Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

1.25 WIRE

Facility

$356.50

Hospital Charge Code	270683435
Hospital Revenue Code	272
Min. Negotiated Rate	$8.59
Max. Negotiated Rate	$178.25
Rate for Payer: Aetna Commercial	$135.47
Rate for Payer: Aetna Medicare Advantage	$106.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$90.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$90.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$90.91
Rate for Payer: Cigna Commercial	$178.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$106.95
Rate for Payer: Oxford Commercial	$71.30
Rate for Payer: Qualcare PPO/HMO/WC	$53.48
Rate for Payer: UnitedHealthcare Commercial	$71.30
Rate for Payer: UnitedHealthcare Community & State	$8.59
Rate for Payer: Wellpoint Medicaid Managed Care	$9.45

1.25 WIRE

Facility

$6,395.00

Hospital Charge Code	270700450
Hospital Revenue Code	272
Min. Negotiated Rate	$154.12
Max. Negotiated Rate	$3,197.50
Rate for Payer: Aetna Commercial	$2,430.10
Rate for Payer: Aetna Medicare Advantage	$1,918.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,630.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,630.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,630.72
Rate for Payer: Cigna Commercial	$3,197.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,918.50
Rate for Payer: Oxford Commercial	$1,279.00
Rate for Payer: Qualcare PPO/HMO/WC	$959.25
Rate for Payer: UnitedHealthcare Commercial	$1,279.00
Rate for Payer: UnitedHealthcare Community & State	$154.12
Rate for Payer: Wellpoint Medicaid Managed Care	$169.47

12 CM CIRCLE

Facility

$2,970.00

Service Code	HCPCS C1781
Hospital Charge Code	270684329
Hospital Revenue Code	278
Min. Negotiated Rate	$71.58
Max. Negotiated Rate	$1,485.00
Rate for Payer: Aetna Commercial	$1,128.60
Rate for Payer: Aetna Medicare Advantage	$891.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$757.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$757.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$594.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$757.35
Rate for Payer: Cigna Commercial	$1,485.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$718.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$653.40
Rate for Payer: Qualcare PPO/HMO/WC	$445.50
Rate for Payer: UnitedHealthcare Community & State	$71.58
Rate for Payer: Wellpoint Medicaid Managed Care	$78.70

12 CM CIRCLE

Facility

$2,970.00

Service Code	HCPCS C1781
Hospital Charge Code	270684329
Hospital Revenue Code	278
Min. Negotiated Rate	$445.50
Max. Negotiated Rate	$718.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$594.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$718.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$653.40
Rate for Payer: Qualcare PPO/HMO/WC	$445.50

12 CM X 15 CM OVAL

Facility

$4,705.00

Service Code	HCPCS C1781
Hospital Charge Code	270684333
Hospital Revenue Code	278
Min. Negotiated Rate	$705.75
Max. Negotiated Rate	$1,138.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$941.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,138.61
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,035.10
Rate for Payer: Qualcare PPO/HMO/WC	$705.75

12 CM X 15 CM OVAL

Facility

$4,705.00

Service Code	HCPCS C1781
Hospital Charge Code	270684333
Hospital Revenue Code	278
Min. Negotiated Rate	$113.39
Max. Negotiated Rate	$2,352.50
Rate for Payer: Aetna Commercial	$1,787.90
Rate for Payer: Aetna Medicare Advantage	$1,411.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,199.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,199.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$941.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,199.78
Rate for Payer: Cigna Commercial	$2,352.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,138.61
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,035.10
Rate for Payer: Qualcare PPO/HMO/WC	$705.75
Rate for Payer: UnitedHealthcare Community & State	$113.39
Rate for Payer: Wellpoint Medicaid Managed Care	$124.68

12 MM ALIGNMENT TARGET

Facility

$2,500.00

Hospital Charge Code	270664007
Hospital Revenue Code	270
Min. Negotiated Rate	$375.00
Max. Negotiated Rate	$375.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00

12 MM ALIGNMENT TARGET

Facility

$2,500.00

Hospital Charge Code	270664007
Hospital Revenue Code	270
Min. Negotiated Rate	$60.25
Max. Negotiated Rate	$1,250.00
Rate for Payer: Aetna Commercial	$950.00
Rate for Payer: Aetna Medicare Advantage	$750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$637.50
Rate for Payer: Cigna Commercial	$1,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$750.00
Rate for Payer: Oxford Commercial	$500.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00
Rate for Payer: UnitedHealthcare Commercial	$500.00
Rate for Payer: UnitedHealthcare Community & State	$60.25
Rate for Payer: Wellpoint Medicaid Managed Care	$66.25

12MM DRILL BIT

Facility

$986.85

Hospital Charge Code	270688891
Hospital Revenue Code	272
Min. Negotiated Rate	$148.03
Max. Negotiated Rate	$148.03
Rate for Payer: Qualcare PPO/HMO/WC	$148.03

12MM DRILL BIT

Facility

$986.85

Hospital Charge Code	270688891
Hospital Revenue Code	272
Min. Negotiated Rate	$23.78
Max. Negotiated Rate	$493.43
Rate for Payer: Aetna Commercial	$375.00
Rate for Payer: Aetna Medicare Advantage	$296.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$251.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$251.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$251.65
Rate for Payer: Cigna Commercial	$493.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$296.06
Rate for Payer: Oxford Commercial	$197.37
Rate for Payer: Qualcare PPO/HMO/WC	$148.03
Rate for Payer: UnitedHealthcare Commercial	$197.37
Rate for Payer: UnitedHealthcare Community & State	$23.78
Rate for Payer: Wellpoint Medicaid Managed Care	$26.15

12MM SELF DRILLING RESCUE SCRW

Facility

$382.50

Service Code	HCPCS C1713
Hospital Charge Code	270704092
Hospital Revenue Code	278
Min. Negotiated Rate	$57.38
Max. Negotiated Rate	$92.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$76.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$84.15
Rate for Payer: Qualcare PPO/HMO/WC	$57.38

12MM SELF DRILLING RESCUE SCRW

Facility

$382.50

Service Code	HCPCS C1713
Hospital Charge Code	270704092
Hospital Revenue Code	278
Min. Negotiated Rate	$9.22
Max. Negotiated Rate	$191.25
Rate for Payer: Aetna Commercial	$145.35
Rate for Payer: Aetna Medicare Advantage	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.54
Rate for Payer: Cigna Commercial	$191.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$84.15
Rate for Payer: Qualcare PPO/HMO/WC	$57.38
Rate for Payer: UnitedHealthcare Community & State	$9.22
Rate for Payer: Wellpoint Medicaid Managed Care	$10.14

12MMX100MM STEM EXTENSION

Facility

$5,245.85

Hospital Charge Code	27065684
Hospital Revenue Code	278
Min. Negotiated Rate	$786.88
Max. Negotiated Rate	$1,269.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,049.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,269.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,154.09
Rate for Payer: Qualcare PPO/HMO/WC	$786.88

12MMX100MM STEM EXTENSION

Facility

$5,245.85

Hospital Charge Code	27065684
Hospital Revenue Code	278
Min. Negotiated Rate	$126.42
Max. Negotiated Rate	$2,622.93
Rate for Payer: Aetna Commercial	$1,993.42
Rate for Payer: Aetna Medicare Advantage	$1,573.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,337.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,337.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,049.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,337.69
Rate for Payer: Cigna Commercial	$2,622.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,269.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,154.09
Rate for Payer: Qualcare PPO/HMO/WC	$786.88
Rate for Payer: UnitedHealthcare Community & State	$126.42
Rate for Payer: Wellpoint Medicaid Managed Care	$139.02

12x12x7 Spaces Peek

Facility

$13,500.00

Hospital Charge Code	270662553
Hospital Revenue Code	278
Min. Negotiated Rate	$325.35
Max. Negotiated Rate	$6,750.00
Rate for Payer: Aetna Commercial	$5,130.00
Rate for Payer: Aetna Medicare Advantage	$4,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,700.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,442.50
Rate for Payer: Cigna Commercial	$6,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,267.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,970.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,025.00
Rate for Payer: UnitedHealthcare Community & State	$325.35
Rate for Payer: Wellpoint Medicaid Managed Care	$357.75

12x12x7 Spaces Peek

Facility

$13,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270662533
Hospital Revenue Code	278
Min. Negotiated Rate	$2,025.00
Max. Negotiated Rate	$3,267.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,267.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,970.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,025.00

12x12x7 Spaces Peek

Facility

$13,500.00

Hospital Charge Code	270662553
Hospital Revenue Code	278
Min. Negotiated Rate	$2,025.00
Max. Negotiated Rate	$3,267.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,267.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,970.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,025.00

12x12x7 Spaces Peek

Facility

$13,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270662533
Hospital Revenue Code	278
Min. Negotiated Rate	$325.35
Max. Negotiated Rate	$6,750.00
Rate for Payer: Aetna Commercial	$5,130.00
Rate for Payer: Aetna Medicare Advantage	$4,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,700.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,442.50
Rate for Payer: Cigna Commercial	$6,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,267.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,970.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,025.00
Rate for Payer: UnitedHealthcare Community & State	$325.35
Rate for Payer: Wellpoint Medicaid Managed Care	$357.75

12X18 ANKLE NAIL

Facility

$12,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270656612
Hospital Revenue Code	278
Min. Negotiated Rate	$295.23
Max. Negotiated Rate	$6,125.00
Rate for Payer: Aetna Commercial	$4,655.00
Rate for Payer: Aetna Medicare Advantage	$3,675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,123.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,123.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,123.75
Rate for Payer: Cigna Commercial	$6,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,964.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,695.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,837.50
Rate for Payer: UnitedHealthcare Community & State	$295.23
Rate for Payer: Wellpoint Medicaid Managed Care	$324.62

12X18 ANKLE NAIL

Facility

$12,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270656612
Hospital Revenue Code	278
Min. Negotiated Rate	$1,837.50
Max. Negotiated Rate	$2,964.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,964.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,695.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,837.50

12x24 TRAYMAT LINER PLOYPROLEN

Facility

$3.45

Hospital Charge Code	270665052
Hospital Revenue Code	272
Min. Negotiated Rate	$0.08
Max. Negotiated Rate	$1.73
Rate for Payer: Aetna Commercial	$1.31
Rate for Payer: Aetna Medicare Advantage	$1.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.88
Rate for Payer: Cigna Commercial	$1.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.03
Rate for Payer: Oxford Commercial	$0.69
Rate for Payer: Qualcare PPO/HMO/WC	$0.52
Rate for Payer: UnitedHealthcare Commercial	$0.69
Rate for Payer: UnitedHealthcare Community & State	$0.08
Rate for Payer: Wellpoint Medicaid Managed Care	$0.09

12x24 TRAYMAT LINER PLOYPROLEN

Facility

$3.45

Hospital Charge Code	270665052
Hospital Revenue Code	272
Min. Negotiated Rate	$0.52
Max. Negotiated Rate	$0.52
Rate for Payer: Qualcare PPO/HMO/WC	$0.52

1.3 12 SCREW

Facility

$450.25

Hospital Charge Code	270656586
Hospital Revenue Code	278
Min. Negotiated Rate	$67.54
Max. Negotiated Rate	$108.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$99.06
Rate for Payer: Qualcare PPO/HMO/WC	$67.54

1.3 12 SCREW

Facility

$450.25

Hospital Charge Code	270656586
Hospital Revenue Code	278
Min. Negotiated Rate	$10.85
Max. Negotiated Rate	$225.12
Rate for Payer: Aetna Commercial	$171.09
Rate for Payer: Aetna Medicare Advantage	$135.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.81
Rate for Payer: Cigna Commercial	$225.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$99.06
Rate for Payer: Qualcare PPO/HMO/WC	$67.54
Rate for Payer: UnitedHealthcare Community & State	$10.85
Rate for Payer: Wellpoint Medicaid Managed Care	$11.93

132 CEMENTED HIP STEM

Facility

$22,305.00

Hospital Charge Code	270656398
Hospital Revenue Code	278
Min. Negotiated Rate	$3,345.75
Max. Negotiated Rate	$5,397.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,461.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,397.81
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,907.10
Rate for Payer: Qualcare PPO/HMO/WC	$3,345.75

Know your out-of-pocket cost for care.

All Charges