Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

3.5MM CRTX SCREW LOW PROF 36MM

Facility

$157.55

Service Code	HCPCS C1713
Hospital Charge Code	270668002
Hospital Revenue Code	278
Min. Negotiated Rate	$23.63
Max. Negotiated Rate	$38.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.13
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$34.66
Rate for Payer: Qualcare PPO/HMO/WC	$23.63

3.5MM CRTX SCREW LOW PROF 75MM

Facility

$152.95

Service Code	HCPCS C1713
Hospital Charge Code	270679771
Hospital Revenue Code	278
Min. Negotiated Rate	$22.94
Max. Negotiated Rate	$37.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.01
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$33.65
Rate for Payer: Qualcare PPO/HMO/WC	$22.94

3.5MM CRTX SCREW LOW PROF 75MM

Facility

$152.95

Service Code	HCPCS C1713
Hospital Charge Code	270679771
Hospital Revenue Code	278
Min. Negotiated Rate	$3.69
Max. Negotiated Rate	$76.47
Rate for Payer: Aetna Commercial	$58.12
Rate for Payer: Aetna Medicare Advantage	$45.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.00
Rate for Payer: Cigna Commercial	$76.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.01
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$33.65
Rate for Payer: Qualcare PPO/HMO/WC	$22.94
Rate for Payer: UnitedHealthcare Community & State	$3.69
Rate for Payer: Wellpoint Medicaid Managed Care	$4.05

3.5MM LCP MED PROX TIB PLATE 1

Facility

$6,635.95

Service Code	HCPCS C1713
Hospital Charge Code	270680797
Hospital Revenue Code	278
Min. Negotiated Rate	$159.93
Max. Negotiated Rate	$3,317.97
Rate for Payer: Aetna Commercial	$2,521.66
Rate for Payer: Aetna Medicare Advantage	$1,990.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,692.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,692.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,327.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,692.17
Rate for Payer: Cigna Commercial	$3,317.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,605.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,459.91
Rate for Payer: Qualcare PPO/HMO/WC	$995.39
Rate for Payer: UnitedHealthcare Community & State	$159.93
Rate for Payer: Wellpoint Medicaid Managed Care	$175.85

3.5MM LCP MED PROX TIB PLATE 1

Facility

$6,635.95

Service Code	HCPCS C1713
Hospital Charge Code	270680797
Hospital Revenue Code	278
Min. Negotiated Rate	$995.39
Max. Negotiated Rate	$1,605.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,327.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,605.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,459.91
Rate for Payer: Qualcare PPO/HMO/WC	$995.39

3.5MM LOCK COM PLATE 12 HOLE

Facility

$2,380.00

Hospital Charge Code	270702051
Hospital Revenue Code	278
Min. Negotiated Rate	$357.00
Max. Negotiated Rate	$575.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$476.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$575.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$523.60
Rate for Payer: Qualcare PPO/HMO/WC	$357.00

3.5MM LOCK COM PLATE 12 HOLE

Facility

$2,380.00

Hospital Charge Code	270702051
Hospital Revenue Code	278
Min. Negotiated Rate	$57.36
Max. Negotiated Rate	$1,190.00
Rate for Payer: Aetna Commercial	$904.40
Rate for Payer: Aetna Medicare Advantage	$714.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$606.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$606.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$476.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$606.90
Rate for Payer: Cigna Commercial	$1,190.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$575.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$523.60
Rate for Payer: Qualcare PPO/HMO/WC	$357.00
Rate for Payer: UnitedHealthcare Community & State	$57.36
Rate for Payer: Wellpoint Medicaid Managed Care	$63.07

3.5MM LOW PROF CORT 22MM

Facility

$525.00

Hospital Charge Code	270702053
Hospital Revenue Code	278
Min. Negotiated Rate	$78.75
Max. Negotiated Rate	$127.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$105.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$115.50
Rate for Payer: Qualcare PPO/HMO/WC	$78.75

3.5MM LOW PROF CORT 22MM

Facility

$525.00

Hospital Charge Code	270702053
Hospital Revenue Code	278
Min. Negotiated Rate	$12.65
Max. Negotiated Rate	$262.50
Rate for Payer: Aetna Commercial	$199.50
Rate for Payer: Aetna Medicare Advantage	$157.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$105.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.88
Rate for Payer: Cigna Commercial	$262.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$115.50
Rate for Payer: Qualcare PPO/HMO/WC	$78.75
Rate for Payer: UnitedHealthcare Community & State	$12.65
Rate for Payer: Wellpoint Medicaid Managed Care	$13.91

3.5MM LOW PROFILE CORT 32MM

Facility

$370.00

Service Code	HCPCS C1713
Hospital Charge Code	270648917
Hospital Revenue Code	278
Min. Negotiated Rate	$55.50
Max. Negotiated Rate	$89.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$81.40
Rate for Payer: Qualcare PPO/HMO/WC	$55.50

3.5MM LOW PROFILE CORT 32MM

Facility

$370.00

Service Code	HCPCS C1713
Hospital Charge Code	270648917
Hospital Revenue Code	278
Min. Negotiated Rate	$8.92
Max. Negotiated Rate	$185.00
Rate for Payer: Aetna Commercial	$140.60
Rate for Payer: Aetna Medicare Advantage	$111.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.35
Rate for Payer: Cigna Commercial	$185.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$81.40
Rate for Payer: Qualcare PPO/HMO/WC	$55.50
Rate for Payer: UnitedHealthcare Community & State	$8.92
Rate for Payer: Wellpoint Medicaid Managed Care	$9.80

3.5MM LOW PROFILE CORT 40MM

Facility

$264.00

Service Code	HCPCS C1713
Hospital Charge Code	270683105
Hospital Revenue Code	278
Min. Negotiated Rate	$39.60
Max. Negotiated Rate	$63.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$52.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$58.08
Rate for Payer: Qualcare PPO/HMO/WC	$39.60

3.5MM LOW PROFILE CORT 40MM

Facility

$264.00

Service Code	HCPCS C1713
Hospital Charge Code	270683105
Hospital Revenue Code	278
Min. Negotiated Rate	$6.36
Max. Negotiated Rate	$132.00
Rate for Payer: Aetna Commercial	$100.32
Rate for Payer: Aetna Medicare Advantage	$79.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$52.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.32
Rate for Payer: Cigna Commercial	$132.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$58.08
Rate for Payer: Qualcare PPO/HMO/WC	$39.60
Rate for Payer: UnitedHealthcare Community & State	$6.36
Rate for Payer: Wellpoint Medicaid Managed Care	$7.00

3.5MM LOW PROFILE CORT 50MM

Facility

$286.00

Service Code	HCPCS C1713
Hospital Charge Code	270658889
Hospital Revenue Code	278
Min. Negotiated Rate	$6.89
Max. Negotiated Rate	$143.00
Rate for Payer: Aetna Commercial	$108.68
Rate for Payer: Aetna Medicare Advantage	$85.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$72.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$72.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$57.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$72.93
Rate for Payer: Cigna Commercial	$143.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$62.92
Rate for Payer: Qualcare PPO/HMO/WC	$42.90
Rate for Payer: UnitedHealthcare Community & State	$6.89
Rate for Payer: Wellpoint Medicaid Managed Care	$7.58

3.5MM LOW PROFILE CORT 50MM

Facility

$286.00

Service Code	HCPCS C1713
Hospital Charge Code	270658889
Hospital Revenue Code	278
Min. Negotiated Rate	$42.90
Max. Negotiated Rate	$69.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$57.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$62.92
Rate for Payer: Qualcare PPO/HMO/WC	$42.90

3.5 MM MULTIDIRECT SCREW 14MM

Facility

$832.00

Service Code	HCPCS C1713
Hospital Charge Code	270683745
Hospital Revenue Code	278
Min. Negotiated Rate	$20.05
Max. Negotiated Rate	$416.00
Rate for Payer: Aetna Commercial	$316.16
Rate for Payer: Aetna Medicare Advantage	$249.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$212.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$212.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$166.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$212.16
Rate for Payer: Cigna Commercial	$416.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$201.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$183.04
Rate for Payer: Qualcare PPO/HMO/WC	$124.80
Rate for Payer: UnitedHealthcare Community & State	$20.05
Rate for Payer: Wellpoint Medicaid Managed Care	$22.05

3.5 MM MULTIDIRECT SCREW 14MM

Facility

$832.00

Service Code	HCPCS C1713
Hospital Charge Code	270683745
Hospital Revenue Code	278
Min. Negotiated Rate	$124.80
Max. Negotiated Rate	$201.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$166.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$201.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$183.04
Rate for Payer: Qualcare PPO/HMO/WC	$124.80

3.5MM MULTI DIRECT SCREW 16MM

Facility

$880.00

Service Code	HCPCS C1713
Hospital Charge Code	270675345
Hospital Revenue Code	278
Min. Negotiated Rate	$132.00
Max. Negotiated Rate	$212.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$176.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$212.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$193.60
Rate for Payer: Qualcare PPO/HMO/WC	$132.00

3.5MM MULTI DIRECT SCREW 16MM

Facility

$880.00

Service Code	HCPCS C1713
Hospital Charge Code	270675345
Hospital Revenue Code	278
Min. Negotiated Rate	$21.21
Max. Negotiated Rate	$440.00
Rate for Payer: Aetna Commercial	$334.40
Rate for Payer: Aetna Medicare Advantage	$264.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$224.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$224.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$176.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$224.40
Rate for Payer: Cigna Commercial	$440.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$212.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$193.60
Rate for Payer: Qualcare PPO/HMO/WC	$132.00
Rate for Payer: UnitedHealthcare Community & State	$21.21
Rate for Payer: Wellpoint Medicaid Managed Care	$23.32

3.5MM MULTIDIRECT SCREW 20MM

Facility

$832.00

Service Code	HCPCS C1713
Hospital Charge Code	270683746
Hospital Revenue Code	278
Min. Negotiated Rate	$124.80
Max. Negotiated Rate	$201.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$166.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$201.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$183.04
Rate for Payer: Qualcare PPO/HMO/WC	$124.80

3.5MM MULTIDIRECT SCREW 20MM

Facility

$832.00

Service Code	HCPCS C1713
Hospital Charge Code	270683746
Hospital Revenue Code	278
Min. Negotiated Rate	$20.05
Max. Negotiated Rate	$416.00
Rate for Payer: Aetna Commercial	$316.16
Rate for Payer: Aetna Medicare Advantage	$249.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$212.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$212.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$166.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$212.16
Rate for Payer: Cigna Commercial	$416.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$201.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$183.04
Rate for Payer: Qualcare PPO/HMO/WC	$124.80
Rate for Payer: UnitedHealthcare Community & State	$20.05
Rate for Payer: Wellpoint Medicaid Managed Care	$22.05

3.5MM MULTIDIRECT SCREW 70MM

Facility

$768.00

Service Code	HCPCS C1713
Hospital Charge Code	270683104
Hospital Revenue Code	278
Min. Negotiated Rate	$115.20
Max. Negotiated Rate	$185.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$153.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$185.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$168.96
Rate for Payer: Qualcare PPO/HMO/WC	$115.20

3.5MM MULTIDIRECT SCREW 70MM

Facility

$768.00

Service Code	HCPCS C1713
Hospital Charge Code	270683104
Hospital Revenue Code	278
Min. Negotiated Rate	$18.51
Max. Negotiated Rate	$384.00
Rate for Payer: Aetna Commercial	$291.84
Rate for Payer: Aetna Medicare Advantage	$230.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$195.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$195.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$153.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$195.84
Rate for Payer: Cigna Commercial	$384.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$185.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$168.96
Rate for Payer: Qualcare PPO/HMO/WC	$115.20
Rate for Payer: UnitedHealthcare Community & State	$18.51
Rate for Payer: Wellpoint Medicaid Managed Care	$20.35

3.5M MPROXIMAL TIBIAL PLATE

Facility

$6,699.60

Service Code	HCPCS C1713
Hospital Charge Code	270678498
Hospital Revenue Code	278
Min. Negotiated Rate	$1,004.94
Max. Negotiated Rate	$1,621.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,339.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,621.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,473.91
Rate for Payer: Qualcare PPO/HMO/WC	$1,004.94

3.5M MPROXIMAL TIBIAL PLATE

Facility

$6,699.60

Service Code	HCPCS C1713
Hospital Charge Code	270678498
Hospital Revenue Code	278
Min. Negotiated Rate	$161.46
Max. Negotiated Rate	$3,349.80
Rate for Payer: Aetna Commercial	$2,545.85
Rate for Payer: Aetna Medicare Advantage	$2,009.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,708.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,708.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,339.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,708.40
Rate for Payer: Cigna Commercial	$3,349.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,621.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,473.91
Rate for Payer: Qualcare PPO/HMO/WC	$1,004.94
Rate for Payer: UnitedHealthcare Community & State	$161.46
Rate for Payer: Wellpoint Medicaid Managed Care	$177.54

Know your out-of-pocket cost for care.

All Charges