Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

STD1 COLLARED

Facility

$8,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270686976
Hospital Revenue Code	278
Min. Negotiated Rate	$1,200.00
Max. Negotiated Rate	$1,936.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,936.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,760.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,200.00

STD1 COLLARED

Facility

$8,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270686976
Hospital Revenue Code	278
Min. Negotiated Rate	$192.80
Max. Negotiated Rate	$4,000.00
Rate for Payer: Aetna Commercial	$3,040.00
Rate for Payer: Aetna Medicare Advantage	$2,400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,040.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,040.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,040.00
Rate for Payer: Cigna Commercial	$4,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,936.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,760.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,200.00
Rate for Payer: UnitedHealthcare Community & State	$192.80
Rate for Payer: Wellpoint Medicaid Managed Care	$212.00

STD FEMORAL HEAD

Facility

$11,480.00

Service Code	HCPCS C1776
Hospital Charge Code	270667471
Hospital Revenue Code	278
Min. Negotiated Rate	$1,722.00
Max. Negotiated Rate	$2,778.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,296.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,778.16
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,525.60
Rate for Payer: Qualcare PPO/HMO/WC	$1,722.00

STD FEMORAL HEAD

Facility

$11,480.00

Service Code	HCPCS C1776
Hospital Charge Code	270667471
Hospital Revenue Code	278
Min. Negotiated Rate	$276.67
Max. Negotiated Rate	$5,740.00
Rate for Payer: Aetna Commercial	$4,362.40
Rate for Payer: Aetna Medicare Advantage	$3,444.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,927.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,927.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,296.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,927.40
Rate for Payer: Cigna Commercial	$5,740.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,778.16
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,525.60
Rate for Payer: Qualcare PPO/HMO/WC	$1,722.00
Rate for Payer: UnitedHealthcare Community & State	$276.67
Rate for Payer: Wellpoint Medicaid Managed Care	$304.22

STD FEM STEM ECHO SZ 10

Facility

$15,000.00

Hospital Charge Code	270702516
Hospital Revenue Code	278
Min. Negotiated Rate	$2,250.00
Max. Negotiated Rate	$3,630.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,630.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,300.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,250.00

STD FEM STEM ECHO SZ 10

Facility

$15,000.00

Hospital Charge Code	270702516
Hospital Revenue Code	278
Min. Negotiated Rate	$361.50
Max. Negotiated Rate	$7,500.00
Rate for Payer: Aetna Commercial	$5,700.00
Rate for Payer: Aetna Medicare Advantage	$4,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,825.00
Rate for Payer: Cigna Commercial	$7,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,630.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,300.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,250.00
Rate for Payer: UnitedHealthcare Community & State	$361.50
Rate for Payer: Wellpoint Medicaid Managed Care	$397.50

STD HUMERAL DIAPH 0 CEMENT SZ8

Facility

$17,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270696739
Hospital Revenue Code	278
Min. Negotiated Rate	$421.75
Max. Negotiated Rate	$8,750.00
Rate for Payer: Aetna Commercial	$6,650.00
Rate for Payer: Aetna Medicare Advantage	$5,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,462.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,462.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,462.50
Rate for Payer: Cigna Commercial	$8,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,235.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,850.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,625.00
Rate for Payer: UnitedHealthcare Community & State	$421.75
Rate for Payer: Wellpoint Medicaid Managed Care	$463.75

STD HUMERAL DIAPH 0 CEMENT SZ8

Facility

$17,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270696739
Hospital Revenue Code	278
Min. Negotiated Rate	$2,625.00
Max. Negotiated Rate	$4,235.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,235.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,850.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,625.00

STD TULIP

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270705533
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

STD TULIP

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270705533
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

STEALTH FIXATOR ANKLE

Facility

$36,170.00

Hospital Charge Code	270656826
Hospital Revenue Code	278
Min. Negotiated Rate	$5,425.50
Max. Negotiated Rate	$8,753.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,234.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,753.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$7,957.40
Rate for Payer: Qualcare PPO/HMO/WC	$5,425.50

STEALTH FIXATOR ANKLE

Facility

$36,170.00

Hospital Charge Code	270656826
Hospital Revenue Code	278
Min. Negotiated Rate	$871.70
Max. Negotiated Rate	$18,085.00
Rate for Payer: Aetna Commercial	$13,744.60
Rate for Payer: Aetna Medicare Advantage	$10,851.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,223.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,223.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,234.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,223.35
Rate for Payer: Cigna Commercial	$18,085.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,753.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$7,957.40
Rate for Payer: Qualcare PPO/HMO/WC	$5,425.50
Rate for Payer: UnitedHealthcare Community & State	$871.70
Rate for Payer: Wellpoint Medicaid Managed Care	$958.50

STEAM STATION REPAIRS

Facility

$11,750.00

Hospital Charge Code	270659135
Hospital Revenue Code	278
Min. Negotiated Rate	$1,762.50
Max. Negotiated Rate	$2,843.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,843.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,585.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,762.50

STEAM STATION REPAIRS

Facility

$11,750.00

Hospital Charge Code	270659135
Hospital Revenue Code	278
Min. Negotiated Rate	$283.18
Max. Negotiated Rate	$5,875.00
Rate for Payer: Aetna Commercial	$4,465.00
Rate for Payer: Aetna Medicare Advantage	$3,525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,996.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,996.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,996.25
Rate for Payer: Cigna Commercial	$5,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,843.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,585.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,762.50
Rate for Payer: UnitedHealthcare Community & State	$283.18
Rate for Payer: Wellpoint Medicaid Managed Care	$311.38

STEBT MULTI-LINK RX 4.0X28MM

Facility

$3,000.00

Service Code	HCPCS C1876
Hospital Charge Code	270643627C
Hospital Revenue Code	278
Min. Negotiated Rate	$450.00
Max. Negotiated Rate	$726.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$726.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$660.00
Rate for Payer: Qualcare PPO/HMO/WC	$450.00

STEBT MULTI-LINK RX 4.0X28MM

Facility

$3,000.00

Service Code	HCPCS C1876
Hospital Charge Code	270643627C
Hospital Revenue Code	278
Min. Negotiated Rate	$72.30
Max. Negotiated Rate	$1,500.00
Rate for Payer: Aetna Commercial	$1,140.00
Rate for Payer: Aetna Medicare Advantage	$900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$765.00
Rate for Payer: Cigna Commercial	$1,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$726.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$660.00
Rate for Payer: Qualcare PPO/HMO/WC	$450.00
Rate for Payer: UnitedHealthcare Community & State	$72.30
Rate for Payer: Wellpoint Medicaid Managed Care	$79.50

STE CYPHER RX 2.5x8cm CXS08250

Facility

$13,625.00

Hospital Charge Code	270637330C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,043.75
Max. Negotiated Rate	$3,297.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,297.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,997.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,043.75

STE CYPHER RX 2.5x8cm CXS08250

Facility

$13,625.00

Hospital Charge Code	270637330C
Hospital Revenue Code	278
Min. Negotiated Rate	$328.36
Max. Negotiated Rate	$6,812.50
Rate for Payer: Aetna Commercial	$5,177.50
Rate for Payer: Aetna Medicare Advantage	$4,087.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,474.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,474.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,725.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,474.38
Rate for Payer: Cigna Commercial	$6,812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,297.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,997.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,043.75
Rate for Payer: UnitedHealthcare Community & State	$328.36
Rate for Payer: Wellpoint Medicaid Managed Care	$361.06

STEEM 16MM

Facility

$5,400.00

Service Code	HCPCS C1776
Hospital Charge Code	270688090
Hospital Revenue Code	278
Min. Negotiated Rate	$130.14
Max. Negotiated Rate	$2,700.00
Rate for Payer: Aetna Commercial	$2,052.00
Rate for Payer: Aetna Medicare Advantage	$1,620.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,377.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,377.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,080.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,377.00
Rate for Payer: Cigna Commercial	$2,700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,306.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,188.00
Rate for Payer: Qualcare PPO/HMO/WC	$810.00
Rate for Payer: UnitedHealthcare Community & State	$130.14
Rate for Payer: Wellpoint Medicaid Managed Care	$143.10

STEEM 16MM

Facility

$5,400.00

Service Code	HCPCS C1776
Hospital Charge Code	270688090
Hospital Revenue Code	278
Min. Negotiated Rate	$810.00
Max. Negotiated Rate	$1,306.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,080.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,306.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,188.00
Rate for Payer: Qualcare PPO/HMO/WC	$810.00

STEIMAN PIN 3/32 X 9 IN TROCAR

Facility

$56.25

Service Code	HCPCS C1713
Hospital Charge Code	270687107
Hospital Revenue Code	278
Min. Negotiated Rate	$8.44
Max. Negotiated Rate	$13.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.61
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$12.38
Rate for Payer: Qualcare PPO/HMO/WC	$8.44

STEIMAN PIN 3/32 X 9 IN TROCAR

Facility

$56.25

Service Code	HCPCS C1713
Hospital Charge Code	270687107
Hospital Revenue Code	278
Min. Negotiated Rate	$1.36
Max. Negotiated Rate	$28.12
Rate for Payer: Aetna Commercial	$21.38
Rate for Payer: Aetna Medicare Advantage	$16.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.34
Rate for Payer: Cigna Commercial	$28.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.61
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$12.38
Rate for Payer: Qualcare PPO/HMO/WC	$8.44
Rate for Payer: UnitedHealthcare Community & State	$1.36
Rate for Payer: Wellpoint Medicaid Managed Care	$1.49

STEINMANN 1/8

Facility

$17.25

Service Code	HCPCS C1713
Hospital Charge Code	270684578
Hospital Revenue Code	278
Min. Negotiated Rate	$0.42
Max. Negotiated Rate	$8.62
Rate for Payer: Aetna Commercial	$6.55
Rate for Payer: Aetna Medicare Advantage	$5.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.40
Rate for Payer: Cigna Commercial	$8.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.17
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3.79
Rate for Payer: Qualcare PPO/HMO/WC	$2.59
Rate for Payer: UnitedHealthcare Community & State	$0.42
Rate for Payer: Wellpoint Medicaid Managed Care	$0.46

STEINMANN 1/8

Facility

$17.25

Service Code	HCPCS C1713
Hospital Charge Code	270684578
Hospital Revenue Code	278
Min. Negotiated Rate	$2.59
Max. Negotiated Rate	$4.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.17
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3.79
Rate for Payer: Qualcare PPO/HMO/WC	$2.59

STEINMANN 3/16

Facility

$21.85

Service Code	HCPCS C1713
Hospital Charge Code	270684581
Hospital Revenue Code	278
Min. Negotiated Rate	$0.53
Max. Negotiated Rate	$10.93
Rate for Payer: Aetna Commercial	$8.30
Rate for Payer: Aetna Medicare Advantage	$6.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.57
Rate for Payer: Cigna Commercial	$10.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.29
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4.81
Rate for Payer: Qualcare PPO/HMO/WC	$3.28
Rate for Payer: UnitedHealthcare Community & State	$0.53
Rate for Payer: Wellpoint Medicaid Managed Care	$0.58

Know your out-of-pocket cost for care.

All Charges