Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CRUTCHES

Facility

$211.00

Hospital Charge Code	84202105
Hospital Revenue Code	270
Min. Negotiated Rate	$5.09
Max. Negotiated Rate	$105.50
Rate for Payer: Aetna Commercial	$80.18
Rate for Payer: Aetna Medicare Advantage	$63.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.80
Rate for Payer: Cigna Commercial	$105.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.30
Rate for Payer: Oxford Commercial	$42.20
Rate for Payer: Qualcare PPO/HMO/WC	$31.65
Rate for Payer: UnitedHealthcare Commercial	$42.20
Rate for Payer: UnitedHealthcare Community & State	$5.09
Rate for Payer: Wellpoint Medicaid Managed Care	$5.59

CRUTCHES

Facility

$211.00

Hospital Charge Code	84202105
Hospital Revenue Code	270
Min. Negotiated Rate	$31.65
Max. Negotiated Rate	$31.65
Rate for Payer: Qualcare PPO/HMO/WC	$31.65

CRUTCHES ADJUST ALUM****

Facility

$198.00

Hospital Charge Code	8001893
Hospital Revenue Code	279
Min. Negotiated Rate	$29.70
Max. Negotiated Rate	$29.70
Rate for Payer: Qualcare PPO/HMO/WC	$29.70

CRUTCHES ADJUST ALUM****

Facility

$198.00

Hospital Charge Code	8001893
Hospital Revenue Code	279
Min. Negotiated Rate	$4.77
Max. Negotiated Rate	$99.00
Rate for Payer: Aetna Commercial	$75.24
Rate for Payer: Aetna Medicare Advantage	$59.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.49
Rate for Payer: Cigna Commercial	$99.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.40
Rate for Payer: Oxford Commercial	$39.60
Rate for Payer: Qualcare PPO/HMO/WC	$29.70
Rate for Payer: UnitedHealthcare Commercial	$39.60
Rate for Payer: UnitedHealthcare Community & State	$4.77
Rate for Payer: Wellpoint Medicaid Managed Care	$5.25

CRUTCHES ADULT LGE 48

Facility

$46.59

Hospital Charge Code	270300755
Hospital Revenue Code	270
Min. Negotiated Rate	$6.99
Max. Negotiated Rate	$6.99
Rate for Payer: Qualcare PPO/HMO/WC	$6.99

CRUTCHES ADULT LGE 48

Facility

$46.59

Hospital Charge Code	270300755
Hospital Revenue Code	270
Min. Negotiated Rate	$1.12
Max. Negotiated Rate	$23.30
Rate for Payer: Aetna Commercial	$17.70
Rate for Payer: Aetna Medicare Advantage	$13.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.88
Rate for Payer: Cigna Commercial	$23.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.98
Rate for Payer: Oxford Commercial	$9.32
Rate for Payer: Qualcare PPO/HMO/WC	$6.99
Rate for Payer: UnitedHealthcare Commercial	$9.32
Rate for Payer: UnitedHealthcare Community & State	$1.12
Rate for Payer: Wellpoint Medicaid Managed Care	$1.23

CRUTCHES ADULT MED 42

Facility

$46.59

Hospital Charge Code	270300760
Hospital Revenue Code	270
Min. Negotiated Rate	$1.12
Max. Negotiated Rate	$23.30
Rate for Payer: Aetna Commercial	$17.70
Rate for Payer: Aetna Medicare Advantage	$13.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.88
Rate for Payer: Cigna Commercial	$23.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.98
Rate for Payer: Oxford Commercial	$9.32
Rate for Payer: Qualcare PPO/HMO/WC	$6.99
Rate for Payer: UnitedHealthcare Commercial	$9.32
Rate for Payer: UnitedHealthcare Community & State	$1.12
Rate for Payer: Wellpoint Medicaid Managed Care	$1.23

CRUTCHES ADULT MED 42

Facility

$46.59

Hospital Charge Code	270300760
Hospital Revenue Code	270
Min. Negotiated Rate	$6.99
Max. Negotiated Rate	$6.99
Rate for Payer: Qualcare PPO/HMO/WC	$6.99

CRUTCHES-ADULT MEDIUM

Facility

$46.59

Hospital Charge Code	270649393
Hospital Revenue Code	272
Min. Negotiated Rate	$1.12
Max. Negotiated Rate	$23.30
Rate for Payer: Aetna Commercial	$17.70
Rate for Payer: Aetna Medicare Advantage	$13.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.88
Rate for Payer: Cigna Commercial	$23.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.98
Rate for Payer: Oxford Commercial	$9.32
Rate for Payer: Qualcare PPO/HMO/WC	$6.99
Rate for Payer: UnitedHealthcare Commercial	$9.32
Rate for Payer: UnitedHealthcare Community & State	$1.12
Rate for Payer: Wellpoint Medicaid Managed Care	$1.23

CRUTCHES-ADULT MEDIUM

Facility

$46.59

Hospital Charge Code	270649393
Hospital Revenue Code	272
Min. Negotiated Rate	$6.99
Max. Negotiated Rate	$6.99
Rate for Payer: Qualcare PPO/HMO/WC	$6.99

CRUTCHES-ADULT TALL

Facility

$46.59

Hospital Charge Code	270649392
Hospital Revenue Code	272
Min. Negotiated Rate	$1.12
Max. Negotiated Rate	$23.30
Rate for Payer: Aetna Commercial	$17.70
Rate for Payer: Aetna Medicare Advantage	$13.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.88
Rate for Payer: Cigna Commercial	$23.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.98
Rate for Payer: Oxford Commercial	$9.32
Rate for Payer: Qualcare PPO/HMO/WC	$6.99
Rate for Payer: UnitedHealthcare Commercial	$9.32
Rate for Payer: UnitedHealthcare Community & State	$1.12
Rate for Payer: Wellpoint Medicaid Managed Care	$1.23

CRUTCHES-ADULT TALL

Facility

$46.59

Hospital Charge Code	270649392
Hospital Revenue Code	272
Min. Negotiated Rate	$6.99
Max. Negotiated Rate	$6.99
Rate for Payer: Qualcare PPO/HMO/WC	$6.99

CRUTCHES BARIATRIC ADULT

Facility

$266.05

Service Code	HCPCS E0114
Hospital Charge Code	270651025
Hospital Revenue Code	292
Min. Negotiated Rate	$6.41
Max. Negotiated Rate	$133.03
Rate for Payer: Aetna Commercial	$101.10
Rate for Payer: Aetna Medicare Advantage	$79.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.84
Rate for Payer: Cigna Commercial	$133.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.81
Rate for Payer: Qualcare PPO/HMO/WC	$39.91
Rate for Payer: UnitedHealthcare Community & State	$6.41
Rate for Payer: Wellpoint Medicaid Managed Care	$7.05

CRUTCHES BARIATRIC ADULT

Facility

$266.05

Service Code	HCPCS E0114
Hospital Charge Code	270651025
Hospital Revenue Code	292
Min. Negotiated Rate	$39.91
Max. Negotiated Rate	$39.91
Rate for Payer: Qualcare PPO/HMO/WC	$39.91

CRUTCHES BARIATRIC TALL ADULT

Facility

$266.10

Service Code	HCPCS E0114
Hospital Charge Code	270651026
Hospital Revenue Code	292
Min. Negotiated Rate	$6.41
Max. Negotiated Rate	$133.05
Rate for Payer: Aetna Commercial	$101.12
Rate for Payer: Aetna Medicare Advantage	$79.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.86
Rate for Payer: Cigna Commercial	$133.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.83
Rate for Payer: Qualcare PPO/HMO/WC	$39.91
Rate for Payer: UnitedHealthcare Community & State	$6.41
Rate for Payer: Wellpoint Medicaid Managed Care	$7.05

CRUTCHES BARIATRIC TALL ADULT

Facility

$266.10

Service Code	HCPCS E0114
Hospital Charge Code	270651026
Hospital Revenue Code	292
Min. Negotiated Rate	$39.91
Max. Negotiated Rate	$39.91
Rate for Payer: Qualcare PPO/HMO/WC	$39.91

CRUTCHES CHILD ALUM

Facility

$195.25

Hospital Charge Code	270603237
Hospital Revenue Code	270
Min. Negotiated Rate	$29.29
Max. Negotiated Rate	$29.29
Rate for Payer: Qualcare PPO/HMO/WC	$29.29

CRUTCHES CHILD ALUM

Facility

$195.25

Hospital Charge Code	270603237
Hospital Revenue Code	270
Min. Negotiated Rate	$4.71
Max. Negotiated Rate	$97.62
Rate for Payer: Aetna Commercial	$74.19
Rate for Payer: Aetna Medicare Advantage	$58.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.79
Rate for Payer: Cigna Commercial	$97.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.58
Rate for Payer: Oxford Commercial	$39.05
Rate for Payer: Qualcare PPO/HMO/WC	$29.29
Rate for Payer: UnitedHealthcare Commercial	$39.05
Rate for Payer: UnitedHealthcare Community & State	$4.71
Rate for Payer: Wellpoint Medicaid Managed Care	$5.17

CRUTCHES YOUTH

Facility

$46.59

Hospital Charge Code	270300750
Hospital Revenue Code	270
Min. Negotiated Rate	$1.12
Max. Negotiated Rate	$23.30
Rate for Payer: Aetna Commercial	$17.70
Rate for Payer: Aetna Medicare Advantage	$13.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.88
Rate for Payer: Cigna Commercial	$23.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.98
Rate for Payer: Oxford Commercial	$9.32
Rate for Payer: Qualcare PPO/HMO/WC	$6.99
Rate for Payer: UnitedHealthcare Commercial	$9.32
Rate for Payer: UnitedHealthcare Community & State	$1.12
Rate for Payer: Wellpoint Medicaid Managed Care	$1.23

CRUTCHES YOUTH

Facility

$46.59

Hospital Charge Code	270300750
Hospital Revenue Code	270
Min. Negotiated Rate	$6.99
Max. Negotiated Rate	$6.99
Rate for Payer: Qualcare PPO/HMO/WC	$6.99

CRUTCHES-YOUTH

Facility

$50.43

Hospital Charge Code	270650307
Hospital Revenue Code	272
Min. Negotiated Rate	$7.56
Max. Negotiated Rate	$7.56
Rate for Payer: Qualcare PPO/HMO/WC	$7.56

CRUTCHES-YOUTH

Facility

$50.43

Hospital Charge Code	270650307
Hospital Revenue Code	272
Min. Negotiated Rate	$1.22
Max. Negotiated Rate	$25.21
Rate for Payer: Aetna Commercial	$19.16
Rate for Payer: Aetna Medicare Advantage	$15.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.86
Rate for Payer: Cigna Commercial	$25.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.13
Rate for Payer: Oxford Commercial	$10.09
Rate for Payer: Qualcare PPO/HMO/WC	$7.56
Rate for Payer: UnitedHealthcare Commercial	$10.09
Rate for Payer: UnitedHealthcare Community & State	$1.22
Rate for Payer: Wellpoint Medicaid Managed Care	$1.34

CRUTCHES YOUTH ALUM

Facility

$175.25

Hospital Charge Code	270603238
Hospital Revenue Code	270
Min. Negotiated Rate	$26.29
Max. Negotiated Rate	$26.29
Rate for Payer: Qualcare PPO/HMO/WC	$26.29

CRUTCHES YOUTH ALUM

Facility

$175.25

Hospital Charge Code	270603238
Hospital Revenue Code	270
Min. Negotiated Rate	$4.22
Max. Negotiated Rate	$87.62
Rate for Payer: Aetna Commercial	$66.59
Rate for Payer: Aetna Medicare Advantage	$52.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.69
Rate for Payer: Cigna Commercial	$87.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.58
Rate for Payer: Oxford Commercial	$35.05
Rate for Payer: Qualcare PPO/HMO/WC	$26.29
Rate for Payer: UnitedHealthcare Commercial	$35.05
Rate for Payer: UnitedHealthcare Community & State	$4.22
Rate for Payer: Wellpoint Medicaid Managed Care	$4.64

CRYOBALLON BOA C2

Facility

$425.00

Hospital Charge Code	270679448
Hospital Revenue Code	272
Min. Negotiated Rate	$63.75
Max. Negotiated Rate	$63.75
Rate for Payer: Qualcare PPO/HMO/WC	$63.75

Know your out-of-pocket cost for care.

All Charges