Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

PIN SAFETY STERILE #3

Facility

$3.86

Hospital Charge Code	270649478
Hospital Revenue Code	272
Min. Negotiated Rate	$0.58
Max. Negotiated Rate	$0.58
Rate for Payer: Qualcare PPO/HMO/WC	$0.58

PIN SCHANZ 4.0x100mm

Facility

$713.80

Service Code	HCPCS C1713
Hospital Charge Code	270644911
Hospital Revenue Code	278
Min. Negotiated Rate	$107.07
Max. Negotiated Rate	$172.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$142.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$172.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$157.04
Rate for Payer: Qualcare PPO/HMO/WC	$107.07

PIN SCHANZ 4.0x100mm

Facility

$713.80

Service Code	HCPCS C1713
Hospital Charge Code	270644911
Hospital Revenue Code	278
Min. Negotiated Rate	$17.20
Max. Negotiated Rate	$356.90
Rate for Payer: Aetna Commercial	$271.24
Rate for Payer: Aetna Medicare Advantage	$214.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$182.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$182.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$142.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$182.02
Rate for Payer: Cigna Commercial	$356.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$172.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$157.04
Rate for Payer: Qualcare PPO/HMO/WC	$107.07
Rate for Payer: UnitedHealthcare Community & State	$17.20
Rate for Payer: Wellpoint Medicaid Managed Care	$18.92

PIN SCHANZ 4.0x20MM SELF DRILL

Facility

$713.80

Service Code	HCPCS C1713
Hospital Charge Code	270679425
Hospital Revenue Code	278
Min. Negotiated Rate	$17.20
Max. Negotiated Rate	$356.90
Rate for Payer: Aetna Commercial	$271.24
Rate for Payer: Aetna Medicare Advantage	$214.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$182.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$182.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$142.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$182.02
Rate for Payer: Cigna Commercial	$356.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$172.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$157.04
Rate for Payer: Qualcare PPO/HMO/WC	$107.07
Rate for Payer: UnitedHealthcare Community & State	$17.20
Rate for Payer: Wellpoint Medicaid Managed Care	$18.92

PIN SCHANZ 4.0x20MM SELF DRILL

Facility

$713.80

Service Code	HCPCS C1713
Hospital Charge Code	270679425
Hospital Revenue Code	278
Min. Negotiated Rate	$107.07
Max. Negotiated Rate	$172.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$142.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$172.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$157.04
Rate for Payer: Qualcare PPO/HMO/WC	$107.07

PIN SCHANZ 4.0x80mm SELF DRIL-

Facility

$713.80

Hospital Charge Code	270644915
Hospital Revenue Code	272
Min. Negotiated Rate	$107.07
Max. Negotiated Rate	$107.07
Rate for Payer: Qualcare PPO/HMO/WC	$107.07

PIN SCHANZ 4.0x80mm SELF DRIL-

Facility

$713.80

Hospital Charge Code	270644915
Hospital Revenue Code	272
Min. Negotiated Rate	$17.20
Max. Negotiated Rate	$356.90
Rate for Payer: Aetna Commercial	$271.24
Rate for Payer: Aetna Medicare Advantage	$214.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$182.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$182.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$182.02
Rate for Payer: Cigna Commercial	$356.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.14
Rate for Payer: Oxford Commercial	$142.76
Rate for Payer: Qualcare PPO/HMO/WC	$107.07
Rate for Payer: UnitedHealthcare Commercial	$142.76
Rate for Payer: UnitedHealthcare Community & State	$17.20
Rate for Payer: Wellpoint Medicaid Managed Care	$18.92

PIN SCHANZ 5 MM

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270681317
Hospital Revenue Code	278
Min. Negotiated Rate	$36.15
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$570.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$330.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00
Rate for Payer: UnitedHealthcare Community & State	$36.15
Rate for Payer: Wellpoint Medicaid Managed Care	$39.75

PIN SCHANZ 5 MM

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270681317
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$363.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$330.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

PIN SD HALF PIN 50 THR

Facility

$1,119.35

Service Code	HCPCS A4649
Hospital Charge Code	270699603
Hospital Revenue Code	272
Min. Negotiated Rate	$167.90
Max. Negotiated Rate	$167.90
Rate for Payer: Qualcare PPO/HMO/WC	$167.90

PIN SD HALF PIN 50 THR

Facility

$1,119.35

Service Code	HCPCS A4649
Hospital Charge Code	270699603
Hospital Revenue Code	272
Min. Negotiated Rate	$26.98
Max. Negotiated Rate	$559.67
Rate for Payer: Aetna Commercial	$425.35
Rate for Payer: Aetna Medicare Advantage	$335.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$285.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$285.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$285.43
Rate for Payer: Cigna Commercial	$559.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$335.81
Rate for Payer: Oxford Commercial	$223.87
Rate for Payer: Qualcare PPO/HMO/WC	$167.90
Rate for Payer: UnitedHealthcare Commercial	$223.87
Rate for Payer: UnitedHealthcare Community & State	$26.98
Rate for Payer: Wellpoint Medicaid Managed Care	$29.66

PIN SDK PLATE HOLDING 871-656

Facility

$608.85

Hospital Charge Code	270609022
Hospital Revenue Code	278
Min. Negotiated Rate	$14.67
Max. Negotiated Rate	$304.43
Rate for Payer: Aetna Commercial	$231.36
Rate for Payer: Aetna Medicare Advantage	$182.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$155.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$155.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$121.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$155.26
Rate for Payer: Cigna Commercial	$304.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$147.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$133.95
Rate for Payer: Qualcare PPO/HMO/WC	$91.33
Rate for Payer: UnitedHealthcare Community & State	$14.67
Rate for Payer: Wellpoint Medicaid Managed Care	$16.13

PIN SDK PLATE HOLDING 871-656

Facility

$608.85

Hospital Charge Code	270609022
Hospital Revenue Code	278
Min. Negotiated Rate	$91.33
Max. Negotiated Rate	$147.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$121.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$147.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$133.95
Rate for Payer: Qualcare PPO/HMO/WC	$91.33

PIN SDK PLATE HOLDING 876-404

Facility

$170.45

Hospital Charge Code	270615262
Hospital Revenue Code	278
Min. Negotiated Rate	$25.57
Max. Negotiated Rate	$41.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$37.50
Rate for Payer: Qualcare PPO/HMO/WC	$25.57

PIN SDK PLATE HOLDING 876-404

Facility

$170.45

Hospital Charge Code	270615262
Hospital Revenue Code	278
Min. Negotiated Rate	$4.11
Max. Negotiated Rate	$85.22
Rate for Payer: Aetna Commercial	$64.77
Rate for Payer: Aetna Medicare Advantage	$51.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.46
Rate for Payer: Cigna Commercial	$85.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$37.50
Rate for Payer: Qualcare PPO/HMO/WC	$25.57
Rate for Payer: UnitedHealthcare Community & State	$4.11
Rate for Payer: Wellpoint Medicaid Managed Care	$4.52

PINS HEADLESS DISP FLUTED 3.5L

Facility

$754.88

Service Code	HCPCS C1713
Hospital Charge Code	270672583
Hospital Revenue Code	278
Min. Negotiated Rate	$18.19
Max. Negotiated Rate	$377.44
Rate for Payer: Aetna Commercial	$286.85
Rate for Payer: Aetna Medicare Advantage	$226.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.49
Rate for Payer: Cigna Commercial	$377.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.68
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$166.07
Rate for Payer: Qualcare PPO/HMO/WC	$113.23
Rate for Payer: UnitedHealthcare Community & State	$18.19
Rate for Payer: Wellpoint Medicaid Managed Care	$20.00

PINS HEADLESS DISP FLUTED 3.5L

Facility

$754.88

Service Code	HCPCS C1713
Hospital Charge Code	270672583
Hospital Revenue Code	278
Min. Negotiated Rate	$113.23
Max. Negotiated Rate	$182.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.68
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$166.07
Rate for Payer: Qualcare PPO/HMO/WC	$113.23

PINS HOLDING VALCP 2.4 2.7MM

Facility

$725.65

Hospital Charge Code	270686028
Hospital Revenue Code	272
Min. Negotiated Rate	$108.85
Max. Negotiated Rate	$108.85
Rate for Payer: Qualcare PPO/HMO/WC	$108.85

PINS HOLDING VALCP 2.4 2.7MM

Facility

$725.65

Hospital Charge Code	270686028
Hospital Revenue Code	272
Min. Negotiated Rate	$17.49
Max. Negotiated Rate	$362.82
Rate for Payer: Aetna Commercial	$275.75
Rate for Payer: Aetna Medicare Advantage	$217.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$185.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$185.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$185.04
Rate for Payer: Cigna Commercial	$362.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.69
Rate for Payer: Oxford Commercial	$145.13
Rate for Payer: Qualcare PPO/HMO/WC	$108.85
Rate for Payer: UnitedHealthcare Commercial	$145.13
Rate for Payer: UnitedHealthcare Community & State	$17.49
Rate for Payer: Wellpoint Medicaid Managed Care	$19.23

PIN SKULL ADULT DISP

Facility

$185.40

Hospital Charge Code	270676895
Hospital Revenue Code	272
Min. Negotiated Rate	$4.47
Max. Negotiated Rate	$92.70
Rate for Payer: Aetna Commercial	$70.45
Rate for Payer: Aetna Medicare Advantage	$55.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.28
Rate for Payer: Cigna Commercial	$92.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.62
Rate for Payer: Oxford Commercial	$37.08
Rate for Payer: Qualcare PPO/HMO/WC	$27.81
Rate for Payer: UnitedHealthcare Commercial	$37.08
Rate for Payer: UnitedHealthcare Community & State	$4.47
Rate for Payer: Wellpoint Medicaid Managed Care	$4.91

PIN SKULL ADULT DISP

Facility

$37.24

Hospital Charge Code	270646997
Hospital Revenue Code	270
Min. Negotiated Rate	$5.59
Max. Negotiated Rate	$5.59
Rate for Payer: Qualcare PPO/HMO/WC	$5.59

PIN SKULL ADULT DISP

Facility

$185.40

Hospital Charge Code	270676895
Hospital Revenue Code	272
Min. Negotiated Rate	$27.81
Max. Negotiated Rate	$27.81
Rate for Payer: Qualcare PPO/HMO/WC	$27.81

PIN SKULL ADULT DISP

Facility

$37.24

Hospital Charge Code	270646997
Hospital Revenue Code	270
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$18.62
Rate for Payer: Aetna Commercial	$14.15
Rate for Payer: Aetna Medicare Advantage	$11.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.50
Rate for Payer: Cigna Commercial	$18.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.17
Rate for Payer: Oxford Commercial	$7.45
Rate for Payer: Qualcare PPO/HMO/WC	$5.59
Rate for Payer: UnitedHealthcare Commercial	$7.45
Rate for Payer: UnitedHealthcare Community & State	$0.90
Rate for Payer: Wellpoint Medicaid Managed Care	$0.99

PIN SKY STRAIGHT TEMP FIX

Facility

$460.00

Service Code	HCPCS C1713
Hospital Charge Code	270670921
Hospital Revenue Code	278
Min. Negotiated Rate	$69.00
Max. Negotiated Rate	$111.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$92.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$101.20
Rate for Payer: Qualcare PPO/HMO/WC	$69.00

PIN SKY STRAIGHT TEMP FIX

Facility

$460.00

Service Code	HCPCS C1713
Hospital Charge Code	270670921
Hospital Revenue Code	278
Min. Negotiated Rate	$11.09
Max. Negotiated Rate	$230.00
Rate for Payer: Aetna Commercial	$174.80
Rate for Payer: Aetna Medicare Advantage	$138.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$117.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$117.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$92.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$117.30
Rate for Payer: Cigna Commercial	$230.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$101.20
Rate for Payer: Qualcare PPO/HMO/WC	$69.00
Rate for Payer: UnitedHealthcare Community & State	$11.09
Rate for Payer: Wellpoint Medicaid Managed Care	$12.19

Know your out-of-pocket cost for care.

All Charges