Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

10MM TI CANN RETRO/ANTEGRADE N

Facility

$7,266.10

Service Code	HCPCS C1713
Hospital Charge Code	270686849
Hospital Revenue Code	278
Min. Negotiated Rate	$1,089.91
Max. Negotiated Rate	$1,758.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,453.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,758.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,598.54
Rate for Payer: Qualcare PPO/HMO/WC	$1,089.91

10MM TI CANN RETRO/ANTE NAIL 4

Facility

$7,266.10

Service Code	HCPCS C1713
Hospital Charge Code	270686941
Hospital Revenue Code	278
Min. Negotiated Rate	$1,089.91
Max. Negotiated Rate	$1,758.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,453.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,758.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,598.54
Rate for Payer: Qualcare PPO/HMO/WC	$1,089.91

10MM TI CANN RETRO/ANTE NAIL 4

Facility

$7,266.10

Service Code	HCPCS C1713
Hospital Charge Code	270686941
Hospital Revenue Code	278
Min. Negotiated Rate	$175.11
Max. Negotiated Rate	$3,633.05
Rate for Payer: Aetna Commercial	$2,761.12
Rate for Payer: Aetna Medicare Advantage	$2,179.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,852.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,852.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,453.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,852.86
Rate for Payer: Cigna Commercial	$3,633.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,758.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,598.54
Rate for Payer: Qualcare PPO/HMO/WC	$1,089.91
Rate for Payer: UnitedHealthcare Community & State	$175.11
Rate for Payer: Wellpoint Medicaid Managed Care	$192.55

1.0MM TI CORTEX SCREW SELF-TAP

Facility

$321.45

Service Code	HCPCS C1713
Hospital Charge Code	270682224
Hospital Revenue Code	278
Min. Negotiated Rate	$48.22
Max. Negotiated Rate	$77.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$64.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$70.72
Rate for Payer: Qualcare PPO/HMO/WC	$48.22

1.0MM TI CORTEX SCREW SELF-TAP

Facility

$321.45

Service Code	HCPCS C1713
Hospital Charge Code	270682224
Hospital Revenue Code	278
Min. Negotiated Rate	$7.75
Max. Negotiated Rate	$160.72
Rate for Payer: Aetna Commercial	$122.15
Rate for Payer: Aetna Medicare Advantage	$96.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$64.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.97
Rate for Payer: Cigna Commercial	$160.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$70.72
Rate for Payer: Qualcare PPO/HMO/WC	$48.22
Rate for Payer: UnitedHealthcare Community & State	$7.75
Rate for Payer: Wellpoint Medicaid Managed Care	$8.52

1.0MM TI CORTEX SRW SELF-TAP 6

Facility

$321.45

Service Code	HCPCS C1713
Hospital Charge Code	270680932
Hospital Revenue Code	278
Min. Negotiated Rate	$7.75
Max. Negotiated Rate	$160.72
Rate for Payer: Aetna Commercial	$122.15
Rate for Payer: Aetna Medicare Advantage	$96.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$64.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.97
Rate for Payer: Cigna Commercial	$160.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$70.72
Rate for Payer: Qualcare PPO/HMO/WC	$48.22
Rate for Payer: UnitedHealthcare Community & State	$7.75
Rate for Payer: Wellpoint Medicaid Managed Care	$8.52

1.0MM TI CORTEX SRW SELF-TAP 6

Facility

$321.45

Service Code	HCPCS C1713
Hospital Charge Code	270680932
Hospital Revenue Code	278
Min. Negotiated Rate	$48.22
Max. Negotiated Rate	$77.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$64.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$70.72
Rate for Payer: Qualcare PPO/HMO/WC	$48.22

1.0MM TI CORTEX SRW SELF-TAP 7

Facility

$321.45

Service Code	HCPCS C1713
Hospital Charge Code	270681695
Hospital Revenue Code	278
Min. Negotiated Rate	$48.22
Max. Negotiated Rate	$77.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$64.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$70.72
Rate for Payer: Qualcare PPO/HMO/WC	$48.22

1.0MM TI CORTEX SRW SELF-TAP 7

Facility

$321.45

Service Code	HCPCS C1713
Hospital Charge Code	270681695
Hospital Revenue Code	278
Min. Negotiated Rate	$7.75
Max. Negotiated Rate	$160.72
Rate for Payer: Aetna Commercial	$122.15
Rate for Payer: Aetna Medicare Advantage	$96.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$64.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.97
Rate for Payer: Cigna Commercial	$160.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$70.72
Rate for Payer: Qualcare PPO/HMO/WC	$48.22
Rate for Payer: UnitedHealthcare Community & State	$7.75
Rate for Payer: Wellpoint Medicaid Managed Care	$8.52

1.0MM TI CORTEX SRW SELF-TAP 8

Facility

$321.45

Service Code	HCPCS C1713
Hospital Charge Code	270681696
Hospital Revenue Code	278
Min. Negotiated Rate	$48.22
Max. Negotiated Rate	$77.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$64.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$70.72
Rate for Payer: Qualcare PPO/HMO/WC	$48.22

1.0MM TI CORTEX SRW SELF-TAP 8

Facility

$321.45

Service Code	HCPCS C1713
Hospital Charge Code	270681696
Hospital Revenue Code	278
Min. Negotiated Rate	$7.75
Max. Negotiated Rate	$160.72
Rate for Payer: Aetna Commercial	$122.15
Rate for Payer: Aetna Medicare Advantage	$96.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$64.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.97
Rate for Payer: Cigna Commercial	$160.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$70.72
Rate for Payer: Qualcare PPO/HMO/WC	$48.22
Rate for Payer: UnitedHealthcare Community & State	$7.75
Rate for Payer: Wellpoint Medicaid Managed Care	$8.52

1.0 TITINIUM 750MM

Facility

$5,055.00

Service Code	HCPCS C1713
Hospital Charge Code	270687781
Hospital Revenue Code	278
Min. Negotiated Rate	$121.83
Max. Negotiated Rate	$2,527.50
Rate for Payer: Aetna Commercial	$1,920.90
Rate for Payer: Aetna Medicare Advantage	$1,516.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,289.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,289.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,011.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,289.03
Rate for Payer: Cigna Commercial	$2,527.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,223.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,112.10
Rate for Payer: Qualcare PPO/HMO/WC	$758.25
Rate for Payer: UnitedHealthcare Community & State	$121.83
Rate for Payer: Wellpoint Medicaid Managed Care	$133.96

1.0 TITINIUM 750MM

Facility

$5,055.00

Service Code	HCPCS C1713
Hospital Charge Code	270687781
Hospital Revenue Code	278
Min. Negotiated Rate	$758.25
Max. Negotiated Rate	$1,223.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,011.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,223.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,112.10
Rate for Payer: Qualcare PPO/HMO/WC	$758.25

10X135 PSN REV STR SPLN STEM

Facility

$13,808.35

Service Code	HCPCS C1713
Hospital Charge Code	270704150
Hospital Revenue Code	278
Min. Negotiated Rate	$2,071.25
Max. Negotiated Rate	$3,341.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,761.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,341.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,037.84
Rate for Payer: Qualcare PPO/HMO/WC	$2,071.25

10X135 PSN REV STR SPLN STEM

Facility

$13,808.35

Service Code	HCPCS C1713
Hospital Charge Code	270704150
Hospital Revenue Code	278
Min. Negotiated Rate	$332.78
Max. Negotiated Rate	$6,904.18
Rate for Payer: Aetna Commercial	$5,247.17
Rate for Payer: Aetna Medicare Advantage	$4,142.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,521.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,521.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,761.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,521.13
Rate for Payer: Cigna Commercial	$6,904.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,341.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,037.84
Rate for Payer: Qualcare PPO/HMO/WC	$2,071.25
Rate for Payer: UnitedHealthcare Community & State	$332.78
Rate for Payer: Wellpoint Medicaid Managed Care	$365.92

10X29MM AFFIXUS TIBIA NL

Facility

$14,300.00

Service Code	HCPCS C1713
Hospital Charge Code	270703331
Hospital Revenue Code	278
Min. Negotiated Rate	$2,145.00
Max. Negotiated Rate	$3,460.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,860.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,460.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,146.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,145.00

10X29MM AFFIXUS TIBIA NL

Facility

$14,300.00

Service Code	HCPCS C1713
Hospital Charge Code	270703331
Hospital Revenue Code	278
Min. Negotiated Rate	$344.63
Max. Negotiated Rate	$7,150.00
Rate for Payer: Aetna Commercial	$5,434.00
Rate for Payer: Aetna Medicare Advantage	$4,290.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,646.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,646.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,860.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,646.50
Rate for Payer: Cigna Commercial	$7,150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,460.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,146.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,145.00
Rate for Payer: UnitedHealthcare Community & State	$344.63
Rate for Payer: Wellpoint Medicaid Managed Care	$378.95

10 X 315MM TIBIAL NAIL

Facility

$8,955.45

Hospital Charge Code	270665468
Hospital Revenue Code	278
Min. Negotiated Rate	$215.83
Max. Negotiated Rate	$4,477.73
Rate for Payer: Aetna Commercial	$3,403.07
Rate for Payer: Aetna Medicare Advantage	$2,686.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,283.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,283.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,791.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,283.64
Rate for Payer: Cigna Commercial	$4,477.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,167.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,970.20
Rate for Payer: Qualcare PPO/HMO/WC	$1,343.32
Rate for Payer: UnitedHealthcare Community & State	$215.83
Rate for Payer: Wellpoint Medicaid Managed Care	$237.32

10 X 315MM TIBIAL NAIL

Facility

$8,955.45

Hospital Charge Code	270665468
Hospital Revenue Code	278
Min. Negotiated Rate	$1,343.32
Max. Negotiated Rate	$2,167.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,791.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,167.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,970.20
Rate for Payer: Qualcare PPO/HMO/WC	$1,343.32

10X360MM LONG NAIL RT, 125DEG

Facility

$18,793.80

Service Code	HCPCS C1713
Hospital Charge Code	270705665
Hospital Revenue Code	278
Min. Negotiated Rate	$452.93
Max. Negotiated Rate	$9,396.90
Rate for Payer: Aetna Commercial	$7,141.64
Rate for Payer: Aetna Medicare Advantage	$5,638.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,792.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,792.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,758.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,792.42
Rate for Payer: Cigna Commercial	$9,396.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,548.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,134.64
Rate for Payer: Qualcare PPO/HMO/WC	$2,819.07
Rate for Payer: UnitedHealthcare Community & State	$452.93
Rate for Payer: Wellpoint Medicaid Managed Care	$498.04

10X360MM LONG NAIL RT, 125DEG

Facility

$18,793.80

Service Code	HCPCS C1713
Hospital Charge Code	270705665
Hospital Revenue Code	278
Min. Negotiated Rate	$2,819.07
Max. Negotiated Rate	$4,548.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,758.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,548.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,134.64
Rate for Payer: Qualcare PPO/HMO/WC	$2,819.07

10 X 420 X 130 TFNA

Facility

$9,942.75

Service Code	HCPCS C1713
Hospital Charge Code	270686261
Hospital Revenue Code	278
Min. Negotiated Rate	$239.62
Max. Negotiated Rate	$4,971.38
Rate for Payer: Aetna Commercial	$3,778.24
Rate for Payer: Aetna Medicare Advantage	$2,982.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,535.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,535.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,988.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,535.40
Rate for Payer: Cigna Commercial	$4,971.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,406.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,187.41
Rate for Payer: Qualcare PPO/HMO/WC	$1,491.41
Rate for Payer: UnitedHealthcare Community & State	$239.62
Rate for Payer: Wellpoint Medicaid Managed Care	$263.48

10 X 420 X 130 TFNA

Facility

$9,942.75

Service Code	HCPCS C1713
Hospital Charge Code	270686261
Hospital Revenue Code	278
Min. Negotiated Rate	$1,491.41
Max. Negotiated Rate	$2,406.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,988.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,406.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,187.41
Rate for Payer: Qualcare PPO/HMO/WC	$1,491.41

110/40 PINS CANCELLARS

Facility

$720.00

Hospital Charge Code	270656611
Hospital Revenue Code	278
Min. Negotiated Rate	$108.00
Max. Negotiated Rate	$174.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$144.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$158.40
Rate for Payer: Qualcare PPO/HMO/WC	$108.00

110/40 PINS CANCELLARS

Facility

$720.00

Hospital Charge Code	270656611
Hospital Revenue Code	278
Min. Negotiated Rate	$17.35
Max. Negotiated Rate	$360.00
Rate for Payer: Aetna Commercial	$273.60
Rate for Payer: Aetna Medicare Advantage	$216.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$183.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$183.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$144.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$183.60
Rate for Payer: Cigna Commercial	$360.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$158.40
Rate for Payer: Qualcare PPO/HMO/WC	$108.00
Rate for Payer: UnitedHealthcare Community & State	$17.35
Rate for Payer: Wellpoint Medicaid Managed Care	$19.08

Know your out-of-pocket cost for care.

All Charges