Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

PLATE 2.7MM STRAIGHT 6H

Facility

$1,045.00

Service Code	HCPCS C1713
Hospital Charge Code	270702676
Hospital Revenue Code	278
Min. Negotiated Rate	$156.75
Max. Negotiated Rate	$252.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$209.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$252.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$229.90
Rate for Payer: Qualcare PPO/HMO/WC	$156.75

PLATE 2.7MM STRAIGHT 6H

Facility

$1,045.00

Service Code	HCPCS C1713
Hospital Charge Code	270702676
Hospital Revenue Code	278
Min. Negotiated Rate	$25.18
Max. Negotiated Rate	$522.50
Rate for Payer: Aetna Commercial	$397.10
Rate for Payer: Aetna Medicare Advantage	$313.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$266.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$266.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$209.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$266.48
Rate for Payer: Cigna Commercial	$522.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$252.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$229.90
Rate for Payer: Qualcare PPO/HMO/WC	$156.75
Rate for Payer: UnitedHealthcare Community & State	$25.18
Rate for Payer: Wellpoint Medicaid Managed Care	$27.69

PLATE 2.7MM T 3 HOLES/32MM

Facility

$264.20

Service Code	HCPCS C1713
Hospital Charge Code	270603416
Hospital Revenue Code	278
Min. Negotiated Rate	$39.63
Max. Negotiated Rate	$63.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$52.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$58.12
Rate for Payer: Qualcare PPO/HMO/WC	$39.63

PLATE 2.7MM T 3 HOLES/32MM

Facility

$264.20

Service Code	HCPCS C1713
Hospital Charge Code	270603416
Hospital Revenue Code	278
Min. Negotiated Rate	$6.37
Max. Negotiated Rate	$132.10
Rate for Payer: Aetna Commercial	$100.40
Rate for Payer: Aetna Medicare Advantage	$79.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$52.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.37
Rate for Payer: Cigna Commercial	$132.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$58.12
Rate for Payer: Qualcare PPO/HMO/WC	$39.63
Rate for Payer: UnitedHealthcare Community & State	$6.37
Rate for Payer: Wellpoint Medicaid Managed Care	$7.00

PLATE 2.7mmTIAN CONDYL 6HOLE L

Facility

$1,421.40

Service Code	HCPCS C1713
Hospital Charge Code	270604077
Hospital Revenue Code	278
Min. Negotiated Rate	$34.26
Max. Negotiated Rate	$710.70
Rate for Payer: Aetna Commercial	$540.13
Rate for Payer: Aetna Medicare Advantage	$426.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$362.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$362.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$284.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$362.46
Rate for Payer: Cigna Commercial	$710.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$343.98
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$312.71
Rate for Payer: Qualcare PPO/HMO/WC	$213.21
Rate for Payer: UnitedHealthcare Community & State	$34.26
Rate for Payer: Wellpoint Medicaid Managed Care	$37.67

PLATE 2.7mmTIAN CONDYL 6HOLE L

Facility

$1,421.40

Service Code	HCPCS C1713
Hospital Charge Code	270604077
Hospital Revenue Code	278
Min. Negotiated Rate	$213.21
Max. Negotiated Rate	$343.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$284.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$343.98
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$312.71
Rate for Payer: Qualcare PPO/HMO/WC	$213.21

PLATE 2.7mmTITAN CHOND 6HOLE R

Facility

$1,421.40

Service Code	HCPCS C1713
Hospital Charge Code	270604078
Hospital Revenue Code	278
Min. Negotiated Rate	$34.26
Max. Negotiated Rate	$710.70
Rate for Payer: Aetna Commercial	$540.13
Rate for Payer: Aetna Medicare Advantage	$426.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$362.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$362.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$284.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$362.46
Rate for Payer: Cigna Commercial	$710.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$343.98
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$312.71
Rate for Payer: Qualcare PPO/HMO/WC	$213.21
Rate for Payer: UnitedHealthcare Community & State	$34.26
Rate for Payer: Wellpoint Medicaid Managed Care	$37.67

PLATE 2.7mmTITAN CHOND 6HOLE R

Facility

$1,421.40

Service Code	HCPCS C1713
Hospital Charge Code	270604078
Hospital Revenue Code	278
Min. Negotiated Rate	$213.21
Max. Negotiated Rate	$343.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$284.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$343.98
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$312.71
Rate for Payer: Qualcare PPO/HMO/WC	$213.21

PLATE 2.7mm TITAN DCP 10HOLE

Facility

$2,370.05

Service Code	HCPCS C1713
Hospital Charge Code	270604087
Hospital Revenue Code	278
Min. Negotiated Rate	$57.12
Max. Negotiated Rate	$1,185.03
Rate for Payer: Aetna Commercial	$900.62
Rate for Payer: Aetna Medicare Advantage	$711.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$604.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$604.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$474.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$604.36
Rate for Payer: Cigna Commercial	$1,185.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$573.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$521.41
Rate for Payer: Qualcare PPO/HMO/WC	$355.51
Rate for Payer: UnitedHealthcare Community & State	$57.12
Rate for Payer: Wellpoint Medicaid Managed Care	$62.81

PLATE 2.7mm TITAN DCP 10HOLE

Facility

$2,370.05

Service Code	HCPCS C1713
Hospital Charge Code	270604087
Hospital Revenue Code	278
Min. Negotiated Rate	$355.51
Max. Negotiated Rate	$573.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$474.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$573.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$521.41
Rate for Payer: Qualcare PPO/HMO/WC	$355.51

PLATE 2.7mm TITAN DCP 12HOLE

Facility

$2,629.60

Service Code	HCPCS C1713
Hospital Charge Code	270604088
Hospital Revenue Code	278
Min. Negotiated Rate	$394.44
Max. Negotiated Rate	$636.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$525.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$636.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$578.51
Rate for Payer: Qualcare PPO/HMO/WC	$394.44

PLATE 2.7mm TITAN DCP 12HOLE

Facility

$2,629.60

Service Code	HCPCS C1713
Hospital Charge Code	270604088
Hospital Revenue Code	278
Min. Negotiated Rate	$63.37
Max. Negotiated Rate	$1,314.80
Rate for Payer: Aetna Commercial	$999.25
Rate for Payer: Aetna Medicare Advantage	$788.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$670.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$670.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$525.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$670.55
Rate for Payer: Cigna Commercial	$1,314.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$636.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$578.51
Rate for Payer: Qualcare PPO/HMO/WC	$394.44
Rate for Payer: UnitedHealthcare Community & State	$63.37
Rate for Payer: Wellpoint Medicaid Managed Care	$69.68

PLATE 2.7mmTITAN DCP 2HOLE

Facility

$1,140.20

Service Code	HCPCS C1713
Hospital Charge Code	270604080
Hospital Revenue Code	278
Min. Negotiated Rate	$27.48
Max. Negotiated Rate	$570.10
Rate for Payer: Aetna Commercial	$433.28
Rate for Payer: Aetna Medicare Advantage	$342.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$290.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$290.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$228.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$290.75
Rate for Payer: Cigna Commercial	$570.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.93
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$250.84
Rate for Payer: Qualcare PPO/HMO/WC	$171.03
Rate for Payer: UnitedHealthcare Community & State	$27.48
Rate for Payer: Wellpoint Medicaid Managed Care	$30.22

PLATE 2.7mmTITAN DCP 2HOLE

Facility

$1,140.20

Service Code	HCPCS C1713
Hospital Charge Code	270604080
Hospital Revenue Code	278
Min. Negotiated Rate	$171.03
Max. Negotiated Rate	$275.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$228.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.93
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$250.84
Rate for Payer: Qualcare PPO/HMO/WC	$171.03

PLATE 2.7mm TITAN DCP 5HOLE

Facility

$1,609.90

Service Code	HCPCS C1713
Hospital Charge Code	270604082
Hospital Revenue Code	278
Min. Negotiated Rate	$38.80
Max. Negotiated Rate	$804.95
Rate for Payer: Aetna Commercial	$611.76
Rate for Payer: Aetna Medicare Advantage	$482.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$410.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$410.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$321.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$410.52
Rate for Payer: Cigna Commercial	$804.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$389.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$354.18
Rate for Payer: Qualcare PPO/HMO/WC	$241.49
Rate for Payer: UnitedHealthcare Community & State	$38.80
Rate for Payer: Wellpoint Medicaid Managed Care	$42.66

PLATE 2.7mm TITAN DCP 5HOLE

Facility

$1,609.90

Service Code	HCPCS C1713
Hospital Charge Code	270604082
Hospital Revenue Code	278
Min. Negotiated Rate	$241.49
Max. Negotiated Rate	$389.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$321.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$389.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$354.18
Rate for Payer: Qualcare PPO/HMO/WC	$241.49

PLATE 2.7mm TITAN DCP 6HOLE

Facility

$1,724.20

Service Code	HCPCS C1713
Hospital Charge Code	270604083
Hospital Revenue Code	278
Min. Negotiated Rate	$41.55
Max. Negotiated Rate	$862.10
Rate for Payer: Aetna Commercial	$655.20
Rate for Payer: Aetna Medicare Advantage	$517.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$439.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$439.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$344.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$439.67
Rate for Payer: Cigna Commercial	$862.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$417.26
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$379.32
Rate for Payer: Qualcare PPO/HMO/WC	$258.63
Rate for Payer: UnitedHealthcare Community & State	$41.55
Rate for Payer: Wellpoint Medicaid Managed Care	$45.69

PLATE 2.7mm TITAN DCP 6HOLE

Facility

$1,724.20

Service Code	HCPCS C1713
Hospital Charge Code	270604083
Hospital Revenue Code	278
Min. Negotiated Rate	$258.63
Max. Negotiated Rate	$417.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$344.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$417.26
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$379.32
Rate for Payer: Qualcare PPO/HMO/WC	$258.63

PLATE 2.7mm TITAN DCP 7HOLE

Facility

$1,918.90

Service Code	HCPCS C1713
Hospital Charge Code	270603530
Hospital Revenue Code	278
Min. Negotiated Rate	$46.25
Max. Negotiated Rate	$959.45
Rate for Payer: Aetna Commercial	$729.18
Rate for Payer: Aetna Medicare Advantage	$575.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$489.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$489.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$383.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$489.32
Rate for Payer: Cigna Commercial	$959.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$464.37
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$422.16
Rate for Payer: Qualcare PPO/HMO/WC	$287.83
Rate for Payer: UnitedHealthcare Community & State	$46.25
Rate for Payer: Wellpoint Medicaid Managed Care	$50.85

PLATE 2.7mm TITAN DCP 7HOLE

Facility

$1,918.90

Service Code	HCPCS C1713
Hospital Charge Code	270603530
Hospital Revenue Code	278
Min. Negotiated Rate	$287.83
Max. Negotiated Rate	$464.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$383.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$464.37
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$422.16
Rate for Payer: Qualcare PPO/HMO/WC	$287.83

PLATE 2.7mm TITAN DCP 8HOLE

Facility

$2,008.50

Service Code	HCPCS C1713
Hospital Charge Code	270603531
Hospital Revenue Code	278
Min. Negotiated Rate	$48.40
Max. Negotiated Rate	$1,004.25
Rate for Payer: Aetna Commercial	$763.23
Rate for Payer: Aetna Medicare Advantage	$602.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$512.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$512.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$401.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$512.17
Rate for Payer: Cigna Commercial	$1,004.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$486.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$441.87
Rate for Payer: Qualcare PPO/HMO/WC	$301.27
Rate for Payer: UnitedHealthcare Community & State	$48.40
Rate for Payer: Wellpoint Medicaid Managed Care	$53.23

PLATE 2.7mm TITAN DCP 8HOLE

Facility

$2,008.50

Service Code	HCPCS C1713
Hospital Charge Code	270603531
Hospital Revenue Code	278
Min. Negotiated Rate	$301.27
Max. Negotiated Rate	$486.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$401.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$486.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$441.87
Rate for Payer: Qualcare PPO/HMO/WC	$301.27

PLATE 2.7mm TITAN DCP 9HOLE

Facility

$2,187.70

Service Code	HCPCS C1713
Hospital Charge Code	270604086
Hospital Revenue Code	278
Min. Negotiated Rate	$328.15
Max. Negotiated Rate	$529.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$437.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$529.42
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$481.29
Rate for Payer: Qualcare PPO/HMO/WC	$328.15

PLATE 2.7mm TITAN DCP 9HOLE

Facility

$2,187.70

Service Code	HCPCS C1713
Hospital Charge Code	270604086
Hospital Revenue Code	278
Min. Negotiated Rate	$52.72
Max. Negotiated Rate	$1,093.85
Rate for Payer: Aetna Commercial	$831.33
Rate for Payer: Aetna Medicare Advantage	$656.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$557.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$557.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$437.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$557.86
Rate for Payer: Cigna Commercial	$1,093.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$529.42
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$481.29
Rate for Payer: Qualcare PPO/HMO/WC	$328.15
Rate for Payer: UnitedHealthcare Community & State	$52.72
Rate for Payer: Wellpoint Medicaid Managed Care	$57.97

PLATE 28MM

Facility

$4,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270705476
Hospital Revenue Code	278
Min. Negotiated Rate	$712.50
Max. Negotiated Rate	$1,149.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,149.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,045.00
Rate for Payer: Qualcare PPO/HMO/WC	$712.50

Know your out-of-pocket cost for care.

All Charges