Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

STEM HUMERAL 8MM

Facility

$11,175.00

Hospital Charge Code	270672286
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 8mm 11-113558

Facility

$10,316.00

Hospital Charge Code	27063968
Hospital Revenue Code	278
Min. Negotiated Rate	$1,547.40
Max. Negotiated Rate	$2,496.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,063.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,496.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,269.52
Rate for Payer: Qualcare PPO/HMO/WC	$1,547.40

STEM HUMERAL 8mm 11-113558

Facility

$10,316.00

Hospital Charge Code	27063968
Hospital Revenue Code	278
Min. Negotiated Rate	$248.62
Max. Negotiated Rate	$5,158.00
Rate for Payer: Aetna Commercial	$3,920.08
Rate for Payer: Aetna Medicare Advantage	$3,094.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,630.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,630.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,063.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,630.58
Rate for Payer: Cigna Commercial	$5,158.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,496.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,269.52
Rate for Payer: Qualcare PPO/HMO/WC	$1,547.40
Rate for Payer: UnitedHealthcare Community & State	$248.62
Rate for Payer: Wellpoint Medicaid Managed Care	$273.37

STEM HUMERAL 8mm 11-113558

Facility

$12,895.00

Hospital Charge Code	270639968
Hospital Revenue Code	278
Min. Negotiated Rate	$1,934.25
Max. Negotiated Rate	$3,120.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,579.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,120.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,836.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,934.25

STEM HUMERAL 8mm 11-113558

Facility

$12,895.00

Hospital Charge Code	270639968
Hospital Revenue Code	278
Min. Negotiated Rate	$310.77
Max. Negotiated Rate	$6,447.50
Rate for Payer: Aetna Commercial	$4,900.10
Rate for Payer: Aetna Medicare Advantage	$3,868.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,288.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,288.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,579.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,288.22
Rate for Payer: Cigna Commercial	$6,447.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,120.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,836.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,934.25
Rate for Payer: UnitedHealthcare Community & State	$310.77
Rate for Payer: Wellpoint Medicaid Managed Care	$341.72

STEM HUMERAL 9MM

Facility

$11,175.00

Hospital Charge Code	270672287
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 9MM

Facility

$11,175.00

Hospital Charge Code	270672287
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 CEMENTED RIGHT 8.

Facility

$9,170.00

Service Code	HCPCS C1776
Hospital Charge Code	270678475
Hospital Revenue Code	278
Min. Negotiated Rate	$221.00
Max. Negotiated Rate	$4,585.00
Rate for Payer: Aetna Commercial	$3,484.60
Rate for Payer: Aetna Medicare Advantage	$2,751.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,338.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,338.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,834.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,338.35
Rate for Payer: Cigna Commercial	$4,585.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,219.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,017.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,375.50
Rate for Payer: UnitedHealthcare Community & State	$221.00
Rate for Payer: Wellpoint Medicaid Managed Care	$243.00

STEM HUMERAL CEMENTED RIGHT 8.

Facility

$9,170.00

Service Code	HCPCS C1776
Hospital Charge Code	270678475
Hospital Revenue Code	278
Min. Negotiated Rate	$1,375.50
Max. Negotiated Rate	$2,219.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,834.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,219.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,017.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,375.50

STEM HUMERAL COMP7x130 4065-40

Facility

$7,043.25

Hospital Charge Code	270612879
Hospital Revenue Code	278
Min. Negotiated Rate	$169.74
Max. Negotiated Rate	$3,521.62
Rate for Payer: Aetna Commercial	$2,676.43
Rate for Payer: Aetna Medicare Advantage	$2,112.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,796.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,796.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,408.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,796.03
Rate for Payer: Cigna Commercial	$3,521.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,704.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,549.52
Rate for Payer: Qualcare PPO/HMO/WC	$1,056.49
Rate for Payer: UnitedHealthcare Community & State	$169.74
Rate for Payer: Wellpoint Medicaid Managed Care	$186.65

STEM HUMERAL COMP7x130 4065-40

Facility

$7,043.25

Hospital Charge Code	270612879
Hospital Revenue Code	278
Min. Negotiated Rate	$1,056.49
Max. Negotiated Rate	$1,704.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,408.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,704.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,549.52
Rate for Payer: Qualcare PPO/HMO/WC	$1,056.49

STEM HUMERAL FRACTURE 10x122mm

Facility

$19,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270674698
Hospital Revenue Code	278
Min. Negotiated Rate	$2,850.00
Max. Negotiated Rate	$4,598.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,598.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,180.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,850.00

STEM HUMERAL FRACTURE 10x122mm

Facility

$19,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270674698
Hospital Revenue Code	278
Min. Negotiated Rate	$457.90
Max. Negotiated Rate	$9,500.00
Rate for Payer: Aetna Commercial	$7,220.00
Rate for Payer: Aetna Medicare Advantage	$5,700.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,845.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,845.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,845.00
Rate for Payer: Cigna Commercial	$9,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,598.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,180.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,850.00
Rate for Payer: UnitedHealthcare Community & State	$457.90
Rate for Payer: Wellpoint Medicaid Managed Care	$503.50

STEM HUMERAL HEAD FLEXPTC 82MM

Facility

$20,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270698766
Hospital Revenue Code	278
Min. Negotiated Rate	$3,075.00
Max. Negotiated Rate	$4,961.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,961.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,510.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,075.00

STEM HUMERAL HEAD FLEXPTC 82MM

Facility

$20,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270698766
Hospital Revenue Code	278
Min. Negotiated Rate	$494.05
Max. Negotiated Rate	$10,250.00
Rate for Payer: Aetna Commercial	$7,790.00
Rate for Payer: Aetna Medicare Advantage	$6,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,227.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,227.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,227.50
Rate for Payer: Cigna Commercial	$10,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,961.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,510.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,075.00
Rate for Payer: UnitedHealthcare Community & State	$494.05
Rate for Payer: Wellpoint Medicaid Managed Care	$543.25

STEM HUMERAL REUNION 6X113MM

Facility

$58,730.00

Service Code	HCPCS C1713
Hospital Charge Code	270700592
Hospital Revenue Code	278
Min. Negotiated Rate	$8,809.50
Max. Negotiated Rate	$14,212.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11,746.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14,212.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$12,920.60
Rate for Payer: Qualcare PPO/HMO/WC	$8,809.50

STEM HUMERAL REUNION 6X113MM

Facility

$58,730.00

Service Code	HCPCS C1713
Hospital Charge Code	270700592
Hospital Revenue Code	278
Min. Negotiated Rate	$1,415.39
Max. Negotiated Rate	$29,365.00
Rate for Payer: Aetna Commercial	$22,317.40
Rate for Payer: Aetna Medicare Advantage	$17,619.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,976.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,976.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11,746.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14,976.15
Rate for Payer: Cigna Commercial	$29,365.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14,212.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$12,920.60
Rate for Payer: Qualcare PPO/HMO/WC	$8,809.50
Rate for Payer: UnitedHealthcare Community & State	$1,415.39
Rate for Payer: Wellpoint Medicaid Managed Care	$1,556.35

STEM HUMERAL REVRS MB UNI 5MM

Facility

$6,210.00

Service Code	HCPCS C1776
Hospital Charge Code	270699152
Hospital Revenue Code	278
Min. Negotiated Rate	$149.66
Max. Negotiated Rate	$3,105.00
Rate for Payer: Aetna Commercial	$2,359.80
Rate for Payer: Aetna Medicare Advantage	$1,863.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,583.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,583.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,242.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,583.55
Rate for Payer: Cigna Commercial	$3,105.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,502.82
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,366.20
Rate for Payer: Qualcare PPO/HMO/WC	$931.50
Rate for Payer: UnitedHealthcare Community & State	$149.66
Rate for Payer: Wellpoint Medicaid Managed Care	$164.56

STEM HUMERAL REVRS MB UNI 5MM

Facility

$6,210.00

Service Code	HCPCS C1776
Hospital Charge Code	270699152
Hospital Revenue Code	278
Min. Negotiated Rate	$931.50
Max. Negotiated Rate	$1,502.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,242.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,502.82
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,366.20
Rate for Payer: Qualcare PPO/HMO/WC	$931.50

STEM HUMERAL RVS TM 10X130MM

Facility

$26,600.00

Service Code	HCPCS C1776
Hospital Charge Code	270696616
Hospital Revenue Code	278
Min. Negotiated Rate	$3,990.00
Max. Negotiated Rate	$6,437.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,320.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,437.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,852.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,990.00

STEM HUMERAL RVS TM 10X130MM

Facility

$26,600.00

Service Code	HCPCS C1776
Hospital Charge Code	270696616
Hospital Revenue Code	278
Min. Negotiated Rate	$641.06
Max. Negotiated Rate	$13,300.00
Rate for Payer: Aetna Commercial	$10,108.00
Rate for Payer: Aetna Medicare Advantage	$7,980.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,783.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,783.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,320.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,783.00
Rate for Payer: Cigna Commercial	$13,300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,437.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,852.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,990.00
Rate for Payer: UnitedHealthcare Community & State	$641.06
Rate for Payer: Wellpoint Medicaid Managed Care	$704.90

STEM HUMERAL STD 14MMX130

Facility

$11,050.00

Service Code	HCPCS C1776
Hospital Charge Code	270686439
Hospital Revenue Code	278
Min. Negotiated Rate	$266.31
Max. Negotiated Rate	$5,525.00
Rate for Payer: Aetna Commercial	$4,199.00
Rate for Payer: Aetna Medicare Advantage	$3,315.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,817.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,817.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,817.75
Rate for Payer: Cigna Commercial	$5,525.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,674.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,431.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,657.50
Rate for Payer: UnitedHealthcare Community & State	$266.31
Rate for Payer: Wellpoint Medicaid Managed Care	$292.82

STEM HUMERAL STD 14MMX130

Facility

$11,050.00

Service Code	HCPCS C1776
Hospital Charge Code	270686439
Hospital Revenue Code	278
Min. Negotiated Rate	$1,657.50
Max. Negotiated Rate	$2,674.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,210.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,674.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,431.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,657.50

STEM HUMERAL SZ 11

Facility

$23,856.25

Service Code	HCPCS C1776
Hospital Charge Code	270671586
Hospital Revenue Code	278
Min. Negotiated Rate	$574.94
Max. Negotiated Rate	$11,928.12
Rate for Payer: Aetna Commercial	$9,065.38
Rate for Payer: Aetna Medicare Advantage	$7,156.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,083.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,083.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,771.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,083.34
Rate for Payer: Cigna Commercial	$11,928.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,773.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,248.38
Rate for Payer: Qualcare PPO/HMO/WC	$3,578.44
Rate for Payer: UnitedHealthcare Community & State	$574.94
Rate for Payer: Wellpoint Medicaid Managed Care	$632.19

STEM HUMERAL SZ 11

Facility

$23,856.25

Service Code	HCPCS C1776
Hospital Charge Code	270671586
Hospital Revenue Code	278
Min. Negotiated Rate	$3,578.44
Max. Negotiated Rate	$5,773.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,771.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,773.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,248.38
Rate for Payer: Qualcare PPO/HMO/WC	$3,578.44

Know your out-of-pocket cost for care.

All Charges