Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CLAMP EX-FIX LG 6-POSTN MULTI

Facility

$3,445.35

Hospital Charge Code	270633728
Hospital Revenue Code	272
Min. Negotiated Rate	$83.03
Max. Negotiated Rate	$1,722.67
Rate for Payer: Aetna Commercial	$1,309.23
Rate for Payer: Aetna Medicare Advantage	$1,033.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$878.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$878.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$878.56
Rate for Payer: Cigna Commercial	$1,722.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,033.61
Rate for Payer: Oxford Commercial	$689.07
Rate for Payer: Qualcare PPO/HMO/WC	$516.80
Rate for Payer: UnitedHealthcare Commercial	$689.07
Rate for Payer: UnitedHealthcare Community & State	$83.03
Rate for Payer: Wellpoint Medicaid Managed Care	$91.30

CLAMP EX-FIX LG 6-POSTN MULTI

Facility

$3,445.35

Hospital Charge Code	270633728
Hospital Revenue Code	272
Min. Negotiated Rate	$516.80
Max. Negotiated Rate	$516.80
Rate for Payer: Qualcare PPO/HMO/WC	$516.80

CLAMP EX-FIX LG COMBINATION

Facility

$3,103.15

Hospital Charge Code	270632998
Hospital Revenue Code	272
Min. Negotiated Rate	$465.47
Max. Negotiated Rate	$465.47
Rate for Payer: Qualcare PPO/HMO/WC	$465.47

CLAMP EX-FIX LG COMBINATION

Facility

$3,103.15

Hospital Charge Code	270632998
Hospital Revenue Code	272
Min. Negotiated Rate	$74.79
Max. Negotiated Rate	$1,551.58
Rate for Payer: Aetna Commercial	$1,179.20
Rate for Payer: Aetna Medicare Advantage	$930.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$791.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$791.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$791.30
Rate for Payer: Cigna Commercial	$1,551.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$930.95
Rate for Payer: Oxford Commercial	$620.63
Rate for Payer: Qualcare PPO/HMO/WC	$465.47
Rate for Payer: UnitedHealthcare Commercial	$620.63
Rate for Payer: UnitedHealthcare Community & State	$74.79
Rate for Payer: Wellpoint Medicaid Managed Care	$82.23

CLAMP EX-FIX LG OPEN ADJ

Facility

$2,496.70

Hospital Charge Code	270633451
Hospital Revenue Code	272
Min. Negotiated Rate	$374.50
Max. Negotiated Rate	$374.50
Rate for Payer: Qualcare PPO/HMO/WC	$374.50

CLAMP EX-FIX LG OPEN ADJ

Facility

$2,496.70

Hospital Charge Code	270633451
Hospital Revenue Code	272
Min. Negotiated Rate	$60.17
Max. Negotiated Rate	$1,248.35
Rate for Payer: Aetna Commercial	$948.75
Rate for Payer: Aetna Medicare Advantage	$749.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$636.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$636.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$636.66
Rate for Payer: Cigna Commercial	$1,248.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$749.01
Rate for Payer: Oxford Commercial	$499.34
Rate for Payer: Qualcare PPO/HMO/WC	$374.50
Rate for Payer: UnitedHealthcare Commercial	$499.34
Rate for Payer: UnitedHealthcare Community & State	$60.17
Rate for Payer: Wellpoint Medicaid Managed Care	$66.16

CLAMP HOFFMAN

Facility

$4.85

Hospital Charge Code	270300620
Hospital Revenue Code	270
Min. Negotiated Rate	$0.12
Max. Negotiated Rate	$2.42
Rate for Payer: Aetna Commercial	$1.84
Rate for Payer: Aetna Medicare Advantage	$1.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.24
Rate for Payer: Cigna Commercial	$2.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.46
Rate for Payer: Oxford Commercial	$0.97
Rate for Payer: Qualcare PPO/HMO/WC	$0.73
Rate for Payer: UnitedHealthcare Commercial	$0.97
Rate for Payer: UnitedHealthcare Community & State	$0.12
Rate for Payer: Wellpoint Medicaid Managed Care	$0.13

CLAMP HOFFMAN

Facility

$4.85

Hospital Charge Code	270300620
Hospital Revenue Code	270
Min. Negotiated Rate	$0.73
Max. Negotiated Rate	$0.73
Rate for Payer: Qualcare PPO/HMO/WC	$0.73

CLAMP HOLE PIN 10 HII MRI

Facility

$5,615.00

Hospital Charge Code	270647999
Hospital Revenue Code	272
Min. Negotiated Rate	$135.32
Max. Negotiated Rate	$2,807.50
Rate for Payer: Aetna Commercial	$2,133.70
Rate for Payer: Aetna Medicare Advantage	$1,684.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,431.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,431.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,431.83
Rate for Payer: Cigna Commercial	$2,807.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,684.50
Rate for Payer: Oxford Commercial	$1,123.00
Rate for Payer: Qualcare PPO/HMO/WC	$842.25
Rate for Payer: UnitedHealthcare Commercial	$1,123.00
Rate for Payer: UnitedHealthcare Community & State	$135.32
Rate for Payer: Wellpoint Medicaid Managed Care	$148.80

CLAMP HOLE PIN 10 HII MRI

Facility

$5,615.00

Hospital Charge Code	270647999
Hospital Revenue Code	272
Min. Negotiated Rate	$842.25
Max. Negotiated Rate	$842.25
Rate for Payer: Qualcare PPO/HMO/WC	$842.25

CLAMP HYAMS PENILE

Facility

$356.50

Hospital Charge Code	270650901
Hospital Revenue Code	272
Min. Negotiated Rate	$8.59
Max. Negotiated Rate	$178.25
Rate for Payer: Aetna Commercial	$135.47
Rate for Payer: Aetna Medicare Advantage	$106.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$90.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$90.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$90.91
Rate for Payer: Cigna Commercial	$178.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$106.95
Rate for Payer: Oxford Commercial	$71.30
Rate for Payer: Qualcare PPO/HMO/WC	$53.48
Rate for Payer: UnitedHealthcare Commercial	$71.30
Rate for Payer: UnitedHealthcare Community & State	$8.59
Rate for Payer: Wellpoint Medicaid Managed Care	$9.45

CLAMP HYAMS PENILE

Facility

$356.50

Hospital Charge Code	270650901
Hospital Revenue Code	272
Min. Negotiated Rate	$53.48
Max. Negotiated Rate	$53.48
Rate for Payer: Qualcare PPO/HMO/WC	$53.48

CLAMP LARGE COMBINATION

Facility

$2,480.00

Service Code	HCPCS C1713
Hospital Charge Code	270699321
Hospital Revenue Code	278
Min. Negotiated Rate	$372.00
Max. Negotiated Rate	$600.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$496.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$600.16
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$545.60
Rate for Payer: Qualcare PPO/HMO/WC	$372.00

CLAMP LARGE COMBINATION

Facility

$2,480.00

Service Code	HCPCS C1713
Hospital Charge Code	270699321
Hospital Revenue Code	278
Min. Negotiated Rate	$59.77
Max. Negotiated Rate	$1,240.00
Rate for Payer: Aetna Commercial	$942.40
Rate for Payer: Aetna Medicare Advantage	$744.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$632.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$632.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$496.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$632.40
Rate for Payer: Cigna Commercial	$1,240.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$600.16
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$545.60
Rate for Payer: Qualcare PPO/HMO/WC	$372.00
Rate for Payer: UnitedHealthcare Community & State	$59.77
Rate for Payer: Wellpoint Medicaid Managed Care	$65.72

CLAMP LG FIXATOR EXTERNAL UNIV

Facility

$3,043.65

Hospital Charge Code	270634838
Hospital Revenue Code	272
Min. Negotiated Rate	$73.35
Max. Negotiated Rate	$1,521.83
Rate for Payer: Aetna Commercial	$1,156.59
Rate for Payer: Aetna Medicare Advantage	$913.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$776.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$776.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$776.13
Rate for Payer: Cigna Commercial	$1,521.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$913.10
Rate for Payer: Oxford Commercial	$608.73
Rate for Payer: Qualcare PPO/HMO/WC	$456.55
Rate for Payer: UnitedHealthcare Commercial	$608.73
Rate for Payer: UnitedHealthcare Community & State	$73.35
Rate for Payer: Wellpoint Medicaid Managed Care	$80.66

CLAMP LG FIXATOR EXTERNAL UNIV

Facility

$3,043.65

Hospital Charge Code	270634838
Hospital Revenue Code	272
Min. Negotiated Rate	$456.55
Max. Negotiated Rate	$456.55
Rate for Payer: Qualcare PPO/HMO/WC	$456.55

CLAMP LUNG ANG 25 MM LOVELACE

Facility

$469.80

Hospital Charge Code	270689566
Hospital Revenue Code	272
Min. Negotiated Rate	$70.47
Max. Negotiated Rate	$70.47
Rate for Payer: Qualcare PPO/HMO/WC	$70.47

CLAMP LUNG ANG 25 MM LOVELACE

Facility

$469.80

Hospital Charge Code	270689566
Hospital Revenue Code	272
Min. Negotiated Rate	$11.32
Max. Negotiated Rate	$234.90
Rate for Payer: Aetna Commercial	$178.52
Rate for Payer: Aetna Medicare Advantage	$140.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$119.80
Rate for Payer: Cigna Commercial	$234.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$140.94
Rate for Payer: Oxford Commercial	$93.96
Rate for Payer: Qualcare PPO/HMO/WC	$70.47
Rate for Payer: UnitedHealthcare Commercial	$93.96
Rate for Payer: UnitedHealthcare Community & State	$11.32
Rate for Payer: Wellpoint Medicaid Managed Care	$12.45

CLAMP MEDIUM 4-POSITION WITH

Facility

$2,966.40

Service Code	HCPCS C1713
Hospital Charge Code	270644916
Hospital Revenue Code	272
Min. Negotiated Rate	$444.96
Max. Negotiated Rate	$444.96
Rate for Payer: Qualcare PPO/HMO/WC	$444.96

CLAMP MEDIUM 4-POSITION WITH

Facility

$2,966.40

Service Code	HCPCS C1713
Hospital Charge Code	270644916
Hospital Revenue Code	272
Min. Negotiated Rate	$71.49
Max. Negotiated Rate	$1,483.20
Rate for Payer: Aetna Commercial	$1,127.23
Rate for Payer: Aetna Medicare Advantage	$889.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$756.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$756.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$756.43
Rate for Payer: Cigna Commercial	$1,483.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$889.92
Rate for Payer: Oxford Commercial	$593.28
Rate for Payer: Qualcare PPO/HMO/WC	$444.96
Rate for Payer: UnitedHealthcare Commercial	$593.28
Rate for Payer: UnitedHealthcare Community & State	$71.49
Rate for Payer: Wellpoint Medicaid Managed Care	$78.61

CLAMP MEDIUM 6-POSITION WITH

Facility

$3,229.05

Hospital Charge Code	270644914
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 MEDIUM 6-POSITION WITH

Facility

$3,229.05

Hospital Charge Code	270644914
Hospital Revenue Code	272
Min. Negotiated Rate	$484.36
Max. Negotiated Rate	$484.36
Rate for Payer: Qualcare PPO/HMO/WC	$484.36

CLAMP MI ANGL VASTAT 2 1001533

Facility

$47.60

Hospital Charge Code	270626259
Hospital Revenue Code	272
Min. Negotiated Rate	$7.14
Max. Negotiated Rate	$7.14
Rate for Payer: Qualcare PPO/HMO/WC	$7.14

CLAMP MI ANGL VASTAT 2 1001533

Facility

$47.60

Hospital Charge Code	270626259
Hospital Revenue Code	272
Min. Negotiated Rate	$1.15
Max. Negotiated Rate	$23.80
Rate for Payer: Aetna Commercial	$18.09
Rate for Payer: Aetna Medicare Advantage	$14.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.14
Rate for Payer: Cigna Commercial	$23.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.28
Rate for Payer: Oxford Commercial	$9.52
Rate for Payer: Qualcare PPO/HMO/WC	$7.14
Rate for Payer: UnitedHealthcare Commercial	$9.52
Rate for Payer: UnitedHealthcare Community & State	$1.15
Rate for Payer: Wellpoint Medicaid Managed Care	$1.26

CLAMP MIXTER 8 1/4

Facility

$219.80

Hospital Charge Code	270689133
Hospital Revenue Code	272
Min. Negotiated Rate	$5.30
Max. Negotiated Rate	$109.90
Rate for Payer: Aetna Commercial	$83.52
Rate for Payer: Aetna Medicare Advantage	$65.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.05
Rate for Payer: Cigna Commercial	$109.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.94
Rate for Payer: Oxford Commercial	$43.96
Rate for Payer: Qualcare PPO/HMO/WC	$32.97
Rate for Payer: UnitedHealthcare Commercial	$43.96
Rate for Payer: UnitedHealthcare Community & State	$5.30
Rate for Payer: Wellpoint Medicaid Managed Care	$5.82

Know your out-of-pocket cost for care.

All Charges