Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

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

7MM 6DEG ZAVATION CAGE

Facility

$4,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270705534
Hospital Revenue Code	278
Min. Negotiated Rate	$114.47
Max. Negotiated Rate	$2,375.00
Rate for Payer: Aetna Commercial	$1,805.00
Rate for Payer: Aetna Medicare Advantage	$1,425.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$950.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,211.25
Rate for Payer: Cigna Commercial	$2,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,149.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,045.00
Rate for Payer: Qualcare PPO/HMO/WC	$712.50
Rate for Payer: UnitedHealthcare Community & State	$114.47
Rate for Payer: Wellpoint Medicaid Managed Care	$125.88

7MM 6DEG ZAVATION CAGE

Facility

$4,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270705534
Hospital Revenue Code	278
Min. Negotiated Rate	$712.50
Max. Negotiated Rate	$1,149.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,149.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,045.00
Rate for Payer: Qualcare PPO/HMO/WC	$712.50

7MM ACIF TITANIUM CAGE

Facility

$10,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270705963
Hospital Revenue Code	278
Min. Negotiated Rate	$1,575.00
Max. Negotiated Rate	$2,541.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,541.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,310.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,575.00

7MM ACIF TITANIUM CAGE

Facility

$10,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270705963
Hospital Revenue Code	278
Min. Negotiated Rate	$253.05
Max. Negotiated Rate	$5,250.00
Rate for Payer: Aetna Commercial	$3,990.00
Rate for Payer: Aetna Medicare Advantage	$3,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,677.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,677.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,677.50
Rate for Payer: Cigna Commercial	$5,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,541.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,310.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,575.00
Rate for Payer: UnitedHealthcare Community & State	$253.05
Rate for Payer: Wellpoint Medicaid Managed Care	$278.25

7MM FIXATION PLATE, 2-HOLES

Facility

$9,450.00

Service Code	HCPCS C1713
Hospital Charge Code	270705964
Hospital Revenue Code	278
Min. Negotiated Rate	$1,417.50
Max. Negotiated Rate	$2,286.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,890.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,286.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,079.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,417.50

7MM FIXATION PLATE, 2-HOLES

Facility

$9,450.00

Service Code	HCPCS C1713
Hospital Charge Code	270705964
Hospital Revenue Code	278
Min. Negotiated Rate	$227.75
Max. Negotiated Rate	$4,725.00
Rate for Payer: Aetna Commercial	$3,591.00
Rate for Payer: Aetna Medicare Advantage	$2,835.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,409.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,409.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,890.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,409.75
Rate for Payer: Cigna Commercial	$4,725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,286.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,079.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,417.50
Rate for Payer: UnitedHealthcare Community & State	$227.75
Rate for Payer: Wellpoint Medicaid Managed Care	$250.43

7mm FULLY PERFORATED FLAT DRIV

Facility

$66.23

Hospital Charge Code	270655688
Hospital Revenue Code	271
Min. Negotiated Rate	$1.60
Max. Negotiated Rate	$33.12
Rate for Payer: Aetna Commercial	$25.17
Rate for Payer: Aetna Medicare Advantage	$19.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.89
Rate for Payer: Cigna Commercial	$33.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.87
Rate for Payer: Oxford Commercial	$13.25
Rate for Payer: Qualcare PPO/HMO/WC	$9.93
Rate for Payer: UnitedHealthcare Commercial	$13.25
Rate for Payer: UnitedHealthcare Community & State	$1.60
Rate for Payer: Wellpoint Medicaid Managed Care	$1.76

7mm FULLY PERFORATED FLAT DRIV

Facility

$66.23

Hospital Charge Code	270655688
Hospital Revenue Code	271
Min. Negotiated Rate	$9.93
Max. Negotiated Rate	$9.93
Rate for Payer: Qualcare PPO/HMO/WC	$9.93

7MM SMALL SPIRA C

Facility

$8,750.00

Service Code	HCPCS C1889
Hospital Charge Code	270703917
Hospital Revenue Code	278
Min. Negotiated Rate	$1,312.50
Max. Negotiated Rate	$2,117.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,117.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,925.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,312.50

7MM SMALL SPIRA C

Facility

$8,750.00

Service Code	HCPCS C1889
Hospital Charge Code	270703917
Hospital Revenue Code	278
Min. Negotiated Rate	$210.88
Max. Negotiated Rate	$4,375.00
Rate for Payer: Aetna Commercial	$3,325.00
Rate for Payer: Aetna Medicare Advantage	$2,625.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,231.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,231.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,231.25
Rate for Payer: Cigna Commercial	$4,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,117.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,925.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,312.50
Rate for Payer: UnitedHealthcare Community & State	$210.88
Rate for Payer: Wellpoint Medicaid Managed Care	$231.88

7MM TI MULTILOC HUMERAL NAIL 7

Facility

$17,873.75

Service Code	HCPCS C1713
Hospital Charge Code	270705547
Hospital Revenue Code	278
Min. Negotiated Rate	$430.76
Max. Negotiated Rate	$8,936.88
Rate for Payer: Aetna Commercial	$6,792.02
Rate for Payer: Aetna Medicare Advantage	$5,362.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,557.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,557.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,574.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,557.81
Rate for Payer: Cigna Commercial	$8,936.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,325.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,932.22
Rate for Payer: Qualcare PPO/HMO/WC	$2,681.06
Rate for Payer: UnitedHealthcare Community & State	$430.76
Rate for Payer: Wellpoint Medicaid Managed Care	$473.65

7MM TI MULTILOC HUMERAL NAIL 7

Facility

$17,873.75

Service Code	HCPCS C1713
Hospital Charge Code	270705547
Hospital Revenue Code	278
Min. Negotiated Rate	$2,681.06
Max. Negotiated Rate	$4,325.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,574.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,325.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,932.22
Rate for Payer: Qualcare PPO/HMO/WC	$2,681.06

7MM TTNIUM CANLTD PRXML NLS150

Facility

$11,429.95

Hospital Charge Code	270662650
Hospital Revenue Code	278
Min. Negotiated Rate	$1,714.49
Max. Negotiated Rate	$2,766.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,285.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,766.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,514.59
Rate for Payer: Qualcare PPO/HMO/WC	$1,714.49

7MM TTNIUM CANLTD PRXML NLS150

Facility

$11,429.95

Hospital Charge Code	270662650
Hospital Revenue Code	278
Min. Negotiated Rate	$275.46
Max. Negotiated Rate	$5,714.98
Rate for Payer: Aetna Commercial	$4,343.38
Rate for Payer: Aetna Medicare Advantage	$3,428.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,914.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,914.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,285.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,914.64
Rate for Payer: Cigna Commercial	$5,714.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,766.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,514.59
Rate for Payer: Qualcare PPO/HMO/WC	$1,714.49
Rate for Payer: UnitedHealthcare Community & State	$275.46
Rate for Payer: Wellpoint Medicaid Managed Care	$302.89

7 X 12 PROSTOP

Facility

$6,075.00

Hospital Charge Code	270656480
Hospital Revenue Code	272
Min. Negotiated Rate	$146.41
Max. Negotiated Rate	$3,037.50
Rate for Payer: Aetna Commercial	$2,308.50
Rate for Payer: Aetna Medicare Advantage	$1,822.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,549.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,549.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,549.12
Rate for Payer: Cigna Commercial	$3,037.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,822.50
Rate for Payer: Oxford Commercial	$1,215.00
Rate for Payer: Qualcare PPO/HMO/WC	$911.25
Rate for Payer: UnitedHealthcare Commercial	$1,215.00
Rate for Payer: UnitedHealthcare Community & State	$146.41
Rate for Payer: Wellpoint Medicaid Managed Care	$160.99

7 X 12 PROSTOP

Facility

$6,075.00

Hospital Charge Code	270656480
Hospital Revenue Code	272
Min. Negotiated Rate	$911.25
Max. Negotiated Rate	$911.25
Rate for Payer: Qualcare PPO/HMO/WC	$911.25

7X80MM HEADLESS SCREW

Facility

$3,450.00

Service Code	HCPCS C1713
Hospital Charge Code	270704191
Hospital Revenue Code	278
Min. Negotiated Rate	$517.50
Max. Negotiated Rate	$834.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$690.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$834.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$759.00
Rate for Payer: Qualcare PPO/HMO/WC	$517.50

7X80MM HEADLESS SCREW

Facility

$3,450.00

Service Code	HCPCS C1713
Hospital Charge Code	270704191
Hospital Revenue Code	278
Min. Negotiated Rate	$83.14
Max. Negotiated Rate	$1,725.00
Rate for Payer: Aetna Commercial	$1,311.00
Rate for Payer: Aetna Medicare Advantage	$1,035.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$879.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$879.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$690.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$879.75
Rate for Payer: Cigna Commercial	$1,725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$834.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$759.00
Rate for Payer: Qualcare PPO/HMO/WC	$517.50
Rate for Payer: UnitedHealthcare Community & State	$83.14
Rate for Payer: Wellpoint Medicaid Managed Care	$91.42

7X90MM HEADLESS SCREW

Facility

$3,450.00

Service Code	HCPCS C1713
Hospital Charge Code	270704192
Hospital Revenue Code	278
Min. Negotiated Rate	$83.14
Max. Negotiated Rate	$1,725.00
Rate for Payer: Aetna Commercial	$1,311.00
Rate for Payer: Aetna Medicare Advantage	$1,035.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$879.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$879.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$690.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$879.75
Rate for Payer: Cigna Commercial	$1,725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$834.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$759.00
Rate for Payer: Qualcare PPO/HMO/WC	$517.50
Rate for Payer: UnitedHealthcare Community & State	$83.14
Rate for Payer: Wellpoint Medicaid Managed Care	$91.42

7X90MM HEADLESS SCREW

Facility

$3,450.00

Service Code	HCPCS C1713
Hospital Charge Code	270704192
Hospital Revenue Code	278
Min. Negotiated Rate	$517.50
Max. Negotiated Rate	$834.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$690.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$834.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$759.00
Rate for Payer: Qualcare PPO/HMO/WC	$517.50

80 - 7.3 CANN.SAW

Facility

$1,203.00

Hospital Charge Code	270656668
Hospital Revenue Code	272
Min. Negotiated Rate	$28.99
Max. Negotiated Rate	$601.50
Rate for Payer: Aetna Commercial	$457.14
Rate for Payer: Aetna Medicare Advantage	$360.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$306.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$306.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$306.76
Rate for Payer: Cigna Commercial	$601.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$360.90
Rate for Payer: Oxford Commercial	$240.60
Rate for Payer: Qualcare PPO/HMO/WC	$180.45
Rate for Payer: UnitedHealthcare Commercial	$240.60
Rate for Payer: UnitedHealthcare Community & State	$28.99
Rate for Payer: Wellpoint Medicaid Managed Care	$31.88

80 - 7.3 CANN.SAW

Facility

$1,203.00

Hospital Charge Code	270656668
Hospital Revenue Code	272
Min. Negotiated Rate	$180.45
Max. Negotiated Rate	$180.45
Rate for Payer: Qualcare PPO/HMO/WC	$180.45

8.0MM CARBON FIBER ROD 200MM

Facility

$719.30

Service Code	HCPCS C1713
Hospital Charge Code	270632239
Hospital Revenue Code	278
Min. Negotiated Rate	$107.89
Max. Negotiated Rate	$174.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$143.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$158.25
Rate for Payer: Qualcare PPO/HMO/WC	$107.89

8.0MM CARBON FIBER ROD 200MM

Facility

$719.30

Service Code	HCPCS C1713
Hospital Charge Code	270632239
Hospital Revenue Code	278
Min. Negotiated Rate	$17.34
Max. Negotiated Rate	$359.65
Rate for Payer: Aetna Commercial	$273.33
Rate for Payer: Aetna Medicare Advantage	$215.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$183.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$183.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$143.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$183.42
Rate for Payer: Cigna Commercial	$359.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$158.25
Rate for Payer: Qualcare PPO/HMO/WC	$107.89
Rate for Payer: UnitedHealthcare Community & State	$17.34
Rate for Payer: Wellpoint Medicaid Managed Care	$19.06

Know your out-of-pocket cost for care.

All Charges