Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

AEQUALIS REVERSED II PILOT FOR

Facility

$787.50

Hospital Charge Code	270657909
Hospital Revenue Code	278
Min. Negotiated Rate	$118.12
Max. Negotiated Rate	$190.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$157.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$190.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$173.25
Rate for Payer: Qualcare PPO/HMO/WC	$118.12

AEQUALIS REV FRACTURE HUMERAL

Facility

$34,875.00

Hospital Charge Code	270657920
Hospital Revenue Code	278
Min. Negotiated Rate	$840.49
Max. Negotiated Rate	$17,437.50
Rate for Payer: Aetna Commercial	$13,252.50
Rate for Payer: Aetna Medicare Advantage	$10,462.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,893.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,893.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,975.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,893.12
Rate for Payer: Cigna Commercial	$17,437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,439.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$7,672.50
Rate for Payer: Qualcare PPO/HMO/WC	$5,231.25
Rate for Payer: UnitedHealthcare Community & State	$840.49
Rate for Payer: Wellpoint Medicaid Managed Care	$924.19

AEQUALIS REV FRACTURE HUMERAL

Facility

$34,875.00

Hospital Charge Code	270657920
Hospital Revenue Code	278
Min. Negotiated Rate	$5,231.25
Max. Negotiated Rate	$8,439.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,975.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,439.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$7,672.50
Rate for Payer: Qualcare PPO/HMO/WC	$5,231.25

AERO AIRWAY STENT SYSTEM 12 X

Facility

$14,000.00

Service Code	HCPCS C2625
Hospital Charge Code	270678264
Hospital Revenue Code	278
Min. Negotiated Rate	$337.40
Max. Negotiated Rate	$7,000.00
Rate for Payer: Aetna Commercial	$5,320.00
Rate for Payer: Aetna Medicare Advantage	$4,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,570.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,570.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,570.00
Rate for Payer: Cigna Commercial	$7,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,388.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,080.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,100.00
Rate for Payer: UnitedHealthcare Community & State	$337.40
Rate for Payer: Wellpoint Medicaid Managed Care	$371.00

AERO AIRWAY STENT SYSTEM 12 X

Facility

$14,000.00

Service Code	HCPCS C2625
Hospital Charge Code	270678264
Hospital Revenue Code	278
Min. Negotiated Rate	$2,100.00
Max. Negotiated Rate	$3,388.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,388.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,080.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,100.00

AEROBIC ID

Facility

$35.30

Service Code	HCPCS 87147
Hospital Charge Code	39900493
Hospital Revenue Code	309
Min. Negotiated Rate	$5.29
Max. Negotiated Rate	$5.29
Rate for Payer: Qualcare PPO/HMO/WC	$5.29

AEROBIC ID

Facility

$35.30

Service Code	HCPCS 87147
Hospital Charge Code	39900493
Hospital Revenue Code	309
Min. Negotiated Rate	$0.94
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$14.09
Rate for Payer: Aetna Medicare Advantage	$16.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.70
Rate for Payer: Cigna Commercial	$17.65
Rate for Payer: Cigna Medicare Advantage	$5.18
Rate for Payer: Clover Medicare Advantage	$4.92
Rate for Payer: EmblemHealth Commercial	$15.54
Rate for Payer: Humana Medicare Advantage	$5.34
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.59
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.29
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$4.14
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.18
Rate for Payer: Wellcare Medicare Advantage	$5.18
Rate for Payer: Wellpoint Medicaid Managed Care	$0.94

AEROCHAMBER FLOW

Facility

$60.00

Hospital Charge Code	270600605
Hospital Revenue Code	270
Min. Negotiated Rate	$1.45
Max. Negotiated Rate	$30.00
Rate for Payer: Aetna Commercial	$22.80
Rate for Payer: Aetna Medicare Advantage	$18.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.30
Rate for Payer: Cigna Commercial	$30.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.00
Rate for Payer: Oxford Commercial	$12.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00
Rate for Payer: UnitedHealthcare Commercial	$12.00
Rate for Payer: UnitedHealthcare Community & State	$1.45
Rate for Payer: Wellpoint Medicaid Managed Care	$1.59

AEROCHAMBER FLOW

Facility

$60.00

Hospital Charge Code	270600605
Hospital Revenue Code	270
Min. Negotiated Rate	$9.00
Max. Negotiated Rate	$9.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00

AEROCHAMBER PLUS W/MEDIUM MASK

Facility

$62.38

Hospital Charge Code	270625710
Hospital Revenue Code	270
Min. Negotiated Rate	$9.36
Max. Negotiated Rate	$9.36
Rate for Payer: Qualcare PPO/HMO/WC	$9.36

AEROCHAMBER PLUS W/MEDIUM MASK

Facility

$62.38

Hospital Charge Code	270625710
Hospital Revenue Code	270
Min. Negotiated Rate	$1.50
Max. Negotiated Rate	$31.19
Rate for Payer: Aetna Commercial	$23.70
Rate for Payer: Aetna Medicare Advantage	$18.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.91
Rate for Payer: Cigna Commercial	$31.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.71
Rate for Payer: Oxford Commercial	$12.48
Rate for Payer: Qualcare PPO/HMO/WC	$9.36
Rate for Payer: UnitedHealthcare Commercial	$12.48
Rate for Payer: UnitedHealthcare Community & State	$1.50
Rate for Payer: Wellpoint Medicaid Managed Care	$1.65

AEROCHAMBER Z-STAT PLUS

Facility

$57.95

Hospital Charge Code	270626165
Hospital Revenue Code	270
Min. Negotiated Rate	$1.40
Max. Negotiated Rate	$28.98
Rate for Payer: Aetna Commercial	$22.02
Rate for Payer: Aetna Medicare Advantage	$17.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.78
Rate for Payer: Cigna Commercial	$28.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.39
Rate for Payer: Oxford Commercial	$11.59
Rate for Payer: Qualcare PPO/HMO/WC	$8.69
Rate for Payer: UnitedHealthcare Commercial	$11.59
Rate for Payer: UnitedHealthcare Community & State	$1.40
Rate for Payer: Wellpoint Medicaid Managed Care	$1.54

AEROCHAMBER Z-STAT PLUS

Facility

$57.95

Hospital Charge Code	270626165
Hospital Revenue Code	270
Min. Negotiated Rate	$8.69
Max. Negotiated Rate	$8.69
Rate for Payer: Qualcare PPO/HMO/WC	$8.69

AEROZOIN SPRAY

Facility

$23.00

Hospital Charge Code	60634451
Hospital Revenue Code	250
Min. Negotiated Rate	$3.45
Max. Negotiated Rate	$3.45
Rate for Payer: Qualcare PPO/HMO/WC	$3.45

AEROZOIN SPRAY

Facility

$23.00

Hospital Charge Code	60634451
Hospital Revenue Code	250
Min. Negotiated Rate	$0.55
Max. Negotiated Rate	$11.50
Rate for Payer: Aetna Commercial	$8.74
Rate for Payer: Aetna Medicare Advantage	$6.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.87
Rate for Payer: Cigna Commercial	$11.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.90
Rate for Payer: Oxford Commercial	$4.60
Rate for Payer: Qualcare PPO/HMO/WC	$3.45
Rate for Payer: UnitedHealthcare Commercial	$4.60
Rate for Payer: UnitedHealthcare Community & State	$0.55
Rate for Payer: Wellpoint Medicaid Managed Care	$0.61

AETOS GLENOSPHERE 34MM CONCENT

Facility

$10,285.00

Service Code	HCPCS C1713
Hospital Charge Code	270704524
Hospital Revenue Code	278
Min. Negotiated Rate	$247.87
Max. Negotiated Rate	$5,142.50
Rate for Payer: Aetna Commercial	$3,908.30
Rate for Payer: Aetna Medicare Advantage	$3,085.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,622.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,622.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,057.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,622.68
Rate for Payer: Cigna Commercial	$5,142.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,488.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,262.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,542.75
Rate for Payer: UnitedHealthcare Community & State	$247.87
Rate for Payer: Wellpoint Medicaid Managed Care	$272.55

AETOS GLENOSPHERE 34MM CONCENT

Facility

$10,285.00

Service Code	HCPCS C1713
Hospital Charge Code	270704524
Hospital Revenue Code	278
Min. Negotiated Rate	$1,542.75
Max. Negotiated Rate	$2,488.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,057.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,488.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,262.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,542.75

AETOS GLENOSPHERE 38MM CONCENT

Facility

$10,285.00

Service Code	HCPCS C1713
Hospital Charge Code	270704895
Hospital Revenue Code	278
Min. Negotiated Rate	$247.87
Max. Negotiated Rate	$5,142.50
Rate for Payer: Aetna Commercial	$3,908.30
Rate for Payer: Aetna Medicare Advantage	$3,085.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,622.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,622.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,057.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,622.68
Rate for Payer: Cigna Commercial	$5,142.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,488.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,262.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,542.75
Rate for Payer: UnitedHealthcare Community & State	$247.87
Rate for Payer: Wellpoint Medicaid Managed Care	$272.55

AETOS GLENOSPHERE 38MM CONCENT

Facility

$10,285.00

Service Code	HCPCS C1713
Hospital Charge Code	270704895
Hospital Revenue Code	278
Min. Negotiated Rate	$1,542.75
Max. Negotiated Rate	$2,488.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,057.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,488.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,262.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,542.75

AETOS HUMERAL HEAD CONCENTRIC

Facility

$8,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270704905
Hospital Revenue Code	278
Min. Negotiated Rate	$1,320.00
Max. Negotiated Rate	$2,129.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,760.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,129.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,936.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,320.00

AETOS HUMERAL HEAD CONCENTRIC

Facility

$8,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270704905
Hospital Revenue Code	278
Min. Negotiated Rate	$212.08
Max. Negotiated Rate	$4,400.00
Rate for Payer: Aetna Commercial	$3,344.00
Rate for Payer: Aetna Medicare Advantage	$2,640.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,244.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,244.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,760.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,244.00
Rate for Payer: Cigna Commercial	$4,400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,129.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,936.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,320.00
Rate for Payer: UnitedHealthcare Community & State	$212.08
Rate for Payer: Wellpoint Medicaid Managed Care	$233.20

AETOS META HUMERAL STEM SZ 1 S

Facility

$15,335.00

Service Code	HCPCS C1713
Hospital Charge Code	270704981
Hospital Revenue Code	278
Min. Negotiated Rate	$2,300.25
Max. Negotiated Rate	$3,711.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,067.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,711.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,373.70
Rate for Payer: Qualcare PPO/HMO/WC	$2,300.25

AETOS META HUMERAL STEM SZ 1 S

Facility

$15,335.00

Service Code	HCPCS C1713
Hospital Charge Code	270704981
Hospital Revenue Code	278
Min. Negotiated Rate	$369.57
Max. Negotiated Rate	$7,667.50
Rate for Payer: Aetna Commercial	$5,827.30
Rate for Payer: Aetna Medicare Advantage	$4,600.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,910.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,910.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,067.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,910.43
Rate for Payer: Cigna Commercial	$7,667.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,711.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,373.70
Rate for Payer: Qualcare PPO/HMO/WC	$2,300.25
Rate for Payer: UnitedHealthcare Community & State	$369.57
Rate for Payer: Wellpoint Medicaid Managed Care	$406.38

AETOS META HUMERAL STEM SZ 3 L

Facility

$15,335.00

Service Code	HCPCS C1713
Hospital Charge Code	270704904
Hospital Revenue Code	278
Min. Negotiated Rate	$369.57
Max. Negotiated Rate	$7,667.50
Rate for Payer: Aetna Commercial	$5,827.30
Rate for Payer: Aetna Medicare Advantage	$4,600.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,910.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,910.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,067.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,910.43
Rate for Payer: Cigna Commercial	$7,667.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,711.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,373.70
Rate for Payer: Qualcare PPO/HMO/WC	$2,300.25
Rate for Payer: UnitedHealthcare Community & State	$369.57
Rate for Payer: Wellpoint Medicaid Managed Care	$406.38

AETOS META HUMERAL STEM SZ 3 L

Facility

$15,335.00

Service Code	HCPCS C1713
Hospital Charge Code	270704904
Hospital Revenue Code	278
Min. Negotiated Rate	$2,300.25
Max. Negotiated Rate	$3,711.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,067.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,711.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,373.70
Rate for Payer: Qualcare PPO/HMO/WC	$2,300.25

Know your out-of-pocket cost for care.

All Charges