Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

ANCEF/500MG

Facility

$9.00

Hospital Charge Code	60632465
Hospital Revenue Code	250
Min. Negotiated Rate	$0.22
Max. Negotiated Rate	$4.50
Rate for Payer: Aetna Commercial	$3.42
Rate for Payer: Aetna Medicare Advantage	$2.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.29
Rate for Payer: Cigna Commercial	$4.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.70
Rate for Payer: Oxford Commercial	$1.80
Rate for Payer: Qualcare PPO/HMO/WC	$1.35
Rate for Payer: UnitedHealthcare Commercial	$1.80
Rate for Payer: UnitedHealthcare Community & State	$0.22
Rate for Payer: Wellpoint Medicaid Managed Care	$0.24

ANCEF 500MG/50ML

Facility

$27.00

Hospital Charge Code	60635022
Hospital Revenue Code	250
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$13.50
Rate for Payer: Aetna Commercial	$10.26
Rate for Payer: Aetna Medicare Advantage	$8.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.88
Rate for Payer: Cigna Commercial	$13.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.10
Rate for Payer: Oxford Commercial	$5.40
Rate for Payer: Qualcare PPO/HMO/WC	$4.05
Rate for Payer: UnitedHealthcare Commercial	$5.40
Rate for Payer: UnitedHealthcare Community & State	$0.65
Rate for Payer: Wellpoint Medicaid Managed Care	$0.72

ANCEF 500MG/50ML

Facility

$27.00

Hospital Charge Code	60635022
Hospital Revenue Code	250
Min. Negotiated Rate	$4.05
Max. Negotiated Rate	$4.05
Rate for Payer: Qualcare PPO/HMO/WC	$4.05

ANCHOR 2 MM ALL SUTRE

Facility

$2,323.75

Service Code	HCPCS C1713
Hospital Charge Code	270701369
Hospital Revenue Code	278
Min. Negotiated Rate	$348.56
Max. Negotiated Rate	$562.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$464.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$562.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$511.23
Rate for Payer: Qualcare PPO/HMO/WC	$348.56

ANCHOR 2 MM ALL SUTRE

Facility

$2,323.75

Service Code	HCPCS C1713
Hospital Charge Code	270701369
Hospital Revenue Code	278
Min. Negotiated Rate	$56.00
Max. Negotiated Rate	$1,161.88
Rate for Payer: Aetna Commercial	$883.02
Rate for Payer: Aetna Medicare Advantage	$697.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$592.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$592.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$464.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$592.56
Rate for Payer: Cigna Commercial	$1,161.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$562.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$511.23
Rate for Payer: Qualcare PPO/HMO/WC	$348.56
Rate for Payer: UnitedHealthcare Community & State	$56.00
Rate for Payer: Wellpoint Medicaid Managed Care	$61.58

ANCHOR 4.5 MM KNOTLESS

Facility

$1,928.75

Service Code	HCPCS C1713
Hospital Charge Code	270701371
Hospital Revenue Code	278
Min. Negotiated Rate	$289.31
Max. Negotiated Rate	$466.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$385.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$466.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$424.32
Rate for Payer: Qualcare PPO/HMO/WC	$289.31

ANCHOR 4.5 MM KNOTLESS

Facility

$1,928.75

Service Code	HCPCS C1713
Hospital Charge Code	270701371
Hospital Revenue Code	278
Min. Negotiated Rate	$46.48
Max. Negotiated Rate	$964.38
Rate for Payer: Aetna Commercial	$732.92
Rate for Payer: Aetna Medicare Advantage	$578.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$491.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$491.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$385.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$491.83
Rate for Payer: Cigna Commercial	$964.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$466.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$424.32
Rate for Payer: Qualcare PPO/HMO/WC	$289.31
Rate for Payer: UnitedHealthcare Community & State	$46.48
Rate for Payer: Wellpoint Medicaid Managed Care	$51.11

ANCHOR 4.5 MM KNOTLESS KIT

Facility

$2,323.75

Service Code	HCPCS C1713
Hospital Charge Code	270701370
Hospital Revenue Code	278
Min. Negotiated Rate	$56.00
Max. Negotiated Rate	$1,161.88
Rate for Payer: Aetna Commercial	$883.02
Rate for Payer: Aetna Medicare Advantage	$697.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$592.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$592.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$464.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$592.56
Rate for Payer: Cigna Commercial	$1,161.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$562.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$511.23
Rate for Payer: Qualcare PPO/HMO/WC	$348.56
Rate for Payer: UnitedHealthcare Community & State	$56.00
Rate for Payer: Wellpoint Medicaid Managed Care	$61.58

ANCHOR 4.5 MM KNOTLESS KIT

Facility

$2,323.75

Service Code	HCPCS C1713
Hospital Charge Code	270701370
Hospital Revenue Code	278
Min. Negotiated Rate	$348.56
Max. Negotiated Rate	$562.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$464.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$562.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$511.23
Rate for Payer: Qualcare PPO/HMO/WC	$348.56

ANCHOR 5.5 HEALIX PEEK

Facility

$2,220.00

Hospital Charge Code	270667452
Hospital Revenue Code	278
Min. Negotiated Rate	$333.00
Max. Negotiated Rate	$537.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$444.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$537.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$488.40
Rate for Payer: Qualcare PPO/HMO/WC	$333.00

ANCHOR 5.5 HEALIX PEEK

Facility

$2,220.00

Hospital Charge Code	270667452
Hospital Revenue Code	278
Min. Negotiated Rate	$53.50
Max. Negotiated Rate	$1,110.00
Rate for Payer: Aetna Commercial	$843.60
Rate for Payer: Aetna Medicare Advantage	$666.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$566.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$566.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$444.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$566.10
Rate for Payer: Cigna Commercial	$1,110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$537.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$488.40
Rate for Payer: Qualcare PPO/HMO/WC	$333.00
Rate for Payer: UnitedHealthcare Community & State	$53.50
Rate for Payer: Wellpoint Medicaid Managed Care	$58.83

ANCHOR 5.5 MM SWIVELOCK

Facility

$1,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270684036
Hospital Revenue Code	278
Min. Negotiated Rate	$45.19
Max. Negotiated Rate	$937.50
Rate for Payer: Aetna Commercial	$712.50
Rate for Payer: Aetna Medicare Advantage	$562.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$478.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$478.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$478.12
Rate for Payer: Cigna Commercial	$937.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$453.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$412.50
Rate for Payer: Qualcare PPO/HMO/WC	$281.25
Rate for Payer: UnitedHealthcare Community & State	$45.19
Rate for Payer: Wellpoint Medicaid Managed Care	$49.69

ANCHOR 5.5 MM SWIVELOCK

Facility

$1,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270684036
Hospital Revenue Code	278
Min. Negotiated Rate	$281.25
Max. Negotiated Rate	$453.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$453.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$412.50
Rate for Payer: Qualcare PPO/HMO/WC	$281.25

ANCHOR 5.5 TIT W/NE 3910400055

Facility

$1,365.00

Hospital Charge Code	270643475
Hospital Revenue Code	278
Min. Negotiated Rate	$204.75
Max. Negotiated Rate	$330.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$273.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$330.33
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$300.30
Rate for Payer: Qualcare PPO/HMO/WC	$204.75

ANCHOR 5.5 TIT W/NE 3910400055

Facility

$1,365.00

Hospital Charge Code	270643475
Hospital Revenue Code	278
Min. Negotiated Rate	$32.90
Max. Negotiated Rate	$682.50
Rate for Payer: Aetna Commercial	$518.70
Rate for Payer: Aetna Medicare Advantage	$409.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$348.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$348.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$273.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$348.07
Rate for Payer: Cigna Commercial	$682.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$330.33
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$300.30
Rate for Payer: Qualcare PPO/HMO/WC	$204.75
Rate for Payer: UnitedHealthcare Community & State	$32.90
Rate for Payer: Wellpoint Medicaid Managed Care	$36.17

ANCHOR 6.5 W/ORTHOCORD

Facility

$2,030.00

Service Code	HCPCS C1713
Hospital Charge Code	270688487
Hospital Revenue Code	278
Min. Negotiated Rate	$48.92
Max. Negotiated Rate	$1,015.00
Rate for Payer: Aetna Commercial	$771.40
Rate for Payer: Aetna Medicare Advantage	$609.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$517.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$517.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$406.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$517.65
Rate for Payer: Cigna Commercial	$1,015.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$491.26
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$446.60
Rate for Payer: Qualcare PPO/HMO/WC	$304.50
Rate for Payer: UnitedHealthcare Community & State	$48.92
Rate for Payer: Wellpoint Medicaid Managed Care	$53.80

ANCHOR 6.5 W/ORTHOCORD

Facility

$2,030.00

Service Code	HCPCS C1713
Hospital Charge Code	270688487
Hospital Revenue Code	278
Min. Negotiated Rate	$304.50
Max. Negotiated Rate	$491.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$406.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$491.26
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$446.60
Rate for Payer: Qualcare PPO/HMO/WC	$304.50

ANCHOR ADVANCE HEALIX

Facility

$2,425.00

Hospital Charge Code	270659928
Hospital Revenue Code	278
Min. Negotiated Rate	$363.75
Max. Negotiated Rate	$586.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$485.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$586.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$533.50
Rate for Payer: Qualcare PPO/HMO/WC	$363.75

ANCHOR ADVANCE HEALIX

Facility

$2,425.00

Hospital Charge Code	270659928
Hospital Revenue Code	278
Min. Negotiated Rate	$58.44
Max. Negotiated Rate	$1,212.50
Rate for Payer: Aetna Commercial	$921.50
Rate for Payer: Aetna Medicare Advantage	$727.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$618.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$618.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$485.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$618.38
Rate for Payer: Cigna Commercial	$1,212.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$586.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$533.50
Rate for Payer: Qualcare PPO/HMO/WC	$363.75
Rate for Payer: UnitedHealthcare Community & State	$58.44
Rate for Payer: Wellpoint Medicaid Managed Care	$64.26

ANCHOR AIR+MENISCAL SYST CRVD

Facility

$2,446.25

Service Code	HCPCS C1713
Hospital Charge Code	270700415
Hospital Revenue Code	278
Min. Negotiated Rate	$366.94
Max. Negotiated Rate	$591.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$489.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$591.99
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$538.17
Rate for Payer: Qualcare PPO/HMO/WC	$366.94

ANCHOR AIR+MENISCAL SYST CRVD

Facility

$2,446.25

Service Code	HCPCS C1713
Hospital Charge Code	270700415
Hospital Revenue Code	278
Min. Negotiated Rate	$58.95
Max. Negotiated Rate	$1,223.12
Rate for Payer: Aetna Commercial	$929.58
Rate for Payer: Aetna Medicare Advantage	$733.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$623.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$623.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$489.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$623.79
Rate for Payer: Cigna Commercial	$1,223.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$591.99
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$538.17
Rate for Payer: Qualcare PPO/HMO/WC	$366.94
Rate for Payer: UnitedHealthcare Community & State	$58.95
Rate for Payer: Wellpoint Medicaid Managed Care	$64.83

ANCHOR ALPHAVENT 4.75 MM BIOCO

Facility

$3,000.00

Hospital Charge Code	270701806
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

ANCHOR ALPHAVENT 4.75 MM BIOCO

Facility

$3,000.00

Hospital Charge Code	270701806
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

ANCHOR ALPHAVENT 4.75 MM PEEK

Facility

$3,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270701804
Hospital Revenue Code	278
Min. Negotiated Rate	$78.33
Max. Negotiated Rate	$1,625.00
Rate for Payer: Aetna Commercial	$1,235.00
Rate for Payer: Aetna Medicare Advantage	$975.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$828.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$828.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$828.75
Rate for Payer: Cigna Commercial	$1,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$786.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$715.00
Rate for Payer: Qualcare PPO/HMO/WC	$487.50
Rate for Payer: UnitedHealthcare Community & State	$78.33
Rate for Payer: Wellpoint Medicaid Managed Care	$86.12

ANCHOR ALPHAVENT 4.75 MM PEEK

Facility

$3,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270701804
Hospital Revenue Code	278
Min. Negotiated Rate	$487.50
Max. Negotiated Rate	$786.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$786.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$715.00
Rate for Payer: Qualcare PPO/HMO/WC	$487.50

Know your out-of-pocket cost for care.

All Charges