Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE ANCHOR 1.4 W/1.2mm TT

Facility

$2,926.90

Service Code	HCPCS C1713
Hospital Charge Code	270683377
Hospital Revenue Code	278
Min. Negotiated Rate	$439.04
Max. Negotiated Rate	$708.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$585.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$708.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$643.92
Rate for Payer: Qualcare PPO/HMO/WC	$439.04

SUTURE ANCHOR 1.4 W/1.2mm TT

Facility

$775.00

Hospital Charge Code	270683346
Hospital Revenue Code	272
Min. Negotiated Rate	$116.25
Max. Negotiated Rate	$116.25
Rate for Payer: Qualcare PPO/HMO/WC	$116.25

SUTURE ANCHOR 2/0 ULTRAFIX

Facility

$1,084.65

Service Code	HCPCS C1713
Hospital Charge Code	270691027
Hospital Revenue Code	278
Min. Negotiated Rate	$162.70
Max. Negotiated Rate	$262.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$216.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$262.49
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$238.62
Rate for Payer: Qualcare PPO/HMO/WC	$162.70

SUTURE ANCHOR 2/0 ULTRAFIX

Facility

$1,084.65

Service Code	HCPCS C1713
Hospital Charge Code	270691027
Hospital Revenue Code	278
Min. Negotiated Rate	$26.14
Max. Negotiated Rate	$542.33
Rate for Payer: Aetna Commercial	$412.17
Rate for Payer: Aetna Medicare Advantage	$325.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$276.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$276.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$216.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$276.59
Rate for Payer: Cigna Commercial	$542.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$262.49
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$238.62
Rate for Payer: Qualcare PPO/HMO/WC	$162.70
Rate for Payer: UnitedHealthcare Community & State	$26.14
Rate for Payer: Wellpoint Medicaid Managed Care	$28.74

SUTURE ANCHOR 2.8MM, STERILE

Facility

$2,323.75

Hospital Charge Code	270701718
Hospital Revenue Code	278
Min. Negotiated Rate	$348.56
Max. Negotiated Rate	$562.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$464.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$562.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$511.23
Rate for Payer: Qualcare PPO/HMO/WC	$348.56

SUTURE ANCHOR 2.8MM, STERILE

Facility

$2,323.75

Hospital Charge Code	270701718
Hospital Revenue Code	278
Min. Negotiated Rate	$56.00
Max. Negotiated Rate	$1,161.88
Rate for Payer: Aetna Commercial	$883.02
Rate for Payer: Aetna Medicare Advantage	$697.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$592.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$592.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$464.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$592.56
Rate for Payer: Cigna Commercial	$1,161.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$562.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$511.23
Rate for Payer: Qualcare PPO/HMO/WC	$348.56
Rate for Payer: UnitedHealthcare Community & State	$56.00
Rate for Payer: Wellpoint Medicaid Managed Care	$61.58

SUTURE ANCHOR 3x12.4MM F/WIRE

Facility

$343.00

Hospital Charge Code	270675964
Hospital Revenue Code	272
Min. Negotiated Rate	$51.45
Max. Negotiated Rate	$51.45
Rate for Payer: Qualcare PPO/HMO/WC	$51.45

SUTURE ANCHOR 3x12.4MM F/WIRE

Facility

$343.00

Hospital Charge Code	270675964
Hospital Revenue Code	272
Min. Negotiated Rate	$8.27
Max. Negotiated Rate	$171.50
Rate for Payer: Aetna Commercial	$130.34
Rate for Payer: Aetna Medicare Advantage	$102.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$87.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$87.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$87.47
Rate for Payer: Cigna Commercial	$171.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.90
Rate for Payer: Oxford Commercial	$68.60
Rate for Payer: Qualcare PPO/HMO/WC	$51.45
Rate for Payer: UnitedHealthcare Commercial	$68.60
Rate for Payer: UnitedHealthcare Community & State	$8.27
Rate for Payer: Wellpoint Medicaid Managed Care	$9.09

SUTURE ANCHOR 5.5X14.9MM

Facility

$1,751.00

Service Code	HCPCS C1713
Hospital Charge Code	270705658
Hospital Revenue Code	278
Min. Negotiated Rate	$262.65
Max. Negotiated Rate	$423.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$350.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$385.22
Rate for Payer: Qualcare PPO/HMO/WC	$262.65

SUTURE ANCHOR 5.5X14.9MM

Facility

$1,751.00

Service Code	HCPCS C1713
Hospital Charge Code	270705658
Hospital Revenue Code	278
Min. Negotiated Rate	$42.20
Max. Negotiated Rate	$875.50
Rate for Payer: Aetna Commercial	$665.38
Rate for Payer: Aetna Medicare Advantage	$525.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$350.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.50
Rate for Payer: Cigna Commercial	$875.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$385.22
Rate for Payer: Qualcare PPO/HMO/WC	$262.65
Rate for Payer: UnitedHealthcare Community & State	$42.20
Rate for Payer: Wellpoint Medicaid Managed Care	$46.40

SUTURE ANCHOR 5.5x19.1MM

Facility

$2,000.00

Hospital Charge Code	270664573
Hospital Revenue Code	278
Min. Negotiated Rate	$300.00
Max. Negotiated Rate	$484.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$484.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$440.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00

SUTURE ANCHOR 5.5x19.1MM

Facility

$2,000.00

Hospital Charge Code	270664573
Hospital Revenue Code	278
Min. Negotiated Rate	$48.20
Max. Negotiated Rate	$1,000.00
Rate for Payer: Aetna Commercial	$760.00
Rate for Payer: Aetna Medicare Advantage	$600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$510.00
Rate for Payer: Cigna Commercial	$1,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$484.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$440.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00
Rate for Payer: UnitedHealthcare Community & State	$48.20
Rate for Payer: Wellpoint Medicaid Managed Care	$53.00

SUTURE ANCHOR ALL 1.4 MM

Facility

$2,323.75

Service Code	HCPCS C1713
Hospital Charge Code	270701617
Hospital Revenue Code	278
Min. Negotiated Rate	$348.56
Max. Negotiated Rate	$562.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$464.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$562.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$511.23
Rate for Payer: Qualcare PPO/HMO/WC	$348.56

SUTURE ANCHOR ALL 1.4 MM

Facility

$2,323.75

Service Code	HCPCS C1713
Hospital Charge Code	270701617
Hospital Revenue Code	278
Min. Negotiated Rate	$56.00
Max. Negotiated Rate	$1,161.88
Rate for Payer: Aetna Commercial	$883.02
Rate for Payer: Aetna Medicare Advantage	$697.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$592.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$592.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$464.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$592.56
Rate for Payer: Cigna Commercial	$1,161.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$562.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$511.23
Rate for Payer: Qualcare PPO/HMO/WC	$348.56
Rate for Payer: UnitedHealthcare Community & State	$56.00
Rate for Payer: Wellpoint Medicaid Managed Care	$61.58

SUTURE ANCHOR BIOCOMP CORKSCRE

Facility

$1,828.25

Service Code	HCPCS C1713
Hospital Charge Code	270705068
Hospital Revenue Code	278
Min. Negotiated Rate	$274.24
Max. Negotiated Rate	$442.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$365.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$442.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$402.21
Rate for Payer: Qualcare PPO/HMO/WC	$274.24

SUTURE ANCHOR BIOCOMP CORKSCRE

Facility

$1,828.25

Service Code	HCPCS C1713
Hospital Charge Code	270705068
Hospital Revenue Code	278
Min. Negotiated Rate	$44.06
Max. Negotiated Rate	$914.12
Rate for Payer: Aetna Commercial	$694.74
Rate for Payer: Aetna Medicare Advantage	$548.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$466.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$466.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$365.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$466.20
Rate for Payer: Cigna Commercial	$914.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$442.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$402.21
Rate for Payer: Qualcare PPO/HMO/WC	$274.24
Rate for Payer: UnitedHealthcare Community & State	$44.06
Rate for Payer: Wellpoint Medicaid Managed Care	$48.45

SUTURE ANCHOR,BIO COMPOSITE

Facility

$1,600.00

Service Code	HCPCS C1713
Hospital Charge Code	270663910
Hospital Revenue Code	278
Min. Negotiated Rate	$240.00
Max. Negotiated Rate	$387.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$320.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$387.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$352.00
Rate for Payer: Qualcare PPO/HMO/WC	$240.00

SUTURE ANCHOR,BIO COMPOSITE

Facility

$1,600.00

Service Code	HCPCS C1713
Hospital Charge Code	270663910
Hospital Revenue Code	278
Min. Negotiated Rate	$38.56
Max. Negotiated Rate	$800.00
Rate for Payer: Aetna Commercial	$608.00
Rate for Payer: Aetna Medicare Advantage	$480.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$408.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$408.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$320.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$408.00
Rate for Payer: Cigna Commercial	$800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$387.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$352.00
Rate for Payer: Qualcare PPO/HMO/WC	$240.00
Rate for Payer: UnitedHealthcare Community & State	$38.56
Rate for Payer: Wellpoint Medicaid Managed Care	$42.40

SUTURE ANCHOR BONECAM 2.9X10MM

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270697472
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

SUTURE ANCHOR BONECAM 2.9X10MM

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270697472
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

SUTUREANCHORCORKSCRWFTII5.5MM

Facility

$1,150.00

Service Code	HCPCS C1713
Hospital Charge Code	270640168
Hospital Revenue Code	278
Min. Negotiated Rate	$172.50
Max. Negotiated Rate	$278.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$230.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$278.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$253.00
Rate for Payer: Qualcare PPO/HMO/WC	$172.50

SUTUREANCHORCORKSCRWFTII5.5MM

Facility

$1,150.00

Service Code	HCPCS C1713
Hospital Charge Code	270640168
Hospital Revenue Code	278
Min. Negotiated Rate	$27.71
Max. Negotiated Rate	$575.00
Rate for Payer: Aetna Commercial	$437.00
Rate for Payer: Aetna Medicare Advantage	$345.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$293.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$293.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$230.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$293.25
Rate for Payer: Cigna Commercial	$575.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$278.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$253.00
Rate for Payer: Qualcare PPO/HMO/WC	$172.50
Rate for Payer: UnitedHealthcare Community & State	$27.71
Rate for Payer: Wellpoint Medicaid Managed Care	$30.48

SUTURE ANCHOR FIBERTAK

Facility

$2,325.00

Hospital Charge Code	270684479
Hospital Revenue Code	272
Min. Negotiated Rate	$56.03
Max. Negotiated Rate	$1,162.50
Rate for Payer: Aetna Commercial	$883.50
Rate for Payer: Aetna Medicare Advantage	$697.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$592.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$592.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$592.88
Rate for Payer: Cigna Commercial	$1,162.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$697.50
Rate for Payer: Oxford Commercial	$465.00
Rate for Payer: Qualcare PPO/HMO/WC	$348.75
Rate for Payer: UnitedHealthcare Commercial	$465.00
Rate for Payer: UnitedHealthcare Community & State	$56.03
Rate for Payer: Wellpoint Medicaid Managed Care	$61.61

SUTURE ANCHOR FIBERTAK

Facility

$2,325.00

Hospital Charge Code	270684479
Hospital Revenue Code	272
Min. Negotiated Rate	$348.75
Max. Negotiated Rate	$348.75
Rate for Payer: Qualcare PPO/HMO/WC	$348.75

SUTURE ANCHOR HIP

Facility

$1,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270688377
Hospital Revenue Code	278
Min. Negotiated Rate	$43.38
Max. Negotiated Rate	$900.00
Rate for Payer: Aetna Commercial	$684.00
Rate for Payer: Aetna Medicare Advantage	$540.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$360.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$459.00
Rate for Payer: Cigna Commercial	$900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$435.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$396.00
Rate for Payer: Qualcare PPO/HMO/WC	$270.00
Rate for Payer: UnitedHealthcare Community & State	$43.38
Rate for Payer: Wellpoint Medicaid Managed Care	$47.70

Know your out-of-pocket cost for care.

All Charges