Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

FORCEP RAD JAW HOT BX 1550-20

Facility

$187.50

Hospital Charge Code	270607143
Hospital Revenue Code	270
Min. Negotiated Rate	$4.52
Max. Negotiated Rate	$93.75
Rate for Payer: Aetna Commercial	$71.25
Rate for Payer: Aetna Medicare Advantage	$56.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.81
Rate for Payer: Cigna Commercial	$93.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.25
Rate for Payer: Oxford Commercial	$37.50
Rate for Payer: Qualcare PPO/HMO/WC	$28.12
Rate for Payer: UnitedHealthcare Commercial	$37.50
Rate for Payer: UnitedHealthcare Community & State	$4.52
Rate for Payer: Wellpoint Medicaid Managed Care	$4.97

FORCEP RAD JAW HOT BX 1550-20

Facility

$187.50

Hospital Charge Code	270607143
Hospital Revenue Code	270
Min. Negotiated Rate	$28.12
Max. Negotiated Rate	$28.12
Rate for Payer: Qualcare PPO/HMO/WC	$28.12

FORCEP RAD JAW LG W/NDL 1598

Facility

$704.00

Hospital Charge Code	270606231
Hospital Revenue Code	270
Min. Negotiated Rate	$105.60
Max. Negotiated Rate	$105.60
Rate for Payer: Qualcare PPO/HMO/WC	$105.60

FORCEP RAD JAW LG W/NDL 1598

Facility

$704.00

Hospital Charge Code	270606231
Hospital Revenue Code	270
Min. Negotiated Rate	$16.97
Max. Negotiated Rate	$352.00
Rate for Payer: Aetna Commercial	$267.52
Rate for Payer: Aetna Medicare Advantage	$211.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$179.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$179.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$179.52
Rate for Payer: Cigna Commercial	$352.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.20
Rate for Payer: Oxford Commercial	$140.80
Rate for Payer: Qualcare PPO/HMO/WC	$105.60
Rate for Payer: UnitedHealthcare Commercial	$140.80
Rate for Payer: UnitedHealthcare Community & State	$16.97
Rate for Payer: Wellpoint Medicaid Managed Care	$18.66

FORCEP RAD JAW MXCP 240CM 1588

Facility

$268.85

Hospital Charge Code	270608082
Hospital Revenue Code	272
Min. Negotiated Rate	$6.48
Max. Negotiated Rate	$134.43
Rate for Payer: Aetna Commercial	$102.16
Rate for Payer: Aetna Medicare Advantage	$80.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.56
Rate for Payer: Cigna Commercial	$134.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.66
Rate for Payer: Oxford Commercial	$53.77
Rate for Payer: Qualcare PPO/HMO/WC	$40.33
Rate for Payer: UnitedHealthcare Commercial	$53.77
Rate for Payer: UnitedHealthcare Community & State	$6.48
Rate for Payer: Wellpoint Medicaid Managed Care	$7.12

FORCEP RAD JAW MXCP 240CM 1588

Facility

$268.85

Hospital Charge Code	270608082
Hospital Revenue Code	272
Min. Negotiated Rate	$40.33
Max. Negotiated Rate	$40.33
Rate for Payer: Qualcare PPO/HMO/WC	$40.33

FORCEP RAD JAW PER 160MM 1578

Facility

$346.45

Hospital Charge Code	270608083
Hospital Revenue Code	272
Min. Negotiated Rate	$8.35
Max. Negotiated Rate	$173.22
Rate for Payer: Aetna Commercial	$131.65
Rate for Payer: Aetna Medicare Advantage	$103.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$88.34
Rate for Payer: Cigna Commercial	$173.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$103.94
Rate for Payer: Oxford Commercial	$69.29
Rate for Payer: Qualcare PPO/HMO/WC	$51.97
Rate for Payer: UnitedHealthcare Commercial	$69.29
Rate for Payer: UnitedHealthcare Community & State	$8.35
Rate for Payer: Wellpoint Medicaid Managed Care	$9.18

FORCEP RAD JAW PER 160MM 1578

Facility

$346.45

Hospital Charge Code	270608083
Hospital Revenue Code	272
Min. Negotiated Rate	$51.97
Max. Negotiated Rate	$51.97
Rate for Payer: Qualcare PPO/HMO/WC	$51.97

FORCEP RAD JAW PULM 111 1523

Facility

$154.50

Hospital Charge Code	270603912
Hospital Revenue Code	270
Min. Negotiated Rate	$3.72
Max. Negotiated Rate	$77.25
Rate for Payer: Aetna Commercial	$58.71
Rate for Payer: Aetna Medicare Advantage	$46.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.40
Rate for Payer: Cigna Commercial	$77.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.35
Rate for Payer: Oxford Commercial	$30.90
Rate for Payer: Qualcare PPO/HMO/WC	$23.18
Rate for Payer: UnitedHealthcare Commercial	$30.90
Rate for Payer: UnitedHealthcare Community & State	$3.72
Rate for Payer: Wellpoint Medicaid Managed Care	$4.09

FORCEP RAD JAW PULM 111 1523

Facility

$154.50

Hospital Charge Code	270603912
Hospital Revenue Code	270
Min. Negotiated Rate	$23.18
Max. Negotiated Rate	$23.18
Rate for Payer: Qualcare PPO/HMO/WC	$23.18

FORCEP RAD JAW PULM 111 1524

Facility

$154.58

Hospital Charge Code	270603913
Hospital Revenue Code	270
Min. Negotiated Rate	$3.73
Max. Negotiated Rate	$77.29
Rate for Payer: Aetna Commercial	$58.74
Rate for Payer: Aetna Medicare Advantage	$46.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.42
Rate for Payer: Cigna Commercial	$77.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.37
Rate for Payer: Oxford Commercial	$30.92
Rate for Payer: Qualcare PPO/HMO/WC	$23.19
Rate for Payer: UnitedHealthcare Commercial	$30.92
Rate for Payer: UnitedHealthcare Community & State	$3.73
Rate for Payer: Wellpoint Medicaid Managed Care	$4.10

FORCEP RAD JAW PULM 111 1524

Facility

$154.58

Hospital Charge Code	270603913
Hospital Revenue Code	270
Min. Negotiated Rate	$23.19
Max. Negotiated Rate	$23.19
Rate for Payer: Qualcare PPO/HMO/WC	$23.19

FORCEP RAD JAW PULM 6 1266

Facility

$2,301.65

Hospital Charge Code	270603914
Hospital Revenue Code	270
Min. Negotiated Rate	$55.47
Max. Negotiated Rate	$1,150.83
Rate for Payer: Aetna Commercial	$874.63
Rate for Payer: Aetna Medicare Advantage	$690.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$586.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$586.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$586.92
Rate for Payer: Cigna Commercial	$1,150.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$690.50
Rate for Payer: Oxford Commercial	$460.33
Rate for Payer: Qualcare PPO/HMO/WC	$345.25
Rate for Payer: UnitedHealthcare Commercial	$460.33
Rate for Payer: UnitedHealthcare Community & State	$55.47
Rate for Payer: Wellpoint Medicaid Managed Care	$60.99

FORCEP RAD JAW PULM 6 1266

Facility

$2,301.65

Hospital Charge Code	270603914
Hospital Revenue Code	270
Min. Negotiated Rate	$345.25
Max. Negotiated Rate	$345.25
Rate for Payer: Qualcare PPO/HMO/WC	$345.25

FORCEP RAD JAW PULM 7 1267

Facility

$2,301.65

Hospital Charge Code	270603915
Hospital Revenue Code	270
Min. Negotiated Rate	$55.47
Max. Negotiated Rate	$1,150.83
Rate for Payer: Aetna Commercial	$874.63
Rate for Payer: Aetna Medicare Advantage	$690.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$586.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$586.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$586.92
Rate for Payer: Cigna Commercial	$1,150.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$690.50
Rate for Payer: Oxford Commercial	$460.33
Rate for Payer: Qualcare PPO/HMO/WC	$345.25
Rate for Payer: UnitedHealthcare Commercial	$460.33
Rate for Payer: UnitedHealthcare Community & State	$55.47
Rate for Payer: Wellpoint Medicaid Managed Care	$60.99

FORCEP RAD JAW PULM 7 1267

Facility

$2,301.65

Hospital Charge Code	270603915
Hospital Revenue Code	270
Min. Negotiated Rate	$345.25
Max. Negotiated Rate	$345.25
Rate for Payer: Qualcare PPO/HMO/WC	$345.25

FORCEP RAD JAW PULM 8 1268

Facility

$2,301.65

Hospital Charge Code	270603916
Hospital Revenue Code	270
Min. Negotiated Rate	$55.47
Max. Negotiated Rate	$1,150.83
Rate for Payer: Aetna Commercial	$874.63
Rate for Payer: Aetna Medicare Advantage	$690.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$586.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$586.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$586.92
Rate for Payer: Cigna Commercial	$1,150.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$690.50
Rate for Payer: Oxford Commercial	$460.33
Rate for Payer: Qualcare PPO/HMO/WC	$345.25
Rate for Payer: UnitedHealthcare Commercial	$460.33
Rate for Payer: UnitedHealthcare Community & State	$55.47
Rate for Payer: Wellpoint Medicaid Managed Care	$60.99

FORCEP RAD JAW PULM 8 1268

Facility

$2,301.65

Hospital Charge Code	270603916
Hospital Revenue Code	270
Min. Negotiated Rate	$345.25
Max. Negotiated Rate	$345.25
Rate for Payer: Qualcare PPO/HMO/WC	$345.25

FORCEP RAD JAW PULM 9 1269

Facility

$2,301.65

Hospital Charge Code	270603917
Hospital Revenue Code	270
Min. Negotiated Rate	$55.47
Max. Negotiated Rate	$1,150.83
Rate for Payer: Aetna Commercial	$874.63
Rate for Payer: Aetna Medicare Advantage	$690.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$586.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$586.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$586.92
Rate for Payer: Cigna Commercial	$1,150.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$690.50
Rate for Payer: Oxford Commercial	$460.33
Rate for Payer: Qualcare PPO/HMO/WC	$345.25
Rate for Payer: UnitedHealthcare Commercial	$460.33
Rate for Payer: UnitedHealthcare Community & State	$55.47
Rate for Payer: Wellpoint Medicaid Managed Care	$60.99

FORCEP RAD JAW PULM 9 1269

Facility

$2,301.65

Hospital Charge Code	270603917
Hospital Revenue Code	270
Min. Negotiated Rate	$345.25
Max. Negotiated Rate	$345.25
Rate for Payer: Qualcare PPO/HMO/WC	$345.25

FORCEP RAT TOOTH

Facility

$375.00

Hospital Charge Code	270680382
Hospital Revenue Code	272
Min. Negotiated Rate	$9.04
Max. Negotiated Rate	$187.50
Rate for Payer: Aetna Commercial	$142.50
Rate for Payer: Aetna Medicare Advantage	$112.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.62
Rate for Payer: Cigna Commercial	$187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$112.50
Rate for Payer: Oxford Commercial	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$56.25
Rate for Payer: UnitedHealthcare Commercial	$75.00
Rate for Payer: UnitedHealthcare Community & State	$9.04
Rate for Payer: Wellpoint Medicaid Managed Care	$9.94

FORCEP RAT TOOTH

Facility

$375.00

Hospital Charge Code	270680382
Hospital Revenue Code	272
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$56.25
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

FORCEP REDUCT SPEED LOCK 205mm

Facility

$3,052.90

Hospital Charge Code	270652235
Hospital Revenue Code	272
Min. Negotiated Rate	$457.94
Max. Negotiated Rate	$457.94
Rate for Payer: Qualcare PPO/HMO/WC	$457.94

FORCEP REDUCT SPEED LOCK 205mm

Facility

$3,052.90

Hospital Charge Code	270652235
Hospital Revenue Code	272
Min. Negotiated Rate	$73.57
Max. Negotiated Rate	$1,526.45
Rate for Payer: Aetna Commercial	$1,160.10
Rate for Payer: Aetna Medicare Advantage	$915.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$778.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$778.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$778.49
Rate for Payer: Cigna Commercial	$1,526.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$915.87
Rate for Payer: Oxford Commercial	$610.58
Rate for Payer: Qualcare PPO/HMO/WC	$457.94
Rate for Payer: UnitedHealthcare Commercial	$610.58
Rate for Payer: UnitedHealthcare Community & State	$73.57
Rate for Payer: Wellpoint Medicaid Managed Care	$80.90

FORCEP REMOVAL CRANOFIX 2

Facility

$1,613.65

Hospital Charge Code	270684902
Hospital Revenue Code	272
Min. Negotiated Rate	$38.89
Max. Negotiated Rate	$806.83
Rate for Payer: Aetna Commercial	$613.19
Rate for Payer: Aetna Medicare Advantage	$484.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$411.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$411.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$411.48
Rate for Payer: Cigna Commercial	$806.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$484.10
Rate for Payer: Oxford Commercial	$322.73
Rate for Payer: Qualcare PPO/HMO/WC	$242.05
Rate for Payer: UnitedHealthcare Commercial	$322.73
Rate for Payer: UnitedHealthcare Community & State	$38.89
Rate for Payer: Wellpoint Medicaid Managed Care	$42.76

Know your out-of-pocket cost for care.

All Charges