Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

5MM ALLEN WRENCH

Facility

$57.55

Hospital Charge Code	270656630
Hospital Revenue Code	278
Min. Negotiated Rate	$8.63
Max. Negotiated Rate	$13.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.93
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$12.66
Rate for Payer: Qualcare PPO/HMO/WC	$8.63

5MM ALLEN WRENCH

Facility

$57.55

Hospital Charge Code	270656630
Hospital Revenue Code	278
Min. Negotiated Rate	$1.39
Max. Negotiated Rate	$28.77
Rate for Payer: Aetna Commercial	$21.87
Rate for Payer: Aetna Medicare Advantage	$17.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.68
Rate for Payer: Cigna Commercial	$28.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.93
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$12.66
Rate for Payer: Qualcare PPO/HMO/WC	$8.63
Rate for Payer: UnitedHealthcare Community & State	$1.39
Rate for Payer: Wellpoint Medicaid Managed Care	$1.53

5MM CAGE

Facility

$6,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270679110
Hospital Revenue Code	278
Min. Negotiated Rate	$156.65
Max. Negotiated Rate	$3,250.00
Rate for Payer: Aetna Commercial	$2,470.00
Rate for Payer: Aetna Medicare Advantage	$1,950.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,657.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,657.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,657.50
Rate for Payer: Cigna Commercial	$3,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,573.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,430.00
Rate for Payer: Qualcare PPO/HMO/WC	$975.00
Rate for Payer: UnitedHealthcare Community & State	$156.65
Rate for Payer: Wellpoint Medicaid Managed Care	$172.25

5MM CAGE

Facility

$6,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270679110
Hospital Revenue Code	278
Min. Negotiated Rate	$975.00
Max. Negotiated Rate	$1,573.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,573.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,430.00
Rate for Payer: Qualcare PPO/HMO/WC	$975.00

5MM LARGE CAGE

Facility

$6,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270685693
Hospital Revenue Code	278
Min. Negotiated Rate	$975.00
Max. Negotiated Rate	$1,573.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,573.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,430.00
Rate for Payer: Qualcare PPO/HMO/WC	$975.00

5MM LARGE CAGE

Facility

$6,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270685693
Hospital Revenue Code	278
Min. Negotiated Rate	$156.65
Max. Negotiated Rate	$3,250.00
Rate for Payer: Aetna Commercial	$2,470.00
Rate for Payer: Aetna Medicare Advantage	$1,950.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,657.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,657.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,657.50
Rate for Payer: Cigna Commercial	$3,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,573.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,430.00
Rate for Payer: Qualcare PPO/HMO/WC	$975.00
Rate for Payer: UnitedHealthcare Community & State	$156.65
Rate for Payer: Wellpoint Medicaid Managed Care	$172.25

5MM SCREW

Facility

$780.00

Hospital Charge Code	270339471
Hospital Revenue Code	278
Min. Negotiated Rate	$18.80
Max. Negotiated Rate	$390.00
Rate for Payer: Aetna Commercial	$296.40
Rate for Payer: Aetna Medicare Advantage	$234.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$198.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$198.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$156.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$198.90
Rate for Payer: Cigna Commercial	$390.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$188.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$171.60
Rate for Payer: Qualcare PPO/HMO/WC	$117.00
Rate for Payer: UnitedHealthcare Community & State	$18.80
Rate for Payer: Wellpoint Medicaid Managed Care	$20.67

5MM SCREW

Facility

$780.00

Hospital Charge Code	270339471
Hospital Revenue Code	278
Min. Negotiated Rate	$117.00
Max. Negotiated Rate	$188.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$156.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$188.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$171.60
Rate for Payer: Qualcare PPO/HMO/WC	$117.00

5MM SINGLE-SITE WRISTED NEEDLE

Facility

$6,250.00

Hospital Charge Code	270673361
Hospital Revenue Code	272
Min. Negotiated Rate	$150.62
Max. Negotiated Rate	$3,125.00
Rate for Payer: Aetna Commercial	$2,375.00
Rate for Payer: Aetna Medicare Advantage	$1,875.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,593.75
Rate for Payer: Cigna Commercial	$3,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,875.00
Rate for Payer: Oxford Commercial	$1,250.00
Rate for Payer: Qualcare PPO/HMO/WC	$937.50
Rate for Payer: UnitedHealthcare Commercial	$1,250.00
Rate for Payer: UnitedHealthcare Community & State	$150.62
Rate for Payer: Wellpoint Medicaid Managed Care	$165.62

5MM SINGLE-SITE WRISTED NEEDLE

Facility

$6,250.00

Hospital Charge Code	270673361
Hospital Revenue Code	272
Min. Negotiated Rate	$937.50
Max. Negotiated Rate	$937.50
Rate for Payer: Qualcare PPO/HMO/WC	$937.50

5MM TRANSHING PIN

Facility

$660.00

Hospital Charge Code	270339497
Hospital Revenue Code	272
Min. Negotiated Rate	$99.00
Max. Negotiated Rate	$99.00
Rate for Payer: Qualcare PPO/HMO/WC	$99.00

5MM TRANSHING PIN

Facility

$660.00

Hospital Charge Code	270339497
Hospital Revenue Code	272
Min. Negotiated Rate	$15.91
Max. Negotiated Rate	$330.00
Rate for Payer: Aetna Commercial	$250.80
Rate for Payer: Aetna Medicare Advantage	$198.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.30
Rate for Payer: Cigna Commercial	$330.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$198.00
Rate for Payer: Oxford Commercial	$132.00
Rate for Payer: Qualcare PPO/HMO/WC	$99.00
Rate for Payer: UnitedHealthcare Commercial	$132.00
Rate for Payer: UnitedHealthcare Community & State	$15.91
Rate for Payer: Wellpoint Medicaid Managed Care	$17.49

5 MM TRANSTING PIN

Facility

$660.00

Hospital Charge Code	270656631
Hospital Revenue Code	278
Min. Negotiated Rate	$99.00
Max. Negotiated Rate	$159.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.72
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.00

5 MM TRANSTING PIN

Facility

$660.00

Hospital Charge Code	270656631
Hospital Revenue Code	278
Min. Negotiated Rate	$15.91
Max. Negotiated Rate	$330.00
Rate for Payer: Aetna Commercial	$250.80
Rate for Payer: Aetna Medicare Advantage	$198.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.30
Rate for Payer: Cigna Commercial	$330.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.72
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.00
Rate for Payer: UnitedHealthcare Community & State	$15.91
Rate for Payer: Wellpoint Medicaid Managed Care	$17.49

5 NUCLEOTIDASE

Facility

$35.00

Hospital Charge Code	3011970
Hospital Revenue Code	309
Min. Negotiated Rate	$5.25
Max. Negotiated Rate	$5.25
Rate for Payer: Qualcare PPO/HMO/WC	$5.25

5 NUCLEOTIDASE

Facility

$35.00

Hospital Charge Code	3011970
Hospital Revenue Code	309
Min. Negotiated Rate	$0.84
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$13.30
Rate for Payer: Aetna Medicare Advantage	$10.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.93
Rate for Payer: Cigna Commercial	$17.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.50
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.25
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$0.84
Rate for Payer: Wellpoint Medicaid Managed Care	$0.93

5'NUCLEOTIDASE

Facility

$390.00

Service Code	HCPCS 83915
Hospital Charge Code	39900112
Hospital Revenue Code	301
Min. Negotiated Rate	$8.92
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$30.33
Rate for Payer: Aetna Medicare Advantage	$36.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.25
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$11.15
Rate for Payer: Clover Medicare Advantage	$10.59
Rate for Payer: EmblemHealth Commercial	$33.45
Rate for Payer: Humana Medicare Advantage	$11.48
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$11.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$8.92
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.15
Rate for Payer: Wellcare Medicare Advantage	$11.15
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

5'NUCLEOTIDASE

Facility

$390.00

Service Code	HCPCS 83915
Hospital Charge Code	39900112
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

5' NUCLEOTIDASE

Facility

$176.00

Service Code	HCPCS 83915
Hospital Charge Code	38472518
Hospital Revenue Code	301
Min. Negotiated Rate	$4.66
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$30.33
Rate for Payer: Aetna Medicare Advantage	$36.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.25
Rate for Payer: Cigna Commercial	$88.00
Rate for Payer: Cigna Medicare Advantage	$11.15
Rate for Payer: Clover Medicare Advantage	$10.59
Rate for Payer: EmblemHealth Commercial	$33.45
Rate for Payer: Humana Medicare Advantage	$11.48
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$11.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.80
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$26.40
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$8.92
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.15
Rate for Payer: Wellcare Medicare Advantage	$11.15
Rate for Payer: Wellpoint Medicaid Managed Care	$4.66

5' NUCLEOTIDASE

Facility

$176.00

Service Code	HCPCS 83915
Hospital Charge Code	38472518
Hospital Revenue Code	301
Min. Negotiated Rate	$26.40
Max. Negotiated Rate	$26.40
Rate for Payer: Qualcare PPO/HMO/WC	$26.40

5 NUCLEOTIDASE, BLOOD

Facility

$119.25

Service Code	HCPCS 83915
Hospital Charge Code	3001971
Hospital Revenue Code	301
Min. Negotiated Rate	$17.89
Max. Negotiated Rate	$17.89
Rate for Payer: Qualcare PPO/HMO/WC	$17.89

5 NUCLEOTIDASE, BLOOD

Facility

$119.25

Service Code	HCPCS 83915
Hospital Charge Code	3001971
Hospital Revenue Code	301
Min. Negotiated Rate	$3.16
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$30.33
Rate for Payer: Aetna Medicare Advantage	$36.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.25
Rate for Payer: Cigna Commercial	$59.62
Rate for Payer: Cigna Medicare Advantage	$11.15
Rate for Payer: Clover Medicare Advantage	$10.59
Rate for Payer: EmblemHealth Commercial	$33.45
Rate for Payer: Humana Medicare Advantage	$11.48
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$11.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.77
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.89
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$8.92
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.15
Rate for Payer: Wellcare Medicare Advantage	$11.15
Rate for Payer: Wellpoint Medicaid Managed Care	$3.16

5X200 APEX S/D HALF PIN 60 THR

Facility

$1,043.85

Hospital Charge Code	270700236
Hospital Revenue Code	279
Min. Negotiated Rate	$156.58
Max. Negotiated Rate	$156.58
Rate for Payer: Qualcare PPO/HMO/WC	$156.58

5X200 APEX S/D HALF PIN 60 THR

Facility

$1,043.85

Hospital Charge Code	270700236
Hospital Revenue Code	279
Min. Negotiated Rate	$25.16
Max. Negotiated Rate	$521.92
Rate for Payer: Aetna Commercial	$396.66
Rate for Payer: Aetna Medicare Advantage	$313.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$266.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$266.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$266.18
Rate for Payer: Cigna Commercial	$521.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$313.15
Rate for Payer: Oxford Commercial	$208.77
Rate for Payer: Qualcare PPO/HMO/WC	$156.58
Rate for Payer: UnitedHealthcare Commercial	$208.77
Rate for Payer: UnitedHealthcare Community & State	$25.16
Rate for Payer: Wellpoint Medicaid Managed Care	$27.66

5X23MM VARIABLE SCREW

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270704060
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