Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

ANCHOR SUPQK W/#2PNCRYL 212135

Facility

$1,383.90

Hospital Charge Code	270634401
Hospital Revenue Code	278
Min. Negotiated Rate	$207.59
Max. Negotiated Rate	$334.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$276.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$334.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$304.46
Rate for Payer: Qualcare PPO/HMO/WC	$207.59

ANCHOR SUPQK W/#2PNCRYL 212135

Facility

$1,383.90

Hospital Charge Code	270634401
Hospital Revenue Code	278
Min. Negotiated Rate	$33.35
Max. Negotiated Rate	$691.95
Rate for Payer: Aetna Commercial	$525.88
Rate for Payer: Aetna Medicare Advantage	$415.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$352.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$352.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$276.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$352.89
Rate for Payer: Cigna Commercial	$691.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$334.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$304.46
Rate for Payer: Qualcare PPO/HMO/WC	$207.59
Rate for Payer: UnitedHealthcare Community & State	$33.35
Rate for Payer: Wellpoint Medicaid Managed Care	$36.67

ANCHOR SUTURE BIOCOMPOSITE SW

Facility

$2,860.00

Hospital Charge Code	270667330
Hospital Revenue Code	272
Min. Negotiated Rate	$68.93
Max. Negotiated Rate	$1,430.00
Rate for Payer: Aetna Commercial	$1,086.80
Rate for Payer: Aetna Medicare Advantage	$858.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$729.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$729.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$729.30
Rate for Payer: Cigna Commercial	$1,430.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$858.00
Rate for Payer: Oxford Commercial	$572.00
Rate for Payer: Qualcare PPO/HMO/WC	$429.00
Rate for Payer: UnitedHealthcare Commercial	$572.00
Rate for Payer: UnitedHealthcare Community & State	$68.93
Rate for Payer: Wellpoint Medicaid Managed Care	$75.79

ANCHOR SUTURE BIOCOMPOSITE SW

Facility

$2,860.00

Hospital Charge Code	270667330
Hospital Revenue Code	272
Min. Negotiated Rate	$429.00
Max. Negotiated Rate	$429.00
Rate for Payer: Qualcare PPO/HMO/WC	$429.00

ANCHOR SUTURE BIOCORK AR1920BF

Facility

$1,289.65

Hospital Charge Code	270629335
Hospital Revenue Code	278
Min. Negotiated Rate	$193.45
Max. Negotiated Rate	$312.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$257.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$312.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$283.72
Rate for Payer: Qualcare PPO/HMO/WC	$193.45

ANCHOR SUTURE BIOCORK AR1920BF

Facility

$1,289.65

Hospital Charge Code	270629335
Hospital Revenue Code	278
Min. Negotiated Rate	$31.08
Max. Negotiated Rate	$644.83
Rate for Payer: Aetna Commercial	$490.07
Rate for Payer: Aetna Medicare Advantage	$386.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$328.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$328.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$257.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$328.86
Rate for Payer: Cigna Commercial	$644.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$312.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$283.72
Rate for Payer: Qualcare PPO/HMO/WC	$193.45
Rate for Payer: UnitedHealthcare Community & State	$31.08
Rate for Payer: Wellpoint Medicaid Managed Care	$34.18

ANCHOR SUTURE BIO CORKSCREW

Facility

$1,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270651515
Hospital Revenue Code	278
Min. Negotiated Rate	$35.55
Max. Negotiated Rate	$737.50
Rate for Payer: Aetna Commercial	$560.50
Rate for Payer: Aetna Medicare Advantage	$442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$295.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$376.12
Rate for Payer: Cigna Commercial	$737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$324.50
Rate for Payer: Qualcare PPO/HMO/WC	$221.25
Rate for Payer: UnitedHealthcare Community & State	$35.55
Rate for Payer: Wellpoint Medicaid Managed Care	$39.09

ANCHOR SUTURE BIO CORKSCREW

Facility

$1,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270651515
Hospital Revenue Code	278
Min. Negotiated Rate	$221.25
Max. Negotiated Rate	$356.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$295.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$324.50
Rate for Payer: Qualcare PPO/HMO/WC	$221.25

ANCHOR SUTURE CORKSCREW MICRO

Facility

$1,425.00

Service Code	HCPCS C1713
Hospital Charge Code	270683443
Hospital Revenue Code	278
Min. Negotiated Rate	$34.34
Max. Negotiated Rate	$712.50
Rate for Payer: Aetna Commercial	$541.50
Rate for Payer: Aetna Medicare Advantage	$427.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$363.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$363.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$363.38
Rate for Payer: Cigna Commercial	$712.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$344.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$313.50
Rate for Payer: Qualcare PPO/HMO/WC	$213.75
Rate for Payer: UnitedHealthcare Community & State	$34.34
Rate for Payer: Wellpoint Medicaid Managed Care	$37.76

ANCHOR SUTURE CORKSCREW MICRO

Facility

$1,425.00

Service Code	HCPCS C1713
Hospital Charge Code	270683443
Hospital Revenue Code	278
Min. Negotiated Rate	$213.75
Max. Negotiated Rate	$344.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$285.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$344.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$313.50
Rate for Payer: Qualcare PPO/HMO/WC	$213.75

ANCHOR SUTURE NANO TACK 1.4 MM

Facility

$1,646.25

Hospital Charge Code	270680575
Hospital Revenue Code	272
Min. Negotiated Rate	$246.94
Max. Negotiated Rate	$246.94
Rate for Payer: Qualcare PPO/HMO/WC	$246.94

ANCHOR SUTURE NANO TACK 1.4 MM

Facility

$1,646.25

Hospital Charge Code	270680575
Hospital Revenue Code	272
Min. Negotiated Rate	$39.67
Max. Negotiated Rate	$823.12
Rate for Payer: Aetna Commercial	$625.58
Rate for Payer: Aetna Medicare Advantage	$493.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$419.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$419.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$419.79
Rate for Payer: Cigna Commercial	$823.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$493.88
Rate for Payer: Oxford Commercial	$329.25
Rate for Payer: Qualcare PPO/HMO/WC	$246.94
Rate for Payer: UnitedHealthcare Commercial	$329.25
Rate for Payer: UnitedHealthcare Community & State	$39.67
Rate for Payer: Wellpoint Medicaid Managed Care	$43.63

ANCHOR SUTURE PEEK 4.5 X 15 MM

Facility

$2,158.75

Service Code	HCPCS C1713
Hospital Charge Code	270701618
Hospital Revenue Code	278
Min. Negotiated Rate	$52.03
Max. Negotiated Rate	$1,079.38
Rate for Payer: Aetna Commercial	$820.33
Rate for Payer: Aetna Medicare Advantage	$647.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$550.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$550.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$431.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$550.48
Rate for Payer: Cigna Commercial	$1,079.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$522.42
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$474.93
Rate for Payer: Qualcare PPO/HMO/WC	$323.81
Rate for Payer: UnitedHealthcare Community & State	$52.03
Rate for Payer: Wellpoint Medicaid Managed Care	$57.21

ANCHOR SUTURE PEEK 4.5 X 15 MM

Facility

$2,158.75

Service Code	HCPCS C1713
Hospital Charge Code	270701618
Hospital Revenue Code	278
Min. Negotiated Rate	$323.81
Max. Negotiated Rate	$522.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$431.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$522.42
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$474.93
Rate for Payer: Qualcare PPO/HMO/WC	$323.81

ANCHOR SUTURE PEEK 5.5 X 15 MM

Facility

$2,158.75

Service Code	HCPCS C1716
Hospital Charge Code	270701619
Hospital Revenue Code	278
Min. Negotiated Rate	$323.81
Max. Negotiated Rate	$522.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$431.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$522.42
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$474.93
Rate for Payer: Qualcare PPO/HMO/WC	$323.81

ANCHOR SUTURE PEEK 5.5 X 15 MM

Facility

$2,158.75

Service Code	HCPCS C1716
Hospital Charge Code	270701619
Hospital Revenue Code	278
Min. Negotiated Rate	$52.03
Max. Negotiated Rate	$2,155.71
Rate for Payer: Aetna Commercial	$1,624.38
Rate for Payer: Aetna Medicare Advantage	$1,934.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,155.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,155.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$597.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$431.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,155.71
Rate for Payer: Cigna Commercial	$1,197.08
Rate for Payer: Cigna Medicare Advantage	$597.20
Rate for Payer: Clover Medicare Advantage	$567.34
Rate for Payer: EmblemHealth Commercial	$1,791.60
Rate for Payer: Humana Medicare Advantage	$615.12
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$597.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$522.42
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$474.93
Rate for Payer: Qualcare PPO/HMO/WC	$323.81
Rate for Payer: UnitedHealthcare Community & State	$52.03
Rate for Payer: UnitedHealthcare Medicare Advantage	$597.20
Rate for Payer: Wellcare Medicare Advantage	$597.20
Rate for Payer: Wellpoint Medicaid Managed Care	$57.21

ANCHOR SUTURE W/OS 2/38 902929

Facility

$1,259.90

Hospital Charge Code	270633294
Hospital Revenue Code	278
Min. Negotiated Rate	$30.36
Max. Negotiated Rate	$629.95
Rate for Payer: Aetna Commercial	$478.76
Rate for Payer: Aetna Medicare Advantage	$377.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$321.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$321.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$251.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$321.27
Rate for Payer: Cigna Commercial	$629.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$304.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$277.18
Rate for Payer: Qualcare PPO/HMO/WC	$188.99
Rate for Payer: UnitedHealthcare Community & State	$30.36
Rate for Payer: Wellpoint Medicaid Managed Care	$33.39

ANCHOR SUTURE W/OS 2/38 902929

Facility

$1,259.90

Hospital Charge Code	270633294
Hospital Revenue Code	278
Min. Negotiated Rate	$188.99
Max. Negotiated Rate	$304.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$251.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$304.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$277.18
Rate for Payer: Qualcare PPO/HMO/WC	$188.99

ANCHOR SUTURE WSTP 2/38 902920

Facility

$1,259.90

Hospital Charge Code	270633293
Hospital Revenue Code	278
Min. Negotiated Rate	$30.36
Max. Negotiated Rate	$629.95
Rate for Payer: Aetna Commercial	$478.76
Rate for Payer: Aetna Medicare Advantage	$377.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$321.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$321.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$251.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$321.27
Rate for Payer: Cigna Commercial	$629.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$304.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$277.18
Rate for Payer: Qualcare PPO/HMO/WC	$188.99
Rate for Payer: UnitedHealthcare Community & State	$30.36
Rate for Payer: Wellpoint Medicaid Managed Care	$33.39

ANCHOR SUTURE WSTP 2/38 902920

Facility

$1,259.90

Hospital Charge Code	270633293
Hospital Revenue Code	278
Min. Negotiated Rate	$188.99
Max. Negotiated Rate	$304.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$251.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$304.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$277.18
Rate for Payer: Qualcare PPO/HMO/WC	$188.99

ANCHOR SWIFTLOCK 1192

Facility

$750.00

Hospital Charge Code	270654460
Hospital Revenue Code	278
Min. Negotiated Rate	$18.07
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$165.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Community & State	$18.07
Rate for Payer: Wellpoint Medicaid Managed Care	$19.88

ANCHOR SWIFTLOCK 1192

Facility

$750.00

Hospital Charge Code	270654460
Hospital Revenue Code	278
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$181.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$165.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

ANCHOR SWIVELOCK 4.75MM

Facility

$975.00

Service Code	HCPCS C1713
Hospital Charge Code	270689194
Hospital Revenue Code	278
Min. Negotiated Rate	$23.50
Max. Negotiated Rate	$487.50
Rate for Payer: Aetna Commercial	$370.50
Rate for Payer: Aetna Medicare Advantage	$292.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.62
Rate for Payer: Cigna Commercial	$487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$214.50
Rate for Payer: Qualcare PPO/HMO/WC	$146.25
Rate for Payer: UnitedHealthcare Community & State	$23.50
Rate for Payer: Wellpoint Medicaid Managed Care	$25.84

ANCHOR SWIVELOCK 4.75MM

Facility

$975.00

Service Code	HCPCS C1713
Hospital Charge Code	270689194
Hospital Revenue Code	278
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$235.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$214.50
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

ANCHOR SWIVELOCK 5.2MM

Facility

$725.00

Service Code	HCPCS C1713
Hospital Charge Code	270689195
Hospital Revenue Code	272
Min. Negotiated Rate	$17.47
Max. Negotiated Rate	$362.50
Rate for Payer: Aetna Commercial	$275.50
Rate for Payer: Aetna Medicare Advantage	$217.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$184.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$184.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$184.88
Rate for Payer: Cigna Commercial	$362.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.50
Rate for Payer: Oxford Commercial	$145.00
Rate for Payer: Qualcare PPO/HMO/WC	$108.75
Rate for Payer: UnitedHealthcare Commercial	$145.00
Rate for Payer: UnitedHealthcare Community & State	$17.47
Rate for Payer: Wellpoint Medicaid Managed Care	$19.21

Know your out-of-pocket cost for care.

All Charges