 4x80MM

Facility

$1,010.00

Hospital Charge Code	270676363
Hospital Revenue Code	278
Min. Negotiated Rate	$24.34
Max. Negotiated Rate	$505.00
Rate for Payer: Aetna Commercial	$383.80
Rate for Payer: Aetna Medicare Advantage	$303.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$257.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$257.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$202.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$257.55
Rate for Payer: Cigna Commercial	$505.00
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
Rate for Payer: UnitedHealthcare Community & State	$24.34
Rate for Payer: Wellpoint Medicaid Managed Care	$26.77

PIN BONE 4x80MM

Facility

$1,010.00

Hospital Charge Code	270676363
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

PIN BONE 4X80MM

Facility

$340.00

Service Code	HCPCS C1713
Hospital Charge Code	270668480
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 4X80MM

Facility

$340.00

Service Code	HCPCS C1713
Hospital Charge Code	270668480
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 FIXAT HEX 2.7X70MM

Facility

$1,284.40

Service Code	HCPCS C1713
Hospital Charge Code	270700198
Hospital Revenue Code	278
Min. Negotiated Rate	$192.66
Max. Negotiated Rate	$310.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$256.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$310.82
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$282.57
Rate for Payer: Qualcare PPO/HMO/WC	$192.66

PIN BONE FIXAT HEX 2.7X70MM

Facility

$1,284.40

Service Code	HCPCS C1713
Hospital Charge Code	270700198
Hospital Revenue Code	278
Min. Negotiated Rate	$30.95
Max. Negotiated Rate	$642.20
Rate for Payer: Aetna Commercial	$488.07
Rate for Payer: Aetna Medicare Advantage	$385.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$327.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$327.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$256.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$327.52
Rate for Payer: Cigna Commercial	$642.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$310.82
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$282.57
Rate for Payer: Qualcare PPO/HMO/WC	$192.66
Rate for Payer: UnitedHealthcare Community & State	$30.95
Rate for Payer: Wellpoint Medicaid Managed Care	$34.04

PIN BUTTRESS 1.8x18MM

Facility

$181.25

Hospital Charge Code	270654795
Hospital Revenue Code	272
Min. Negotiated Rate	$27.19
Max. Negotiated Rate	$27.19
Rate for Payer: Qualcare PPO/HMO/WC	$27.19

PIN BUTTRESS 1.8x18MM

Facility

$181.25

Hospital Charge Code	270654795
Hospital Revenue Code	272
Min. Negotiated Rate	$4.37
Max. Negotiated Rate	$90.62
Rate for Payer: Aetna Commercial	$68.88
Rate for Payer: Aetna Medicare Advantage	$54.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.22
Rate for Payer: Cigna Commercial	$90.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.38
Rate for Payer: Oxford Commercial	$36.25
Rate for Payer: Qualcare PPO/HMO/WC	$27.19
Rate for Payer: UnitedHealthcare Commercial	$36.25
Rate for Payer: UnitedHealthcare Community & State	$4.37
Rate for Payer: Wellpoint Medicaid Managed Care	$4.80

PIN CABLE-READY 35MM

Facility

$2,725.65

Hospital Charge Code	270627297
Hospital Revenue Code	278
Min. Negotiated Rate	$408.85
Max. Negotiated Rate	$659.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$545.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$659.61
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$599.64
Rate for Payer: Qualcare PPO/HMO/WC	$408.85

PIN CABLE-READY 35MM

Facility

$2,725.65

Hospital Charge Code	270627297
Hospital Revenue Code	278
Min. Negotiated Rate	$65.69
Max. Negotiated Rate	$1,362.83
Rate for Payer: Aetna Commercial	$1,035.75
Rate for Payer: Aetna Medicare Advantage	$817.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$695.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$695.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$545.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$695.04
Rate for Payer: Cigna Commercial	$1,362.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$659.61
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$599.64
Rate for Payer: Qualcare PPO/HMO/WC	$408.85
Rate for Payer: UnitedHealthcare Community & State	$65.69
Rate for Payer: Wellpoint Medicaid Managed Care	$72.23

PIN CALCANEUS

Facility

$1,127.75

Service Code	HCPCS C1713
Hospital Charge Code	270677299
Hospital Revenue Code	278
Min. Negotiated Rate	$169.16
Max. Negotiated Rate	$272.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.92
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$248.10
Rate for Payer: Qualcare PPO/HMO/WC	$169.16

PIN CALCANEUS

Facility

$1,127.75

Service Code	HCPCS C1713
Hospital Charge Code	270677299
Hospital Revenue Code	278
Min. Negotiated Rate	$27.18
Max. Negotiated Rate	$563.88
Rate for Payer: Aetna Commercial	$428.55
Rate for Payer: Aetna Medicare Advantage	$338.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$287.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$287.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$287.58
Rate for Payer: Cigna Commercial	$563.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.92
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$248.10
Rate for Payer: Qualcare PPO/HMO/WC	$169.16
Rate for Payer: UnitedHealthcare Community & State	$27.18
Rate for Payer: Wellpoint Medicaid Managed Care	$29.89

PIN CALIBRATED GUIDE***

Facility

$23.00

Hospital Charge Code	1601533
Hospital Revenue Code	279
Min. Negotiated Rate	$0.55
Max. Negotiated Rate	$11.50
Rate for Payer: Aetna Commercial	$8.74
Rate for Payer: Aetna Medicare Advantage	$6.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.87
Rate for Payer: Cigna Commercial	$11.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.90
Rate for Payer: Oxford Commercial	$4.60
Rate for Payer: Qualcare PPO/HMO/WC	$3.45
Rate for Payer: UnitedHealthcare Commercial	$4.60
Rate for Payer: UnitedHealthcare Community & State	$0.55
Rate for Payer: Wellpoint Medicaid Managed Care	$0.61

PIN CALIBRATED GUIDE***

Facility

$23.00

Hospital Charge Code	1601533
Hospital Revenue Code	279
Min. Negotiated Rate	$3.45
Max. Negotiated Rate	$3.45
Rate for Payer: Qualcare PPO/HMO/WC	$3.45

PIN CALIBRATED GUIDE THRD TI**

Facility

$21.05

Hospital Charge Code	1601541
Hospital Revenue Code	279
Min. Negotiated Rate	$0.51
Max. Negotiated Rate	$10.53
Rate for Payer: Aetna Commercial	$8.00
Rate for Payer: Aetna Medicare Advantage	$6.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.37
Rate for Payer: Cigna Commercial	$10.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.32
Rate for Payer: Oxford Commercial	$4.21
Rate for Payer: Qualcare PPO/HMO/WC	$3.16
Rate for Payer: UnitedHealthcare Commercial	$4.21
Rate for Payer: UnitedHealthcare Community & State	$0.51
Rate for Payer: Wellpoint Medicaid Managed Care	$0.56

PIN CALIBRATED GUIDE THRD TI**

Facility

$21.05

Hospital Charge Code	1601541
Hospital Revenue Code	279
Min. Negotiated Rate	$3.16
Max. Negotiated Rate	$3.16
Rate for Payer: Qualcare PPO/HMO/WC	$3.16

PIN CERCLAGE 3.5MM STER

Facility

$756.00

Hospital Charge Code	270676773
Hospital Revenue Code	278
Min. Negotiated Rate	$18.22
Max. Negotiated Rate	$378.00
Rate for Payer: Aetna Commercial	$287.28
Rate for Payer: Aetna Medicare Advantage	$226.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$151.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.78
Rate for Payer: Cigna Commercial	$378.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$166.32
Rate for Payer: Qualcare PPO/HMO/WC	$113.40
Rate for Payer: UnitedHealthcare Community & State	$18.22
Rate for Payer: Wellpoint Medicaid Managed Care	$20.03

PIN CERCLAGE 3.5MM STER

Facility

$756.00

Hospital Charge Code	270676773
Hospital Revenue Code	278
Min. Negotiated Rate	$113.40
Max. Negotiated Rate	$182.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$151.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$166.32
Rate for Payer: Qualcare PPO/HMO/WC	$113.40

PIN CERCLAGE 4.5MM

Facility

$778.70

Service Code	HCPCS C1713
Hospital Charge Code	270645546
Hospital Revenue Code	278
Min. Negotiated Rate	$116.81
Max. Negotiated Rate	$188.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$155.74
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$188.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$171.31
Rate for Payer: Qualcare PPO/HMO/WC	$116.81

PIN CERCLAGE 4.5MM

Facility

$778.70

Service Code	HCPCS C1713
Hospital Charge Code	270645546
Hospital Revenue Code	278
Min. Negotiated Rate	$18.77
Max. Negotiated Rate	$389.35
Rate for Payer: Aetna Commercial	$295.91
Rate for Payer: Aetna Medicare Advantage	$233.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$198.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$198.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$155.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$198.57
Rate for Payer: Cigna Commercial	$389.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$188.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$171.31
Rate for Payer: Qualcare PPO/HMO/WC	$116.81
Rate for Payer: UnitedHealthcare Community & State	$18.77
Rate for Payer: Wellpoint Medicaid Managed Care	$20.64

Know your out-of-pocket cost for care.

All Charges