Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

STEM HUMERAL 10mm 11-113560

Facility

$14,185.00

Hospital Charge Code	270641405
Hospital Revenue Code	278
Min. Negotiated Rate	$341.86
Max. Negotiated Rate	$7,092.50
Rate for Payer: Aetna Commercial	$5,390.30
Rate for Payer: Aetna Medicare Advantage	$4,255.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,617.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,617.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,837.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,617.18
Rate for Payer: Cigna Commercial	$7,092.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,432.77
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,120.70
Rate for Payer: Qualcare PPO/HMO/WC	$2,127.75
Rate for Payer: UnitedHealthcare Community & State	$341.86
Rate for Payer: Wellpoint Medicaid Managed Care	$375.90

STEM HUMERAL 10mm 11-113560

Facility

$14,185.00

Hospital Charge Code	270641405
Hospital Revenue Code	278
Min. Negotiated Rate	$2,127.75
Max. Negotiated Rate	$3,432.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,837.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,432.77
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,120.70
Rate for Payer: Qualcare PPO/HMO/WC	$2,127.75

STEM HUMERAL 10x148MM

Facility

$18,375.00

Service Code	HCPCS C1776
Hospital Charge Code	270672692
Hospital Revenue Code	278
Min. Negotiated Rate	$2,756.25
Max. Negotiated Rate	$4,446.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,675.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,446.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,042.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,756.25

STEM HUMERAL 10x148MM

Facility

$18,375.00

Service Code	HCPCS C1776
Hospital Charge Code	270672692
Hospital Revenue Code	278
Min. Negotiated Rate	$442.84
Max. Negotiated Rate	$9,187.50
Rate for Payer: Aetna Commercial	$6,982.50
Rate for Payer: Aetna Medicare Advantage	$5,512.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,685.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,685.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,685.62
Rate for Payer: Cigna Commercial	$9,187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,446.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,042.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,756.25
Rate for Payer: UnitedHealthcare Community & State	$442.84
Rate for Payer: Wellpoint Medicaid Managed Care	$486.94

STEM HUMERAL 11MM

Facility

$11,175.00

Hospital Charge Code	270672289
Hospital Revenue Code	278
Min. Negotiated Rate	$269.32
Max. Negotiated Rate	$5,587.50
Rate for Payer: Aetna Commercial	$4,246.50
Rate for Payer: Aetna Medicare Advantage	$3,352.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,849.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,849.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,235.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,849.62
Rate for Payer: Cigna Commercial	$5,587.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,704.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,458.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,676.25
Rate for Payer: UnitedHealthcare Community & State	$269.32
Rate for Payer: Wellpoint Medicaid Managed Care	$296.14

STEM HUMERAL 11MM

Facility

$11,175.00

Hospital Charge Code	270672289
Hospital Revenue Code	278
Min. Negotiated Rate	$1,676.25
Max. Negotiated Rate	$2,704.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,235.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,704.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,458.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,676.25

STEM HUMERAL 12MM

Facility

$11,175.00

Hospital Charge Code	270672290
Hospital Revenue Code	278
Min. Negotiated Rate	$269.32
Max. Negotiated Rate	$5,587.50
Rate for Payer: Aetna Commercial	$4,246.50
Rate for Payer: Aetna Medicare Advantage	$3,352.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,849.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,849.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,235.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,849.62
Rate for Payer: Cigna Commercial	$5,587.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,704.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,458.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,676.25
Rate for Payer: UnitedHealthcare Community & State	$269.32
Rate for Payer: Wellpoint Medicaid Managed Care	$296.14

STEM HUMERAL 12MM

Facility

$11,175.00

Hospital Charge Code	270672290
Hospital Revenue Code	278
Min. Negotiated Rate	$1,676.25
Max. Negotiated Rate	$2,704.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,235.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,704.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,458.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,676.25

STEM HUMERAL 13MM

Facility

$11,175.00

Hospital Charge Code	270672291
Hospital Revenue Code	278
Min. Negotiated Rate	$269.32
Max. Negotiated Rate	$5,587.50
Rate for Payer: Aetna Commercial	$4,246.50
Rate for Payer: Aetna Medicare Advantage	$3,352.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,849.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,849.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,235.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,849.62
Rate for Payer: Cigna Commercial	$5,587.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,704.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,458.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,676.25
Rate for Payer: UnitedHealthcare Community & State	$269.32
Rate for Payer: Wellpoint Medicaid Managed Care	$296.14

STEM HUMERAL 13MM

Facility

$11,175.00

Hospital Charge Code	270672291
Hospital Revenue Code	278
Min. Negotiated Rate	$1,676.25
Max. Negotiated Rate	$2,704.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,235.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,704.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,458.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,676.25

STEM HUMERAL 15X130mm 43001513

Facility

$14,620.00

Hospital Charge Code	270637579
Hospital Revenue Code	278
Min. Negotiated Rate	$2,193.00
Max. Negotiated Rate	$3,538.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,924.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,538.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,216.40
Rate for Payer: Qualcare PPO/HMO/WC	$2,193.00

STEM HUMERAL 15X130mm 43001513

Facility

$14,620.00

Hospital Charge Code	270637579
Hospital Revenue Code	278
Min. Negotiated Rate	$352.34
Max. Negotiated Rate	$7,310.00
Rate for Payer: Aetna Commercial	$5,555.60
Rate for Payer: Aetna Medicare Advantage	$4,386.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,728.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,728.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,924.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,728.10
Rate for Payer: Cigna Commercial	$7,310.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,538.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,216.40
Rate for Payer: Qualcare PPO/HMO/WC	$2,193.00
Rate for Payer: UnitedHealthcare Community & State	$352.34
Rate for Payer: Wellpoint Medicaid Managed Care	$387.43

STEM HUMERAL 2BSTD70MM132.5D

Facility

$45,220.00

Service Code	HCPCS C1776
Hospital Charge Code	270697094
Hospital Revenue Code	278
Min. Negotiated Rate	$6,783.00
Max. Negotiated Rate	$10,943.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9,044.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10,943.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$9,948.40
Rate for Payer: Qualcare PPO/HMO/WC	$6,783.00

STEM HUMERAL 2BSTD70MM132.5D

Facility

$45,220.00

Service Code	HCPCS C1776
Hospital Charge Code	270697094
Hospital Revenue Code	278
Min. Negotiated Rate	$1,089.80
Max. Negotiated Rate	$22,610.00
Rate for Payer: Aetna Commercial	$17,183.60
Rate for Payer: Aetna Medicare Advantage	$13,566.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11,531.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11,531.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9,044.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11,531.10
Rate for Payer: Cigna Commercial	$22,610.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10,943.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$9,948.40
Rate for Payer: Qualcare PPO/HMO/WC	$6,783.00
Rate for Payer: UnitedHealthcare Community & State	$1,089.80
Rate for Payer: Wellpoint Medicaid Managed Care	$1,198.33

STEM HUMERAL 5MM FIXED 135 DEG

Facility

$17,000.00

Hospital Charge Code	270672282
Hospital Revenue Code	278
Min. Negotiated Rate	$2,550.00
Max. Negotiated Rate	$4,114.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,114.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,740.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,550.00

STEM HUMERAL 5MM FIXED 135 DEG

Facility

$17,000.00

Hospital Charge Code	270672282
Hospital Revenue Code	278
Min. Negotiated Rate	$409.70
Max. Negotiated Rate	$8,500.00
Rate for Payer: Aetna Commercial	$6,460.00
Rate for Payer: Aetna Medicare Advantage	$5,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,335.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,335.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,335.00
Rate for Payer: Cigna Commercial	$8,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,114.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,740.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,550.00
Rate for Payer: UnitedHealthcare Community & State	$409.70
Rate for Payer: Wellpoint Medicaid Managed Care	$450.50

STEM HUMERAL 5MM FIXED 155 DEG

Facility

$17,000.00

Hospital Charge Code	270672283
Hospital Revenue Code	278
Min. Negotiated Rate	$409.70
Max. Negotiated Rate	$8,500.00
Rate for Payer: Aetna Commercial	$6,460.00
Rate for Payer: Aetna Medicare Advantage	$5,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,335.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,335.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,335.00
Rate for Payer: Cigna Commercial	$8,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,114.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,740.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,550.00
Rate for Payer: UnitedHealthcare Community & State	$409.70
Rate for Payer: Wellpoint Medicaid Managed Care	$450.50

STEM HUMERAL 5MM FIXED 155 DEG

Facility

$17,000.00

Hospital Charge Code	270672283
Hospital Revenue Code	278
Min. Negotiated Rate	$2,550.00
Max. Negotiated Rate	$4,114.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,114.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,740.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,550.00

STEM HUMERAL 6MM

Facility

$11,175.00

Hospital Charge Code	270672284
Hospital Revenue Code	278
Min. Negotiated Rate	$1,676.25
Max. Negotiated Rate	$2,704.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,235.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,704.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,458.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,676.25

STEM HUMERAL 6MM

Facility

$11,175.00

Hospital Charge Code	270672284
Hospital Revenue Code	278
Min. Negotiated Rate	$269.32
Max. Negotiated Rate	$5,587.50
Rate for Payer: Aetna Commercial	$4,246.50
Rate for Payer: Aetna Medicare Advantage	$3,352.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,849.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,849.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,235.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,849.62
Rate for Payer: Cigna Commercial	$5,587.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,704.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,458.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,676.25
Rate for Payer: UnitedHealthcare Community & State	$269.32
Rate for Payer: Wellpoint Medicaid Managed Care	$296.14

STEM HUMERAL 7MM

Facility

$11,175.00

Hospital Charge Code	270672285
Hospital Revenue Code	278
Min. Negotiated Rate	$269.32
Max. Negotiated Rate	$5,587.50
Rate for Payer: Aetna Commercial	$4,246.50
Rate for Payer: Aetna Medicare Advantage	$3,352.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,849.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,849.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,235.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,849.62
Rate for Payer: Cigna Commercial	$5,587.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,704.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,458.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,676.25
Rate for Payer: UnitedHealthcare Community & State	$269.32
Rate for Payer: Wellpoint Medicaid Managed Care	$296.14

STEM HUMERAL 7MM

Facility

$11,175.00

Hospital Charge Code	270672285
Hospital Revenue Code	278
Min. Negotiated Rate	$1,676.25
Max. Negotiated Rate	$2,704.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,235.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,704.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,458.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,676.25

STEM HUMERAL 7x120mm CEMENTED

Facility

$26,700.00

Service Code	HCPCS C1776
Hospital Charge Code	270679733
Hospital Revenue Code	278
Min. Negotiated Rate	$4,005.00
Max. Negotiated Rate	$6,461.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,340.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,461.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,874.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,005.00

STEM HUMERAL 7x120mm CEMENTED

Facility

$26,700.00

Service Code	HCPCS C1776
Hospital Charge Code	270679733
Hospital Revenue Code	278
Min. Negotiated Rate	$643.47
Max. Negotiated Rate	$13,350.00
Rate for Payer: Aetna Commercial	$10,146.00
Rate for Payer: Aetna Medicare Advantage	$8,010.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,808.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,808.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,340.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,808.50
Rate for Payer: Cigna Commercial	$13,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,461.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,874.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,005.00
Rate for Payer: UnitedHealthcare Community & State	$643.47
Rate for Payer: Wellpoint Medicaid Managed Care	$707.55

STEM HUMERAL 8MM

Facility

$11,175.00

Hospital Charge Code	270672286
Hospital Revenue Code	278
Min. Negotiated Rate	$1,676.25
Max. Negotiated Rate	$2,704.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,235.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,704.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,458.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,676.25

Know your out-of-pocket cost for care.

All Charges