Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

ROD THREADED 6x300MM

Facility

$460.00

Hospital Charge Code	270674292
Hospital Revenue Code	272
Min. Negotiated Rate	$11.09
Max. Negotiated Rate	$230.00
Rate for Payer: Aetna Commercial	$174.80
Rate for Payer: Aetna Medicare Advantage	$138.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$117.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$117.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$117.30
Rate for Payer: Cigna Commercial	$230.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$138.00
Rate for Payer: Oxford Commercial	$92.00
Rate for Payer: Qualcare PPO/HMO/WC	$69.00
Rate for Payer: UnitedHealthcare Commercial	$92.00
Rate for Payer: UnitedHealthcare Community & State	$11.09
Rate for Payer: Wellpoint Medicaid Managed Care	$12.19

ROD THREADED 6x300MM

Facility

$460.00

Hospital Charge Code	270674292
Hospital Revenue Code	272
Min. Negotiated Rate	$69.00
Max. Negotiated Rate	$69.00
Rate for Payer: Qualcare PPO/HMO/WC	$69.00

ROD THREADED EXT FIX 150MM

Facility

$319.10

Hospital Charge Code	270693743
Hospital Revenue Code	272
Min. Negotiated Rate	$47.87
Max. Negotiated Rate	$47.87
Rate for Payer: Qualcare PPO/HMO/WC	$47.87

ROD THREADED EXT FIX 150MM

Facility

$319.10

Hospital Charge Code	270693743
Hospital Revenue Code	272
Min. Negotiated Rate	$7.69
Max. Negotiated Rate	$159.55
Rate for Payer: Aetna Commercial	$121.26
Rate for Payer: Aetna Medicare Advantage	$95.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.37
Rate for Payer: Cigna Commercial	$159.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$95.73
Rate for Payer: Oxford Commercial	$63.82
Rate for Payer: Qualcare PPO/HMO/WC	$47.87
Rate for Payer: UnitedHealthcare Commercial	$63.82
Rate for Payer: UnitedHealthcare Community & State	$7.69
Rate for Payer: Wellpoint Medicaid Managed Care	$8.46

ROD THREADED EXT FIX 200MM

Facility

$349.05

Hospital Charge Code	270693742
Hospital Revenue Code	272
Min. Negotiated Rate	$8.41
Max. Negotiated Rate	$174.53
Rate for Payer: Aetna Commercial	$132.64
Rate for Payer: Aetna Medicare Advantage	$104.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.01
Rate for Payer: Cigna Commercial	$174.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$104.72
Rate for Payer: Oxford Commercial	$69.81
Rate for Payer: Qualcare PPO/HMO/WC	$52.36
Rate for Payer: UnitedHealthcare Commercial	$69.81
Rate for Payer: UnitedHealthcare Community & State	$8.41
Rate for Payer: Wellpoint Medicaid Managed Care	$9.25

ROD THREADED EXT FIX 200MM

Facility

$349.05

Hospital Charge Code	270693742
Hospital Revenue Code	272
Min. Negotiated Rate	$52.36
Max. Negotiated Rate	$52.36
Rate for Payer: Qualcare PPO/HMO/WC	$52.36

ROD THREADED LRF 200MM

Facility

$408.70

Service Code	HCPCS C1713
Hospital Charge Code	270699593
Hospital Revenue Code	278
Min. Negotiated Rate	$61.30
Max. Negotiated Rate	$98.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$81.74
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.91
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$89.91
Rate for Payer: Qualcare PPO/HMO/WC	$61.30

ROD THREADED LRF 200MM

Facility

$408.70

Service Code	HCPCS C1713
Hospital Charge Code	270699593
Hospital Revenue Code	278
Min. Negotiated Rate	$9.85
Max. Negotiated Rate	$204.35
Rate for Payer: Aetna Commercial	$155.31
Rate for Payer: Aetna Medicare Advantage	$122.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$104.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$104.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$81.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$104.22
Rate for Payer: Cigna Commercial	$204.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.91
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$89.91
Rate for Payer: Qualcare PPO/HMO/WC	$61.30
Rate for Payer: UnitedHealthcare Community & State	$9.85
Rate for Payer: Wellpoint Medicaid Managed Care	$10.83

ROD TI 5.5X40MM

Facility

$2,390.00

Service Code	HCPCS C1713
Hospital Charge Code	270699218
Hospital Revenue Code	278
Min. Negotiated Rate	$358.50
Max. Negotiated Rate	$578.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$478.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$578.38
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$525.80
Rate for Payer: Qualcare PPO/HMO/WC	$358.50

ROD TI 5.5X40MM

Facility

$2,390.00

Service Code	HCPCS C1713
Hospital Charge Code	270699218
Hospital Revenue Code	278
Min. Negotiated Rate	$57.60
Max. Negotiated Rate	$1,195.00
Rate for Payer: Aetna Commercial	$908.20
Rate for Payer: Aetna Medicare Advantage	$717.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$609.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$609.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$478.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$609.45
Rate for Payer: Cigna Commercial	$1,195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$578.38
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$525.80
Rate for Payer: Qualcare PPO/HMO/WC	$358.50
Rate for Payer: UnitedHealthcare Community & State	$57.60
Rate for Payer: Wellpoint Medicaid Managed Care	$63.34

ROD TI 5.5 X 45MM

Facility

$2,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270691780
Hospital Revenue Code	278
Min. Negotiated Rate	$66.28
Max. Negotiated Rate	$1,375.00
Rate for Payer: Aetna Commercial	$1,045.00
Rate for Payer: Aetna Medicare Advantage	$825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$550.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$701.25
Rate for Payer: Cigna Commercial	$1,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$665.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$605.00
Rate for Payer: Qualcare PPO/HMO/WC	$412.50
Rate for Payer: UnitedHealthcare Community & State	$66.28
Rate for Payer: Wellpoint Medicaid Managed Care	$72.88

ROD TI 5.5 X 45MM

Facility

$2,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270691780
Hospital Revenue Code	278
Min. Negotiated Rate	$412.50
Max. Negotiated Rate	$665.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$665.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$605.00
Rate for Payer: Qualcare PPO/HMO/WC	$412.50

ROD TI 5.5X500

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270691936
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 TI 5.5X500

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270691936
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 TI 5.5X55MM

Facility

$2,390.00

Service Code	HCPCS C1713
Hospital Charge Code	270699217
Hospital Revenue Code	278
Min. Negotiated Rate	$57.60
Max. Negotiated Rate	$1,195.00
Rate for Payer: Aetna Commercial	$908.20
Rate for Payer: Aetna Medicare Advantage	$717.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$609.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$609.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$478.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$609.45
Rate for Payer: Cigna Commercial	$1,195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$578.38
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$525.80
Rate for Payer: Qualcare PPO/HMO/WC	$358.50
Rate for Payer: UnitedHealthcare Community & State	$57.60
Rate for Payer: Wellpoint Medicaid Managed Care	$63.34

ROD TI 5.5X55MM

Facility

$2,390.00

Service Code	HCPCS C1713
Hospital Charge Code	270699217
Hospital Revenue Code	278
Min. Negotiated Rate	$358.50
Max. Negotiated Rate	$578.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$478.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$578.38
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$525.80
Rate for Payer: Qualcare PPO/HMO/WC	$358.50

ROD TI 5.5 X 70 MM

Facility

$3,300.00

Service Code	HCPCS C1713
Hospital Charge Code	270691825
Hospital Revenue Code	278
Min. Negotiated Rate	$79.53
Max. Negotiated Rate	$1,650.00
Rate for Payer: Aetna Commercial	$1,254.00
Rate for Payer: Aetna Medicare Advantage	$990.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$841.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$841.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$660.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$841.50
Rate for Payer: Cigna Commercial	$1,650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$798.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$726.00
Rate for Payer: Qualcare PPO/HMO/WC	$495.00
Rate for Payer: UnitedHealthcare Community & State	$79.53
Rate for Payer: Wellpoint Medicaid Managed Care	$87.45

ROD TI 5.5 X 70 MM

Facility

$3,300.00

Service Code	HCPCS C1713
Hospital Charge Code	270691825
Hospital Revenue Code	278
Min. Negotiated Rate	$495.00
Max. Negotiated Rate	$798.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$660.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$798.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$726.00
Rate for Payer: Qualcare PPO/HMO/WC	$495.00

ROD TI ALLOY 4.0X120MM

Facility

$2,726.00

Service Code	HCPCS C1713
Hospital Charge Code	270694481
Hospital Revenue Code	278
Min. Negotiated Rate	$408.90
Max. Negotiated Rate	$659.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$545.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$659.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$599.72
Rate for Payer: Qualcare PPO/HMO/WC	$408.90

ROD TI ALLOY 4.0X120MM

Facility

$2,726.00

Service Code	HCPCS C1713
Hospital Charge Code	270694481
Hospital Revenue Code	278
Min. Negotiated Rate	$65.70
Max. Negotiated Rate	$1,363.00
Rate for Payer: Aetna Commercial	$1,035.88
Rate for Payer: Aetna Medicare Advantage	$817.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$695.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$695.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$545.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$695.13
Rate for Payer: Cigna Commercial	$1,363.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$659.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$599.72
Rate for Payer: Qualcare PPO/HMO/WC	$408.90
Rate for Payer: UnitedHealthcare Community & State	$65.70
Rate for Payer: Wellpoint Medicaid Managed Care	$72.24

ROD TI ALLOY 4.0X40MM

Facility

$2,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270694482
Hospital Revenue Code	278
Min. Negotiated Rate	$300.00
Max. Negotiated Rate	$484.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$484.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$440.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00

ROD TI ALLOY 4.0X40MM

Facility

$2,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270694482
Hospital Revenue Code	278
Min. Negotiated Rate	$48.20
Max. Negotiated Rate	$1,000.00
Rate for Payer: Aetna Commercial	$760.00
Rate for Payer: Aetna Medicare Advantage	$600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$510.00
Rate for Payer: Cigna Commercial	$1,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$484.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$440.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00
Rate for Payer: UnitedHealthcare Community & State	$48.20
Rate for Payer: Wellpoint Medicaid Managed Care	$53.00

ROD TI CL PQ LORDOT 5.5X40MM

Facility

$2,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270696749
Hospital Revenue Code	278
Min. Negotiated Rate	$412.50
Max. Negotiated Rate	$665.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$665.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$605.00
Rate for Payer: Qualcare PPO/HMO/WC	$412.50

ROD TI CL PQ LORDOT 5.5X40MM

Facility

$2,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270696749
Hospital Revenue Code	278
Min. Negotiated Rate	$66.28
Max. Negotiated Rate	$1,375.00
Rate for Payer: Aetna Commercial	$1,045.00
Rate for Payer: Aetna Medicare Advantage	$825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$550.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$701.25
Rate for Payer: Cigna Commercial	$1,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$665.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$605.00
Rate for Payer: Qualcare PPO/HMO/WC	$412.50
Rate for Payer: UnitedHealthcare Community & State	$66.28
Rate for Payer: Wellpoint Medicaid Managed Care	$72.88

ROD TI CRV VIR BLUE 60X3.5MM

Facility

$2,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270698915
Hospital Revenue Code	278
Min. Negotiated Rate	$446.25
Max. Negotiated Rate	$719.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$595.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$719.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$654.50
Rate for Payer: Qualcare PPO/HMO/WC	$446.25

Know your out-of-pocket cost for care.

All Charges