Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

PIN THREADED HEADLESS 46MM

Facility

$475.00

Service Code	HCPCS C1713
Hospital Charge Code	270676780
Hospital Revenue Code	278
Min. Negotiated Rate	$11.45
Max. Negotiated Rate	$237.50
Rate for Payer: Aetna Commercial	$180.50
Rate for Payer: Aetna Medicare Advantage	$142.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$121.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$121.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$95.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$121.12
Rate for Payer: Cigna Commercial	$237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$104.50
Rate for Payer: Qualcare PPO/HMO/WC	$71.25
Rate for Payer: UnitedHealthcare Community & State	$11.45
Rate for Payer: Wellpoint Medicaid Managed Care	$12.59

PIN THREADED HEADLESS 46MM

Facility

$475.00

Service Code	HCPCS C1713
Hospital Charge Code	270676780
Hospital Revenue Code	278
Min. Negotiated Rate	$71.25
Max. Negotiated Rate	$114.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$95.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$104.50
Rate for Payer: Qualcare PPO/HMO/WC	$71.25

PIN THREADED HEADLESS 65MM

Facility

$475.00

Service Code	HCPCS C1713
Hospital Charge Code	270676779
Hospital Revenue Code	278
Min. Negotiated Rate	$71.25
Max. Negotiated Rate	$114.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$95.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$104.50
Rate for Payer: Qualcare PPO/HMO/WC	$71.25

PIN THREADED HEADLESS 65MM

Facility

$475.00

Service Code	HCPCS C1713
Hospital Charge Code	270676779
Hospital Revenue Code	278
Min. Negotiated Rate	$11.45
Max. Negotiated Rate	$237.50
Rate for Payer: Aetna Commercial	$180.50
Rate for Payer: Aetna Medicare Advantage	$142.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$121.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$121.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$95.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$121.12
Rate for Payer: Cigna Commercial	$237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$104.50
Rate for Payer: Qualcare PPO/HMO/WC	$71.25
Rate for Payer: UnitedHealthcare Community & State	$11.45
Rate for Payer: Wellpoint Medicaid Managed Care	$12.59

PIN TIP DRILL 3.5MM

Facility

$750.00

Hospital Charge Code	270673453
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

PIN TIP DRILL 3.5MM

Facility

$750.00

Hospital Charge Code	270673453
Hospital Revenue Code	272
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) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.00
Rate for Payer: Oxford Commercial	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Commercial	$150.00
Rate for Payer: UnitedHealthcare Community & State	$18.07
Rate for Payer: Wellpoint Medicaid Managed Care	$19.88

PIN TO BAR CLAMP

Facility

$3,795.00

Hospital Charge Code	270656951
Hospital Revenue Code	278
Min. Negotiated Rate	$91.46
Max. Negotiated Rate	$1,897.50
Rate for Payer: Aetna Commercial	$1,442.10
Rate for Payer: Aetna Medicare Advantage	$1,138.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$967.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$967.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$759.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$967.73
Rate for Payer: Cigna Commercial	$1,897.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$918.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$834.90
Rate for Payer: Qualcare PPO/HMO/WC	$569.25
Rate for Payer: UnitedHealthcare Community & State	$91.46
Rate for Payer: Wellpoint Medicaid Managed Care	$100.57

PIN TO BAR CLAMP

Facility

$3,795.00

Hospital Charge Code	270656951
Hospital Revenue Code	278
Min. Negotiated Rate	$569.25
Max. Negotiated Rate	$918.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$759.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$918.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$834.90
Rate for Payer: Qualcare PPO/HMO/WC	$569.25

PIN TO BAR CLAMP 4922-1-020

Facility

$4,565.00

Service Code	HCPCS C1713
Hospital Charge Code	270648625
Hospital Revenue Code	278
Min. Negotiated Rate	$684.75
Max. Negotiated Rate	$1,104.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$913.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,104.73
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,004.30
Rate for Payer: Qualcare PPO/HMO/WC	$684.75

PIN TO BAR CLAMP 4922-1-020

Facility

$4,565.00

Service Code	HCPCS C1713
Hospital Charge Code	270648625
Hospital Revenue Code	278
Min. Negotiated Rate	$110.02
Max. Negotiated Rate	$2,282.50
Rate for Payer: Aetna Commercial	$1,734.70
Rate for Payer: Aetna Medicare Advantage	$1,369.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,164.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,164.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$913.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,164.08
Rate for Payer: Cigna Commercial	$2,282.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,104.73
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,004.30
Rate for Payer: Qualcare PPO/HMO/WC	$684.75
Rate for Payer: UnitedHealthcare Community & State	$110.02
Rate for Payer: Wellpoint Medicaid Managed Care	$120.97

PIN TRANSFIX 4x250 APEX

Facility

$885.00

Hospital Charge Code	270647998
Hospital Revenue Code	278
Min. Negotiated Rate	$21.33
Max. Negotiated Rate	$442.50
Rate for Payer: Aetna Commercial	$336.30
Rate for Payer: Aetna Medicare Advantage	$265.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$225.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$225.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$177.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$225.68
Rate for Payer: Cigna Commercial	$442.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.17
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$194.70
Rate for Payer: Qualcare PPO/HMO/WC	$132.75
Rate for Payer: UnitedHealthcare Community & State	$21.33
Rate for Payer: Wellpoint Medicaid Managed Care	$23.45

PIN TRANSFIX 4x250 APEX

Facility

$885.00

Hospital Charge Code	270647998
Hospital Revenue Code	278
Min. Negotiated Rate	$132.75
Max. Negotiated Rate	$214.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$177.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.17
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$194.70
Rate for Payer: Qualcare PPO/HMO/WC	$132.75

PIN TRANSFIX 50mm FF1125050

Facility

$669.65

Hospital Charge Code	270632395
Hospital Revenue Code	278
Min. Negotiated Rate	$16.14
Max. Negotiated Rate	$334.82
Rate for Payer: Aetna Commercial	$254.47
Rate for Payer: Aetna Medicare Advantage	$200.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$170.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$170.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$133.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$170.76
Rate for Payer: Cigna Commercial	$334.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$147.32
Rate for Payer: Qualcare PPO/HMO/WC	$100.45
Rate for Payer: UnitedHealthcare Community & State	$16.14
Rate for Payer: Wellpoint Medicaid Managed Care	$17.75

PIN TRANSFIX 50mm FF1125050

Facility

$669.65

Hospital Charge Code	270632395
Hospital Revenue Code	278
Min. Negotiated Rate	$100.45
Max. Negotiated Rate	$162.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$133.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$147.32
Rate for Payer: Qualcare PPO/HMO/WC	$100.45

PIN TRANSFIX 6.0X300MM SS

Facility

$450.00

Service Code	HCPCS C1713
Hospital Charge Code	270699320
Hospital Revenue Code	278
Min. Negotiated Rate	$10.85
Max. Negotiated Rate	$225.00
Rate for Payer: Aetna Commercial	$171.00
Rate for Payer: Aetna Medicare Advantage	$135.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.75
Rate for Payer: Cigna Commercial	$225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$99.00
Rate for Payer: Qualcare PPO/HMO/WC	$67.50
Rate for Payer: UnitedHealthcare Community & State	$10.85
Rate for Payer: Wellpoint Medicaid Managed Care	$11.93

PIN TRANSFIX 6.0X300MM SS

Facility

$450.00

Service Code	HCPCS C1713
Hospital Charge Code	270699320
Hospital Revenue Code	278
Min. Negotiated Rate	$67.50
Max. Negotiated Rate	$108.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$99.00
Rate for Payer: Qualcare PPO/HMO/WC	$67.50

PIN TRANSFIXATION 6x225MM

Facility

$633.35

Service Code	HCPCS C1713
Hospital Charge Code	270635606
Hospital Revenue Code	278
Min. Negotiated Rate	$15.26
Max. Negotiated Rate	$316.68
Rate for Payer: Aetna Commercial	$240.67
Rate for Payer: Aetna Medicare Advantage	$190.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$161.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$161.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$126.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$161.50
Rate for Payer: Cigna Commercial	$316.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$153.27
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$139.34
Rate for Payer: Qualcare PPO/HMO/WC	$95.00
Rate for Payer: UnitedHealthcare Community & State	$15.26
Rate for Payer: Wellpoint Medicaid Managed Care	$16.78

PIN TRANSFIXATION 6x225MM

Facility

$633.35

Service Code	HCPCS C1713
Hospital Charge Code	270635606
Hospital Revenue Code	278
Min. Negotiated Rate	$95.00
Max. Negotiated Rate	$153.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$126.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$153.27
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$139.34
Rate for Payer: Qualcare PPO/HMO/WC	$95.00

PIN TRANSFIXING 4/5x250MM

Facility

$950.00

Service Code	HCPCS C1713
Hospital Charge Code	270648630
Hospital Revenue Code	278
Min. Negotiated Rate	$142.50
Max. Negotiated Rate	$229.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$209.00
Rate for Payer: Qualcare PPO/HMO/WC	$142.50

PIN TRANSFIXING 4/5x250MM

Facility

$950.00

Service Code	HCPCS C1713
Hospital Charge Code	270648630
Hospital Revenue Code	278
Min. Negotiated Rate	$22.89
Max. Negotiated Rate	$475.00
Rate for Payer: Aetna Commercial	$361.00
Rate for Payer: Aetna Medicare Advantage	$285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.25
Rate for Payer: Cigna Commercial	$475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$209.00
Rate for Payer: Qualcare PPO/HMO/WC	$142.50
Rate for Payer: UnitedHealthcare Community & State	$22.89
Rate for Payer: Wellpoint Medicaid Managed Care	$25.18

PIN TRANSFIXING 4x300MM TIN

Facility

$1,060.00

Hospital Charge Code	270656799
Hospital Revenue Code	272
Min. Negotiated Rate	$25.55
Max. Negotiated Rate	$530.00
Rate for Payer: Aetna Commercial	$402.80
Rate for Payer: Aetna Medicare Advantage	$318.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$270.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$270.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$270.30
Rate for Payer: Cigna Commercial	$530.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$318.00
Rate for Payer: Oxford Commercial	$212.00
Rate for Payer: Qualcare PPO/HMO/WC	$159.00
Rate for Payer: UnitedHealthcare Commercial	$212.00
Rate for Payer: UnitedHealthcare Community & State	$25.55
Rate for Payer: Wellpoint Medicaid Managed Care	$28.09

PIN TRANSFIXING 4x300MM TIN

Facility

$1,060.00

Hospital Charge Code	270656799
Hospital Revenue Code	272
Min. Negotiated Rate	$159.00
Max. Negotiated Rate	$159.00
Rate for Payer: Qualcare PPO/HMO/WC	$159.00

PIN TRANSFIXING 50X300MM

Facility

$930.00

Hospital Charge Code	270669875
Hospital Revenue Code	278
Min. Negotiated Rate	$22.41
Max. Negotiated Rate	$465.00
Rate for Payer: Aetna Commercial	$353.40
Rate for Payer: Aetna Medicare Advantage	$279.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$237.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$237.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$186.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$237.15
Rate for Payer: Cigna Commercial	$465.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$204.60
Rate for Payer: Qualcare PPO/HMO/WC	$139.50
Rate for Payer: UnitedHealthcare Community & State	$22.41
Rate for Payer: Wellpoint Medicaid Managed Care	$24.64

PIN TRANSFIXING 50X300MM

Facility

$930.00

Hospital Charge Code	270669875
Hospital Revenue Code	278
Min. Negotiated Rate	$139.50
Max. Negotiated Rate	$225.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$186.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$204.60
Rate for Payer: Qualcare PPO/HMO/WC	$139.50

PIN TRANSFIXING 5/4X200MM 50MM

Facility

$1,050.00

Hospital Charge Code	270669004
Hospital Revenue Code	278
Min. Negotiated Rate	$25.30
Max. Negotiated Rate	$525.00
Rate for Payer: Aetna Commercial	$399.00
Rate for Payer: Aetna Medicare Advantage	$315.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$267.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$267.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$267.75
Rate for Payer: Cigna Commercial	$525.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$254.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$231.00
Rate for Payer: Qualcare PPO/HMO/WC	$157.50
Rate for Payer: UnitedHealthcare Community & State	$25.30
Rate for Payer: Wellpoint Medicaid Managed Care	$27.82

Know your out-of-pocket cost for care.

All Charges