Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

WASHER 10.0MM

Facility

$116.95

Service Code	HCPCS C1713
Hospital Charge Code	270604928
Hospital Revenue Code	278
Min. Negotiated Rate	$17.54
Max. Negotiated Rate	$28.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$25.73
Rate for Payer: Qualcare PPO/HMO/WC	$17.54

WASHER 10.0MM

Facility

$116.95

Service Code	HCPCS C1713
Hospital Charge Code	270604928
Hospital Revenue Code	278
Min. Negotiated Rate	$2.82
Max. Negotiated Rate	$58.48
Rate for Payer: Aetna Commercial	$44.44
Rate for Payer: Aetna Medicare Advantage	$35.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.82
Rate for Payer: Cigna Commercial	$58.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$25.73
Rate for Payer: Qualcare PPO/HMO/WC	$17.54
Rate for Payer: UnitedHealthcare Community & State	$2.82
Rate for Payer: Wellpoint Medicaid Managed Care	$3.10

WASHER 13.0MM

Facility

$116.25

Hospital Charge Code	270656955
Hospital Revenue Code	272
Min. Negotiated Rate	$17.44
Max. Negotiated Rate	$17.44
Rate for Payer: Qualcare PPO/HMO/WC	$17.44

WASHER 13.0MM

Facility

$116.25

Hospital Charge Code	270656955
Hospital Revenue Code	272
Min. Negotiated Rate	$2.80
Max. Negotiated Rate	$58.12
Rate for Payer: Aetna Commercial	$44.17
Rate for Payer: Aetna Medicare Advantage	$34.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.64
Rate for Payer: Cigna Commercial	$58.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.88
Rate for Payer: Oxford Commercial	$23.25
Rate for Payer: Qualcare PPO/HMO/WC	$17.44
Rate for Payer: UnitedHealthcare Commercial	$23.25
Rate for Payer: UnitedHealthcare Community & State	$2.80
Rate for Payer: Wellpoint Medicaid Managed Care	$3.08

WASHER 13.0mm CANN SCREWS LRG

Facility

$123.35

Service Code	HCPCS C1713
Hospital Charge Code	270605006
Hospital Revenue Code	278
Min. Negotiated Rate	$18.50
Max. Negotiated Rate	$29.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$27.14
Rate for Payer: Qualcare PPO/HMO/WC	$18.50

WASHER 13.0mm CANN SCREWS LRG

Facility

$123.35

Service Code	HCPCS C1713
Hospital Charge Code	270605006
Hospital Revenue Code	278
Min. Negotiated Rate	$2.97
Max. Negotiated Rate	$61.67
Rate for Payer: Aetna Commercial	$46.87
Rate for Payer: Aetna Medicare Advantage	$37.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.45
Rate for Payer: Cigna Commercial	$61.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$27.14
Rate for Payer: Qualcare PPO/HMO/WC	$18.50
Rate for Payer: UnitedHealthcare Community & State	$2.97
Rate for Payer: Wellpoint Medicaid Managed Care	$3.27

WASHER 1.5MM X 13MM

Facility

$315.00

Hospital Charge Code	270670999
Hospital Revenue Code	278
Min. Negotiated Rate	$47.25
Max. Negotiated Rate	$76.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.23
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$69.30
Rate for Payer: Qualcare PPO/HMO/WC	$47.25

WASHER 1.5MM X 13MM

Facility

$315.00

Hospital Charge Code	270670999
Hospital Revenue Code	278
Min. Negotiated Rate	$7.59
Max. Negotiated Rate	$157.50
Rate for Payer: Aetna Commercial	$119.70
Rate for Payer: Aetna Medicare Advantage	$94.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80.33
Rate for Payer: Cigna Commercial	$157.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.23
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$69.30
Rate for Payer: Qualcare PPO/HMO/WC	$47.25
Rate for Payer: UnitedHealthcare Community & State	$7.59
Rate for Payer: Wellpoint Medicaid Managed Care	$8.35

WASHER 3.5MM

Facility

$410.00

Hospital Charge Code	270661804
Hospital Revenue Code	272
Min. Negotiated Rate	$61.50
Max. Negotiated Rate	$61.50
Rate for Payer: Qualcare PPO/HMO/WC	$61.50

WASHER 3.5MM

Facility

$410.00

Hospital Charge Code	270661804
Hospital Revenue Code	272
Min. Negotiated Rate	$9.88
Max. Negotiated Rate	$205.00
Rate for Payer: Aetna Commercial	$155.80
Rate for Payer: Aetna Medicare Advantage	$123.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$104.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$104.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$104.55
Rate for Payer: Cigna Commercial	$205.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$123.00
Rate for Payer: Oxford Commercial	$82.00
Rate for Payer: Qualcare PPO/HMO/WC	$61.50
Rate for Payer: UnitedHealthcare Commercial	$82.00
Rate for Payer: UnitedHealthcare Community & State	$9.88
Rate for Payer: Wellpoint Medicaid Managed Care	$10.87

WASHER 390017S

Facility

$690.00

Service Code	HCPCS C1713
Hospital Charge Code	270648764
Hospital Revenue Code	278
Min. Negotiated Rate	$16.63
Max. Negotiated Rate	$345.00
Rate for Payer: Aetna Commercial	$262.20
Rate for Payer: Aetna Medicare Advantage	$207.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$175.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$175.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$138.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$175.95
Rate for Payer: Cigna Commercial	$345.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$166.98
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$151.80
Rate for Payer: Qualcare PPO/HMO/WC	$103.50
Rate for Payer: UnitedHealthcare Community & State	$16.63
Rate for Payer: Wellpoint Medicaid Managed Care	$18.29

WASHER 390017S

Facility

$690.00

Service Code	HCPCS C1713
Hospital Charge Code	270648764
Hospital Revenue Code	278
Min. Negotiated Rate	$103.50
Max. Negotiated Rate	$166.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$138.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$166.98
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$151.80
Rate for Payer: Qualcare PPO/HMO/WC	$103.50

WASHER 4.0/4.5MM

Facility

$25.00

Hospital Charge Code	270656796
Hospital Revenue Code	272
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$12.50
Rate for Payer: Aetna Commercial	$9.50
Rate for Payer: Aetna Medicare Advantage	$7.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.38
Rate for Payer: Cigna Commercial	$12.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.50
Rate for Payer: Oxford Commercial	$5.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.75
Rate for Payer: UnitedHealthcare Commercial	$5.00
Rate for Payer: UnitedHealthcare Community & State	$0.60
Rate for Payer: Wellpoint Medicaid Managed Care	$0.66

WASHER 4.0/4.5MM

Facility

$25.00

Hospital Charge Code	270656796
Hospital Revenue Code	272
Min. Negotiated Rate	$3.75
Max. Negotiated Rate	$3.75
Rate for Payer: Qualcare PPO/HMO/WC	$3.75

WASHER 4.5MM

Facility

$400.00

Hospital Charge Code	270659869
Hospital Revenue Code	270
Min. Negotiated Rate	$9.64
Max. Negotiated Rate	$200.00
Rate for Payer: Aetna Commercial	$152.00
Rate for Payer: Aetna Medicare Advantage	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$102.00
Rate for Payer: Cigna Commercial	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.00
Rate for Payer: Oxford Commercial	$80.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.00
Rate for Payer: UnitedHealthcare Commercial	$80.00
Rate for Payer: UnitedHealthcare Community & State	$9.64
Rate for Payer: Wellpoint Medicaid Managed Care	$10.60

WASHER 4.5MM

Facility

$400.00

Hospital Charge Code	270659869
Hospital Revenue Code	270
Min. Negotiated Rate	$60.00
Max. Negotiated Rate	$60.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.00

WASHER 6.5MM

Facility

$125.00

Hospital Charge Code	270685157
Hospital Revenue Code	278
Min. Negotiated Rate	$18.75
Max. Negotiated Rate	$30.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$27.50
Rate for Payer: Qualcare PPO/HMO/WC	$18.75

WASHER 6.5MM

Facility

$125.00

Hospital Charge Code	270685157
Hospital Revenue Code	278
Min. Negotiated Rate	$3.01
Max. Negotiated Rate	$62.50
Rate for Payer: Aetna Commercial	$47.50
Rate for Payer: Aetna Medicare Advantage	$37.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.88
Rate for Payer: Cigna Commercial	$62.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$27.50
Rate for Payer: Qualcare PPO/HMO/WC	$18.75
Rate for Payer: UnitedHealthcare Community & State	$3.01
Rate for Payer: Wellpoint Medicaid Managed Care	$3.31

WASHER 7.0MM

Facility

$111.40

Hospital Charge Code	270604108
Hospital Revenue Code	278
Min. Negotiated Rate	$16.71
Max. Negotiated Rate	$26.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$24.51
Rate for Payer: Qualcare PPO/HMO/WC	$16.71

WASHER 7.0MM

Facility

$111.40

Hospital Charge Code	270604108
Hospital Revenue Code	278
Min. Negotiated Rate	$2.68
Max. Negotiated Rate	$55.70
Rate for Payer: Aetna Commercial	$42.33
Rate for Payer: Aetna Medicare Advantage	$33.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.41
Rate for Payer: Cigna Commercial	$55.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$24.51
Rate for Payer: Qualcare PPO/HMO/WC	$16.71
Rate for Payer: UnitedHealthcare Community & State	$2.68
Rate for Payer: Wellpoint Medicaid Managed Care	$2.95

WASHER 7.0MM

Facility

$105.00

Hospital Charge Code	270656907
Hospital Revenue Code	272
Min. Negotiated Rate	$2.53
Max. Negotiated Rate	$52.50
Rate for Payer: Aetna Commercial	$39.90
Rate for Payer: Aetna Medicare Advantage	$31.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.77
Rate for Payer: Cigna Commercial	$52.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.50
Rate for Payer: Oxford Commercial	$21.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.75
Rate for Payer: UnitedHealthcare Commercial	$21.00
Rate for Payer: UnitedHealthcare Community & State	$2.53
Rate for Payer: Wellpoint Medicaid Managed Care	$2.78

WASHER 7.0MM

Facility

$105.00

Hospital Charge Code	270656907
Hospital Revenue Code	272
Min. Negotiated Rate	$15.75
Max. Negotiated Rate	$15.75
Rate for Payer: Qualcare PPO/HMO/WC	$15.75

WASHER 7.5MM

Facility

$420.00

Service Code	HCPCS C1713
Hospital Charge Code	270700708
Hospital Revenue Code	278
Min. Negotiated Rate	$63.00
Max. Negotiated Rate	$101.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.64
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$92.40
Rate for Payer: Qualcare PPO/HMO/WC	$63.00

WASHER 7.5MM

Facility

$420.00

Service Code	HCPCS C1713
Hospital Charge Code	270700708
Hospital Revenue Code	278
Min. Negotiated Rate	$10.12
Max. Negotiated Rate	$210.00
Rate for Payer: Aetna Commercial	$159.60
Rate for Payer: Aetna Medicare Advantage	$126.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.10
Rate for Payer: Cigna Commercial	$210.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.64
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$92.40
Rate for Payer: Qualcare PPO/HMO/WC	$63.00
Rate for Payer: UnitedHealthcare Community & State	$10.12
Rate for Payer: Wellpoint Medicaid Managed Care	$11.13

WASHER 7MM

Facility

$160.50

Hospital Charge Code	270663087
Hospital Revenue Code	278
Min. Negotiated Rate	$24.07
Max. Negotiated Rate	$38.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$32.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$35.31
Rate for Payer: Qualcare PPO/HMO/WC	$24.07

Know your out-of-pocket cost for care.

All Charges