Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

WRENCH DPY OPNEND 10MM FF10502

Facility

$2,126.45

Hospital Charge Code	270612496
Hospital Revenue Code	272
Min. Negotiated Rate	$318.97
Max. Negotiated Rate	$318.97
Rate for Payer: Qualcare PPO/HMO/WC	$318.97

WRENCH DPY OPNEND 10MM FF10502

Facility

$2,126.45

Hospital Charge Code	270612496
Hospital Revenue Code	272
Min. Negotiated Rate	$51.25
Max. Negotiated Rate	$1,063.22
Rate for Payer: Aetna Commercial	$808.05
Rate for Payer: Aetna Medicare Advantage	$637.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$542.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$542.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$542.24
Rate for Payer: Cigna Commercial	$1,063.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$637.93
Rate for Payer: Oxford Commercial	$425.29
Rate for Payer: Qualcare PPO/HMO/WC	$318.97
Rate for Payer: UnitedHealthcare Commercial	$425.29
Rate for Payer: UnitedHealthcare Community & State	$51.25
Rate for Payer: Wellpoint Medicaid Managed Care	$56.35

WRENCH DPY SOCKET 10MM FF10507

Facility

$1,349.65

Hospital Charge Code	270612497
Hospital Revenue Code	272
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) PPO	$344.16
Rate for Payer: Cigna Commercial	$674.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$404.89
Rate for Payer: Oxford Commercial	$269.93
Rate for Payer: Qualcare PPO/HMO/WC	$202.45
Rate for Payer: UnitedHealthcare Commercial	$269.93
Rate for Payer: UnitedHealthcare Community & State	$32.53
Rate for Payer: Wellpoint Medicaid Managed Care	$35.77

WRENCH DPY SOCKET 10MM FF10507

Facility

$1,349.65

Hospital Charge Code	270612497
Hospital Revenue Code	272
Min. Negotiated Rate	$202.45
Max. Negotiated Rate	$202.45
Rate for Payer: Qualcare PPO/HMO/WC	$202.45

WRENCH HMD HOFF2 4920-9-020

Facility

$460.85

Hospital Charge Code	270621580
Hospital Revenue Code	272
Min. Negotiated Rate	$69.13
Max. Negotiated Rate	$69.13
Rate for Payer: Qualcare PPO/HMO/WC	$69.13

WRENCH HMD HOFF2 4920-9-020

Facility

$460.85

Hospital Charge Code	270621580
Hospital Revenue Code	272
Min. Negotiated Rate	$11.11
Max. Negotiated Rate	$230.43
Rate for Payer: Aetna Commercial	$175.12
Rate for Payer: Aetna Medicare Advantage	$138.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$117.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$117.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$117.52
Rate for Payer: Cigna Commercial	$230.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$138.25
Rate for Payer: Oxford Commercial	$92.17
Rate for Payer: Qualcare PPO/HMO/WC	$69.13
Rate for Payer: UnitedHealthcare Commercial	$92.17
Rate for Payer: UnitedHealthcare Community & State	$11.11
Rate for Payer: Wellpoint Medicaid Managed Care	$12.21

WRENCH IMPACT 1/2 4WM64

Facility

$957.00

Hospital Charge Code	270614607
Hospital Revenue Code	272
Min. Negotiated Rate	$23.06
Max. Negotiated Rate	$478.50
Rate for Payer: Aetna Commercial	$363.66
Rate for Payer: Aetna Medicare Advantage	$287.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$244.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$244.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$244.03
Rate for Payer: Cigna Commercial	$478.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$287.10
Rate for Payer: Oxford Commercial	$191.40
Rate for Payer: Qualcare PPO/HMO/WC	$143.55
Rate for Payer: UnitedHealthcare Commercial	$191.40
Rate for Payer: UnitedHealthcare Community & State	$23.06
Rate for Payer: Wellpoint Medicaid Managed Care	$25.36

WRENCH IMPACT 1/2 4WM64

Facility

$957.00

Hospital Charge Code	270614607
Hospital Revenue Code	272
Min. Negotiated Rate	$143.55
Max. Negotiated Rate	$143.55
Rate for Payer: Qualcare PPO/HMO/WC	$143.55

WRENCH RATCH WRENCH 828003010

Facility

$1,959.25

Hospital Charge Code	270632400
Hospital Revenue Code	272
Min. Negotiated Rate	$47.22
Max. Negotiated Rate	$979.62
Rate for Payer: Aetna Commercial	$744.51
Rate for Payer: Aetna Medicare Advantage	$587.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$499.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$499.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$499.61
Rate for Payer: Cigna Commercial	$979.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$587.77
Rate for Payer: Oxford Commercial	$391.85
Rate for Payer: Qualcare PPO/HMO/WC	$293.89
Rate for Payer: UnitedHealthcare Commercial	$391.85
Rate for Payer: UnitedHealthcare Community & State	$47.22
Rate for Payer: Wellpoint Medicaid Managed Care	$51.92

WRENCH RATCH WRENCH 828003010

Facility

$1,959.25

Hospital Charge Code	270632400
Hospital Revenue Code	272
Min. Negotiated Rate	$293.89
Max. Negotiated Rate	$293.89
Rate for Payer: Qualcare PPO/HMO/WC	$293.89

WRENCH T-HANDLE 7920-9-030

Facility

$3,525.00

Hospital Charge Code	270648631
Hospital Revenue Code	272
Min. Negotiated Rate	$528.75
Max. Negotiated Rate	$528.75
Rate for Payer: Qualcare PPO/HMO/WC	$528.75

WRENCH T-HANDLE 7920-9-030

Facility

$3,525.00

Hospital Charge Code	270648631
Hospital Revenue Code	272
Min. Negotiated Rate	$84.95
Max. Negotiated Rate	$1,762.50
Rate for Payer: Aetna Commercial	$1,339.50
Rate for Payer: Aetna Medicare Advantage	$1,057.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$898.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$898.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$898.88
Rate for Payer: Cigna Commercial	$1,762.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,057.50
Rate for Payer: Oxford Commercial	$705.00
Rate for Payer: Qualcare PPO/HMO/WC	$528.75
Rate for Payer: UnitedHealthcare Commercial	$705.00
Rate for Payer: UnitedHealthcare Community & State	$84.95
Rate for Payer: Wellpoint Medicaid Managed Care	$93.41

WRIST 3 VIEWS-BILAT

Facility

$6,601.19

Service Code	HCPCS 7311050
Hospital Charge Code	94061229
Hospital Revenue Code	320
Min. Negotiated Rate	$990.18
Max. Negotiated Rate	$990.18
Rate for Payer: Qualcare PPO/HMO/WC	$990.18

WRIST 3 VIEWS-BILAT

Facility

$6,601.19

Service Code	HCPCS 7311050
Hospital Charge Code	94061229
Hospital Revenue Code	320
Min. Negotiated Rate	$159.09
Max. Negotiated Rate	$3,300.59
Rate for Payer: Aetna Commercial	$2,508.45
Rate for Payer: Aetna Medicare Advantage	$1,980.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,683.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,683.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,683.30
Rate for Payer: Cigna Commercial	$3,300.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,980.36
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$990.18
Rate for Payer: UnitedHealthcare Commercial	$1,975.00
Rate for Payer: UnitedHealthcare Community & State	$159.09
Rate for Payer: Wellpoint Medicaid Managed Care	$174.93

WRIST 3 VIEWS-LT

Facility

$6,601.19

Service Code	HCPCS 73110LT
Hospital Charge Code	94061317
Hospital Revenue Code	320
Min. Negotiated Rate	$159.09
Max. Negotiated Rate	$3,300.59
Rate for Payer: Aetna Commercial	$2,508.45
Rate for Payer: Aetna Medicare Advantage	$1,980.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,683.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,683.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,683.30
Rate for Payer: Cigna Commercial	$3,300.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,980.36
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$990.18
Rate for Payer: UnitedHealthcare Commercial	$1,975.00
Rate for Payer: UnitedHealthcare Community & State	$159.09
Rate for Payer: Wellpoint Medicaid Managed Care	$174.93

WRIST 3 VIEWS-LT

Facility

$6,601.19

Service Code	HCPCS 73110LT
Hospital Charge Code	94061317
Hospital Revenue Code	320
Min. Negotiated Rate	$990.18
Max. Negotiated Rate	$990.18
Rate for Payer: Qualcare PPO/HMO/WC	$990.18

WRIST 3 VIEWS-RT

Facility

$6,601.19

Service Code	HCPCS 73110RT
Hospital Charge Code	94061319
Hospital Revenue Code	320
Min. Negotiated Rate	$990.18
Max. Negotiated Rate	$990.18
Rate for Payer: Qualcare PPO/HMO/WC	$990.18

WRIST 3 VIEWS-RT

Facility

$6,601.19

Service Code	HCPCS 73110RT
Hospital Charge Code	94061319
Hospital Revenue Code	320
Min. Negotiated Rate	$159.09
Max. Negotiated Rate	$3,300.59
Rate for Payer: Aetna Commercial	$2,508.45
Rate for Payer: Aetna Medicare Advantage	$1,980.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,683.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,683.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,683.30
Rate for Payer: Cigna Commercial	$3,300.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,980.36
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$990.18
Rate for Payer: UnitedHealthcare Commercial	$1,975.00
Rate for Payer: UnitedHealthcare Community & State	$159.09
Rate for Payer: Wellpoint Medicaid Managed Care	$174.93

WRIST AP & LAT-BILAT

Facility

$5,100.00

Service Code	HCPCS 7310050
Hospital Charge Code	94061227
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

WRIST AP & LAT-BILAT

Facility

$5,100.00

Service Code	HCPCS 7310050
Hospital Charge Code	94061227
Hospital Revenue Code	320
Min. Negotiated Rate	$122.91
Max. Negotiated Rate	$2,550.00
Rate for Payer: Aetna Commercial	$1,938.00
Rate for Payer: Aetna Medicare Advantage	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$2,550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,530.00
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$1,975.00
Rate for Payer: UnitedHealthcare Community & State	$122.91
Rate for Payer: Wellpoint Medicaid Managed Care	$135.15

WRIST AP & LAT-LT

Facility

$5,100.00

Service Code	HCPCS 73100LT
Hospital Charge Code	94061309
Hospital Revenue Code	320
Min. Negotiated Rate	$122.91
Max. Negotiated Rate	$2,550.00
Rate for Payer: Aetna Commercial	$1,938.00
Rate for Payer: Aetna Medicare Advantage	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$2,550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,530.00
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$1,975.00
Rate for Payer: UnitedHealthcare Community & State	$122.91
Rate for Payer: Wellpoint Medicaid Managed Care	$135.15

WRIST AP & LAT-LT

Facility

$5,100.00

Service Code	HCPCS 73100LT
Hospital Charge Code	94061309
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

WRIST AP&LAT POST-LT

Facility

$254.00

Service Code	HCPCS 73100LT
Hospital Charge Code	94061311
Hospital Revenue Code	320
Min. Negotiated Rate	$6.12
Max. Negotiated Rate	$1,975.00
Rate for Payer: Aetna Commercial	$96.52
Rate for Payer: Aetna Medicare Advantage	$76.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$64.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$64.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$64.77
Rate for Payer: Cigna Commercial	$127.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.20
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$38.10
Rate for Payer: UnitedHealthcare Commercial	$1,975.00
Rate for Payer: UnitedHealthcare Community & State	$6.12
Rate for Payer: Wellpoint Medicaid Managed Care	$6.73

WRIST AP&LAT POST-LT

Facility

$254.00

Service Code	HCPCS 73100LT
Hospital Charge Code	94061311
Hospital Revenue Code	320
Min. Negotiated Rate	$38.10
Max. Negotiated Rate	$38.10
Rate for Payer: Qualcare PPO/HMO/WC	$38.10

WRIST AP&LAT POSTRE-BI

Facility

$250.00

Service Code	HCPCS 7310050
Hospital Charge Code	94061225
Hospital Revenue Code	320
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$37.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

Know your out-of-pocket cost for care.

All Charges