Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CONTAINER SPEC 4oz STER

Facility

$497.75

Hospital Charge Code	270651891
Hospital Revenue Code	272
Min. Negotiated Rate	$74.66
Max. Negotiated Rate	$74.66
Rate for Payer: Qualcare PPO/HMO/WC	$74.66

CONTAINER SPEC 4oz STER

Facility

$497.75

Hospital Charge Code	270651891
Hospital Revenue Code	272
Min. Negotiated Rate	$12.00
Max. Negotiated Rate	$248.88
Rate for Payer: Aetna Commercial	$189.15
Rate for Payer: Aetna Medicare Advantage	$149.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.93
Rate for Payer: Cigna Commercial	$248.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$149.32
Rate for Payer: Oxford Commercial	$99.55
Rate for Payer: Qualcare PPO/HMO/WC	$74.66
Rate for Payer: UnitedHealthcare Commercial	$99.55
Rate for Payer: UnitedHealthcare Community & State	$12.00
Rate for Payer: Wellpoint Medicaid Managed Care	$13.19

CONTAINER SPEC W/LID 165 OZ

Facility

$16.85

Hospital Charge Code	270300736
Hospital Revenue Code	270
Min. Negotiated Rate	$2.53
Max. Negotiated Rate	$2.53
Rate for Payer: Qualcare PPO/HMO/WC	$2.53

CONTAINER SPEC W/LID 165 OZ

Facility

$16.85

Hospital Charge Code	270300736
Hospital Revenue Code	270
Min. Negotiated Rate	$0.41
Max. Negotiated Rate	$8.43
Rate for Payer: Aetna Commercial	$6.40
Rate for Payer: Aetna Medicare Advantage	$5.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.30
Rate for Payer: Cigna Commercial	$8.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.05
Rate for Payer: Oxford Commercial	$3.37
Rate for Payer: Qualcare PPO/HMO/WC	$2.53
Rate for Payer: UnitedHealthcare Commercial	$3.37
Rate for Payer: UnitedHealthcare Community & State	$0.41
Rate for Payer: Wellpoint Medicaid Managed Care	$0.45

CONTAINER SPEC W/LID 16 OZ

Facility

$4.00

Hospital Charge Code	270300732
Hospital Revenue Code	270
Min. Negotiated Rate	$0.10
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.52
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.20
Rate for Payer: Oxford Commercial	$0.80
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$0.80
Rate for Payer: UnitedHealthcare Community & State	$0.10
Rate for Payer: Wellpoint Medicaid Managed Care	$0.11

CONTAINER SPEC W/LID 16 OZ

Facility

$4.00

Hospital Charge Code	270300732
Hospital Revenue Code	270
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

CONTAINER SPEC W/LID 32 OZ

Facility

$5.65

Hospital Charge Code	270300733
Hospital Revenue Code	270
Min. Negotiated Rate	$0.85
Max. Negotiated Rate	$0.85
Rate for Payer: Qualcare PPO/HMO/WC	$0.85

CONTAINER SPEC W/LID 32 OZ

Facility

$5.65

Hospital Charge Code	270300733
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

CONTAINER SPEC W/LID 86 OZ

Facility

$11.25

Hospital Charge Code	270300734
Hospital Revenue Code	270
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$1.69
Rate for Payer: Qualcare PPO/HMO/WC	$1.69

CONTAINER SPEC W/LID 86 OZ

Facility

$11.25

Hospital Charge Code	270300734
Hospital Revenue Code	270
Min. Negotiated Rate	$0.27
Max. Negotiated Rate	$5.62
Rate for Payer: Aetna Commercial	$4.28
Rate for Payer: Aetna Medicare Advantage	$3.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.87
Rate for Payer: Cigna Commercial	$5.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.38
Rate for Payer: Oxford Commercial	$2.25
Rate for Payer: Qualcare PPO/HMO/WC	$1.69
Rate for Payer: UnitedHealthcare Commercial	$2.25
Rate for Payer: UnitedHealthcare Community & State	$0.27
Rate for Payer: Wellpoint Medicaid Managed Care	$0.30

CONTIGEN COLLAGEN IMPLANT

Facility

$1,749.75

Hospital Charge Code	270658487
Hospital Revenue Code	278
Min. Negotiated Rate	$42.17
Max. Negotiated Rate	$874.88
Rate for Payer: Aetna Commercial	$664.90
Rate for Payer: Aetna Medicare Advantage	$524.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$349.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.19
Rate for Payer: Cigna Commercial	$874.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$384.94
Rate for Payer: Qualcare PPO/HMO/WC	$262.46
Rate for Payer: UnitedHealthcare Community & State	$42.17
Rate for Payer: Wellpoint Medicaid Managed Care	$46.37

CONTIGEN COLLAGEN IMPLANT

Facility

$1,749.75

Hospital Charge Code	270658487
Hospital Revenue Code	278
Min. Negotiated Rate	$262.46
Max. Negotiated Rate	$423.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$349.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$384.94
Rate for Payer: Qualcare PPO/HMO/WC	$262.46

CONT INHL TMT W/AERO MED ACUTE

Facility

$278.20

Service Code	HCPCS 94644
Hospital Charge Code	93950210
Hospital Revenue Code	410
Min. Negotiated Rate	$6.70
Max. Negotiated Rate	$1,550.00
Rate for Payer: Aetna Commercial	$429.92
Rate for Payer: Aetna Medicare Advantage	$512.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$570.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$570.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$158.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$570.55
Rate for Payer: Cigna Commercial	$316.85
Rate for Payer: Cigna Medicare Advantage	$158.06
Rate for Payer: Clover Medicare Advantage	$150.16
Rate for Payer: EmblemHealth Commercial	$474.18
Rate for Payer: Humana Medicare Advantage	$162.80
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$158.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.46
Rate for Payer: Oxford Commercial	$885.00
Rate for Payer: Qualcare PPO/HMO/WC	$41.73
Rate for Payer: UnitedHealthcare Commercial	$1,550.00
Rate for Payer: UnitedHealthcare Community & State	$6.70
Rate for Payer: UnitedHealthcare Medicare Advantage	$158.06
Rate for Payer: Wellcare Medicare Advantage	$158.06
Rate for Payer: Wellpoint Medicaid Managed Care	$7.37

CONT INHL TMT W/AERO MED ACUTE

Facility

$278.20

Service Code	HCPCS 94644
Hospital Charge Code	93950210
Hospital Revenue Code	410
Min. Negotiated Rate	$41.73
Max. Negotiated Rate	$41.73
Rate for Payer: Qualcare PPO/HMO/WC	$41.73

CONTINUOUS*******

Facility

$24.00

Hospital Charge Code	9500323
Hospital Revenue Code	279
Min. Negotiated Rate	$3.60
Max. Negotiated Rate	$3.60
Rate for Payer: Qualcare PPO/HMO/WC	$3.60

CONTINUOUS*******

Facility

$24.00

Hospital Charge Code	9500323
Hospital Revenue Code	279
Min. Negotiated Rate	$0.58
Max. Negotiated Rate	$12.00
Rate for Payer: Aetna Commercial	$9.12
Rate for Payer: Aetna Medicare Advantage	$7.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.12
Rate for Payer: Cigna Commercial	$12.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.20
Rate for Payer: Oxford Commercial	$4.80
Rate for Payer: Qualcare PPO/HMO/WC	$3.60
Rate for Payer: UnitedHealthcare Commercial	$4.80
Rate for Payer: UnitedHealthcare Community & State	$0.58
Rate for Payer: Wellpoint Medicaid Managed Care	$0.64

CONTINUOUS AEROSOL THERAPY 1ST

Facility

$50.00

Service Code	HCPCS 94644
Hospital Charge Code	9500497
Hospital Revenue Code	410
Min. Negotiated Rate	$7.50
Max. Negotiated Rate	$7.50
Rate for Payer: Qualcare PPO/HMO/WC	$7.50

CONTINUOUS AEROSOL THERAPY 1ST

Facility

$50.00

Service Code	HCPCS 94644
Hospital Charge Code	9500497
Hospital Revenue Code	410
Min. Negotiated Rate	$1.21
Max. Negotiated Rate	$1,550.00
Rate for Payer: Aetna Commercial	$429.92
Rate for Payer: Aetna Medicare Advantage	$512.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$570.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$570.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$158.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$570.55
Rate for Payer: Cigna Commercial	$316.85
Rate for Payer: Cigna Medicare Advantage	$158.06
Rate for Payer: Clover Medicare Advantage	$150.16
Rate for Payer: EmblemHealth Commercial	$474.18
Rate for Payer: Humana Medicare Advantage	$162.80
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$158.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.00
Rate for Payer: Oxford Commercial	$885.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.50
Rate for Payer: UnitedHealthcare Commercial	$1,550.00
Rate for Payer: UnitedHealthcare Community & State	$1.21
Rate for Payer: UnitedHealthcare Medicare Advantage	$158.06
Rate for Payer: Wellcare Medicare Advantage	$158.06
Rate for Payer: Wellpoint Medicaid Managed Care	$1.32

CONTOUR STAPLER

Facility

$633.00

Hospital Charge Code	270337852
Hospital Revenue Code	272
Min. Negotiated Rate	$94.95
Max. Negotiated Rate	$94.95
Rate for Payer: Qualcare PPO/HMO/WC	$94.95

CONTOUR STAPLER

Facility

$633.00

Hospital Charge Code	270337852
Hospital Revenue Code	272
Min. Negotiated Rate	$15.26
Max. Negotiated Rate	$316.50
Rate for Payer: Aetna Commercial	$240.54
Rate for Payer: Aetna Medicare Advantage	$189.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$161.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$161.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$161.41
Rate for Payer: Cigna Commercial	$316.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$189.90
Rate for Payer: Oxford Commercial	$126.60
Rate for Payer: Qualcare PPO/HMO/WC	$94.95
Rate for Payer: UnitedHealthcare Commercial	$126.60
Rate for Payer: UnitedHealthcare Community & State	$15.26
Rate for Payer: Wellpoint Medicaid Managed Care	$16.77

CONTOUR STAPLER RELOADS

Facility

$311.00

Hospital Charge Code	270337853
Hospital Revenue Code	272
Min. Negotiated Rate	$7.50
Max. Negotiated Rate	$155.50
Rate for Payer: Aetna Commercial	$118.18
Rate for Payer: Aetna Medicare Advantage	$93.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$79.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$79.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$79.31
Rate for Payer: Cigna Commercial	$155.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$93.30
Rate for Payer: Oxford Commercial	$62.20
Rate for Payer: Qualcare PPO/HMO/WC	$46.65
Rate for Payer: UnitedHealthcare Commercial	$62.20
Rate for Payer: UnitedHealthcare Community & State	$7.50
Rate for Payer: Wellpoint Medicaid Managed Care	$8.24

CONTOUR STAPLER RELOADS

Facility

$311.00

Hospital Charge Code	270337853
Hospital Revenue Code	272
Min. Negotiated Rate	$46.65
Max. Negotiated Rate	$46.65
Rate for Payer: Qualcare PPO/HMO/WC	$46.65

CONTOUR VL STENT

Facility

$1,034.70

Service Code	HCPCS C2617
Hospital Charge Code	270652854N
Hospital Revenue Code	278
Min. Negotiated Rate	$24.94
Max. Negotiated Rate	$517.35
Rate for Payer: Aetna Commercial	$393.19
Rate for Payer: Aetna Medicare Advantage	$310.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$263.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$263.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$206.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$263.85
Rate for Payer: Cigna Commercial	$517.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$250.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$227.63
Rate for Payer: Qualcare PPO/HMO/WC	$155.21
Rate for Payer: UnitedHealthcare Community & State	$24.94
Rate for Payer: Wellpoint Medicaid Managed Care	$27.42

CONTOUR VL STENT

Facility

$1,034.70

Service Code	HCPCS C2617
Hospital Charge Code	270652854N
Hospital Revenue Code	278
Min. Negotiated Rate	$155.21
Max. Negotiated Rate	$250.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$206.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$250.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$227.63
Rate for Payer: Qualcare PPO/HMO/WC	$155.21

CONTOUR VL STENT

Facility

$1,019.70

Service Code	HCPCS C2617
Hospital Charge Code	270652854S
Hospital Revenue Code	278
Min. Negotiated Rate	$24.57
Max. Negotiated Rate	$509.85
Rate for Payer: Aetna Commercial	$387.49
Rate for Payer: Aetna Medicare Advantage	$305.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$260.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$260.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$203.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$260.02
Rate for Payer: Cigna Commercial	$509.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$246.77
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$224.33
Rate for Payer: Qualcare PPO/HMO/WC	$152.96
Rate for Payer: UnitedHealthcare Community & State	$24.57
Rate for Payer: Wellpoint Medicaid Managed Care	$27.02

Know your out-of-pocket cost for care.

All Charges