Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CLAMP BETA CAP 5K4500

Facility

$39.25

Hospital Charge Code	270607859
Hospital Revenue Code	272
Min. Negotiated Rate	$5.89
Max. Negotiated Rate	$5.89
Rate for Payer: Qualcare PPO/HMO/WC	$5.89

CLAMP BONE W/RATCHET

Facility

$2,051.75

Hospital Charge Code	270614783
Hospital Revenue Code	272
Min. Negotiated Rate	$307.76
Max. Negotiated Rate	$307.76
Rate for Payer: Qualcare PPO/HMO/WC	$307.76

CLAMP BONE W/RATCHET

Facility

$2,051.75

Hospital Charge Code	270614783
Hospital Revenue Code	272
Min. Negotiated Rate	$49.45
Max. Negotiated Rate	$1,025.88
Rate for Payer: Aetna Commercial	$779.66
Rate for Payer: Aetna Medicare Advantage	$615.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$523.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$523.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$523.20
Rate for Payer: Cigna Commercial	$1,025.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$615.52
Rate for Payer: Oxford Commercial	$410.35
Rate for Payer: Qualcare PPO/HMO/WC	$307.76
Rate for Payer: UnitedHealthcare Commercial	$410.35
Rate for Payer: UnitedHealthcare Community & State	$49.45
Rate for Payer: Wellpoint Medicaid Managed Care	$54.37

CLAMP BULLDOG

Facility

$5.65

Hospital Charge Code	270300624
Hospital Revenue Code	270
Min. Negotiated Rate	$0.85
Max. Negotiated Rate	$0.85
Rate for Payer: Qualcare PPO/HMO/WC	$0.85

CLAMP BULLDOG

Facility

$5.65

Hospital Charge Code	270300624
Hospital Revenue Code	270
Min. Negotiated Rate	$0.14
Max. Negotiated Rate	$2.83
Rate for Payer: Aetna Commercial	$2.15
Rate for Payer: Aetna Medicare Advantage	$1.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.44
Rate for Payer: Cigna Commercial	$2.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.70
Rate for Payer: Oxford Commercial	$1.13
Rate for Payer: Qualcare PPO/HMO/WC	$0.85
Rate for Payer: UnitedHealthcare Commercial	$1.13
Rate for Payer: UnitedHealthcare Community & State	$0.14
Rate for Payer: Wellpoint Medicaid Managed Care	$0.15

CLAMP BULLDOG 1.5INL SLIGHTLY

Facility

$237.45

Hospital Charge Code	270626627
Hospital Revenue Code	272
Min. Negotiated Rate	$5.72
Max. Negotiated Rate	$118.72
Rate for Payer: Aetna Commercial	$90.23
Rate for Payer: Aetna Medicare Advantage	$71.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.55
Rate for Payer: Cigna Commercial	$118.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.23
Rate for Payer: Oxford Commercial	$47.49
Rate for Payer: Qualcare PPO/HMO/WC	$35.62
Rate for Payer: UnitedHealthcare Commercial	$47.49
Rate for Payer: UnitedHealthcare Community & State	$5.72
Rate for Payer: Wellpoint Medicaid Managed Care	$6.29

CLAMP BULLDOG 1.5INL SLIGHTLY

Facility

$237.45

Hospital Charge Code	270626627
Hospital Revenue Code	272
Min. Negotiated Rate	$35.62
Max. Negotiated Rate	$35.62
Rate for Payer: Qualcare PPO/HMO/WC	$35.62

CLAMP BULLDOG DBL SOFT JAW

Facility

$88.00

Hospital Charge Code	270605202
Hospital Revenue Code	270
Min. Negotiated Rate	$2.12
Max. Negotiated Rate	$44.00
Rate for Payer: Aetna Commercial	$33.44
Rate for Payer: Aetna Medicare Advantage	$26.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.44
Rate for Payer: Cigna Commercial	$44.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.40
Rate for Payer: Oxford Commercial	$17.60
Rate for Payer: Qualcare PPO/HMO/WC	$13.20
Rate for Payer: UnitedHealthcare Commercial	$17.60
Rate for Payer: UnitedHealthcare Community & State	$2.12
Rate for Payer: Wellpoint Medicaid Managed Care	$2.33

CLAMP BULLDOG DBL SOFT JAW

Facility

$88.00

Hospital Charge Code	270605202
Hospital Revenue Code	270
Min. Negotiated Rate	$13.20
Max. Negotiated Rate	$13.20
Rate for Payer: Qualcare PPO/HMO/WC	$13.20

CLAMP CIRCUMCISION 500 NEWBORN

Facility

$939.50

Hospital Charge Code	270663796
Hospital Revenue Code	270
Min. Negotiated Rate	$22.64
Max. Negotiated Rate	$469.75
Rate for Payer: Aetna Commercial	$357.01
Rate for Payer: Aetna Medicare Advantage	$281.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$239.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$239.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$239.57
Rate for Payer: Cigna Commercial	$469.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$281.85
Rate for Payer: Oxford Commercial	$187.90
Rate for Payer: Qualcare PPO/HMO/WC	$140.93
Rate for Payer: UnitedHealthcare Commercial	$187.90
Rate for Payer: UnitedHealthcare Community & State	$22.64
Rate for Payer: Wellpoint Medicaid Managed Care	$24.90

CLAMP CIRCUMCISION 500 NEWBORN

Facility

$939.50

Hospital Charge Code	270663796
Hospital Revenue Code	270
Min. Negotiated Rate	$140.93
Max. Negotiated Rate	$140.93
Rate for Payer: Qualcare PPO/HMO/WC	$140.93

CLAMP COMBINATION 8.0mm

Facility

$2,453.45

Service Code	HCPCS C1713
Hospital Charge Code	270644919
Hospital Revenue Code	272
Min. Negotiated Rate	$59.13
Max. Negotiated Rate	$1,226.72
Rate for Payer: Aetna Commercial	$932.31
Rate for Payer: Aetna Medicare Advantage	$736.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$625.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$625.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$625.63
Rate for Payer: Cigna Commercial	$1,226.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$736.03
Rate for Payer: Oxford Commercial	$490.69
Rate for Payer: Qualcare PPO/HMO/WC	$368.02
Rate for Payer: UnitedHealthcare Commercial	$490.69
Rate for Payer: UnitedHealthcare Community & State	$59.13
Rate for Payer: Wellpoint Medicaid Managed Care	$65.02

CLAMP COMBINATION 8.0mm

Facility

$2,453.45

Service Code	HCPCS C1713
Hospital Charge Code	270644919
Hospital Revenue Code	272
Min. Negotiated Rate	$368.02
Max. Negotiated Rate	$368.02
Rate for Payer: Qualcare PPO/HMO/WC	$368.02

CLAMP COMBINATION 8.0 MM/11.00

Facility

$3,229.05

Hospital Charge Code	270688025
Hospital Revenue Code	272
Min. Negotiated Rate	$77.82
Max. Negotiated Rate	$1,614.53
Rate for Payer: Aetna Commercial	$1,227.04
Rate for Payer: Aetna Medicare Advantage	$968.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$823.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$823.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$823.41
Rate for Payer: Cigna Commercial	$1,614.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$968.72
Rate for Payer: Oxford Commercial	$645.81
Rate for Payer: Qualcare PPO/HMO/WC	$484.36
Rate for Payer: UnitedHealthcare Commercial	$645.81
Rate for Payer: UnitedHealthcare Community & State	$77.82
Rate for Payer: Wellpoint Medicaid Managed Care	$85.57

CLAMP COMBINATION 8.0 MM/11.00

Facility

$3,229.05

Hospital Charge Code	270688025
Hospital Revenue Code	272
Min. Negotiated Rate	$484.36
Max. Negotiated Rate	$484.36
Rate for Payer: Qualcare PPO/HMO/WC	$484.36

CLAMP CRANIAL FLAP TEXT 18MM

Facility

$2,415.00

Service Code	HCPCS C1713
Hospital Charge Code	270671883
Hospital Revenue Code	278
Min. Negotiated Rate	$58.20
Max. Negotiated Rate	$1,207.50
Rate for Payer: Aetna Commercial	$917.70
Rate for Payer: Aetna Medicare Advantage	$724.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$615.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$615.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$483.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$615.83
Rate for Payer: Cigna Commercial	$1,207.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$584.43
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$531.30
Rate for Payer: Qualcare PPO/HMO/WC	$362.25
Rate for Payer: UnitedHealthcare Community & State	$58.20
Rate for Payer: Wellpoint Medicaid Managed Care	$64.00

CLAMP CRANIAL FLAP TEXT 18MM

Facility

$2,415.00

Service Code	HCPCS C1713
Hospital Charge Code	270671883
Hospital Revenue Code	278
Min. Negotiated Rate	$362.25
Max. Negotiated Rate	$584.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$483.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$584.43
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$531.30
Rate for Payer: Qualcare PPO/HMO/WC	$362.25

CLAMP CRANIVAL 13MM

Facility

$2,080.00

Hospital Charge Code	270668364
Hospital Revenue Code	278
Min. Negotiated Rate	$50.13
Max. Negotiated Rate	$1,040.00
Rate for Payer: Aetna Commercial	$790.40
Rate for Payer: Aetna Medicare Advantage	$624.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$530.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$530.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$416.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$530.40
Rate for Payer: Cigna Commercial	$1,040.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$503.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$457.60
Rate for Payer: Qualcare PPO/HMO/WC	$312.00
Rate for Payer: UnitedHealthcare Community & State	$50.13
Rate for Payer: Wellpoint Medicaid Managed Care	$55.12

CLAMP CRANIVAL 13MM

Facility

$2,080.00

Hospital Charge Code	270668364
Hospital Revenue Code	278
Min. Negotiated Rate	$312.00
Max. Negotiated Rate	$503.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$416.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$503.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$457.60
Rate for Payer: Qualcare PPO/HMO/WC	$312.00

CLAMP CRANIVAL 18MM

Facility

$2,170.00

Hospital Charge Code	270668365
Hospital Revenue Code	278
Min. Negotiated Rate	$52.30
Max. Negotiated Rate	$1,085.00
Rate for Payer: Aetna Commercial	$824.60
Rate for Payer: Aetna Medicare Advantage	$651.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$553.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$553.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$434.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$553.35
Rate for Payer: Cigna Commercial	$1,085.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$525.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$477.40
Rate for Payer: Qualcare PPO/HMO/WC	$325.50
Rate for Payer: UnitedHealthcare Community & State	$52.30
Rate for Payer: Wellpoint Medicaid Managed Care	$57.51

CLAMP CRANIVAL 18MM

Facility

$2,170.00

Hospital Charge Code	270668365
Hospital Revenue Code	278
Min. Negotiated Rate	$325.50
Max. Negotiated Rate	$525.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$434.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$525.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$477.40
Rate for Payer: Qualcare PPO/HMO/WC	$325.50

CLAMP EX-FIX LG 4-POSTN MULTI

Facility

$3,225.95

Hospital Charge Code	270635608
Hospital Revenue Code	272
Min. Negotiated Rate	$77.75
Max. Negotiated Rate	$1,612.97
Rate for Payer: Aetna Commercial	$1,225.86
Rate for Payer: Aetna Medicare Advantage	$967.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$822.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$822.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$822.62
Rate for Payer: Cigna Commercial	$1,612.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$967.78
Rate for Payer: Oxford Commercial	$645.19
Rate for Payer: Qualcare PPO/HMO/WC	$483.89
Rate for Payer: UnitedHealthcare Commercial	$645.19
Rate for Payer: UnitedHealthcare Community & State	$77.75
Rate for Payer: Wellpoint Medicaid Managed Care	$85.49

CLAMP EX-FIX LG 4-POSTN MULTI

Facility

$3,225.95

Hospital Charge Code	270635608
Hospital Revenue Code	272
Min. Negotiated Rate	$483.89
Max. Negotiated Rate	$483.89
Rate for Payer: Qualcare PPO/HMO/WC	$483.89

CLAMP EX-FIX LG 6-POSITION

Facility

$2,208.80

Hospital Charge Code	270642896
Hospital Revenue Code	272
Min. Negotiated Rate	$331.32
Max. Negotiated Rate	$331.32
Rate for Payer: Qualcare PPO/HMO/WC	$331.32

CLAMP EX-FIX LG 6-POSITION

Facility

$2,208.80

Hospital Charge Code	270642896
Hospital Revenue Code	272
Min. Negotiated Rate	$53.23
Max. Negotiated Rate	$1,104.40
Rate for Payer: Aetna Commercial	$839.34
Rate for Payer: Aetna Medicare Advantage	$662.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$563.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$563.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$563.24
Rate for Payer: Cigna Commercial	$1,104.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$662.64
Rate for Payer: Oxford Commercial	$441.76
Rate for Payer: Qualcare PPO/HMO/WC	$331.32
Rate for Payer: UnitedHealthcare Commercial	$441.76
Rate for Payer: UnitedHealthcare Community & State	$53.23
Rate for Payer: Wellpoint Medicaid Managed Care	$58.53

Know your out-of-pocket cost for care.

All Charges