Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

WIRE KIRSCHNER .062

Facility

$357.50

Service Code	HCPCS C1713
Hospital Charge Code	270653119
Hospital Revenue Code	278
Min. Negotiated Rate	$8.62
Max. Negotiated Rate	$178.75
Rate for Payer: Aetna Commercial	$135.85
Rate for Payer: Aetna Medicare Advantage	$107.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.16
Rate for Payer: Cigna Commercial	$178.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$78.65
Rate for Payer: Qualcare PPO/HMO/WC	$53.62
Rate for Payer: UnitedHealthcare Community & State	$8.62
Rate for Payer: Wellpoint Medicaid Managed Care	$9.47

WIRE KIRSCHNER 1.6x150mm

Facility

$183.85

Hospital Charge Code	270645730
Hospital Revenue Code	272
Min. Negotiated Rate	$4.43
Max. Negotiated Rate	$91.92
Rate for Payer: Aetna Commercial	$69.86
Rate for Payer: Aetna Medicare Advantage	$55.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.88
Rate for Payer: Cigna Commercial	$91.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.16
Rate for Payer: Oxford Commercial	$36.77
Rate for Payer: Qualcare PPO/HMO/WC	$27.58
Rate for Payer: UnitedHealthcare Commercial	$36.77
Rate for Payer: UnitedHealthcare Community & State	$4.43
Rate for Payer: Wellpoint Medicaid Managed Care	$4.87

WIRE KIRSCHNER 1.6x150mm

Facility

$183.85

Hospital Charge Code	270645730
Hospital Revenue Code	272
Min. Negotiated Rate	$27.58
Max. Negotiated Rate	$27.58
Rate for Payer: Qualcare PPO/HMO/WC	$27.58

WIRE KIRSCHNER 1.8x150mm

Facility

$346.10

Service Code	HCPCS C1713
Hospital Charge Code	270645642
Hospital Revenue Code	278
Min. Negotiated Rate	$51.91
Max. Negotiated Rate	$83.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$76.14
Rate for Payer: Qualcare PPO/HMO/WC	$51.91

WIRE KIRSCHNER 1.8x150mm

Facility

$346.10

Service Code	HCPCS C1713
Hospital Charge Code	270645642
Hospital Revenue Code	278
Min. Negotiated Rate	$8.34
Max. Negotiated Rate	$173.05
Rate for Payer: Aetna Commercial	$131.52
Rate for Payer: Aetna Medicare Advantage	$103.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$88.26
Rate for Payer: Cigna Commercial	$173.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$76.14
Rate for Payer: Qualcare PPO/HMO/WC	$51.91
Rate for Payer: UnitedHealthcare Community & State	$8.34
Rate for Payer: Wellpoint Medicaid Managed Care	$9.17

WIRE KIRSCHNER LONG

Facility

$600.00

Hospital Charge Code	270657310
Hospital Revenue Code	278
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$145.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$132.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

WIRE KIRSCHNER LONG

Facility

$600.00

Hospital Charge Code	270657310
Hospital Revenue Code	278
Min. Negotiated Rate	$14.46
Max. Negotiated Rate	$300.00
Rate for Payer: Aetna Commercial	$228.00
Rate for Payer: Aetna Medicare Advantage	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.00
Rate for Payer: Cigna Commercial	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$132.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.00
Rate for Payer: UnitedHealthcare Community & State	$14.46
Rate for Payer: Wellpoint Medicaid Managed Care	$15.90

WIRE KIRSCHNER NINE

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270657305
Hospital Revenue Code	278
Min. Negotiated Rate	$18.07
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$165.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Community & State	$18.07
Rate for Payer: Wellpoint Medicaid Managed Care	$19.88

WIRE KIRSCHNER NINE

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270657305
Hospital Revenue Code	278
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$181.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$165.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

WIRE KIRSCHNER STY 6 1.1X229MM

Facility

$28.49

Hospital Charge Code	270657653
Hospital Revenue Code	270
Min. Negotiated Rate	$0.69
Max. Negotiated Rate	$14.24
Rate for Payer: Aetna Commercial	$10.83
Rate for Payer: Aetna Medicare Advantage	$8.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.26
Rate for Payer: Cigna Commercial	$14.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.55
Rate for Payer: Oxford Commercial	$5.70
Rate for Payer: Qualcare PPO/HMO/WC	$4.27
Rate for Payer: UnitedHealthcare Commercial	$5.70
Rate for Payer: UnitedHealthcare Community & State	$0.69
Rate for Payer: Wellpoint Medicaid Managed Care	$0.75

WIRE KIRSCHNER STY 6 1.1X229MM

Facility

$28.49

Hospital Charge Code	270657653
Hospital Revenue Code	270
Min. Negotiated Rate	$4.27
Max. Negotiated Rate	$4.27
Rate for Payer: Qualcare PPO/HMO/WC	$4.27

WIRE KIRSCHNER STYLE 1 0.9mm

Facility

$71.50

Service Code	HCPCS C1713
Hospital Charge Code	270610635
Hospital Revenue Code	278
Min. Negotiated Rate	$10.72
Max. Negotiated Rate	$17.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$15.73
Rate for Payer: Qualcare PPO/HMO/WC	$10.72

WIRE KIRSCHNER STYLE 1 0.9mm

Facility

$71.50

Service Code	HCPCS C1713
Hospital Charge Code	270610635
Hospital Revenue Code	278
Min. Negotiated Rate	$1.72
Max. Negotiated Rate	$35.75
Rate for Payer: Aetna Commercial	$27.17
Rate for Payer: Aetna Medicare Advantage	$21.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.23
Rate for Payer: Cigna Commercial	$35.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$15.73
Rate for Payer: Qualcare PPO/HMO/WC	$10.72
Rate for Payer: UnitedHealthcare Community & State	$1.72
Rate for Payer: Wellpoint Medicaid Managed Care	$1.89

WIRE KIRSCHNER THREADED .035

Facility

$63.13

Service Code	HCPCS C1769
Hospital Charge Code	270638920
Hospital Revenue Code	278
Min. Negotiated Rate	$9.47
Max. Negotiated Rate	$15.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.28
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$13.89
Rate for Payer: Qualcare PPO/HMO/WC	$9.47

WIRE KIRSCHNER THREADED .035

Facility

$63.13

Service Code	HCPCS C1769
Hospital Charge Code	270638920
Hospital Revenue Code	278
Min. Negotiated Rate	$1.52
Max. Negotiated Rate	$31.57
Rate for Payer: Aetna Commercial	$23.99
Rate for Payer: Aetna Medicare Advantage	$18.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.10
Rate for Payer: Cigna Commercial	$31.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.28
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$13.89
Rate for Payer: Qualcare PPO/HMO/WC	$9.47
Rate for Payer: UnitedHealthcare Community & State	$1.52
Rate for Payer: Wellpoint Medicaid Managed Care	$1.67

WIRE KIRSCHNER THREADED .045

Facility

$63.13

Service Code	HCPCS C1713
Hospital Charge Code	270615788
Hospital Revenue Code	278
Min. Negotiated Rate	$1.52
Max. Negotiated Rate	$31.57
Rate for Payer: Aetna Commercial	$23.99
Rate for Payer: Aetna Medicare Advantage	$18.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.10
Rate for Payer: Cigna Commercial	$31.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.28
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$13.89
Rate for Payer: Qualcare PPO/HMO/WC	$9.47
Rate for Payer: UnitedHealthcare Community & State	$1.52
Rate for Payer: Wellpoint Medicaid Managed Care	$1.67

WIRE KIRSCHNER THREADED .045

Facility

$421.15

Hospital Charge Code	270657968
Hospital Revenue Code	278
Min. Negotiated Rate	$63.17
Max. Negotiated Rate	$101.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.92
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$92.65
Rate for Payer: Qualcare PPO/HMO/WC	$63.17

WIRE KIRSCHNER THREADED .045

Facility

$63.13

Service Code	HCPCS C1713
Hospital Charge Code	270615788
Hospital Revenue Code	278
Min. Negotiated Rate	$9.47
Max. Negotiated Rate	$15.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.28
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$13.89
Rate for Payer: Qualcare PPO/HMO/WC	$9.47

WIRE KIRSCHNER THREADED .045

Facility

$421.15

Hospital Charge Code	270657968
Hospital Revenue Code	278
Min. Negotiated Rate	$10.15
Max. Negotiated Rate	$210.57
Rate for Payer: Aetna Commercial	$160.04
Rate for Payer: Aetna Medicare Advantage	$126.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.39
Rate for Payer: Cigna Commercial	$210.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.92
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$92.65
Rate for Payer: Qualcare PPO/HMO/WC	$63.17
Rate for Payer: UnitedHealthcare Community & State	$10.15
Rate for Payer: Wellpoint Medicaid Managed Care	$11.16

WIRE KLS STN STL 24G 01-003-07

Facility

$207.25

Hospital Charge Code	270612048
Hospital Revenue Code	278
Min. Negotiated Rate	$4.99
Max. Negotiated Rate	$103.62
Rate for Payer: Aetna Commercial	$78.75
Rate for Payer: Aetna Medicare Advantage	$62.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$41.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.85
Rate for Payer: Cigna Commercial	$103.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$45.59
Rate for Payer: Qualcare PPO/HMO/WC	$31.09
Rate for Payer: UnitedHealthcare Community & State	$4.99
Rate for Payer: Wellpoint Medicaid Managed Care	$5.49

WIRE KLS STN STL 24G 01-003-07

Facility

$207.25

Hospital Charge Code	270612048
Hospital Revenue Code	278
Min. Negotiated Rate	$31.09
Max. Negotiated Rate	$50.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$41.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$45.59
Rate for Payer: Qualcare PPO/HMO/WC	$31.09

WIRE KLS STN STL 26G 01-003-05

Facility

$207.25

Hospital Charge Code	270612049
Hospital Revenue Code	278
Min. Negotiated Rate	$4.99
Max. Negotiated Rate	$103.62
Rate for Payer: Aetna Commercial	$78.75
Rate for Payer: Aetna Medicare Advantage	$62.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$41.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.85
Rate for Payer: Cigna Commercial	$103.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$45.59
Rate for Payer: Qualcare PPO/HMO/WC	$31.09
Rate for Payer: UnitedHealthcare Community & State	$4.99
Rate for Payer: Wellpoint Medicaid Managed Care	$5.49

WIRE KLS STN STL 26G 01-003-05

Facility

$207.25

Hospital Charge Code	270612049
Hospital Revenue Code	278
Min. Negotiated Rate	$31.09
Max. Negotiated Rate	$50.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$41.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$45.59
Rate for Payer: Qualcare PPO/HMO/WC	$31.09

WIRE K SYN 1.25 150MM 492.12**

Facility

$18.00

Hospital Charge Code	1604024
Hospital Revenue Code	278
Min. Negotiated Rate	$2.70
Max. Negotiated Rate	$4.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3.96
Rate for Payer: Qualcare PPO/HMO/WC	$2.70

WIRE K SYN 1.25 150MM 492.12**

Facility

$18.00

Hospital Charge Code	1604024
Hospital Revenue Code	278
Min. Negotiated Rate	$0.43
Max. Negotiated Rate	$9.00
Rate for Payer: Aetna Commercial	$6.84
Rate for Payer: Aetna Medicare Advantage	$5.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.59
Rate for Payer: Cigna Commercial	$9.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3.96
Rate for Payer: Qualcare PPO/HMO/WC	$2.70
Rate for Payer: UnitedHealthcare Community & State	$0.43
Rate for Payer: Wellpoint Medicaid Managed Care	$0.48

Know your out-of-pocket cost for care.

All Charges