Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

STAPLE FUSEFORCE 15x15MM

Facility

$6,425.00

Hospital Charge Code	270678361
Hospital Revenue Code	272
Min. Negotiated Rate	$154.84
Max. Negotiated Rate	$3,212.50
Rate for Payer: Aetna Commercial	$2,441.50
Rate for Payer: Aetna Medicare Advantage	$1,927.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,638.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,638.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,638.38
Rate for Payer: Cigna Commercial	$3,212.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,927.50
Rate for Payer: Oxford Commercial	$1,285.00
Rate for Payer: Qualcare PPO/HMO/WC	$963.75
Rate for Payer: UnitedHealthcare Commercial	$1,285.00
Rate for Payer: UnitedHealthcare Community & State	$154.84
Rate for Payer: Wellpoint Medicaid Managed Care	$170.26

STAPLE FUSEFORCE 18x16MM

Facility

$6,425.00

Hospital Charge Code	270669233
Hospital Revenue Code	272
Min. Negotiated Rate	$154.84
Max. Negotiated Rate	$3,212.50
Rate for Payer: Aetna Commercial	$2,441.50
Rate for Payer: Aetna Medicare Advantage	$1,927.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,638.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,638.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,638.38
Rate for Payer: Cigna Commercial	$3,212.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,927.50
Rate for Payer: Oxford Commercial	$1,285.00
Rate for Payer: Qualcare PPO/HMO/WC	$963.75
Rate for Payer: UnitedHealthcare Commercial	$1,285.00
Rate for Payer: UnitedHealthcare Community & State	$154.84
Rate for Payer: Wellpoint Medicaid Managed Care	$170.26

STAPLE FUSEFORCE 18x16MM

Facility

$6,425.00

Hospital Charge Code	270669233
Hospital Revenue Code	272
Min. Negotiated Rate	$963.75
Max. Negotiated Rate	$963.75
Rate for Payer: Qualcare PPO/HMO/WC	$963.75

STAPLE FUSEFORCE 18X16MM

Facility

$9,115.00

Service Code	HCPCS C1713
Hospital Charge Code	270700603
Hospital Revenue Code	278
Min. Negotiated Rate	$1,367.25
Max. Negotiated Rate	$2,205.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,823.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,205.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,005.30
Rate for Payer: Qualcare PPO/HMO/WC	$1,367.25

STAPLE FUSEFORCE 18X16MM

Facility

$9,115.00

Service Code	HCPCS C1713
Hospital Charge Code	270700603
Hospital Revenue Code	278
Min. Negotiated Rate	$219.67
Max. Negotiated Rate	$4,557.50
Rate for Payer: Aetna Commercial	$3,463.70
Rate for Payer: Aetna Medicare Advantage	$2,734.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,324.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,324.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,823.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,324.32
Rate for Payer: Cigna Commercial	$4,557.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,205.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,005.30
Rate for Payer: Qualcare PPO/HMO/WC	$1,367.25
Rate for Payer: UnitedHealthcare Community & State	$219.67
Rate for Payer: Wellpoint Medicaid Managed Care	$241.55

STAPLE FUSEFORCE 25x22MM

Facility

$6,425.00

Hospital Charge Code	270677126
Hospital Revenue Code	272
Min. Negotiated Rate	$963.75
Max. Negotiated Rate	$963.75
Rate for Payer: Qualcare PPO/HMO/WC	$963.75

STAPLE FUSEFORCE 25x22MM

Facility

$6,425.00

Hospital Charge Code	270677126
Hospital Revenue Code	272
Min. Negotiated Rate	$154.84
Max. Negotiated Rate	$3,212.50
Rate for Payer: Aetna Commercial	$2,441.50
Rate for Payer: Aetna Medicare Advantage	$1,927.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,638.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,638.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,638.38
Rate for Payer: Cigna Commercial	$3,212.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,927.50
Rate for Payer: Oxford Commercial	$1,285.00
Rate for Payer: Qualcare PPO/HMO/WC	$963.75
Rate for Payer: UnitedHealthcare Commercial	$1,285.00
Rate for Payer: UnitedHealthcare Community & State	$154.84
Rate for Payer: Wellpoint Medicaid Managed Care	$170.26

STAPLE FUSEFORCE 25x25MM

Facility

$6,425.00

Service Code	HCPCS C1713
Hospital Charge Code	270704471
Hospital Revenue Code	278
Min. Negotiated Rate	$963.75
Max. Negotiated Rate	$1,554.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,285.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,554.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,413.50
Rate for Payer: Qualcare PPO/HMO/WC	$963.75

STAPLE FUSEFORCE 25x25MM

Facility

$6,425.00

Service Code	HCPCS C1713
Hospital Charge Code	270704471
Hospital Revenue Code	278
Min. Negotiated Rate	$154.84
Max. Negotiated Rate	$3,212.50
Rate for Payer: Aetna Commercial	$2,441.50
Rate for Payer: Aetna Medicare Advantage	$1,927.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,638.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,638.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,638.38
Rate for Payer: Cigna Commercial	$3,212.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,554.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,413.50
Rate for Payer: Qualcare PPO/HMO/WC	$963.75
Rate for Payer: UnitedHealthcare Community & State	$154.84
Rate for Payer: Wellpoint Medicaid Managed Care	$170.26

STAPLE FUSEFORCE NITINOL 10X10

Facility

$6,555.00

Service Code	HCPCS C1713
Hospital Charge Code	270700829
Hospital Revenue Code	278
Min. Negotiated Rate	$157.98
Max. Negotiated Rate	$3,277.50
Rate for Payer: Aetna Commercial	$2,490.90
Rate for Payer: Aetna Medicare Advantage	$1,966.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,671.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,671.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,311.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,671.53
Rate for Payer: Cigna Commercial	$3,277.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,586.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,442.10
Rate for Payer: Qualcare PPO/HMO/WC	$983.25
Rate for Payer: UnitedHealthcare Community & State	$157.98
Rate for Payer: Wellpoint Medicaid Managed Care	$173.71

STAPLE FUSEFORCE NITINOL 10X10

Facility

$6,555.00

Service Code	HCPCS C1713
Hospital Charge Code	270700829
Hospital Revenue Code	278
Min. Negotiated Rate	$983.25
Max. Negotiated Rate	$1,586.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,311.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,586.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,442.10
Rate for Payer: Qualcare PPO/HMO/WC	$983.25

STAPLE HAND FIX SYS 20x20MM

Facility

$6,425.00

Hospital Charge Code	270675807
Hospital Revenue Code	272
Min. Negotiated Rate	$154.84
Max. Negotiated Rate	$3,212.50
Rate for Payer: Aetna Commercial	$2,441.50
Rate for Payer: Aetna Medicare Advantage	$1,927.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,638.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,638.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,638.38
Rate for Payer: Cigna Commercial	$3,212.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,927.50
Rate for Payer: Oxford Commercial	$1,285.00
Rate for Payer: Qualcare PPO/HMO/WC	$963.75
Rate for Payer: UnitedHealthcare Commercial	$1,285.00
Rate for Payer: UnitedHealthcare Community & State	$154.84
Rate for Payer: Wellpoint Medicaid Managed Care	$170.26

STAPLE HAND FIX SYS 20x20MM

Facility

$6,425.00

Hospital Charge Code	270675807
Hospital Revenue Code	272
Min. Negotiated Rate	$963.75
Max. Negotiated Rate	$963.75
Rate for Payer: Qualcare PPO/HMO/WC	$963.75

STAPLE JAWS STR 10X10MM

Facility

$6,585.00

Service Code	HCPCS C1713
Hospital Charge Code	270700682
Hospital Revenue Code	278
Min. Negotiated Rate	$987.75
Max. Negotiated Rate	$1,593.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,317.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,593.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,448.70
Rate for Payer: Qualcare PPO/HMO/WC	$987.75

STAPLE JAWS STR 10X10MM

Facility

$6,585.00

Service Code	HCPCS C1713
Hospital Charge Code	270700682
Hospital Revenue Code	278
Min. Negotiated Rate	$158.70
Max. Negotiated Rate	$3,292.50
Rate for Payer: Aetna Commercial	$2,502.30
Rate for Payer: Aetna Medicare Advantage	$1,975.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,679.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,679.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,317.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,679.17
Rate for Payer: Cigna Commercial	$3,292.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,593.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,448.70
Rate for Payer: Qualcare PPO/HMO/WC	$987.75
Rate for Payer: UnitedHealthcare Community & State	$158.70
Rate for Payer: Wellpoint Medicaid Managed Care	$174.50

STAPLE KIT ANGLED 8X8MM

Facility

$6,585.00

Hospital Charge Code	270701873
Hospital Revenue Code	273
Min. Negotiated Rate	$987.75
Max. Negotiated Rate	$987.75
Rate for Payer: Qualcare PPO/HMO/WC	$987.75

STAPLE KIT ANGLED 8X8MM

Facility

$6,585.00

Hospital Charge Code	270701873
Hospital Revenue Code	273
Min. Negotiated Rate	$158.70
Max. Negotiated Rate	$3,292.50
Rate for Payer: Aetna Commercial	$2,502.30
Rate for Payer: Aetna Medicare Advantage	$1,975.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,679.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,679.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,679.17
Rate for Payer: Cigna Commercial	$3,292.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,975.50
Rate for Payer: Qualcare PPO/HMO/WC	$987.75
Rate for Payer: UnitedHealthcare Community & State	$158.70
Rate for Payer: Wellpoint Medicaid Managed Care	$174.50

STAPLE MEMOFIX 25x22x22MM

Facility

$7,980.00

Hospital Charge Code	270674853
Hospital Revenue Code	272
Min. Negotiated Rate	$192.32
Max. Negotiated Rate	$3,990.00
Rate for Payer: Aetna Commercial	$3,032.40
Rate for Payer: Aetna Medicare Advantage	$2,394.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,034.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,034.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,034.90
Rate for Payer: Cigna Commercial	$3,990.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,394.00
Rate for Payer: Oxford Commercial	$1,596.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,197.00
Rate for Payer: UnitedHealthcare Commercial	$1,596.00
Rate for Payer: UnitedHealthcare Community & State	$192.32
Rate for Payer: Wellpoint Medicaid Managed Care	$211.47

STAPLE MEMOFIX 25x22x22MM

Facility

$7,980.00

Hospital Charge Code	270674853
Hospital Revenue Code	272
Min. Negotiated Rate	$1,197.00
Max. Negotiated Rate	$1,197.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,197.00

STAPLE MEMOSTEP 2MM OFFSET

Facility

$10,605.00

Hospital Charge Code	270671587
Hospital Revenue Code	272
Min. Negotiated Rate	$1,590.75
Max. Negotiated Rate	$1,590.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,590.75

STAPLE MEMOSTEP 2MM OFFSET

Facility

$10,605.00

Hospital Charge Code	270671587
Hospital Revenue Code	272
Min. Negotiated Rate	$255.58
Max. Negotiated Rate	$5,302.50
Rate for Payer: Aetna Commercial	$4,029.90
Rate for Payer: Aetna Medicare Advantage	$3,181.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,704.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,704.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,704.28
Rate for Payer: Cigna Commercial	$5,302.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,181.50
Rate for Payer: Oxford Commercial	$2,121.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,590.75
Rate for Payer: UnitedHealthcare Commercial	$2,121.00
Rate for Payer: UnitedHealthcare Community & State	$255.58
Rate for Payer: Wellpoint Medicaid Managed Care	$281.03

STAPLEMOTOCLIPMAXFIX9X9X9MM

Facility

$10,470.00

Service Code	HCPCS C1713
Hospital Charge Code	270687543
Hospital Revenue Code	278
Min. Negotiated Rate	$252.33
Max. Negotiated Rate	$5,235.00
Rate for Payer: Aetna Commercial	$3,978.60
Rate for Payer: Aetna Medicare Advantage	$3,141.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,669.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,669.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,094.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,669.85
Rate for Payer: Cigna Commercial	$5,235.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,533.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,303.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,570.50
Rate for Payer: UnitedHealthcare Community & State	$252.33
Rate for Payer: Wellpoint Medicaid Managed Care	$277.45

STAPLEMOTOCLIPMAXFIX9X9X9MM

Facility

$10,470.00

Service Code	HCPCS C1713
Hospital Charge Code	270687543
Hospital Revenue Code	278
Min. Negotiated Rate	$1,570.50
Max. Negotiated Rate	$2,533.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,094.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,533.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,303.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,570.50

STAPLE NITINOL FUSEFORCE 8X8MM

Facility

$6,555.00

Service Code	HCPCS C1713
Hospital Charge Code	270698995
Hospital Revenue Code	278
Min. Negotiated Rate	$157.98
Max. Negotiated Rate	$3,277.50
Rate for Payer: Aetna Commercial	$2,490.90
Rate for Payer: Aetna Medicare Advantage	$1,966.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,671.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,671.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,311.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,671.53
Rate for Payer: Cigna Commercial	$3,277.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,586.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,442.10
Rate for Payer: Qualcare PPO/HMO/WC	$983.25
Rate for Payer: UnitedHealthcare Community & State	$157.98
Rate for Payer: Wellpoint Medicaid Managed Care	$173.71

STAPLE NITINOL FUSEFORCE 8X8MM

Facility

$6,555.00

Service Code	HCPCS C1713
Hospital Charge Code	270698995
Hospital Revenue Code	278
Min. Negotiated Rate	$983.25
Max. Negotiated Rate	$1,586.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,311.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,586.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,442.10
Rate for Payer: Qualcare PPO/HMO/WC	$983.25

Know your out-of-pocket cost for care.

All Charges