Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

PLATE CALCANEAL 70MM

Facility

$2,252.60

Service Code	HCPCS C1713
Hospital Charge Code	270651712
Hospital Revenue Code	278
Min. Negotiated Rate	$54.29
Max. Negotiated Rate	$1,126.30
Rate for Payer: Aetna Commercial	$855.99
Rate for Payer: Aetna Medicare Advantage	$675.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$574.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$574.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$450.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$574.41
Rate for Payer: Cigna Commercial	$1,126.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$545.13
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$495.57
Rate for Payer: Qualcare PPO/HMO/WC	$337.89
Rate for Payer: UnitedHealthcare Community & State	$54.29
Rate for Payer: Wellpoint Medicaid Managed Care	$59.69

PLATE CALCANEAL 70MM

Facility

$2,252.60

Service Code	HCPCS C1713
Hospital Charge Code	270651712
Hospital Revenue Code	278
Min. Negotiated Rate	$337.89
Max. Negotiated Rate	$545.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$450.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$545.13
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$495.57
Rate for Payer: Qualcare PPO/HMO/WC	$337.89

PLATE CALCANEAL 8 HOLE LONG L

Facility

$5,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270688013
Hospital Revenue Code	278
Min. Negotiated Rate	$821.25
Max. Negotiated Rate	$1,324.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,095.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,324.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,204.50
Rate for Payer: Qualcare PPO/HMO/WC	$821.25

PLATE CALCANEAL 8 HOLE LONG L

Facility

$5,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270688013
Hospital Revenue Code	278
Min. Negotiated Rate	$131.95
Max. Negotiated Rate	$2,737.50
Rate for Payer: Aetna Commercial	$2,080.50
Rate for Payer: Aetna Medicare Advantage	$1,642.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,396.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,396.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,095.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,396.12
Rate for Payer: Cigna Commercial	$2,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,324.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,204.50
Rate for Payer: Qualcare PPO/HMO/WC	$821.25
Rate for Payer: UnitedHealthcare Community & State	$131.95
Rate for Payer: Wellpoint Medicaid Managed Care	$145.09

PLATE CALCANEAL 8 HOLE LONG R

Facility

$4,549.85

Service Code	HCPCS C1713
Hospital Charge Code	270681405
Hospital Revenue Code	278
Min. Negotiated Rate	$109.65
Max. Negotiated Rate	$2,274.93
Rate for Payer: Aetna Commercial	$1,728.94
Rate for Payer: Aetna Medicare Advantage	$1,364.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,160.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,160.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$909.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,160.21
Rate for Payer: Cigna Commercial	$2,274.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,101.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,000.97
Rate for Payer: Qualcare PPO/HMO/WC	$682.48
Rate for Payer: UnitedHealthcare Community & State	$109.65
Rate for Payer: Wellpoint Medicaid Managed Care	$120.57

PLATE CALCANEAL 8 HOLE LONG R

Facility

$4,549.85

Service Code	HCPCS C1713
Hospital Charge Code	270681405
Hospital Revenue Code	278
Min. Negotiated Rate	$682.48
Max. Negotiated Rate	$1,101.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$909.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,101.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,000.97
Rate for Payer: Qualcare PPO/HMO/WC	$682.48

PLATE CALCANEAL 8 HOLE LONG S

Facility

$4,549.85

Service Code	HCPCS C1713
Hospital Charge Code	270688023
Hospital Revenue Code	278
Min. Negotiated Rate	$682.48
Max. Negotiated Rate	$1,101.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$909.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,101.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,000.97
Rate for Payer: Qualcare PPO/HMO/WC	$682.48

PLATE CALCANEAL 8 HOLE LONG S

Facility

$4,549.85

Service Code	HCPCS C1713
Hospital Charge Code	270688023
Hospital Revenue Code	278
Min. Negotiated Rate	$109.65
Max. Negotiated Rate	$2,274.93
Rate for Payer: Aetna Commercial	$1,728.94
Rate for Payer: Aetna Medicare Advantage	$1,364.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,160.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,160.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$909.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,160.21
Rate for Payer: Cigna Commercial	$2,274.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,101.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,000.97
Rate for Payer: Qualcare PPO/HMO/WC	$682.48
Rate for Payer: UnitedHealthcare Community & State	$109.65
Rate for Payer: Wellpoint Medicaid Managed Care	$120.57

PLATE CALCANEAL FRAC M,LFT

Facility

$5,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270686036
Hospital Revenue Code	278
Min. Negotiated Rate	$131.95
Max. Negotiated Rate	$2,737.50
Rate for Payer: Aetna Commercial	$2,080.50
Rate for Payer: Aetna Medicare Advantage	$1,642.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,396.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,396.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,095.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,396.12
Rate for Payer: Cigna Commercial	$2,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,324.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,204.50
Rate for Payer: Qualcare PPO/HMO/WC	$821.25
Rate for Payer: UnitedHealthcare Community & State	$131.95
Rate for Payer: Wellpoint Medicaid Managed Care	$145.09

PLATE CALCANEAL FRAC M,LFT

Facility

$5,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270686036
Hospital Revenue Code	278
Min. Negotiated Rate	$821.25
Max. Negotiated Rate	$1,324.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,095.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,324.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,204.50
Rate for Payer: Qualcare PPO/HMO/WC	$821.25

PLATE CALCANEAL LCKG MINI-RT

Facility

$3,411.35

Hospital Charge Code	270668527
Hospital Revenue Code	278
Min. Negotiated Rate	$511.70
Max. Negotiated Rate	$825.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$682.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$825.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$750.50
Rate for Payer: Qualcare PPO/HMO/WC	$511.70

PLATE CALCANEAL LCKG MINI-RT

Facility

$3,411.35

Hospital Charge Code	270668527
Hospital Revenue Code	278
Min. Negotiated Rate	$82.21
Max. Negotiated Rate	$1,705.67
Rate for Payer: Aetna Commercial	$1,296.31
Rate for Payer: Aetna Medicare Advantage	$1,023.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$869.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$869.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$682.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$869.89
Rate for Payer: Cigna Commercial	$1,705.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$825.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$750.50
Rate for Payer: Qualcare PPO/HMO/WC	$511.70
Rate for Payer: UnitedHealthcare Community & State	$82.21
Rate for Payer: Wellpoint Medicaid Managed Care	$90.40

PLATE CALCANEAL LCKG SHORT LF

Facility

$2,926.25

Service Code	HCPCS C1713
Hospital Charge Code	270651713
Hospital Revenue Code	278
Min. Negotiated Rate	$438.94
Max. Negotiated Rate	$708.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$585.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$708.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$643.77
Rate for Payer: Qualcare PPO/HMO/WC	$438.94

PLATE CALCANEAL LCKG SHORT LF

Facility

$2,926.25

Service Code	HCPCS C1713
Hospital Charge Code	270651713
Hospital Revenue Code	278
Min. Negotiated Rate	$70.52
Max. Negotiated Rate	$1,463.12
Rate for Payer: Aetna Commercial	$1,111.97
Rate for Payer: Aetna Medicare Advantage	$877.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$746.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$746.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$585.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$746.19
Rate for Payer: Cigna Commercial	$1,463.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$708.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$643.77
Rate for Payer: Qualcare PPO/HMO/WC	$438.94
Rate for Payer: UnitedHealthcare Community & State	$70.52
Rate for Payer: Wellpoint Medicaid Managed Care	$77.55

PLATE CALCANEAL M8 HOLE

Facility

$10,570.00

Service Code	HCPCS C1713
Hospital Charge Code	270701152
Hospital Revenue Code	278
Min. Negotiated Rate	$254.74
Max. Negotiated Rate	$5,285.00
Rate for Payer: Aetna Commercial	$4,016.60
Rate for Payer: Aetna Medicare Advantage	$3,171.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,695.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,695.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,114.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,695.35
Rate for Payer: Cigna Commercial	$5,285.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,557.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,325.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,585.50
Rate for Payer: UnitedHealthcare Community & State	$254.74
Rate for Payer: Wellpoint Medicaid Managed Care	$280.11

PLATE CALCANEAL M8 HOLE

Facility

$10,570.00

Service Code	HCPCS C1713
Hospital Charge Code	270701152
Hospital Revenue Code	278
Min. Negotiated Rate	$1,585.50
Max. Negotiated Rate	$2,557.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,114.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,557.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,325.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,585.50

PLATE CALCANEAL RT SM 58MM STR

Facility

$4,512.00

Service Code	HCPCS C1713
Hospital Charge Code	270675823
Hospital Revenue Code	278
Min. Negotiated Rate	$676.80
Max. Negotiated Rate	$1,091.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$902.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,091.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$992.64
Rate for Payer: Qualcare PPO/HMO/WC	$676.80

PLATE CALCANEAL RT SM 58MM STR

Facility

$4,512.00

Service Code	HCPCS C1713
Hospital Charge Code	270675823
Hospital Revenue Code	278
Min. Negotiated Rate	$108.74
Max. Negotiated Rate	$2,256.00
Rate for Payer: Aetna Commercial	$1,714.56
Rate for Payer: Aetna Medicare Advantage	$1,353.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,150.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,150.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$902.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,150.56
Rate for Payer: Cigna Commercial	$2,256.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,091.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$992.64
Rate for Payer: Qualcare PPO/HMO/WC	$676.80
Rate for Payer: UnitedHealthcare Community & State	$108.74
Rate for Payer: Wellpoint Medicaid Managed Care	$119.57

PLATE CALCANEUS STEP 5MM

Facility

$4,900.00

Service Code	HCPCS C1713
Hospital Charge Code	270669480
Hospital Revenue Code	278
Min. Negotiated Rate	$735.00
Max. Negotiated Rate	$1,185.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$980.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,185.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,078.00
Rate for Payer: Qualcare PPO/HMO/WC	$735.00

PLATE CALCANEUS STEP 5MM

Facility

$4,900.00

Service Code	HCPCS C1713
Hospital Charge Code	270669480
Hospital Revenue Code	278
Min. Negotiated Rate	$118.09
Max. Negotiated Rate	$2,450.00
Rate for Payer: Aetna Commercial	$1,862.00
Rate for Payer: Aetna Medicare Advantage	$1,470.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,249.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,249.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$980.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,249.50
Rate for Payer: Cigna Commercial	$2,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,185.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,078.00
Rate for Payer: Qualcare PPO/HMO/WC	$735.00
Rate for Payer: UnitedHealthcare Community & State	$118.09
Rate for Payer: Wellpoint Medicaid Managed Care	$129.85

PLATE CALCANEUS STEP 7.5MM

Facility

$4,900.00

Service Code	HCPCS C1713
Hospital Charge Code	270668407
Hospital Revenue Code	278
Min. Negotiated Rate	$735.00
Max. Negotiated Rate	$1,185.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$980.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,185.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,078.00
Rate for Payer: Qualcare PPO/HMO/WC	$735.00

PLATE CALCANEUS STEP 7.5MM

Facility

$4,900.00

Service Code	HCPCS C1713
Hospital Charge Code	270668407
Hospital Revenue Code	278
Min. Negotiated Rate	$118.09
Max. Negotiated Rate	$2,450.00
Rate for Payer: Aetna Commercial	$1,862.00
Rate for Payer: Aetna Medicare Advantage	$1,470.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,249.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,249.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$980.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,249.50
Rate for Payer: Cigna Commercial	$2,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,185.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,078.00
Rate for Payer: Qualcare PPO/HMO/WC	$735.00
Rate for Payer: UnitedHealthcare Community & State	$118.09
Rate for Payer: Wellpoint Medicaid Managed Care	$129.85

PLATE CALCAN PERIMETERPLATE SM

Facility

$5,980.00

Service Code	HCPCS C1713
Hospital Charge Code	270701269
Hospital Revenue Code	278
Min. Negotiated Rate	$144.12
Max. Negotiated Rate	$2,990.00
Rate for Payer: Aetna Commercial	$2,272.40
Rate for Payer: Aetna Medicare Advantage	$1,794.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,524.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,524.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,196.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,524.90
Rate for Payer: Cigna Commercial	$2,990.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,447.16
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,315.60
Rate for Payer: Qualcare PPO/HMO/WC	$897.00
Rate for Payer: UnitedHealthcare Community & State	$144.12
Rate for Payer: Wellpoint Medicaid Managed Care	$158.47

PLATE CALCAN PERIMETERPLATE SM

Facility

$5,980.00

Service Code	HCPCS C1713
Hospital Charge Code	270701269
Hospital Revenue Code	278
Min. Negotiated Rate	$897.00
Max. Negotiated Rate	$1,447.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,196.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,447.16
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,315.60
Rate for Payer: Qualcare PPO/HMO/WC	$897.00

PLATE CALC SLIDE

Facility

$7,837.50

Service Code	HCPCS C1713
Hospital Charge Code	270701423
Hospital Revenue Code	278
Min. Negotiated Rate	$1,175.62
Max. Negotiated Rate	$1,896.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,567.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,896.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,724.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,175.62

Know your out-of-pocket cost for care.

All Charges