Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

ROD SYN EX FIX 8/240 39578

Facility

$791.25

Hospital Charge Code	270619748
Hospital Revenue Code	270
Min. Negotiated Rate	$118.69
Max. Negotiated Rate	$118.69
Rate for Payer: Qualcare PPO/HMO/WC	$118.69

ROD SYN EX FIX SM 3/60 395105

Facility

$128.00

Hospital Charge Code	270622482
Hospital Revenue Code	278
Min. Negotiated Rate	$19.20
Max. Negotiated Rate	$30.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.98
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$28.16
Rate for Payer: Qualcare PPO/HMO/WC	$19.20

ROD SYN EX FIX SM 3/60 395105

Facility

$128.00

Hospital Charge Code	270622482
Hospital Revenue Code	278
Min. Negotiated Rate	$3.08
Max. Negotiated Rate	$64.00
Rate for Payer: Aetna Commercial	$48.64
Rate for Payer: Aetna Medicare Advantage	$38.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.64
Rate for Payer: Cigna Commercial	$64.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.98
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$28.16
Rate for Payer: Qualcare PPO/HMO/WC	$19.20
Rate for Payer: UnitedHealthcare Community & State	$3.08
Rate for Payer: Wellpoint Medicaid Managed Care	$3.39

ROD SYN REAMING 2.5 950MM

Facility

$671.00

Service Code	HCPCS C1713
Hospital Charge Code	270697807
Hospital Revenue Code	278
Min. Negotiated Rate	$100.65
Max. Negotiated Rate	$162.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$134.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.38
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$147.62
Rate for Payer: Qualcare PPO/HMO/WC	$100.65

ROD SYN REAMING 2.5 950MM

Facility

$671.00

Service Code	HCPCS C1713
Hospital Charge Code	270697807
Hospital Revenue Code	278
Min. Negotiated Rate	$16.17
Max. Negotiated Rate	$335.50
Rate for Payer: Aetna Commercial	$254.98
Rate for Payer: Aetna Medicare Advantage	$201.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$171.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$171.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$134.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$171.10
Rate for Payer: Cigna Commercial	$335.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.38
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$147.62
Rate for Payer: Qualcare PPO/HMO/WC	$100.65
Rate for Payer: UnitedHealthcare Community & State	$16.17
Rate for Payer: Wellpoint Medicaid Managed Care	$17.78

ROD SYN REAMING 3 950 351.71

Facility

$377.65

Hospital Charge Code	270614887
Hospital Revenue Code	278
Min. Negotiated Rate	$56.65
Max. Negotiated Rate	$91.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$83.08
Rate for Payer: Qualcare PPO/HMO/WC	$56.65

ROD SYN REAMING 3 950 351.71

Facility

$377.65

Hospital Charge Code	270614887
Hospital Revenue Code	278
Min. Negotiated Rate	$9.10
Max. Negotiated Rate	$188.82
Rate for Payer: Aetna Commercial	$143.51
Rate for Payer: Aetna Medicare Advantage	$113.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$96.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$96.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$96.30
Rate for Payer: Cigna Commercial	$188.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$83.08
Rate for Payer: Qualcare PPO/HMO/WC	$56.65
Rate for Payer: UnitedHealthcare Community & State	$9.10
Rate for Payer: Wellpoint Medicaid Managed Care	$10.01

ROD SYN REAMING 3 950 351.76S

Facility

$502.50

Service Code	HCPCS C1713
Hospital Charge Code	270627052
Hospital Revenue Code	278
Min. Negotiated Rate	$75.38
Max. Negotiated Rate	$121.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.61
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$110.55
Rate for Payer: Qualcare PPO/HMO/WC	$75.38

ROD SYN REAMING 3 950 351.76S

Facility

$502.50

Service Code	HCPCS C1713
Hospital Charge Code	270627052
Hospital Revenue Code	278
Min. Negotiated Rate	$12.11
Max. Negotiated Rate	$251.25
Rate for Payer: Aetna Commercial	$190.95
Rate for Payer: Aetna Medicare Advantage	$150.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$128.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$128.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$128.14
Rate for Payer: Cigna Commercial	$251.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.61
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$110.55
Rate for Payer: Qualcare PPO/HMO/WC	$75.38
Rate for Payer: UnitedHealthcare Community & State	$12.11
Rate for Payer: Wellpoint Medicaid Managed Care	$13.32

ROD SYN REAMING 3 950 355.041S

Facility

$498.50

Hospital Charge Code	270627051
Hospital Revenue Code	278
Min. Negotiated Rate	$74.78
Max. Negotiated Rate	$120.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.64
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$109.67
Rate for Payer: Qualcare PPO/HMO/WC	$74.78

ROD SYN REAMING 3 950 355.041S

Facility

$498.50

Hospital Charge Code	270627051
Hospital Revenue Code	278
Min. Negotiated Rate	$12.01
Max. Negotiated Rate	$249.25
Rate for Payer: Aetna Commercial	$189.43
Rate for Payer: Aetna Medicare Advantage	$149.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.12
Rate for Payer: Cigna Commercial	$249.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.64
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$109.67
Rate for Payer: Qualcare PPO/HMO/WC	$74.78
Rate for Payer: UnitedHealthcare Community & State	$12.01
Rate for Payer: Wellpoint Medicaid Managed Care	$13.21

ROD SYST SMALL BONE 3x110MM

Facility

$7,515.00

Service Code	HCPCS C1713
Hospital Charge Code	270677145
Hospital Revenue Code	278
Min. Negotiated Rate	$181.11
Max. Negotiated Rate	$3,757.50
Rate for Payer: Aetna Commercial	$2,855.70
Rate for Payer: Aetna Medicare Advantage	$2,254.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,916.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,916.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,503.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,916.33
Rate for Payer: Cigna Commercial	$3,757.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,818.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,653.30
Rate for Payer: Qualcare PPO/HMO/WC	$1,127.25
Rate for Payer: UnitedHealthcare Community & State	$181.11
Rate for Payer: Wellpoint Medicaid Managed Care	$199.15

ROD SYST SMALL BONE 3x110MM

Facility

$7,515.00

Service Code	HCPCS C1713
Hospital Charge Code	270677145
Hospital Revenue Code	278
Min. Negotiated Rate	$1,127.25
Max. Negotiated Rate	$1,818.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,503.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,818.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,653.30
Rate for Payer: Qualcare PPO/HMO/WC	$1,127.25

ROD SYST SMALL BONE 3x145MM

Facility

$7,515.00

Service Code	HCPCS C1713
Hospital Charge Code	270681077
Hospital Revenue Code	278
Min. Negotiated Rate	$1,127.25
Max. Negotiated Rate	$1,818.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,503.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,818.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,653.30
Rate for Payer: Qualcare PPO/HMO/WC	$1,127.25

ROD SYST SMALL BONE 3x145MM

Facility

$7,515.00

Service Code	HCPCS C1713
Hospital Charge Code	270681077
Hospital Revenue Code	278
Min. Negotiated Rate	$181.11
Max. Negotiated Rate	$3,757.50
Rate for Payer: Aetna Commercial	$2,855.70
Rate for Payer: Aetna Medicare Advantage	$2,254.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,916.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,916.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,503.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,916.33
Rate for Payer: Cigna Commercial	$3,757.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,818.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,653.30
Rate for Payer: Qualcare PPO/HMO/WC	$1,127.25
Rate for Payer: UnitedHealthcare Community & State	$181.11
Rate for Payer: Wellpoint Medicaid Managed Care	$199.15

RODS Z

Facility

$6,300.00

Service Code	HCPCS C1713
Hospital Charge Code	270674126
Hospital Revenue Code	278
Min. Negotiated Rate	$945.00
Max. Negotiated Rate	$1,524.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,260.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,524.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,386.00
Rate for Payer: Qualcare PPO/HMO/WC	$945.00

RODS Z

Facility

$6,300.00

Service Code	HCPCS C1713
Hospital Charge Code	270674126
Hospital Revenue Code	278
Min. Negotiated Rate	$151.83
Max. Negotiated Rate	$3,150.00
Rate for Payer: Aetna Commercial	$2,394.00
Rate for Payer: Aetna Medicare Advantage	$1,890.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,606.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,606.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,260.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,606.50
Rate for Payer: Cigna Commercial	$3,150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,524.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,386.00
Rate for Payer: Qualcare PPO/HMO/WC	$945.00
Rate for Payer: UnitedHealthcare Community & State	$151.83
Rate for Payer: Wellpoint Medicaid Managed Care	$166.95

ROD TBOLT PREBENT 5.5X45MM

Facility

$500.00

Service Code	HCPCS C1713
Hospital Charge Code	270696834
Hospital Revenue Code	278
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$121.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$110.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

ROD TBOLT PREBENT 5.5X45MM

Facility

$500.00

Service Code	HCPCS C1713
Hospital Charge Code	270696834
Hospital Revenue Code	278
Min. Negotiated Rate	$12.05
Max. Negotiated Rate	$250.00
Rate for Payer: Aetna Commercial	$190.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$110.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00
Rate for Payer: UnitedHealthcare Community & State	$12.05
Rate for Payer: Wellpoint Medicaid Managed Care	$13.25

ROD THRD 100MM LNG/SLOTTED

Facility

$299.75

Service Code	HCPCS C1713
Hospital Charge Code	270678086
Hospital Revenue Code	278
Min. Negotiated Rate	$7.22
Max. Negotiated Rate	$149.88
Rate for Payer: Aetna Commercial	$113.91
Rate for Payer: Aetna Medicare Advantage	$89.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$59.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.44
Rate for Payer: Cigna Commercial	$149.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$65.94
Rate for Payer: Qualcare PPO/HMO/WC	$44.96
Rate for Payer: UnitedHealthcare Community & State	$7.22
Rate for Payer: Wellpoint Medicaid Managed Care	$7.94

ROD THRD 100MM LNG/SLOTTED

Facility

$299.75

Service Code	HCPCS C1713
Hospital Charge Code	270678086
Hospital Revenue Code	278
Min. Negotiated Rate	$44.96
Max. Negotiated Rate	$72.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$59.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$65.94
Rate for Payer: Qualcare PPO/HMO/WC	$44.96

ROD THRD 300MM LNG/SLOTTED

Facility

$377.00

Hospital Charge Code	270678153
Hospital Revenue Code	278
Min. Negotiated Rate	$56.55
Max. Negotiated Rate	$91.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.23
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$82.94
Rate for Payer: Qualcare PPO/HMO/WC	$56.55

ROD THRD 300MM LNG/SLOTTED

Facility

$377.00

Hospital Charge Code	270678153
Hospital Revenue Code	278
Min. Negotiated Rate	$9.09
Max. Negotiated Rate	$188.50
Rate for Payer: Aetna Commercial	$143.26
Rate for Payer: Aetna Medicare Advantage	$113.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$96.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$96.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$96.14
Rate for Payer: Cigna Commercial	$188.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.23
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$82.94
Rate for Payer: Qualcare PPO/HMO/WC	$56.55
Rate for Payer: UnitedHealthcare Community & State	$9.09
Rate for Payer: Wellpoint Medicaid Managed Care	$9.99

ROD THREADED 250MM LONG

Facility

$337.40

Service Code	HCPCS C1713
Hospital Charge Code	270681235
Hospital Revenue Code	278
Min. Negotiated Rate	$8.13
Max. Negotiated Rate	$168.70
Rate for Payer: Aetna Commercial	$128.21
Rate for Payer: Aetna Medicare Advantage	$101.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$67.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.04
Rate for Payer: Cigna Commercial	$168.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$74.23
Rate for Payer: Qualcare PPO/HMO/WC	$50.61
Rate for Payer: UnitedHealthcare Community & State	$8.13
Rate for Payer: Wellpoint Medicaid Managed Care	$8.94

ROD THREADED 250MM LONG

Facility

$337.40

Service Code	HCPCS C1713
Hospital Charge Code	270681235
Hospital Revenue Code	278
Min. Negotiated Rate	$50.61
Max. Negotiated Rate	$81.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$67.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$74.23
Rate for Payer: Qualcare PPO/HMO/WC	$50.61

Know your out-of-pocket cost for care.

All Charges