Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

3.5 CORTEX TI SCREW L10MM

Facility

$265.00

Service Code	HCPCS C1713
Hospital Charge Code	270704203
Hospital Revenue Code	278
Min. Negotiated Rate	$39.75
Max. Negotiated Rate	$64.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$53.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.13
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$58.30
Rate for Payer: Qualcare PPO/HMO/WC	$39.75

3.5 CORTEX TI SCREW L10MM

Facility

$265.00

Service Code	HCPCS C1713
Hospital Charge Code	270704203
Hospital Revenue Code	278
Min. Negotiated Rate	$6.39
Max. Negotiated Rate	$132.50
Rate for Payer: Aetna Commercial	$100.70
Rate for Payer: Aetna Medicare Advantage	$79.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$53.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.58
Rate for Payer: Cigna Commercial	$132.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.13
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$58.30
Rate for Payer: Qualcare PPO/HMO/WC	$39.75
Rate for Payer: UnitedHealthcare Community & State	$6.39
Rate for Payer: Wellpoint Medicaid Managed Care	$7.02

3.5 CORTICAL

Facility

$122.15

Hospital Charge Code	270656875
Hospital Revenue Code	278
Min. Negotiated Rate	$2.94
Max. Negotiated Rate	$61.08
Rate for Payer: Aetna Commercial	$46.42
Rate for Payer: Aetna Medicare Advantage	$36.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.15
Rate for Payer: Cigna Commercial	$61.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$26.87
Rate for Payer: Qualcare PPO/HMO/WC	$18.32
Rate for Payer: UnitedHealthcare Community & State	$2.94
Rate for Payer: Wellpoint Medicaid Managed Care	$3.24

3.5 CORTICAL

Facility

$122.15

Hospital Charge Code	270656875
Hospital Revenue Code	278
Min. Negotiated Rate	$18.32
Max. Negotiated Rate	$29.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$26.87
Rate for Payer: Qualcare PPO/HMO/WC	$18.32

3.5CORTICAL

Facility

$122.15

Service Code	HCPCS C1713
Hospital Charge Code	270656876
Hospital Revenue Code	278
Min. Negotiated Rate	$18.32
Max. Negotiated Rate	$29.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$26.87
Rate for Payer: Qualcare PPO/HMO/WC	$18.32

3.5CORTICAL

Facility

$122.15

Service Code	HCPCS C1713
Hospital Charge Code	270656876
Hospital Revenue Code	278
Min. Negotiated Rate	$2.94
Max. Negotiated Rate	$61.08
Rate for Payer: Aetna Commercial	$46.42
Rate for Payer: Aetna Medicare Advantage	$36.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.15
Rate for Payer: Cigna Commercial	$61.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$26.87
Rate for Payer: Qualcare PPO/HMO/WC	$18.32
Rate for Payer: UnitedHealthcare Community & State	$2.94
Rate for Payer: Wellpoint Medicaid Managed Care	$3.24

3.5 CORTICAL 14MM

Facility

$176.95

Service Code	HCPCS C1713
Hospital Charge Code	270656879
Hospital Revenue Code	278
Min. Negotiated Rate	$4.26
Max. Negotiated Rate	$88.47
Rate for Payer: Aetna Commercial	$67.24
Rate for Payer: Aetna Medicare Advantage	$53.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.12
Rate for Payer: Cigna Commercial	$88.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.82
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$38.93
Rate for Payer: Qualcare PPO/HMO/WC	$26.54
Rate for Payer: UnitedHealthcare Community & State	$4.26
Rate for Payer: Wellpoint Medicaid Managed Care	$4.69

3.5 CORTICAL 14MM

Facility

$176.95

Service Code	HCPCS C1713
Hospital Charge Code	270656879
Hospital Revenue Code	278
Min. Negotiated Rate	$26.54
Max. Negotiated Rate	$42.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.82
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$38.93
Rate for Payer: Qualcare PPO/HMO/WC	$26.54

3.5 CORTICAL 22MM

Facility

$176.95

Hospital Charge Code	270656882
Hospital Revenue Code	278
Min. Negotiated Rate	$4.26
Max. Negotiated Rate	$88.47
Rate for Payer: Aetna Commercial	$67.24
Rate for Payer: Aetna Medicare Advantage	$53.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.12
Rate for Payer: Cigna Commercial	$88.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.82
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$38.93
Rate for Payer: Qualcare PPO/HMO/WC	$26.54
Rate for Payer: UnitedHealthcare Community & State	$4.26
Rate for Payer: Wellpoint Medicaid Managed Care	$4.69

3.5 CORTICAL 22MM

Facility

$176.95

Hospital Charge Code	270656882
Hospital Revenue Code	278
Min. Negotiated Rate	$26.54
Max. Negotiated Rate	$42.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.82
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$38.93
Rate for Payer: Qualcare PPO/HMO/WC	$26.54

3.5 CORTICAL 26MM

Facility

$225.00

Service Code	HCPCS C1713
Hospital Charge Code	270665461
Hospital Revenue Code	278
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$54.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$49.50
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

3.5 CORTICAL 26MM

Facility

$225.00

Service Code	HCPCS C1713
Hospital Charge Code	270665461
Hospital Revenue Code	278
Min. Negotiated Rate	$5.42
Max. Negotiated Rate	$112.50
Rate for Payer: Aetna Commercial	$85.50
Rate for Payer: Aetna Medicare Advantage	$67.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.38
Rate for Payer: Cigna Commercial	$112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$49.50
Rate for Payer: Qualcare PPO/HMO/WC	$33.75
Rate for Payer: UnitedHealthcare Community & State	$5.42
Rate for Payer: Wellpoint Medicaid Managed Care	$5.96

3.5 CORTICAL 2.7 HEAD 16MM

Facility

$176.95

Hospital Charge Code	270656880
Hospital Revenue Code	278
Min. Negotiated Rate	$26.54
Max. Negotiated Rate	$42.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.82
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$38.93
Rate for Payer: Qualcare PPO/HMO/WC	$26.54

3.5 CORTICAL 2.7 HEAD 16MM

Facility

$176.95

Hospital Charge Code	270656880
Hospital Revenue Code	278
Min. Negotiated Rate	$4.26
Max. Negotiated Rate	$88.47
Rate for Payer: Aetna Commercial	$67.24
Rate for Payer: Aetna Medicare Advantage	$53.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.12
Rate for Payer: Cigna Commercial	$88.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.82
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$38.93
Rate for Payer: Qualcare PPO/HMO/WC	$26.54
Rate for Payer: UnitedHealthcare Community & State	$4.26
Rate for Payer: Wellpoint Medicaid Managed Care	$4.69

3.5 COUNTER SINK 8MM

Facility

$1,210.00

Hospital Charge Code	270665454
Hospital Revenue Code	278
Min. Negotiated Rate	$181.50
Max. Negotiated Rate	$292.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$242.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$292.82
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$266.20
Rate for Payer: Qualcare PPO/HMO/WC	$181.50

3.5 COUNTER SINK 8MM

Facility

$1,210.00

Hospital Charge Code	270665454
Hospital Revenue Code	278
Min. Negotiated Rate	$29.16
Max. Negotiated Rate	$605.00
Rate for Payer: Aetna Commercial	$459.80
Rate for Payer: Aetna Medicare Advantage	$363.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$308.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$308.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$242.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$308.55
Rate for Payer: Cigna Commercial	$605.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$292.82
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$266.20
Rate for Payer: Qualcare PPO/HMO/WC	$181.50
Rate for Payer: UnitedHealthcare Community & State	$29.16
Rate for Payer: Wellpoint Medicaid Managed Care	$32.06

3.5 DRILL

Facility

$1,515.00

Service Code	HCPCS C1713
Hospital Charge Code	270702953
Hospital Revenue Code	278
Min. Negotiated Rate	$36.51
Max. Negotiated Rate	$757.50
Rate for Payer: Aetna Commercial	$575.70
Rate for Payer: Aetna Medicare Advantage	$454.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$386.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$386.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$386.32
Rate for Payer: Cigna Commercial	$757.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$366.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$333.30
Rate for Payer: Qualcare PPO/HMO/WC	$227.25
Rate for Payer: UnitedHealthcare Community & State	$36.51
Rate for Payer: Wellpoint Medicaid Managed Care	$40.15

3.5 DRILL

Facility

$1,515.00

Service Code	HCPCS C1713
Hospital Charge Code	270702953
Hospital Revenue Code	278
Min. Negotiated Rate	$227.25
Max. Negotiated Rate	$366.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$366.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$333.30
Rate for Payer: Qualcare PPO/HMO/WC	$227.25

3.5 DRILL BIT

Facility

$395.00

Hospital Charge Code	270656448
Hospital Revenue Code	272
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) PPO	$100.72
Rate for Payer: Cigna Commercial	$197.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.50
Rate for Payer: Oxford Commercial	$79.00
Rate for Payer: Qualcare PPO/HMO/WC	$59.25
Rate for Payer: UnitedHealthcare Commercial	$79.00
Rate for Payer: UnitedHealthcare Community & State	$9.52
Rate for Payer: Wellpoint Medicaid Managed Care	$10.47

3.5 DRILL BIT

Facility

$395.00

Hospital Charge Code	270656448
Hospital Revenue Code	272
Min. Negotiated Rate	$59.25
Max. Negotiated Rate	$59.25
Rate for Payer: Qualcare PPO/HMO/WC	$59.25

3.5 LCP 7 HOLE PLATE

Facility

$3,870.45

Service Code	HCPCS C1713
Hospital Charge Code	270656665
Hospital Revenue Code	278
Min. Negotiated Rate	$93.28
Max. Negotiated Rate	$1,935.22
Rate for Payer: Aetna Commercial	$1,470.77
Rate for Payer: Aetna Medicare Advantage	$1,161.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$986.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$986.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$774.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$986.96
Rate for Payer: Cigna Commercial	$1,935.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$936.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$851.50
Rate for Payer: Qualcare PPO/HMO/WC	$580.57
Rate for Payer: UnitedHealthcare Community & State	$93.28
Rate for Payer: Wellpoint Medicaid Managed Care	$102.57

3.5 LCP 7 HOLE PLATE

Facility

$3,870.45

Service Code	HCPCS C1713
Hospital Charge Code	270656665
Hospital Revenue Code	278
Min. Negotiated Rate	$580.57
Max. Negotiated Rate	$936.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$774.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$936.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$851.50
Rate for Payer: Qualcare PPO/HMO/WC	$580.57

3.5 LCP RECON PLATE 8 HOLE

Facility

$2,320.60

Service Code	HCPCS C1713
Hospital Charge Code	270645928
Hospital Revenue Code	278
Min. Negotiated Rate	$55.93
Max. Negotiated Rate	$1,160.30
Rate for Payer: Aetna Commercial	$881.83
Rate for Payer: Aetna Medicare Advantage	$696.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$591.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$591.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$464.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$591.75
Rate for Payer: Cigna Commercial	$1,160.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$561.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$510.53
Rate for Payer: Qualcare PPO/HMO/WC	$348.09
Rate for Payer: UnitedHealthcare Community & State	$55.93
Rate for Payer: Wellpoint Medicaid Managed Care	$61.50

3.5 LCP RECON PLATE 8 HOLE

Facility

$2,320.60

Service Code	HCPCS C1713
Hospital Charge Code	270645928
Hospital Revenue Code	278
Min. Negotiated Rate	$348.09
Max. Negotiated Rate	$561.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$464.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$561.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$510.53
Rate for Payer: Qualcare PPO/HMO/WC	$348.09

3.5 LCP REC. PLATE

Facility

$1,890.50

Service Code	HCPCS C1713
Hospital Charge Code	270680935
Hospital Revenue Code	278
Min. Negotiated Rate	$45.56
Max. Negotiated Rate	$945.25
Rate for Payer: Aetna Commercial	$718.39
Rate for Payer: Aetna Medicare Advantage	$567.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$482.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$482.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$378.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$482.08
Rate for Payer: Cigna Commercial	$945.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$457.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$415.91
Rate for Payer: Qualcare PPO/HMO/WC	$283.57
Rate for Payer: UnitedHealthcare Community & State	$45.56
Rate for Payer: Wellpoint Medicaid Managed Care	$50.10

Know your out-of-pocket cost for care.

All Charges