Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CONDUIT TCP 276101030

Facility

$5,406.45

Hospital Charge Code	270633178
Hospital Revenue Code	272
Min. Negotiated Rate	$810.97
Max. Negotiated Rate	$810.97
Rate for Payer: Qualcare PPO/HMO/WC	$810.97

CONDYLE PEFT LATERA LHEM

Facility

$57,475.00

Service Code	HCPCS C1776
Hospital Charge Code	270686150
Hospital Revenue Code	278
Min. Negotiated Rate	$1,385.15
Max. Negotiated Rate	$28,737.50
Rate for Payer: Aetna Commercial	$21,840.50
Rate for Payer: Aetna Medicare Advantage	$17,242.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,656.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,656.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11,495.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14,656.12
Rate for Payer: Cigna Commercial	$28,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13,908.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$12,644.50
Rate for Payer: Qualcare PPO/HMO/WC	$8,621.25
Rate for Payer: UnitedHealthcare Community & State	$1,385.15
Rate for Payer: Wellpoint Medicaid Managed Care	$1,523.09

CONDYLE PEFT LATERA LHEM

Facility

$57,475.00

Service Code	HCPCS C1776
Hospital Charge Code	270686150
Hospital Revenue Code	278
Min. Negotiated Rate	$8,621.25
Max. Negotiated Rate	$13,908.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11,495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13,908.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$12,644.50
Rate for Payer: Qualcare PPO/HMO/WC	$8,621.25

CONE HASSON 8MM

Facility

$4,375.00

Hospital Charge Code	270691091
Hospital Revenue Code	272
Min. Negotiated Rate	$105.44
Max. Negotiated Rate	$2,187.50
Rate for Payer: Aetna Commercial	$1,662.50
Rate for Payer: Aetna Medicare Advantage	$1,312.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,115.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,115.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,115.62
Rate for Payer: Cigna Commercial	$2,187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,312.50
Rate for Payer: Oxford Commercial	$875.00
Rate for Payer: Qualcare PPO/HMO/WC	$656.25
Rate for Payer: UnitedHealthcare Commercial	$875.00
Rate for Payer: UnitedHealthcare Community & State	$105.44
Rate for Payer: Wellpoint Medicaid Managed Care	$115.94

CONE HASSON 8MM

Facility

$4,375.00

Hospital Charge Code	270691091
Hospital Revenue Code	272
Min. Negotiated Rate	$656.25
Max. Negotiated Rate	$656.25
Rate for Payer: Qualcare PPO/HMO/WC	$656.25

CONE PSN REV TM SM CENTRAL

Facility

$38,280.00

Service Code	HCPCS C1776
Hospital Charge Code	270700042
Hospital Revenue Code	278
Min. Negotiated Rate	$5,742.00
Max. Negotiated Rate	$9,263.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,656.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,263.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8,421.60
Rate for Payer: Qualcare PPO/HMO/WC	$5,742.00

CONE PSN REV TM SM CENTRAL

Facility

$38,280.00

Service Code	HCPCS C1776
Hospital Charge Code	270700042
Hospital Revenue Code	278
Min. Negotiated Rate	$922.55
Max. Negotiated Rate	$19,140.00
Rate for Payer: Aetna Commercial	$14,546.40
Rate for Payer: Aetna Medicare Advantage	$11,484.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,761.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,761.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,656.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,761.40
Rate for Payer: Cigna Commercial	$19,140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,263.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8,421.60
Rate for Payer: Qualcare PPO/HMO/WC	$5,742.00
Rate for Payer: UnitedHealthcare Community & State	$922.55
Rate for Payer: Wellpoint Medicaid Managed Care	$1,014.42

CONE TA6V TAPER HUMELOCK

Facility

$2,750.00

Service Code	HCPCS C1776
Hospital Charge Code	270692132
Hospital Revenue Code	278
Min. Negotiated Rate	$412.50
Max. Negotiated Rate	$665.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$665.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$605.00
Rate for Payer: Qualcare PPO/HMO/WC	$412.50

CONE TA6V TAPER HUMELOCK

Facility

$2,750.00

Service Code	HCPCS C1776
Hospital Charge Code	270692132
Hospital Revenue Code	278
Min. Negotiated Rate	$66.28
Max. Negotiated Rate	$1,375.00
Rate for Payer: Aetna Commercial	$1,045.00
Rate for Payer: Aetna Medicare Advantage	$825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$550.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$701.25
Rate for Payer: Cigna Commercial	$1,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$665.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$605.00
Rate for Payer: Qualcare PPO/HMO/WC	$412.50
Rate for Payer: UnitedHealthcare Community & State	$66.28
Rate for Payer: Wellpoint Medicaid Managed Care	$72.88

CONE TIP URETHERAL CATHETER

Facility

$1,611.15

Hospital Charge Code	270655923
Hospital Revenue Code	271
Min. Negotiated Rate	$241.67
Max. Negotiated Rate	$241.67
Rate for Payer: Qualcare PPO/HMO/WC	$241.67

CONE TIP URETHERAL CATHETER

Facility

$1,611.15

Hospital Charge Code	270655923
Hospital Revenue Code	271
Min. Negotiated Rate	$38.83
Max. Negotiated Rate	$805.58
Rate for Payer: Aetna Commercial	$612.24
Rate for Payer: Aetna Medicare Advantage	$483.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$410.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$410.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$410.84
Rate for Payer: Cigna Commercial	$805.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$483.35
Rate for Payer: Oxford Commercial	$322.23
Rate for Payer: Qualcare PPO/HMO/WC	$241.67
Rate for Payer: UnitedHealthcare Commercial	$322.23
Rate for Payer: UnitedHealthcare Community & State	$38.83
Rate for Payer: Wellpoint Medicaid Managed Care	$42.70

CONFIDENCE SPINAL CEMENT SYS

Facility

$7,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270675212
Hospital Revenue Code	278
Min. Negotiated Rate	$1,162.50
Max. Negotiated Rate	$1,875.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,875.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,705.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,162.50

CONFIDENCE SPINAL CEMENT SYS

Facility

$7,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270675212
Hospital Revenue Code	278
Min. Negotiated Rate	$186.78
Max. Negotiated Rate	$3,875.00
Rate for Payer: Aetna Commercial	$2,945.00
Rate for Payer: Aetna Medicare Advantage	$2,325.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,976.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,976.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,550.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,976.25
Rate for Payer: Cigna Commercial	$3,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,875.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,705.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,162.50
Rate for Payer: UnitedHealthcare Community & State	$186.78
Rate for Payer: Wellpoint Medicaid Managed Care	$205.38

CONFIRM ANTI-ER

Facility

$4,211.55

Hospital Charge Code	270655062
Hospital Revenue Code	272
Min. Negotiated Rate	$101.50
Max. Negotiated Rate	$2,105.78
Rate for Payer: Aetna Commercial	$1,600.39
Rate for Payer: Aetna Medicare Advantage	$1,263.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,073.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,073.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,073.95
Rate for Payer: Cigna Commercial	$2,105.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,263.46
Rate for Payer: Oxford Commercial	$842.31
Rate for Payer: Qualcare PPO/HMO/WC	$631.73
Rate for Payer: UnitedHealthcare Commercial	$842.31
Rate for Payer: UnitedHealthcare Community & State	$101.50
Rate for Payer: Wellpoint Medicaid Managed Care	$111.61

CONFIRM ANTI-ER

Facility

$4,211.55

Hospital Charge Code	270655062
Hospital Revenue Code	272
Min. Negotiated Rate	$631.73
Max. Negotiated Rate	$631.73
Rate for Payer: Qualcare PPO/HMO/WC	$631.73

CONFORM CUBE 9MM

Facility

$2,730.00

Service Code	HCPCS C1713
Hospital Charge Code	270663750
Hospital Revenue Code	278
Min. Negotiated Rate	$65.79
Max. Negotiated Rate	$1,365.00
Rate for Payer: Aetna Commercial	$1,037.40
Rate for Payer: Aetna Medicare Advantage	$819.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$696.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$696.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$546.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$696.15
Rate for Payer: Cigna Commercial	$1,365.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$660.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$600.60
Rate for Payer: Qualcare PPO/HMO/WC	$409.50
Rate for Payer: UnitedHealthcare Community & State	$65.79
Rate for Payer: Wellpoint Medicaid Managed Care	$72.34

CONFORM CUBE 9MM

Facility

$2,730.00

Service Code	HCPCS C1713
Hospital Charge Code	270663750
Hospital Revenue Code	278
Min. Negotiated Rate	$409.50
Max. Negotiated Rate	$660.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$546.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$660.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$600.60
Rate for Payer: Qualcare PPO/HMO/WC	$409.50

CONFORM SHEET 45x20x5mm

Facility

$9,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270673339
Hospital Revenue Code	278
Min. Negotiated Rate	$1,462.50
Max. Negotiated Rate	$2,359.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,359.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,145.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,462.50

CONFORM SHEET 45x20x5mm

Facility

$9,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270673339
Hospital Revenue Code	278
Min. Negotiated Rate	$234.97
Max. Negotiated Rate	$4,875.00
Rate for Payer: Aetna Commercial	$3,705.00
Rate for Payer: Aetna Medicare Advantage	$2,925.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,486.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,486.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,950.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,486.25
Rate for Payer: Cigna Commercial	$4,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,359.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,145.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,462.50
Rate for Payer: UnitedHealthcare Community & State	$234.97
Rate for Payer: Wellpoint Medicaid Managed Care	$258.38

CONICAL BOLT THD 9-12MM NAILS

Facility

$1,104.00

Hospital Charge Code	270676093
Hospital Revenue Code	278
Min. Negotiated Rate	$26.61
Max. Negotiated Rate	$552.00
Rate for Payer: Aetna Commercial	$419.52
Rate for Payer: Aetna Medicare Advantage	$331.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$281.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$281.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$220.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$281.52
Rate for Payer: Cigna Commercial	$552.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$267.17
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$242.88
Rate for Payer: Qualcare PPO/HMO/WC	$165.60
Rate for Payer: UnitedHealthcare Community & State	$26.61
Rate for Payer: Wellpoint Medicaid Managed Care	$29.26

CONICAL BOLT THD 9-12MM NAILS

Facility

$1,104.00

Hospital Charge Code	270676093
Hospital Revenue Code	278
Min. Negotiated Rate	$165.60
Max. Negotiated Rate	$267.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$220.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$267.17
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$242.88
Rate for Payer: Qualcare PPO/HMO/WC	$165.60

CONICAL EXTRACTION DEVICE

Facility

$630.00

Hospital Charge Code	270675870
Hospital Revenue Code	272
Min. Negotiated Rate	$94.50
Max. Negotiated Rate	$94.50
Rate for Payer: Qualcare PPO/HMO/WC	$94.50

CONICAL EXTRACTION DEVICE

Facility

$630.00

Hospital Charge Code	270675870
Hospital Revenue Code	272
Min. Negotiated Rate	$15.18
Max. Negotiated Rate	$315.00
Rate for Payer: Aetna Commercial	$239.40
Rate for Payer: Aetna Medicare Advantage	$189.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$160.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$160.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$160.65
Rate for Payer: Cigna Commercial	$315.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$189.00
Rate for Payer: Oxford Commercial	$126.00
Rate for Payer: Qualcare PPO/HMO/WC	$94.50
Rate for Payer: UnitedHealthcare Commercial	$126.00
Rate for Payer: UnitedHealthcare Community & State	$15.18
Rate for Payer: Wellpoint Medicaid Managed Care	$16.70

CONICAL SUBTALAR IMPLANT 8MM

Facility

$6,475.00

Hospital Charge Code	270656734
Hospital Revenue Code	278
Min. Negotiated Rate	$971.25
Max. Negotiated Rate	$1,566.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,295.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,566.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,424.50
Rate for Payer: Qualcare PPO/HMO/WC	$971.25

CONICAL SUBTALAR IMPLANT 8MM

Facility

$6,475.00

Hospital Charge Code	270656734
Hospital Revenue Code	278
Min. Negotiated Rate	$156.05
Max. Negotiated Rate	$3,237.50
Rate for Payer: Aetna Commercial	$2,460.50
Rate for Payer: Aetna Medicare Advantage	$1,942.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,651.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,651.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,295.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,651.12
Rate for Payer: Cigna Commercial	$3,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,566.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,424.50
Rate for Payer: Qualcare PPO/HMO/WC	$971.25
Rate for Payer: UnitedHealthcare Community & State	$156.05
Rate for Payer: Wellpoint Medicaid Managed Care	$171.59

Know your out-of-pocket cost for care.

All Charges