Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

FORCEP BIOPSY RADIAL JAW HOT

Facility

$125.00

Hospital Charge Code	270647110
Hospital Revenue Code	271
Min. Negotiated Rate	$18.75
Max. Negotiated Rate	$18.75
Rate for Payer: Qualcare PPO/HMO/WC	$18.75

FORCEP BIOPSY RADIAL JAW HOT

Facility

$125.00

Hospital Charge Code	270647110
Hospital Revenue Code	271
Min. Negotiated Rate	$3.01
Max. Negotiated Rate	$62.50
Rate for Payer: Aetna Commercial	$47.50
Rate for Payer: Aetna Medicare Advantage	$37.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.88
Rate for Payer: Cigna Commercial	$62.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.50
Rate for Payer: Oxford Commercial	$25.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.75
Rate for Payer: UnitedHealthcare Commercial	$25.00
Rate for Payer: UnitedHealthcare Community & State	$3.01
Rate for Payer: Wellpoint Medicaid Managed Care	$3.31

FORCEP BIOSPY 230 CM OVAL

Facility

$32.00

Hospital Charge Code	270700217
Hospital Revenue Code	272
Min. Negotiated Rate	$4.80
Max. Negotiated Rate	$4.80
Rate for Payer: Qualcare PPO/HMO/WC	$4.80

FORCEP BIOSPY 230 CM OVAL

Facility

$32.00

Hospital Charge Code	270700217
Hospital Revenue Code	272
Min. Negotiated Rate	$0.77
Max. Negotiated Rate	$16.00
Rate for Payer: Aetna Commercial	$12.16
Rate for Payer: Aetna Medicare Advantage	$9.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.16
Rate for Payer: Cigna Commercial	$16.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.60
Rate for Payer: Oxford Commercial	$6.40
Rate for Payer: Qualcare PPO/HMO/WC	$4.80
Rate for Payer: UnitedHealthcare Commercial	$6.40
Rate for Payer: UnitedHealthcare Community & State	$0.77
Rate for Payer: Wellpoint Medicaid Managed Care	$0.85

FORCEP BI POLAR BUZZ

Facility

$1,682.75

Hospital Charge Code	270690492
Hospital Revenue Code	272
Min. Negotiated Rate	$252.41
Max. Negotiated Rate	$252.41
Rate for Payer: Qualcare PPO/HMO/WC	$252.41

FORCEP BI POLAR BUZZ

Facility

$1,682.75

Hospital Charge Code	270690492
Hospital Revenue Code	272
Min. Negotiated Rate	$40.55
Max. Negotiated Rate	$841.38
Rate for Payer: Aetna Commercial	$639.45
Rate for Payer: Aetna Medicare Advantage	$504.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$429.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$429.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$429.10
Rate for Payer: Cigna Commercial	$841.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$504.82
Rate for Payer: Oxford Commercial	$336.55
Rate for Payer: Qualcare PPO/HMO/WC	$252.41
Rate for Payer: UnitedHealthcare Commercial	$336.55
Rate for Payer: UnitedHealthcare Community & State	$40.55
Rate for Payer: Wellpoint Medicaid Managed Care	$44.59

FORCEP BIPOLAR CUT 10m 41010US

Facility

$1,135.90

Hospital Charge Code	270619585
Hospital Revenue Code	272
Min. Negotiated Rate	$27.38
Max. Negotiated Rate	$567.95
Rate for Payer: Aetna Commercial	$431.64
Rate for Payer: Aetna Medicare Advantage	$340.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$289.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$289.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$289.65
Rate for Payer: Cigna Commercial	$567.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$340.77
Rate for Payer: Oxford Commercial	$227.18
Rate for Payer: Qualcare PPO/HMO/WC	$170.38
Rate for Payer: UnitedHealthcare Commercial	$227.18
Rate for Payer: UnitedHealthcare Community & State	$27.38
Rate for Payer: Wellpoint Medicaid Managed Care	$30.10

FORCEP BIPOLAR CUT 10m 41010US

Facility

$1,135.90

Hospital Charge Code	270619585
Hospital Revenue Code	272
Min. Negotiated Rate	$170.38
Max. Negotiated Rate	$170.38
Rate for Payer: Qualcare PPO/HMO/WC	$170.38

FORCEP BLUNT NOSE UP 2.1 MM

Facility

$5,051.00

Hospital Charge Code	270692123
Hospital Revenue Code	272
Min. Negotiated Rate	$757.65
Max. Negotiated Rate	$757.65
Rate for Payer: Qualcare PPO/HMO/WC	$757.65

FORCEP BLUNT NOSE UP 2.1 MM

Facility

$5,051.00

Hospital Charge Code	270692123
Hospital Revenue Code	272
Min. Negotiated Rate	$121.73
Max. Negotiated Rate	$2,525.50
Rate for Payer: Aetna Commercial	$1,919.38
Rate for Payer: Aetna Medicare Advantage	$1,515.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,288.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,288.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,288.01
Rate for Payer: Cigna Commercial	$2,525.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,515.30
Rate for Payer: Oxford Commercial	$1,010.20
Rate for Payer: Qualcare PPO/HMO/WC	$757.65
Rate for Payer: UnitedHealthcare Commercial	$1,010.20
Rate for Payer: UnitedHealthcare Community & State	$121.73
Rate for Payer: Wellpoint Medicaid Managed Care	$133.85

FORCEP BONE SERRATED 18MM

Facility

$3,840.85

Hospital Charge Code	270655151
Hospital Revenue Code	272
Min. Negotiated Rate	$92.56
Max. Negotiated Rate	$1,920.42
Rate for Payer: Aetna Commercial	$1,459.52
Rate for Payer: Aetna Medicare Advantage	$1,152.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$979.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$979.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$979.42
Rate for Payer: Cigna Commercial	$1,920.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,152.26
Rate for Payer: Oxford Commercial	$768.17
Rate for Payer: Qualcare PPO/HMO/WC	$576.13
Rate for Payer: UnitedHealthcare Commercial	$768.17
Rate for Payer: UnitedHealthcare Community & State	$92.56
Rate for Payer: Wellpoint Medicaid Managed Care	$101.78

FORCEP BONE SERRATED 18MM

Facility

$3,840.85

Hospital Charge Code	270655151
Hospital Revenue Code	272
Min. Negotiated Rate	$576.13
Max. Negotiated Rate	$576.13
Rate for Payer: Qualcare PPO/HMO/WC	$576.13

FORCEP BONE SERRATED 23MM

Facility

$4,072.60

Hospital Charge Code	270655152
Hospital Revenue Code	272
Min. Negotiated Rate	$98.15
Max. Negotiated Rate	$2,036.30
Rate for Payer: Aetna Commercial	$1,547.59
Rate for Payer: Aetna Medicare Advantage	$1,221.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,038.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,038.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,038.51
Rate for Payer: Cigna Commercial	$2,036.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,221.78
Rate for Payer: Oxford Commercial	$814.52
Rate for Payer: Qualcare PPO/HMO/WC	$610.89
Rate for Payer: UnitedHealthcare Commercial	$814.52
Rate for Payer: UnitedHealthcare Community & State	$98.15
Rate for Payer: Wellpoint Medicaid Managed Care	$107.92

FORCEP BONE SERRATED 23MM

Facility

$4,072.60

Hospital Charge Code	270655152
Hospital Revenue Code	272
Min. Negotiated Rate	$610.89
Max. Negotiated Rate	$610.89
Rate for Payer: Qualcare PPO/HMO/WC	$610.89

FORCEP DUAL IRRIGATING 1.0 TIP

Facility

$2,362.00

Hospital Charge Code	270692064
Hospital Revenue Code	272
Min. Negotiated Rate	$354.30
Max. Negotiated Rate	$354.30
Rate for Payer: Qualcare PPO/HMO/WC	$354.30

FORCEP DUAL IRRIGATING 1.0 TIP

Facility

$2,362.00

Hospital Charge Code	270692064
Hospital Revenue Code	272
Min. Negotiated Rate	$56.92
Max. Negotiated Rate	$1,181.00
Rate for Payer: Aetna Commercial	$897.56
Rate for Payer: Aetna Medicare Advantage	$708.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$602.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$602.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$602.31
Rate for Payer: Cigna Commercial	$1,181.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$708.60
Rate for Payer: Oxford Commercial	$472.40
Rate for Payer: Qualcare PPO/HMO/WC	$354.30
Rate for Payer: UnitedHealthcare Commercial	$472.40
Rate for Payer: UnitedHealthcare Community & State	$56.92
Rate for Payer: Wellpoint Medicaid Managed Care	$62.59

FORCEP EVEREST BIPOLAR MACRO

Facility

$920.00

Hospital Charge Code	270654831
Hospital Revenue Code	272
Min. Negotiated Rate	$22.17
Max. Negotiated Rate	$460.00
Rate for Payer: Aetna Commercial	$349.60
Rate for Payer: Aetna Medicare Advantage	$276.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$234.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$234.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$234.60
Rate for Payer: Cigna Commercial	$460.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$276.00
Rate for Payer: Oxford Commercial	$184.00
Rate for Payer: Qualcare PPO/HMO/WC	$138.00
Rate for Payer: UnitedHealthcare Commercial	$184.00
Rate for Payer: UnitedHealthcare Community & State	$22.17
Rate for Payer: Wellpoint Medicaid Managed Care	$24.38

FORCEP EVEREST BIPOLAR MACRO

Facility

$4,875.00

Hospital Charge Code	270655611
Hospital Revenue Code	272
Min. Negotiated Rate	$117.49
Max. Negotiated Rate	$2,437.50
Rate for Payer: Aetna Commercial	$1,852.50
Rate for Payer: Aetna Medicare Advantage	$1,462.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,243.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,243.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,243.12
Rate for Payer: Cigna Commercial	$2,437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,462.50
Rate for Payer: Oxford Commercial	$975.00
Rate for Payer: Qualcare PPO/HMO/WC	$731.25
Rate for Payer: UnitedHealthcare Commercial	$975.00
Rate for Payer: UnitedHealthcare Community & State	$117.49
Rate for Payer: Wellpoint Medicaid Managed Care	$129.19

FORCEP EVEREST BIPOLAR MACRO

Facility

$4,875.00

Hospital Charge Code	270655611
Hospital Revenue Code	272
Min. Negotiated Rate	$731.25
Max. Negotiated Rate	$731.25
Rate for Payer: Qualcare PPO/HMO/WC	$731.25

FORCEP EVEREST BIPOLAR MACRO

Facility

$920.00

Hospital Charge Code	270654831
Hospital Revenue Code	272
Min. Negotiated Rate	$138.00
Max. Negotiated Rate	$138.00
Rate for Payer: Qualcare PPO/HMO/WC	$138.00

FORCEP GRASP FL 115CM 3

Facility

$540.00

Hospital Charge Code	270605389
Hospital Revenue Code	272
Min. Negotiated Rate	$81.00
Max. Negotiated Rate	$81.00
Rate for Payer: Qualcare PPO/HMO/WC	$81.00

FORCEP GRASP FL 115CM 3

Facility

$540.00

Hospital Charge Code	270605389
Hospital Revenue Code	272
Min. Negotiated Rate	$13.01
Max. Negotiated Rate	$270.00
Rate for Payer: Aetna Commercial	$205.20
Rate for Payer: Aetna Medicare Advantage	$162.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$137.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$137.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$137.70
Rate for Payer: Cigna Commercial	$270.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.00
Rate for Payer: Oxford Commercial	$108.00
Rate for Payer: Qualcare PPO/HMO/WC	$81.00
Rate for Payer: UnitedHealthcare Commercial	$108.00
Rate for Payer: UnitedHealthcare Community & State	$13.01
Rate for Payer: Wellpoint Medicaid Managed Care	$14.31

FORCEP GRASP STONE RETVL MIC**

Facility

$673.00

Hospital Charge Code	1604693
Hospital Revenue Code	272
Min. Negotiated Rate	$100.95
Max. Negotiated Rate	$100.95
Rate for Payer: Qualcare PPO/HMO/WC	$100.95

FORCEP GRASP STONE RETVL MIC**

Facility

$673.00

Hospital Charge Code	1604693
Hospital Revenue Code	272
Min. Negotiated Rate	$16.22
Max. Negotiated Rate	$336.50
Rate for Payer: Aetna Commercial	$255.74
Rate for Payer: Aetna Medicare Advantage	$201.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$171.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$171.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$171.62
Rate for Payer: Cigna Commercial	$336.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$201.90
Rate for Payer: Oxford Commercial	$134.60
Rate for Payer: Qualcare PPO/HMO/WC	$100.95
Rate for Payer: UnitedHealthcare Commercial	$134.60
Rate for Payer: UnitedHealthcare Community & State	$16.22
Rate for Payer: Wellpoint Medicaid Managed Care	$17.83

FORCEP JAGWIRE 9 450CM 5659

Facility

$1,280.85

Hospital Charge Code	270603947
Hospital Revenue Code	270
Min. Negotiated Rate	$30.87
Max. Negotiated Rate	$640.42
Rate for Payer: Aetna Commercial	$486.72
Rate for Payer: Aetna Medicare Advantage	$384.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$326.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$326.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$326.62
Rate for Payer: Cigna Commercial	$640.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$384.25
Rate for Payer: Oxford Commercial	$256.17
Rate for Payer: Qualcare PPO/HMO/WC	$192.13
Rate for Payer: UnitedHealthcare Commercial	$256.17
Rate for Payer: UnitedHealthcare Community & State	$30.87
Rate for Payer: Wellpoint Medicaid Managed Care	$33.94

Know your out-of-pocket cost for care.

All Charges