Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

PIN STEINMANN #5 9 x 7/64

Facility

$85.29

Service Code	HCPCS C1713
Hospital Charge Code	270678365
Hospital Revenue Code	278
Min. Negotiated Rate	$2.06
Max. Negotiated Rate	$42.65
Rate for Payer: Aetna Commercial	$32.41
Rate for Payer: Aetna Medicare Advantage	$25.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.75
Rate for Payer: Cigna Commercial	$42.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.64
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$18.76
Rate for Payer: Qualcare PPO/HMO/WC	$12.79
Rate for Payer: UnitedHealthcare Community & State	$2.06
Rate for Payer: Wellpoint Medicaid Managed Care	$2.26

PIN STEINMANN SMOOTH 2.5X100MM

Facility

$303.00

Service Code	HCPCS C1713
Hospital Charge Code	270699826
Hospital Revenue Code	278
Min. Negotiated Rate	$7.30
Max. Negotiated Rate	$151.50
Rate for Payer: Aetna Commercial	$115.14
Rate for Payer: Aetna Medicare Advantage	$90.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$77.27
Rate for Payer: Cigna Commercial	$151.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.33
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$66.66
Rate for Payer: Qualcare PPO/HMO/WC	$45.45
Rate for Payer: UnitedHealthcare Community & State	$7.30
Rate for Payer: Wellpoint Medicaid Managed Care	$8.03

PIN STEINMANN SMOOTH 2.5X100MM

Facility

$303.00

Service Code	HCPCS C1713
Hospital Charge Code	270699826
Hospital Revenue Code	278
Min. Negotiated Rate	$45.45
Max. Negotiated Rate	$73.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.33
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$66.66
Rate for Payer: Qualcare PPO/HMO/WC	$45.45

PIN STEINMANN TROCAR BLNT 12IN

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270699822
Hospital Revenue Code	278
Min. Negotiated Rate	$18.07
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$165.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Community & State	$18.07
Rate for Payer: Wellpoint Medicaid Managed Care	$19.88

PIN STEINMANN TROCAR BLNT 12IN

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270699822
Hospital Revenue Code	278
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$181.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$165.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

PIN STEINMAN THRD 3/16 & 5/6**

Facility

$38.00

Hospital Charge Code	1602184
Hospital Revenue Code	274
Min. Negotiated Rate	$5.70
Max. Negotiated Rate	$9.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8.36
Rate for Payer: Qualcare PPO/HMO/WC	$5.70

PIN STEINMAN THRD 3/16 & 5/6**

Facility

$38.00

Hospital Charge Code	1602184
Hospital Revenue Code	274
Min. Negotiated Rate	$0.92
Max. Negotiated Rate	$19.00
Rate for Payer: Aetna Commercial	$14.44
Rate for Payer: Aetna Medicare Advantage	$11.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.69
Rate for Payer: Cigna Commercial	$19.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8.36
Rate for Payer: Qualcare PPO/HMO/WC	$5.70
Rate for Payer: UnitedHealthcare Community & State	$0.92
Rate for Payer: Wellpoint Medicaid Managed Care	$1.01

PINS THREADED PACK

Facility

$250.00

Hospital Charge Code	270684548
Hospital Revenue Code	272
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$37.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

PINS THREADED PACK

Facility

$250.00

Hospital Charge Code	270684548
Hospital Revenue Code	272
Min. Negotiated Rate	$6.03
Max. Negotiated Rate	$125.00
Rate for Payer: Aetna Commercial	$95.00
Rate for Payer: Aetna Medicare Advantage	$75.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.75
Rate for Payer: Cigna Commercial	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.00
Rate for Payer: Oxford Commercial	$50.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.50
Rate for Payer: UnitedHealthcare Commercial	$50.00
Rate for Payer: UnitedHealthcare Community & State	$6.03
Rate for Payer: Wellpoint Medicaid Managed Care	$6.62

PIN STIEN 5.0x250 CENTL 293840

Facility

$448.95

Hospital Charge Code	270633731
Hospital Revenue Code	278
Min. Negotiated Rate	$10.82
Max. Negotiated Rate	$224.47
Rate for Payer: Aetna Commercial	$170.60
Rate for Payer: Aetna Medicare Advantage	$134.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$89.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.48
Rate for Payer: Cigna Commercial	$224.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$98.77
Rate for Payer: Qualcare PPO/HMO/WC	$67.34
Rate for Payer: UnitedHealthcare Community & State	$10.82
Rate for Payer: Wellpoint Medicaid Managed Care	$11.90

PIN STIEN 5.0x250 CENTL 293840

Facility

$448.95

Hospital Charge Code	270633731
Hospital Revenue Code	278
Min. Negotiated Rate	$67.34
Max. Negotiated Rate	$108.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$89.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$98.77
Rate for Payer: Qualcare PPO/HMO/WC	$67.34

PIN STIENMAN 1/8x12 35361681

Facility

$129.00

Hospital Charge Code	270632384
Hospital Revenue Code	278
Min. Negotiated Rate	$3.11
Max. Negotiated Rate	$64.50
Rate for Payer: Aetna Commercial	$49.02
Rate for Payer: Aetna Medicare Advantage	$38.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.90
Rate for Payer: Cigna Commercial	$64.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$28.38
Rate for Payer: Qualcare PPO/HMO/WC	$19.35
Rate for Payer: UnitedHealthcare Community & State	$3.11
Rate for Payer: Wellpoint Medicaid Managed Care	$3.42

PIN STIENMAN 1/8x12 35361681

Facility

$129.00

Hospital Charge Code	270632384
Hospital Revenue Code	278
Min. Negotiated Rate	$19.35
Max. Negotiated Rate	$31.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$28.38
Rate for Payer: Qualcare PPO/HMO/WC	$19.35

PIN STIENMANN #6 DIA

Facility

$148.32

Hospital Charge Code	270678366
Hospital Revenue Code	278
Min. Negotiated Rate	$22.25
Max. Negotiated Rate	$35.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$32.63
Rate for Payer: Qualcare PPO/HMO/WC	$22.25

PIN STIENMANN #6 DIA

Facility

$148.32

Hospital Charge Code	270678366
Hospital Revenue Code	278
Min. Negotiated Rate	$3.57
Max. Negotiated Rate	$74.16
Rate for Payer: Aetna Commercial	$56.36
Rate for Payer: Aetna Medicare Advantage	$44.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.82
Rate for Payer: Cigna Commercial	$74.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$32.63
Rate for Payer: Qualcare PPO/HMO/WC	$22.25
Rate for Payer: UnitedHealthcare Community & State	$3.57
Rate for Payer: Wellpoint Medicaid Managed Care	$3.93

PINS TROCAR LKNG 3.2mm 3

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270685218
Hospital Revenue Code	278
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$242.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$220.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

PINS TROCAR LKNG 3.2mm 3

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270685218
Hospital Revenue Code	278
Min. Negotiated Rate	$24.10
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$380.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$220.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00
Rate for Payer: UnitedHealthcare Community & State	$24.10
Rate for Payer: Wellpoint Medicaid Managed Care	$26.50

PIN TEMP FIX

Facility

$425.00

Hospital Charge Code	270677043
Hospital Revenue Code	278
Min. Negotiated Rate	$63.75
Max. Negotiated Rate	$102.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$85.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$93.50
Rate for Payer: Qualcare PPO/HMO/WC	$63.75

PIN TEMP FIX

Facility

$425.00

Hospital Charge Code	270677043
Hospital Revenue Code	278
Min. Negotiated Rate	$10.24
Max. Negotiated Rate	$212.50
Rate for Payer: Aetna Commercial	$161.50
Rate for Payer: Aetna Medicare Advantage	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$85.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$108.38
Rate for Payer: Cigna Commercial	$212.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$93.50
Rate for Payer: Qualcare PPO/HMO/WC	$63.75
Rate for Payer: UnitedHealthcare Community & State	$10.24
Rate for Payer: Wellpoint Medicaid Managed Care	$11.26

PIN TEMP FIXATION 1.1MM

Facility

$370.00

Service Code	HCPCS C1713
Hospital Charge Code	270660760
Hospital Revenue Code	278
Min. Negotiated Rate	$8.92
Max. Negotiated Rate	$185.00
Rate for Payer: Aetna Commercial	$140.60
Rate for Payer: Aetna Medicare Advantage	$111.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.35
Rate for Payer: Cigna Commercial	$185.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$81.40
Rate for Payer: Qualcare PPO/HMO/WC	$55.50
Rate for Payer: UnitedHealthcare Community & State	$8.92
Rate for Payer: Wellpoint Medicaid Managed Care	$9.80

PIN TEMP FIXATION 1.1MM

Facility

$370.00

Service Code	HCPCS C1713
Hospital Charge Code	270660760
Hospital Revenue Code	278
Min. Negotiated Rate	$55.50
Max. Negotiated Rate	$89.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$81.40
Rate for Payer: Qualcare PPO/HMO/WC	$55.50

PIN TEMP FIXATION 2MM THD

Facility

$370.00

Hospital Charge Code	270672741
Hospital Revenue Code	272
Min. Negotiated Rate	$8.92
Max. Negotiated Rate	$185.00
Rate for Payer: Aetna Commercial	$140.60
Rate for Payer: Aetna Medicare Advantage	$111.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.35
Rate for Payer: Cigna Commercial	$185.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.00
Rate for Payer: Oxford Commercial	$74.00
Rate for Payer: Qualcare PPO/HMO/WC	$55.50
Rate for Payer: UnitedHealthcare Commercial	$74.00
Rate for Payer: UnitedHealthcare Community & State	$8.92
Rate for Payer: Wellpoint Medicaid Managed Care	$9.80

PIN TEMP FIXATION 2MM THD

Facility

$370.00

Hospital Charge Code	270672741
Hospital Revenue Code	272
Min. Negotiated Rate	$55.50
Max. Negotiated Rate	$55.50
Rate for Payer: Qualcare PPO/HMO/WC	$55.50

PIN THREADED 3.2MM , 450MM

Facility

$935.00

Hospital Charge Code	270661013
Hospital Revenue Code	278
Min. Negotiated Rate	$140.25
Max. Negotiated Rate	$226.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$187.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$226.27
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$205.70
Rate for Payer: Qualcare PPO/HMO/WC	$140.25

PIN THREADED 3.2MM , 450MM

Facility

$935.00

Hospital Charge Code	270661013
Hospital Revenue Code	278
Min. Negotiated Rate	$22.53
Max. Negotiated Rate	$467.50
Rate for Payer: Aetna Commercial	$355.30
Rate for Payer: Aetna Medicare Advantage	$280.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$238.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$238.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$187.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$238.43
Rate for Payer: Cigna Commercial	$467.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$226.27
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$205.70
Rate for Payer: Qualcare PPO/HMO/WC	$140.25
Rate for Payer: UnitedHealthcare Community & State	$22.53
Rate for Payer: Wellpoint Medicaid Managed Care	$24.78

Know your out-of-pocket cost for care.

All Charges