Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

ANCHOR CRKSCW 5MM TTNM AR1920S

Facility

$1,268.00

Hospital Charge Code	270611972
Hospital Revenue Code	278
Min. Negotiated Rate	$30.56
Max. Negotiated Rate	$634.00
Rate for Payer: Aetna Commercial	$481.84
Rate for Payer: Aetna Medicare Advantage	$380.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$323.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$323.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$253.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$323.34
Rate for Payer: Cigna Commercial	$634.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$306.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$278.96
Rate for Payer: Qualcare PPO/HMO/WC	$190.20
Rate for Payer: UnitedHealthcare Community & State	$30.56
Rate for Payer: Wellpoint Medicaid Managed Care	$33.60

ANCHOR DRILL GUIDE GRAFT

Facility

$14,375.00

Hospital Charge Code	270691003
Hospital Revenue Code	272
Min. Negotiated Rate	$2,156.25
Max. Negotiated Rate	$2,156.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,156.25

ANCHOR DRILL GUIDE GRAFT

Facility

$14,375.00

Hospital Charge Code	270691003
Hospital Revenue Code	272
Min. Negotiated Rate	$346.44
Max. Negotiated Rate	$7,187.50
Rate for Payer: Aetna Commercial	$5,462.50
Rate for Payer: Aetna Medicare Advantage	$4,312.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,665.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,665.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,665.62
Rate for Payer: Cigna Commercial	$7,187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,312.50
Rate for Payer: Oxford Commercial	$2,875.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,156.25
Rate for Payer: UnitedHealthcare Commercial	$2,875.00
Rate for Payer: UnitedHealthcare Community & State	$346.44
Rate for Payer: Wellpoint Medicaid Managed Care	$380.94

ANCHOR FAST

Facility

$41.93

Hospital Charge Code	270648592
Hospital Revenue Code	270
Min. Negotiated Rate	$1.01
Max. Negotiated Rate	$20.96
Rate for Payer: Aetna Commercial	$15.93
Rate for Payer: Aetna Medicare Advantage	$12.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.69
Rate for Payer: Cigna Commercial	$20.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.58
Rate for Payer: Oxford Commercial	$8.39
Rate for Payer: Qualcare PPO/HMO/WC	$6.29
Rate for Payer: UnitedHealthcare Commercial	$8.39
Rate for Payer: UnitedHealthcare Community & State	$1.01
Rate for Payer: Wellpoint Medicaid Managed Care	$1.11

ANCHOR FAST

Facility

$41.93

Hospital Charge Code	270648592
Hospital Revenue Code	270
Min. Negotiated Rate	$6.29
Max. Negotiated Rate	$6.29
Rate for Payer: Qualcare PPO/HMO/WC	$6.29

ANCHOR FIBERLINK

Facility

$275.00

Service Code	HCPCS C1713
Hospital Charge Code	270663965
Hospital Revenue Code	278
Min. Negotiated Rate	$41.25
Max. Negotiated Rate	$66.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$60.50
Rate for Payer: Qualcare PPO/HMO/WC	$41.25

ANCHOR FIBERLINK

Facility

$275.00

Service Code	HCPCS C1713
Hospital Charge Code	270663965
Hospital Revenue Code	278
Min. Negotiated Rate	$6.63
Max. Negotiated Rate	$137.50
Rate for Payer: Aetna Commercial	$104.50
Rate for Payer: Aetna Medicare Advantage	$82.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.12
Rate for Payer: Cigna Commercial	$137.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$60.50
Rate for Payer: Qualcare PPO/HMO/WC	$41.25
Rate for Payer: UnitedHealthcare Community & State	$6.63
Rate for Payer: Wellpoint Medicaid Managed Care	$7.29

ANCHOR FIBERLOCK SUSPENSN SYS

Facility

$8,641.75

Service Code	HCPCS C1713
Hospital Charge Code	270698426
Hospital Revenue Code	278
Min. Negotiated Rate	$1,296.26
Max. Negotiated Rate	$2,091.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,728.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,091.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,901.18
Rate for Payer: Qualcare PPO/HMO/WC	$1,296.26

ANCHOR FIBERLOCK SUSPENSN SYS

Facility

$8,641.75

Service Code	HCPCS C1713
Hospital Charge Code	270698426
Hospital Revenue Code	278
Min. Negotiated Rate	$208.27
Max. Negotiated Rate	$4,320.88
Rate for Payer: Aetna Commercial	$3,283.86
Rate for Payer: Aetna Medicare Advantage	$2,592.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,203.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,203.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,728.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,203.65
Rate for Payer: Cigna Commercial	$4,320.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,091.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,901.18
Rate for Payer: Qualcare PPO/HMO/WC	$1,296.26
Rate for Payer: UnitedHealthcare Community & State	$208.27
Rate for Payer: Wellpoint Medicaid Managed Care	$229.01

ANCHOR GBA SUTURE 6.5 AR-1925S

Facility

$1,268.00

Hospital Charge Code	270612918
Hospital Revenue Code	278
Min. Negotiated Rate	$190.20
Max. Negotiated Rate	$306.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$253.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$306.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$278.96
Rate for Payer: Qualcare PPO/HMO/WC	$190.20

ANCHOR GBA SUTURE 6.5 AR-1925S

Facility

$1,268.00

Hospital Charge Code	270612918
Hospital Revenue Code	278
Min. Negotiated Rate	$30.56
Max. Negotiated Rate	$634.00
Rate for Payer: Aetna Commercial	$481.84
Rate for Payer: Aetna Medicare Advantage	$380.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$323.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$323.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$253.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$323.34
Rate for Payer: Cigna Commercial	$634.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$306.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$278.96
Rate for Payer: Qualcare PPO/HMO/WC	$190.20
Rate for Payer: UnitedHealthcare Community & State	$30.56
Rate for Payer: Wellpoint Medicaid Managed Care	$33.60

ANCHOR GII PLUS W/DUAL

Facility

$2,205.00

Hospital Charge Code	270666930
Hospital Revenue Code	278
Min. Negotiated Rate	$330.75
Max. Negotiated Rate	$533.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$441.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$533.61
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$485.10
Rate for Payer: Qualcare PPO/HMO/WC	$330.75

ANCHOR GII PLUS W/DUAL

Facility

$2,205.00

Hospital Charge Code	270666930
Hospital Revenue Code	278
Min. Negotiated Rate	$53.14
Max. Negotiated Rate	$1,102.50
Rate for Payer: Aetna Commercial	$837.90
Rate for Payer: Aetna Medicare Advantage	$661.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$562.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$562.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$441.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$562.27
Rate for Payer: Cigna Commercial	$1,102.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$533.61
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$485.10
Rate for Payer: Qualcare PPO/HMO/WC	$330.75
Rate for Payer: UnitedHealthcare Community & State	$53.14
Rate for Payer: Wellpoint Medicaid Managed Care	$58.43

ANCHOR GRAVITY SUTURE

Facility

$2,020.00

Hospital Charge Code	270684835
Hospital Revenue Code	272
Min. Negotiated Rate	$48.68
Max. Negotiated Rate	$1,010.00
Rate for Payer: Aetna Commercial	$767.60
Rate for Payer: Aetna Medicare Advantage	$606.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$515.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$515.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$515.10
Rate for Payer: Cigna Commercial	$1,010.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$606.00
Rate for Payer: Oxford Commercial	$404.00
Rate for Payer: Qualcare PPO/HMO/WC	$303.00
Rate for Payer: UnitedHealthcare Commercial	$404.00
Rate for Payer: UnitedHealthcare Community & State	$48.68
Rate for Payer: Wellpoint Medicaid Managed Care	$53.53

ANCHOR GRAVITY SUTURE

Facility

$2,020.00

Hospital Charge Code	270684835
Hospital Revenue Code	272
Min. Negotiated Rate	$303.00
Max. Negotiated Rate	$303.00
Rate for Payer: Qualcare PPO/HMO/WC	$303.00

ANCHOR HEALICOIL RSB SA 4.75MM

Facility

$3,875.00

Hospital Charge Code	270682200
Hospital Revenue Code	272
Min. Negotiated Rate	$581.25
Max. Negotiated Rate	$581.25
Rate for Payer: Qualcare PPO/HMO/WC	$581.25

ANCHOR HEALICOIL RSB SA 4.75MM

Facility

$3,875.00

Hospital Charge Code	270682200
Hospital Revenue Code	272
Min. Negotiated Rate	$93.39
Max. Negotiated Rate	$1,937.50
Rate for Payer: Aetna Commercial	$1,472.50
Rate for Payer: Aetna Medicare Advantage	$1,162.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$988.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$988.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$988.12
Rate for Payer: Cigna Commercial	$1,937.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,162.50
Rate for Payer: Oxford Commercial	$775.00
Rate for Payer: Qualcare PPO/HMO/WC	$581.25
Rate for Payer: UnitedHealthcare Commercial	$775.00
Rate for Payer: UnitedHealthcare Community & State	$93.39
Rate for Payer: Wellpoint Medicaid Managed Care	$102.69

ANCHOR HEALIX AD

Facility

$2,565.00

Service Code	HCPCS C1713
Hospital Charge Code	270664474
Hospital Revenue Code	278
Min. Negotiated Rate	$61.82
Max. Negotiated Rate	$1,282.50
Rate for Payer: Aetna Commercial	$974.70
Rate for Payer: Aetna Medicare Advantage	$769.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$654.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$654.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$513.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$654.08
Rate for Payer: Cigna Commercial	$1,282.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$620.73
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$564.30
Rate for Payer: Qualcare PPO/HMO/WC	$384.75
Rate for Payer: UnitedHealthcare Community & State	$61.82
Rate for Payer: Wellpoint Medicaid Managed Care	$67.97

ANCHOR HEALIX AD

Facility

$2,565.00

Service Code	HCPCS C1713
Hospital Charge Code	270664474
Hospital Revenue Code	278
Min. Negotiated Rate	$384.75
Max. Negotiated Rate	$620.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$513.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$620.73
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$564.30
Rate for Payer: Qualcare PPO/HMO/WC	$384.75

ANCHOR HEALIX ADV KNTLSS 5.5

Facility

$2,565.00

Service Code	HCPCS C1713
Hospital Charge Code	270667453
Hospital Revenue Code	278
Min. Negotiated Rate	$61.82
Max. Negotiated Rate	$1,282.50
Rate for Payer: Aetna Commercial	$974.70
Rate for Payer: Aetna Medicare Advantage	$769.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$654.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$654.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$513.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$654.08
Rate for Payer: Cigna Commercial	$1,282.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$620.73
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$564.30
Rate for Payer: Qualcare PPO/HMO/WC	$384.75
Rate for Payer: UnitedHealthcare Community & State	$61.82
Rate for Payer: Wellpoint Medicaid Managed Care	$67.97

ANCHOR HEALIX ADV KNTLSS 5.5

Facility

$2,565.00

Service Code	HCPCS C1713
Hospital Charge Code	270667453
Hospital Revenue Code	278
Min. Negotiated Rate	$384.75
Max. Negotiated Rate	$620.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$513.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$620.73
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$564.30
Rate for Payer: Qualcare PPO/HMO/WC	$384.75

ANCHOR HEALIX BR ADVANCE 4.6

Facility

$2,230.00

Hospital Charge Code	270663290
Hospital Revenue Code	278
Min. Negotiated Rate	$334.50
Max. Negotiated Rate	$539.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$446.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$539.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$490.60
Rate for Payer: Qualcare PPO/HMO/WC	$334.50

ANCHOR HEALIX BR ADVANCE 4.6

Facility

$2,230.00

Hospital Charge Code	270663290
Hospital Revenue Code	278
Min. Negotiated Rate	$53.74
Max. Negotiated Rate	$1,115.00
Rate for Payer: Aetna Commercial	$847.40
Rate for Payer: Aetna Medicare Advantage	$669.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$568.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$568.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$446.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$568.65
Rate for Payer: Cigna Commercial	$1,115.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$539.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$490.60
Rate for Payer: Qualcare PPO/HMO/WC	$334.50
Rate for Payer: UnitedHealthcare Community & State	$53.74
Rate for Payer: Wellpoint Medicaid Managed Care	$59.09

ANCHOR HEL BR 5.5 W/ORT 222233

Facility

$1,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270641924
Hospital Revenue Code	278
Min. Negotiated Rate	$42.17
Max. Negotiated Rate	$875.00
Rate for Payer: Aetna Commercial	$665.00
Rate for Payer: Aetna Medicare Advantage	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.25
Rate for Payer: Cigna Commercial	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$385.00
Rate for Payer: Qualcare PPO/HMO/WC	$262.50
Rate for Payer: UnitedHealthcare Community & State	$42.17
Rate for Payer: Wellpoint Medicaid Managed Care	$46.38

ANCHOR HEL BR 5.5 W/ORT 222233

Facility

$1,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270641924
Hospital Revenue Code	278
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$423.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$385.00
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

Know your out-of-pocket cost for care.

All Charges