Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

BOLT SYN LOCK 3.9 38MM 458.38S

Facility

$601.65

Hospital Charge Code	270612759
Hospital Revenue Code	278
Min. Negotiated Rate	$90.25
Max. Negotiated Rate	$145.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$132.36
Rate for Payer: Qualcare PPO/HMO/WC	$90.25

BOLT SYN LOCK 3.9 38MM 458.38S

Facility

$601.65

Hospital Charge Code	270612759
Hospital Revenue Code	278
Min. Negotiated Rate	$14.50
Max. Negotiated Rate	$300.82
Rate for Payer: Aetna Commercial	$228.63
Rate for Payer: Aetna Medicare Advantage	$180.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.42
Rate for Payer: Cigna Commercial	$300.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$132.36
Rate for Payer: Qualcare PPO/HMO/WC	$90.25
Rate for Payer: UnitedHealthcare Community & State	$14.50
Rate for Payer: Wellpoint Medicaid Managed Care	$15.94

BOLT SYN LOCK 3.9 40MM 458.40S

Facility

$601.65

Hospital Charge Code	270612760
Hospital Revenue Code	278
Min. Negotiated Rate	$90.25
Max. Negotiated Rate	$145.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$132.36
Rate for Payer: Qualcare PPO/HMO/WC	$90.25

BOLT SYN LOCK 3.9 40MM 458.40S

Facility

$601.65

Hospital Charge Code	270612760
Hospital Revenue Code	278
Min. Negotiated Rate	$14.50
Max. Negotiated Rate	$300.82
Rate for Payer: Aetna Commercial	$228.63
Rate for Payer: Aetna Medicare Advantage	$180.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.42
Rate for Payer: Cigna Commercial	$300.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$132.36
Rate for Payer: Qualcare PPO/HMO/WC	$90.25
Rate for Payer: UnitedHealthcare Community & State	$14.50
Rate for Payer: Wellpoint Medicaid Managed Care	$15.94

BOLT SYN LOCK 3.9 42MM 458.42S

Facility

$601.65

Hospital Charge Code	270612761
Hospital Revenue Code	278
Min. Negotiated Rate	$14.50
Max. Negotiated Rate	$300.82
Rate for Payer: Aetna Commercial	$228.63
Rate for Payer: Aetna Medicare Advantage	$180.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.42
Rate for Payer: Cigna Commercial	$300.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$132.36
Rate for Payer: Qualcare PPO/HMO/WC	$90.25
Rate for Payer: UnitedHealthcare Community & State	$14.50
Rate for Payer: Wellpoint Medicaid Managed Care	$15.94

BOLT SYN LOCK 3.9 42MM 458.42S

Facility

$601.65

Hospital Charge Code	270612761
Hospital Revenue Code	278
Min. Negotiated Rate	$90.25
Max. Negotiated Rate	$145.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$132.36
Rate for Payer: Qualcare PPO/HMO/WC	$90.25

BOLT SYN LOCK 4.9 38MM 459.38S

Facility

$668.85

Hospital Charge Code	270627053
Hospital Revenue Code	278
Min. Negotiated Rate	$100.33
Max. Negotiated Rate	$161.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$133.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$161.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$147.15
Rate for Payer: Qualcare PPO/HMO/WC	$100.33

BOLT SYN LOCK 4.9 38MM 459.38S

Facility

$668.85

Hospital Charge Code	270627053
Hospital Revenue Code	278
Min. Negotiated Rate	$16.12
Max. Negotiated Rate	$334.43
Rate for Payer: Aetna Commercial	$254.16
Rate for Payer: Aetna Medicare Advantage	$200.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$170.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$170.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$133.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$170.56
Rate for Payer: Cigna Commercial	$334.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$161.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$147.15
Rate for Payer: Qualcare PPO/HMO/WC	$100.33
Rate for Payer: UnitedHealthcare Community & State	$16.12
Rate for Payer: Wellpoint Medicaid Managed Care	$17.72

BOLT SYN LOCK 4.9 46MM 459.46S

Facility

$918.45

Hospital Charge Code	270612126
Hospital Revenue Code	278
Min. Negotiated Rate	$22.13
Max. Negotiated Rate	$459.23
Rate for Payer: Aetna Commercial	$349.01
Rate for Payer: Aetna Medicare Advantage	$275.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$234.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$234.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$183.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$234.20
Rate for Payer: Cigna Commercial	$459.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$222.26
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$202.06
Rate for Payer: Qualcare PPO/HMO/WC	$137.77
Rate for Payer: UnitedHealthcare Community & State	$22.13
Rate for Payer: Wellpoint Medicaid Managed Care	$24.34

BOLT SYN LOCK 4.9 46MM 459.46S

Facility

$918.45

Hospital Charge Code	270612126
Hospital Revenue Code	278
Min. Negotiated Rate	$137.77
Max. Negotiated Rate	$222.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$183.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$222.26
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$202.06
Rate for Payer: Qualcare PPO/HMO/WC	$137.77

BOLT SYN LOCK 4.9 48MM 459.48S

Facility

$918.45

Hospital Charge Code	270612127
Hospital Revenue Code	278
Min. Negotiated Rate	$137.77
Max. Negotiated Rate	$222.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$183.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$222.26
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$202.06
Rate for Payer: Qualcare PPO/HMO/WC	$137.77

BOLT SYN LOCK 4.9 48MM 459.48S

Facility

$918.45

Hospital Charge Code	270612127
Hospital Revenue Code	278
Min. Negotiated Rate	$22.13
Max. Negotiated Rate	$459.23
Rate for Payer: Aetna Commercial	$349.01
Rate for Payer: Aetna Medicare Advantage	$275.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$234.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$234.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$183.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$234.20
Rate for Payer: Cigna Commercial	$459.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$222.26
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$202.06
Rate for Payer: Qualcare PPO/HMO/WC	$137.77
Rate for Payer: UnitedHealthcare Community & State	$22.13
Rate for Payer: Wellpoint Medicaid Managed Care	$24.34

BOLT Ti LOCKNG 5.0x58 33345460

Facility

$793.65

Hospital Charge Code	270632107
Hospital Revenue Code	278
Min. Negotiated Rate	$119.05
Max. Negotiated Rate	$192.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$192.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$174.60
Rate for Payer: Qualcare PPO/HMO/WC	$119.05

BOLT Ti LOCKNG 5.0x58 33345460

Facility

$793.65

Hospital Charge Code	270632107
Hospital Revenue Code	278
Min. Negotiated Rate	$19.13
Max. Negotiated Rate	$396.82
Rate for Payer: Aetna Commercial	$301.59
Rate for Payer: Aetna Medicare Advantage	$238.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$202.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$202.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$202.38
Rate for Payer: Cigna Commercial	$396.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$192.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$174.60
Rate for Payer: Qualcare PPO/HMO/WC	$119.05
Rate for Payer: UnitedHealthcare Community & State	$19.13
Rate for Payer: Wellpoint Medicaid Managed Care	$21.03

BOLT WIRED T/SLOTTED

Facility

$221.20

Hospital Charge Code	270681229
Hospital Revenue Code	272
Min. Negotiated Rate	$5.33
Max. Negotiated Rate	$110.60
Rate for Payer: Aetna Commercial	$84.06
Rate for Payer: Aetna Medicare Advantage	$66.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.41
Rate for Payer: Cigna Commercial	$110.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.36
Rate for Payer: Oxford Commercial	$44.24
Rate for Payer: Qualcare PPO/HMO/WC	$33.18
Rate for Payer: UnitedHealthcare Commercial	$44.24
Rate for Payer: UnitedHealthcare Community & State	$5.33
Rate for Payer: Wellpoint Medicaid Managed Care	$5.86

BOLT WIRED T/SLOTTED

Facility

$221.20

Hospital Charge Code	270681229
Hospital Revenue Code	272
Min. Negotiated Rate	$33.18
Max. Negotiated Rate	$33.18
Rate for Payer: Qualcare PPO/HMO/WC	$33.18

BOLT WIRE OFFSET 0 DEGREE

Facility

$205.30

Hospital Charge Code	270683951
Hospital Revenue Code	272
Min. Negotiated Rate	$4.95
Max. Negotiated Rate	$102.65
Rate for Payer: Aetna Commercial	$78.01
Rate for Payer: Aetna Medicare Advantage	$61.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.35
Rate for Payer: Cigna Commercial	$102.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.59
Rate for Payer: Oxford Commercial	$41.06
Rate for Payer: Qualcare PPO/HMO/WC	$30.80
Rate for Payer: UnitedHealthcare Commercial	$41.06
Rate for Payer: UnitedHealthcare Community & State	$4.95
Rate for Payer: Wellpoint Medicaid Managed Care	$5.44

BOLT WIRE OFFSET 0 DEGREE

Facility

$205.30

Hospital Charge Code	270683951
Hospital Revenue Code	272
Min. Negotiated Rate	$30.80
Max. Negotiated Rate	$30.80
Rate for Payer: Qualcare PPO/HMO/WC	$30.80

BONE ACCESS OSTEOCOOL

Facility

$2,520.00

Hospital Charge Code	270691563
Hospital Revenue Code	272
Min. Negotiated Rate	$60.73
Max. Negotiated Rate	$1,260.00
Rate for Payer: Aetna Commercial	$957.60
Rate for Payer: Aetna Medicare Advantage	$756.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$642.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$642.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$642.60
Rate for Payer: Cigna Commercial	$1,260.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$756.00
Rate for Payer: Oxford Commercial	$504.00
Rate for Payer: Qualcare PPO/HMO/WC	$378.00
Rate for Payer: UnitedHealthcare Commercial	$504.00
Rate for Payer: UnitedHealthcare Community & State	$60.73
Rate for Payer: Wellpoint Medicaid Managed Care	$66.78

BONE ACCESS OSTEOCOOL

Facility

$2,520.00

Hospital Charge Code	270691563
Hospital Revenue Code	272
Min. Negotiated Rate	$378.00
Max. Negotiated Rate	$378.00
Rate for Payer: Qualcare PPO/HMO/WC	$378.00

BONE AGE

Facility

$5,100.00

Service Code	HCPCS 77072
Hospital Charge Code	94061193
Hospital Revenue Code	320
Min. Negotiated Rate	$31.07
Max. Negotiated Rate	$1,975.00
Rate for Payer: Aetna Commercial	$337.82
Rate for Payer: Aetna Medicare Advantage	$402.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$448.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$448.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$124.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$448.32
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: Cigna Medicare Advantage	$86.94
Rate for Payer: Clover Medicare Advantage	$117.99
Rate for Payer: EmblemHealth Commercial	$372.60
Rate for Payer: Humana Medicare Advantage	$127.93
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$124.20
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: UnitedHealthcare Medicare Advantage	$124.20
Rate for Payer: Wellcare Medicare Advantage	$124.20
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$407.88
Rate for Payer: Wellpoint Medicaid Managed Care	$135.15

BONE AGE

Facility

$5,100.00

Service Code	HCPCS 77072
Hospital Charge Code	94061193
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

BONE ANCHORS 3 W ARTHR DEL SYS

Facility

$4,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270687115
Hospital Revenue Code	278
Min. Negotiated Rate	$712.50
Max. Negotiated Rate	$1,149.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,149.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,045.00
Rate for Payer: Qualcare PPO/HMO/WC	$712.50

BONE ANCHORS 3 W ARTHR DEL SYS

Facility

$4,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270687115
Hospital Revenue Code	278
Min. Negotiated Rate	$114.47
Max. Negotiated Rate	$2,375.00
Rate for Payer: Aetna Commercial	$1,805.00
Rate for Payer: Aetna Medicare Advantage	$1,425.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$950.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,211.25
Rate for Payer: Cigna Commercial	$2,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,149.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,045.00
Rate for Payer: Qualcare PPO/HMO/WC	$712.50
Rate for Payer: UnitedHealthcare Community & State	$114.47
Rate for Payer: Wellpoint Medicaid Managed Care	$125.88

BONE ANCHORS 3 W ARTHRO DEL SY

Facility

$4,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270688655
Hospital Revenue Code	278
Min. Negotiated Rate	$114.47
Max. Negotiated Rate	$2,375.00
Rate for Payer: Aetna Commercial	$1,805.00
Rate for Payer: Aetna Medicare Advantage	$1,425.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$950.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,211.25
Rate for Payer: Cigna Commercial	$2,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,149.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,045.00
Rate for Payer: Qualcare PPO/HMO/WC	$712.50
Rate for Payer: UnitedHealthcare Community & State	$114.47
Rate for Payer: Wellpoint Medicaid Managed Care	$125.88

Know your out-of-pocket cost for care.

All Charges