Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

WASHER 7MM

Facility

$160.50

Hospital Charge Code	270663087
Hospital Revenue Code	278
Min. Negotiated Rate	$3.87
Max. Negotiated Rate	$80.25
Rate for Payer: Aetna Commercial	$60.99
Rate for Payer: Aetna Medicare Advantage	$48.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$32.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.93
Rate for Payer: Cigna Commercial	$80.25
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
Rate for Payer: UnitedHealthcare Community & State	$3.87
Rate for Payer: Wellpoint Medicaid Managed Care	$4.25

WASHER 7MM 219.98

Facility

$2,490.00

Service Code	HCPCS C1713
Hospital Charge Code	270691945
Hospital Revenue Code	278
Min. Negotiated Rate	$373.50
Max. Negotiated Rate	$602.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$498.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$602.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$547.80
Rate for Payer: Qualcare PPO/HMO/WC	$373.50

WASHER 7MM 219.98

Facility

$2,490.00

Service Code	HCPCS C1713
Hospital Charge Code	270691945
Hospital Revenue Code	278
Min. Negotiated Rate	$60.01
Max. Negotiated Rate	$1,245.00
Rate for Payer: Aetna Commercial	$946.20
Rate for Payer: Aetna Medicare Advantage	$747.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$634.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$634.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$498.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$634.95
Rate for Payer: Cigna Commercial	$1,245.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$602.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$547.80
Rate for Payer: Qualcare PPO/HMO/WC	$373.50
Rate for Payer: UnitedHealthcare Community & State	$60.01
Rate for Payer: Wellpoint Medicaid Managed Care	$65.98

WASHER 7MM RED

Facility

$280.00

Hospital Charge Code	270674293
Hospital Revenue Code	272
Min. Negotiated Rate	$42.00
Max. Negotiated Rate	$42.00
Rate for Payer: Qualcare PPO/HMO/WC	$42.00

WASHER 7MM RED

Facility

$280.00

Hospital Charge Code	270674293
Hospital Revenue Code	272
Min. Negotiated Rate	$6.75
Max. Negotiated Rate	$140.00
Rate for Payer: Aetna Commercial	$106.40
Rate for Payer: Aetna Medicare Advantage	$84.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$71.40
Rate for Payer: Cigna Commercial	$140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.00
Rate for Payer: Oxford Commercial	$56.00
Rate for Payer: Qualcare PPO/HMO/WC	$42.00
Rate for Payer: UnitedHealthcare Commercial	$56.00
Rate for Payer: UnitedHealthcare Community & State	$6.75
Rate for Payer: Wellpoint Medicaid Managed Care	$7.42

WASHER ASNIS FOR 5MM SCREWS

Facility

$245.00

Hospital Charge Code	270668346
Hospital Revenue Code	278
Min. Negotiated Rate	$36.75
Max. Negotiated Rate	$59.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.29
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$53.90
Rate for Payer: Qualcare PPO/HMO/WC	$36.75

WASHER ASNIS FOR 5MM SCREWS

Facility

$245.00

Hospital Charge Code	270668346
Hospital Revenue Code	278
Min. Negotiated Rate	$5.90
Max. Negotiated Rate	$122.50
Rate for Payer: Aetna Commercial	$93.10
Rate for Payer: Aetna Medicare Advantage	$73.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.48
Rate for Payer: Cigna Commercial	$122.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.29
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$53.90
Rate for Payer: Qualcare PPO/HMO/WC	$36.75
Rate for Payer: UnitedHealthcare Community & State	$5.90
Rate for Payer: Wellpoint Medicaid Managed Care	$6.49

WASHER ATHX SPIKED 14 AR1349

Facility

$1,334.45

Hospital Charge Code	270614426
Hospital Revenue Code	278
Min. Negotiated Rate	$32.16
Max. Negotiated Rate	$667.23
Rate for Payer: Aetna Commercial	$507.09
Rate for Payer: Aetna Medicare Advantage	$400.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$340.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$340.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$266.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$340.28
Rate for Payer: Cigna Commercial	$667.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$322.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$293.58
Rate for Payer: Qualcare PPO/HMO/WC	$200.17
Rate for Payer: UnitedHealthcare Community & State	$32.16
Rate for Payer: Wellpoint Medicaid Managed Care	$35.36

WASHER ATHX SPIKED 14 AR1349

Facility

$1,334.45

Hospital Charge Code	270614426
Hospital Revenue Code	278
Min. Negotiated Rate	$200.17
Max. Negotiated Rate	$322.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$266.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$322.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$293.58
Rate for Payer: Qualcare PPO/HMO/WC	$200.17

WASHER ATK ANCHOR 14MM 381014

Facility

$1,012.85

Hospital Charge Code	270617807
Hospital Revenue Code	278
Min. Negotiated Rate	$24.41
Max. Negotiated Rate	$506.43
Rate for Payer: Aetna Commercial	$384.88
Rate for Payer: Aetna Medicare Advantage	$303.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$258.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$258.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$202.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$258.28
Rate for Payer: Cigna Commercial	$506.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$245.11
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$222.83
Rate for Payer: Qualcare PPO/HMO/WC	$151.93
Rate for Payer: UnitedHealthcare Community & State	$24.41
Rate for Payer: Wellpoint Medicaid Managed Care	$26.84

WASHER ATK ANCHOR 14MM 381014

Facility

$1,012.85

Hospital Charge Code	270617807
Hospital Revenue Code	278
Min. Negotiated Rate	$151.93
Max. Negotiated Rate	$245.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$202.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$245.11
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$222.83
Rate for Payer: Qualcare PPO/HMO/WC	$151.93

WASHER ATK ANCHOR 18MM 381018

Facility

$1,349.65

Hospital Charge Code	270610577
Hospital Revenue Code	278
Min. Negotiated Rate	$32.53
Max. Negotiated Rate	$674.83
Rate for Payer: Aetna Commercial	$512.87
Rate for Payer: Aetna Medicare Advantage	$404.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$344.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$344.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$269.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$344.16
Rate for Payer: Cigna Commercial	$674.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$326.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$296.92
Rate for Payer: Qualcare PPO/HMO/WC	$202.45
Rate for Payer: UnitedHealthcare Community & State	$32.53
Rate for Payer: Wellpoint Medicaid Managed Care	$35.77

WASHER ATK ANCHOR 18MM 381018

Facility

$1,349.65

Hospital Charge Code	270610577
Hospital Revenue Code	278
Min. Negotiated Rate	$202.45
Max. Negotiated Rate	$326.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$269.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$326.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$296.92
Rate for Payer: Qualcare PPO/HMO/WC	$202.45

WASHER ATK FOR SCREW 904314

Facility

$1,353.65

Hospital Charge Code	270609651
Hospital Revenue Code	278
Min. Negotiated Rate	$203.05
Max. Negotiated Rate	$327.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$270.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$327.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$297.80
Rate for Payer: Qualcare PPO/HMO/WC	$203.05

WASHER ATK FOR SCREW 904314

Facility

$1,353.65

Hospital Charge Code	270609651
Hospital Revenue Code	278
Min. Negotiated Rate	$32.62
Max. Negotiated Rate	$676.83
Rate for Payer: Aetna Commercial	$514.39
Rate for Payer: Aetna Medicare Advantage	$406.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$345.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$345.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$270.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$345.18
Rate for Payer: Cigna Commercial	$676.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$327.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$297.80
Rate for Payer: Qualcare PPO/HMO/WC	$203.05
Rate for Payer: UnitedHealthcare Community & State	$32.62
Rate for Payer: Wellpoint Medicaid Managed Care	$35.87

WASHER ATK LOCK 16MM 908436

Facility

$1,724.85

Hospital Charge Code	270613297
Hospital Revenue Code	278
Min. Negotiated Rate	$41.57
Max. Negotiated Rate	$862.42
Rate for Payer: Aetna Commercial	$655.44
Rate for Payer: Aetna Medicare Advantage	$517.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$439.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$439.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$344.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$439.84
Rate for Payer: Cigna Commercial	$862.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$417.41
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$379.47
Rate for Payer: Qualcare PPO/HMO/WC	$258.73
Rate for Payer: UnitedHealthcare Community & State	$41.57
Rate for Payer: Wellpoint Medicaid Managed Care	$45.71

WASHER ATK LOCK 16MM 908436

Facility

$1,724.85

Hospital Charge Code	270613297
Hospital Revenue Code	278
Min. Negotiated Rate	$258.73
Max. Negotiated Rate	$417.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$344.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$417.41
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$379.47
Rate for Payer: Qualcare PPO/HMO/WC	$258.73

WASHER ATK SCREW 18MM 905418

Facility

$1,532.70

Hospital Charge Code	270627983
Hospital Revenue Code	278
Min. Negotiated Rate	$229.91
Max. Negotiated Rate	$370.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$306.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$370.91
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$337.19
Rate for Payer: Qualcare PPO/HMO/WC	$229.91

WASHER ATK SCREW 18MM 905418

Facility

$1,532.70

Hospital Charge Code	270627983
Hospital Revenue Code	278
Min. Negotiated Rate	$36.94
Max. Negotiated Rate	$766.35
Rate for Payer: Aetna Commercial	$582.43
Rate for Payer: Aetna Medicare Advantage	$459.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$390.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$390.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$306.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$390.84
Rate for Payer: Cigna Commercial	$766.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$370.91
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$337.19
Rate for Payer: Qualcare PPO/HMO/WC	$229.91
Rate for Payer: UnitedHealthcare Community & State	$36.94
Rate for Payer: Wellpoint Medicaid Managed Care	$40.62

WASHER BMT 13MM 245890

Facility

$268.85

Hospital Charge Code	270618212
Hospital Revenue Code	278
Min. Negotiated Rate	$40.33
Max. Negotiated Rate	$65.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$53.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$59.15
Rate for Payer: Qualcare PPO/HMO/WC	$40.33

WASHER BMT 13MM 245890

Facility

$268.85

Hospital Charge Code	270618212
Hospital Revenue Code	278
Min. Negotiated Rate	$6.48
Max. Negotiated Rate	$134.43
Rate for Payer: Aetna Commercial	$102.16
Rate for Payer: Aetna Medicare Advantage	$80.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$53.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.56
Rate for Payer: Cigna Commercial	$134.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$59.15
Rate for Payer: Qualcare PPO/HMO/WC	$40.33
Rate for Payer: UnitedHealthcare Community & State	$6.48
Rate for Payer: Wellpoint Medicaid Managed Care	$7.12

WASHER BUTTRESS 15MM

Facility

$1,465.00

Hospital Charge Code	270671020
Hospital Revenue Code	278
Min. Negotiated Rate	$219.75
Max. Negotiated Rate	$354.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$293.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$354.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$322.30
Rate for Payer: Qualcare PPO/HMO/WC	$219.75

WASHER BUTTRESS 15MM

Facility

$1,465.00

Hospital Charge Code	270671020
Hospital Revenue Code	278
Min. Negotiated Rate	$35.31
Max. Negotiated Rate	$732.50
Rate for Payer: Aetna Commercial	$556.70
Rate for Payer: Aetna Medicare Advantage	$439.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$373.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$373.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$293.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$373.57
Rate for Payer: Cigna Commercial	$732.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$354.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$322.30
Rate for Payer: Qualcare PPO/HMO/WC	$219.75
Rate for Payer: UnitedHealthcare Community & State	$35.31
Rate for Payer: Wellpoint Medicaid Managed Care	$38.82

WASHER CANCELLOUS ALTA

Facility

$150.00

Hospital Charge Code	270335175
Hospital Revenue Code	278
Min. Negotiated Rate	$22.50
Max. Negotiated Rate	$36.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$33.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.50

WASHER CANCELLOUS ALTA

Facility

$150.00

Hospital Charge Code	270335175
Hospital Revenue Code	278
Min. Negotiated Rate	$3.62
Max. Negotiated Rate	$75.00
Rate for Payer: Aetna Commercial	$57.00
Rate for Payer: Aetna Medicare Advantage	$45.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.25
Rate for Payer: Cigna Commercial	$75.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$33.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.50
Rate for Payer: UnitedHealthcare Community & State	$3.62
Rate for Payer: Wellpoint Medicaid Managed Care	$3.98

Know your out-of-pocket cost for care.

All Charges