Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

PIN TRANSFIXING 5/4X200MM 50MM

Facility

$1,050.00

Hospital Charge Code	270669004
Hospital Revenue Code	278
Min. Negotiated Rate	$157.50
Max. Negotiated Rate	$254.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$210.00
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

PIN TRANSFIXING 5MM X 275MM

Facility

$887.75

Service Code	HCPCS C1713
Hospital Charge Code	270668715
Hospital Revenue Code	278
Min. Negotiated Rate	$133.16
Max. Negotiated Rate	$214.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$177.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$195.31
Rate for Payer: Qualcare PPO/HMO/WC	$133.16

PIN TRANSFIXING 5MM X 275MM

Facility

$887.75

Service Code	HCPCS C1713
Hospital Charge Code	270668715
Hospital Revenue Code	278
Min. Negotiated Rate	$21.39
Max. Negotiated Rate	$443.88
Rate for Payer: Aetna Commercial	$337.35
Rate for Payer: Aetna Medicare Advantage	$266.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$226.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$226.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$177.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$226.38
Rate for Payer: Cigna Commercial	$443.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$195.31
Rate for Payer: Qualcare PPO/HMO/WC	$133.16
Rate for Payer: UnitedHealthcare Community & State	$21.39
Rate for Payer: Wellpoint Medicaid Managed Care	$23.53

PIN TRANSFIXING 5x300MM

Facility

$1,035.00

Hospital Charge Code	270656833
Hospital Revenue Code	272
Min. Negotiated Rate	$155.25
Max. Negotiated Rate	$155.25
Rate for Payer: Qualcare PPO/HMO/WC	$155.25

PIN TRANSFIXING 5x300MM

Facility

$1,035.00

Hospital Charge Code	270656833
Hospital Revenue Code	272
Min. Negotiated Rate	$24.94
Max. Negotiated Rate	$517.50
Rate for Payer: Aetna Commercial	$393.30
Rate for Payer: Aetna Medicare Advantage	$310.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$263.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$263.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$263.93
Rate for Payer: Cigna Commercial	$517.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$310.50
Rate for Payer: Oxford Commercial	$207.00
Rate for Payer: Qualcare PPO/HMO/WC	$155.25
Rate for Payer: UnitedHealthcare Commercial	$207.00
Rate for Payer: UnitedHealthcare Community & State	$24.94
Rate for Payer: Wellpoint Medicaid Managed Care	$27.43

PIN TRANSFIXING APEX 60x250MM

Facility

$752.40

Hospital Charge Code	270673990
Hospital Revenue Code	278
Min. Negotiated Rate	$112.86
Max. Negotiated Rate	$182.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$165.53
Rate for Payer: Qualcare PPO/HMO/WC	$112.86

PIN TRANSFIXING APEX 60x250MM

Facility

$752.40

Hospital Charge Code	270673990
Hospital Revenue Code	278
Min. Negotiated Rate	$18.13
Max. Negotiated Rate	$376.20
Rate for Payer: Aetna Commercial	$285.91
Rate for Payer: Aetna Medicare Advantage	$225.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.86
Rate for Payer: Cigna Commercial	$376.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$165.53
Rate for Payer: Qualcare PPO/HMO/WC	$112.86
Rate for Payer: UnitedHealthcare Community & State	$18.13
Rate for Payer: Wellpoint Medicaid Managed Care	$19.94

PIN ULNAR STYLOID FX

Facility

$24,060.80

Service Code	HCPCS 25651
Hospital Charge Code	16000694
Hospital Revenue Code	360
Min. Negotiated Rate	$579.87
Max. Negotiated Rate	$14,031.70
Rate for Payer: Aetna Commercial	$10,573.24
Rate for Payer: Aetna Medicare Advantage	$12,594.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,031.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,031.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,887.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14,031.70
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: Cigna Medicare Advantage	$3,887.22
Rate for Payer: Clover Medicare Advantage	$3,692.86
Rate for Payer: EmblemHealth Commercial	$11,661.66
Rate for Payer: Humana Medicare Advantage	$4,003.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,887.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,218.24
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,609.12
Rate for Payer: UnitedHealthcare Commercial	$8,157.00
Rate for Payer: UnitedHealthcare Community & State	$579.87
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,887.22
Rate for Payer: Wellcare Medicare Advantage	$3,887.22
Rate for Payer: Wellpoint Medicaid Managed Care	$637.61

PIN ULNAR STYLOID FX

Facility

$24,060.80

Service Code	HCPCS 25651
Hospital Charge Code	16000694
Hospital Revenue Code	360
Min. Negotiated Rate	$3,609.12
Max. Negotiated Rate	$3,609.12
Rate for Payer: Qualcare PPO/HMO/WC	$3,609.12

PIN UNIPLATE MARKING

Facility

$575.00

Hospital Charge Code	270670922
Hospital Revenue Code	278
Min. Negotiated Rate	$86.25
Max. Negotiated Rate	$139.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$126.50
Rate for Payer: Qualcare PPO/HMO/WC	$86.25

PIN UNIPLATE MARKING

Facility

$575.00

Hospital Charge Code	270670922
Hospital Revenue Code	278
Min. Negotiated Rate	$13.86
Max. Negotiated Rate	$287.50
Rate for Payer: Aetna Commercial	$218.50
Rate for Payer: Aetna Medicare Advantage	$172.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$146.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$146.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$146.62
Rate for Payer: Cigna Commercial	$287.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$126.50
Rate for Payer: Qualcare PPO/HMO/WC	$86.25
Rate for Payer: UnitedHealthcare Community & State	$13.86
Rate for Payer: Wellpoint Medicaid Managed Care	$15.24

PIN VA LCKG BUTTRESS 1.8x10MM

Facility

$595.20

Service Code	HCPCS C1713
Hospital Charge Code	270678117
Hospital Revenue Code	278
Min. Negotiated Rate	$89.28
Max. Negotiated Rate	$144.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$130.94
Rate for Payer: Qualcare PPO/HMO/WC	$89.28

PIN VA LCKG BUTTRESS 1.8x10MM

Facility

$595.20

Service Code	HCPCS C1713
Hospital Charge Code	270678117
Hospital Revenue Code	278
Min. Negotiated Rate	$14.34
Max. Negotiated Rate	$297.60
Rate for Payer: Aetna Commercial	$226.18
Rate for Payer: Aetna Medicare Advantage	$178.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.78
Rate for Payer: Cigna Commercial	$297.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$130.94
Rate for Payer: Qualcare PPO/HMO/WC	$89.28
Rate for Payer: UnitedHealthcare Community & State	$14.34
Rate for Payer: Wellpoint Medicaid Managed Care	$15.77

PIN VA LCKG BUTTRESS 1.8x12MM

Facility

$577.85

Service Code	HCPCS C1713
Hospital Charge Code	270678116
Hospital Revenue Code	278
Min. Negotiated Rate	$13.93
Max. Negotiated Rate	$288.93
Rate for Payer: Aetna Commercial	$219.58
Rate for Payer: Aetna Medicare Advantage	$173.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$147.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$147.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$147.35
Rate for Payer: Cigna Commercial	$288.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$127.13
Rate for Payer: Qualcare PPO/HMO/WC	$86.68
Rate for Payer: UnitedHealthcare Community & State	$13.93
Rate for Payer: Wellpoint Medicaid Managed Care	$15.31

PIN VA LCKG BUTTRESS 1.8x12MM

Facility

$577.85

Service Code	HCPCS C1713
Hospital Charge Code	270678116
Hospital Revenue Code	278
Min. Negotiated Rate	$86.68
Max. Negotiated Rate	$139.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$127.13
Rate for Payer: Qualcare PPO/HMO/WC	$86.68

PIN VA LCKG BUTTRESS 1.8x14MM

Facility

$577.85

Hospital Charge Code	270678115
Hospital Revenue Code	278
Min. Negotiated Rate	$13.93
Max. Negotiated Rate	$288.93
Rate for Payer: Aetna Commercial	$219.58
Rate for Payer: Aetna Medicare Advantage	$173.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$147.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$147.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$147.35
Rate for Payer: Cigna Commercial	$288.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$127.13
Rate for Payer: Qualcare PPO/HMO/WC	$86.68
Rate for Payer: UnitedHealthcare Community & State	$13.93
Rate for Payer: Wellpoint Medicaid Managed Care	$15.31

PIN VA LCKG BUTTRESS 1.8x14MM

Facility

$577.85

Hospital Charge Code	270678115
Hospital Revenue Code	278
Min. Negotiated Rate	$86.68
Max. Negotiated Rate	$139.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$127.13
Rate for Payer: Qualcare PPO/HMO/WC	$86.68

PIN VA LCKG BUTTRESS 1.8x16MM

Facility

$595.20

Service Code	HCPCS C1713
Hospital Charge Code	270677573
Hospital Revenue Code	278
Min. Negotiated Rate	$89.28
Max. Negotiated Rate	$144.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$130.94
Rate for Payer: Qualcare PPO/HMO/WC	$89.28

PIN VA LCKG BUTTRESS 1.8x16MM

Facility

$595.20

Service Code	HCPCS C1713
Hospital Charge Code	270677573
Hospital Revenue Code	278
Min. Negotiated Rate	$14.34
Max. Negotiated Rate	$297.60
Rate for Payer: Aetna Commercial	$226.18
Rate for Payer: Aetna Medicare Advantage	$178.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.78
Rate for Payer: Cigna Commercial	$297.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$130.94
Rate for Payer: Qualcare PPO/HMO/WC	$89.28
Rate for Payer: UnitedHealthcare Community & State	$14.34
Rate for Payer: Wellpoint Medicaid Managed Care	$15.77

PIN VA LCKG BUTTRESS 1.8x18MM

Facility

$595.20

Service Code	HCPCS C1713
Hospital Charge Code	270677572
Hospital Revenue Code	278
Min. Negotiated Rate	$89.28
Max. Negotiated Rate	$144.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$130.94
Rate for Payer: Qualcare PPO/HMO/WC	$89.28

PIN VA LCKG BUTTRESS 1.8x18MM

Facility

$595.20

Service Code	HCPCS C1713
Hospital Charge Code	270677572
Hospital Revenue Code	278
Min. Negotiated Rate	$14.34
Max. Negotiated Rate	$297.60
Rate for Payer: Aetna Commercial	$226.18
Rate for Payer: Aetna Medicare Advantage	$178.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.78
Rate for Payer: Cigna Commercial	$297.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$130.94
Rate for Payer: Qualcare PPO/HMO/WC	$89.28
Rate for Payer: UnitedHealthcare Community & State	$14.34
Rate for Payer: Wellpoint Medicaid Managed Care	$15.77

PIN VA LCKG BUTTRESS 1.8x20MM

Facility

$595.20

Service Code	HCPCS C1713
Hospital Charge Code	270677130
Hospital Revenue Code	278
Min. Negotiated Rate	$14.34
Max. Negotiated Rate	$297.60
Rate for Payer: Aetna Commercial	$226.18
Rate for Payer: Aetna Medicare Advantage	$178.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.78
Rate for Payer: Cigna Commercial	$297.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$130.94
Rate for Payer: Qualcare PPO/HMO/WC	$89.28
Rate for Payer: UnitedHealthcare Community & State	$14.34
Rate for Payer: Wellpoint Medicaid Managed Care	$15.77

PIN VA LCKG BUTTRESS 1.8x20MM

Facility

$595.20

Service Code	HCPCS C1713
Hospital Charge Code	270677130
Hospital Revenue Code	278
Min. Negotiated Rate	$89.28
Max. Negotiated Rate	$144.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$130.94
Rate for Payer: Qualcare PPO/HMO/WC	$89.28

PIN VA LCKG BUTTRESS 1.8x22MM

Facility

$577.85

Hospital Charge Code	270677801
Hospital Revenue Code	278
Min. Negotiated Rate	$13.93
Max. Negotiated Rate	$288.93
Rate for Payer: Aetna Commercial	$219.58
Rate for Payer: Aetna Medicare Advantage	$173.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$147.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$147.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$147.35
Rate for Payer: Cigna Commercial	$288.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$127.13
Rate for Payer: Qualcare PPO/HMO/WC	$86.68
Rate for Payer: UnitedHealthcare Community & State	$13.93
Rate for Payer: Wellpoint Medicaid Managed Care	$15.31

PIN VA LCKG BUTTRESS 1.8x22MM

Facility

$577.85

Hospital Charge Code	270677801
Hospital Revenue Code	278
Min. Negotiated Rate	$86.68
Max. Negotiated Rate	$139.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$127.13
Rate for Payer: Qualcare PPO/HMO/WC	$86.68

Know your out-of-pocket cost for care.

All Charges