Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE ANCHOR HIP

Facility

$1,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270688377
Hospital Revenue Code	278
Min. Negotiated Rate	$270.00
Max. Negotiated Rate	$435.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$360.00
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

SUTURE ANCHOR HIP PUSHLOCK

Facility

$1,800.00

Hospital Charge Code	270677467
Hospital Revenue Code	272
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) PPO	$459.00
Rate for Payer: Cigna Commercial	$900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$540.00
Rate for Payer: Oxford Commercial	$360.00
Rate for Payer: Qualcare PPO/HMO/WC	$270.00
Rate for Payer: UnitedHealthcare Commercial	$360.00
Rate for Payer: UnitedHealthcare Community & State	$43.38
Rate for Payer: Wellpoint Medicaid Managed Care	$47.70

SUTURE ANCHOR HIP PUSHLOCK

Facility

$1,800.00

Hospital Charge Code	270677467
Hospital Revenue Code	272
Min. Negotiated Rate	$270.00
Max. Negotiated Rate	$270.00
Rate for Payer: Qualcare PPO/HMO/WC	$270.00

SUTURE ANCHOR IMPC 3.5 BXS4218

Facility

$1,215.25

Hospital Charge Code	270633954
Hospital Revenue Code	272
Min. Negotiated Rate	$182.29
Max. Negotiated Rate	$182.29
Rate for Payer: Qualcare PPO/HMO/WC	$182.29

SUTURE ANCHOR IMPC 3.5 BXS4218

Facility

$1,215.25

Hospital Charge Code	270633954
Hospital Revenue Code	272
Min. Negotiated Rate	$29.29
Max. Negotiated Rate	$607.62
Rate for Payer: Aetna Commercial	$461.80
Rate for Payer: Aetna Medicare Advantage	$364.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$309.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$309.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$309.89
Rate for Payer: Cigna Commercial	$607.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$364.57
Rate for Payer: Oxford Commercial	$243.05
Rate for Payer: Qualcare PPO/HMO/WC	$182.29
Rate for Payer: UnitedHealthcare Commercial	$243.05
Rate for Payer: UnitedHealthcare Community & State	$29.29
Rate for Payer: Wellpoint Medicaid Managed Care	$32.20

SUTURE ANCHOR KNOTLES 1.8MM

Facility

$477.10

Hospital Charge Code	270699650
Hospital Revenue Code	272
Min. Negotiated Rate	$11.50
Max. Negotiated Rate	$238.55
Rate for Payer: Aetna Commercial	$181.30
Rate for Payer: Aetna Medicare Advantage	$143.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$121.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$121.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$121.66
Rate for Payer: Cigna Commercial	$238.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.13
Rate for Payer: Oxford Commercial	$95.42
Rate for Payer: Qualcare PPO/HMO/WC	$71.56
Rate for Payer: UnitedHealthcare Commercial	$95.42
Rate for Payer: UnitedHealthcare Community & State	$11.50
Rate for Payer: Wellpoint Medicaid Managed Care	$12.64

SUTURE ANCHOR KNOTLES 1.8MM

Facility

$477.10

Hospital Charge Code	270699650
Hospital Revenue Code	272
Min. Negotiated Rate	$71.56
Max. Negotiated Rate	$71.56
Rate for Payer: Qualcare PPO/HMO/WC	$71.56

SUTURE ANCHOR KNOTLES HIP

Facility

$2,025.00

Service Code	HCPCS C1713
Hospital Charge Code	270690895
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

SUTURE ANCHOR KNOTLES HIP

Facility

$2,025.00

Service Code	HCPCS C1713
Hospital Charge Code	270690895
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

SUTURE ANCHOR KNOTLESS 3x12.7M

Facility

$1,925.00

Hospital Charge Code	270675563
Hospital Revenue Code	272
Min. Negotiated Rate	$46.39
Max. Negotiated Rate	$962.50
Rate for Payer: Aetna Commercial	$731.50
Rate for Payer: Aetna Medicare Advantage	$577.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$490.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$490.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$490.88
Rate for Payer: Cigna Commercial	$962.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$577.50
Rate for Payer: Oxford Commercial	$385.00
Rate for Payer: Qualcare PPO/HMO/WC	$288.75
Rate for Payer: UnitedHealthcare Commercial	$385.00
Rate for Payer: UnitedHealthcare Community & State	$46.39
Rate for Payer: Wellpoint Medicaid Managed Care	$51.01

SUTURE ANCHOR KNOTLESS 3x12.7M

Facility

$1,925.00

Hospital Charge Code	270675563
Hospital Revenue Code	272
Min. Negotiated Rate	$288.75
Max. Negotiated Rate	$288.75
Rate for Payer: Qualcare PPO/HMO/WC	$288.75

SUTURE ANCHOR MINI BIO 2.5mm

Facility

$2,125.00

Hospital Charge Code	270655937
Hospital Revenue Code	272
Min. Negotiated Rate	$318.75
Max. Negotiated Rate	$318.75
Rate for Payer: Qualcare PPO/HMO/WC	$318.75

SUTURE ANCHOR MINI BIO 2.5mm

Facility

$2,125.00

Hospital Charge Code	270655937
Hospital Revenue Code	272
Min. Negotiated Rate	$51.21
Max. Negotiated Rate	$1,062.50
Rate for Payer: Aetna Commercial	$807.50
Rate for Payer: Aetna Medicare Advantage	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$541.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$541.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$541.88
Rate for Payer: Cigna Commercial	$1,062.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$637.50
Rate for Payer: Oxford Commercial	$425.00
Rate for Payer: Qualcare PPO/HMO/WC	$318.75
Rate for Payer: UnitedHealthcare Commercial	$425.00
Rate for Payer: UnitedHealthcare Community & State	$51.21
Rate for Payer: Wellpoint Medicaid Managed Care	$56.31

SUTURE ANCHOR MORPHIX 2 3.5MM

Facility

$2,350.00

Service Code	HCPCS C1713
Hospital Charge Code	270700352
Hospital Revenue Code	278
Min. Negotiated Rate	$352.50
Max. Negotiated Rate	$568.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$470.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$568.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$517.00
Rate for Payer: Qualcare PPO/HMO/WC	$352.50

SUTURE ANCHOR MORPHIX 2 3.5MM

Facility

$2,350.00

Service Code	HCPCS C1713
Hospital Charge Code	270700352
Hospital Revenue Code	278
Min. Negotiated Rate	$56.63
Max. Negotiated Rate	$1,175.00
Rate for Payer: Aetna Commercial	$893.00
Rate for Payer: Aetna Medicare Advantage	$705.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$599.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$599.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$470.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$599.25
Rate for Payer: Cigna Commercial	$1,175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$568.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$517.00
Rate for Payer: Qualcare PPO/HMO/WC	$352.50
Rate for Payer: UnitedHealthcare Community & State	$56.63
Rate for Payer: Wellpoint Medicaid Managed Care	$62.27

SUTURE ANCHOR PEEK 4.75MM 3STR

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270700659
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

SUTURE ANCHOR PEEK 4.75MM 3STR

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270700659
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

SUTURE ANCHOR PEEK 7x19.5MM

Facility

$2,895.00

Hospital Charge Code	270674133
Hospital Revenue Code	272
Min. Negotiated Rate	$434.25
Max. Negotiated Rate	$434.25
Rate for Payer: Qualcare PPO/HMO/WC	$434.25

SUTURE ANCHOR PEEK 7x19.5MM

Facility

$2,895.00

Hospital Charge Code	270674133
Hospital Revenue Code	272
Min. Negotiated Rate	$69.77
Max. Negotiated Rate	$1,447.50
Rate for Payer: Aetna Commercial	$1,100.10
Rate for Payer: Aetna Medicare Advantage	$868.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$738.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$738.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$738.23
Rate for Payer: Cigna Commercial	$1,447.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$868.50
Rate for Payer: Oxford Commercial	$579.00
Rate for Payer: Qualcare PPO/HMO/WC	$434.25
Rate for Payer: UnitedHealthcare Commercial	$579.00
Rate for Payer: UnitedHealthcare Community & State	$69.77
Rate for Payer: Wellpoint Medicaid Managed Care	$76.72

SUTURE ANCHOR PEEK 8x19.5MM

Facility

$2,895.00

Hospital Charge Code	270674134
Hospital Revenue Code	272
Min. Negotiated Rate	$434.25
Max. Negotiated Rate	$434.25
Rate for Payer: Qualcare PPO/HMO/WC	$434.25

SUTURE ANCHOR PEEK 8x19.5MM

Facility

$2,895.00

Hospital Charge Code	270674134
Hospital Revenue Code	272
Min. Negotiated Rate	$69.77
Max. Negotiated Rate	$1,447.50
Rate for Payer: Aetna Commercial	$1,100.10
Rate for Payer: Aetna Medicare Advantage	$868.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$738.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$738.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$738.23
Rate for Payer: Cigna Commercial	$1,447.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$868.50
Rate for Payer: Oxford Commercial	$579.00
Rate for Payer: Qualcare PPO/HMO/WC	$434.25
Rate for Payer: UnitedHealthcare Commercial	$579.00
Rate for Payer: UnitedHealthcare Community & State	$69.77
Rate for Payer: Wellpoint Medicaid Managed Care	$76.72

SUTURE ANCHOR PEEK MINI 2.5MM

Facility

$1,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270687549
Hospital Revenue Code	278
Min. Negotiated Rate	$270.00
Max. Negotiated Rate	$435.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$360.00
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

SUTURE ANCHOR PEEK MINI 2.5MM

Facility

$1,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270687549
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

SUTURE ANCHOR PEEK PUSHLOCK

Facility

$1,800.00

Hospital Charge Code	270676353
Hospital Revenue Code	272
Min. Negotiated Rate	$270.00
Max. Negotiated Rate	$270.00
Rate for Payer: Qualcare PPO/HMO/WC	$270.00

SUTURE ANCHOR PEEK PUSHLOCK

Facility

$1,800.00

Hospital Charge Code	270676353
Hospital Revenue Code	272
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) PPO	$459.00
Rate for Payer: Cigna Commercial	$900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$540.00
Rate for Payer: Oxford Commercial	$360.00
Rate for Payer: Qualcare PPO/HMO/WC	$270.00
Rate for Payer: UnitedHealthcare Commercial	$360.00
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