Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

75 - 5.0 CANN.LOCKING SAW II

Facility

$1,190.25

Hospital Charge Code	270656666
Hospital Revenue Code	272
Min. Negotiated Rate	$28.69
Max. Negotiated Rate	$595.12
Rate for Payer: Aetna Commercial	$452.30
Rate for Payer: Aetna Medicare Advantage	$357.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$303.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$303.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$303.51
Rate for Payer: Cigna Commercial	$595.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$357.07
Rate for Payer: Oxford Commercial	$238.05
Rate for Payer: Qualcare PPO/HMO/WC	$178.54
Rate for Payer: UnitedHealthcare Commercial	$238.05
Rate for Payer: UnitedHealthcare Community & State	$28.69
Rate for Payer: Wellpoint Medicaid Managed Care	$31.54

75 - 5.0 CANN.LOCKING SAW II

Facility

$1,190.25

Hospital Charge Code	270656666
Hospital Revenue Code	272
Min. Negotiated Rate	$178.54
Max. Negotiated Rate	$178.54
Rate for Payer: Qualcare PPO/HMO/WC	$178.54

7.5X35MM SCREW

Facility

$1,325.00

Service Code	HCPCS C1713
Hospital Charge Code	270703857
Hospital Revenue Code	278
Min. Negotiated Rate	$198.75
Max. Negotiated Rate	$320.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$291.50
Rate for Payer: Qualcare PPO/HMO/WC	$198.75

7.5X35MM SCREW

Facility

$1,325.00

Service Code	HCPCS C1713
Hospital Charge Code	270703857
Hospital Revenue Code	278
Min. Negotiated Rate	$31.93
Max. Negotiated Rate	$662.50
Rate for Payer: Aetna Commercial	$503.50
Rate for Payer: Aetna Medicare Advantage	$397.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$337.88
Rate for Payer: Cigna Commercial	$662.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$291.50
Rate for Payer: Qualcare PPO/HMO/WC	$198.75
Rate for Payer: UnitedHealthcare Community & State	$31.93
Rate for Payer: Wellpoint Medicaid Managed Care	$35.11

7.5X40MM POLYSCREW

Facility

$4,450.00

Service Code	HCPCS C1713
Hospital Charge Code	270705944
Hospital Revenue Code	278
Min. Negotiated Rate	$667.50
Max. Negotiated Rate	$1,076.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$890.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,076.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$979.00
Rate for Payer: Qualcare PPO/HMO/WC	$667.50

7.5X40MM POLYSCREW

Facility

$4,450.00

Service Code	HCPCS C1713
Hospital Charge Code	270705944
Hospital Revenue Code	278
Min. Negotiated Rate	$107.25
Max. Negotiated Rate	$2,225.00
Rate for Payer: Aetna Commercial	$1,691.00
Rate for Payer: Aetna Medicare Advantage	$1,335.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,134.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,134.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$890.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,134.75
Rate for Payer: Cigna Commercial	$2,225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,076.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$979.00
Rate for Payer: Qualcare PPO/HMO/WC	$667.50
Rate for Payer: UnitedHealthcare Community & State	$107.25
Rate for Payer: Wellpoint Medicaid Managed Care	$117.92

7.5X45MM LUMBAR SCREW

Facility

$4,275.00

Service Code	HCPCS C1713
Hospital Charge Code	270704174
Hospital Revenue Code	278
Min. Negotiated Rate	$103.03
Max. Negotiated Rate	$2,137.50
Rate for Payer: Aetna Commercial	$1,624.50
Rate for Payer: Aetna Medicare Advantage	$1,282.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,090.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,090.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$855.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,090.12
Rate for Payer: Cigna Commercial	$2,137.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,034.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$940.50
Rate for Payer: Qualcare PPO/HMO/WC	$641.25
Rate for Payer: UnitedHealthcare Community & State	$103.03
Rate for Payer: Wellpoint Medicaid Managed Care	$113.29

7.5X45MM LUMBAR SCREW

Facility

$4,275.00

Service Code	HCPCS C1713
Hospital Charge Code	270704174
Hospital Revenue Code	278
Min. Negotiated Rate	$641.25
Max. Negotiated Rate	$1,034.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$855.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,034.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$940.50
Rate for Payer: Qualcare PPO/HMO/WC	$641.25

7.5X45MM MIS MOD SCREW SHANK

Facility

$2,900.00

Service Code	HCPCS C1713
Hospital Charge Code	270703771
Hospital Revenue Code	278
Min. Negotiated Rate	$435.00
Max. Negotiated Rate	$701.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$580.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$701.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$638.00
Rate for Payer: Qualcare PPO/HMO/WC	$435.00

7.5X45MM MIS MOD SCREW SHANK

Facility

$2,900.00

Service Code	HCPCS C1713
Hospital Charge Code	270703771
Hospital Revenue Code	278
Min. Negotiated Rate	$69.89
Max. Negotiated Rate	$1,450.00
Rate for Payer: Aetna Commercial	$1,102.00
Rate for Payer: Aetna Medicare Advantage	$870.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$739.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$739.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$580.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$739.50
Rate for Payer: Cigna Commercial	$1,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$701.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$638.00
Rate for Payer: Qualcare PPO/HMO/WC	$435.00
Rate for Payer: UnitedHealthcare Community & State	$69.89
Rate for Payer: Wellpoint Medicaid Managed Care	$76.85

7.5X45MM REDUCTION SCREWS

Facility

$5,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270703564
Hospital Revenue Code	278
Min. Negotiated Rate	$132.55
Max. Negotiated Rate	$2,750.00
Rate for Payer: Aetna Commercial	$2,090.00
Rate for Payer: Aetna Medicare Advantage	$1,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,402.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,402.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,402.50
Rate for Payer: Cigna Commercial	$2,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,331.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,210.00
Rate for Payer: Qualcare PPO/HMO/WC	$825.00
Rate for Payer: UnitedHealthcare Community & State	$132.55
Rate for Payer: Wellpoint Medicaid Managed Care	$145.75

7.5X45MM REDUCTION SCREWS

Facility

$5,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270703564
Hospital Revenue Code	278
Min. Negotiated Rate	$825.00
Max. Negotiated Rate	$1,331.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,331.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,210.00
Rate for Payer: Qualcare PPO/HMO/WC	$825.00

7.5X50MM MIS MOD SCREW SHANK

Facility

$2,900.00

Service Code	HCPCS C1713
Hospital Charge Code	270704082
Hospital Revenue Code	278
Min. Negotiated Rate	$69.89
Max. Negotiated Rate	$1,450.00
Rate for Payer: Aetna Commercial	$1,102.00
Rate for Payer: Aetna Medicare Advantage	$870.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$739.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$739.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$580.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$739.50
Rate for Payer: Cigna Commercial	$1,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$701.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$638.00
Rate for Payer: Qualcare PPO/HMO/WC	$435.00
Rate for Payer: UnitedHealthcare Community & State	$69.89
Rate for Payer: Wellpoint Medicaid Managed Care	$76.85

7.5X50MM MIS MOD SCREW SHANK

Facility

$2,900.00

Service Code	HCPCS C1713
Hospital Charge Code	270704082
Hospital Revenue Code	278
Min. Negotiated Rate	$435.00
Max. Negotiated Rate	$701.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$580.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$701.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$638.00
Rate for Payer: Qualcare PPO/HMO/WC	$435.00

7.5X50MM MODULAR SCREW

Facility

$3,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270704708
Hospital Revenue Code	278
Min. Negotiated Rate	$90.38
Max. Negotiated Rate	$1,875.00
Rate for Payer: Aetna Commercial	$1,425.00
Rate for Payer: Aetna Medicare Advantage	$1,125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$956.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$956.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$956.25
Rate for Payer: Cigna Commercial	$1,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$907.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$825.00
Rate for Payer: Qualcare PPO/HMO/WC	$562.50
Rate for Payer: UnitedHealthcare Community & State	$90.38
Rate for Payer: Wellpoint Medicaid Managed Care	$99.38

7.5X50MM MODULAR SCREW

Facility

$3,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270704708
Hospital Revenue Code	278
Min. Negotiated Rate	$562.50
Max. Negotiated Rate	$907.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$907.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$825.00
Rate for Payer: Qualcare PPO/HMO/WC	$562.50

7CC TORNADO BIO COLLAGEN

Facility

$11,695.50

Service Code	HCPCS C1889
Hospital Charge Code	270704245
Hospital Revenue Code	278
Min. Negotiated Rate	$281.86
Max. Negotiated Rate	$5,847.75
Rate for Payer: Aetna Commercial	$4,444.29
Rate for Payer: Aetna Medicare Advantage	$3,508.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,982.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,982.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,339.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,982.35
Rate for Payer: Cigna Commercial	$5,847.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,830.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,573.01
Rate for Payer: Qualcare PPO/HMO/WC	$1,754.33
Rate for Payer: UnitedHealthcare Community & State	$281.86
Rate for Payer: Wellpoint Medicaid Managed Care	$309.93

7CC TORNADO BIO COLLAGEN

Facility

$11,695.50

Service Code	HCPCS C1889
Hospital Charge Code	270704245
Hospital Revenue Code	278
Min. Negotiated Rate	$1,754.33
Max. Negotiated Rate	$2,830.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,339.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,830.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,573.01
Rate for Payer: Qualcare PPO/HMO/WC	$1,754.33

7 FRENCH 27MM ENSNARE

Facility

$2,200.00

Service Code	HCPCS C1773
Hospital Charge Code	270659155
Hospital Revenue Code	278
Min. Negotiated Rate	$330.00
Max. Negotiated Rate	$532.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$440.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$532.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$484.00
Rate for Payer: Qualcare PPO/HMO/WC	$330.00

7 FRENCH 27MM ENSNARE

Facility

$2,200.00

Service Code	HCPCS C1773
Hospital Charge Code	270659155
Hospital Revenue Code	278
Min. Negotiated Rate	$53.02
Max. Negotiated Rate	$1,100.00
Rate for Payer: Aetna Commercial	$836.00
Rate for Payer: Aetna Medicare Advantage	$660.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$561.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$561.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$440.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$561.00
Rate for Payer: Cigna Commercial	$1,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$532.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$484.00
Rate for Payer: Qualcare PPO/HMO/WC	$330.00
Rate for Payer: UnitedHealthcare Community & State	$53.02
Rate for Payer: Wellpoint Medicaid Managed Care	$58.30

7 FR XB 3-0 INTERVENTIONAL CAT

Facility

$274.75

Hospital Charge Code	2709002920
Hospital Revenue Code	272
Min. Negotiated Rate	$41.21
Max. Negotiated Rate	$41.21
Rate for Payer: Qualcare PPO/HMO/WC	$41.21

7 FR XB 3-0 INTERVENTIONAL CAT

Facility

$274.75

Hospital Charge Code	2709002920
Hospital Revenue Code	272
Min. Negotiated Rate	$6.62
Max. Negotiated Rate	$137.38
Rate for Payer: Aetna Commercial	$104.41
Rate for Payer: Aetna Medicare Advantage	$82.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.06
Rate for Payer: Cigna Commercial	$137.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.42
Rate for Payer: Oxford Commercial	$54.95
Rate for Payer: Qualcare PPO/HMO/WC	$41.21
Rate for Payer: UnitedHealthcare Commercial	$54.95
Rate for Payer: UnitedHealthcare Community & State	$6.62
Rate for Payer: Wellpoint Medicaid Managed Care	$7.28

7 HOLE 1/3 TUBULAR PLATE

Facility

$804.65

Hospital Charge Code	270657751
Hospital Revenue Code	278
Min. Negotiated Rate	$120.70
Max. Negotiated Rate	$194.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.73
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$177.02
Rate for Payer: Qualcare PPO/HMO/WC	$120.70

7 HOLE 1/3 TUBULAR PLATE

Facility

$804.65

Hospital Charge Code	270657751
Hospital Revenue Code	278
Min. Negotiated Rate	$19.39
Max. Negotiated Rate	$402.32
Rate for Payer: Aetna Commercial	$305.77
Rate for Payer: Aetna Medicare Advantage	$241.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$205.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$205.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$205.19
Rate for Payer: Cigna Commercial	$402.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.73
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$177.02
Rate for Payer: Qualcare PPO/HMO/WC	$120.70
Rate for Payer: UnitedHealthcare Community & State	$19.39
Rate for Payer: Wellpoint Medicaid Managed Care	$21.32

7 HOLE REINFORCED STRAIGHT PLA

Facility

$2,703.75

Service Code	HCPCS C1713
Hospital Charge Code	270703986
Hospital Revenue Code	278
Min. Negotiated Rate	$405.56
Max. Negotiated Rate	$654.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$540.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$654.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$594.83
Rate for Payer: Qualcare PPO/HMO/WC	$405.56

Know your out-of-pocket cost for care.

All Charges