Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

POST EX-FIX LG OUTRIGGER 11MM

Facility

$582.40

Hospital Charge Code	270646019
Hospital Revenue Code	272
Min. Negotiated Rate	$14.04
Max. Negotiated Rate	$291.20
Rate for Payer: Aetna Commercial	$221.31
Rate for Payer: Aetna Medicare Advantage	$174.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$148.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$148.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$148.51
Rate for Payer: Cigna Commercial	$291.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.72
Rate for Payer: Oxford Commercial	$116.48
Rate for Payer: Qualcare PPO/HMO/WC	$87.36
Rate for Payer: UnitedHealthcare Commercial	$116.48
Rate for Payer: UnitedHealthcare Community & State	$14.04
Rate for Payer: Wellpoint Medicaid Managed Care	$15.43

POST EX-FIX LG OUTRIGGER 11MM

Facility

$582.40

Hospital Charge Code	270646019
Hospital Revenue Code	272
Min. Negotiated Rate	$87.36
Max. Negotiated Rate	$87.36
Rate for Payer: Qualcare PPO/HMO/WC	$87.36

POST FEMORAL ATTUNE SZ5N

Facility

$11,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270686416
Hospital Revenue Code	278
Min. Negotiated Rate	$1,725.00
Max. Negotiated Rate	$2,783.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,783.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,530.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,725.00

POST FEMORAL ATTUNE SZ5N

Facility

$11,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270686416
Hospital Revenue Code	278
Min. Negotiated Rate	$277.15
Max. Negotiated Rate	$5,750.00
Rate for Payer: Aetna Commercial	$4,370.00
Rate for Payer: Aetna Medicare Advantage	$3,450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,932.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,932.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,932.50
Rate for Payer: Cigna Commercial	$5,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,783.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,530.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,725.00
Rate for Payer: UnitedHealthcare Community & State	$277.15
Rate for Payer: Wellpoint Medicaid Managed Care	$304.75

POST FREE DISTRACTION

Facility

$7,500.00

Hospital Charge Code	270691820
Hospital Revenue Code	272
Min. Negotiated Rate	$1,125.00
Max. Negotiated Rate	$1,125.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,125.00

POST FREE DISTRACTION

Facility

$7,500.00

Hospital Charge Code	270691820
Hospital Revenue Code	272
Min. Negotiated Rate	$180.75
Max. Negotiated Rate	$3,750.00
Rate for Payer: Aetna Commercial	$2,850.00
Rate for Payer: Aetna Medicare Advantage	$2,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,912.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,912.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,912.50
Rate for Payer: Cigna Commercial	$3,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,250.00
Rate for Payer: Oxford Commercial	$1,500.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,125.00
Rate for Payer: UnitedHealthcare Commercial	$1,500.00
Rate for Payer: UnitedHealthcare Community & State	$180.75
Rate for Payer: Wellpoint Medicaid Managed Care	$198.75

POST FREEDOM X 3.5X20MM

Facility

$10,225.00

Service Code	HCPCS C1713
Hospital Charge Code	270698537
Hospital Revenue Code	278
Min. Negotiated Rate	$246.42
Max. Negotiated Rate	$5,112.50
Rate for Payer: Aetna Commercial	$3,885.50
Rate for Payer: Aetna Medicare Advantage	$3,067.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,607.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,607.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,045.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,607.38
Rate for Payer: Cigna Commercial	$5,112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,474.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,249.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,533.75
Rate for Payer: UnitedHealthcare Community & State	$246.42
Rate for Payer: Wellpoint Medicaid Managed Care	$270.96

POST FREEDOM X 3.5X20MM

Facility

$10,225.00

Service Code	HCPCS C1713
Hospital Charge Code	270698537
Hospital Revenue Code	278
Min. Negotiated Rate	$1,533.75
Max. Negotiated Rate	$2,474.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,045.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,474.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,249.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,533.75

POST INCORE 5.9X28MM RT TI

Facility

$17,440.00

Service Code	HCPCS C1713
Hospital Charge Code	270687066
Hospital Revenue Code	278
Min. Negotiated Rate	$420.30
Max. Negotiated Rate	$8,720.00
Rate for Payer: Aetna Commercial	$6,627.20
Rate for Payer: Aetna Medicare Advantage	$5,232.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,447.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,447.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,488.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,447.20
Rate for Payer: Cigna Commercial	$8,720.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,220.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,836.80
Rate for Payer: Qualcare PPO/HMO/WC	$2,616.00
Rate for Payer: UnitedHealthcare Community & State	$420.30
Rate for Payer: Wellpoint Medicaid Managed Care	$462.16

POST INCORE 5.9X28MM RT TI

Facility

$17,440.00

Service Code	HCPCS C1713
Hospital Charge Code	270687066
Hospital Revenue Code	278
Min. Negotiated Rate	$2,616.00
Max. Negotiated Rate	$4,220.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,488.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,220.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,836.80
Rate for Payer: Qualcare PPO/HMO/WC	$2,616.00

POST INSERT TIBIAL FX STAB SZ4

Facility

$11,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270686447
Hospital Revenue Code	278
Min. Negotiated Rate	$277.15
Max. Negotiated Rate	$5,750.00
Rate for Payer: Aetna Commercial	$4,370.00
Rate for Payer: Aetna Medicare Advantage	$3,450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,932.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,932.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,932.50
Rate for Payer: Cigna Commercial	$5,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,783.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,530.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,725.00
Rate for Payer: UnitedHealthcare Community & State	$277.15
Rate for Payer: Wellpoint Medicaid Managed Care	$304.75

POST INSERT TIBIAL FX STAB SZ4

Facility

$11,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270686447
Hospital Revenue Code	278
Min. Negotiated Rate	$1,725.00
Max. Negotiated Rate	$2,783.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,783.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,530.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,725.00

POST LEFT LAPIDUS 5.9MMX28MM

Facility

$17,440.00

Service Code	HCPCS C1713
Hospital Charge Code	270688234
Hospital Revenue Code	278
Min. Negotiated Rate	$2,616.00
Max. Negotiated Rate	$4,220.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,488.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,220.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,836.80
Rate for Payer: Qualcare PPO/HMO/WC	$2,616.00

POST LEFT LAPIDUS 5.9MMX28MM

Facility

$17,440.00

Service Code	HCPCS C1713
Hospital Charge Code	270688234
Hospital Revenue Code	278
Min. Negotiated Rate	$420.30
Max. Negotiated Rate	$8,720.00
Rate for Payer: Aetna Commercial	$6,627.20
Rate for Payer: Aetna Medicare Advantage	$5,232.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,447.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,447.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,488.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,447.20
Rate for Payer: Cigna Commercial	$8,720.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,220.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,836.80
Rate for Payer: Qualcare PPO/HMO/WC	$2,616.00
Rate for Payer: UnitedHealthcare Community & State	$420.30
Rate for Payer: Wellpoint Medicaid Managed Care	$462.16

POST LUM CAGE 13X23X0-11MMD

Facility

$26,910.00

Service Code	HCPCS 26910
Hospital Charge Code	270704782
Hospital Revenue Code	278
Min. Negotiated Rate	$648.53
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	$5,382.00
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	$6,512.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,920.20
Rate for Payer: Qualcare PPO/HMO/WC	$4,036.50
Rate for Payer: UnitedHealthcare Community & State	$648.53
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	$713.12

POST LUM CAGE 13X23X0-11MMD

Facility

$26,910.00

Service Code	HCPCS 26910
Hospital Charge Code	270704782
Hospital Revenue Code	278
Min. Negotiated Rate	$4,036.50
Max. Negotiated Rate	$6,512.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,382.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,512.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,920.20
Rate for Payer: Qualcare PPO/HMO/WC	$4,036.50

POST LUM CAGE 7X23X9MM 6DEG

Facility

$2,660.00

Service Code	HCPCS C1713
Hospital Charge Code	270705424
Hospital Revenue Code	278
Min. Negotiated Rate	$64.11
Max. Negotiated Rate	$1,330.00
Rate for Payer: Aetna Commercial	$1,010.80
Rate for Payer: Aetna Medicare Advantage	$798.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$678.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$678.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$532.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$678.30
Rate for Payer: Cigna Commercial	$1,330.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$643.72
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$585.20
Rate for Payer: Qualcare PPO/HMO/WC	$399.00
Rate for Payer: UnitedHealthcare Community & State	$64.11
Rate for Payer: Wellpoint Medicaid Managed Care	$70.49

POST LUM CAGE 7X23X9MM 6DEG

Facility

$2,660.00

Service Code	HCPCS C1713
Hospital Charge Code	270705424
Hospital Revenue Code	278
Min. Negotiated Rate	$399.00
Max. Negotiated Rate	$643.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$532.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$643.72
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$585.20
Rate for Payer: Qualcare PPO/HMO/WC	$399.00

POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC

Facility

$61,079.05

Service Code	MSDRG 862
Min. Negotiated Rate	$18,597.79
Max. Negotiated Rate	$61,079.05
Rate for Payer: Aetna Commercial	$42,225.60
Rate for Payer: Aetna Medicare Advantage	$61,079.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42,800.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42,800.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19,576.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42,800.24
Rate for Payer: Cigna Commercial	$34,128.72
Rate for Payer: Cigna Medicare Advantage	$19,576.62
Rate for Payer: Clover Medicare Advantage	$18,597.79
Rate for Payer: EmblemHealth Commercial	$58,729.86
Rate for Payer: Humana Medicare Advantage	$20,163.92
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$19,576.62
Rate for Payer: Oxford Commercial	$24,528.76
Rate for Payer: UnitedHealthcare Commercial	$43,011.96
Rate for Payer: UnitedHealthcare Medicare Advantage	$19,576.62
Rate for Payer: Wellcare Medicare Advantage	$19,576.62

POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC

Facility

$34,387.83

Service Code	MSDRG 863
Min. Negotiated Rate	$10,470.65
Max. Negotiated Rate	$34,387.83
Rate for Payer: Aetna Commercial	$23,885.69
Rate for Payer: Aetna Medicare Advantage	$34,387.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23,493.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23,493.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11,021.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23,493.61
Rate for Payer: Cigna Commercial	$18,674.70
Rate for Payer: Cigna Medicare Advantage	$11,021.74
Rate for Payer: Clover Medicare Advantage	$10,470.65
Rate for Payer: EmblemHealth Commercial	$33,065.22
Rate for Payer: Humana Medicare Advantage	$11,352.39
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$11,021.74
Rate for Payer: Oxford Commercial	$13,421.75
Rate for Payer: UnitedHealthcare Commercial	$23,535.47
Rate for Payer: UnitedHealthcare Medicare Advantage	$11,021.74
Rate for Payer: Wellcare Medicare Advantage	$11,021.74

POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC

Facility

$71,350.87

Service Code	MSDRG 857
Min. Negotiated Rate	$21,725.43
Max. Negotiated Rate	$71,350.87
Rate for Payer: Aetna Commercial	$49,283.51
Rate for Payer: Aetna Medicare Advantage	$71,350.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49,778.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49,778.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$22,868.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49,778.54
Rate for Payer: Cigna Commercial	$40,076.03
Rate for Payer: Cigna Medicare Advantage	$22,868.87
Rate for Payer: Clover Medicare Advantage	$21,725.43
Rate for Payer: EmblemHealth Commercial	$68,606.61
Rate for Payer: Humana Medicare Advantage	$23,554.94
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$22,868.87
Rate for Payer: Oxford Commercial	$28,803.17
Rate for Payer: UnitedHealthcare Commercial	$50,507.28
Rate for Payer: UnitedHealthcare Medicare Advantage	$22,868.87
Rate for Payer: Wellcare Medicare Advantage	$22,868.87

POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC

Facility

$149,155.59

Service Code	MSDRG 856
Min. Negotiated Rate	$45,415.97
Max. Negotiated Rate	$149,155.59
Rate for Payer: Aetna Commercial	$102,744.21
Rate for Payer: Aetna Medicare Advantage	$149,155.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$103,046.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$103,046.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$47,806.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$103,046.23
Rate for Payer: Cigna Commercial	$85,124.37
Rate for Payer: Cigna Medicare Advantage	$47,806.28
Rate for Payer: Clover Medicare Advantage	$45,415.97
Rate for Payer: EmblemHealth Commercial	$143,418.84
Rate for Payer: Humana Medicare Advantage	$49,240.47
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$47,806.28
Rate for Payer: Oxford Commercial	$61,180.01
Rate for Payer: UnitedHealthcare Commercial	$107,281.09
Rate for Payer: UnitedHealthcare Medicare Advantage	$47,806.28
Rate for Payer: Wellcare Medicare Advantage	$47,806.28

POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC

Facility

$47,154.93

Service Code	MSDRG 858
Min. Negotiated Rate	$14,358.07
Max. Negotiated Rate	$47,154.93
Rate for Payer: Aetna Commercial	$32,658.14
Rate for Payer: Aetna Medicare Advantage	$47,154.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29,774.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29,774.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15,113.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29,774.08
Rate for Payer: Cigna Commercial	$26,066.73
Rate for Payer: Cigna Medicare Advantage	$15,113.76
Rate for Payer: Clover Medicare Advantage	$14,358.07
Rate for Payer: EmblemHealth Commercial	$45,341.28
Rate for Payer: Humana Medicare Advantage	$15,567.17
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$15,113.76
Rate for Payer: Oxford Commercial	$18,734.51
Rate for Payer: UnitedHealthcare Commercial	$32,851.55
Rate for Payer: UnitedHealthcare Medicare Advantage	$15,113.76
Rate for Payer: Wellcare Medicare Advantage	$15,113.76

POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE

Facility

$48,749.89

Service Code	APR-DRG 7114
Min. Negotiated Rate	$47,794.01
Max. Negotiated Rate	$48,749.89
Rate for Payer: UnitedHealthcare Community & State	$47,794.01
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$48,749.89
Rate for Payer: Wellpoint Medicaid Managed Care	$47,794.01

POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE

Facility

$13,070.91

Service Code	APR-DRG 7111
Min. Negotiated Rate	$12,814.62
Max. Negotiated Rate	$13,070.91
Rate for Payer: UnitedHealthcare Community & State	$12,814.62
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$13,070.91
Rate for Payer: Wellpoint Medicaid Managed Care	$12,814.62

Know your out-of-pocket cost for care.

All Charges