Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

WASHER SPIKED 13.5x5.5mm

Facility

$528.35

Hospital Charge Code	270625495
Hospital Revenue Code	278
Min. Negotiated Rate	$12.73
Max. Negotiated Rate	$264.18
Rate for Payer: Aetna Commercial	$200.77
Rate for Payer: Aetna Medicare Advantage	$158.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$134.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$134.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$105.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$134.73
Rate for Payer: Cigna Commercial	$264.18
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
Rate for Payer: UnitedHealthcare Community & State	$12.73
Rate for Payer: Wellpoint Medicaid Managed Care	$14.00

WASHER SYN MINI SCREW 21997

Facility

$121.65

Hospital Charge Code	270604290
Hospital Revenue Code	278
Min. Negotiated Rate	$18.25
Max. Negotiated Rate	$29.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$26.76
Rate for Payer: Qualcare PPO/HMO/WC	$18.25

WASHER SYN MINI SCREW 21997

Facility

$121.65

Hospital Charge Code	270604290
Hospital Revenue Code	278
Min. Negotiated Rate	$2.93
Max. Negotiated Rate	$60.83
Rate for Payer: Aetna Commercial	$46.23
Rate for Payer: Aetna Medicare Advantage	$36.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.02
Rate for Payer: Cigna Commercial	$60.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$26.76
Rate for Payer: Qualcare PPO/HMO/WC	$18.25
Rate for Payer: UnitedHealthcare Community & State	$2.93
Rate for Payer: Wellpoint Medicaid Managed Care	$3.22

WASHER SYN SM SCREW 21998

Facility

$121.65

Hospital Charge Code	270604291
Hospital Revenue Code	278
Min. Negotiated Rate	$2.93
Max. Negotiated Rate	$60.83
Rate for Payer: Aetna Commercial	$46.23
Rate for Payer: Aetna Medicare Advantage	$36.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.02
Rate for Payer: Cigna Commercial	$60.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$26.76
Rate for Payer: Qualcare PPO/HMO/WC	$18.25
Rate for Payer: UnitedHealthcare Community & State	$2.93
Rate for Payer: Wellpoint Medicaid Managed Care	$3.22

WASHER SYN SM SCREW 21998

Facility

$121.65

Hospital Charge Code	270604291
Hospital Revenue Code	278
Min. Negotiated Rate	$18.25
Max. Negotiated Rate	$29.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$26.76
Rate for Payer: Qualcare PPO/HMO/WC	$18.25

WASHER SYN SPIKE 13.5 6 21995S

Facility

$224.00

Hospital Charge Code	270621125
Hospital Revenue Code	278
Min. Negotiated Rate	$33.60
Max. Negotiated Rate	$54.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$49.28
Rate for Payer: Qualcare PPO/HMO/WC	$33.60

WASHER SYN SPIKE 13.5 6 21995S

Facility

$224.00

Hospital Charge Code	270621125
Hospital Revenue Code	278
Min. Negotiated Rate	$5.40
Max. Negotiated Rate	$112.00
Rate for Payer: Aetna Commercial	$85.12
Rate for Payer: Aetna Medicare Advantage	$67.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.12
Rate for Payer: Cigna Commercial	$112.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$49.28
Rate for Payer: Qualcare PPO/HMO/WC	$33.60
Rate for Payer: UnitedHealthcare Community & State	$5.40
Rate for Payer: Wellpoint Medicaid Managed Care	$5.94

WASHER SYN SPIKE 13.5MM 21994S

Facility

$256.00

Hospital Charge Code	270604289
Hospital Revenue Code	278
Min. Negotiated Rate	$38.40
Max. Negotiated Rate	$61.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$56.32
Rate for Payer: Qualcare PPO/HMO/WC	$38.40

WASHER SYN SPIKE 13.5MM 21994S

Facility

$256.00

Hospital Charge Code	270604289
Hospital Revenue Code	278
Min. Negotiated Rate	$6.17
Max. Negotiated Rate	$128.00
Rate for Payer: Aetna Commercial	$97.28
Rate for Payer: Aetna Medicare Advantage	$76.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.28
Rate for Payer: Cigna Commercial	$128.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$56.32
Rate for Payer: Qualcare PPO/HMO/WC	$38.40
Rate for Payer: UnitedHealthcare Community & State	$6.17
Rate for Payer: Wellpoint Medicaid Managed Care	$6.78

WASHER SYN SPIKE 8.0MM 21993S

Facility

$259.25

Hospital Charge Code	270604288
Hospital Revenue Code	278
Min. Negotiated Rate	$6.25
Max. Negotiated Rate	$129.62
Rate for Payer: Aetna Commercial	$98.52
Rate for Payer: Aetna Medicare Advantage	$77.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.11
Rate for Payer: Cigna Commercial	$129.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$57.03
Rate for Payer: Qualcare PPO/HMO/WC	$38.89
Rate for Payer: UnitedHealthcare Community & State	$6.25
Rate for Payer: Wellpoint Medicaid Managed Care	$6.87

WASHER SYN SPIKE 8.0MM 21993S

Facility

$259.25

Hospital Charge Code	270604288
Hospital Revenue Code	278
Min. Negotiated Rate	$38.89
Max. Negotiated Rate	$62.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$57.03
Rate for Payer: Qualcare PPO/HMO/WC	$38.89

WASHER SYN TITANIUM *******

Facility

$56.00

Hospital Charge Code	1603919
Hospital Revenue Code	274
Min. Negotiated Rate	$8.40
Max. Negotiated Rate	$13.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$12.32
Rate for Payer: Qualcare PPO/HMO/WC	$8.40

WASHER SYN TITANIUM *******

Facility

$56.00

Hospital Charge Code	1603919
Hospital Revenue Code	274
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$28.00
Rate for Payer: Aetna Commercial	$21.28
Rate for Payer: Aetna Medicare Advantage	$16.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.28
Rate for Payer: Cigna Commercial	$28.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$12.32
Rate for Payer: Qualcare PPO/HMO/WC	$8.40
Rate for Payer: UnitedHealthcare Community & State	$1.35
Rate for Payer: Wellpoint Medicaid Managed Care	$1.48

WASHER TI

Facility

$162.95

Hospital Charge Code	270664978
Hospital Revenue Code	270
Min. Negotiated Rate	$3.93
Max. Negotiated Rate	$81.47
Rate for Payer: Aetna Commercial	$61.92
Rate for Payer: Aetna Medicare Advantage	$48.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.55
Rate for Payer: Cigna Commercial	$81.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.88
Rate for Payer: Oxford Commercial	$32.59
Rate for Payer: Qualcare PPO/HMO/WC	$24.44
Rate for Payer: UnitedHealthcare Commercial	$32.59
Rate for Payer: UnitedHealthcare Community & State	$3.93
Rate for Payer: Wellpoint Medicaid Managed Care	$4.32

WASHER TI

Facility

$162.95

Hospital Charge Code	270664978
Hospital Revenue Code	270
Min. Negotiated Rate	$24.44
Max. Negotiated Rate	$24.44
Rate for Payer: Qualcare PPO/HMO/WC	$24.44

WASHER TI 7MM

Facility

$175.00

Hospital Charge Code	270674275
Hospital Revenue Code	272
Min. Negotiated Rate	$26.25
Max. Negotiated Rate	$26.25
Rate for Payer: Qualcare PPO/HMO/WC	$26.25

WASHER TI 7MM

Facility

$175.00

Hospital Charge Code	270674275
Hospital Revenue Code	272
Min. Negotiated Rate	$4.22
Max. Negotiated Rate	$87.50
Rate for Payer: Aetna Commercial	$66.50
Rate for Payer: Aetna Medicare Advantage	$52.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.62
Rate for Payer: Cigna Commercial	$87.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.50
Rate for Payer: Oxford Commercial	$35.00
Rate for Payer: Qualcare PPO/HMO/WC	$26.25
Rate for Payer: UnitedHealthcare Commercial	$35.00
Rate for Payer: UnitedHealthcare Community & State	$4.22
Rate for Payer: Wellpoint Medicaid Managed Care	$4.64

WASHER TI BONE GRAFT 15MM

Facility

$1,610.00

Hospital Charge Code	270670734
Hospital Revenue Code	278
Min. Negotiated Rate	$241.50
Max. Negotiated Rate	$389.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$322.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$389.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$354.20
Rate for Payer: Qualcare PPO/HMO/WC	$241.50

WASHER TI BONE GRAFT 15MM

Facility

$1,610.00

Hospital Charge Code	270670734
Hospital Revenue Code	278
Min. Negotiated Rate	$38.80
Max. Negotiated Rate	$805.00
Rate for Payer: Aetna Commercial	$611.80
Rate for Payer: Aetna Medicare Advantage	$483.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$410.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$410.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$322.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$410.55
Rate for Payer: Cigna Commercial	$805.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$389.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$354.20
Rate for Payer: Qualcare PPO/HMO/WC	$241.50
Rate for Payer: UnitedHealthcare Community & State	$38.80
Rate for Payer: Wellpoint Medicaid Managed Care	$42.66

WASHER TITANIUM 10MM

Facility

$575.00

Hospital Charge Code	270669796
Hospital Revenue Code	278
Min. Negotiated Rate	$86.25
Max. Negotiated Rate	$139.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$126.50
Rate for Payer: Qualcare PPO/HMO/WC	$86.25

WASHER TITANIUM 10MM

Facility

$575.00

Hospital Charge Code	270669796
Hospital Revenue Code	278
Min. Negotiated Rate	$13.86
Max. Negotiated Rate	$287.50
Rate for Payer: Aetna Commercial	$218.50
Rate for Payer: Aetna Medicare Advantage	$172.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$146.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$146.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$146.62
Rate for Payer: Cigna Commercial	$287.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$126.50
Rate for Payer: Qualcare PPO/HMO/WC	$86.25
Rate for Payer: UnitedHealthcare Community & State	$13.86
Rate for Payer: Wellpoint Medicaid Managed Care	$15.24

WASHER TYPHOON GOLD 4.5X10MM

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270695208
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$363.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$330.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

WASHER TYPHOON GOLD 4.5X10MM

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270695208
Hospital Revenue Code	278
Min. Negotiated Rate	$36.15
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$570.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$330.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00
Rate for Payer: UnitedHealthcare Community & State	$36.15
Rate for Payer: Wellpoint Medicaid Managed Care	$39.75

WASHER TYPHOON TI 4.5X10MM

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270696186
Hospital Revenue Code	278
Min. Negotiated Rate	$36.15
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$570.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$330.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00
Rate for Payer: UnitedHealthcare Community & State	$36.15
Rate for Payer: Wellpoint Medicaid Managed Care	$39.75

WASHER TYPHOON TI 4.5X10MM

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270696186
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$363.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$330.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

Know your out-of-pocket cost for care.

All Charges