Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

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

ANCHOR PEEK HIP

Facility

$2,025.00

Service Code	HCPCS C1713
Hospital Charge Code	270690221
Hospital Revenue Code	278
Min. Negotiated Rate	$303.75
Max. Negotiated Rate	$490.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$405.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$490.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$445.50
Rate for Payer: Qualcare PPO/HMO/WC	$303.75

ANCHOR PEEK HIP

Facility

$2,025.00

Service Code	HCPCS C1713
Hospital Charge Code	270690221
Hospital Revenue Code	278
Min. Negotiated Rate	$48.80
Max. Negotiated Rate	$1,012.50
Rate for Payer: Aetna Commercial	$769.50
Rate for Payer: Aetna Medicare Advantage	$607.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$516.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$516.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$405.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$516.38
Rate for Payer: Cigna Commercial	$1,012.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$490.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$445.50
Rate for Payer: Qualcare PPO/HMO/WC	$303.75
Rate for Payer: UnitedHealthcare Community & State	$48.80
Rate for Payer: Wellpoint Medicaid Managed Care	$53.66

ANCHOR PEEK ZIP 5.5m3910200035

Facility

$1,135.40

Hospital Charge Code	270641990
Hospital Revenue Code	278
Min. Negotiated Rate	$170.31
Max. Negotiated Rate	$274.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$227.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$274.77
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$249.79
Rate for Payer: Qualcare PPO/HMO/WC	$170.31

ANCHOR PEEK ZIP 5.5m3910200035

Facility

$1,135.40

Hospital Charge Code	270641990
Hospital Revenue Code	278
Min. Negotiated Rate	$27.36
Max. Negotiated Rate	$567.70
Rate for Payer: Aetna Commercial	$431.45
Rate for Payer: Aetna Medicare Advantage	$340.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$289.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$289.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$227.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$289.53
Rate for Payer: Cigna Commercial	$567.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$274.77
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$249.79
Rate for Payer: Qualcare PPO/HMO/WC	$170.31
Rate for Payer: UnitedHealthcare Community & State	$27.36
Rate for Payer: Wellpoint Medicaid Managed Care	$30.09

ANCHOR PEEK ZIP 6.5m3910020075

Facility

$1,135.40

Hospital Charge Code	270641991
Hospital Revenue Code	278
Min. Negotiated Rate	$27.36
Max. Negotiated Rate	$567.70
Rate for Payer: Aetna Commercial	$431.45
Rate for Payer: Aetna Medicare Advantage	$340.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$289.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$289.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$227.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$289.53
Rate for Payer: Cigna Commercial	$567.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$274.77
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$249.79
Rate for Payer: Qualcare PPO/HMO/WC	$170.31
Rate for Payer: UnitedHealthcare Community & State	$27.36
Rate for Payer: Wellpoint Medicaid Managed Care	$30.09

ANCHOR PEEK ZIP 6.5m3910020075

Facility

$1,135.40

Hospital Charge Code	270641991
Hospital Revenue Code	278
Min. Negotiated Rate	$170.31
Max. Negotiated Rate	$274.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$227.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$274.77
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$249.79
Rate for Payer: Qualcare PPO/HMO/WC	$170.31

ANCHOR PEG GLENIOD 48MM

Facility

$6,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270685581
Hospital Revenue Code	278
Min. Negotiated Rate	$144.60
Max. Negotiated Rate	$3,000.00
Rate for Payer: Aetna Commercial	$2,280.00
Rate for Payer: Aetna Medicare Advantage	$1,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,530.00
Rate for Payer: Cigna Commercial	$3,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,320.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00
Rate for Payer: UnitedHealthcare Community & State	$144.60
Rate for Payer: Wellpoint Medicaid Managed Care	$159.00

ANCHOR PEG GLENIOD 48MM

Facility

$6,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270685581
Hospital Revenue Code	278
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$1,452.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,320.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

ANCHORPKKNOTLESSSWIVELOCK5.5MM

Facility

$2,175.00

Service Code	HCPCS C1713
Hospital Charge Code	270695292
Hospital Revenue Code	278
Min. Negotiated Rate	$326.25
Max. Negotiated Rate	$526.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$435.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$526.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$478.50
Rate for Payer: Qualcare PPO/HMO/WC	$326.25

ANCHORPKKNOTLESSSWIVELOCK5.5MM

Facility

$2,175.00

Service Code	HCPCS C1713
Hospital Charge Code	270695292
Hospital Revenue Code	278
Min. Negotiated Rate	$52.42
Max. Negotiated Rate	$1,087.50
Rate for Payer: Aetna Commercial	$826.50
Rate for Payer: Aetna Medicare Advantage	$652.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$554.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$554.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$435.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$554.62
Rate for Payer: Cigna Commercial	$1,087.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$526.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$478.50
Rate for Payer: Qualcare PPO/HMO/WC	$326.25
Rate for Payer: UnitedHealthcare Community & State	$52.42
Rate for Payer: Wellpoint Medicaid Managed Care	$57.64

ANCHOR PLUS QUICK W/2-0 SUTURE

Facility

$1,460.00

Hospital Charge Code	270638832
Hospital Revenue Code	272
Min. Negotiated Rate	$219.00
Max. Negotiated Rate	$219.00
Rate for Payer: Qualcare PPO/HMO/WC	$219.00

ANCHOR PLUS QUICK W/2-0 SUTURE

Facility

$1,460.00

Hospital Charge Code	270638832
Hospital Revenue Code	272
Min. Negotiated Rate	$35.19
Max. Negotiated Rate	$730.00
Rate for Payer: Aetna Commercial	$554.80
Rate for Payer: Aetna Medicare Advantage	$438.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$372.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$372.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$372.30
Rate for Payer: Cigna Commercial	$730.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$438.00
Rate for Payer: Oxford Commercial	$292.00
Rate for Payer: Qualcare PPO/HMO/WC	$219.00
Rate for Payer: UnitedHealthcare Commercial	$292.00
Rate for Payer: UnitedHealthcare Community & State	$35.19
Rate for Payer: Wellpoint Medicaid Managed Care	$38.69

ANCHOR QUICK SUTURE

Facility

$1,555.00

Hospital Charge Code	2706582621
Hospital Revenue Code	272
Min. Negotiated Rate	$37.48
Max. Negotiated Rate	$777.50
Rate for Payer: Aetna Commercial	$590.90
Rate for Payer: Aetna Medicare Advantage	$466.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$396.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$396.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$396.52
Rate for Payer: Cigna Commercial	$777.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$466.50
Rate for Payer: Oxford Commercial	$311.00
Rate for Payer: Qualcare PPO/HMO/WC	$233.25
Rate for Payer: UnitedHealthcare Commercial	$311.00
Rate for Payer: UnitedHealthcare Community & State	$37.48
Rate for Payer: Wellpoint Medicaid Managed Care	$41.21

ANCHOR QUICK SUTURE

Facility

$1,555.00

Hospital Charge Code	2706582621
Hospital Revenue Code	272
Min. Negotiated Rate	$233.25
Max. Negotiated Rate	$233.25
Rate for Payer: Qualcare PPO/HMO/WC	$233.25

ANCHOR QUK GII POLY 36 212034

Facility

$1,500.00

Hospital Charge Code	270633355
Hospital Revenue Code	278
Min. Negotiated Rate	$36.15
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$570.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$330.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00
Rate for Payer: UnitedHealthcare Community & State	$36.15
Rate for Payer: Wellpoint Medicaid Managed Care	$39.75

ANCHOR QUK GII POLY 36 212034

Facility

$1,500.00

Hospital Charge Code	270633355
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$363.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$330.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

ANCHOR REELX STT 4.5MM

Facility

$1,923.75

Hospital Charge Code	270676526
Hospital Revenue Code	272
Min. Negotiated Rate	$288.56
Max. Negotiated Rate	$288.56
Rate for Payer: Qualcare PPO/HMO/WC	$288.56

ANCHOR REELX STT 4.5MM

Facility

$1,923.75

Hospital Charge Code	270676526
Hospital Revenue Code	272
Min. Negotiated Rate	$46.36
Max. Negotiated Rate	$961.88
Rate for Payer: Aetna Commercial	$731.02
Rate for Payer: Aetna Medicare Advantage	$577.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$490.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$490.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$490.56
Rate for Payer: Cigna Commercial	$961.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$577.12
Rate for Payer: Oxford Commercial	$384.75
Rate for Payer: Qualcare PPO/HMO/WC	$288.56
Rate for Payer: UnitedHealthcare Commercial	$384.75
Rate for Payer: UnitedHealthcare Community & State	$46.36
Rate for Payer: Wellpoint Medicaid Managed Care	$50.98

ANCHOR ROTATOR CUFF SZ 212031

Facility

$2,036.85

Hospital Charge Code	270601991
Hospital Revenue Code	278
Min. Negotiated Rate	$305.53
Max. Negotiated Rate	$492.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$407.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$492.92
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$448.11
Rate for Payer: Qualcare PPO/HMO/WC	$305.53

ANCHOR ROTATOR CUFF SZ 212031

Facility

$2,036.85

Hospital Charge Code	270601991
Hospital Revenue Code	278
Min. Negotiated Rate	$49.09
Max. Negotiated Rate	$1,018.42
Rate for Payer: Aetna Commercial	$774.00
Rate for Payer: Aetna Medicare Advantage	$611.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$519.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$519.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$407.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$519.40
Rate for Payer: Cigna Commercial	$1,018.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$492.92
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$448.11
Rate for Payer: Qualcare PPO/HMO/WC	$305.53
Rate for Payer: UnitedHealthcare Community & State	$49.09
Rate for Payer: Wellpoint Medicaid Managed Care	$53.98

ANCHOR SONIC KIT 2.5 x10mm #0

Facility

$2,025.00

Service Code	HCPCS C1713
Hospital Charge Code	270681420
Hospital Revenue Code	278
Min. Negotiated Rate	$303.75
Max. Negotiated Rate	$490.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$405.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$490.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$445.50
Rate for Payer: Qualcare PPO/HMO/WC	$303.75

ANCHOR SONIC KIT 2.5 x10mm #0

Facility

$2,025.00

Service Code	HCPCS C1713
Hospital Charge Code	270681420
Hospital Revenue Code	278
Min. Negotiated Rate	$48.80
Max. Negotiated Rate	$1,012.50
Rate for Payer: Aetna Commercial	$769.50
Rate for Payer: Aetna Medicare Advantage	$607.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$516.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$516.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$405.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$516.38
Rate for Payer: Cigna Commercial	$1,012.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$490.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$445.50
Rate for Payer: Qualcare PPO/HMO/WC	$303.75
Rate for Payer: UnitedHealthcare Community & State	$48.80
Rate for Payer: Wellpoint Medicaid Managed Care	$53.66

ANCHOR SPILK WORTHO 5 0 222986

Facility

$1,715.00

Hospital Charge Code	270638181
Hospital Revenue Code	270
Min. Negotiated Rate	$257.25
Max. Negotiated Rate	$257.25
Rate for Payer: Qualcare PPO/HMO/WC	$257.25

ANCHOR SPILK WORTHO 5 0 222986

Facility

$1,715.00

Hospital Charge Code	270638181
Hospital Revenue Code	270
Min. Negotiated Rate	$41.33
Max. Negotiated Rate	$857.50
Rate for Payer: Aetna Commercial	$651.70
Rate for Payer: Aetna Medicare Advantage	$514.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$437.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$437.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$437.32
Rate for Payer: Cigna Commercial	$857.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$514.50
Rate for Payer: Oxford Commercial	$343.00
Rate for Payer: Qualcare PPO/HMO/WC	$257.25
Rate for Payer: UnitedHealthcare Commercial	$343.00
Rate for Payer: UnitedHealthcare Community & State	$41.33
Rate for Payer: Wellpoint Medicaid Managed Care	$45.45

Know your out-of-pocket cost for care.

All Charges