Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

ROD STRAIGHT 5.5MM 65MM

Facility

$1,325.00

Hospital Charge Code	270670355
Hospital Revenue Code	278
Min. Negotiated Rate	$198.75
Max. Negotiated Rate	$320.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$291.50
Rate for Payer: Qualcare PPO/HMO/WC	$198.75

ROD STRAIGHT 5.5MM 65MM

Facility

$1,325.00

Hospital Charge Code	270670355
Hospital Revenue Code	278
Min. Negotiated Rate	$31.93
Max. Negotiated Rate	$662.50
Rate for Payer: Aetna Commercial	$503.50
Rate for Payer: Aetna Medicare Advantage	$397.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$337.88
Rate for Payer: Cigna Commercial	$662.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$291.50
Rate for Payer: Qualcare PPO/HMO/WC	$198.75
Rate for Payer: UnitedHealthcare Community & State	$31.93
Rate for Payer: Wellpoint Medicaid Managed Care	$35.11

ROD STRAIGHT 5.5MM 70MM

Facility

$1,325.00

Service Code	HCPCS C1713
Hospital Charge Code	270670356
Hospital Revenue Code	278
Min. Negotiated Rate	$31.93
Max. Negotiated Rate	$662.50
Rate for Payer: Aetna Commercial	$503.50
Rate for Payer: Aetna Medicare Advantage	$397.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$337.88
Rate for Payer: Cigna Commercial	$662.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$291.50
Rate for Payer: Qualcare PPO/HMO/WC	$198.75
Rate for Payer: UnitedHealthcare Community & State	$31.93
Rate for Payer: Wellpoint Medicaid Managed Care	$35.11

ROD STRAIGHT 5.5MM 70MM

Facility

$1,325.00

Service Code	HCPCS C1713
Hospital Charge Code	270670356
Hospital Revenue Code	278
Min. Negotiated Rate	$198.75
Max. Negotiated Rate	$320.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$291.50
Rate for Payer: Qualcare PPO/HMO/WC	$198.75

ROD STRAIGHT 5.5MM 75MM

Facility

$1,325.00

Hospital Charge Code	270670357
Hospital Revenue Code	278
Min. Negotiated Rate	$31.93
Max. Negotiated Rate	$662.50
Rate for Payer: Aetna Commercial	$503.50
Rate for Payer: Aetna Medicare Advantage	$397.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$337.88
Rate for Payer: Cigna Commercial	$662.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$291.50
Rate for Payer: Qualcare PPO/HMO/WC	$198.75
Rate for Payer: UnitedHealthcare Community & State	$31.93
Rate for Payer: Wellpoint Medicaid Managed Care	$35.11

ROD STRAIGHT 5.5MM 75MM

Facility

$1,325.00

Hospital Charge Code	270670357
Hospital Revenue Code	278
Min. Negotiated Rate	$198.75
Max. Negotiated Rate	$320.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$291.50
Rate for Payer: Qualcare PPO/HMO/WC	$198.75

ROD STRAIGHT 5.5MM 80MM

Facility

$1,325.00

Hospital Charge Code	270670358
Hospital Revenue Code	278
Min. Negotiated Rate	$198.75
Max. Negotiated Rate	$320.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$291.50
Rate for Payer: Qualcare PPO/HMO/WC	$198.75

ROD STRAIGHT 5.5MM 80MM

Facility

$1,325.00

Hospital Charge Code	270670358
Hospital Revenue Code	278
Min. Negotiated Rate	$31.93
Max. Negotiated Rate	$662.50
Rate for Payer: Aetna Commercial	$503.50
Rate for Payer: Aetna Medicare Advantage	$397.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$337.88
Rate for Payer: Cigna Commercial	$662.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$291.50
Rate for Payer: Qualcare PPO/HMO/WC	$198.75
Rate for Payer: UnitedHealthcare Community & State	$31.93
Rate for Payer: Wellpoint Medicaid Managed Care	$35.11

ROD STRAIGHT 5.5MM 85MM

Facility

$1,325.00

Hospital Charge Code	270670359
Hospital Revenue Code	278
Min. Negotiated Rate	$31.93
Max. Negotiated Rate	$662.50
Rate for Payer: Aetna Commercial	$503.50
Rate for Payer: Aetna Medicare Advantage	$397.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$337.88
Rate for Payer: Cigna Commercial	$662.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$291.50
Rate for Payer: Qualcare PPO/HMO/WC	$198.75
Rate for Payer: UnitedHealthcare Community & State	$31.93
Rate for Payer: Wellpoint Medicaid Managed Care	$35.11

ROD STRAIGHT 5.5MM 85MM

Facility

$1,325.00

Hospital Charge Code	270670359
Hospital Revenue Code	278
Min. Negotiated Rate	$198.75
Max. Negotiated Rate	$320.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$291.50
Rate for Payer: Qualcare PPO/HMO/WC	$198.75

ROD STRAIGHT 5.5MM 90MM

Facility

$1,325.00

Hospital Charge Code	270670360
Hospital Revenue Code	278
Min. Negotiated Rate	$198.75
Max. Negotiated Rate	$320.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$291.50
Rate for Payer: Qualcare PPO/HMO/WC	$198.75

ROD STRAIGHT 5.5MM 90MM

Facility

$1,325.00

Hospital Charge Code	270670360
Hospital Revenue Code	278
Min. Negotiated Rate	$31.93
Max. Negotiated Rate	$662.50
Rate for Payer: Aetna Commercial	$503.50
Rate for Payer: Aetna Medicare Advantage	$397.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$337.88
Rate for Payer: Cigna Commercial	$662.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$291.50
Rate for Payer: Qualcare PPO/HMO/WC	$198.75
Rate for Payer: UnitedHealthcare Community & State	$31.93
Rate for Payer: Wellpoint Medicaid Managed Care	$35.11

ROD STRAIGHT 5.5MM 95MM

Facility

$1,325.00

Hospital Charge Code	270670361
Hospital Revenue Code	278
Min. Negotiated Rate	$198.75
Max. Negotiated Rate	$320.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$291.50
Rate for Payer: Qualcare PPO/HMO/WC	$198.75

ROD STRAIGHT 5.5MM 95MM

Facility

$1,325.00

Hospital Charge Code	270670361
Hospital Revenue Code	278
Min. Negotiated Rate	$31.93
Max. Negotiated Rate	$662.50
Rate for Payer: Aetna Commercial	$503.50
Rate for Payer: Aetna Medicare Advantage	$397.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$337.88
Rate for Payer: Cigna Commercial	$662.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$291.50
Rate for Payer: Qualcare PPO/HMO/WC	$198.75
Rate for Payer: UnitedHealthcare Community & State	$31.93
Rate for Payer: Wellpoint Medicaid Managed Care	$35.11

ROD STR GUIDE 3.0 1000 702336S

Facility

$828.85

Hospital Charge Code	270622043
Hospital Revenue Code	278
Min. Negotiated Rate	$124.33
Max. Negotiated Rate	$200.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$165.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$200.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$182.35
Rate for Payer: Qualcare PPO/HMO/WC	$124.33

ROD STR GUIDE 3.0 1000 702336S

Facility

$828.85

Hospital Charge Code	270622043
Hospital Revenue Code	278
Min. Negotiated Rate	$19.98
Max. Negotiated Rate	$414.43
Rate for Payer: Aetna Commercial	$314.96
Rate for Payer: Aetna Medicare Advantage	$248.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$211.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$211.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$165.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$211.36
Rate for Payer: Cigna Commercial	$414.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$200.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$182.35
Rate for Payer: Qualcare PPO/HMO/WC	$124.33
Rate for Payer: UnitedHealthcare Community & State	$19.98
Rate for Payer: Wellpoint Medicaid Managed Care	$21.96

ROD ST TI REFORM 3.5X40MM

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270694344
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$363.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$330.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

ROD ST TI REFORM 3.5X40MM

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270694344
Hospital Revenue Code	278
Min. Negotiated Rate	$36.15
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$570.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$330.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00
Rate for Payer: UnitedHealthcare Community & State	$36.15
Rate for Payer: Wellpoint Medicaid Managed Care	$39.75

ROD SYMPHONY 65MM

Facility

$2,395.00

Service Code	HCPCS C1713
Hospital Charge Code	270693339
Hospital Revenue Code	278
Min. Negotiated Rate	$359.25
Max. Negotiated Rate	$579.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$479.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$579.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$526.90
Rate for Payer: Qualcare PPO/HMO/WC	$359.25

ROD SYMPHONY 65MM

Facility

$2,395.00

Service Code	HCPCS C1713
Hospital Charge Code	270693339
Hospital Revenue Code	278
Min. Negotiated Rate	$57.72
Max. Negotiated Rate	$1,197.50
Rate for Payer: Aetna Commercial	$910.10
Rate for Payer: Aetna Medicare Advantage	$718.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$610.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$610.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$479.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$610.73
Rate for Payer: Cigna Commercial	$1,197.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$579.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$526.90
Rate for Payer: Qualcare PPO/HMO/WC	$359.25
Rate for Payer: UnitedHealthcare Community & State	$57.72
Rate for Payer: Wellpoint Medicaid Managed Care	$63.47

ROD SYMPHONY 70MM

Facility

$2,395.00

Service Code	HCPCS C1713
Hospital Charge Code	270693338
Hospital Revenue Code	278
Min. Negotiated Rate	$57.72
Max. Negotiated Rate	$1,197.50
Rate for Payer: Aetna Commercial	$910.10
Rate for Payer: Aetna Medicare Advantage	$718.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$610.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$610.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$479.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$610.73
Rate for Payer: Cigna Commercial	$1,197.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$579.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$526.90
Rate for Payer: Qualcare PPO/HMO/WC	$359.25
Rate for Payer: UnitedHealthcare Community & State	$57.72
Rate for Payer: Wellpoint Medicaid Managed Care	$63.47

ROD SYMPHONY 70MM

Facility

$2,395.00

Service Code	HCPCS C1713
Hospital Charge Code	270693338
Hospital Revenue Code	278
Min. Negotiated Rate	$359.25
Max. Negotiated Rate	$579.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$479.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$579.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$526.90
Rate for Payer: Qualcare PPO/HMO/WC	$359.25

ROD SYMPHONY LORDOSED TI 30MM

Facility

$1,880.00

Service Code	HCPCS C1713
Hospital Charge Code	270692652
Hospital Revenue Code	278
Min. Negotiated Rate	$45.31
Max. Negotiated Rate	$940.00
Rate for Payer: Aetna Commercial	$714.40
Rate for Payer: Aetna Medicare Advantage	$564.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$479.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$479.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$376.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$479.40
Rate for Payer: Cigna Commercial	$940.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$454.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$413.60
Rate for Payer: Qualcare PPO/HMO/WC	$282.00
Rate for Payer: UnitedHealthcare Community & State	$45.31
Rate for Payer: Wellpoint Medicaid Managed Care	$49.82

ROD SYMPHONY LORDOSED TI 30MM

Facility

$1,880.00

Service Code	HCPCS C1713
Hospital Charge Code	270692652
Hospital Revenue Code	278
Min. Negotiated Rate	$282.00
Max. Negotiated Rate	$454.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$376.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$454.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$413.60
Rate for Payer: Qualcare PPO/HMO/WC	$282.00

ROD SYN EX FIX 8/240 39578

Facility

$791.25

Hospital Charge Code	270619748
Hospital Revenue Code	270
Min. Negotiated Rate	$19.07
Max. Negotiated Rate	$395.62
Rate for Payer: Aetna Commercial	$300.68
Rate for Payer: Aetna Medicare Advantage	$237.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$201.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$201.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$201.77
Rate for Payer: Cigna Commercial	$395.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.38
Rate for Payer: Oxford Commercial	$158.25
Rate for Payer: Qualcare PPO/HMO/WC	$118.69
Rate for Payer: UnitedHealthcare Commercial	$158.25
Rate for Payer: UnitedHealthcare Community & State	$19.07
Rate for Payer: Wellpoint Medicaid Managed Care	$20.97

Know your out-of-pocket cost for care.

All Charges