Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

BEAM SLD HDLS MD THD 7.2X120MM

Facility

$5,115.00

Service Code	HCPCS C1713
Hospital Charge Code	270701411
Hospital Revenue Code	278
Min. Negotiated Rate	$767.25
Max. Negotiated Rate	$1,237.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,023.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,237.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,125.30
Rate for Payer: Qualcare PPO/HMO/WC	$767.25

BEAM SLD HDLS MD THD 7.2X120MM

Facility

$5,115.00

Service Code	HCPCS C1713
Hospital Charge Code	270701411
Hospital Revenue Code	278
Min. Negotiated Rate	$123.27
Max. Negotiated Rate	$2,557.50
Rate for Payer: Aetna Commercial	$1,943.70
Rate for Payer: Aetna Medicare Advantage	$1,534.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,304.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,304.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,023.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,304.33
Rate for Payer: Cigna Commercial	$2,557.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,237.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,125.30
Rate for Payer: Qualcare PPO/HMO/WC	$767.25
Rate for Payer: UnitedHealthcare Community & State	$123.27
Rate for Payer: Wellpoint Medicaid Managed Care	$135.55

BEAR CR LIPPED 14X71/75 183544

Facility

$5,260.00

Hospital Charge Code	270640106
Hospital Revenue Code	278
Min. Negotiated Rate	$789.00
Max. Negotiated Rate	$1,272.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,052.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,272.92
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,157.20
Rate for Payer: Qualcare PPO/HMO/WC	$789.00

BEAR CR LIPPED 14X71/75 183544

Facility

$5,260.00

Hospital Charge Code	270640106
Hospital Revenue Code	278
Min. Negotiated Rate	$126.77
Max. Negotiated Rate	$2,630.00
Rate for Payer: Aetna Commercial	$1,998.80
Rate for Payer: Aetna Medicare Advantage	$1,578.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,341.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,341.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,052.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,341.30
Rate for Payer: Cigna Commercial	$2,630.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,272.92
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,157.20
Rate for Payer: Qualcare PPO/HMO/WC	$789.00
Rate for Payer: UnitedHealthcare Community & State	$126.77
Rate for Payer: Wellpoint Medicaid Managed Care	$139.39

BEARING 10MM RIGHT

Facility

$6,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270690963
Hospital Revenue Code	278
Min. Negotiated Rate	$144.60
Max. Negotiated Rate	$3,000.00
Rate for Payer: Aetna Commercial	$2,280.00
Rate for Payer: Aetna Medicare Advantage	$1,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,530.00
Rate for Payer: Cigna Commercial	$3,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,320.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00
Rate for Payer: UnitedHealthcare Community & State	$144.60
Rate for Payer: Wellpoint Medicaid Managed Care	$159.00

BEARING 10MM RIGHT

Facility

$6,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270690963
Hospital Revenue Code	278
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$1,452.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,320.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

BEARING ACT ARTIC HIP 28x42mm

Facility

$13,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270680835
Hospital Revenue Code	278
Min. Negotiated Rate	$2,025.00
Max. Negotiated Rate	$3,267.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,267.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,970.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,025.00

BEARING ACT ARTIC HIP 28x42mm

Facility

$13,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270680835
Hospital Revenue Code	278
Min. Negotiated Rate	$325.35
Max. Negotiated Rate	$6,750.00
Rate for Payer: Aetna Commercial	$5,130.00
Rate for Payer: Aetna Medicare Advantage	$4,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,700.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,442.50
Rate for Payer: Cigna Commercial	$6,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,267.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,970.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,025.00
Rate for Payer: UnitedHealthcare Community & State	$325.35
Rate for Payer: Wellpoint Medicaid Managed Care	$357.75

BEARING ARCOM XL 28 MM X 46 MM

Facility

$3,750.00

Service Code	HCPCS C1776
Hospital Charge Code	270683723
Hospital Revenue Code	278
Min. Negotiated Rate	$562.50
Max. Negotiated Rate	$907.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$907.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$825.00
Rate for Payer: Qualcare PPO/HMO/WC	$562.50

BEARING ARCOM XL 28 MM X 46 MM

Facility

$3,750.00

Service Code	HCPCS C1776
Hospital Charge Code	270683723
Hospital Revenue Code	278
Min. Negotiated Rate	$90.38
Max. Negotiated Rate	$1,875.00
Rate for Payer: Aetna Commercial	$1,425.00
Rate for Payer: Aetna Medicare Advantage	$1,125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$956.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$956.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$956.25
Rate for Payer: Cigna Commercial	$1,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$907.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$825.00
Rate for Payer: Qualcare PPO/HMO/WC	$562.50
Rate for Payer: UnitedHealthcare Community & State	$90.38
Rate for Payer: Wellpoint Medicaid Managed Care	$99.38

BEARING ART SURF 16 MM

Facility

$18,668.75

Hospital Charge Code	270703333
Hospital Revenue Code	278
Min. Negotiated Rate	$2,800.31
Max. Negotiated Rate	$4,517.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,733.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,517.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,107.12
Rate for Payer: Qualcare PPO/HMO/WC	$2,800.31

BEARING ART SURF 16 MM

Facility

$18,668.75

Hospital Charge Code	270703333
Hospital Revenue Code	278
Min. Negotiated Rate	$449.92
Max. Negotiated Rate	$9,334.38
Rate for Payer: Aetna Commercial	$7,094.12
Rate for Payer: Aetna Medicare Advantage	$5,600.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,760.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,760.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,733.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,760.53
Rate for Payer: Cigna Commercial	$9,334.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,517.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,107.12
Rate for Payer: Qualcare PPO/HMO/WC	$2,800.31
Rate for Payer: UnitedHealthcare Community & State	$449.92
Rate for Payer: Wellpoint Medicaid Managed Care	$494.72

BEARING BMT P/S 14mm 183644

Facility

$5,596.90

Hospital Charge Code	270638610
Hospital Revenue Code	278
Min. Negotiated Rate	$839.53
Max. Negotiated Rate	$1,354.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,119.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,354.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,231.32
Rate for Payer: Qualcare PPO/HMO/WC	$839.53

BEARING BMT P/S 14mm 183644

Facility

$5,596.90

Hospital Charge Code	270638610
Hospital Revenue Code	278
Min. Negotiated Rate	$134.89
Max. Negotiated Rate	$2,798.45
Rate for Payer: Aetna Commercial	$2,126.82
Rate for Payer: Aetna Medicare Advantage	$1,679.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,427.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,427.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,119.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,427.21
Rate for Payer: Cigna Commercial	$2,798.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,354.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,231.32
Rate for Payer: Qualcare PPO/HMO/WC	$839.53
Rate for Payer: UnitedHealthcare Community & State	$134.89
Rate for Payer: Wellpoint Medicaid Managed Care	$148.32

BEARING BMT TIBIAL 10MM 146530

Facility

$3,833.65

Hospital Charge Code	270629061
Hospital Revenue Code	278
Min. Negotiated Rate	$92.39
Max. Negotiated Rate	$1,916.83
Rate for Payer: Aetna Commercial	$1,456.79
Rate for Payer: Aetna Medicare Advantage	$1,150.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$977.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$977.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$766.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$977.58
Rate for Payer: Cigna Commercial	$1,916.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$927.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$843.40
Rate for Payer: Qualcare PPO/HMO/WC	$575.05
Rate for Payer: UnitedHealthcare Community & State	$92.39
Rate for Payer: Wellpoint Medicaid Managed Care	$101.59

BEARING BMT TIBIAL 10MM 146530

Facility

$3,833.65

Hospital Charge Code	270629061
Hospital Revenue Code	278
Min. Negotiated Rate	$575.05
Max. Negotiated Rate	$927.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$766.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$927.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$843.40
Rate for Payer: Qualcare PPO/HMO/WC	$575.05

BEARING BMT TIBIAL 10MM 146570

Facility

$4,682.25

Hospital Charge Code	270621915
Hospital Revenue Code	278
Min. Negotiated Rate	$702.34
Max. Negotiated Rate	$1,133.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$936.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,133.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,030.10
Rate for Payer: Qualcare PPO/HMO/WC	$702.34

BEARING BMT TIBIAL 10MM 146570

Facility

$4,682.25

Hospital Charge Code	270621915
Hospital Revenue Code	278
Min. Negotiated Rate	$112.84
Max. Negotiated Rate	$2,341.12
Rate for Payer: Aetna Commercial	$1,779.26
Rate for Payer: Aetna Medicare Advantage	$1,404.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,193.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,193.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$936.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,193.97
Rate for Payer: Cigna Commercial	$2,341.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,133.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,030.10
Rate for Payer: Qualcare PPO/HMO/WC	$702.34
Rate for Payer: UnitedHealthcare Community & State	$112.84
Rate for Payer: Wellpoint Medicaid Managed Care	$124.08

BEARING BMT TIBIAL 12MM 146532

Facility

$4,440.00

Hospital Charge Code	270606314
Hospital Revenue Code	278
Min. Negotiated Rate	$107.00
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$1,687.20
Rate for Payer: Aetna Medicare Advantage	$1,332.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,132.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,132.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$888.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,132.20
Rate for Payer: Cigna Commercial	$2,220.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,074.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$976.80
Rate for Payer: Qualcare PPO/HMO/WC	$666.00
Rate for Payer: UnitedHealthcare Community & State	$107.00
Rate for Payer: Wellpoint Medicaid Managed Care	$117.66

BEARING BMT TIBIAL 12MM 146532

Facility

$4,440.00

Hospital Charge Code	270606314
Hospital Revenue Code	278
Min. Negotiated Rate	$666.00
Max. Negotiated Rate	$1,074.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$888.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,074.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$976.80
Rate for Payer: Qualcare PPO/HMO/WC	$666.00

BEARING BMT TIBIAL 12MM 146552

Facility

$4,440.00

Hospital Charge Code	270609396
Hospital Revenue Code	278
Min. Negotiated Rate	$107.00
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$1,687.20
Rate for Payer: Aetna Medicare Advantage	$1,332.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,132.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,132.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$888.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,132.20
Rate for Payer: Cigna Commercial	$2,220.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,074.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$976.80
Rate for Payer: Qualcare PPO/HMO/WC	$666.00
Rate for Payer: UnitedHealthcare Community & State	$107.00
Rate for Payer: Wellpoint Medicaid Managed Care	$117.66

BEARING BMT TIBIAL 12MM 146552

Facility

$4,440.00

Hospital Charge Code	270609396
Hospital Revenue Code	278
Min. Negotiated Rate	$666.00
Max. Negotiated Rate	$1,074.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$888.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,074.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$976.80
Rate for Payer: Qualcare PPO/HMO/WC	$666.00

BEARING BMT TIBIAL 12MM 146572

Facility

$3,110.00

Hospital Charge Code	270618751
Hospital Revenue Code	278
Min. Negotiated Rate	$74.95
Max. Negotiated Rate	$1,555.00
Rate for Payer: Aetna Commercial	$1,181.80
Rate for Payer: Aetna Medicare Advantage	$933.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$793.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$793.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$622.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$793.05
Rate for Payer: Cigna Commercial	$1,555.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$752.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$684.20
Rate for Payer: Qualcare PPO/HMO/WC	$466.50
Rate for Payer: UnitedHealthcare Community & State	$74.95
Rate for Payer: Wellpoint Medicaid Managed Care	$82.42

BEARING BMT TIBIAL 12MM 146572

Facility

$3,110.00

Hospital Charge Code	270618751
Hospital Revenue Code	278
Min. Negotiated Rate	$466.50
Max. Negotiated Rate	$752.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$622.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$752.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$684.20
Rate for Payer: Qualcare PPO/HMO/WC	$466.50

BEARING BMT TIBIAL 146592

Facility

$4,440.00

Hospital Charge Code	270606319
Hospital Revenue Code	278
Min. Negotiated Rate	$107.00
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$1,687.20
Rate for Payer: Aetna Medicare Advantage	$1,332.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,132.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,132.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$888.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,132.20
Rate for Payer: Cigna Commercial	$2,220.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,074.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$976.80
Rate for Payer: Qualcare PPO/HMO/WC	$666.00
Rate for Payer: UnitedHealthcare Community & State	$107.00
Rate for Payer: Wellpoint Medicaid Managed Care	$117.66

Know your out-of-pocket cost for care.

All Charges