Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

PLATE 3.5MM T 6 HOLES RT ANGL

Facility

$988.80

Service Code	HCPCS C1713
Hospital Charge Code	270655669
Hospital Revenue Code	278
Min. Negotiated Rate	$148.32
Max. Negotiated Rate	$239.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$197.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$239.29
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$217.54
Rate for Payer: Qualcare PPO/HMO/WC	$148.32

PLATE 3.5MM T 6 HOLES RT ANGL

Facility

$988.80

Service Code	HCPCS C1713
Hospital Charge Code	270655669
Hospital Revenue Code	278
Min. Negotiated Rate	$23.83
Max. Negotiated Rate	$494.40
Rate for Payer: Aetna Commercial	$375.74
Rate for Payer: Aetna Medicare Advantage	$296.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$252.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$252.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$197.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$252.14
Rate for Payer: Cigna Commercial	$494.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$239.29
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$217.54
Rate for Payer: Qualcare PPO/HMO/WC	$148.32
Rate for Payer: UnitedHealthcare Community & State	$23.83
Rate for Payer: Wellpoint Medicaid Managed Care	$26.20

PLATE 3.5mm TIBIAL 6HOLE 102mm

Facility

$6,129.00

Hospital Charge Code	270645725
Hospital Revenue Code	278
Min. Negotiated Rate	$147.71
Max. Negotiated Rate	$3,064.50
Rate for Payer: Aetna Commercial	$2,329.02
Rate for Payer: Aetna Medicare Advantage	$1,838.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,562.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,562.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,225.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,562.89
Rate for Payer: Cigna Commercial	$3,064.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,483.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,348.38
Rate for Payer: Qualcare PPO/HMO/WC	$919.35
Rate for Payer: UnitedHealthcare Community & State	$147.71
Rate for Payer: Wellpoint Medicaid Managed Care	$162.42

PLATE 3.5mm TIBIAL 6HOLE 102mm

Facility

$6,129.00

Hospital Charge Code	270645725
Hospital Revenue Code	278
Min. Negotiated Rate	$919.35
Max. Negotiated Rate	$1,483.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,225.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,483.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,348.38
Rate for Payer: Qualcare PPO/HMO/WC	$919.35

PLATE 3.5mm TITAN LCDCP 5HOLE

Facility

$580.90

Service Code	HCPCS C1713
Hospital Charge Code	270603340
Hospital Revenue Code	278
Min. Negotiated Rate	$87.14
Max. Negotiated Rate	$140.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$116.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$140.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$127.80
Rate for Payer: Qualcare PPO/HMO/WC	$87.14

PLATE 3.5mm TITAN LCDCP 5HOLE

Facility

$580.90

Service Code	HCPCS C1713
Hospital Charge Code	270603340
Hospital Revenue Code	278
Min. Negotiated Rate	$14.00
Max. Negotiated Rate	$290.45
Rate for Payer: Aetna Commercial	$220.74
Rate for Payer: Aetna Medicare Advantage	$174.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$148.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$148.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$116.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$148.13
Rate for Payer: Cigna Commercial	$290.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$140.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$127.80
Rate for Payer: Qualcare PPO/HMO/WC	$87.14
Rate for Payer: UnitedHealthcare Community & State	$14.00
Rate for Payer: Wellpoint Medicaid Managed Care	$15.39

PLATE 3.5mm TITAN LCDCP 6HOLE

Facility

$395.00

Service Code	HCPCS C1713
Hospital Charge Code	270603341
Hospital Revenue Code	278
Min. Negotiated Rate	$59.25
Max. Negotiated Rate	$95.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$79.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$95.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$86.90
Rate for Payer: Qualcare PPO/HMO/WC	$59.25

PLATE 3.5mm TITAN LCDCP 6HOLE

Facility

$395.00

Service Code	HCPCS C1713
Hospital Charge Code	270603341
Hospital Revenue Code	278
Min. Negotiated Rate	$9.52
Max. Negotiated Rate	$197.50
Rate for Payer: Aetna Commercial	$150.10
Rate for Payer: Aetna Medicare Advantage	$118.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$79.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100.72
Rate for Payer: Cigna Commercial	$197.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$95.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$86.90
Rate for Payer: Qualcare PPO/HMO/WC	$59.25
Rate for Payer: UnitedHealthcare Community & State	$9.52
Rate for Payer: Wellpoint Medicaid Managed Care	$10.47

PLATE 3.5mm TITAN LCDCP 7HOLE

Facility

$645.80

Service Code	HCPCS C1713
Hospital Charge Code	270603342
Hospital Revenue Code	278
Min. Negotiated Rate	$96.87
Max. Negotiated Rate	$156.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$129.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$156.28
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$142.08
Rate for Payer: Qualcare PPO/HMO/WC	$96.87

PLATE 3.5mm TITAN LCDCP 7HOLE

Facility

$645.80

Service Code	HCPCS C1713
Hospital Charge Code	270603342
Hospital Revenue Code	278
Min. Negotiated Rate	$15.56
Max. Negotiated Rate	$322.90
Rate for Payer: Aetna Commercial	$245.40
Rate for Payer: Aetna Medicare Advantage	$193.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$164.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$164.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$129.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$164.68
Rate for Payer: Cigna Commercial	$322.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$156.28
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$142.08
Rate for Payer: Qualcare PPO/HMO/WC	$96.87
Rate for Payer: UnitedHealthcare Community & State	$15.56
Rate for Payer: Wellpoint Medicaid Managed Care	$17.11

PLATE 3.5mm TITAN LCDCP 8HOLE

Facility

$679.80

Service Code	HCPCS C1713
Hospital Charge Code	270603343
Hospital Revenue Code	278
Min. Negotiated Rate	$101.97
Max. Negotiated Rate	$164.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$135.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$164.51
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$149.56
Rate for Payer: Qualcare PPO/HMO/WC	$101.97

PLATE 3.5mm TITAN LCDCP 8HOLE

Facility

$679.80

Service Code	HCPCS C1713
Hospital Charge Code	270603343
Hospital Revenue Code	278
Min. Negotiated Rate	$16.38
Max. Negotiated Rate	$339.90
Rate for Payer: Aetna Commercial	$258.32
Rate for Payer: Aetna Medicare Advantage	$203.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$173.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$173.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$135.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$173.35
Rate for Payer: Cigna Commercial	$339.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$164.51
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$149.56
Rate for Payer: Qualcare PPO/HMO/WC	$101.97
Rate for Payer: UnitedHealthcare Community & State	$16.38
Rate for Payer: Wellpoint Medicaid Managed Care	$18.01

PLATE 3.5MM TITAN RECON 10HOLE

Facility

$2,197.00

Service Code	HCPCS C1713
Hospital Charge Code	270603394
Hospital Revenue Code	278
Min. Negotiated Rate	$329.55
Max. Negotiated Rate	$531.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$439.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$531.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$483.34
Rate for Payer: Qualcare PPO/HMO/WC	$329.55

PLATE 3.5MM TITAN RECON 10HOLE

Facility

$2,197.00

Service Code	HCPCS C1713
Hospital Charge Code	270603394
Hospital Revenue Code	278
Min. Negotiated Rate	$52.95
Max. Negotiated Rate	$1,098.50
Rate for Payer: Aetna Commercial	$834.86
Rate for Payer: Aetna Medicare Advantage	$659.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$560.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$560.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$439.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$560.24
Rate for Payer: Cigna Commercial	$1,098.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$531.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$483.34
Rate for Payer: Qualcare PPO/HMO/WC	$329.55
Rate for Payer: UnitedHealthcare Community & State	$52.95
Rate for Payer: Wellpoint Medicaid Managed Care	$58.22

PLATE 3.5MM VA GT PPFX HOOK LG

Facility

$11,561.00

Service Code	HCPCS C1713
Hospital Charge Code	270697520
Hospital Revenue Code	278
Min. Negotiated Rate	$278.62
Max. Negotiated Rate	$5,780.50
Rate for Payer: Aetna Commercial	$4,393.18
Rate for Payer: Aetna Medicare Advantage	$3,468.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,948.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,948.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,312.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,948.05
Rate for Payer: Cigna Commercial	$5,780.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,797.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,543.42
Rate for Payer: Qualcare PPO/HMO/WC	$1,734.15
Rate for Payer: UnitedHealthcare Community & State	$278.62
Rate for Payer: Wellpoint Medicaid Managed Care	$306.37

PLATE 3.5MM VA GT PPFX HOOK LG

Facility

$11,561.00

Service Code	HCPCS C1713
Hospital Charge Code	270697520
Hospital Revenue Code	278
Min. Negotiated Rate	$1,734.15
Max. Negotiated Rate	$2,797.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,312.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,797.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,543.42
Rate for Payer: Qualcare PPO/HMO/WC	$1,734.15

PLATE 3.5MM VA GT PPFX HOOK SM

Facility

$11,561.00

Service Code	HCPCS C1713
Hospital Charge Code	270697518
Hospital Revenue Code	278
Min. Negotiated Rate	$1,734.15
Max. Negotiated Rate	$2,797.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,312.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,797.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,543.42
Rate for Payer: Qualcare PPO/HMO/WC	$1,734.15

PLATE 3.5MM VA GT PPFX HOOK SM

Facility

$11,561.00

Service Code	HCPCS C1713
Hospital Charge Code	270697518
Hospital Revenue Code	278
Min. Negotiated Rate	$278.62
Max. Negotiated Rate	$5,780.50
Rate for Payer: Aetna Commercial	$4,393.18
Rate for Payer: Aetna Medicare Advantage	$3,468.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,948.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,948.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,312.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,948.05
Rate for Payer: Cigna Commercial	$5,780.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,797.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,543.42
Rate for Payer: Qualcare PPO/HMO/WC	$1,734.15
Rate for Payer: UnitedHealthcare Community & State	$278.62
Rate for Payer: Wellpoint Medicaid Managed Care	$306.37

PLATE 3.5 VA LCP TIBIA

Facility

$6,315.00

Service Code	HCPCS C1713
Hospital Charge Code	270665277
Hospital Revenue Code	278
Min. Negotiated Rate	$947.25
Max. Negotiated Rate	$1,528.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,263.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,528.23
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,389.30
Rate for Payer: Qualcare PPO/HMO/WC	$947.25

PLATE 3.5 VA LCP TIBIA

Facility

$6,315.00

Service Code	HCPCS C1713
Hospital Charge Code	270665277
Hospital Revenue Code	278
Min. Negotiated Rate	$152.19
Max. Negotiated Rate	$3,157.50
Rate for Payer: Aetna Commercial	$2,399.70
Rate for Payer: Aetna Medicare Advantage	$1,894.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,610.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,610.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,263.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,610.33
Rate for Payer: Cigna Commercial	$3,157.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,528.23
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,389.30
Rate for Payer: Qualcare PPO/HMO/WC	$947.25
Rate for Payer: UnitedHealthcare Community & State	$152.19
Rate for Payer: Wellpoint Medicaid Managed Care	$167.35

PLATE 3.5VA LOCKING 4H

Facility

$3,638.00

Service Code	HCPCS C1713
Hospital Charge Code	270693774
Hospital Revenue Code	278
Min. Negotiated Rate	$87.68
Max. Negotiated Rate	$1,819.00
Rate for Payer: Aetna Commercial	$1,382.44
Rate for Payer: Aetna Medicare Advantage	$1,091.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$927.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$927.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$727.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$927.69
Rate for Payer: Cigna Commercial	$1,819.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$880.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$800.36
Rate for Payer: Qualcare PPO/HMO/WC	$545.70
Rate for Payer: UnitedHealthcare Community & State	$87.68
Rate for Payer: Wellpoint Medicaid Managed Care	$96.41

PLATE 3.5VA LOCKING 4H

Facility

$3,638.00

Service Code	HCPCS C1713
Hospital Charge Code	270693774
Hospital Revenue Code	278
Min. Negotiated Rate	$545.70
Max. Negotiated Rate	$880.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$727.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$880.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$800.36
Rate for Payer: Qualcare PPO/HMO/WC	$545.70

PLATE 3.5VA RIT PROXIMAL

Facility

$9,053.20

Service Code	HCPCS C1713
Hospital Charge Code	270688360
Hospital Revenue Code	278
Min. Negotiated Rate	$218.18
Max. Negotiated Rate	$4,526.60
Rate for Payer: Aetna Commercial	$3,440.22
Rate for Payer: Aetna Medicare Advantage	$2,715.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,308.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,308.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,810.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,308.57
Rate for Payer: Cigna Commercial	$4,526.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,190.87
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,991.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,357.98
Rate for Payer: UnitedHealthcare Community & State	$218.18
Rate for Payer: Wellpoint Medicaid Managed Care	$239.91

PLATE 3.5VA RIT PROXIMAL

Facility

$9,053.20

Service Code	HCPCS C1713
Hospital Charge Code	270688360
Hospital Revenue Code	278
Min. Negotiated Rate	$1,357.98
Max. Negotiated Rate	$2,190.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,810.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,190.87
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,991.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,357.98

PLATE 36MM

Facility

$0.01

Service Code	HCPCS C1713
Hospital Charge Code	270689965
Hospital Revenue Code	278
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$0.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$0.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

Know your out-of-pocket cost for care.

All Charges