Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

B DRILL FOR TRANSFIX

Facility

$1,025.00

Hospital Charge Code	270656491
Hospital Revenue Code	272
Min. Negotiated Rate	$153.75
Max. Negotiated Rate	$153.75
Rate for Payer: Qualcare PPO/HMO/WC	$153.75

BEADED CABLE/SLEEVE SET 2.0MM

Facility

$2,205.00

Service Code	HCPCS C1713
Hospital Charge Code	270669191
Hospital Revenue Code	278
Min. Negotiated Rate	$330.75
Max. Negotiated Rate	$533.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$441.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$533.61
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$485.10
Rate for Payer: Qualcare PPO/HMO/WC	$330.75

BEADED CABLE/SLEEVE SET 2.0MM

Facility

$2,205.00

Service Code	HCPCS C1713
Hospital Charge Code	270669191
Hospital Revenue Code	278
Min. Negotiated Rate	$53.14
Max. Negotiated Rate	$1,102.50
Rate for Payer: Aetna Commercial	$837.90
Rate for Payer: Aetna Medicare Advantage	$661.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$562.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$562.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$441.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$562.27
Rate for Payer: Cigna Commercial	$1,102.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$533.61
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$485.10
Rate for Payer: Qualcare PPO/HMO/WC	$330.75
Rate for Payer: UnitedHealthcare Community & State	$53.14
Rate for Payer: Wellpoint Medicaid Managed Care	$58.43

BEAD TIP GUIDEWIRE 100CM

Facility

$1,237.50

Hospital Charge Code	270703324
Hospital Revenue Code	272
Min. Negotiated Rate	$185.62
Max. Negotiated Rate	$185.62
Rate for Payer: Qualcare PPO/HMO/WC	$185.62

BEAD TIP GUIDEWIRE 100CM

Facility

$1,237.50

Hospital Charge Code	270703324
Hospital Revenue Code	272
Min. Negotiated Rate	$29.82
Max. Negotiated Rate	$618.75
Rate for Payer: Aetna Commercial	$470.25
Rate for Payer: Aetna Medicare Advantage	$371.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$315.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$315.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$315.56
Rate for Payer: Cigna Commercial	$618.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$371.25
Rate for Payer: Oxford Commercial	$247.50
Rate for Payer: Qualcare PPO/HMO/WC	$185.62
Rate for Payer: UnitedHealthcare Commercial	$247.50
Rate for Payer: UnitedHealthcare Community & State	$29.82
Rate for Payer: Wellpoint Medicaid Managed Care	$32.79

BEAM 7 X 125

Facility

$8,130.00

Service Code	HCPCS C1713
Hospital Charge Code	270702618
Hospital Revenue Code	278
Min. Negotiated Rate	$195.93
Max. Negotiated Rate	$4,065.00
Rate for Payer: Aetna Commercial	$3,089.40
Rate for Payer: Aetna Medicare Advantage	$2,439.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,073.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,073.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,073.15
Rate for Payer: Cigna Commercial	$4,065.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,967.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,788.60
Rate for Payer: Qualcare PPO/HMO/WC	$1,219.50
Rate for Payer: UnitedHealthcare Community & State	$195.93
Rate for Payer: Wellpoint Medicaid Managed Care	$215.44

BEAM 7 X 125

Facility

$8,130.00

Service Code	HCPCS C1713
Hospital Charge Code	270702618
Hospital Revenue Code	278
Min. Negotiated Rate	$1,219.50
Max. Negotiated Rate	$1,967.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,967.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,788.60
Rate for Payer: Qualcare PPO/HMO/WC	$1,219.50

BEAM AXIS FIXATION 4.5X80MM

Facility

$8,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270698459
Hospital Revenue Code	278
Min. Negotiated Rate	$212.08
Max. Negotiated Rate	$4,400.00
Rate for Payer: Aetna Commercial	$3,344.00
Rate for Payer: Aetna Medicare Advantage	$2,640.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,244.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,244.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,760.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,244.00
Rate for Payer: Cigna Commercial	$4,400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,129.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,936.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,320.00
Rate for Payer: UnitedHealthcare Community & State	$212.08
Rate for Payer: Wellpoint Medicaid Managed Care	$233.20

BEAM AXIS FIXATION 4.5X80MM

Facility

$8,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270698459
Hospital Revenue Code	278
Min. Negotiated Rate	$1,320.00
Max. Negotiated Rate	$2,129.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,760.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,129.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,936.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,320.00

BEAM AXIS FIXATION 7.5X140MM

Facility

$10,235.00

Service Code	HCPCS C1713
Hospital Charge Code	270698456
Hospital Revenue Code	278
Min. Negotiated Rate	$246.66
Max. Negotiated Rate	$5,117.50
Rate for Payer: Aetna Commercial	$3,889.30
Rate for Payer: Aetna Medicare Advantage	$3,070.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,609.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,609.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,047.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,609.93
Rate for Payer: Cigna Commercial	$5,117.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,476.87
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,251.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,535.25
Rate for Payer: UnitedHealthcare Community & State	$246.66
Rate for Payer: Wellpoint Medicaid Managed Care	$271.23

BEAM AXIS FIXATION 7.5X140MM

Facility

$10,235.00

Service Code	HCPCS C1713
Hospital Charge Code	270698456
Hospital Revenue Code	278
Min. Negotiated Rate	$1,535.25
Max. Negotiated Rate	$2,476.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,047.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,476.87
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,251.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,535.25

BEAM CAN HDLES MED THD 5X85MM

Facility

$5,115.00

Service Code	HCPCS C1713
Hospital Charge Code	270701410
Hospital Revenue Code	278
Min. Negotiated Rate	$767.25
Max. Negotiated Rate	$1,237.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,023.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,237.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,125.30
Rate for Payer: Qualcare PPO/HMO/WC	$767.25

BEAM CAN HDLES MED THD 5X85MM

Facility

$5,115.00

Service Code	HCPCS C1713
Hospital Charge Code	270701410
Hospital Revenue Code	278
Min. Negotiated Rate	$123.27
Max. Negotiated Rate	$2,557.50
Rate for Payer: Aetna Commercial	$1,943.70
Rate for Payer: Aetna Medicare Advantage	$1,534.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,304.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,304.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,023.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,304.33
Rate for Payer: Cigna Commercial	$2,557.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,237.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,125.30
Rate for Payer: Qualcare PPO/HMO/WC	$767.25
Rate for Payer: UnitedHealthcare Community & State	$123.27
Rate for Payer: Wellpoint Medicaid Managed Care	$135.55

BEAM CAN HDLS FULL THD

Facility

$1,091.75

Service Code	HCPCS C1713
Hospital Charge Code	270701477
Hospital Revenue Code	278
Min. Negotiated Rate	$26.31
Max. Negotiated Rate	$545.88
Rate for Payer: Aetna Commercial	$414.87
Rate for Payer: Aetna Medicare Advantage	$327.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$278.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$278.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$218.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$278.40
Rate for Payer: Cigna Commercial	$545.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$264.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$240.19
Rate for Payer: Qualcare PPO/HMO/WC	$163.76
Rate for Payer: UnitedHealthcare Community & State	$26.31
Rate for Payer: Wellpoint Medicaid Managed Care	$28.93

BEAM CAN HDLS FULL THD

Facility

$1,091.75

Service Code	HCPCS C1713
Hospital Charge Code	270701477
Hospital Revenue Code	278
Min. Negotiated Rate	$163.76
Max. Negotiated Rate	$264.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$218.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$264.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$240.19
Rate for Payer: Qualcare PPO/HMO/WC	$163.76

BEAM CAN HDLS FULL THD 5X90MM

Facility

$5,115.00

Service Code	HCPCS C1713
Hospital Charge Code	270701674
Hospital Revenue Code	278
Min. Negotiated Rate	$123.27
Max. Negotiated Rate	$2,557.50
Rate for Payer: Aetna Commercial	$1,943.70
Rate for Payer: Aetna Medicare Advantage	$1,534.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,304.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,304.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,023.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,304.33
Rate for Payer: Cigna Commercial	$2,557.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,237.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,125.30
Rate for Payer: Qualcare PPO/HMO/WC	$767.25
Rate for Payer: UnitedHealthcare Community & State	$123.27
Rate for Payer: Wellpoint Medicaid Managed Care	$135.55

BEAM CAN HDLS FULL THD 5X90MM

Facility

$5,115.00

Service Code	HCPCS C1713
Hospital Charge Code	270701674
Hospital Revenue Code	278
Min. Negotiated Rate	$767.25
Max. Negotiated Rate	$1,237.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,023.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,237.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,125.30
Rate for Payer: Qualcare PPO/HMO/WC	$767.25

BEAM CAN HDLS MED THD

Facility

$5,115.00

Service Code	HCPCS C1713
Hospital Charge Code	270701478
Hospital Revenue Code	278
Min. Negotiated Rate	$767.25
Max. Negotiated Rate	$1,237.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,023.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,237.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,125.30
Rate for Payer: Qualcare PPO/HMO/WC	$767.25

BEAM CAN HDLS MED THD

Facility

$5,115.00

Service Code	HCPCS C1713
Hospital Charge Code	270701478
Hospital Revenue Code	278
Min. Negotiated Rate	$123.27
Max. Negotiated Rate	$2,557.50
Rate for Payer: Aetna Commercial	$1,943.70
Rate for Payer: Aetna Medicare Advantage	$1,534.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,304.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,304.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,023.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,304.33
Rate for Payer: Cigna Commercial	$2,557.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,237.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,125.30
Rate for Payer: Qualcare PPO/HMO/WC	$767.25
Rate for Payer: UnitedHealthcare Community & State	$123.27
Rate for Payer: Wellpoint Medicaid Managed Care	$135.55

BEAM SALVATION TOE JT 7X120MM

Facility

$9,230.00

Service Code	HCPCS C1713
Hospital Charge Code	270698683
Hospital Revenue Code	278
Min. Negotiated Rate	$1,384.50
Max. Negotiated Rate	$2,233.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,846.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,233.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,030.60
Rate for Payer: Qualcare PPO/HMO/WC	$1,384.50

BEAM SALVATION TOE JT 7X120MM

Facility

$9,230.00

Service Code	HCPCS C1713
Hospital Charge Code	270698683
Hospital Revenue Code	278
Min. Negotiated Rate	$222.44
Max. Negotiated Rate	$4,615.00
Rate for Payer: Aetna Commercial	$3,507.40
Rate for Payer: Aetna Medicare Advantage	$2,769.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,353.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,353.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,846.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,353.65
Rate for Payer: Cigna Commercial	$4,615.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,233.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,030.60
Rate for Payer: Qualcare PPO/HMO/WC	$1,384.50
Rate for Payer: UnitedHealthcare Community & State	$222.44
Rate for Payer: Wellpoint Medicaid Managed Care	$244.59

BEAM SLD HADL FULL THD 7.2X135

Facility

$5,458.75

Service Code	HCPCS C1713
Hospital Charge Code	270701924
Hospital Revenue Code	278
Min. Negotiated Rate	$131.56
Max. Negotiated Rate	$2,729.38
Rate for Payer: Aetna Commercial	$2,074.32
Rate for Payer: Aetna Medicare Advantage	$1,637.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,391.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,391.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,091.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,391.98
Rate for Payer: Cigna Commercial	$2,729.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,321.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,200.92
Rate for Payer: Qualcare PPO/HMO/WC	$818.81
Rate for Payer: UnitedHealthcare Community & State	$131.56
Rate for Payer: Wellpoint Medicaid Managed Care	$144.66

BEAM SLD HADL FULL THD 7.2X135

Facility

$5,458.75

Service Code	HCPCS C1713
Hospital Charge Code	270701924
Hospital Revenue Code	278
Min. Negotiated Rate	$818.81
Max. Negotiated Rate	$1,321.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,091.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,321.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,200.92
Rate for Payer: Qualcare PPO/HMO/WC	$818.81

BEAM SLD HDLS FULL THD 7.2X125

Facility

$5,458.75

Service Code	HCPCS C1713
Hospital Charge Code	270701673
Hospital Revenue Code	278
Min. Negotiated Rate	$818.81
Max. Negotiated Rate	$1,321.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,091.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,321.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,200.92
Rate for Payer: Qualcare PPO/HMO/WC	$818.81

BEAM SLD HDLS FULL THD 7.2X125

Facility

$5,458.75

Service Code	HCPCS C1713
Hospital Charge Code	270701673
Hospital Revenue Code	278
Min. Negotiated Rate	$131.56
Max. Negotiated Rate	$2,729.38
Rate for Payer: Aetna Commercial	$2,074.32
Rate for Payer: Aetna Medicare Advantage	$1,637.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,391.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,391.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,091.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,391.98
Rate for Payer: Cigna Commercial	$2,729.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,321.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,200.92
Rate for Payer: Qualcare PPO/HMO/WC	$818.81
Rate for Payer: UnitedHealthcare Community & State	$131.56
Rate for Payer: Wellpoint Medicaid Managed Care	$144.66

Know your out-of-pocket cost for care.

All Charges