Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

4 HOLE UDR PLATE NARROW (L)

Facility

$9,075.00

Hospital Charge Code	270703216
Hospital Revenue Code	278
Min. Negotiated Rate	$218.71
Max. Negotiated Rate	$4,537.50
Rate for Payer: Aetna Commercial	$3,448.50
Rate for Payer: Aetna Medicare Advantage	$2,722.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,314.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,314.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,815.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,314.12
Rate for Payer: Cigna Commercial	$4,537.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,196.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,996.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,361.25
Rate for Payer: UnitedHealthcare Community & State	$218.71
Rate for Payer: Wellpoint Medicaid Managed Care	$240.49

4 L SUPERIOR CLAVICLE PLATE LE

Facility

$4,528.45

Service Code	HCPCS C1713
Hospital Charge Code	270690413
Hospital Revenue Code	278
Min. Negotiated Rate	$109.14
Max. Negotiated Rate	$2,264.22
Rate for Payer: Aetna Commercial	$1,720.81
Rate for Payer: Aetna Medicare Advantage	$1,358.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,154.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,154.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$905.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,154.75
Rate for Payer: Cigna Commercial	$2,264.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,095.88
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$996.26
Rate for Payer: Qualcare PPO/HMO/WC	$679.27
Rate for Payer: UnitedHealthcare Community & State	$109.14
Rate for Payer: Wellpoint Medicaid Managed Care	$120.00

4 L SUPERIOR CLAVICLE PLATE LE

Facility

$4,528.45

Service Code	HCPCS C1713
Hospital Charge Code	270690413
Hospital Revenue Code	278
Min. Negotiated Rate	$679.27
Max. Negotiated Rate	$1,095.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$905.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,095.88
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$996.26
Rate for Payer: Qualcare PPO/HMO/WC	$679.27

#4 MATRIX CONNECTOR

Facility

$5,926.25

Service Code	HCPCS C1713
Hospital Charge Code	270691892
Hospital Revenue Code	278
Min. Negotiated Rate	$142.82
Max. Negotiated Rate	$2,963.12
Rate for Payer: Aetna Commercial	$2,251.97
Rate for Payer: Aetna Medicare Advantage	$1,777.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,511.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,511.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,185.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,511.19
Rate for Payer: Cigna Commercial	$2,963.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,434.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,303.78
Rate for Payer: Qualcare PPO/HMO/WC	$888.94
Rate for Payer: UnitedHealthcare Community & State	$142.82
Rate for Payer: Wellpoint Medicaid Managed Care	$157.05

#4 MATRIX CONNECTOR

Facility

$5,926.25

Service Code	HCPCS C1713
Hospital Charge Code	270691892
Hospital Revenue Code	278
Min. Negotiated Rate	$888.94
Max. Negotiated Rate	$1,434.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,185.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,434.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,303.78
Rate for Payer: Qualcare PPO/HMO/WC	$888.94

4 Max Kit

Facility

$8,150.00

Hospital Charge Code	270682966S
Hospital Revenue Code	272
Min. Negotiated Rate	$1,222.50
Max. Negotiated Rate	$1,222.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,222.50

4 Max Kit

Facility

$8,150.00

Hospital Charge Code	270682966S
Hospital Revenue Code	272
Min. Negotiated Rate	$196.41
Max. Negotiated Rate	$4,075.00
Rate for Payer: Aetna Commercial	$3,097.00
Rate for Payer: Aetna Medicare Advantage	$2,445.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,078.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,078.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,078.25
Rate for Payer: Cigna Commercial	$4,075.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,445.00
Rate for Payer: Oxford Commercial	$1,630.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,222.50
Rate for Payer: UnitedHealthcare Commercial	$1,630.00
Rate for Payer: UnitedHealthcare Community & State	$196.41
Rate for Payer: Wellpoint Medicaid Managed Care	$215.97

4 MAX KIT

Facility

$8,150.00

Hospital Charge Code	270682966N
Hospital Revenue Code	272
Min. Negotiated Rate	$196.41
Max. Negotiated Rate	$4,075.00
Rate for Payer: Aetna Commercial	$3,097.00
Rate for Payer: Aetna Medicare Advantage	$2,445.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,078.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,078.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,078.25
Rate for Payer: Cigna Commercial	$4,075.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,445.00
Rate for Payer: Oxford Commercial	$1,630.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,222.50
Rate for Payer: UnitedHealthcare Commercial	$1,630.00
Rate for Payer: UnitedHealthcare Community & State	$196.41
Rate for Payer: Wellpoint Medicaid Managed Care	$215.97

4 MAX KIT

Facility

$8,150.00

Hospital Charge Code	270682966N
Hospital Revenue Code	272
Min. Negotiated Rate	$1,222.50
Max. Negotiated Rate	$1,222.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,222.50

4 MM CANC SCREW FT 20MM NS

Facility

$247.50

Service Code	HCPCS C1713
Hospital Charge Code	270632513
Hospital Revenue Code	278
Min. Negotiated Rate	$5.96
Max. Negotiated Rate	$123.75
Rate for Payer: Aetna Commercial	$94.05
Rate for Payer: Aetna Medicare Advantage	$74.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.11
Rate for Payer: Cigna Commercial	$123.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$54.45
Rate for Payer: Qualcare PPO/HMO/WC	$37.12
Rate for Payer: UnitedHealthcare Community & State	$5.96
Rate for Payer: Wellpoint Medicaid Managed Care	$6.56

4 MM CANC SCREW FT 20MM NS

Facility

$247.50

Service Code	HCPCS C1713
Hospital Charge Code	270632513
Hospital Revenue Code	278
Min. Negotiated Rate	$37.12
Max. Negotiated Rate	$59.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$54.45
Rate for Payer: Qualcare PPO/HMO/WC	$37.12

4MM DOUBLECUT

Facility

$200.00

Hospital Charge Code	270702944
Hospital Revenue Code	272
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

4MM DOUBLECUT

Facility

$200.00

Hospital Charge Code	270702944
Hospital Revenue Code	272
Min. Negotiated Rate	$4.82
Max. Negotiated Rate	$100.00
Rate for Payer: Aetna Commercial	$76.00
Rate for Payer: Aetna Medicare Advantage	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.00
Rate for Payer: Cigna Commercial	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.00
Rate for Payer: Oxford Commercial	$40.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00
Rate for Payer: UnitedHealthcare Commercial	$40.00
Rate for Payer: UnitedHealthcare Community & State	$4.82
Rate for Payer: Wellpoint Medicaid Managed Care	$5.30

4MM RIGHT OPEN WEDGE PLATE

Facility

$3,540.00

Service Code	HCPCS C1713
Hospital Charge Code	270656469
Hospital Revenue Code	278
Min. Negotiated Rate	$85.31
Max. Negotiated Rate	$1,770.00
Rate for Payer: Aetna Commercial	$1,345.20
Rate for Payer: Aetna Medicare Advantage	$1,062.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$902.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$902.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$708.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$902.70
Rate for Payer: Cigna Commercial	$1,770.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$856.68
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$778.80
Rate for Payer: Qualcare PPO/HMO/WC	$531.00
Rate for Payer: UnitedHealthcare Community & State	$85.31
Rate for Payer: Wellpoint Medicaid Managed Care	$93.81

4MM RIGHT OPEN WEDGE PLATE

Facility

$3,540.00

Service Code	HCPCS C1713
Hospital Charge Code	270656469
Hospital Revenue Code	278
Min. Negotiated Rate	$531.00
Max. Negotiated Rate	$856.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$708.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$856.68
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$778.80
Rate for Payer: Qualcare PPO/HMO/WC	$531.00

4MM TITANIUM LOCKING SCREW 16

Facility

$1,360.45

Hospital Charge Code	270656657
Hospital Revenue Code	278
Min. Negotiated Rate	$32.79
Max. Negotiated Rate	$680.23
Rate for Payer: Aetna Commercial	$516.97
Rate for Payer: Aetna Medicare Advantage	$408.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$346.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$346.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$272.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$346.91
Rate for Payer: Cigna Commercial	$680.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$329.23
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$299.30
Rate for Payer: Qualcare PPO/HMO/WC	$204.07
Rate for Payer: UnitedHealthcare Community & State	$32.79
Rate for Payer: Wellpoint Medicaid Managed Care	$36.05

4MM TITANIUM LOCKING SCREW 16

Facility

$1,360.45

Hospital Charge Code	270656657
Hospital Revenue Code	278
Min. Negotiated Rate	$204.07
Max. Negotiated Rate	$329.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$272.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$329.23
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$299.30
Rate for Payer: Qualcare PPO/HMO/WC	$204.07

4TENDRILLEADS U PR 46

Facility

$3,000.00

Service Code	HCPCS C1898
Hospital Charge Code	270671233
Hospital Revenue Code	278
Min. Negotiated Rate	$450.00
Max. Negotiated Rate	$726.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$726.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$660.00
Rate for Payer: Qualcare PPO/HMO/WC	$450.00

4TENDRILLEADS U PR 46

Facility

$3,000.00

Service Code	HCPCS C1898
Hospital Charge Code	270671233
Hospital Revenue Code	278
Min. Negotiated Rate	$72.30
Max. Negotiated Rate	$1,500.00
Rate for Payer: Aetna Commercial	$1,140.00
Rate for Payer: Aetna Medicare Advantage	$900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$765.00
Rate for Payer: Cigna Commercial	$1,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$726.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$660.00
Rate for Payer: Qualcare PPO/HMO/WC	$450.00
Rate for Payer: UnitedHealthcare Community & State	$72.30
Rate for Payer: Wellpoint Medicaid Managed Care	$79.50

4TENDRILLLEADS U PR 46

Facility

$3,000.00

Service Code	HCPCS C1898
Hospital Charge Code	270671233C
Hospital Revenue Code	278
Min. Negotiated Rate	$450.00
Max. Negotiated Rate	$726.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$726.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$660.00
Rate for Payer: Qualcare PPO/HMO/WC	$450.00

4TENDRILLLEADS U PR 46

Facility

$3,000.00

Service Code	HCPCS C1898
Hospital Charge Code	270671233C
Hospital Revenue Code	278
Min. Negotiated Rate	$72.30
Max. Negotiated Rate	$1,500.00
Rate for Payer: Aetna Commercial	$1,140.00
Rate for Payer: Aetna Medicare Advantage	$900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$765.00
Rate for Payer: Cigna Commercial	$1,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$726.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$660.00
Rate for Payer: Qualcare PPO/HMO/WC	$450.00
Rate for Payer: UnitedHealthcare Community & State	$72.30
Rate for Payer: Wellpoint Medicaid Managed Care	$79.50

4X42MM PARTIALLY THREADED SCRE

Facility

$849.80

Service Code	HCPCS C1713
Hospital Charge Code	270702479
Hospital Revenue Code	278
Min. Negotiated Rate	$127.47
Max. Negotiated Rate	$205.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$169.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$205.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$186.96
Rate for Payer: Qualcare PPO/HMO/WC	$127.47

4X42MM PARTIALLY THREADED SCRE

Facility

$849.80

Service Code	HCPCS C1713
Hospital Charge Code	270702479
Hospital Revenue Code	278
Min. Negotiated Rate	$20.48
Max. Negotiated Rate	$424.90
Rate for Payer: Aetna Commercial	$322.92
Rate for Payer: Aetna Medicare Advantage	$254.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$216.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$216.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$169.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$216.70
Rate for Payer: Cigna Commercial	$424.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$205.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$186.96
Rate for Payer: Qualcare PPO/HMO/WC	$127.47
Rate for Payer: UnitedHealthcare Community & State	$20.48
Rate for Payer: Wellpoint Medicaid Managed Care	$22.52

500MM BAR

Facility

$2,360.00

Hospital Charge Code	270656458
Hospital Revenue Code	278
Min. Negotiated Rate	$354.00
Max. Negotiated Rate	$571.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$472.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$571.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$519.20
Rate for Payer: Qualcare PPO/HMO/WC	$354.00

500MM BAR

Facility

$2,360.00

Hospital Charge Code	270656458
Hospital Revenue Code	278
Min. Negotiated Rate	$56.88
Max. Negotiated Rate	$1,180.00
Rate for Payer: Aetna Commercial	$896.80
Rate for Payer: Aetna Medicare Advantage	$708.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$601.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$601.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$472.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$601.80
Rate for Payer: Cigna Commercial	$1,180.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$571.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$519.20
Rate for Payer: Qualcare PPO/HMO/WC	$354.00
Rate for Payer: UnitedHealthcare Community & State	$56.88
Rate for Payer: Wellpoint Medicaid Managed Care	$62.54

Know your out-of-pocket cost for care.

All Charges