Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

WASHER ECT SPIKED 13.50 MM

Facility

$67.25

Hospital Charge Code	270657929
Hospital Revenue Code	278
Min. Negotiated Rate	$10.09
Max. Negotiated Rate	$16.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.27
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$14.79
Rate for Payer: Qualcare PPO/HMO/WC	$10.09

WASHER ECT SPIKED 13.50 MM

Facility

$67.25

Hospital Charge Code	270657929
Hospital Revenue Code	278
Min. Negotiated Rate	$1.62
Max. Negotiated Rate	$33.62
Rate for Payer: Aetna Commercial	$25.55
Rate for Payer: Aetna Medicare Advantage	$20.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.15
Rate for Payer: Cigna Commercial	$33.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.27
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$14.79
Rate for Payer: Qualcare PPO/HMO/WC	$10.09
Rate for Payer: UnitedHealthcare Community & State	$1.62
Rate for Payer: Wellpoint Medicaid Managed Care	$1.78

WASHER FOR BONE SCREW

Facility

$52.00

Hospital Charge Code	270335046
Hospital Revenue Code	278
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$12.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$11.44
Rate for Payer: Qualcare PPO/HMO/WC	$7.80

WASHER FOR BONE SCREW

Facility

$52.00

Hospital Charge Code	270335046
Hospital Revenue Code	278
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$26.00
Rate for Payer: Aetna Commercial	$19.76
Rate for Payer: Aetna Medicare Advantage	$15.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.26
Rate for Payer: Cigna Commercial	$26.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$11.44
Rate for Payer: Qualcare PPO/HMO/WC	$7.80
Rate for Payer: UnitedHealthcare Community & State	$1.25
Rate for Payer: Wellpoint Medicaid Managed Care	$1.38

WASHER HMD 5212-9100

Facility

$246.45

Hospital Charge Code	270620201
Hospital Revenue Code	278
Min. Negotiated Rate	$5.94
Max. Negotiated Rate	$123.22
Rate for Payer: Aetna Commercial	$93.65
Rate for Payer: Aetna Medicare Advantage	$73.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.84
Rate for Payer: Cigna Commercial	$123.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.64
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$54.22
Rate for Payer: Qualcare PPO/HMO/WC	$36.97
Rate for Payer: UnitedHealthcare Community & State	$5.94
Rate for Payer: Wellpoint Medicaid Managed Care	$6.53

WASHER HMD 5212-9100

Facility

$246.45

Hospital Charge Code	270620201
Hospital Revenue Code	278
Min. Negotiated Rate	$36.97
Max. Negotiated Rate	$59.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.64
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$54.22
Rate for Payer: Qualcare PPO/HMO/WC	$36.97

WASHER LAG SCREW STOP 3.5MM

Facility

$1,015.00

Hospital Charge Code	270698536
Hospital Revenue Code	272
Min. Negotiated Rate	$24.46
Max. Negotiated Rate	$507.50
Rate for Payer: Aetna Commercial	$385.70
Rate for Payer: Aetna Medicare Advantage	$304.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$258.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$258.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$258.82
Rate for Payer: Cigna Commercial	$507.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$304.50
Rate for Payer: Oxford Commercial	$203.00
Rate for Payer: Qualcare PPO/HMO/WC	$152.25
Rate for Payer: UnitedHealthcare Commercial	$203.00
Rate for Payer: UnitedHealthcare Community & State	$24.46
Rate for Payer: Wellpoint Medicaid Managed Care	$26.90

WASHER LAG SCREW STOP 3.5MM

Facility

$1,015.00

Hospital Charge Code	270698536
Hospital Revenue Code	272
Min. Negotiated Rate	$152.25
Max. Negotiated Rate	$152.25
Rate for Payer: Qualcare PPO/HMO/WC	$152.25

WASHER LAG SCREW STOP 4.5MM

Facility

$1,565.00

Hospital Charge Code	270698551
Hospital Revenue Code	272
Min. Negotiated Rate	$234.75
Max. Negotiated Rate	$234.75
Rate for Payer: Qualcare PPO/HMO/WC	$234.75

WASHER LAG SCREW STOP 4.5MM

Facility

$1,565.00

Hospital Charge Code	270698551
Hospital Revenue Code	272
Min. Negotiated Rate	$37.72
Max. Negotiated Rate	$782.50
Rate for Payer: Aetna Commercial	$594.70
Rate for Payer: Aetna Medicare Advantage	$469.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$399.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$399.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$399.07
Rate for Payer: Cigna Commercial	$782.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$469.50
Rate for Payer: Oxford Commercial	$313.00
Rate for Payer: Qualcare PPO/HMO/WC	$234.75
Rate for Payer: UnitedHealthcare Commercial	$313.00
Rate for Payer: UnitedHealthcare Community & State	$37.72
Rate for Payer: Wellpoint Medicaid Managed Care	$41.47

WASHER LOCKING RFNA 5DEG RT

Facility

$5,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270695064
Hospital Revenue Code	278
Min. Negotiated Rate	$132.55
Max. Negotiated Rate	$2,750.00
Rate for Payer: Aetna Commercial	$2,090.00
Rate for Payer: Aetna Medicare Advantage	$1,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,402.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,402.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,402.50
Rate for Payer: Cigna Commercial	$2,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,331.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,210.00
Rate for Payer: Qualcare PPO/HMO/WC	$825.00
Rate for Payer: UnitedHealthcare Community & State	$132.55
Rate for Payer: Wellpoint Medicaid Managed Care	$145.75

WASHER LOCKING RFNA 5DEG RT

Facility

$5,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270695064
Hospital Revenue Code	278
Min. Negotiated Rate	$825.00
Max. Negotiated Rate	$1,331.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,331.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,210.00
Rate for Payer: Qualcare PPO/HMO/WC	$825.00

WASHER M/DN 2252-02

Facility

$315.80

Hospital Charge Code	270639517
Hospital Revenue Code	278
Min. Negotiated Rate	$47.37
Max. Negotiated Rate	$76.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.42
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$69.48
Rate for Payer: Qualcare PPO/HMO/WC	$47.37

WASHER M/DN 2252-02

Facility

$315.80

Hospital Charge Code	270639517
Hospital Revenue Code	278
Min. Negotiated Rate	$7.61
Max. Negotiated Rate	$157.90
Rate for Payer: Aetna Commercial	$120.00
Rate for Payer: Aetna Medicare Advantage	$94.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80.53
Rate for Payer: Cigna Commercial	$157.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.42
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$69.48
Rate for Payer: Qualcare PPO/HMO/WC	$47.37
Rate for Payer: UnitedHealthcare Community & State	$7.61
Rate for Payer: Wellpoint Medicaid Managed Care	$8.37

WASHER ORTHOLOC 3DI 3.5X4.0MM

Facility

$918.00

Service Code	HCPCS C1713
Hospital Charge Code	270700514
Hospital Revenue Code	278
Min. Negotiated Rate	$22.12
Max. Negotiated Rate	$459.00
Rate for Payer: Aetna Commercial	$348.84
Rate for Payer: Aetna Medicare Advantage	$275.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$234.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$234.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$183.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$234.09
Rate for Payer: Cigna Commercial	$459.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$222.16
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$201.96
Rate for Payer: Qualcare PPO/HMO/WC	$137.70
Rate for Payer: UnitedHealthcare Community & State	$22.12
Rate for Payer: Wellpoint Medicaid Managed Care	$24.33

WASHER ORTHOLOC 3DI 3.5X4.0MM

Facility

$918.00

Service Code	HCPCS C1713
Hospital Charge Code	270700514
Hospital Revenue Code	278
Min. Negotiated Rate	$137.70
Max. Negotiated Rate	$222.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$183.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$222.16
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$201.96
Rate for Payer: Qualcare PPO/HMO/WC	$137.70

WASHER SCREW CANN STAINLESS

Facility

$565.00

Hospital Charge Code	270663836
Hospital Revenue Code	278
Min. Negotiated Rate	$84.75
Max. Negotiated Rate	$136.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$136.73
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$124.30
Rate for Payer: Qualcare PPO/HMO/WC	$84.75

WASHER SCREW CANN STAINLESS

Facility

$565.00

Hospital Charge Code	270663836
Hospital Revenue Code	278
Min. Negotiated Rate	$13.62
Max. Negotiated Rate	$282.50
Rate for Payer: Aetna Commercial	$214.70
Rate for Payer: Aetna Medicare Advantage	$169.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.07
Rate for Payer: Cigna Commercial	$282.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$136.73
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$124.30
Rate for Payer: Qualcare PPO/HMO/WC	$84.75
Rate for Payer: UnitedHealthcare Community & State	$13.62
Rate for Payer: Wellpoint Medicaid Managed Care	$14.97

WASHER SDK FOR M-A SCRW 827160

Facility

$315.25

Hospital Charge Code	270617949
Hospital Revenue Code	278
Min. Negotiated Rate	$47.29
Max. Negotiated Rate	$76.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.29
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$69.36
Rate for Payer: Qualcare PPO/HMO/WC	$47.29

WASHER SDK FOR M-A SCRW 827160

Facility

$315.25

Hospital Charge Code	270617949
Hospital Revenue Code	278
Min. Negotiated Rate	$7.60
Max. Negotiated Rate	$157.62
Rate for Payer: Aetna Commercial	$119.80
Rate for Payer: Aetna Medicare Advantage	$94.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80.39
Rate for Payer: Cigna Commercial	$157.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.29
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$69.36
Rate for Payer: Qualcare PPO/HMO/WC	$47.29
Rate for Payer: UnitedHealthcare Community & State	$7.60
Rate for Payer: Wellpoint Medicaid Managed Care	$8.35

WASHER SMN ACFX 6 17 7207033

Facility

$737.65

Hospital Charge Code	270617673
Hospital Revenue Code	278
Min. Negotiated Rate	$110.65
Max. Negotiated Rate	$178.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$147.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$178.51
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$162.28
Rate for Payer: Qualcare PPO/HMO/WC	$110.65

WASHER SMN ACFX 6 17 7207033

Facility

$737.65

Hospital Charge Code	270617673
Hospital Revenue Code	278
Min. Negotiated Rate	$17.78
Max. Negotiated Rate	$368.82
Rate for Payer: Aetna Commercial	$280.31
Rate for Payer: Aetna Medicare Advantage	$221.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$188.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$188.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$147.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$188.10
Rate for Payer: Cigna Commercial	$368.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$178.51
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$162.28
Rate for Payer: Qualcare PPO/HMO/WC	$110.65
Rate for Payer: UnitedHealthcare Community & State	$17.78
Rate for Payer: Wellpoint Medicaid Managed Care	$19.55

WASHER SPIKED 13.5MM/4.0MM

Facility

$504.00

Hospital Charge Code	270656315
Hospital Revenue Code	278
Min. Negotiated Rate	$75.60
Max. Negotiated Rate	$121.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$110.88
Rate for Payer: Qualcare PPO/HMO/WC	$75.60

WASHER SPIKED 13.5MM/4.0MM

Facility

$504.00

Hospital Charge Code	270656315
Hospital Revenue Code	278
Min. Negotiated Rate	$12.15
Max. Negotiated Rate	$252.00
Rate for Payer: Aetna Commercial	$191.52
Rate for Payer: Aetna Medicare Advantage	$151.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$128.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$128.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$128.52
Rate for Payer: Cigna Commercial	$252.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$110.88
Rate for Payer: Qualcare PPO/HMO/WC	$75.60
Rate for Payer: UnitedHealthcare Community & State	$12.15
Rate for Payer: Wellpoint Medicaid Managed Care	$13.36

WASHER SPIKED 13.5x5.5mm

Facility

$528.35

Hospital Charge Code	270625495
Hospital Revenue Code	278
Min. Negotiated Rate	$79.25
Max. Negotiated Rate	$127.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$105.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$116.24
Rate for Payer: Qualcare PPO/HMO/WC	$79.25

Know your out-of-pocket cost for care.

All Charges