Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

ANCHOR KNOTLESS PEEK 4.5X 15MM

Facility

$2,180.00

Service Code	HCPCS C1713
Hospital Charge Code	270701594
Hospital Revenue Code	278
Min. Negotiated Rate	$52.54
Max. Negotiated Rate	$1,090.00
Rate for Payer: Aetna Commercial	$828.40
Rate for Payer: Aetna Medicare Advantage	$654.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$555.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$555.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$436.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$555.90
Rate for Payer: Cigna Commercial	$1,090.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$527.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$479.60
Rate for Payer: Qualcare PPO/HMO/WC	$327.00
Rate for Payer: UnitedHealthcare Community & State	$52.54
Rate for Payer: Wellpoint Medicaid Managed Care	$57.77

ANCHOR KNOTLESS PEEK 4.5X 15MM

Facility

$2,180.00

Service Code	HCPCS C1713
Hospital Charge Code	270701594
Hospital Revenue Code	278
Min. Negotiated Rate	$327.00
Max. Negotiated Rate	$527.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$436.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$527.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$479.60
Rate for Payer: Qualcare PPO/HMO/WC	$327.00

ANCHOR KNOTLESS SYSTEM 25 MM

Facility

$1,263.15

Hospital Charge Code	270688623
Hospital Revenue Code	272
Min. Negotiated Rate	$189.47
Max. Negotiated Rate	$189.47
Rate for Payer: Qualcare PPO/HMO/WC	$189.47

ANCHOR KNOTLESS SYSTEM 25 MM

Facility

$1,263.15

Hospital Charge Code	270688623
Hospital Revenue Code	272
Min. Negotiated Rate	$30.44
Max. Negotiated Rate	$631.58
Rate for Payer: Aetna Commercial	$480.00
Rate for Payer: Aetna Medicare Advantage	$378.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$322.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$322.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$322.10
Rate for Payer: Cigna Commercial	$631.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$378.94
Rate for Payer: Oxford Commercial	$252.63
Rate for Payer: Qualcare PPO/HMO/WC	$189.47
Rate for Payer: UnitedHealthcare Commercial	$252.63
Rate for Payer: UnitedHealthcare Community & State	$30.44
Rate for Payer: Wellpoint Medicaid Managed Care	$33.47

ANCHOR LUP BR W/ORTHOCD 210711

Facility

$1,615.00

Hospital Charge Code	270641636
Hospital Revenue Code	278
Min. Negotiated Rate	$242.25
Max. Negotiated Rate	$390.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$323.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$390.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$355.30
Rate for Payer: Qualcare PPO/HMO/WC	$242.25

ANCHOR LUP BR W/ORTHOCD 210711

Facility

$1,615.00

Hospital Charge Code	270641636
Hospital Revenue Code	278
Min. Negotiated Rate	$38.92
Max. Negotiated Rate	$807.50
Rate for Payer: Aetna Commercial	$613.70
Rate for Payer: Aetna Medicare Advantage	$484.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$411.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$411.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$323.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$411.82
Rate for Payer: Cigna Commercial	$807.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$390.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$355.30
Rate for Payer: Qualcare PPO/HMO/WC	$242.25
Rate for Payer: UnitedHealthcare Community & State	$38.92
Rate for Payer: Wellpoint Medicaid Managed Care	$42.80

ANCHOR MCV PREC TACK 820-114

Facility

$4,560.00

Hospital Charge Code	270616240
Hospital Revenue Code	278
Min. Negotiated Rate	$109.90
Max. Negotiated Rate	$2,280.00
Rate for Payer: Aetna Commercial	$1,732.80
Rate for Payer: Aetna Medicare Advantage	$1,368.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,162.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,162.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$912.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,162.80
Rate for Payer: Cigna Commercial	$2,280.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,103.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,003.20
Rate for Payer: Qualcare PPO/HMO/WC	$684.00
Rate for Payer: UnitedHealthcare Community & State	$109.90
Rate for Payer: Wellpoint Medicaid Managed Care	$120.84

ANCHOR MCV PREC TACK 820-114

Facility

$4,560.00

Hospital Charge Code	270616240
Hospital Revenue Code	278
Min. Negotiated Rate	$684.00
Max. Negotiated Rate	$1,103.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$912.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,103.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,003.20
Rate for Payer: Qualcare PPO/HMO/WC	$684.00

ANCHOR MICRO 1.9X 2.4 MM

Facility

$2,085.00

Service Code	HCPCS C1713
Hospital Charge Code	270666931
Hospital Revenue Code	278
Min. Negotiated Rate	$50.25
Max. Negotiated Rate	$1,042.50
Rate for Payer: Aetna Commercial	$792.30
Rate for Payer: Aetna Medicare Advantage	$625.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$531.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$531.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$417.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$531.67
Rate for Payer: Cigna Commercial	$1,042.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$504.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$458.70
Rate for Payer: Qualcare PPO/HMO/WC	$312.75
Rate for Payer: UnitedHealthcare Community & State	$50.25
Rate for Payer: Wellpoint Medicaid Managed Care	$55.25

ANCHOR MICRO 1.9X 2.4 MM

Facility

$2,085.00

Service Code	HCPCS C1713
Hospital Charge Code	270666931
Hospital Revenue Code	278
Min. Negotiated Rate	$312.75
Max. Negotiated Rate	$504.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$417.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$504.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$458.70
Rate for Payer: Qualcare PPO/HMO/WC	$312.75

ANCHOR MICRO QA 3.0 OC

Facility

$2,960.00

Service Code	HCPCS C1713
Hospital Charge Code	270692405
Hospital Revenue Code	278
Min. Negotiated Rate	$444.00
Max. Negotiated Rate	$716.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$592.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$716.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$651.20
Rate for Payer: Qualcare PPO/HMO/WC	$444.00

ANCHOR MICRO QA 3.0 OC

Facility

$2,960.00

Service Code	HCPCS C1713
Hospital Charge Code	270692405
Hospital Revenue Code	278
Min. Negotiated Rate	$71.34
Max. Negotiated Rate	$1,480.00
Rate for Payer: Aetna Commercial	$1,124.80
Rate for Payer: Aetna Medicare Advantage	$888.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$754.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$754.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$592.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$754.80
Rate for Payer: Cigna Commercial	$1,480.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$716.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$651.20
Rate for Payer: Qualcare PPO/HMO/WC	$444.00
Rate for Payer: UnitedHealthcare Community & State	$71.34
Rate for Payer: Wellpoint Medicaid Managed Care	$78.44

ANCHOR MICRO QA 4.0 P3

Facility

$2,960.00

Service Code	HCPCS C1713
Hospital Charge Code	270692406
Hospital Revenue Code	278
Min. Negotiated Rate	$444.00
Max. Negotiated Rate	$716.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$592.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$716.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$651.20
Rate for Payer: Qualcare PPO/HMO/WC	$444.00

ANCHOR MICRO QA 4.0 P3

Facility

$2,960.00

Service Code	HCPCS C1713
Hospital Charge Code	270692406
Hospital Revenue Code	278
Min. Negotiated Rate	$71.34
Max. Negotiated Rate	$1,480.00
Rate for Payer: Aetna Commercial	$1,124.80
Rate for Payer: Aetna Medicare Advantage	$888.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$754.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$754.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$592.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$754.80
Rate for Payer: Cigna Commercial	$1,480.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$716.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$651.20
Rate for Payer: Qualcare PPO/HMO/WC	$444.00
Rate for Payer: UnitedHealthcare Community & State	$71.34
Rate for Payer: Wellpoint Medicaid Managed Care	$78.44

ANCHOR MINI 2-0

Facility

$2,335.00

Service Code	HCPCS C1713
Hospital Charge Code	270688005
Hospital Revenue Code	278
Min. Negotiated Rate	$56.27
Max. Negotiated Rate	$1,167.50
Rate for Payer: Aetna Commercial	$887.30
Rate for Payer: Aetna Medicare Advantage	$700.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$595.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$595.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$467.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$595.42
Rate for Payer: Cigna Commercial	$1,167.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$565.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$513.70
Rate for Payer: Qualcare PPO/HMO/WC	$350.25
Rate for Payer: UnitedHealthcare Community & State	$56.27
Rate for Payer: Wellpoint Medicaid Managed Care	$61.88

ANCHOR MINI 2-0

Facility

$2,335.00

Service Code	HCPCS C1713
Hospital Charge Code	270688005
Hospital Revenue Code	278
Min. Negotiated Rate	$350.25
Max. Negotiated Rate	$565.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$467.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$565.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$513.70
Rate for Payer: Qualcare PPO/HMO/WC	$350.25

ANCHOR MINI QUICK PLUS 212033

Facility

$1,036.70

Hospital Charge Code	270621870
Hospital Revenue Code	278
Min. Negotiated Rate	$24.98
Max. Negotiated Rate	$518.35
Rate for Payer: Aetna Commercial	$393.95
Rate for Payer: Aetna Medicare Advantage	$311.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$264.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$264.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$207.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$264.36
Rate for Payer: Cigna Commercial	$518.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$250.88
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$228.07
Rate for Payer: Qualcare PPO/HMO/WC	$155.50
Rate for Payer: UnitedHealthcare Community & State	$24.98
Rate for Payer: Wellpoint Medicaid Managed Care	$27.47

ANCHOR MINI QUICK PLUS 212033

Facility

$1,036.70

Hospital Charge Code	270621870
Hospital Revenue Code	278
Min. Negotiated Rate	$155.50
Max. Negotiated Rate	$250.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$207.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$250.88
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$228.07
Rate for Payer: Qualcare PPO/HMO/WC	$155.50

ANCHOR MIS COALITION 12MM

Facility

$3,020.00

Service Code	HCPCS C1889
Hospital Charge Code	270692224
Hospital Revenue Code	278
Min. Negotiated Rate	$453.00
Max. Negotiated Rate	$730.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$604.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$730.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$664.40
Rate for Payer: Qualcare PPO/HMO/WC	$453.00

ANCHOR MIS COALITION 12MM

Facility

$3,020.00

Service Code	HCPCS C1889
Hospital Charge Code	270692224
Hospital Revenue Code	278
Min. Negotiated Rate	$72.78
Max. Negotiated Rate	$1,510.00
Rate for Payer: Aetna Commercial	$1,147.60
Rate for Payer: Aetna Medicare Advantage	$906.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$770.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$770.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$604.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$770.10
Rate for Payer: Cigna Commercial	$1,510.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$730.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$664.40
Rate for Payer: Qualcare PPO/HMO/WC	$453.00
Rate for Payer: UnitedHealthcare Community & State	$72.78
Rate for Payer: Wellpoint Medicaid Managed Care	$80.03

ANCHOR MTK QUICK SZ 2 212032

Facility

$1,572.00

Hospital Charge Code	270619080
Hospital Revenue Code	278
Min. Negotiated Rate	$37.89
Max. Negotiated Rate	$786.00
Rate for Payer: Aetna Commercial	$597.36
Rate for Payer: Aetna Medicare Advantage	$471.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$400.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$400.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$314.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$400.86
Rate for Payer: Cigna Commercial	$786.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$380.42
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$345.84
Rate for Payer: Qualcare PPO/HMO/WC	$235.80
Rate for Payer: UnitedHealthcare Community & State	$37.89
Rate for Payer: Wellpoint Medicaid Managed Care	$41.66

ANCHOR MTK QUICK SZ 2 212032

Facility

$1,572.00

Hospital Charge Code	270619080
Hospital Revenue Code	278
Min. Negotiated Rate	$235.80
Max. Negotiated Rate	$380.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$314.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$380.42
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$345.84
Rate for Payer: Qualcare PPO/HMO/WC	$235.80

ANCHOR MULTIFIX ULTRA 6.5MM

Facility

$5,820.00

Service Code	HCPCS C1713
Hospital Charge Code	270690967
Hospital Revenue Code	278
Min. Negotiated Rate	$873.00
Max. Negotiated Rate	$1,408.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,164.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,408.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,280.40
Rate for Payer: Qualcare PPO/HMO/WC	$873.00

ANCHOR MULTIFIX ULTRA 6.5MM

Facility

$5,820.00

Service Code	HCPCS C1713
Hospital Charge Code	270690967
Hospital Revenue Code	278
Min. Negotiated Rate	$140.26
Max. Negotiated Rate	$2,910.00
Rate for Payer: Aetna Commercial	$2,211.60
Rate for Payer: Aetna Medicare Advantage	$1,746.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,484.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,484.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,164.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,484.10
Rate for Payer: Cigna Commercial	$2,910.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,408.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,280.40
Rate for Payer: Qualcare PPO/HMO/WC	$873.00
Rate for Payer: UnitedHealthcare Community & State	$140.26
Rate for Payer: Wellpoint Medicaid Managed Care	$154.23

ANCHOR OMEGA PEEK KNTLS 4.75MM

Facility

$4,148.35

Service Code	HCPCS C1713
Hospital Charge Code	270700784
Hospital Revenue Code	278
Min. Negotiated Rate	$99.98
Max. Negotiated Rate	$2,074.18
Rate for Payer: Aetna Commercial	$1,576.37
Rate for Payer: Aetna Medicare Advantage	$1,244.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,057.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,057.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$829.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,057.83
Rate for Payer: Cigna Commercial	$2,074.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,003.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$912.64
Rate for Payer: Qualcare PPO/HMO/WC	$622.25
Rate for Payer: UnitedHealthcare Community & State	$99.98
Rate for Payer: Wellpoint Medicaid Managed Care	$109.93

Know your out-of-pocket cost for care.

All Charges